- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01703754
Adenoviral Vector Monotherapy or Combination With Chemotherapy in Subjects With Recurrent/Metastatic Breast Cancer.
A Phase II Randomized, Open Label Study of Ad-RTS-hIL-12 Monotherapy or Combination With Palifosfamide in Subjects With Recurrent/Metastatic Breast Cancer and Accessible Lesions
Phase II, randomized, safety and efficacy study in recurrent/metastatic breast cancer with accessible lesions.
Primary End point is rate of Progression Free Survival (PFS) at the 16 week treatment time point. Hypothesis: Adenoviral vector (Ad-RTS-hIL-12) alone and in combination with chemotherapy (palifosfamide) is safe and efficacious.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Multicenter, open-label, randomized study evaluating the safety and efficacy of INXN-1001 (veledimex) and INXN-2001 (Ad-RTS-hIL-12) alone and in combination with palifosfamide.
Part 1 is the safety run-in where a safety assessment will be made after 1 cycle of therapy.
Part 2, eligible subjects will be randomly assigned to active treatment Arms A or C.
Once the monotherapy (Arm A) is determined to be safe and tolerable, Part 1 combination therapy (Arm C) will begin.
Subjects should receive six cycles of study treatment, in the absence of meeting withdrawal criteria.
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
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Florida
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Jacksonville, Florida, United States, 32207
- Baptist Cancer Institute
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Michigan
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Detroit, Michigan, United States, 48202
- Henry Ford Health System
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Montana
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Billings, Montana, United States, 59101
- Billings Clinic
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Ohio
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Middletown, Ohio, United States, 45042
- Signal Point Clinical Research Center
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South Carolina
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Greenville, South Carolina, United States, 29605
- Greenville Hospital System
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Tennessee
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Germantown, Tennessee, United States, 38138
- The Jones Clinic, PC
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Texas
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Dallas, Texas, United States, 75201
- Mary Crowley Medical Research Center
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Washington
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Spokane, Washington, United States, 99218
- Evergreen Hematology & Oncology
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion criteria:
- Males or females ≥ 18 years of age
- Histologically or cytologically confirmed adenocarcinoma of the breast, either locally recurrent or metastatic disease with injectable lesions, for which no proven curative therapy exists.
- Failed or progressed on at least 1 prior systemic chemotherapy regimen ± biologic/experimental therapy (if first-line therapy, failure or progression during the first 30 days).
- Resolution of all treatment-related toxicities to Grade 1 severity or lower, except for stable sensory neuropathy ≤ Grade 2 and alopecia.
- A minimum of 2 lesion(s) assessed by imaging using mRECIST v1.1.
- Eastern Cooperative Oncology Group performance status 0, 1, 2
- Male and female subjects must agree to use a highly reliable method of birth control.
Adequate bone marrow reserve as indicated by:
- Absolute neutrophil count > 1500/μL (without use of growth factors within 7 days)
- Absolute lymphocyte count > 700/μL (without use of growth factors within 7 days)
- Platelet count > 100,000/mm3 (without transfusion in prior 7 days)
- Hemoglobin > 9.0 g/dL (without transfusion in prior 7 days)
- Estimated glomerular filtration rate using the Modification of Diet in Renal Disease equation: eGFR ≥ 60 mL/min/1.73 m2
Adequate liver function as evidenced by the following:
- Bilirubin ≤ 1.5 times the upper limits of normal (ULN)
- Alanine aminotransferase (ALT), and aspartate aminotransferase (AST) ≤ 2.5×ULN, in the case of liver metastases ≤ 5×ULN
Exclusion Criteria:
- Subjects with human epidermal growth factor receptor 2 (HER2)/neu-positive (immunohistochemistry [IHC]) 3+ or fluorescence in situ hybridization-amplified) breast tumors who are eligible for, but who have not received HER2-targeted therapy (eg, trastuzumab)
- Concomitant anticancer therapies
Prior therapies discontinuation periods:
- Radiation within 3 weeks of enrollment
- Chemotherapy within 4 weeks of enrollment
- Nitrosoureas within 6 weeks of enrollment
- Biologic therapy and/or immunomodulatory therapy, checkpoint inhibitors within 6 weeks of enrollment
- No washout period is required for endocrine therapy
- Radiation therapy encompassing >25% of bone marrow
- History of bone marrow or stem cell transplantation
- Any congenital or acquired condition leading to inability to generate an immune response
Immunosuppressive therapy:
- Systemic immunosuppressive drugs including corticosteroids (prednisone equivalent >10 mg/day)
- Immune suppression/requiring immunosuppressive drugs, including organ allografts
- Active autoimmune disease requiring the equivalent of >10 mg/day of prednisone
- Major surgery within 4 weeks of study treatment
- History of prior malignancy, unless the prior malignancy was diagnosed and definitively treated ≥5 years previously with no subsequent evidence of recurrence
- Subjects with brain or subdural metastases, unless local therapy has completed and corticosteroids have been discontinued for this indication for ≥4 weeks before starting study treatment.
