- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03563170
QUILT-3.072: NANT Hepatocellular Carcinoma (HCC) Vaccine
Molecularly Informed Integrated Immunotherapy Combining Innate High-affinity Natural Killer (haNK) Cell Therapy w/ Adenoviral & Yeast-based Vaccines to Induce T-cell Responses in Subjects w/ Advanced, Unresectable & Untransplantable HCC
Study Overview
Status
Intervention / Treatment
- Biological: ETBX-051
- Biological: ETBX-061
- Biological: GI-6207
- Biological: GI-6301
- Biological: ETBX-011
- Drug: Capecitabine
- Biological: avelumab
- Procedure: SBRT
- Biological: haNK for infusion
- Biological: GI-4000
- Drug: Cyclophosphamide
- Drug: 5-Fluorouracil
- Drug: Leucovorin
- Drug: nab-Paclitaxel
- Drug: Sorafenib
- Biological: Aldoxorubicin hydrochloride
- Drug: Cetuximab
- Biological: N-803
Detailed Description
Study Type
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Locations
-
-
California
-
El Segundo, California, United States, 90245
- Chan Soon-Shiong Institute for Medicine
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age ≥ 18 years.
- Able to understand and provide a signed informed consent that fulfills the relevant IRB or Independent Ethics Committee (IEC) guidelines.
- Histologically-confirmed advanced, unresectable and untransplantable HCC.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1.
- Have at least 1 measurable lesion of ≥ 1.0 cm.
- Must have Child-Pugh class A only.
- Must have a recent formalin-fixed, paraffin-embedded (FFPE) tumor biopsy specimen following the conclusion of the most recent anticancer treatment and be willing to release the specimen for prospective and exploratory tumor molecular profiling. If an historic specimen is not available, the subject must be willing to undergo a biopsy during the screening period, if considered safe by the Investigator. If safety concerns preclude collection of a biopsy during the screening period, a tumor biopsy specimen collected prior to the conclusion of the most recent anticancer treatment may be used.
- Must be willing to provide blood samples prior to the start of treatment on this study for prospective tumor molecular profiling and exploratory analyses.
- Must be willing to provide a tumor biopsy specimen 8 weeks after the start of treatment for exploratory analyses, if considered safe by the Investigator.
- Ability to attend required study visits and return for adequate follow-up, as required by this protocol.
- Agreement to practice effective contraception for female subjects of child-bearing potential and non-sterile males. Female subjects of child-bearing potential must agree to use effective contraception for up to 1 year after completion of therapy, and non-sterile male subjects must agree to use a condom for up to 4 months after treatment. Effective contraception includes surgical sterilization (eg, vasectomy, tubal ligation), two forms of barrier methods (eg, condom, diaphragm) used with spermicide, intrauterine devices (IUDs), and abstinence.
Any prior locoregional therapy allowed.
Phase 1b only
Must have progressed or experienced unacceptable toxicity on sorafenib prior to enrollment in the study.
Phase 2 single-arm component only
- Must have progressed on or after sorafenib monotherapy in the randomized phase 2 portion of the study OR progressed or experienced unacceptable toxicity on sorafenib prior to enrollment on the study.
Exclusion Criteria:
- Serious uncontrolled concomitant disease that would contraindicate the use of the investigational drug used in this study or that would put the subject at high risk for treatment-related complications.
- Systemic autoimmune disease (eg, lupus erythematosus, rheumatoid arthritis, Addison's disease, or autoimmune disease associated with lymphoma).
- History of organ transplant requiring immunosuppression.
- History of or active inflammatory bowel disease (eg, Crohn's disease, ulcerative colitis).
Inadequate organ function, evidenced by the following laboratory results:
- Absolute neutrophil count < 1,000 cells/mm^3
- Medically uncorrectable grade 3 anemia (hemoglobin < 8 g/dL).
- Platelet count < 75,000 cells/mm^3.
- Total bilirubin greater than the upper limit of normal (ULN; unless the subject has documented Gilbert's syndrome).
Aspartate aminotransferase (AST [SGOT]) or alanine aminotransferase (ALT [SGPT])
≥ 2.5 × ULN (≥ 5 × ULN in subjects with liver metastases).
- Alkaline phosphatase levels > 2.5 × ULN (> 5 × ULN in subjects with liver metastases, or >10 × ULN in subjects with bone metastases).
- Serum creatinine > 2.0 mg/dL or 177 μmol/L.
- International normalized ratio (INR) ≥ 2.0
- Serum anion gap > 16 mEq/L or arterial blood with pH < 7.3.
