A Study to Investigate Safety and Tolerability of TransCon IL-2 β/γ Alone or in Combination With Pembrolizumab and/or TransCon TLR7/8 Agonist or Other Anticancer Therapies in Adult Participants With Locally Advanced or Metastatic Solid Tumor Malignancies (IL Believe)
IL Believe: A Phase 1/2, Open-label, Dose Escalation and Dose Expansion Study to Investigate the Safety and Tolerability of TransCon IL-2 β/γ Alone or in Combination With Pembrolizumab, TransCon TLR7/8 Agonist, or Other Anticancer Therapies, in Adult Participants With Locally Advanced or Metastatic Solid Tumor Malignancies
Study Overview
Status
Status
Conditions
Conditions
- Advanced Solid Tumor
- Metastatic Solid Tumor
- Platinum-resistant Ovarian Cancer
- Locally Advanced Solid Tumor
- Post Anti-PD-1 Melanoma
- 2L+ Cervical Cancer
- Neoadjuvant Melanoma
- Neoadjuvant Non-Small Cell Lung Cancer
- Post Anti-PD-(L)1 Non-Small Cell Lung Cancer
- Post Anti-PD-(L)1 Small Cell Lung Cancer
- Third Line or Later (3L+) HER2+ Breast Cancer
- Second or Third Line (2L/3L) Cervical Cancer
- Third-line or Later (3L+) Platinum-resistant Ovarian Cancer (PROC)
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Ascendis Oncology Clinical Trials
- Phone Number: +1 650-352-8389
- Email: OncologyClinicalTrials@ascendispharma.com
Study Contact Backup
- Name: Davis Ascendis Oncology Clinical Trials
- Phone Number: +1 650-352-8389
- Email: OncologyClinicalTrials@ascendispharma.com
Study Locations
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Adelaide, Australia, 5000
- Ascendis Pharma Investigational Site
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Adelaide, Australia, 5042
- Ascendis Pharma Investigational Site
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Brisbane, Australia, 04120
- Ascendis Pharma Investigational Site
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Frankston, Australia, 3199
- Ascendis Pharma Investigational Site
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Southport, Australia, 4215
- Ascendis Pharma Investigational Site
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Toorak Gardens, Australia, 05065
- Ascendis Pharma Investigational Site
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Waratah, Australia, 2298
- Ascendis Pharma Investigational Site
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Wilrijk, Belgium, 2610
- Ascendis Pharma Investigational Site
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Montreal, Canada, H4A 3J1
- Ascendis Pharma Investigational Site
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Toronto, Canada, M4N 3M5
- Ascendis Pharma Investigational Site
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Toronto, Canada, M5G 2C4
- Ascendis Pharma Investigational Site
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Cuneo, Italy, 12100
- Ascendis Pharma Investigational Site
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Florence, Italy, 50134
- Ascendis Pharma Investigational Site
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Grosseto, Italy, 58100
- Ascendis Pharma Investigational Site
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Lido di Camaiore, Italy, 55041
- Ascendis Pharma Investigational Site
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Livorno, Italy, 57124
- Ascendis Pharma Investigational Site
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Meldola, Italy, 47014
- Ascendis Pharma Investigational Site
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Milan, Italy, 20133
- Ascendis Pharma Investigational Site
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Milan, Italy, 20141
- Ascendis Pharma Investigational Site
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Modena, Italy, 41124
- Ascendis Pharma Investigational Site
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Roma, Italy, 00167
- Ascendis Pharma Investigational Site
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Torino, Italy, 10126
- Ascendis Pharma Investigational Site
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Turin, Italy, 10060
- Ascendis Pharma Investigational Site
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Verona, Italy, 37134
- Ascendis Pharma Investigational Site
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Krakow, Poland, 31-501
- Ascendis Pharma Investigational Site
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Poznan, Poland, 60693
- Ascendis Pharma Investigational Site
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Warsaw, Poland, 02-781
- Ascendis Pharma Investigational Site
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Singapore, Singapore, 119228
- Ascendis Pharma Investigational Site
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Singapore, Singapore, 217562
- Ascendis Pharma Investigational Site
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Seongnam-si, South Korea, 13620
- Ascendis Pharma Investigational Site
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Seoul, South Korea, 03080
- Ascendis Pharma Investigational Site
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Seoul, South Korea, 03722
- Ascendis Pharma Investigational Site
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Seoul, South Korea, 06231
- Ascendis Pharma Investigational Site
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Seoul, South Korea, 06351
