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| Name | Class |
|---|---|
| Merck Sharp & Dohme LLC | INDUSTRY |
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Parts 1 and 2 The primary purpose of this study is to understand the safety of NL-201 when given intravenously as monotherapy in patients with advanced cancer to evaluate tolerability and to identify a recommended dose and schedule for further testing. In Part 1, there will be backfill cohorts at certain Data Monitoring Committee (DMC)-cleared dose levels and schedules to collect pharmacokinetic (PK), pharmacodynamic (PD) and response data in certain tumor types or to explore additional pre-medication regimens.
Parts 3 and 4 The primary purpose of this study is to understand the safety of NL-201 in combination with pembrolizumab when both drugs are given intravenously in patients with advanced cancer, to evaluate tolerability, and to identify a recommended dose and schedule for further testing.
Patients will have tests and exams to see if they are eligible for the clinical trial.
Parts 1 and 2 If eligible, the patient will receive NL-201 treatment by vein. Tumor response to treatment will be assessed every 6 weeks for 12 weeks, and every 12 weeks thereafter until disease progression.
Patients will be able to receive study treatment as long as it is tolerated and there is evidence of clinical benefit. Safety follow-up will occur within 7 days after the last dose of NL-201. Patients will then enter long-term follow-up until starting a subsequent therapy.
In Part 1, there will be backfill cohorts at certain DMC-cleared dose levels and schedules to collect PK, PD and response data in certain tumor types or to explore additional pre-medication regimens.
Parts 3 and 4 If eligible, the patient will receive NL-201 and pembrolizumab treatment by vein. Tumor response to treatment will be assessed every 6 weeks for 12 weeks, and every 12 weeks thereafter until disease progression.
Patients will be able to receive study treatments as long as they are tolerated and there is evidence of clinical benefit. Safety follow-up will occur within 7 days after the last dose of investigational product. Patients will then enter long-term follow-up until starting a subsequent therapy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part 1: NL-201 Monotherapy Dose Escalation | Experimental | NL-201 given as monotherapy by intravenous administration testing ascending doses and two different schedules. |
|
| Part 2: NL201 Monotherapy Expansion Cohorts | Experimental | NL-201 given as monotherapy by intravenous administration in indication specific cohorts at a dose and schedule determined in Part 1. |
|
| Part 3: NL-201 in Combination with Pembrolizumab Dose Escalation | Experimental | NL-201, in combination with a set Pembrolizumab dose, testing ascending doses and two different schedules |
|
| Part 4: NL-201 in Combination with Pembrolizumab Expansion Cohorts | Experimental | NL-201 in combination with Pembrolizumab in indication specific cohorts at a dose and schedule determined in Part 3 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| NL-201 | Drug | NL-201 is a de novo protein therapeutic. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Recommended phase 2 dose (RP2D) for NL-201 (Parts 1 and 2) | Evaluation of tolerability of NL-201 as measured by number of subjects with dose limiting toxicities (DLTs) | Up to Day 33 |
| Recommended dose schedule for NL-201 (Parts 1 and 2) | Evaluation of tolerability of NL-201 as measured by number of subjects with dose limiting toxicities (DLTs) | Up to Day 33 |
| Recommended phase 2 dose (RP2D) for NL-201 in combination with Pembrolizumab (Parts 3 and 4) | Evaluation of tolerability of NL-201 in combination with Pembrolizumab as measured by number of subjects with dose limiting toxicities (DLTs) | Up to Day 33 |
| Recommended dose schedule for NL-201 in combination with Pembrolizumab (Parts 3 and 4) | Evaluation of tolerability of NL-201 in combination with Pembrolizumab as measured by number of subjects with dose limiting toxicities (DLTs) | Up to Day 33 |
| Incidence of treatment-emergent adverse events | Rate of adverse events in patients with advanced solid tumors | Up to Day 33 |
| Severity of treatment-emergent adverse events | Rate of adverse event grades in patients with advanced solid tumors | Up to Day 33 |
| Measure | Description | Time Frame |
|---|---|---|
| Best Objective Response according to RECIST version 1.1 | Based on Investigator assessment of radiographic imaging | Up to 36 months |
| Objective Response Rate (ORR) according to RECIST version 1.1 |
| Measure | Description | Time Frame |
|---|---|---|
| Flow cytometry analysis of immune cells in blood | Based on appropriate assay | Up to 36 months |
| Serum measurements of inflammatory cytokine levels | Based on appropriate assay |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Albiruni A Razak | UHN - Princess Margaret Cancer Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Memorial Sloan Kettering Cancer Center | New York | New York | 10021 | United States | ||
| Providence Cancer Center Oncology and Hematology Care Clinic |
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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 8, 2022 |
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| Pembrolizumab Injection [Keytruda] | Drug | A programmed death receptor-1 (PD-1)-blocking antibody |
|
|
Based on Investigator assessment of radiographic imaging
| Up to 36 months |
| Progression-Free Survival (PFS) according to RECIST version 1.1 | Based on Investigator assessment of radiographic imaging | Up to 36 months |
| Duration of Response (DOR) according to RECIST version 1.1 | Based on Investigator assessment of radiographic imaging | Upto 36 months |
| Pharmacokinetic (PK) profile of NL-201 by half-life (t1/2) | Prespecified timepoints in serum before and after dosing with NL-201. | Up to 24 Months |
| Pharmacokinetic (PK) profile of NL-201 by area under the plasma concentration time curve (AUC) | Prespecified timepoints in serum before and after dosing with NL-201. | Up to 24 months |
| Pharmacokinetic (PK) profile of NL-201 by maximum observed plasma concentration (Cmax) | Prespecified timepoints in serum before and after dosing with NL-201. | Up to 24 months |
| Pharmacokinetic (PK) profile of NL-201 by volume of distribution (Vd) | Prespecified timepoints in serum before and after dosing with NL-201. | Up to 24 Months |
| Terminal-Phase Elimination Rate Constant (β) of NL-201 | Prespecified timepoints in serum before and after dosing with NL-201. | Up to 24 months |
| Immunogenicity of NL-201 | Anti-drug antibodies in serum during and after treatment with NL-201 | Up to 24 months |
| Up to 36 months |
| Analysis of immune characteristics of the tumor microenvironment | Based on appropriate assay | Up to 36 months |
| Estimate additional measures of anti-tumor activity of NL- 201 per iRECIST criteria | Based on Investigator assessment of imaging | Up to 36 months |
| Portland |
| Oregon |
| 97213 |
| United States |
| UT- MD Anderson | Houston | Texas | 77230 | United States |
| Seattle Cancer Care Alliance | Seattle | Washington | 98109 | United States |
| Melanoma Institute Australia | Sydney | New South Wales | 2065 | Australia |
| St Vincents Hospital | Sydney | New South Wales | Australia |
| Olivia Newton-John Cancer Wellness & Research Centre | Heidelberg | Victoria | Australia |
| UHN - Princess Margaret Cancer Center | Toronto | Ontario | M5G1Z5 | Canada |
| Apr 5, 2023 |
| Prot_SAP_000.pdf |
| ID | Term |
|---|---|
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| C582435 | pembrolizumab |
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