- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04053283
First in Human Study With NG-641, a Tumour Selective Transgene Expressing Adenoviral Vector (STAR)
A Multicentre, Open-label, Non-randomised First in Human Study of NG-641, a Tumour Selective Transgene Expressing Adenoviral Vector, in Patients With Metastatic or Advanced Epithelial Tumours (STAR)
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
To characterise the safety and tolerability of NG-641 in patients with metastatic or advanced epithelial tumours.
The Phase 1a part of the study is a dose-escalation and dose-optimization phase investigating NG-641 administration by intravenous (IV) infusion in a range of tumour types.
The Phase 1b part of the study will investigate the selected optimized multicycle dosing regimen as a monotherapy in up to three cohorts of patients with specific tumour types (Dose Expansion Cohorts A, B and C).
Study Type
Enrollment (Estimated)
Phase
- Phase 1
Contacts and Locations
Study Contact
- Name: Akamis Bio
- Phone Number: +44 1235835328
- Email: enquiries@akamisbio.com
Study Locations
-
-
California
-
Los Angeles, California, United States, 90033
- Recruiting
- University of Southern California (USC) - Norris Comprehensive Cancer Center
-
Principal Investigator:
- Heinz-Josef Lenz
-
Contact:
- Gloria Bryant
- Phone Number: 323-865-3967
- Email: Gloria.Bryant@med.usc.edu
-
Santa Barbara, California, United States, 93105
- Recruiting
- UCLA
-
Contact:
- Rose Estrada
- Email: roserstrada@mednet.ucla.edu
-
Principal Investigator:
- Lee Rosen
-
-
Florida
-
Celebration, Florida, United States, 34747
- Recruiting
- Moffitt-Advent Health Clinical Research Unit
-
Principal Investigator:
- Guru Sonpavde
-
Contact:
- Felipe Valerio
- Phone Number: 321-460-3580
- Email: Felipe.Valerio@AdventHealth.com
-
-
Louisiana
-
New Orleans, Louisiana, United States, 70121-2429
- Completed
- Ochsner Medical Center (OMC) - The Gayle and Tom Benson Cancer Center
-
-
Missouri
-
Saint Louis, Missouri, United States, 63110
- Active, not recruiting
- Washington University Medical School
-
-
Texas
-
Houston, Texas, United States, 77030
- Active, not recruiting
- MD Anderson
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
Phase 1a:
- Histologically or cytologically documented metastatic or advanced epithelial cancer that has relapsed from or is refractory to standard treatment, or for which no standard treatment is available
All patients
- Provide written informed consent to participate
- At least one measurable site of disease according to RECIST Version 1.1 criteria
- Tumour accessible for biopsy, biopsy deemed safe by the Investigator, and patient willing to consent to tumour biopsies
- Ability to comply with study procedures in the Investigator's opinion
- Aged 18 years or over
- ECOG performance status 0 or 1
- Predicted life expectancy of 6 months or more
- Adequate lung reserve
- Adequate renal function
- Adequate hepatic function
- Adequate bone marrow function
- Meeting reproductive status requirements
Exclusion Criteria:
- Prior or planned allogenic or autologous bone marrow or organ transplantation
- Splenectomy
- Active infections requiring antibiotics, physician monitoring or systemic therapy within 1 week of the anticipated first dose of study drug, or recurrent fevers (>38.0˚C) associated with a clinical diagnosis of active infection
- Treatment with the antiviral agents: ribavirin, adefovir, lamivudine, cidofovir or paxlovid within 10 days prior to the first dose of study treatment; or pegylated interferon in the 4 weeks before the first dose of study treatment
- Known history of hepatitis B infection or known active hepatitis C infection. Known history of HIV infection
- Patients who have active, known or suspected autoimmune disease that has required systemic therapy in the past 2 years, are immunocompromised in the opinion of the Investigator, or are receiving systemic immunosuppressive treatment
- Treatment with any live, live-attenuated or COVID-19 vaccine in the 28 days before the first dose of NG-641
- Treatment with any vaccine (including known non-adenoviral COVID-19 vaccines) in the 7 days before the first dose of NG-641
- History of prior Grade 3-4 acute kidney injury or other clinically significant renal impairment
- History of clinically significant interstitial lung disease or non-infectious pneumonitis
- Lymphangitic carcinomatosis
- Infectious or inflammatory bowel disease in the 3 months before the first dose of study treatment
- Any known CTCAE Grade ≥2 coagulation abnormality/coagulopathy
- Any clinically significant cardiovascular, peripheral vascular, cerebrovascular, or thromboembolic event in the 6 months before the first dose of study treatment
- Grade 3 or 4 gastrointestinal bleeding All toxicities attributed to prior anti-cancer therapy (including radiation therapy) other than alopecia must have resolved to Grade 1 or baseline before the first dose of study treatment
- Tumour location/extent considered by the Investigator to present a significant risk if tumour flare or necrosis were to occur
- Known retinopathy, including retinal haemorrhages, cotton wool spots, papilloedema, optic neuropathy and retinal artery or vein obstruction
- Active clinically severe depression
Use of following prior therapies
- Enadenotucirev-based therapy, or a fibroblast activation protein (FAP) targeting agent anytime
- Anti-cancer monoclonal antibody (mAb), immune checkpoint inhibitor, immune stimulatory treatment or other biological therapy in the 28 days prior to the first dose of study treatment (PD-1 / PD-L1 therapy permitted without a 'washout' phase)
- Chemotherapy, targeted small molecule or other investigational drug in the 14 days or five half-lives (whichever is shorter) before the first dose of study treatment
- Major surgery in the 28 days before the first dose of study treatment or radiation therapy in the 14 days before the first dose of study treatment
- Bisphosphonate therapy or treatment with Receptor Activator of Nuclear factor Kappa-Β (RANK)-ligand inhibitors for metastatic bone disease is permitted
- All toxicities attributed to prior anti-cancer therapy (including radiation therapy) other than alopecia must have resolved to Grade 1 or baseline before the first dose of study treatment
- Known allergy/immune-related adverse reactions to NG-641 transgene or immune checkpoint inhibitor products or formulation; severe hypersensitivity to another monoclonal antibody
- Known hypersensitivity to both cidofovir and valacyclovir
- Other prior malignancy active within the previous 3 years (see protocol for exceptions)
- Symptomatic brain metastases or any leptomeningeal metastases that are symptomatic and/or requires treatment
- Any serious or uncontrolled medical disorder that, in the opinion of the Investigator or the Medical Monitor, may increase the risk associated with study participation or study treatment administration, impair the ability of the patient to receive protocol therapy or interfere with the interpretation of study results
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Intravenous
Phase 1a dose escalation: one cycle of treatment. Phase 1a dose optimisation: up to 8 cycles of treatment |
NG-641 is a replication competent adenoviral vector producing a bispecific T cell activator (TAc) targeting fibroblast activation protein (FAP) plus immune enhancer genes CXCL9/CXCL10/IFNa2.
This can lead to killing of tumor cells and stimulation of immunity against the tumor cells.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Incidence of adverse events (safety and tolerability) in study NG-641
Time Frame: End of study treatment visit
|
Incidence of adverse events, adverse events meeting protocol-defined DLT criteria, adverse events leading to study treatment or study discontinuation, and adverse events resulting in death.
|
End of study treatment visit
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Haesong Park, MD, Washington University School of Medicine, St Louis, Missouri
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
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
Other Study ID Numbers
- NG-641-01
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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