- Ascendis Pharma Investigational Site
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Songpa-gu
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Seoul, Songpa-gu, South Korea, 05505
- Ascendis Pharma Investigational Site
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Barcelona, Spain, 08035
- Ascendis Pharma Investigational Site
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Barcelona, Spain, 08023
- Ascendis Pharma Investigational Site
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Barcelona, Spain, 08028
- Ascendis Pharma Investigational Site
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L'Hospitalet de Llobregat, Spain, 08908
- Ascendis Pharma Investigational Site
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Madrid, Spain, 28006
- Ascendis Pharma Investigational Site
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Madrid, Spain, 28027
- Ascendis Pharma Investigational Site
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Madrid, Spain, 28040
- Ascendis Pharma Investigational Site
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Madrid, Spain, 28041
- Ascendis Pharma Investigational Site
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Madrid, Spain, 28050
- Ascendis Pharma Investigational Site
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Murcia, Spain, 30120
- Ascendis Pharma Investigational Site
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Málaga, Spain, 29010
- Ascendis Pharma Investigational Site
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Oviedo, Spain, 33011
- Ascendis Pharma Investigational Site
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Pamplona, Spain, 31008
- Ascendis Pharma Investigational Site
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Seville, Spain, 41009
- Ascendis Pharma Investigational Site
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Seville, Spain, 41014
- Ascendis Pharma Investigational Site
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Valencia, Spain, 46009
- Ascendis Pharma Investigational Site
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Valencia, Spain, 46014
- Ascendis Pharma Investigational Site
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Taipei, Taiwan, 10002
- Ascendis Pharma Investigational Site
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Taipei, Taiwan, 11259
- Ascendis Pharma Investigational Site
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California
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Los Angeles, California, United States, 90048
- Ascendis Pharma Investigational Site
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Los Angeles, California, United States, 90067
- Ascendis Pharma Investigational Site
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Illinois
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Springfield, Illinois, United States, 62702
- Ascendis Pharma Investigational Site
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Kentucky
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Louisville, Kentucky, United States, 40202
- Ascendis Pharma Investigational Site
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Massachusetts
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Boston, Massachusetts, United States, 02114
- Ascendis Pharma Investigational Site
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New Jersey
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Morristown, New Jersey, United States, 07960
- Ascendis Pharma Investigational Site
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New York
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New York, New York, United States, 10032
- Ascendis Pharma Investigational Site
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North Carolina
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Huntersville, North Carolina, United States, 28078
- Ascendis Pharma Investigational Site
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Ohio
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Canton, Ohio, United States, 44718
- Ascendis Pharma Investigational Site
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Cincinnati, Ohio, United States, 45219
- Ascendis Pharma Investigational Site
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Oklahoma
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Oklahoma City, Oklahoma, United States, 73104
- Ascendis Pharma Investigational Site
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Pennsylvania
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Pittsburgh, Pennsylvania, United States, 15232
- Ascendis Pharma Investigational Site
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Tennessee
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Nashville, Tennessee, United States, 37203
- Ascendis Pharma Investigational Site
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Virginia
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Richmond, Virginia, United States, 23298
- Ascendis Pharma Investigational Site
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Key Inclusion Criteria:
- At least 18 years of age, or country defined local legal age
- Demonstrated adequate organ function at screening
- Life expectancy >12 weeks as determined by the Investigator
- Female and male participants of childbearing potential who are sexually active must agree to use highly effective methods of contraception
