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Carcinoma, Non-Small-Cell LungPhase 1NCT02376699

Safety Study of SEA-CD40 in Cancer Patients

A Phase 1 study testing Intravenous (IV) SEA-CD40, Pembrolizumab and Subcutaneous (SC) SEA-CD40 in people with Carcinoma, Non-Small-Cell Lung and Carcinoma, Squamous Cell, run by Seagen Inc. at 19 sites in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This study is being done to find out if SEA-CD40 is safe and effective when given alone, in combination with pembrolizumab, and in combination with pembrolizumab, gemcitabine, and nab-paclitaxel. The study will test increasing doses of SEA-CD40 given at least every 3 weeks to small groups of patients. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Intravenous (IV) SEA-CD40, Pembrolizumab and Subcutaneous (SC) SEA-CD40
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
159 participants
Where
19 sitesUnited States
Study dates
28 Feb 2015to 14 Apr 2023
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • (Monotherapy - Parts A, B, C, D, G, H, J, and K) -- Histologically confirmed advanced malignancy, either: (a) Metastatic or unresectable solid malignancy; or (b) Classical Hodgkin lymphoma (HL), or diffuse large B-cell lymphoma (DLBCL), or indolent lymphoma (including follicular lymphoma [FL])
  • (Monotherapy - Parts A, B, C, D, G, H, J, and K) -- Relapsed, refractory, or progressive disease, specifically: (a) Solid tumors: Following at least 1 prior systemic therapy, and no further standard therapy is available for the patient's advanced solid tumor at the time of enrollment; or (b) Classical HL: Following at least 2 prior systemic therapies in patients who are not candidates for autologous stem cell transplant (SCT), or following failure of autologous SCT; or (c) DLBCL: Following at least 1 prior systemic therapy; patients must have also received intensive salvage therapy unless they refused or were deemed ineligible; or (d) Indolent lymphoma: Following at least 1 prior chemoimmunotherapy regimen that included an anti-CD20 monoclonal antibody and for which no other more appropriate treatment option exists
  • (Combination Therapy - Part E and Part F) -- Histologically or cytologically confirmed advanced or metastatic solid malignancy for which pembrolizumab treatment is approved. In Part F, other advanced solid tumor indications may be eligible as identified by the Sponsor.
  • (Pancreatic Cancer Cohort - Part L) - Histologically or cytologically confirmed metastatic exocrine ductal adenocarcinoma of the pancreas not amenable to curative therapy. Patients must not have received any prior systemic therapy for metastatic disease; patients who have received prior therapy for non-metastatic pancreatic adenocarcinoma are eligible if therapy was fully completed more than 4 months before start of study treatment.
  • Representative baseline tumor tissue sample is available (Parts A-K)
  • Measurable disease
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  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • Adequate baseline hematologic, renal, and hepatic function
  • Recovery to Grade 1 of any clinically significant toxicity attributed to prior anticancer therapy prior to initiation of study drug administration

Who cannot join

  • Parts A-K
  • Prior chemotherapy, small molecule inhibitors, and/or other investigational anticancer agents (excluding investigational monoclonal antibodies) within 4 weeks
  • Prior radiotherapy: therapeutic radiotherapy within 4 weeks, or palliative radiotherapy (to non-CNS disease) within 1 week
  • Prior immune-checkpoint inhibitors within 4 weeks (or 8 weeks, if immuno-oncology doublet used as the prior line of therapy)
  • Prior monoclonal antibodies, antibody-drug conjugates, or radioimmunoconjugates within 4 weeks (or 2 weeks if patient experienced disease progression on the prior treatment)
  • Prior T-cell or other cell-based therapies within 12 weeks (or 2 weeks if patient experienced disease progression on the prior treatment)
Show all 20Show fewer
  • Part L
  • History of radiation pneumonitis
  • Neuropathy Grade 2 or higher
  • Has received prior therapy with an anti-PD-1, anti-PDL1, or anti-PD-L2 agent, with an agent directed to another stimulatory or co-inhibitory T-cell receptor
  • Has had allogenic tissue/solid organ transplant
  • All Parts
  • Recent or ongoing serious infections within 2 weeks
  • Known positivity for hepatitis B infection
  • Known active hepatitis C infection
  • Active autoimmune or auto-inflammatory ocular disease within 6 months
  • Known or suspected active organ-threatening autoimmune disease
  • Active central nervous system tumor or metastases
  • Patients with lymphomas: prior allogeneic SCT
  • Patients in Part E, F, or L: history of severe immune-mediated adverse reactions or severe hypersensitivity to pembrolizumab

Trial locations and contacts

19 sites in 1 country.