- Uncontrolled hypertension (systolic > 160 mm Hg and/or diastolic > 110 mm Hg) or clinically significant (ie, active) cardiovascular disease, cerebrovascular accident/stroke, or myocardial infarction within 6 months prior to first study medication; unstable angina; congestive heart failure of New York Heart Association grade 2 or higher; or serious cardiac arrhythmia requiring medication.
- Episode of portal hypertension-related GI bleeding within prior 6 months.
- Serious myocardial dysfunction defined by echocardiogram (ECHO) as absolute left ventricular ejection fraction (LVEF) 10% below the institution's lower limit of normal (LLN).
- Dyspnea at rest due to complications of advanced malignancy or other disease requiring continuous oxygen therapy.
- Positive results of screening test for human immunodeficiency virus (HIV).
Participants with dual active hepatitis B virus (HBV) infection (hepatitis B surface antigen [HBsAg] positive [+] and /or detectable HBVDNA) and hepatitis C virus (HCV) infection (anti-HCV antibody [Ab] [+] and detectable HCV ribonucleic acid [RNA]) at study entry. Subjects with chronic infection by HCV who are treated with anti-hepatitis B therapy (successfully or treatment failure) or untreated are allowed on study. Controlled (treated) hepatitis B subjects will be allowed if they meet the following criteria:
- Antiviral therapy for HBV must be given for at least 12 weeks and HBV viral load must be less than 100 IU/mL prior to first dose of study drug; subjects on active HBV therapy with viral loads under 100 IU/mL should stay on the same therapy throughout study treatment.
- Subjects who are positive for anti-hepatitis B core Abs (HBc[+]), negative for HBsAg, negative for anti-hepatitis B surface Ab (HBs[-]), and have a HBV viral load under 100 IU/mL do not require HBV anti-viral prophylaxis.
- Subjects with successful HCV treatment are allowed as long as there are at least 4 weeks between achieving sustained viral response (SVR) and start of study drug.
- Current chronic daily treatment (continuous for > 3 months) with systemic corticosteroids (dose equivalent to or greater than 10 mg/day methylprednisolone), excluding inhaled steroids. Short-term steroid use to prevent IV contrast allergic reaction or anaphylaxis in subjects who have known contrast allergies is allowed.
- Known hypersensitivity to any component of the study medication(s).
- Subjects taking any medication(s) (herbal or prescribed) known to have an adverse drug reaction with any of the study medications.
- Concurrent or prior use of a strong cytochrome P450 (CYP)3A4 inhibitor (including ketoconazole, itraconazole, posaconazole, clarithromycin, indinavir, nefazodone, nelfinavir, ritonavir, saquinavir, telithromycin, voriconazole, and grapefruit products) or strong CYP3A4 inducers (including phenytoin, carbamazepine, rifampin, rifabutin, rifapentin, phenobarbital, and St John's Wort) within 14 days before study day 1.
- Concurrent or prior use of a strong CYP2C8 inhibitor (gemfibrozil) or moderate CYP2C8 inducer (rifampin) within 14 days before study day 1.
- Participation in an investigational drug study or history of receiving any investigational treatment within 14 days prior to screening for this study, except for testosterone-lowering therapy in men with prostate cancer.
- Assessed by the Investigator to be unable or unwilling to comply with the requirements of the protocol.
- Concurrent participation in any interventional clinical trial.
Pregnant and nursing women.
Phase 2 randomized component only -
- Prior sorafenib treatment.
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: NANT Hepatocellular Carcinoma Vaccine
Phase 1b and 2: The following combination of agents will be administered to subjects assigned to this treatment: Aldoxorubicin HCl, ETBX-011, ETBX-051, ETBX-061, GI-4000, GI-6207, GI-6301, N-803, haNK™, avelumab, capecitabine, cetuximab, cyclophosphamide, fluorouracil, leucovorin, nab-paclitaxel, sorafenib tosylate, SBRT.
|
Ad5 [E1-, E2b-]-Brachyury vaccine
Ad5 [E1-, E2b-]-mucin 1 [MUC1] vaccine
CEA yeast vaccine
Brachyury yeast vaccine
Ad5 [E1-, E2b-]-CEA
5'-deoxy-5-fluoro-N-[(pentyloxy) carbonyl]-cytidine
Recombinant human anti-PD-L1 IgG1 monoclonal antibody
Stereotactic Body Radiation Therapy
NK-92 [CD16.158V, ER IL-2]
Vaccine derived from recombinant Saccharomyces cerevisiae yeast expressing mutant RAS proteins
anhydrous
5-FU; Fluorouracil
Leucovorin calcium salt
ABRAXANE® [paclitaxel protein-bound particles for injectable suspension] [albumin-bound]
NEXAVAR® tablets, for oral use
HCl
ERBITUX® injection, for IV infusion)
Recombinant human super agonist IL-15 complex [also known as IL-15N72D:IL- 15RαSu/IgG1 Fc complex]
|
Active Comparator: Sorafenib Monotherapy
Phase 2: Sorafenib monotherapy will be administered to subjects with advanced, unresectable, and untransplantable HCC, who have not previously received sorafenib, and who are randomly assigned to receive SOC treatment.
