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CPI-006 Alone and in Combination With Ciforadenant and With Pembrolizumab for Patients With Advanced Cancers


2018-04-25


2022-12-28


2023-02-19


117

Study Overview

CPI-006 Alone and in Combination With Ciforadenant and With Pembrolizumab for Patients With Advanced Cancers

This is a Phase 1/1b open-label, dose escalation and dose expansion study of CPI-006, a humanized monoclonal antibody (mAb) targeting the CD73 cell-surface ectonucleotidase in adult subjects with select advanced cancers. CPI-006 will be evaluated as a single agent, in combination with ciforadenant (an oral adenosine 2A receptor antagonist), in combination with pembrolizumab (an anti-PD1 antibody), and in combination with ciforadenant and pembrolizumab.

N/A

  • Non-Small Cell Lung Cancer
  • Renal Cell Cancer
  • Colorectal Cancer
  • Triple Negative Breast Cancer
  • Cervical Cancer
  • Ovarian Cancer
  • Pancreatic Cancer
  • Endometrial Cancer
  • Sarcoma
  • Squamous Cell Carcinoma of the Head and Neck
  • Bladder Cancer
  • Metastatic Castration Resistant Prostate Cancer
  • Non-hodgkin Lymphoma
  • DRUG: CPI-006
  • DRUG: CPI-006 + ciforadenant
  • DRUG: CPI-006 + pembrolizumab
  • DRUG: CPI-006
  • DRUG: CPI-006 + ciforadenant
  • DRUG: CPI-006 + pembrolizumab
  • CPI-006-001

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates Results Reporting Dates Study Record Updates

2018-02-05  

N/A  

2023-12-19  

2018-03-02  

N/A  

2023-12-21  

2018-03-06  

N/A  

2023-12  

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Design Details

Primary Purpose:
Treatment


Allocation:
Randomized


Interventional Model:
Sequential


Masking:
None


Arms and Interventions

Participant Group/ArmIntervention/Treatment
EXPERIMENTAL: Cohort 1a

CPI-006

DRUG: CPI-006

  • Subjects will receive escalating doses of CPI-006 administered intravenously once every 21 days until MTD is reached or until disease progression.
EXPERIMENTAL: Cohort1b

CPI-006 + ciforadenant

DRUG: CPI-006 + ciforadenant

  • Subjects will receive escalating doses of CPI-006 administered intravenously once every 21 days in combination with CPI-444 orally twice daily until MTD is reached for CPI-006 or until disease progression.
EXPERIMENTAL: Cohort 1c

CPI-006 + pembrolizumab

DRUG: CPI-006 + pembrolizumab

  • Subjects will receive escalating doses of CPI-006 in combination with pembrolizumab administered intravenously once every 21 days until MTD is reached for CPI-006 or until disease progression.
EXPERIMENTAL: Cohort 2a

CPI-006

DRUG: CPI-006

  • Selected dose of CPI-006 administered intravenously once every 21 days until disease progression.
EXPERIMENTAL: Cohort 2b

CPI-006 + ciforadenant

DRUG: CPI-006 + ciforadenant

  • Selected dose of CPI-006 administered intravenously once every 21 days, in combination with CPI-444 orally twice daily until disease progression.
EXPERIMENTAL: Cohort 2c

CPI-006 + pembrolizumab

DRUG: CPI-006 + pembrolizumab

  • Selected dose of CPI-006 in combination with pembrolizumab administered intravenously once every 21 days until disease progression.
Primary Outcome MeasuresMeasure DescriptionTime Frame
Incidence of dose-limiting toxicities (DLTs) of CPI-006 as a single agent and in combination with ciforadenant and with pembrolizumab.From start of treatment to end of treatment, up to 36 months
Incidence of treatment-emergent adverse events as assessed by NCI CTCAE v.4.03, of CPI-006 as single agent and in combination with ciforadenant and with pembrolizumab.From start of treatment to end of treatment, up to 36 months
Identify the MDL(maximum dose level) of single agent CPI-006From start of treatment to end of treatment, up to 36 months
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Area under the curve (AUC) of CPI-006Day 1, 2, 8 , and 15 of Cycle 1 & 4 (each cycle is 21 days).
Maximum serum concentration (Cmax) of CPI-006Day 1, 2, 8 , and 15 of Cycle 1 & 4 (each cycle is 21 days).
Objective response rate per RECIST v.1.1 criteria of CPI-006 as single agent and in combination with ciforadenant and with pembrolizumab.From start of treatment to end of treatment, up to 36 months

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
ALL

Sexes Eligible for Study:
18 Years

Accepts Healthy Volunteers:

    Inclusion Criteria:
    1. Eastern Cooperative Oncology Group (ECOG) Performance Status 0-1. 2. Documented incurable cancer with one of the following histologies: nonsmall cell lung cancer, renal cell cancer, triple negative breast cancer, colorectal cancer with microsatellite instability(MSI), bladder cancer, cervical cancer, uterine cancer, sarcoma, endometrial cancer, and metastatic castration resistant prostate cancer. 3. At least 1 measurable lesion per Response Evaluation Criteria in Solid Tumors (RECIST 1.1). 4. For Escalation: At least 1 but not more than 5 prior systemic therapies for advanced/ recurrent or progressing disease. For Expansion: Subject must have progressed on, be refractory to, or intolerant to 1-3 prior systemic therapies. 5. Willingness to provide tumor biopsies.
    Exclusion Criteria
    1. History of severe hypersensitivity reaction to monoclonal antibodies. 2. Subjects who have received prior therapy with regimens containing cytotoxicT-lymphocyte antigen-4 (CTLA-4), programmed cell death ligand 1 (PDL1), or PD1 antagonists are NOT permitted to enroll unless all adverse events (AEs) while receiving prior immunotherapy have resolved to Grade 1 or baseline prior to screening. 3. History of (non-infectious) pneumonitis that required steroids or subject has current pneumonitis. 4. The use of any investigational medication or device in the 30 days prior to screening and throughout the study is prohibited. 5. Symptomatic, untreated, or actively progressing central nervous system (CNS) metastases.

Collaborators and Investigators

This is where you will find people and organizations involved with this study.


    • STUDY_CHAIR: S Mahabhashyam, MD, Corvus Pharmaceuticals

    Publications

    The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

    General Publications

    No publications available