- Any medications that induce, inhibit, or are substrates of cytochrome P450 (CYP450) 3A4 within 7 days prior to the first dose of study drug
- Subjects with meningeal carcinomatosis
- Known significant hypersensitivity to study drugs or excipients
- History of malabsorption syndrome or other condition that would interfere with enteral absorption
- International Normalized Ratio (INR) and activated partial thromboplastin time [PTT] <1.5 x ULN, if not therapeutically anticoagulated.
- New York Heart Association (NYHA) Class II or greater congestive heart failure OR active ventricular arrhythmia requiring medication
- Any other unstable or clinically significant concurrent medical condition
- Localized infection at site of injectable lesion(s) requiring antiinfective therapy within 2 weeks of the first dose of study drug.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Ad-RTS-hIL-12 and veledimex
Experimental study drug monotherapy arm (A)
|
Oral activator ligand with adenoviral vector injection of cancer lesions
Other Names:
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Experimental: Ad-RTS-hIL-12 and Palifosfamide
Study drug combination therapy arm (C)
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Oral activator ligand with adenoviral vector injection of cancer lesions
Other Names:
Small molecule chemotherapy, IV administration
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Safety and tolerability of study drug therapy based on type and rate of adverse events and 16-week PFS rate.
Time Frame: Approximately 24 weeks-Beginning from the time a patient signs the informed consent to the Follow up Tumor Assessment visit
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Approximately 24 weeks-Beginning from the time a patient signs the informed consent to the Follow up Tumor Assessment visit
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Objective response rate (ORR) by modified RECIST v1.1
Time Frame: Approximately 24 weeks- From first study drug dose to Follow-Up Tumor Assessment Visit
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Proportion of subjects achieving a confirmed PR or CR according to modified RECIST v1.1
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Approximately 24 weeks- From first study drug dose to Follow-Up Tumor Assessment Visit
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Clinical Benefit rate: proportion of subjects with CR, PR, or SD by modified RECIST v1.1
Time Frame: Approximately 24 weeks
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Approximately 24 weeks
|
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Estimate PFS by modified RECIST v1.1
Time Frame: Approximately 24 weeks, beginning at the first study drug administratrion and ending at the Follow up Tumor Assessment visit
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Approximately 24 weeks, beginning at the first study drug administratrion and ending at the Follow up Tumor Assessment visit
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Evaluate Pharmacodynamic tumor markers in tumor tissue samples that may correlate with objective tumor response and/or clinical outcome
Time Frame: Approximately 24 weeks, starting with first study drug administrationa and ending at the Follow up Tumor Assessment visit
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Approximately 24 weeks, starting with first study drug administrationa and ending at the Follow up Tumor Assessment visit
|
Collaborators and Investigators
Sponsor
Investigators
- Study Director: Francois Lebel, MD, Ziopharm Oncology
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- ATI001-201
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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