Description:
Patients with relapsed or refractory (R/R) head and neck squamous cell carcinoma (HNSCC) or
colorectal carcinoma (CRC) will receive a loading dose of cetuximab alone, followed 7 days
later by the first combination treatment of cetuximab and NKTR-255 on Cycle 1 Day 1 (C1D1).
Thereafter, intravenous (IV) NKTR-255 will be given in 21-day cycles in combination with
weekly IV cetuximab. After determination of the recommended Phase 2 dose (RP2D) of NKTR-255
in combination with cetuximab, this dose of NKTR-255 will be further studied in patients with
HNSCC (Cohort A) and CRC (Cohort B) in Phase 2 of the study.
Title
- Brief Title: Study of NKTR 255 in Combination With Cetuximab in Solid Tumors
- Official Title: A Phase 1b/2, Open-label, Multicenter, Dose Escalation and Dose Expansion Study of NKTR 255 in Combination With Cetuximab as a Salvage Regimen for Solid Tumors
Clinical Trial IDs
- ORG STUDY ID:
19-255-03
- NCT ID:
NCT04616196
Conditions
- Head and Neck Squamous Cell Carcinoma (HNSCC)
- Colorectal Cancer (CRC)
Interventions
Drug | Synonyms | Arms |
---|
NKTR-255 | Cetuximab | Dose Escalation of NKTR-255 with Cetuximab |
NKTR-255 | Cetuximab | Dose expansion of NKTR-255 with Cetuximab |
Purpose
Patients with relapsed or refractory (R/R) head and neck squamous cell carcinoma (HNSCC) or
colorectal carcinoma (CRC) will receive a loading dose of cetuximab alone, followed 7 days
later by the first combination treatment of cetuximab and NKTR-255 on Cycle 1 Day 1 (C1D1).
Thereafter, intravenous (IV) NKTR-255 will be given in 21-day cycles in combination with
weekly IV cetuximab. After determination of the recommended Phase 2 dose (RP2D) of NKTR-255
in combination with cetuximab, this dose of NKTR-255 will be further studied in patients with
HNSCC (Cohort A) and CRC (Cohort B) in Phase 2 of the study.
Detailed Description
This study is a Phase 1b/2, open-label, multicenter dose escalation and dose expansion study
in patients with R/R HNSCC or CRC.
NKTR-255 is a cytokine that is designed to regulate T and natural killer cell activation,
proliferation and promote their anti-tumor effects.
After an initial cetuximab loading dose during the study run-in period (Day -7), patients
will receive IV NKTR-255 every 21 days in combination with cetuximab weekly. In the dose
escalation phase, beginning with Dose Level 1, successive cohorts will receive ascending
doses of NKTR-255 until the MTD and/or RP2D is determined. Patients who achieve optimal
response (partial response or complete response), will be given the option to continue
treatment with NKTR-255 as single agent for maintenance.
Enrollment into Phase 2 will commence once the RP2D is established in Phase 1b. The RP2D of
NKTR-255 will be evaluated in expansion Cohorts A and B. Cohort A will combine NKTR-255 and
cetuximab in patients with R/R HNSCC and Cohort B will combine NKTR-255 and cetuximab in
patients with R/R CRC.
Trial Arms
Name | Type | Description | Interventions |
---|
Dose Escalation of NKTR-255 with Cetuximab | Experimental | Establish RP2D, of NKTR-255 with cetuximab. | |
Dose expansion of NKTR-255 with Cetuximab | Experimental | The RP2D of NKTR-255 will be evaluated in expansion Cohorts A and B. | |
Eligibility Criteria
Key Inclusion Criteria:
- Histologically confirmed diagnosis of a locally advanced or metastatic HNSCC or CRC.
- Life expectancy > 12 weeks as determined by the Investigator.
- Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1.
- Measurable disease per RECIST 1.1.
HNSCC: Progression on any first or second line platinum-based chemotherapy and/or anti-PD-1
or programmed death-ligand 1 antibody.
CRC: Patients must have received or were intolerant to at least 2 prior cancer therapy
regimens administered for metastatic disease.
CRC: Patients with microsatellite instability-high (MSI-H) or mismatched repair disease
(dMMR) tumors must have been exposed to checkpoint inhibitors such as anti-PD-(L)1 or
anticytotoxic T-lymphocyte-associated protein (CTLA)-4 antibody.
Key Exclusion Criteria:
- Use of an investigational agent or an investigational device within 28 days before
administration of first dose of study drug(s)
- Prior surgery or radiotherapy within 14 days of initiating study drug(s)
- Evidence of clinically significant interstitial lung disease or active, noninfectious
pneumonitis; active infection requiring systemic therapy within 7 days prior to dosing
- Patients who have been previously treated with IL-2 or IL-15
- Contraindication to or unable to receive cetuximab
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Incidence of Treatment-Emergent Adverse Events (TEAE) and Serious Adverse Events (SAE) of NKTR-255 with Cetuximab |
Time Frame: | 60 days after the last dose of study treatment. |
Safety Issue: | |
Description: | Safety and tolerability of NKTR-255 in combination with cetuximab as evaluated by dose limiting toxicities, incidence of drug-related Adverse Events (AEs), SAEs, and AEs leading to discontinuation, deaths, and clinical laboratory abnormalities per CTCAE 5.0 |
Secondary Outcome Measures
Measure: | Efficacy of NKTR-255 with Cetuximab |
Time Frame: | Through study completion, an expected average of 1 year |
Safety Issue: | |
Description: | Evaluate the anti-tumor activity of the combination of NKTR-255 and cetuximab by assessing progression-free survival (PFS) and overall survival (OS). |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Nektar Therapeutics |
Trial Keywords
- HNSCC
- CRC
- R/R
- NKTR-255
- Cetuximab
Last Updated
September 1, 2021