Clinical Trials /

Study of JTX 8064, as Monotherapy and in Combination With a PD-1 Inhibitor, in Adult Subjects With Advanced Refractory Solid Tumors

NCT04669899

Description:

JTX-8064-101 is a Phase 1, open label, dose escalation and dose expansion clinical study to determine the safety, tolerability, and recommended Phase 2 dose of JTX-8064 alone and in combination with a PD-1 inhibitor (PD-1i).

Related Conditions:
  • Breast Carcinoma
  • Head and Neck Squamous Cell Carcinoma
  • Malignant Solid Tumor
  • Non-Small Cell Lung Carcinoma
Recruiting Status:

Recruiting

Phase:

Phase 1

Trial Eligibility

Document

Title

  • Brief Title: Study of JTX 8064, as Monotherapy and in Combination With a PD-1 Inhibitor, in Adult Subjects With Advanced Refractory Solid Tumors
  • Official Title: Phase 1 First-in-Human (FIH) Study of Leukocyte Immunoglobulin-Like Receptor B2 (LILRB2) Inhibitor Monoclonal Antibody (mAb) JTX-8064, as Monotherapy and in Combination With a Programmed Cell Death Receptor-1 (PD-1) Inhibitor, in Adult Subjects With Advanced Refractory Solid Tumor Malignancies

Clinical Trial IDs

  • ORG STUDY ID: JTX-8064-101
  • NCT ID: NCT04669899

Conditions

  • Cancer

Interventions

DrugSynonymsArms
JTX-8064Anti-LILRB2, Anti-ILT4Stage 1, Dose Escalation: JTX-8064 monotherapy dose escalation
pimivalimabJTX-4014, Anti-PD-1Stage 2, Dose Escalation: JTX-8064 in combination with pimivalimab

Purpose

JTX-8064-101 is a Phase 1, open label, dose escalation and dose expansion clinical study to determine the safety, tolerability, and recommended Phase 2 dose of JTX-8064 alone and in combination with a PD-1 inhibitor (PD-1i).

Detailed Description

      JTX-8064 is a humanized mAb designed to block the interaction of LILRB2 with its known
      ligands, endogenous major histocompatibility complex class I (MHC I) molecules. This is a
      Phase 1, first in human, open label, multicenter, dose escalation and dose expansion clinical
      trial to determine the safety, tolerability, MTD and RP2D of JTX-8064 when administered as a
      single agent and in combination with a PD-1i in adult subjects with advanced refractory solid
      tumor malignancies. Additionally, the study will seek to evaluate the pharmacokinetics and
      immunogenicity of JTX-8064, and preliminary efficacy of JTX-8064 as a monotherapy and in
      combination with a PD-1i.
    

Trial Arms

NameTypeDescriptionInterventions
Stage 1, Dose Escalation: JTX-8064 monotherapy dose escalationExperimentalDose Escalation, Stage 1 JTX-8064 Monotherapy. Cohorts will enroll subjects with histologically or cytologically confirmed advanced/metastatic extracranial solid tumor malignancies
  • JTX-8064
Stage 2, Dose Escalation: JTX-8064 in combination with pimivalimabExperimentalDose Escalation, Stage 2: JTX-8064 in combination with pimivalimab. Cohorts will enroll subjects with histologically or cytologically confirmed advanced/metastatic extracranial solid tumor malignancies
  • JTX-8064
  • pimivalimab
Stage 3 Expansion: JTX-8064 monotherapy (Ovarian)ExperimentalCohort will enroll subjects with advanced/metastatic PD-1/PD-L1 (PD-(L)1)-naïve, platinum-resistant ovarian cancer
  • JTX-8064
Stage 4, Expansion: JTX-8064 in combination with pimivalimab (ccRCC)ExperimentalJTX-8064 in combination with pimivalimab. Cohort will enroll subjects with advanced/metastatic PD-(L)1-experienced clear cell renal cell carcinoma (ccRCC)
  • JTX-8064
  • pimivalimab
Stage 4, Expansion: JTX-8064 in combination with pimivalimab (TNBC)ExperimentalJTX-8064 in combination with pimivalimab. Cohort will enroll subjects with advanced/metastatic PD-(L)1-experienced triple negative breast cancer (TNBC)
  • JTX-8064
  • pimivalimab
Stage 4, Expansion: JTX-8064 in combination with pimivalimab (HNSCC)ExperimentalExperimental: Expansion, Stage 4: JTX-8064 in combination with pimivalimab. Cohort will enroll subjects with advanced/metastatic PD-(L)1-naïve, PD-L1+ head and neck squamous cell carcinoma (HNSCC)
  • JTX-8064
  • pimivalimab
Stage 4, Expansion: JTX-8064 in combination with pimivalimab (Ovarian)ExperimentalTX-8064 in combination with pimivalimab. Cohort will enroll subjects with advanced/metastatic PD-(L)1-naïve, platinum resistant ovarian cancer
  • JTX-8064
  • pimivalimab
Stage 4, Expansion: JTX-8064 in combination with pimivalimab (NSCLC)ExperimentalJTX-8064 in combination with pimivalimab. Cohort will enroll subjects with advanced/metastatic PD-(L)1-experienced non-small cell lung cancer (NSCLC)
  • JTX-8064
  • pimivalimab
Stage 4, Expansion: JTX-8064 in combination with pimivalimab (cSCC)ExperimentalJTX-8064 in combination with pimivalimab. Cohort will enroll subjects with advanced/metastatic PD-(L)1-experienced cutaneous squamous cell carcinoma (cSCC)
  • JTX-8064
  • pimivalimab
Stage 4, Expansion: JTX-8064 in combination with pimivalimab (UPS & LPS)ExperimentalJTX-8064 in combination with pimivalimab. Cohort will enroll subjects with advanced/metastatic PD-(L)1-naïve undifferentiated pleomorphic sarcoma (UPS) and liposarcoma (LPS)
  • JTX-8064
  • pimivalimab

