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Advanced Squamous Non-Small Cell Lung CarcinomaPhase 1/2NCT05127590

RBN-2397 in Combination With Pembrolizumab in Patients With SCCL

A Phase 1/2 study testing RBN-2397 in people with Advanced Squamous Non-Small Cell Lung Carcinoma, run by Ribon Therapeutics, Inc. at 19 sites in 4 countries.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
Search all trials

Trial summary

RBN-2397 inhibits PARP7, an enzyme that is switched on by cancer stresses, such as the toxins in cigarette smoke. Cancer cells use PARP7 to hide from the immune system by stopping the cell from sending a signal (Type 1 interferon) that tells the immune system that something is wrong and to kill the cell. Read more about this study

Who is it for?
Ages 18 to 99 years
What is being tested?
RBN-2397
Could I receive a placebo?
No, everyone receives an active treatment
How many people
50 participants
Where
19 sitesin 4 countries
Study dates
15 Mar 2022to Dec 2023
Phase
Phase 1/2
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 to 99 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Confirmed diagnosis of advanced/metastatic NSCLC of squamous cell histology as determined by local testing practices.
  • Patients should have received prior therapy including a platinum containing chemotherapy regimen and an ICI, including anti-PD-1/anti-PD-L1, anti-cytotoxic T-lymphocyte-associated antigen 4 (CTLA-4) inhibitors, either sequentially or as combination of chemo + checkpoint inhibitor.
  • The last regimen prior to enrolling in the study must be a checkpoint inhibitor-containing regimen where the best response for at least one tumor response assessment was stable disease (SD), partial response (PR), or complete response (CR).
  • Patients experienced PD as determined by the investigator during or following their most recent treatment regimen
  • Must agree to undergo tumor biopsy if medically safe and feasible. Archival biopsy samples may be submitted if fresh biopsy can't be obtained.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1
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  • CT or MRI imaging done within 28 days prior to study treatment and have at least one measurable target lesion
  • Normal organ and bone marrow function
  • Patient and his/her partner agree to use adequate contraception during and for 3 months after the last study drug dose

