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| Name | Class |
|---|---|
| H. Lee Moffitt Cancer Center and Research Institute | OTHER |
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Six patients will receive IFx-Hu2.0 on an outpatient basis at a single time point in a single lesion, two lesions, or three lesions, as a monotherapy (a maximum of three lesions could be injected). These patients will be assessed for any immediate adverse reactions and at Week 4 (Day 28+/-7 business days for any delayed adverse events.
Six male and/or female adult patients (greater than or equal to 18 years old), of any ethnicity and race, with unresectable stage III or stage IV cutaneous melanoma with accessible lesions, will be eligible for enrollment and treatment with IFx-Hu2.0.
To be eligible for this study, patients with unresectable metastatic disease must have failed, refused or been deemed not candidates for at least one form of systemic anti-PD-1-based immunotherapy as well as BRAF inhibition, if BRAF V600 mutated. Talimogene laherparepvec (IMLYGIC®) is indicated for local treatment of unresectable cutaneous, subcutaneous, and nodal lesions in patients with melanoma recurrent after initial surgery. Therefore, patients with unresectable cutaneous, subcutaneous, and nodal melanoma lesions recurrent after initial surgery must have failed, refused or been deemed not candidates for talimogene laherparepvec to be eligible for this study.
Enrollees will receive IFx-Hu2.0 at a single time point. Depending on the number of accessible lesions, a patient could receive up to three doses across three lesions (one dose per lesion). Forty milliliters of peripheral blood will be collected from these patients prior to treatment administration and at the follow-up visit four weeks later. The target dose will be 100 μg of plasmid DNA per lesion injected at a final dose volume of 200 μL per lesion. To allow for the observation of any acute toxicity in the first subject enrolled and prevent any occurrence of excessive toxicities in subsequent subjects, the first subject enrolled will receive a single dose of IFx-Hu2.0. Subsequent subjects will be administered the product after at least seven days. Beyond the first subject, the maximum number of lesions to be injected at any given time point in the study phase proposed is three lesions. These samples will be used to perform complete blood counts (CBC) and clinical chemistry tests. A urine sample will be obtained for urinalysis for protein and blood at the same frequency. Blood samples will be drawn for immune response evaluation as well. At the end of the study period, a biopsy of the lesion injected and a non-injected lesion (if applicable) will be collected. If the patient has a response to therapy, the patient will have the option of continuing the study at three-week intervals so long as they have not progressed. Optional tumor biopsies and peripheral blood collections may be obtained on subsequent treatment cycles.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| IFx-Hu2.0 (plasmid DNA) 0.1 mg/lesion/time point | Experimental | Therapeutic Classification:
Route of Administration:
Mechanism of Action:
Physiological Effect:
|
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| IFx-Hu2.0 | Biological | Subjects enrolled will receive a fixed IFx-Hu2.0 (plasmid DNA) dose of 0.1 mg injected in up to 3 lesions at a single time point (28-day follow-up post last injection). |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Serious Adverse Events (SAEs) and/or Dose Limiting Toxicities (DLTs) | Safety was reported using Common Terminology Criteria for Adverse Events (CTCAE) version 5.0. Feasibility was defined as the ability to treat at least five of the six patients enrolled without drug-related dose-limiting toxicity (DLT). | 28 ± 7 Days |
| Measure | Description | Time Frame |
|---|---|---|
| Antitumor Response Induced by IFx-Hu2.0 Per RECIST v1.1 for Target Lesions. | Evaluation of response rate and assessment of the antitumor immune responses induced by IFx-Hu2.0 per RECIST v1.1 for target lesions. Complete Response (CR), Disappearance of all target lesions. Partial Response (PR), ≥ 30% decrease in the sum of the longest diameters of target lesions compared with baseline. Stable Disease (SD), Neither sufficient shrinkage to qualify for partial or complete response (CR or PR) nor sufficient increase to qualify for progressive disease (PD). Progressive Disease (PD), Appearance of one or more new lesions and/or unequivocal progression of existing non-target lesions. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Joseph Markowitz, MD, PhD | Collaborator | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| H. Lee Moffitt Cancer Center | Tampa | Florida | 33612 | United States |
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This study had a goal of six evaluable patients. It was the intent of the study team to recruit an additional two patients to be screened and enrolled if any of the existing patients were lost to follow-up, withdrew consent, or exhibited disease progression.