- Participants must have histologically confirmed locally advanced, recurrent, or metastatic solid tumor malignancies that cannot be treated with curative intent (surgery or radiotherapy), with the exception of the neoadjuvant cohorts
- Part 1 and Part 2: Eastern Cooperative Oncology Group (ECOG) performance status 0, 1, or 2
- Part 3 and Part 4: Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
- Participants who have undergone treatment with anti-PD-1, anti-PD-L1, or anti-cytotoxic T-lymphocyte-associated protein (CTLA-4) antibody must have a washout of at least 4 weeks from the last dose and evidence of disease progression per investigator assessment before Cycle 1 Day 1 (C1D1) with the exception of the neoadjuvant cohorts
- Participants who have previously received an immunotherapy prior to C1D1 must have any immune-related toxicities resolved to ≤Grade 1 or baseline (prior to the immunotherapy) to be eligible, with the exception of participants on well controlled physiologic endocrine replacement
- Part 3: Neoadjuvant cohorts: participants must have completely resectable disease
Key Exclusion Criteria:
- Symptomatic central nervous system metastases and/or carcinomatous meningitis
- Active autoimmune diseases, regardless of need for immunosuppressive treatment, with the exception of participants well controlled on physiologic endocrine replacement
- Any uncontrolled bacterial, fungal, viral, or other infection
- Significant cardiac disease
- A marked clinically significant baseline prolongation of QT/QTc interval (e.g., repeated demonstration of a QTc interval >480 ms) [CTCAE Grade 1]) using Fridericia's QT correction formula
- Positive for human immunodeficiency virus (HIV) or has known active hepatitis B or C infection
- Known hypersensitivity to any study treatment(s) used in the specific study part/cohort
- Participants who have been previously treated with IL-2 or IL-2 variants (all participants)
- Systemic immunosuppressive treatment with the exception for patients on corticosteroid taper (for example, for chronic obstructive pulmonary disease exacerbation).
- Vaccination with live, attenuated vaccines within 4 weeks of C1D1
- Treatment with any other anti-cancer systemic treatment (approved or investigational) or radiation therapy within 4 weeks of C1D1
- Part 3: Other active malignancies within the last 2 years
- Women who are breastfeeding or have a positive serum pregnancy test during screening
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Part 1 Monotherapy Dose Escalation: TransCon IL-2 β/γ
TransCon IL-2 β/γ in escalating doses to evaluate safety/tolerability and to determine the MTD and RP2D
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TransCon IL-2 β/γ will be administered as an intravenous (IV) infusion
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Experimental: Part 2 Combination Dose Escalation: TransCon IL-2 β/γ with Pembrolizumab
TransCon IL-2 β/γ with Pembrolizumab in escalating doses to evaluate safety/tolerability and determine the MTD and RP2D
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TransCon IL-2 β/γ will be administered as an intravenous (IV) infusion
Pembrolizumab will be administered as an intravenous (IV) infusion
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Experimental: Part 3 Combination Dose Expansion: TransCon IL-2 β/γ with SOC Chemo
TransCon IL-2 β/γ using the RP2D with SOC Chemotherapy to evaluate safety/tolerability and anti-tumor activity of the combination
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TransCon IL-2 β/γ will be administered as an intravenous (IV) infusion
SOC chemotherapy will be administered as an intravenous (IV) infusion
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Experimental: Part 3 Combination Dose Expansion: TransCon IL-2 β/γ with TransCon TLR7/8 Agonist
TransCon IL-2 β/γ with TransCon TLR7/8 Agonist using the RP2D to evaluate safety/tolerability and anti-tumor activity of the combination
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TransCon IL-2 β/γ will be administered as an intravenous (IV) infusion
TransCon TLR7/8 Agonist will be administered as an IT (Intratumoral) injection
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Experimental: Part 3 Combination Dose Expansion: TransCon IL-2 β/γ with Pembrolizumab followed by surgery
TransCon IL-2 β/γ using the RP2D with Pembrolizumab followed by surgery to evaluate safety/tolerability and anti-tumor activity of the combination
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TransCon IL-2 β/γ will be administered as an intravenous (IV) infusion
Pembrolizumab will be administered as an intravenous (IV) infusion
Surgery will take place 4-6 weeks after last dose of study treatment.
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Experimental: Part 3 Combination Dose Expansion:TransCon IL-2 β/γ with TransCon TLR7/8 Agonist followed by surgery
TransCon IL-2 β/γ with TransCon TLR7/8 Agonist using the RP2D followed by surgery to evaluate safety/tolerability and anti-tumor activity of the combination
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TransCon IL-2 β/γ will be administered as an intravenous (IV) infusion
TransCon TLR7/8 Agonist will be administered as an IT (Intratumoral) injection
Surgery will take place 4-6 weeks after last dose of study treatment.
