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CMP-001-002 is a Phase 1b study of CMP-001 administered to participants with advanced melanoma who are either receiving pembrolizumab, or who have previously received an anti-programmed cell death protein 1 (anti-PD-1)/programmed death-ligand 1 (PD-L1) therapy for advanced melanoma, and who have not responded (that is, immunotherapy resistant).
This study will be conducted in two parts:
Part 1 will consist of a Dose Escalation Phase and a Dose Expansion Phase
Part 2 will assess the safety and preliminary evidence of antitumor activity of CMP-001, administered both SC and intratumoral (IT) when given in combination with pembrolizumab.
Participants will continue treatment with CMP-001 in combination with pembrolizumab as long as they do not experience unacceptable toxicities and when continued treatment, is in the participant's best interest according to the Investigator.
Former Sponsor Checkmate Pharmaceuticals
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part 1: Dose-Escalation - CMP-001 (SC) and Pembrolizumab | Experimental | Participants will receive up to 7 escalating dose levels (5 milligrams [mg], 7.5 mg, 10 mg, 12.5 mg, 15 mg, 17.5 mg, and 20 mg) of CMP-001 via SC injection once a week for 3 weeks and every 3 weeks thereafter until discontinuation of treatment in combination with pembrolizumab at its labelled dose and schedule. |
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| Part 1: Dose-Expansion - CMP-001 (SC) and Pembrolizumab | Experimental | Participants will receive RP2D (as determined in Part 1 dose-escalation phase) of CMP-001 via SC injection once a week for 3 weeks and every 3 weeks thereafter until discontinuation of treatment in combination with pembrolizumab at its labelled dose and schedule. |
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| Part 2: CMP-001 (SC and IT) and Pembrolizumab | Experimental | Participants will receive CMP-001 via SC injection once weekly for 2 weeks, then IT injection once weekly for 4 weeks, and SC injection once weekly for every 3 weeks thereafter until discontinuation of treatment in combination with pembrolizumab at its labelled dose and schedule. CMP-001 planned IT dose level in Part 2 will be up to 10 mg and the SC dose will be the RP2D determined from Part 1 dose-escalation phase of the study. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CMP-001 | Drug | CMP-001 will be administered SC as per the dose and schedule specified in the respective arms. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Part 1: Dose-Escalation Phase: RP2D of CMP-001 When Administered SC and Given in Combination With Pembrolizumab | 15 days from date of first CMP-001 injection (Week 1 Day 1) | |
| Part 2: Number of Participants With Treatment-Emergent Adverse Events (TEAEs) | TEAEs will be evaluated using Common Terminology Criteria for Adverse Events (CTCAE) version 5.0. | From first dose of CMP-001 (Week 1 Day 1) until 30 days after the last CMP-001 injection (up to approximately 2.5 years) |
| Measure | Description | Time Frame |
|---|---|---|
| Part 1 Dose Escalation and Dose Expansion: Number of Participants With TEAEs | TEAEs will be evaluated using CTCAE version 5.0. | From first dose of CMP-001 (Week 1 Day 1) until 30 days after the last CMP-001 injection (up to approximately 2.5 years) |
| Part 1 Dose Escalation and Dose Expansion, and Part 2: Oral Temperature |
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Inclusion Criteria:
• Participants enrolled into Part 1 must have tumor lesions where repeated IT injections are not feasible and in whom, based on the Investigator's judgement, SC injection is the only viable route of CMP-001 administration. Participants with lesions that are easily accessible for IT injections are not eligible to participate in Part 1. Participants enrolled into Part 2 must have at least one tumor lesion with a longest diameter of >/= 0.5 cm amenable for IT injection of CMP-001.
All participants enrolled into either Part 1 or Part 2 must meet all of the following inclusion criteria to be eligible:
Histopathologically confirmed diagnosis of metastatic or unresectable malignant melanoma. Ocular melanoma participants are not eligible.
Participants must have received prior treatment with anti-PD-1 or anti-PD-L1 therapy (alone or as part of a combination) in the advanced or metastatic setting and had documented progression per RECIST. Participants must have received at least 4 doses of anti-PD-1 or anti-PD-L1 therapy.
Participants must have measurable disease by RECIST Version 1.1.
Capable of understanding and complying with protocol requirements.
A life expectancy of greater than 24 weeks at Screening.
Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1.
Most recent laboratory values (within 3 weeks prior to Week 1 Day 1) meet the following standards:
The participant must sign a written informed consent form prior to the initiation of any study procedures. Adult participants unable to provide written informed consent on their own behalf will not be eligible for the study.