Eligibility Criteria

        1. Able and willing to participate and comply with all study requirements and provide
             signed and dated informed consent prior to initiation of any study procedures;

          2. Histologically or cytologically confirmed advanced/metastatic extracranial solid tumor
             malignancy.

               1. Stages 1 and 2: Subject must have received, have been intolerant to, have been
                  ineligible for, or have declined all treatment known to confer clinical benefit
                  with the exception of subjects enrolled in combination cohorts with a PD-1i,
                  where a PD-1i is approved by the local regulatory agencies

               2. Stage 3: This stage may enroll subjects with the following cancers:

                  • 3L/4L PD-(L)1-naïve, platinum-resistant ovarian cancer

               3. Stage 4: This stage may enroll subjects with the following cancers:

                    -  2L/3L ccRCC. Subjects must have progressed on or after treatment with an
                       anti-PD-(L)1 agent in their most recent prior line of therapy

                    -  2L-4L TNBC. Subjects must have progressed on or after treatment with a prior
                       anti-PD-(L)1 therapy

                    -  1L, PD-(L)1-naïve, PD-L1+; combined positive score (CPS) ≥ 1% HNSCC

                    -  3L/4L, PD-(L)1-naïve, platinum-resistant ovarian cancer

                    -  2L/3L NSCLC; Subjects must have progressed on or after treatment with
                       platinum-based chemotherapy and an anti-PD-(L)1-containing therapy. The
                       anti-PD-(L)1 agent must have been a part of the most recent prior line of
                       therapy. Subjects with EGFR mutations and ALK rearrangements will be
                       excluded. Subjects with other targetable genomic aberrations for which FDA
                       approved therapies exist must have received appropriate FDA-approved
                       targeted therapy

                    -  2L/3L cSCC; Subjects must have progressed on or after treatment with an
                       anti-PD-(L)1 agent in their most recent prior line of therapy

                    -  2L-4L PD-(L)1-naïve UPS and LPS

          3. Measurable disease, according to the RECIST version 1.1, that has objectively
             progressed since (or on) previous treatment as assessed by the Investigator;

          4. ≥ 18 years of age;

          5. Eastern Cooperative Oncology Group performance status 0 or 1;

          6. Predicted life expectancy of ≥ 3 months;

          7. Have specified laboratory values (obtained ≤ 28 days prior to first dose) in
             accordance with the study protocol;

          8. For women of childbearing potential (WOCBP): negative serum pregnancy test during the
             Screening period and a negative urine pregnancy test up to 24 hours in advance of C1D1

          9. WOCBP and males whose partners are WOCBP must agree to use a highly effective method
             of birth control throughout their participation and for 5 months following the last
             study drug administration.

        Exclusion Criteria:

          1. Concurrent anticancer treatment, either FDA approved or investigational, for the
             cancer being evaluated in this study or for prior malignancies. A past history of
             other malignancies is allowed as long as the subject is not receiving treatment other
             than hormonal therapy and, in the judgment of the Investigator, is unlikely to have a
             recurrence. Of note, concurrent malignancies that do not require treatment and are
             clinically stable are allowed

          2. Prior infusion of JTX-8064, LILRB2, or ILT4-directed therapy;

          3. The therapies listed below within the specified timeframe:

               1. Immunotherapy or biologic therapy < 28 days prior to planned C1D1 or 5
                  half-lives, whichever is shorter

               2. Chemotherapy < 21 days prior to planned C1D1, or < 42 days for mitomycin or
                  nitrosoureas or 5 half-lives, whichever is shorter

               3. Targeted small molecule therapy < 14 days or 5 half-lives, whichever is shorter,
                  prior to planned C1D1

