- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03625323
Combination Study With Soluble LAG-3 Fusion Protein Eftilagimod Alpha (IMP321) and Pembrolizumab in Patients With Previously Untreated Unresectable or Metastatic NSCLC, or Recurrent PD-X Refractory NSCLC or With Recurrent or Metastatic HNSCC (TACTI-002)
TACTI-002 (Two ACTive Immunotherapeutics): A Multicenter, Open Label, Phase II Study in Patients With Previously Untreated Unresectable or Metastatic Non-small Cell Lung Cancer (NSCLC), or Recurrent PD-X Refractory NSCLC or With Recurrent or Metastatic Squamous Head and Neck Cancer (HNSCC) Receiving the Soluble LAG-3 Fusion Protein Eftilagimod Alpha (IMP321) in Combination With Pembrolizumab (PD-1 Antagonist)
Study Overview
Status
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
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Perth, Australia, WA 6008
- St John of God Subiaco Hospital
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Queensland
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Southport, Queensland, Australia, 4215
- Tasman Health Care
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Barcelona, Spain, 08025
- Hospital de la Santa Creu i Sant Pau
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Barcelona, Spain, 08035
- Vall d' Hebron Institute of Oncology (VHIO) Hospital Universitari Vall d'Hebron
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Barcelona, Spain, 08208
- Consorci Corporació Sanitària Parc Taulí de Sabadell
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Barcelona, Spain, 08916
- Institut Català d'Oncologia Badalona-Hospital Germans Trias i Pujol
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Lugo, Spain, 27003
- Hospital Universitario Lucus Augusti
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Madrid, Spain, 28040
- Fundacion Jimenez Diaz
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Madrid, Spain, 28050
- Hospital Universitario HM Sanchinarro
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Málaga, Spain, 29010
- Hospital Regional Universitario de Málaga
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Dnipro, Ukraine, 49102
- Municipal Non-profit Enterprise "City Clinical Hospital #4" of Dnipro City Council
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Kropyvnytskyi, Ukraine, 25006
- Medical and Diagnostic Centre of Private Enterprise of Private Manufacturing Company "Acinus"
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Glasgow, United Kingdom
- The Beatson West of Scotland Cancer Centre
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London, United Kingdom, W1T 7HA
- University College London Hospitals NHS Foundation
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Manchester, United Kingdom, M20 4BX
- The Christie Nhs Foundation Trust
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Tennessee
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Nashville, Tennessee, United States, 37232
- Vanderbilt University Medical Center
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Texas
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Houston, Texas, United States, 77030
- Oncology Consultants
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Main Inclusion Criteria:
Part A (1st line, PD-X naïve NSCLC): histologically- or cytologically-confirmed diagnosis of non-small cell lung carcinoma stage IIIB not amenable to curative treatment or stage IV not amenable to EGFR/ALK based therapy, treatment naïve for systemic therapy given for advanced/metastatic disease (previous palliative radiotherapy for advanced/metastatic disease acceptable)
Part B (2nd line, PD-X refractory NSCLC): histologically- or cytologically-confirmed diagnosis of NSCLC after failure of first-line treatment (for metastatic disease) with at least 2 cycles of any PD-1/PD-L1 containing based therapy (e.g. nivolumab, pembrolizumab, avelumab, durvalumab, etc.) alone, or in combination with any other immunotherapeutic or chemotherapy given as part of first-line treatment.
Part C (2nd line PD-X naive HNSCC): Histologically- or cytologically-confirmed recurrent disease not amenable to curative treatment with local or systemic therapy, or metastatic (disseminated) HNSCC of the oral cavity, oropharynx, hypopharynx, and larynx that is considered incurable by local therapies after failure of prior platinum-based therapy.
- Submission of formalin-fixed diagnostic tumor tissue
- ECOG performance status 0-1.
- Expected survival > 3 months.
Main Exclusion Criteria:
For part A (1st line, PD-X naïve NSCLC):
- The NSCLC can be treated with curative intent with either surgical resection and/or chemoradiation and/or radiation.
- Has received systemic therapy for the treatment of their stage IV NSCLC. Completion of treatment with chemotherapy and/or radiation as part of neoadjuvant/adjuvant therapy is allowed as long as therapy was completed at least 6 months prior to the diagnosis of metastatic disease.
- EGFR-sensitizing mutation and/or is EML4 gene/ ALK gene fusion positive (ALK translocation).
- Lung radiation therapy that is >30Gy within 6 months of the first dose of trial treatment.
For Part B (2nd line, PD-X refractory NSCLC):
- Symptomatic ascites or pleural effusion.
- > 1 line of chemotherapy for metastatic disease.
- Lung radiation therapy that is >30Gy within 6 months of the first dose of trial treatment.
For Part C (2nd line PD-X naive HNSCC):
- Disease is suitable for local therapy administered with curative intent.
- Previously treated with > 1 systemic regimens for recurrent and/or metastatic disease.