19 sites in 1 country

United States19 sites
  • University of New Mexico Cancer Center

    Albuquerque, New Mexico, 87131

  • University of Michigan Comprehensive Cancer Center

    Ann Arbor, Michigan, 48109

  • University of Alabama at Birmingham

    Birmingham, Alabama, 35249

  • UNC Lineberger Comprehensive Cancer Center / University of North Carolina

    Chapel Hill, North Carolina, 27599

  • Rush University Medical Center

    Chicago, Illinois, 60612

  • University of Chicago Medical Center

    Chicago, Illinois, 60637-1470

  • Case Western Reserve University / University Hospitals Cleveland Medical Center

    Cleveland, Ohio, 44106

  • Karmanos Cancer Institute / Wayne State University

    Detroit, Michigan, 48201

  • Hackensack University Medical Center

    Hackensack, New Jersey, 07601

  • MD Anderson Cancer Center / University of Texas

    Houston, Texas, 77030-4095

  • Comprehensive Cancer Centers of Nevada

    Las Vegas, Nevada, 89169

  • Cedars Sinai Medical Center / Samuel Oschin Comprehensive Cancer Institute

    Los Angeles, California, 90048

  • Providence Portland Medical Center

    Portland, Oregon, 97213

  • Mayo Clinic Rochester

    Rochester, Minnesota, 55905

  • Utah Cancer Specialists

    Salt Lake City, Utah, 84106

  • Angeles Clinic and Research Institute, The

    Santa Monica, California, 90404

  • HonorHealth Scottsdale Shea Medical Center

    Scottsdale, Arizona, 85258

  • Seattle Cancer Care Alliance / University of Washington

    Seattle, Washington, 98109-1023

  • Montefiore Medical Center

    The Bronx, New York, 10467

Other trials in United States

About this study

Official title: A Phase 1, Open-label, Dose-escalation Study of SEA-CD40 in Adult Patients With Advanced Malignancies

This study is being done to find out if SEA-CD40 is safe and effective when given alone, in combination with pembrolizumab, and in combination with pembrolizumab, gemcitabine, and nab-paclitaxel. The study will test increasing doses of SEA-CD40 given at least every 3 weeks to small groups of patients. The goal is to find the highest dose of SEA-CD40 that can be given to patients that does not cause unacceptable side effects. Different dose regimens will be evaluated. Different methods of administration may be evaluated. The pharmacokinetics, pharmacodynamic effects, biomarkers of response, and antitumor activity of SEA-CD40 will also be evaluated.

Read the detailed description

The study will be conducted in the following parts:

Part A: Intravenous (IV) monotherapy dose-regimen finding for solid tumors -- Dose-escalation, and possible dose-interval modification to lengthen the treatment cycle, to define the IV SEA-CD40 monotherapy maximum tolerated dose (MTD) and/or the optimal biological dose (OBD) regimens in patients with solid tumors. The ability to increase the dose intensity (to give additional doses within a treatment cycle) may be evaluated.

Part B: IV monotherapy solid tumor expansion cohorts -- Disease-specific solid tumor expansion cohorts may be enrolled where patients will be treated with doses at or below the IV SEA-CD40 monotherapy MTD and/or OBD determined in Part A.

Part C: IV monotherapy dose-regimen finding for lymphomas -- Dose-escalation, and possible dose-interval modification to lengthen the treatment cycle, to define the IV SEA-CD40 monotherapy MTD and/or the OBD regimens in patients with lymphomas. The ability to increase the dose intensity (to give additional doses within a treatment cycle) may be evaluated.

Part D: IV monotherapy lymphoma expansion cohorts -- Disease-specific lymphoma expansion cohorts may be enrolled where patients will be treated with doses at or below the IV SEA-CD40 monotherapy MTD and/or OBD determined in Part C.

Part E: Combination therapy dose-regimen finding for solid tumors -- IV SEA-CD40 dose-escalation to define the MTD and/or the OBD regimen to be administered in combination with standard approved dose of pembrolizumab in patients with solid tumors.

