Clinical Trials /

A Phase 1a/1b First-In-Human (FIH) Study of PY159 in Subjects With Advanced Solid Tumors

NCT04682431

Description:

A Phase 1a/1b Open-label Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of PY159 as a Single Agent and In Combination with Pembrolizumab in Subjects with Advanced Solid Tumors

Related Conditions:
  • Breast Carcinoma
  • Gastric Adenocarcinoma
  • Gastric Carcinoma
  • Lung Adenocarcinoma
  • Malignant Cervical Neoplasm
  • Malignant Endometrial Neoplasm
  • Malignant Head and Neck Neoplasm
  • Malignant Ovarian Neoplasm
  • Malignant Vaginal Neoplasm
  • Malignant Vulvar Neoplasm
  • Pancreatic Adenocarcinoma
  • Squamous Cell Lung Carcinoma
Recruiting Status:

Recruiting

Phase:

Phase 1

Trial Eligibility

Document

Title

  • Brief Title: A Phase 1a/1b First-In-Human (FIH) Study of PY159 in Subjects With Advanced Solid Tumors
  • Official Title: A Phase 1a/1b Open-Label Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of PY159 as a Single Agent and In Combination With Pembrolizumab in Subjects With Advanced Solid Tumors

Clinical Trial IDs

  • ORG STUDY ID: PY159-2-01
  • NCT ID: NCT04682431

Conditions

  • Advanced Solid Tumor

Interventions

DrugSynonymsArms
PY159 Single agent dose level 1PY159 Single agent dose level 1
PY159 Single agent dose level 2PY159 Single agent dose level 2
PY159 Single agent dose level 3PY159 single agent dose level 3
PY159 Single agent dose level 4PY159 single agent dose level 4
PY159 Single agent dose level 5PY159 single agent dose level 5
PY159 Single agent dose level 6PY159 single agent dose level 6
PY159 Single agent dose level 7PY159 single agent dose level 7
PY159/Pembrolizumab Combination dose level 1Pembrolizumab, PY159PY159/Pembrolizumab Combination dose level 1
PY159/Pembrolizumab Combination dose level 2Pembrolizumab, PY159PY159/Pembrolizumab Combination dose level 2
PY159/Pembrolizumab Combination dose level 3Pembrolizumab, PY159PY159/Pembrolizumab Combination dose level 3
PY159/Pembrolizumab Combination dose level 4Pembrolizumab, PY159PY159/Pembrolizumab Combination dose level 4
PY159 Single agent dose expansion cohort 1PY159 Single agent dose expansion cohort 1
PY159 Single agent dose expansion cohort 2PY159 Single agent dose expansion cohort 2
PY159/Pembrolizumab Combination dose expansion cohort 1Pembrolizumab, PY159PY159/Pembrolizumab Combination dose expansion cohort 1
PY159/Pembrolizumab Combination dose expansion cohort 2Pembrolizumab, PY159PY159/Pembrolizumab Combination dose expansion cohort 2
PY159/Pembrolizumab Combination dose expansion cohort 3Pembrolizumab, PY159PY159/Pembrolizumab Combination dose expansion cohort 3
PY159/Pembrolizumab Combination dose expansion cohort 4Pembrolizumab, PY159PY159/Pembrolizumab Combination dose expansion cohort 4

Purpose

A Phase 1a/1b Open-label Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of PY159 as a Single Agent and In Combination with Pembrolizumab in Subjects with Advanced Solid Tumors

Detailed Description

      Part A: Dose escalation of PY159 alone and in combination with pembrolizumab n a standard 3+3
      design Part B: Dose expansion of one or more dose levels of PY159 administered alone and in
      combination with pembrolizumab for predefined tumor histology
    

