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| ID | Type | Description | Link |
|---|---|---|---|
| KEYNOTE-A23 | Other Identifier | Merck |
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| Name | Class |
|---|---|
| Merck Sharp & Dohme LLC | INDUSTRY |
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This is a study to determine the maximum tolerated dose (MTD) for CDX-1140 (CD40 antibody), either alone or in combination with CDX-301 (FLT3L), pembrolizumab, or chemotherapy and to further evaluate its tolerability and efficacy in expansion cohorts once the MTD is determined.
This study will determine the MTD of CDX-1140 while also evaluating the safety, tolerability and efficacy of CDX-1140 alone (Part 1) or in combination with CDX-301 (Part 2), pembrolizumab (Part 3), or chemotherapy (Part 4) in patients with cancer.
Eligible patients that enroll to the dose-escalation portion of the study will be assigned to one of several dose levels of CDX-1140. The dose-escalation part of the study will test the safety profile of CDX-1140, alone or in combination with CDX-301, pembrolizumab or chemotherapy and determine which dose(s) of CDX-1140 will be studied in the expansion portions of the study.
All patients enrolled in the study will be closely monitored to determine if there is a response to the treatment as well as for any side effects that may occur.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CDX-1140 | Experimental | Part 1: Eligible patients will receive CDX-1140, based on cohort assigned, in 4 week cycles until progression, intolerance, or two years of treatment. |
|
| CDX-1140 and CDX-301 | Experimental | Part 2: Eligible patients will receive CDX-1140, based on cohort assigned, in 4 week cycles until progression, intolerance or two years of treatment. A fixed dose of CDX-301 is injected once a day for five days before cycles 1 and 2 of CDX-1140. |
|
| CDX-1140 and pembrolizumab | Experimental | Part 3: Eligible patients will receive CDX-1140, based on cohort assigned, in 3 week cycles until progression, or intolerance, or two years of treatment. A fixed dose of pembrolizumab will also be given in 3 week cycles. |
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| CDX-1140 and chemotherapy | Experimental | Part 4: Eligible patients will receive CDX-1140, based on cohort assigned, in 4 week cycles until progression, or intolerance, or two years of treatment. Chemotherapy will also be given according to standard of care. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CDX-1140 | Drug | CDX-1140 will be administered every 4 weeks in Parts 1, 2 and 4, and every 3 weeks in Part 3. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Safety and Tolerability of CDX-1140 as assessed by CTCAE v5.0 | The rates of drug-related adverse events will be summarized and maximum tolerated dose will be determined. | From first dose through 30 days after last dose |
| Measure | Description | Time Frame |
|---|---|---|
| Objective Response Rate | The percentage of patients who achieved a confirmed complete response or partial response by evaluation criteria in solid tumors for immune-based therapeutics (iRECIST; for solid tumor patients) and the lymphoma response to immunomodulatory therapy criteria (LYRIC; for lymphoma patients). | Every 8-12 weeks, starting with first dose until disease progression, assessed up to approximately 1-3 years. |
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Key Inclusion Criteria:
Additional Inclusion Criteria for Part 1:
Additional Inclusion Criteria for Part 3:
Additional Inclusion Criteria for Part 4:
1. Patients must have metastatic pancreatic adenocarcinoma, and have not received previous treatment in a metastatic setting
Key Exclusion Criteria:
Additional Exclusion Criteria for lymphoma patients in Part 1:
There are additional criteria your study doctor will review with you to confirm your eligibility for the study.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| HonorHealth Research Insititute | Scottsdale | Arizona | 85258 | United States | ||
| Northside Hospital, Inc. |
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| CDX-301 | Drug | CDX-301 will be injected once a day for five days before Cycles 1 and 2. |
|
| pembrolizumab | Drug | pembrolizumab will be administered every 3 weeks. |
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| Chemotherapy | Drug | Gemcitabine and Nab-paclitaxel will be administered on Day 1, Day 8 and Day 15 of each 4 week Cycle. |
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| Clinical benefit rate | The percentage of patients who achieve best response of confirmed CR or PR, or stable disease (SD) for at least four months | Every 8-12 weeks, starting with first dose until disease progression, assessed up to approximately 1-3 years |