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Experimental: Part 3 Combination Dose Expansion:TransCon IL-2 β/γ + Pembrolizumab + SOC Chemo followed by surgery
TransCon IL-2 β/γ using the RP2D with Pembrolizumab and SOC Chemotherapy followed by surgery to evaluate safety/tolerability and anti-tumor activity of the combination
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TransCon IL-2 β/γ will be administered as an intravenous (IV) infusion
Pembrolizumab will be administered as an intravenous (IV) infusion
SOC chemotherapy will be administered as an intravenous (IV) infusion
Surgery will take place 4-6 weeks after last dose of study treatment.
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Experimental: Part 3 Monotherapy Dose Expansion: TransCon IL-2 β/γ followed by surgery
(Optional Arm): TransCon IL-2 β/γ using the RP2D followed by surgery to evaluate safety/tolerability and anti-tumor activity of the combination
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TransCon IL-2 β/γ will be administered as an intravenous (IV) infusion
Surgery will take place 4-6 weeks after last dose of study treatment.
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Experimental: Part 3 Combination Dose Expansion
TransCon IL-2 β/γ + Pembrolizumab TransCon IL-2 β/γ using the RP2D with Pembrolizumab
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TransCon IL-2 β/γ will be administered as an intravenous (IV) infusion
Pembrolizumab will be administered as an intravenous (IV) infusion
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Experimental: Part 4 Combination Dose Optimization
TransCon IL-2 β/γ + Pembrolizumab TransCon IL-2 β/γ using the RP2D in titrating doses and/or different dose frequencies with Pembrolizumab
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TransCon IL-2 β/γ will be administered as an intravenous (IV) infusion
Pembrolizumab will be administered as an intravenous (IV) infusion
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Experimental: Part 3 Combination Dose Expansion: TransCon IL-2 β/γ monotherapy
TransCon IL-2 β/γ monotherapy
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TransCon IL-2 β/γ will be administered as an intravenous (IV) infusion
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Experimental: Part 3 Combination Dose Expansion: TransCon IL-2 β/γ + trastuzumab
TransCon IL-2 β/γ + trastuzumab
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TransCon IL-2 β/γ will be administered as an intravenous (IV) infusion
Trastuzumab will be administered as an intravenous (IV) infusion
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Experimental: Part 3 Combination Dose Expansion: TransCon IL-2 β/γ + trastuzumab emtansine (T-DM1)
TransCon IL-2 β/γ + trastuzumab emtansine (T-DM1)
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TransCon IL-2 β/γ will be administered as an intravenous (IV) infusion
Trastuzumab emtansine (T-DM1) will be administered as an intravenous (IV) infusion
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Safety and Tolerability
Time Frame: Through study completion, expected average of 2 years
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Treatment emergent and treatment related adverse events (assessed by NCI CTCAE v5.0), serious adverse events (SAEs), adverse events leading to treatment discontinuation, deaths.
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Through study completion, expected average of 2 years
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Maximum Tolerated Dose (MTD)
Time Frame: Each cycle is 21 days
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Determine the maximum tolerated dose by assessing the Incidence of Dose Limiting Toxicities (DLTs), treatment emergent and treatment related adverse events (assessed by NCI CTCAE v5.0), serious adverse events (SAEs), adverse events leading to treatment discontinuation and deaths.
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Each cycle is 21 days
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Recommended Phase 2 Dose (RP2D)
Time Frame: 12 months
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To determine a recommended phase 2 dose of TransCon IL-2 β/γ and combination regimen for further development by evaluating number of patients with treatment-related adverse events as assessed by CTCAE.