Trial Arms

NameTypeDescriptionInterventions
PY159 Single agent dose level 1ExperimentalPY159 single agent dose level 1 IV administration, Q3 weekly until consent withdrawal, intolerable toxicity or investigator decision.
  • PY159 Single agent dose level 1
PY159 Single agent dose level 2ExperimentalPY159 single agent dose level 2
  • PY159 Single agent dose level 2
PY159 single agent dose level 3ExperimentalPY159 single agent dose level 3
  • PY159 Single agent dose level 3
PY159 single agent dose level 4ExperimentalPY159 single agent dose level 4
  • PY159 Single agent dose level 4
PY159 single agent dose level 5ExperimentalPY159 single agent dose level 5
  • PY159 Single agent dose level 5
PY159 single agent dose level 6ExperimentalPY159 single agent dose level 6
  • PY159 Single agent dose level 6
PY159 single agent dose level 7ExperimentalPY159 single agent dose level 7
  • PY159 Single agent dose level 7
PY159/Pembrolizumab Combination dose level 1ExperimentalPY159/Pembrolizumab Combination dose level 1
  • PY159/Pembrolizumab Combination dose level 1
PY159/Pembrolizumab Combination dose level 2ExperimentalPY159/Pembrolizumab Combination dose level 2
  • PY159/Pembrolizumab Combination dose level 2
PY159/Pembrolizumab Combination dose level 3ExperimentalPY159/Pembrolizumab Combination dose level 3
  • PY159/Pembrolizumab Combination dose level 3
PY159/Pembrolizumab Combination dose level 4ExperimentalPY159/Pembrolizumab Combination dose level 4
  • PY159/Pembrolizumab Combination dose level 4
PY159 Single agent dose expansion cohort 1ExperimentalPY159 Single agent dose expansion cohort 1
  • PY159 Single agent dose expansion cohort 1
PY159 Single agent dose expansion cohort 2ExperimentalPY159 Single agent dose expansion cohort 2
  • PY159 Single agent dose expansion cohort 2
PY159/Pembrolizumab Combination dose expansion cohort 1ExperimentalPY159 in combination with pembrolizumab dose expansion cohort 1
  • PY159/Pembrolizumab Combination dose expansion cohort 1
PY159/Pembrolizumab Combination dose expansion cohort 2ExperimentalPY159 in combination with pembrolizumab dose expansion cohort 2
  • PY159/Pembrolizumab Combination dose expansion cohort 2
PY159/Pembrolizumab Combination dose expansion cohort 3ExperimentalPY159 in combination with pembrolizumab dose expansion cohort 3
  • PY159/Pembrolizumab Combination dose expansion cohort 3
PY159/Pembrolizumab Combination dose expansion cohort 4ExperimentalPY159 in combination with pembrolizumab dose expansion cohort 4
  • PY159/Pembrolizumab Combination dose expansion cohort 4

Eligibility Criteria

        KEY ELIGIBILITY CRITERIA

        Inclusion Criteria:

          1. Adults ≥ 18 years of age at the time of study consent

          2. Subjects with any of the following eligible solid tumor diagnoses as confirmed by
             cytology or histology:

               1. Escalation Cohorts (Part A): Subjects with solid tumors from pre-specified tumor
                  types (head and neck cancer, gynecological cancers [including ovarian,
                  endometrial, cervix, vagina, vulva], pancreatic [adenocarcinoma], lung
                  [adenocarcinoma and squamous cell carcinoma], gastric [adenocarcinoma MSIlow and
                  CPI refractory MSIhigh ], breast [Triple Negative Breast Cancer (TNBC) and
                  Hormone Receptor Positive Breast Cancer (HR+), HER-2 negative Breast Cancer
                  (HER-2-)] with metastatic disease that is relapsed or refractory to at least one
                  line of metastatic therapy (including a CPI-either alone or in combination- if
                  approved for that indication, and not eligible for other targeted therapies
                  specific for their tumor type). Lung adenocarcinoma subjects who are relapsed or
                  refractory to platinum-based chemotherapy in addition to prior treatment with
                  Programmed Cell Death-1 (PD-1)/Programmed Cell Death-Ligand 1 (PD-L1) or who give
                  informed consent to forego such therapy.

               2. Expansion Cohorts (Part B): Subjects with advanced solid tumors selected from
                  prespecified histologic subgroups identified in Part A, with TREM1 expression
                  confirmed by IHC (of fresh CNB) prior to enrollment. Lung adenocarcinoma subjects
                  who are relapsed or refractory to platinum-based chemotherapy in addition to
                  prior treatment with PD-1/PD-L1 or who give informed consent to forego such
                  therapy.

          3. Subjects must provide an original, diagnostic tumor sample to determine TREM1
             expression (Investigators have verified source and availability of archival tissue
             during screening). Subjects without an archival tissue sample will only be eligible if
             they choose and consent to provide a core needle biopsy of a metastatic lesion.