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| ID | Title | Description |
|---|---|---|
| FG000 | IFx-Hu2.0 (Plasmid DNA) 0.1 mg/Lesion/Time Point | Therapeutic Classification:
Route of Administration:
Mechanism of Action:
Physiological Effect:
IFx-Hu2.0: Subjects enrolled will receive a fixed IFx-Hu2.0 (plasmid DNA) dose of 0.1 mg injected in up to 3 lesions at a single time point (28-day follow-up post last injection). |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | IFx-Hu2.0 (Plasmid DNA) 0.1 mg/Lesion/Time Point | Therapeutic Classification:
Route of Administration:
Mechanism of Action:
Physiological Effect:
IFx-Hu2.0: Subjects enrolled will receive a fixed IFx-Hu2.0 (plasmid DNA) dose of 0.1 mg injected in up to 3 lesions at a single time point (28-day follow-up post last injection). |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Participants With Serious Adverse Events (SAEs) and/or Dose Limiting Toxicities (DLTs) | Safety was reported using Common Terminology Criteria for Adverse Events (CTCAE) version 5.0. Feasibility was defined as the ability to treat at least five of the six patients enrolled without drug-related dose-limiting toxicity (DLT). | The data analysis is described to assess the safety of the injection of the study agent in six patients the intention-to-treat (ITT) approach will be used for response to treatment data analysis of this trial (secondary objective). | Posted | Count of Participants | Participants | 28 ± 7 Days |
|
Day 0 to 28 days ± 7 business days from the last dose administered.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | IFx-Hu2.0 (Plasmid DNA) 0.1 mg/Lesion/Time Point | Therapeutic Classification:
Route of Administration:
Mechanism of Action:
Physiological Effect:
IFx-Hu2.0: Subjects enrolled will receive a fixed IFx-Hu2.0 (plasmid DNA) dose of 0.1 mg injected in up to 3 lesions at a single time point (28-day follow-up post last injection). |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Clostridial sepsis | Blood and lymphatic system disorders | CTCAE version 5.0 | Non-systematic Assessment | Multi-organ dysfunction syndrome and clostridial sepsis were experienced by the same patient leading to death. The principal investigator attributed these two SAEs as unlikely related to IFx-Hu2.0. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Injection site reaction | General disorders | CTCAE version 5.0 | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| James Bianco, MD - Chief Executive Officer | Morphogenesis, Inc | 8138756600 | 104 | jbianco@morphogenesis-inc.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Sep 1, 2020 | Aug 13, 2021 | Prot_SAP_000.pdf |
| ICF | No | No | Yes | Informed Consent Form | Apr 21, 2019 | Aug 13, 2021 | ICF_001.pdf |
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| ID | Term |
|---|---|
| D008545 | Melanoma |
| ID | Term |
|---|---|
| D018358 | Neuroendocrine Tumors |
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009370 | Neoplasms by Histologic Type |
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|
| 28 ± 7 days post treatment |
| Participants |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| AJCC Clinical Staging | Stage III: tumor no more than 2mm thick and could be ulcerated. Cancer has spread to 1-3 nearby nodes. It has not spread to distant parts of the body. Stage IIIC: tumor no more than 2mm thick with 1-3 macroscopic node metastases and an ulcerated primary melanoma. Patients with satellite(s)/in-transit metastases, or any patient with nodal disease regardless of ulceration status. Stage IV: tumor of any thickness and could be ulcerated. Cancer could have spread to nearby nodes. It has spread to distant nodes or to organs. Note: lesser stages correlate with improved outcomes. | Count of Participants | Participants |
|
|
|
| Secondary | Antitumor Response Induced by IFx-Hu2.0 Per RECIST v1.1 for Target Lesions. | Evaluation of response rate and assessment of the antitumor immune responses induced by IFx-Hu2.0 per RECIST v1.1 for target lesions. Complete Response (CR), Disappearance of all target lesions. Partial Response (PR), ≥ 30% decrease in the sum of the longest diameters of target lesions compared with baseline. Stable Disease (SD), Neither sufficient shrinkage to qualify for partial or complete response (CR or PR) nor sufficient increase to qualify for progressive disease (PD). Progressive Disease (PD), Appearance of one or more new lesions and/or unequivocal progression of existing non-target lesions. | The intention-to-treat (ITT) approach will be used for response to treatment data analysis of this trial. | Posted | Count of Participants | Participants | 28 ± 7 days post treatment |
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| 1 |
| 7 |
| 2 |
| 7 |
| 7 |
| 7 |
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| Multiple organ dysfunction syndrome | General disorders | CTCAE version 5.0 | Non-systematic Assessment | Multi-organ dysfunction syndrome and clostridial sepsis were experienced by the same patient leading to death. The principal investigator attributed these two SAEs as unlikely related to IFx-Hu2.0. |
|
| Pneumatosis | Gastrointestinal disorders | CTCAE version 5.0 | Non-systematic Assessment | The principal investigator attributed this SAE as unlikely related to IFx-Hu2.0. |
|
| Tumor hemorrhage | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | CTCAE version 5.0 | Non-systematic Assessment |
|
| Tumor pain | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | CTCAE version 5.0 | Non-systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | CTCAE version 5.0 | Non-systematic Assessment |
|
| Erythema | General disorders | CTCAE version 5.0 | Non-systematic Assessment |
|
| Lymphocyte count decreased | Investigations | CTCAE version 5.0 | Non-systematic Assessment |
|
| Pruritus | Skin and subcutaneous tissue disorders | CTCAE version 5.0 | Non-systematic Assessment |
|
| Constipation | Gastrointestinal disorders | CTCAE version 5.0 | Non-systematic Assessment |
|
| Insomnia | Psychiatric disorders | CTCAE version 5.0 | Non-systematic Assessment |
|
| Hypertension | Vascular disorders | CTCAE version 5.0 | Non-systematic Assessment |
|
| Diverticulitis | Gastrointestinal disorders | CTCAE version 5.0 | Non-systematic Assessment |
|
| Anorexia | Metabolism and nutrition disorders | CTCAE version 5.0 | Non-systematic Assessment |
|
| Dry mouth | Gastrointestinal disorders | CTCAE version 5.0 | Non-systematic Assessment |
|
| Fatigue | General disorders | CTCAE version 5.0 | Non-systematic Assessment |
|
| Flatulence | Gastrointestinal disorders | CTCAE version 5.0 | Non-systematic Assessment |
|
| Lymphedema | Vascular disorders | CTCAE version 5.0 | Non-systematic Assessment |
|
| Muscle spasms | Musculoskeletal and connective tissue disorders | CTCAE version 5.0 | Non-systematic Assessment |
|
Moffitt shall be free to publish any academic articles, presentations, or abstracts of the Study results (including supporting data); provided that any such manuscript is first submitted to Company thirty (30) days prior to the proposed publication date so that Company may take any action necessary to protect its confidential information and intellectual property rights prior to said publication.
| 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 |
| Progressive Disease (PD) |
|