| Duration of Response | The interval from which measurement criteria are first met for CR or PR until the first date that progressive disease is objectively documented | First occurrence of a documented objective response to disease progression or death (up to approximately 1-3 years) |
| Progression-free survival | The time from start of study drug to time of progression or death, whichever occurs first | From first dose to the first occurrence of disease progression or death due to any cause (up to approximately 1-3 years) |
| Overall survival | The time from start of study drug to death | The time from start of study drug to death from any cause (up to approximately 1-3 years) |
| Immunogenicity evaluation | Serum samples will be obtained for assessment of human anti-CDX-1140 and anti-CDX-301 antibodies | Prior to each dose of study treatment and at treatment discontinuation, up to approximately 1-3 years |
| Pharmacokinetic evaluation | CDX-1140 and CDX-301 concentrations will be measured | Prior to each study treatment, multiple timepoints after each study treatment, and at treatment discontinuation up to approximately 1-3 years |
| Atlanta |
| Georgia |
| 30342 |
| United States |
| Georgia Cancer Center at Augusta University | Augusta | Georgia | 30912 | United States |
| Oncology Hematology West, PC dba Nebraska Cancer Specialists | Omaha | Nebraska | 68130 | United States |
| Icahn School of Medicine at Mount Sinai | New York | New York | 10029 | United States |
| Memorial Sloan Kettering Cancer Center | New York | New York | 10065 | United States |
| Gabrail Cancer Center Research LLC | Canton | Ohio | 44718 | United States |
| Providence Portland Medical Center | Portland | Oregon | 97213 | United States |
| Abramson Cancer Center at the University of Pennsylvania | Philadelphia | Pennsylvania | 19104 | United States |
| Rhode Island Hospital (RIH) The Miriam Hospital (TMH) | Providence | Rhode Island | 02903 | United States |
| Houston Methodist | Houston | Texas | 77030 | United States |
| ID | Term |
|---|---|
| D008545 | Melanoma |
| D002289 | Carcinoma, Non-Small-Cell Lung |
| D001943 | Breast Neoplasms |
| D013274 | Stomach Neoplasms |
| D002292 | Carcinoma, Renal Cell |
| D010051 | Ovarian Neoplasms |
| D018281 | Cholangiocarcinoma |
| D015179 | Colorectal Neoplasms |
| D004938 | Esophageal Neoplasms |
| D008113 | Liver Neoplasms |
| D006258 | Head and Neck Neoplasms |
| D005185 | Fallopian Tube Neoplasms |
| D016403 | Lymphoma, Large B-Cell, Diffuse |
| D020522 | Lymphoma, Mantle-Cell |
| D008228 | Lymphoma, Non-Hodgkin |
| D008224 | Lymphoma, Follicular |
| D018442 | Lymphoma, B-Cell, Marginal Zone |
| D005770 | Gastrointestinal Neoplasms |
| D007680 | Kidney Neoplasms |
| D008175 | Lung Neoplasms |
| D001650 | Bile Duct Neoplasms |
| D053306 | Hyper-IgM Immunodeficiency Syndrome |
| D010190 | Pancreatic Neoplasms |
| D009959 | Oropharyngeal Neoplasms |
| D007822 | Laryngeal Neoplasms |
| D009062 | Mouth Neoplasms |
| 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 |
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D001941 | Breast Diseases |
| D004067 | Digestive System Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D013272 | Stomach Diseases |
| D000230 | Adenocarcinoma |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D014571 | Urologic Neoplasms |
| D014565 | Urogenital Neoplasms |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052801 | Male Urogenital Diseases |
| D004701 | Endocrine Gland Neoplasms |
| D010049 | Ovarian Diseases |
| D000291 | Adnexal Diseases |
| D005831 | Genital Diseases, Female |
| D005833 | Genital Neoplasms, Female |
| D000091662 | Genital Diseases |
| D004700 | Endocrine System Diseases |
| D006058 | Gonadal Disorders |
| D007414 | Intestinal Neoplasms |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |
| D004935 | Esophageal Diseases |
| D008107 | Liver Diseases |
| D005184 | Fallopian Tube Diseases |
| D016393 | Lymphoma, B-Cell |
| D008223 | Lymphoma |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
| D001661 | Biliary Tract Neoplasms |
| D001649 | Bile Duct Diseases |
| D001660 | Biliary Tract Diseases |
| D004406 | Dysgammaglobulinemia |
| D001796 | Blood Protein Disorders |
| D006402 | Hematologic Diseases |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D000081207 | Primary Immunodeficiency Diseases |
| D007153 | Immunologic Deficiency Syndromes |
| D010182 | Pancreatic Diseases |
| D010610 | Pharyngeal Neoplasms |
| D010039 | Otorhinolaryngologic Neoplasms |
| D010608 | Pharyngeal Diseases |
| D009057 | Stomatognathic Diseases |
| D010038 | Otorhinolaryngologic Diseases |
| D007818 | Laryngeal Diseases |
| D009059 | Mouth Diseases |
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| ID | Term |
|---|---|
| C582435 | pembrolizumab |
| D004358 | Drug Therapy |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
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