          4. Subjects must have documented disease progression

               1. Part A, including prior treatment with a CPI (alone or in combination), if
                  approved for that indication

               2. Part B, excluding refractory lung cancer patients who have progressed within 3
                  months of initiating chemotherapy-doublet regimens or lung cancer subjects who
                  have progressed within 6 months of initiation immunotherapy-chemotherapy
                  combination treatment

          5. Measurable disease by RECIST 1.1

          6. All acute toxic effects of any prior antitumor therapy, including immunotherapy,
             resolved to Grade ≤ 1 or < 2 if controlled on medications (e.g. thyroid replacement
             therapy) before the start of study drug dosing, except for alopecia, peripheral
             neuropathy, or hypothyroidism

          7. Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) ≤ 2

        Exclusion Criteria:

          1. Patient is a candidate for molecularly targeted therapy (e.g. drugs targeting EGFR,
             EGFR, ALK, ROS-1, NTRK, MET, RET and BRAF V600E, Her2neu). Applies to enrolled
             subjects on both Part A and Part B of the study.

          2. History of autoimmune disorder requiring ongoing or intermittent disease-modifying
             therapy

          3. Untreated or uncontrolled brain metastases. (Treated, stable and asymptomatic
             metastases for at least 3 months prior to enrollment may be enrolled). Stable subjects
             with brain metastases receiving glucocorticoids must be on a stable dose for at least
             3 months prior to enrollment.

          4. Uncontrolled intercurrent illness including, but not limited to, active or chronic
             bleeding event within 28 days prior to first dose of study drug, or psychiatric
             illness/social situation that would limit compliance with study requirements as judged
             by treating physician

          5. Decompensated liver disease as evidenced by hepatic encephalopathy or coagulopathy

          6. Active angina or Class III or IV Congestive Heart Failure (CHF)(NYHA CHF Functional
             Classification System) or clinically significant cardiac disease within 12 months of
             first dose of study drug, including MI, unstable angina, Grade 2 or greater peripheral
             vascular disease, uncontrolled HTN, or arrhythmias not controlled by medication

          7. Any anti-cancer therapy, including small molecules, immunotherapy, chemotherapy,
             monoclonal antibody therapy, radiotherapy, or any other agents to treat cancer within
             14 days, of first dose of study drug. Subjects with a prior history of prostate cancer
             on LHRH agonist are eligible provided they have no evidence of metastatic disease.
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Incidence of Adverse Events (AE)
Time Frame:12 months
Safety Issue:
Description:Adverse Events will be summarized by MedDRA system organ class and preferred term. Separate tabulations will be produced for all treatment emergent AEs, treatment related AEs, Serious Adverse Events (SAEs), discontinuations due to AEs, and AEs of at least NCI CTCAE grade 3 severity.

Secondary Outcome Measures

Measure:Objective response rate (ORR)
Time Frame:36 months
Safety Issue:
Description:The incidents of ORR is defined as either a complete or partial response per RECIST. Subjects with no baseline data will be considered no responders. ORR will be summarized by dose, tumor type, and overall. ORR will be summarized descriptively.
Measure:Deceased control rate (DCR)
Time Frame:36 months
Safety Issue:
Description:DCR will be measure per resists 1.1 criteria. DCR will be summarized descriptively.
Measure:Duration of response (DOR)
Time Frame:36 months
Safety Issue:
Description:DOR will be calculated to determine durability. DOR will be measured from the time by which the criteria for CR or PR-whichever is recorded first-are met until the first date by which recurrent or progressive disease is objectively documented. DOR will be assessed using KAPLAN-MEIER methods.
Measure:Progress free survival (PFS)
Time Frame:36 months
Safety Issue:
Description:PFS will be measure from entry onto the study until disease progression or death from any cause. PFS will be assessed using KAPLAN-MEIER methods.
Measure:Overall survival (OS)
Time Frame:36 months
Safety Issue:
Description:The duration of overall survival (OS) will be measured from the time of first study drug administration until the date of death. OS will be assessed using KAPLAN-MEIER methods.

Details

Phase:Phase 1
Primary Purpose:Interventional
Overall Status:Recruiting
Lead Sponsor:Pionyr Immunotherapeutics Inc.

Last Updated

December 23, 2020