Part F: Combination therapy solid tumor expansion cohorts -- Disease-specific solid tumor expansion cohorts may be enrolled where patients will be treated with IV SEA-CD40 and pembrolizumab combination therapy; doses of SEA-CD40 will be at or below the MTD and/or OBD determined in Part E.

Part G: Subcutaneous (SC) injection (injected under the skin) monotherapy dose-regimen finding for solid tumors -- Dose-escalation, and possible dose-interval modification to lengthen the treatment cycle, to define the SC SEA-CD40 monotherapy maximum tolerated dose (MTD) and/or the optimal biological dose (OBD) regimens in patients with solid tumors.

Part H: SC monotherapy solid tumor expansion cohorts -- Disease-specific solid tumor expansion cohorts may be enrolled where patients will be treated with doses at or below the SC SEA-CD40 monotherapy MTD and/or OBD determined in Part G.

(Note: There is no Part I)

Part J: SC monotherapy dose-regimen finding for lymphomas -- Dose-escalation, and possible dose-interval modification to lengthen the treatment cycle, to define the SC SEA-CD40 monotherapy MTD and/or the OBD regimens in patients with lymphomas.

Part K: SC monotherapy lymphoma expansion cohorts -- Disease-specific lymphoma expansion cohorts may be enrolled where patients will be treated with doses at or below the SC SEA-CD40 monotherapy MTD and/or OBD determined in Part J.

Part L: Combination therapy in pancreatic cancer -- Patients will be treated with SEA-CD40 doses at or below MTD and/or OBD. An established dose of pembrolizumab and a standard regimen of gemcitabine and nab-paclitaxel will be used.

In Parts A, C, E, G, and J, a maximum feasible dose (MFD) will be defined if an MTD and/or OBD cannot be identified. Parts B, D, F, H, K. and L will explore the recommended dosing regimen once the MTD and/or OBD, or MFD (if the MTD and/or OBD cannot be identified) has been determined.

Being tested
Intravenous (IV) SEA-CD40, Pembrolizumab, Subcutaneous (SC) SEA-CD40, Gemcitabine, Nab-paclitaxel
Keywords
CD40 Antigen, Drug Therapy, Follicular Lymphoma, Hodgkin Disease, Immunotherapy, Indolent Lymphoma, Lymphoma, Lymphoma, B-Cell, Lymphoma, Large B-Cell, Diffuse, Lymphoma, Non-Hodgkin, Monoclonal Antibody, Neoplasms, Neoplasm Metastasis, Solid tumor, Seattle Genetics
Medical subject headings
Carcinoma, Non-Small-Cell Lung, Carcinoma, Squamous Cell, Hodgkin Disease, Lymphoma, Lymphoma, B-Cell, Lymphoma, Follicular, Lymphoma, Large B-Cell, Diffuse, Melanoma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Intravenous (IV) SEA-CD40Drug

    Also called SEA-CD40

    Given intravenously; schedule is cohort-specific.

  • PembrolizumabDrug

    Also called Keytruda

    Given intravenously; schedule is cohort-specific.

  • Subcutaneous (SC) SEA-CD40Drug

    Also called SEA-CD40

    Given subcutaneously on Day 1 every 3 weeks

  • GemcitabineDrug

    Also called Gemzar

    1000 mg/m^2 given intravenously on Day 1, 8, and 15 of each 28-day cycle

  • Nab-paclitaxelDrug

    Also called Abraxane

    125 mg/m^2 given intravenously on Day 1, 8, and 15 of each 28-day cycle

Study groups in NCT02376699
Study groupRoleWhat they receive
IV Monotherapy in Solid TumorsExperimentalSEA-CD40 administered IV
Receives: Drug: Intravenous (IV) SEA-CD40
IV Monotherapy in LymphomasExperimentalSEA-CD40 administered IV
Receives: Drug: Intravenous (IV) SEA-CD40
Combination Therapy in Solid TumorsExperimentalSEA-CD40 (administered IV) + pembrolizumab
Receives: Drug: Intravenous (IV) SEA-CD40; Drug: Pembrolizumab
SC Monotherapy in Solid TumorsExperimentalSEA-CD40 administered SC
Receives: Drug: Subcutaneous (SC) SEA-CD40
SC Monotherapy in LymphomasExperimentalSEA-CD40 administered SC
Receives: Drug: Subcutaneous (SC) SEA-CD40
Combination Therapy in Pancreatic CancerExperimentalSEA-CD40 (administered IV) + pembrolizumab + gemcitabine + nab-paclitaxel
Receives: Drug: Intravenous (IV) SEA-CD40; Drug: Pembrolizumab; Drug: Gemcitabine; Drug: Nab-paclitaxel