Who cannot join

  • Has non-squamous histology NSCLC. Patients whose tumors have a mixed histology are ineligible.
  • Patient should not have received more than two prior lines of therapy with ICI including anti-PD-1/anti-PD-L1, anti-CTLA-4 inhibitors and one prior line of a chemotherapy treatment.
  • Patient is unable to swallow oral medications, has impairment of gastrointestinal (GI) function or GI disease that may significantly alter drug absorption (e.g., active inflammatory bowel disease, uncontrolled nausea, vomiting, diarrhea, or malabsorption syndrome).
  • Prior radiation within 2 weeks of Cycle 1 Day 1 (C1D1), except for palliative radiotherapy to a limited field. Patients must have recovered from all radiation related toxicities, not require corticosteroids, and not have had radiation pneumonitis. A 1-week washout is permitted for palliative radiation (≤ 2 weeks of radiotherapy) to non CNS disease.
  • A patient with CNS metastases is excluded if:
  • Has active CNS metastases (new lesions or progression from prior imaging study) requiring treatment within 28 days prior to study treatment and/or ongoing corticosteroid therapy.
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  • Has symptomatic or untreated leptomeningeal disease.
  • Patients who discontinue prior treatment with an ICI due to irAEs.
  • Has a known history of prior malignancy within the last 5 years. Except: malignancies that were treated curatively and have not recurred within 2 years prior to study treatment; completely resected basal cell and squamous cell skin cancers; any malignancy considered to be indolent and that has never required therapy; and completely resected carcinoma in situ of any type.
  • Has received a live-virus vaccination within 30 days of planned treatment start. Vaccines that do not contain live virus are permitted.
  • Any of the following in the previous 6 months: myocardial infarction or current history of New York heart Association (NYHA) Class III or IV heart failure, uncontrolled angina, severe uncontrolled ventricular anemias, or electrocardiographic evidence of acute ischemia.
  • Patient has a history of prolonged QT syndrome or Torsades de pointes, and/or has a familial history of prolonged QT syndrome.
  • Patient is taking a concomitant medication that is a strong inhibitor or inducer of cytochrome P450 [CYP]-mediated metabolism or that is metabolized by CYP 2B6, 3A4 or 2C19, 2C9, or other members of the IIC subfamily of the CYP genes and that, if underdosed, would constitute a significant risk to the patient. Individual cases may be discussed with the Medical Monitor.
  • Ingestion of herbal medicines and grapefruit, grapefruit juice, pomegranate juice, star fruit, or orange marmalade (made with Seville oranges) from the start of the screening period. (Note that there are well- reported cases of CYP3A drug-drug interactions with these foodstuffs.)
  • Has active autoimmune disease that has required systemic treatment in the past 12 months (i.e., with use of disease modifying agents, corticosteroids or immunosuppressive drugs). Replacement therapy (e.g., ≤ 10 mg daily prednisolone or steroid equivalent, thyroxine, insulin, or corticosteroid replacement therapy for adrenal or pituitary insufficiency, etc.) is not considered a form of systemic treatment. Patients with vitiligo, resolved childhood asthma/atopy, type I diabetes mellitus, and residual hypothyroidism due to an autoimmune condition and only requiring hormone replacement, are not excluded.
  • Is on chronic systemic steroids (e.g., > 10 mg daily prednisolone or steroid equivalent for > 6 months). Subjects with asthma that require intermittent use of bronchodilators, inhaled steroids, or local steroid injections would not be excluded from the study.
  • Has an active systemic infection requiring therapy (e.g.: bacterial, fungal, viral).
  • Has known active Hepatitis B or C. Active Hepatitis B is defined as a known positive HBsAg result. Active Hepatitis C is defined by a known positive Hepatitis C Antibody result and known quantitative hepatitis C virus ribonucleic acid (RNA) results greater than the lower limits of detection of the assay.
  • Has known psychiatric or substance abuse disorder that would interfere with cooperation with the requirements of the trial.
  • Has interstitial lung disease or a history of pneumonitis that required oral or intravenous steroids to assist with management. Lymphangitic spread of the NSCLC is not exclusionary.
  • Is pregnant or breastfeeding or expecting to conceive or father children while on study medication and for the required duration of contraception after the last dose of study medication.
  • Has ongoing acute clinical AEs of National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Grade ≥2 resulting from prior cancer therapies (except alopecia, peripheral neuropathy and ototoxicity, which are excluded if ≥ Grade 3).
  • Has had, within the past 6 months, the occurrence of one or more of the following events: cerebrovascular accident, deep vein thrombosis, pulmonary embolism, hemorrhage (CTCAE Grade 3 or 4), chronic liver disease (meeting criteria for Child Pugh Class B or C), organ transplantation.
  • Has, within 2 weeks prior to Day 1, received systemic therapeutic doses of corticosteroids (e.g., > 10 mg daily prednisolone or steroid equivalent). Topical, inhaled, nasal and ophthalmic steroids are allowed for short term treatment of acute conditions (e.g.: asthma, poison ivy contact dermatitis); for other immunosuppressive agents, the exclusionary dose and duration will be determined in consultation with the Medical Monitor.
  • Has any other medical or personal condition that, in the opinion of the Investigator, may potentially compromise the safety or compliance of the patient, or may preclude the patient's successful completion of the clinical study.

Trial locations and contacts

19 sites in 4 countries.

