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This is a study to investigate the safety and efficacy of an investigational OBX-115 regimen in adult participants with advanced solid tumors.
Primary Objective (Phase 1):
• Assess the safety and tolerability of OBX-115 regimen
Primary Objective (Phase 2):
Secondary (Phase 1):
• Assess preliminary efficacy of OBX-115 regimen by evaluating ORR
Secondary (Phase 2):
• Evaluate safety and tolerability of OBX 115 based on the collected AE data
Secondary (both Phase 1 and Phase 2):
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Participants with advanced solid tumors | Experimental | Participants will receive conditioning therapy prior to administration of OBX-115 regimen. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| OBX-115 | Biological | A tumor sample is obtained from each participant for autologous OBX-115 manufacture. After lymphodepletion including cyclophosphamide and fludarabine, participant will receive OBX-115 infusion, followed by short courses of acetazolamide. |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence and nature of dose-limiting toxicities (DLTs) | • Incidence of dose-limiting toxicities (DLTs) during the first 28 days after OBX-115 infusion (Phase 1). | 28 Days |
| The proportion of participants who have a confirmed complete response (CR) or partial response (PR) per RECIST v1.1 | • The proportion of participants who have a confirmed complete response (CR) or partial response (PR) per RECIST v1.1 as assessed by Blinded Independent Central Review (BICR) from the date of OBX-115 infusion until disease progression, death, start of a new anticancer therapy, withdrawal of consent, or end of study, whichever comes first (Phase 2 Cohort 3) | 2 years |
| The proportion of participants who have a confirmed complete response (CR) or partial response (PR) per RECIST v1.1 | • The proportion of participants who have a confirmed complete response (CR) or partial response (PR) per RECIST v1.1 as assessed by the Investigator from the date of OBX-115 infusion until disease progression, death, start of a new anticancer therapy, withdrawal of consent, or end of study, whichever comes first (Phase 2 Cohort 1, 2, and 4) | 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| The proportion of participants who have a confirmed CR or PR per RECIST v1.1 | • The proportion of participants who have a confirmed CR or PR per RECIST v1.1 as assessed by the Investigator from the date of OBX-115 infusion until disease progression, death, start of a new anticancer therapy, withdrawal of consent, or end of study, whichever comes first (Phase 1) | 2 years |
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Inclusion Criteria:
Participant must be 18 years of age or older at the time of signing the informed consent.
Participant has a histologically confirmed diagnosis of advanced/metastatic melanoma or relapsed refractory metastatic non-small cell lung cancer (NSCLC).
Cohort and indication specific criteria as follows:
Phase 1 and Phase 2 Cohort 1 (enrollment complete):
Phase 1 and Phase 2 Cohort 2 (recruiting):
Phase 2 Cohort 3 (recruiting):
Phase 2 Cohort 4 (recruiting):
Participant is assessed as having at least one lesion (or aggregate lesions) suitable for OBX-115 generation.
After tumor tissue procurement, the participant will have at least one remaining measurable lesion, as defined by RECIST v1.1.
Participant has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 and an estimated life expectancy of greater than 6 months.
Participant has recovered from all prior anticancer treatment-related AEs to at least Grade 1 (per Common Terminology Criteria for Adverse Events [CTCAE]).
Participants must have completed post-operative recovery from any prior surgical procedures with wound healing and resolution of all surgical complications prior to planned tumor procurement surgery.
Both male and female (women of childbearing potential) participants agree to the follow protocol specified contraceptive and/or abstinence requirements.
Participant has protocol specified hematologic parameters for absolute neutrophil count (ANC) and platelet count.
Participant has adequate cardiac, liver, lung, and kidney organ function as specified in the protocol.
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Obsidian Therapeutics | Contact | 781-202-5423 | OBX115-2301TRIAL@OBSIDIANTX.COM |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Angeles Clinic and Research Institute (Melanoma) | Recruiting | Los Angeles | California | 90025 | United States |
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Single group assignment
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| Incidence of AEs | • Incidence of treatment-emergent adverse events (TEAEs), including SAEs, study intervention related AEs, and AEs leading to early discontinuation of study intervention or withdrawal from the Assessment Period or death up to 2 years after initiation of study intervention | 2 years |
| USC Norris Comprehensive Cancer Center (Melanoma/NSCLC) | Recruiting | Los Angeles | California | 90033 | United States |
|
| Stanford Cancer Institute (Melanoma/NSCLC) | Recruiting | Stanford | California | 94305 | United States |
|
| Orlando Health Cancer Institute (Melanoma/NSCLC) | Recruiting | Orlando | Florida | 32806 | United States |
|
| James Graham Brown Cancer Center (Melanoma/NSCLC) | Recruiting | Louisville | Kentucky | 40202 | United States |
|
| Memorial Sloan Kettering (Melanoma/NSCLC) | Recruiting | New York | New York | 10065 | United States |
|
| The Ohio State University | Recruiting | Columbus | Ohio | 43210 | United States |
|
| Allegheny Research Institute (Melanoma/NSCLC) | Recruiting | Pittsburgh | Pennsylvania | 15224 | United States |
|
| M.D. Anderson Cancer Center (Melanoma/NSCLC) | Recruiting | Houston | Texas | 77030 | United States |
|
| Melanoma Institute of Australia | Recruiting | Wollstonecraft | New South Wales | 2065 | Australia |
|
| ID | Term |
|---|---|
| D012878 | Skin Neoplasms |
| D008545 | Melanoma |
| D008175 | Lung Neoplasms |
| D002289 | Carcinoma, Non-Small-Cell Lung |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D018358 | Neuroendocrine Tumors |
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009370 | Neoplasms by Histologic Type |
| D009380 | Neoplasms, Nerve Tissue |
| D018326 | Nevi and Melanomas |
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
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