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The goal of this clinical trial is to evaluate the safety and tolerability of the study drug WTX-330 when administered using a fixed dose regimen or a step-up dose regimen in adult patients with selected advanced or metastatic solid tumors or lymphoma. In addition to safety and tolerability, the study aims to:
Study participants will participate in a dose- and regimen-finding phase (Part 1) followed by a dose expansion phase (Part 2) where they will be assigned to one of three arms (A, B and C).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dose- and Regimen Finding | Experimental | Regimen 1 Fixed Dose for 28 days then Regimen 2 Step-up Dose for 28 days |
|
| Dose Expansion Arm A | Experimental | n~20 Patients with locally advanced or metastatic cutaneous malignant melanoma who have been treated with a standard of care (SOC) checkpoint inhibitor (CPI) regimen and who demonstrate primary or secondary resistance to this therapy |
|
| Dose Expansion Arm B | Experimental | n~20 Patients with locally advanced or metastatic microsatellite-stable (MSS) colorectal carcinoma (CRC) who have progressed on or are intolerant of SOC therapies and who are naïve to immunotherapy |
|
| Dose Expansion Arm C | Experimental | n~20 Patients with advanced NHL who are relapsed/refractory to SOC therapies and who are CPI naïve |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| WTX-330 | Drug | Investigational Product |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of Dose Limiting Toxicities (DLTs) | 4 weeks | |
| Incidence of treatment emergent adverse events | 24 months | |
| Incidence of changes in clinical laboratory abnormalities | 24 months | |
| Overall response rate (ORR) by response evaluation criteria in solid tumors (RECIST) 1.1 and the immune-overall response rate (iORR) by immune RECIST (iRECIST; Part 2, Arms A and B) or response by Lugano classification (Part 2, Arm C) | 24 months | |
| Duration of response (DOR) by response evaluation criteria in solid tumors (RECIST) 1.1 and immune RECIST (iRECIST; Part 2, Arms A and B) or based on Lugano classification (Part 2, Arm C) | 24 months |
| Measure | Description | Time Frame |
|---|---|---|
| Characterize the plasma concentrations of WTX-330, free IL-12 and interferon gamma (IFNγ) | 24 months | |
| Changes in PD-L1 expression in tumor biopsies | 24 months | |
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Inclusion Criteria:
Age ≥ 18 years,
Dose escalation (Part 1): Patients with relapsed/refractory locally advanced or metastatic solid tumor for which the patient has progressed on or is intolerant of standard therapy, or for whom no standard therapy with proven benefit exists. Patients with castrate resistant prostate cancer (CRPC) and primary Central Nervous System (CNS) malignancies are ineligible. Patients with non-Hodgkin lymphoma (NHL) will not be enrolled in the dose escalation but are eligible for the dose expansion.
Dose Expansion (Part 2): Patients with relapsed/refractory locally advanced or metastatic cutaneous melanoma, MSS CRC or NHL for which the patient has progressed on or is intolerant of standard therapy. The dose expansion consists of 3 arms (A, B and C) with the following eligibility criteria:
Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1.
At least one measurable lesion per RECIST 1.1 or evaluable lesion per Lugano classification.
Agrees to undergo a pre-treatment and on-treatment biopsy of a primary or metastatic tumor lesion.
Human immunodeficiency virus (HIV) infected patients must be on antiretroviral therapy (ART) and well-controlled HIV infection/disease
Has adequate organ and bone marrow function.
Willingness of men and women of reproductive potential to agree to highly effective birth control for the duration of treatment and for 4 months following the last dose of study drug.
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| HonorHealth Research Institute | Scottsdale | Arizona | 85258 | United States | ||
| Emory Winship Cancer Institute |
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| Duration of response (DOR) by response evaluation criteria in solid tumors (RECIST) 1.1 and immune RECIST (iRECIST; Part 1 and Part 2, Arms A and B) or based on Lugano classification (Part 2, Arm C) |
| 24 months |
| Progression-free survival (PFS) by response evaluation criteria in solid tumors (RECIST) 1.1 and immune RECIST (iRECIST; Part 1 and Part 2, Arms A and B) or based on Lugano classification (Part 2, Arm C) | 24 months |
| Overall survival (OS) after treatment with WTX-330 in Part 2 based on death, start of new anticancer therapies, withdrawal of consent or lost to follow-up | 36 months |
| Incidence of WTX-330 antidrug antibodies | 24 months |
| Titers of WTX-330 antidrug antibodies | 24 months |
| Atlanta |
| Georgia |
| 30322 |
| United States |
| Northwestern University | Chicago | Illinois | 60611 | United States |
| Indiana University Melvin and Bren Simon Comprehensive Cancer Center | Indianapolis | Indiana | 46202 | United States |
| NEXT Oncology | San Antonio | Texas | 78229 | United States |
| ID | Term |
|---|---|
| D008228 | Lymphoma, Non-Hodgkin |
| D009369 | Neoplasms |
| ID | Term |
|---|---|
| D008223 | Lymphoma |
| D009370 | Neoplasms by Histologic Type |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
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