|
NEXAVAR® tablets, for oral use
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Incidence of treatment-emergent AEs and SAEs, graded using the NCI CTCAE Version 4.03
Time Frame: 2 years
|
Phase 1b
|
2 years
|
Progression Free Survival from baseline to progression, per RECIST 1.1
Time Frame: 2 years
|
Phase 2 Randomized Component
|
2 years
|
Evaluate the overall safety profile in subjects with advanced, unresectable, untransplantable HCC who have progressed or experienced unacceptable toxicity on prior sorafenib treatment. Measured / reported based on the tumor size imaging per RECIST 1.1.
Time Frame: 2 years
|
Phase 1b
|
2 years
|
Overall Response Rate, as determined by the percentage of patients achieving Partial or Complete Response per RECIST 1.1
Time Frame: 2 years
|
Phase 2 Single Arm Component
|
2 years
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
OS for Phase 1b, Phase 2 Randomized, and Phase 2 Single Arm Component
Time Frame: 2 years
|
Overall Survival from first treatment to date of death (any cause)
|
2 years
|
DOR for Phase 1b, Phase 2 Randomized, and Phase 2 Single Arm Component
Time Frame: 2 years
|
Duration of Response from date of first response to date of disease progression or death (any cause), per RECIST 1.1 and irRC
|
2 years
|
DCR for Phase 1b, Phase 2 Randomized, and Phase 2 Single Arm Component
Time Frame: 1 year
|
Disease Control Rate: the number of patients with a CR, PR or SD lasting at least 2 months per RECIST 1.1 and irRC
|
1 year
|
ORR for Phase 1b and Phase 2 Randomized Component
Time Frame: 2 years
|
Overall Response Rate, as determined by the percentage of patients achieving Partial or Complete response per RECIST 1.1 and irRC
|
2 years
|
PFS for Phase 1b and Phase 2 Single Arm Component
Time Frame: 1 year
|
Progression Free Survival from baseline to progression per RECIST 1.1 and irRC
|
1 year
|
QoL for Phase 1b, Phase 2 Randomized, and Phase 2 Single Arm Component
Time Frame: 1 year
|
Quality of Life as assessed by Patient Reported Outcomes using the FACT-C questionnaire
|
1 year
|
PFS for Phase 2 Randomized Component
Time Frame: 2 years
|
Progression Free Survival from baseline to progression per irRC
|
2 years
|
Safety for Phase 2 Randomized and Single Arm Component
Time Frame: 2 years
|
Incidence of treatment-emergent AEs and SAEs, graded using the NCI CTCAE Version 4.03
|
2 years
|
ORR for Phase 2 Single Arm Component
Time Frame: 2 years
|
Overall Response Rate, as determined by the percentage of patients achieving Partial or Complete response per irRC
|
2 years
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Digestive System Diseases
- Neoplasms by Histologic Type
- Neoplasms
- Neoplasms by Site
- Adenocarcinoma
- Neoplasms, Glandular and Epithelial
- Digestive System Neoplasms
- Liver Diseases
- Liver Neoplasms
- Carcinoma
- Carcinoma, Hepatocellular
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Antirheumatic Agents
- Antimetabolites, Antineoplastic
- Antimetabolites
- Antineoplastic Agents
- Immunosuppressive Agents
- Immunologic Factors
- Tubulin Modulators
- Antimitotic Agents
- Mitosis Modulators
- Protective Agents
- Antineoplastic Agents, Alkylating
- Alkylating Agents
- Myeloablative Agonists
- Antineoplastic Agents, Phytogenic
- Antineoplastic Agents, Immunological
- Micronutrients
- Protein Kinase Inhibitors
- Vitamins
- Antidotes
- Vitamin B Complex
- Cyclophosphamide
- Paclitaxel
- Fluorouracil
- Sorafenib
- Capecitabine
- Leucovorin
- Avelumab
- Cetuximab
Other Study ID Numbers
- QUILT-3.072
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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