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12 months
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Overall Response Rate
Time Frame: Average of 2 years
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Response assessed by RECIST v1.1
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Average of 2 years
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Pathologic Complete Response
Time Frame: 15 weeks
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Evaluate the pathologic Complete Response (pCR) for anti-tumor activity of TransCon IL-2 β/γ alone or in combination with pembrolizumab, or TransCon TLR7/8 Agonist, or in combination with pembrolizumab and SOC chemotherapy in the Neoadjuvant Cohorts
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15 weeks
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Major Pathologic Response
Time Frame: 15 weeks
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Evaluate the Major Pathologic Response (MPR) for anti-tumor activity of TransCon IL-2 β/γ alone or in combination with pembrolizumab, or TransCon TLR7/8 Agonist, or in combination with pembrolizumab and SOC chemotherapy in the Neoadjuvant Cohorts
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15 weeks
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Duration of Response
Time Frame: Average of 2 years
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Time from first documentation of objective tumor response (CR or PR that is subsequently confirmed) to first documentation of disease progression or death due to any cause, whichever occurs first
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Average of 2 years
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Time to Response
Time Frame: Expected up to 1 year from first dose
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Time from date of first dose of study treatment to first occurrence of response (CR or PR)
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Expected up to 1 year from first dose
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Progression Free Survival (PFS)
Time Frame: Average of 2 years
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Time from date of first dose of study treatment to first documentation of disease progression or death due to any cause
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Average of 2 years
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Event free survival (EFS) by RECIST 1.1
Time Frame: 2 years
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Time from the date of the first dose of study treatment to the occurrence of any of the following: progression of disease that precludes surgery, disease recurrence after surgery, or death from any cause.
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2 years
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Overall Survival (OS)
Time Frame: Average of 2 years
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Time from date of first dose of study treatment to date of death due to any cause
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Average of 2 years
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PK Characterization (Cmax)
Time Frame: Average of 2 years
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Maximum observed plasma concentration of TransCon IL-2 β/γ and Free IL-2 β/γ after IV administration of TransCon IL-2 β/γ alone or in combination with other therapies
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Average of 2 years
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PK Characterization (Tmax)
Time Frame: Average of 2 years
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Time to reach maximum plasma concentration of TransCon IL-2 β/γ and Free IL-2 β/γ after IV administration of TransCon IL-2 β/γ alone or in combination other therapies
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Average of 2 years
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PK Characterization (AUClast)
Time Frame: Average of 2 years
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Area under the plasma concentration curve from time zero to last sampling time at which the concentration is at or above the lower limit of quantification for TransCon IL-2 β/γ and Free IL-2 β/γ after IV administration of TransCon IL-2 β/γ alone or in combination with other therapies
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Average of 2 years
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PK Characterization (AUC0-t)
Time Frame: Average of 2 years
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Area under the plasma concentration curve from time zero to time t for TransCon IL-2 β/γ and Free IL-2 β/γ after IV administration of TransCon IL-2 β/γ alone or in combination with other therapies
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Average of 2 years
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PK Characterization (t1/2)
Time Frame: Average of 2 years
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Apparent terminal half-life of TransCon IL-2 β/γ and Free IL-2 β/γ after IV administration of TransCon IL-2 β/γ alone or in combination with other therapies
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Average of 2 years
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Davis Torrejon-Castro, Medical Monitor
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Urogenital Diseases
- Genital Diseases
- Pathologic Processes
- Urogenital Neoplasms
- Neoplasms by Site
- Neoplasms
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Uterine Diseases
- Genital Diseases, Female
- Neoplastic Processes
- Genital Neoplasms, Female
- Uterine Cervical Diseases
- Uterine Neoplasms
- Pathological Conditions, Signs and Symptoms
- Neoplasm Metastasis
- Uterine Cervical Neoplasms
- Amino Acids, Peptides, and Proteins
- Proteins
- Organic Chemicals
- Polycyclic Compounds
- Antibodies, Monoclonal, Humanized
- Antibodies, Monoclonal
- Antibodies
- Immunoglobulins
- Immunoproteins
- Blood Proteins
- Serum Globulins
- Globulins
- Macrolides
- Lactones
- Lactams, Macrocyclic
- Macrocyclic Compounds
- Maytansine
- Trastuzumab
- Ado-Trastuzumab Emtansine
- pembrolizumab
- Surgical Procedures, Operative
Other Study ID Numbers
Other Study ID Numbers
- ASND0029
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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