               4. Radiation therapy < 21 days prior to planned C1D1. Exception: Limited (e.g., pain
                  palliation) radiation therapy is allowed prior to and during study drug
                  administration as long as there are no acute toxicities, any AE due to prior
                  radiation therapy has recovered to < Grade 2, and the radiation is not
                  administered to a target lesion

          4. Symptomatic or uncontrolled brain metastases, leptomeningeal disease, or spinal cord
             compression not definitively treated with surgery or radiation (brain metastases that
             are stable and asymptomatic after prior treatment will be allowed);

          5. Women who are pregnant or breastfeeding or who plan to become pregnant/breastfeed
             while on study; men who plan to father children during the study

          6. Live vaccines ≤ 30 days of C1D1
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Incidence and severity of dose-limiting toxicities (DLTs), treatment-emergent adverse events (TEAEs), serious TEAEs, and discontinuation due to adverse events (AEs).
Time Frame:up to 18 months
Safety Issue:
Description:Evaluated using National Cancer Institute (NCI) Common Technology Criteria for Adverse Events (CTCAE) version 5.0

Secondary Outcome Measures

Measure:Cmax (the maximum observed concentration) for JTX-8064 when administered as monotherapy or in combination with a PD-1i
Time Frame:Cycle 1 through 12 (each cycle is 21 days)
Safety Issue:
Description:
Measure:Tmax (time of maximum observed concentration) for JTX-8064 when administered as monotherapy or in combination with a PD-1i
Time Frame:Cycle 1 through 12 (each cycle is 21 days)
Safety Issue:
Description:
Measure:Cmin for JTX-8064 when administered as monotherapy or in combination with a PD-1i
Time Frame:Cycle 1 through 12 (each cycle is 21 days)
Safety Issue:
Description:
Measure:AUClast (area under the concentration-time curve from time 0 to the last measurable concentration) for JTX-8064 when administered as monotherapy or in combination with a PD-1i
Time Frame:Cycle 1 and 3 (each cycle is 21 days)
Safety Issue:
Description:
Measure:Cmax for PD-1i in combination with JTX-8064
Time Frame:Cycles 1 through 12 (each cycle is 21 days)
Safety Issue:
Description:
Measure:Tmax for PD-1i in combination with JTX-8064
Time Frame:Cycles 1 through 12 (each cycle is 21 days)
Safety Issue:
Description:
Measure:Cmin for PD-1i in combination with JTX-8064
Time Frame:Cycles 1 through 12 (each cycle is 21 days)
Safety Issue:
Description:
Measure:Incidence of ADAs to JTX-8064 and, as appropriate, to PD-1i
Time Frame:Baseline through Cycle 12 (each cycle is 21 days)]
Safety Issue:
Description:
Measure:Incidence of neutralizing antibodies (Nabs) to JTX-8064 and, as appropriate, to PD-1i
Time Frame:Baseline through Cycle 12 (each cycle is 21 days)]
Safety Issue:
Description:
Measure:For Stages 1 and 2: Receptor occupancy for LILRB2 on monocytes in whole blood
Time Frame:Baseline through Cycle 6 (each cycle is 21 days)]
Safety Issue:
Description:
Measure:For Stages 3 and 4: Preliminary efficacy endpoints: ORR (the proportion of subjects who have had a partial response, PR or complete response CR) as per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1
Time Frame:up to 36 months
Safety Issue:
Description:
Measure:For Stages 3 and 4: Preliminary efficacy endpoints: DCR (the proportion of subjects who have a PR, CR or stable disease SD), as per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1
Time Frame:up to 36 months
Safety Issue:
Description:
Measure:For Stages 3 and 4: Preliminary efficacy endpoints: Duration of response (DOR) (the time from documentation of tumor progression or death due to any cause, whichever comes first)
Time Frame:up to 36 months
Safety Issue:
Description:
Measure:For Stages 3 and 4: Preliminary efficacy endpoints: Percentage of subjects with tumor reduction at any time
Time Frame:up to 36 months
Safety Issue:
Description:
Measure:For Stages 3 and 4: Preliminary efficacy endpoints: Progression-free survival (PFS) (interval from start of treatment to the earlier of first documentation of disease progression or death from any cause)
Time Frame:up to 36 months
Safety Issue:
Description:
Measure:For Stages 3 and 4: Preliminary efficacy endpoints: Overall survival (OS) (the interval from start of treatment to death of any cause)
Time Frame:up to 36 months
Safety Issue:
Description:

Details

Phase:Phase 1
Primary Purpose:Interventional
Overall Status:Recruiting
Lead Sponsor:Jounce Therapeutics, Inc.

Trial Keywords

  • JTX-8064
  • LILRB2
  • ILT-4
  • PD-1
  • JTX-4014
  • Immunotherapy
  • Immuno-oncology
  • Solid tumor Malignancies
  • Dose escalation
  • INNATE
  • Monotherapy
  • Combination Therapy
  • Antineoplastic Agents
  • Immunological

Last Updated

July 23, 2021