19 sites in 4 countries

Spain8 sites
  • Hospital Clinico Universitario De Santiago De Compostela

    A Coruña

  • NEXT Oncology Barcelona

    Barcelona

  • Vall D'Hebron Insitute of Oncology

    Barcelona

  • Hospital Universitario Ramon Y Cajal

    Madrid

  • Hospital Regional Universitario de Malaga

    Málaga

  • Hospital Quiron Madrid

    Pozuelo de Alarcón

  • Hospital Universitario Virgen Macarena

    Seville

  • INCLIVA Biomedical Research Institute

    Valencia

Other trials in Spain

United States4 sites
  • Hematology and Oncology Clinic

    Baton Rouge, Louisiana, 70809

  • Sarah Cannon Research Institute

    Nashville, Tennessee, 37203

  • Helen F. Graham Cancer Center (Christiana Care)

    Newark, Delaware, 19713

  • Cancer Treatment Centers of America

    Newnan, Georgia, 30265

Other trials in United States

United Kingdom4 sites
  • Beatson West of Scotland Cancer Centre

    Glasgow, Scotland

  • Imperial College London

    London

  • Sarah Cannon Research Institute UK (University College London Hospitals)

    London

  • The Christie NHS Foundation Trust

    Manchester

Other trials in United Kingdom

Israel3 sites
  • Rambam Care Campus

    Haifa

  • Hadassah Medical Center

    Jerusalem

  • Shaare Zedek Medical Center

    Jerusalem

Other trials in Israel

About this study

Official title: A Phase 1b/2, Multicenter, Single Arm Study of RBN-2397 in Combination With Pembrolizumab in Patients With Squamous Cell Carcinoma of the Lung (SCCL)

RBN-2397 inhibits PARP7, an enzyme that is switched on by cancer stresses, such as the toxins in cigarette smoke. Cancer cells use PARP7 to hide from the immune system by stopping the cell from sending a signal (Type 1 interferon) that tells the immune system that something is wrong and to kill the cell. RBN-2397 has been shown in animal and human studies to inhibit tumor growth and also shuts down the "don't kill me" signal the tumor is sending to evade the immune system.

The purpose of this study is to determine if RBN-2397 in combination with pembrolizumab (a PD-1 inhibitor) has the ability to restore the response to treatment in patients with SCCL that have been previously treated with a PD-1/PD-1 ligand (PD-L1) inhibitor and have had a response followed by disease progression.

Read more

The Phase 1b portion of the study will assess the safety of RBN-2397 in combination with pembrolizumab (a PD-1 inhibitor) and define the dose of RBN-2397 to be used in combination with pembrolizumab for the Phase 2.

The Phase 2 portion of the study will assess the anti-tumor activity of RBN-2397 in combination with pembrolizumab.

Read the detailed description

This is an open label, multicenter Phase 1b/2 single arm study that will evaluate the safety and antitumor activity of RBN-2397 in combination with pembrolizumab in patients with confirmed diagnosis of advanced squamous cell carcinoma of the lung who have received prior therapy. The study consists of a Phase 1b Safety Run in and Phase 2.

During the Phase 1b Safety Run-in, approximately 10 patients will be enrolled in a 3+3 fashion and treated with continuous oral dosing with RBN-2397 twice daily (BID) in combination with the fixed approved dose of intravenous (IV) pembrolizumab every 3 weeks [Q3W]) to establish RP2D of RBN-2397 in combination with pembrolizumab.

During Phase 2, approximately 40 patients will be treated with continuous oral dosing with the RP2D of RBN-2397 BID in combination with the fixed approved dose of IV pembrolizumab.

In both the Phase 1b Safety Run in and Phase 2, a treatment cycle is defined as 21 days. On Day 1 of each treatment cycle, RBN-2397 will be administered orally and followed by IV infusion of pembrolizumab at the fixed approved dose according to the approved local product label. During the remaining days of the 21-day treatment cycle, only RBN-2397 BID will be administered. Treatment cycles will continue until disease progression, unacceptable treatment-related toxicity, or withdrawal of consent

Being tested
RBN-2397
Keywords
NSCLC, Squamous Cell Lung Cancer, Squamous - NSCLC

What participants receive

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

  • RBN-2397Drug

    Also called Pembrolizumab, Keytruda

    Continuous oral dosing with the RP2D of RBN-2397 (outpatient basis). Pembrolizumab IV infusion over 30 minutes in clinic on Day 1 of each cycle.