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Incidence of adverse events (Parts A-K)

    Measured: Through 6 weeks following last dose, up to an average of 6 months

  2. Incidence of laboratory abnormalities (Parts A-K)

    Measured: Through 6 weeks following last dose, up to an average of 6 months

  3. Objective response rate (ORR) per RECIST according to investigator assessment in the efficacy-evaluable population (Part L)

    Measured: Through 6 weeks following last dose, up to an average of 6 months

Secondary outcomes (15)
  1. Incidence of adverse events (Part L)

    Measured: Through 6 weeks following last dose, up to an average of 6 months

  2. ORR per iRECIST (Part L)

    Measured: Through 6 weeks following last dose, up to an average of 6 months

  3. ORR (Parts A-K)

    Measured: Through 6 weeks following last dose, up to an average of 6 months

  4. Disease control rate (All Parts)

    Measured: Through 6 weeks following last dose, up to an average of 6 months

  5. Duration of response (All Parts)

    Measured: Up to approximately 6 years

  6. Progression-free survival (All Parts)

    Measured: Up to approximately 6 years

  7. Overall survival (All Parts)

    Measured: Up to approximately 6 years

  8. Cmax (maximum observed concentration)

    Measured: Through 6 weeks following last dose, up to an average of 6 months

  9. Tmax (time of maximum observed concentration)

    Measured: Through 6 weeks following last dose, up to an average of 6 months

  10. AUClast (AUC from time 0 to last quantifiable timepoint)

    Measured: Through 6 weeks following last dose, up to an average of 6 months

  11. AUCinf (AUC from time 0 to infinity)

    Measured: Through 6 weeks following last dose, up to an average of 6 months

  12. Apparent total clearance

    Measured: Through 6 weeks following last dose, up to an average of 6 months

  13. T1/2 (apparent terminal elimination half-life)

    Measured: Through 6 weeks following last dose, up to an average of 6 months

  14. Incidence of antitherapeutic antibodies against SEA-CD40

    Measured: Through 6 weeks following last dose, up to an average of 6 months

  15. Blood concentrations of SEA-CD40

    Measured: Through 6 weeks following last dose, up to an average of 6 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 Mar 2015 (estimated)
  2. Study start28 Feb 2015
  3. Primary completion6 Mar 2023
  4. Study completion14 Apr 2023

Why it stopped: Study closed due to portfolio prioritization

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
159 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02376699
Sponsor's protocol ID
SGNS40-001
Other IDs
PN 863
Status last verified
Apr 2023
First submitted
17 Feb 2015
Last updated
1 May 2023
Results posted
No
Data monitoring committee
No

Publications

  • Coveler AL, Smith DC, Phillips T, Curti BD, Goel S, Mehta AN, Kuzel TM, Markovic SN, Rixe O, Bajor DL, Gajewski TF, Gutierrez M, Lee HJ, Gopal AK, Caimi P, Heath EI, Thompson JA, Ansari S, Jacquemont C, Topletz-Erickson A, Zhou P, Schmitt MW, Grilley-Olson JE. Phase 1 dose-escalation study of SEA-CD40: a non-fucosylated CD40 agonist, in advanced solid tumors and lymphomas. J Immunother Cancer. 2023 Jun;11(6):e005584. doi: 10.1136/jitc-2022-005584.

    PubMed 37385724

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Intravenous (IV) SEA-CD40, Pembrolizumab and Subcutaneous (SC) SEA-CD40 in people with Carcinoma, Non-Small-Cell Lung and Carcinoma, Squamous Cell, run by Seagen Inc. at 19 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 20 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 1 May 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 19 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study was stopped early (reason given: Study closed due to portfolio prioritization). Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Incidence of adverse events (Parts A-K) (time frame: Through 6 weeks following last dose, up to an average of 6 months). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02376699, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 May 2023.

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