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of California, Los Angeles | Los Angeles | California | 90095 | United States | ||
| University of Colorado |
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| Pembrolizumab | Drug | Pembrolizumab will be administered as per the schedule specified in the respective arms. |
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| CMP-001 | Drug | CMP-001 will be administered IT as per the dose and schedule specified in the respective arms. |
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Oral temperature should be measured in supine or seated position, following at least 30 minutes of rest. |
| From screening up to end of treatment (EOT) (up to approximately 2.5 years) |
| Part 1 Dose Escalation and Dose Expansion, and Part 2: Respiratory Rate | Respiratory rate should be measured in supine or seated position, following at least 30 minutes of rest. | From screening up to EOT (up to approximately 2.5 years) |
| Part 1 Dose Escalation and Dose Expansion, and Part 2: Systolic and Diastolic Blood Pressure | Blood pressure should be measured in supine or seated position, following at least 30 minutes of rest. | From screening up to EOT (up to approximately 2.5 years) |
| Part 1 Dose Escalation and Dose Expansion, and Part 2: Body Weight | Physical examination included body weight measurement. | From screening up to EOT (up to approximately 2.5 years) |
| Part 1 Dose Escalation and Dose Expansion, and Part 2: Body Mass Index (BMI) | Physical examination included BMI measurement. | From screening up to EOT (up to approximately 2.5 years) |
| Part 1 Dose Escalation and Dose Expansion, and Part 2: Number of Participants With Clinically Significant Abnormalities in 12-Lead Electrocardiogram (ECG) Parameters | ECG parameters will include heart rate and PR, QRS, QT, and QT corrected for heart rate (QTc) intervals. QT will be corrected using Fridericia's (QTcF) formula. ECG will be performed after the participant has been resting in supine or semi-supine position for at least 5 minutes. | From screening up to EOT (up to approximately 2.5 years) |
| Part 1 Dose Escalation and Dose Expansion, and Part 2: Number of Participants With Clinically Significant Abnormalities in Clinical Laboratory Parameters | Clinical laboratory parameters includes serum chemistry, hematology, urinalysis, coagulation and thyroid function tests. | From screening up to EOT (up to approximately 2.5 years) |
| Part 1 Dose Escalation: Concentration of Chemokine IP-10 | Day 1 of Weeks 1, 3, 15 and Day 2 of Week 3, 15 |
| Part 1 and Part 2: Objective Response Rate (ORR) (Percentage of Participants With Objective Response) as per Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 Using Computerized Tomography (CT) or Magnetic Resonance Imaging (MRI) Scans | ORR will be calculated as the number of participants with a confirmed complete response (CR) or partial response (PR) divided by the number of participants dosed. | Baseline until confirmed disease progression (CR or PR) or death, whichever occur first (assessment at every 12 weeks throughout the study from Week 1 Day 1, up to approximately 2.5 years) |
| Part 1 Dose Escalation and Dose Expansion, and Part 2: Best Overall Response (BOR) Rate (Percentage of Participants With Best Objective Response of CR or PR) as per RECIST Version 1.1 Using CT or MRI Scans | BOR will be calculated as the number of participants with best response of CR or PR divided by the number of participants dosed. | Baseline until confirmed disease progression (CR or PR) or death, whichever occur first (assessment at every 12 weeks throughout the study from Week 1 Day 1, up to approximately 2.5 years) |
| Part 1 Dose Escalation and Dose Expansion, and Part 2: Time to Response (TTR) as per RECIST Version 1.1 Using CT or MRI Scans | From first dose of CMP-001 until disease progression or death, whichever occur first (assessment at every 12 weeks throughout the study from Week 1 Day 1, up to approximately 2.5 years) |
| Part 1 Dose Escalation and Dose Expansion, and Part 2: Duration of Response (DOR) as per RECIST Version 1.1 Using CT or MRI Scans | From the date of first confirmed CR or PR until the first date of recurrent or progressive disease (assessment at every 12 weeks throughout the study from Week 1 Day 1, up to approximately 2.5 years) |
| Aurora |
| Colorado |
| 80045 |
| United States |
| University of Iowa Hospitals and Clinics | Iowa City | Iowa | 52242 | United States |
| University of Pittsburgh Medical Center - Cancer Center | Pittsburgh | Pennsylvania | 15232 | United States |
| ID | Term |
|---|---|
| D008545 | Melanoma |
| ID | Term |
|---|---|
| D018358 | Neuroendocrine Tumors |
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D009380 | Neoplasms, Nerve Tissue |
| D018326 | Nevi and Melanomas |
| D012878 | Skin Neoplasms |
| D009371 | Neoplasms by Site |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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| ID | Term |
|---|---|
| C582435 | pembrolizumab |
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