Study groups in NCT05127590
Study groupRoleWhat they receive
RBN-2397 in combination with pembrolizumabExperimentalRBN-2397 orally in combination with the fixed approved dose of IV pembrolizumab
Receives: Drug: RBN-2397

What is being measured

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

  1. Determine recommended Phase 2 dose (RP2D) (Phase 1b)

    Incidence rate of Dose limiting Toxicities (DLTs) of RBN 2397 in combination with pembrolizumab

    Measured: through study completion (an average of 6 months)

  2. Overall Response Rate (Phase 2)

    Proportion of patients with confirmed response of CR or PR (RECIST v1.1)

    Measured: From start of treatment (C1D1) up to 78 weeks

Secondary outcomes (5)
  1. Safety determined by Treatment-Emergent Adverse Events

    Incidence and severity of adverse events/serious adverse events as assessed by NCI CTCAE, version 5.0

    Measured: From start of treatment through 90 days after the last dose of study drug

  2. Cmax of RBN-2397

    Assessment of Maximum plasma concentration (Cmax)

    Measured: Through Study Day 22

  3. Tmax of RBN-2397

    Time to maximum plasma concentration (Tmax)

    Measured: Through Study Day 22

  4. AUC of RBN-2397

    Assessment of area under the curve (AUC) of RBN-2397

    Measured: Through Study Day 22

  5. T1/2 of RBN-2397

    Assessment of terminal half-life (T1/2) of RBN-2397

    Measured: Through Study Day 22

Timeline

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

  1. First posted19 Nov 2021
  2. Study start15 Mar 2022
  3. Primary completionNov 2023 (estimated)
  4. Study completionDec 2023 (estimated)

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 1/2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Model description
RBN-2397 in combination with pembrolizumab
Masking
None (open label)
Enrolment
50 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05127590
Sponsor's protocol ID
RBN-2397-21-002
Status last verified
Jun 2023
First submitted
4 Nov 2021
Last updated
3 Jul 2023
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Cohen MS, Chang P. Insights into the biogenesis, function, and regulation of ADP-ribosylation. Nat Chem Biol. 2018 Feb 14;14(3):236-243. doi: 10.1038/nchembio.2568.

    PubMed 29443986
  • Gozgit JM, Vasbinder MM, Abo RP, Kunii K, Kuplast-Barr KG, Gui B, Lu AZ, Molina JR, Minissale E, Swinger KK, Wigle TJ, Blackwell DJ, Majer CR, Ren Y, Niepel M, Varsamis ZA, Nayak SP, Bamberg E, Mo JR, Church WD, Mady ASA, Song J, Utley L, Rao PE, Mitchison TJ, Kuntz KW, Richon VM, Keilhack H. PARP7 negatively regulates the type I interferon response in cancer cells and its inhibition triggers antitumor immunity. Cancer Cell. 2021 Sep 13;39(9):1214-1226.e10. doi: 10.1016/j.ccell.2021.06.018. Epub 2021 Jul 22.

    PubMed 34375612

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing RBN-2397 in people with Advanced Squamous Non-Small Cell Lung Carcinoma, run by Ribon Therapeutics, Inc. at 19 sites in 4 countries.

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 25 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: status not confirmed, as of the sponsor's last update on 3 Jul 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 Spain, United States, United Kingdom, Israel. 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 combined 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.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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

Are results available for this study?

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?

Determine recommended Phase 2 dose (RP2D) (Phase 1b) (time frame: through study completion (an average of 6 months)). The study lists 2 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 NCT05127590, which also lists 2 linked publications.

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 3 Jul 2023.

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