- Prior therapy with an anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CD137, or anti-cytotoxic T-lymphocyte-associated antigen-4 (CTLA-4) antibody (including ipilimumab or any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways) (Part A and C only)
- Has received prior therapy with an anti-PD-1, anti-PD-L1, or anti PD L2 agent or with an agent directed to another stimulatory or co-inhibitory T-cell receptor (e.g., CTLA-4, OX 40, CD137) and was discontinued from that treatment due to a Grade 3 or higher irAE (Part B only)
Has received prior chemotherapy, anti-cancer monoclonal antibody, major surgery, another systemic cancer therapy or has participated in a study of an investigational agent or has used an investigational device within 4 weeks prior to cycle 1 day 1.
Note: Patients must have recovered from all AEs due to previous therapies to ≤Grade 1 or baseline. Patients with ≤Grade 2 neuropathy, alopecia and elevated transaminases in case of liver metastases may be eligible. If patient received major surgery, they must have recovered adequately from the toxicity and/or complications from the intervention prior to starting study treatment. Participants who have entered the follow-up phase of an investigational study may participate as long as it has been 4 weeks after the last dose of the previous investigational agent.
- Known active central nervous system metastasis and/or carcinomatous meningitis. Patients with previously treated brain metastases may participate provided they are radiologically stable: i.e. without evidence of progression documented by repeat imaging performed after therapy completed for CNS metastasis and with at least 4 weeks difference, clinically stable and without requirement for steroid treatment for at least 14 days prior to cycle 1 day 1.
- Receives continuous systemic treatment with either corticosteroids (>10 mg daily prednisone equivalents) or other immunosuppressive medications within 7 days prior to cycle 1 day 1. Inhaled or topical steroids and physiological replacement doses of up to 10 mg daily prednisone equivalents are permitted in the absence of active auto-immune disease.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: 1st line NSCLC
Eftilagimod alpha: 30 mg every 2 weeks for the first 8 cycles (1 cycle = 3 weeks) and every 3 weeks thereafter (starting cycle 9). Pembrolizumab: 200 mg every 3 weeks. |
APC activator, MHC II agonist, LAG-3 fusion protein
Other Names:
anti-PD-1 antibody
Other Names:
|
Experimental: 2nd line NSCLC
Eftilagimod alpha: 30 mg every 2 weeks for the first 8 cycles (1 cycle = 3 weeks) and every 3 weeks thereafter (starting cycle 9). Pembrolizumab: 200 mg every 3 weeks. |
APC activator, MHC II agonist, LAG-3 fusion protein
Other Names:
anti-PD-1 antibody
Other Names:
|
Experimental: HNSCC
Eftilagimod alpha: 30 mg every 2 weeks for the first 8 cycles (1 cycle = 3 weeks) and every 3 weeks thereafter (starting cycle 9). Pembrolizumab: 200 mg every 3 weeks. |
APC activator, MHC II agonist, LAG-3 fusion protein
Other Names:
anti-PD-1 antibody
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Evaluation of objective response rate (ORR) according to iRECIST
Time Frame: up to 24 month
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up to 24 month
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Duration of (serious) adverse events
Time Frame: up to 24 month
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up to 24 month
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Frequency of (serious) adverse events
Time Frame: up to 24 month
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up to 24 month
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Severity of (serious) adverse events
Time Frame: up to 24 month
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up to 24 month
|
Time to responses according to iRECIST and RECIST 1.1
Time Frame: up to 24 month
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up to 24 month
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Duration of responses according to iRECIST and RECIST 1.1
Time Frame: up to 24 month
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up to 24 month
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Response rate according to RECIST 1.1
Time Frame: up to 24 month
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up to 24 month
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Disease control rate according to iRECIST and RECIST 1.1
Time Frame: up to 24 month
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up to 24 month
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Progression free survival (PFS)
Time Frame: up to 42 month
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up to 42 month
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Overall survival (OS)
Time Frame: up to 42 month
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up to 42 month
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Occurrence of eftilagimod alpha-specific antibodies (ADA)
Time Frame: up to 24 month
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up to 24 month
|
Plasma concentration time profile of eftilagimod alpha
Time Frame: up to 24 month
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up to 24 month
|
Collaborators and Investigators
Sponsor
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Estimated)
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
Additional Relevant MeSH Terms
- Neoplasms by Histologic Type
- Neoplasms
- Neoplasms by Site
- Carcinoma
- Neoplasms, Glandular and Epithelial
- Head and Neck Neoplasms
- Carcinoma, Squamous Cell
- Squamous Cell Carcinoma of Head and Neck
- Molecular Mechanisms of Pharmacological Action
- Antineoplastic Agents
- Antineoplastic Agents, Immunological
- Immune Checkpoint Inhibitors
- Pembrolizumab
Other Study ID Numbers
- TACTI-002
- Keynote-PN798 (Other Identifier: Merck Sharp & Dohme Corp)
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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