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This is a phase I/IIA, first-in-human (FIH), two-part, open-label, multicenter study to characterize the safety, tolerability profile, and clinical efficacy of STC-1010 associated with GM-CSF and cyclophosphamide immunostimulant (IS) regimen administered with standard of care (SOC) therapy (mFOLFOX6 with or without bevacizumab) to participants with unresectable locally advanced (stage IIIC, T4b) or unresectable metastatic (stage IV) colorectal cancer (CRC).
The trial will be conducted in two parts:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Phase 1 | Experimental | Dose-escalation and small expansion study in BRAF wild type, KRAS mutated, unresectable stage IIIC (T4b) or unresectable stage IV CRC participants with microsatellite stable (MSS) disease who have not received prior treatment |
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| Phase 2A: Arm 2A-1 | Experimental | Evaluation of safety and efficacy in BRAF wild type, KRAS mutated, unresectable stage IIIC (T4b) or unresectable stage IV CRC participants with MSS disease |
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| Phase 2A: Arm 2A-2 | Experimental | Evaluation of safety and efficacy in BRAF wild type, KRAS mutated, unresectable stage IIIC (T4b) or unresectable stage IV CRC participants with microsatellite instability-high (MSI-H) disease |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| STC-1010 + IS regimen + SOC therapy | Biological | STC-1010 administered with immunostimulants (IS) in low-dose (cyclophosphamide and GM-CSF) and standard of care (SOC) therapy (mFOLFOX6 with or without bevacizumab) |
| Measure | Description | Time Frame |
|---|---|---|
| Phase 1: To determine overall safety profile, recommended Phase 2 dose (RP2D) and maximum tolerated dose (MTD) | Endpoint/Outcome Measures: Incidence, severity, and relationship of Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), Dose-Limiting Toxicities (DLT) (in dose escalation part), AEs leading to treatment discontinuation; and clinically significant findings on clinical laboratory tests, vital signs, electrocardiograms (ECGs), and physical examinations, using the Common Terminology Criteria for Adverse Events (CTCAE Version 5). | 28 days |
| Phase 2A: To determine the clinical efficacy by Progression Free Survival (PFS) rate | Progression Free Survival (PFS) rate at 12 months from STC-1010 + IS regimen initiation, defined as the proportion of participants alive and without progression (i.e., participants with complete response [CR], partial response [PR] or stable disease [SD]) at 12 months according to RECIST 1.1 | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Phase 1: To determine the preliminary clinical efficacy | Endpoints/Outcome Measures: Overall Response Rate (ORR) at 6 months from STC-1010 + IS treatment initiation, defined as the achievement of either a complete response (CR) or partial response (PR) according to RECIST 1.1; Progression Free Survival (PFS) rate at 6 months from STC-1010 + IS treatment initiation (defined as the rate of participants alive with CR, PR or SD) according to RECIST 1.1; and Median of PFS. |
| Measure | Description | Time Frame |
|---|---|---|
| Phase 1: To determine the impact on immune and molecular biomarkers (exploratory outcomes) | Assessment of biomarkers in blood and tumor biopsies | At baseline/screening (T0), 1 month, 2 months, 6 months, 12 months |
| Phase 2: To determine the impact on immune and molecular biomarkers (exploratory outcomes) |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Corinne TORTORELLI, Pharm.D, Ph.D | Contact | +33 788 72 50 04 | ctortorelli@brenus-pharma.com | |
| Rebecca TANZI | Contact | rtanzi@brenus-pharma.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Johns Hopkins | Not yet recruiting | Baltimore | Maryland | 21287 | United States |
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| 6 months |
| Phase 1: To describe the effects on cell-mediated immunity | Assessment of delayed-type hypersensitivity (DTH) score after the first vaccination (at 1, 24, 48 and 72 hours post-STC-1010 injection) and then after the 4th, 8th and every boost | Up to 72 hours post injection |
| Phase 2A: To determine the overall safety and tolerability profile | Endpoints/Outcome Measures: Incidence, severity and relationship of TEAEs, SAEs, TEAEs leading to discontinuation of study treatment; and clinically significant findings on clinical laboratory tests, vital signs, ECGs and physical examinations, using the CTCAE Version 5. | 6, 12 and 24 months |
| Phase 2A: To determine the clinical efficacy by Clinical Benefit Rate (CBR) | Clinical Benefit Rate (CBR) defined as the percentage of participants in whom the best response is CR or PR, or SD lasting for a least 6 months. | 12 and 24 months |
| Phase 2A: To determine the clinical efficacy by Objective Response Rate (ORR) | Objective Response Rate (ORR) defined as the proportion of patients who achieve a complete or partial response per RECIST 1.1 criteria. Patients with unevaluable or unknown response status will be considered as non-responders. | 6, 12 and 24 months |
| Phase 2A: To determine the clinical efficacy by Duration of Response (DOR) | Duration of response (DOR), defined as the time from first documented evidence of CR or PR to the earliest date of documented radiological progression or death due to any cause | 6,12 and 24 months |
| Phase 2A: To determine the clinical efficacy by Progression Free Survival (PFS) | Progression Free Survival (PFS) defined as the time to the date of progression or death from any cause. The median PFS with it's 95% confidence interval (CI) will also be calculated | 6,12 and 24 months |
| Phase 2A: To determine the clinical efficacy by Overall Survival (OS) | Overall Survival (OS) defined as the time to the date of death from any cause. The median OS with its 95% CI will also be calculated. | 12 and 24 months |
| Phase 2A: To determine the clinical efficacy by metastases resection rate | Metastases resection rate defined as the percentage of participants who undergo resection | Up to 18 months |
Assessment of biomarkers in blood and tumor biopsies |
| At baseline/screening (T0), 1 month, 2 months, 6 months, 12 months and at time of progression (Tprogression, up to 24 months) |
| Institut Jules Bordet | Not yet recruiting | Brussels | Belgium |
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| Institut Bergonié | Recruiting | Bordeaux | France |
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| Centre Georges François Leclerc (CGFL) | Recruiting | Dijon | France |
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| Centre Léon Bérard (CLB) | Not yet recruiting | Lyon | France |
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| Hospices Civils de Lyon (HCL) | Recruiting | Lyon | France |
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| Institut du Cancer de Montpellier (ICM) | Recruiting | Montpellier | France |
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| Centre Hospitalier Universitaire de Poitiers (CHU) | Not yet recruiting | Poitiers | France |
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| Institut Gustave Roussy (IGR) | Recruiting | Villejuif | France |
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