AzTrials
AzTrials

Non-small Cell Lung CancerPhase 1/2NCT05709821

IMM60 and Pembrolizumab in Melanoma and NSCLC

A Phase 1/2 study testing IMM60 and Pembrolizumab in people with Non-small Cell Lung Cancer and Melanoma, run by iOx Therapeutics at 14 sites in 3 countries.

Terminated

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

Official record
Search all trials

Trial summary

The goal of this clinical trial is to learn about IMM60 with or without pembrolizumab in participants with advanced melanoma or non-small cell lung cancer. There are two phases: Phase 1: This phase is designed to learn about the safety of IMM60 with or without pembrolizumab and to find a safe dose to test in Phase 2. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Non-small Cell Lung Cancer, Melanoma
What is being tested?
IMM60 and Pembrolizumab
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1 participants
Where
14 sitesin 3 countries
Study dates
15 Nov 2023to 22 Apr 2024
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) score 0 to 1
  • Adequate organ function
  • At least 1 lesion, not previously irradiated, that can be accurately measured on CT or MRI as defined by RECIST 1.1 criteria
  • NSCLC cohorts: Histologically confirmed diagnosis of stage IV NSCLC
  • NSCLC cohorts: Patients with adenocarcinoma histology must not have sensitizing epidermal growth factor receptor (EGFR) or ROS proto-oncogene 1 (ROS1) mutations or anaplastic lymphoma kinase (ALK) translocations
  • NSCLC cohorts: Participants in NSCLC arms must have a PD-L1 assessment (PD-L1 immuno-histochemistry (IHC) 22C3 pharmDx)
Show all 12Show fewer
  • Melanoma cohorts: Unresectable stage III or IV, histologically confirmed diagnosis of cutaneous or unknown primary melanoma
  • Melanoma cohorts: B-type Raf proto-oncogene (BRAF) mutation status available
  • Male participants: Participant must agree to use contraception and refrain from sperm donation during the treatment period and for at least 120 days after the last dose of study intervention
  • Female participants: Participant is eligible to participate if she is not pregnant, not breastfeeding, and at least one of the following conditions applies:
  • Not a woman of childbearing potential (WOCBP)
  • A WOCBP who agrees to follow contraceptive guidance during the treatment period and for at least 6 months after the last dose of study intervention

Who cannot join

  • Has the following cardiac conditions:
  • Corrected QT interval (QTc) > 450 ms
  • Uncontrolled hypertension with blood pressure (BP) > 160/100 despite treatment
  • Class II or greater heart failure as defined by the New York Heart Association
  • Myocardial infarction within 6 months or angina requiring nitrate therapy more than once a week
  • Another active malignancy within the past 2 years (Note: Participants with basal cell carcinoma of the skin, squamous cell carcinoma of the skin, superficial bladder, or carcinoma in situ [e.g., breast carcinoma, cervical cancer in situ] that have undergone potentially curative therapy are not excluded. Also, prostate, breast, and neuroendocrine tumors that are stable on hormonal treatment for a period of 1 year or more without the need to adjust dose are not excluded.)
Show all 11Show fewer
  • Has had an allogeneic tissue/solid organ transplant
  • Known active central nervous system (CNS) metastases and/or carcinomatous meningitis. Participants with previously treated brain metastases may participate provided they are radiologically stable.
  • History of (non-infectious) pneumonitis/interstitial lung disease that required steroids or has current pneumonitis/interstitial lung disease
  • Participants with an active autoimmune disease or a documented history of autoimmune disease or syndrome that requires systemic steroids (in dosing exceeding 10 mg daily of prednisone equivalent) or immunosuppressive agents.
  • Participants who are known to be serologically positive for Hepatitis B, Hepatitis C, or human immunodeficiency virus.

Trial locations and contacts

14 sites in 3 countries.

14 sites in 3 countries

Spain8 sites
  • Complexo Hospitalario Universitario A Coruña

    A Coruña, Galicia, 15006

  • Institut Català d'Oncologia-Hospital Universitari Germans Trias i Pujol

    Badalona, Barcelona, 08916

  • Hospital de La Santa Creu i Sant Pau

    Barcelona, 08041

  • Hospital Universitario 12 de Octubre

    Madrid, 28041

  • Hospital Regional Universitario de Málaga

    Málaga, 29011

  • Hospital Universitario Virgen De La Macarena

    Seville, 41009

  • H. Clínico de Valencia

    Valencia, 46010

  • Hospital Xeral Álvaro Cunqueiro

    Vigo, Pontevedra, 36312

Other trials in Spain

United States5 sites
  • Dana-Farber Cancer Institute - Medicine

    Boston, Massachusetts, 02215

  • Henry Ford Hospital - Internal Medicine

    Detroit, Michigan, 48202

  • Next VA

    Fairfax, Virginia, 22031

  • USC Norris Comprehensive Cancer Center

    Los Angeles, California, 90033

  • Rutgers, The State University of New Jersey - Robert Wood Johnson Medical School - The Cancer Institute of New Jersey (CINJ)

    New Brunswick, New Jersey, 08901

Other trials in United States

United Kingdom1 site
  • Nottingham University Hospital - Oncology

    Nottingham, NG5 1PB

Other trials in United Kingdom

About this study

Official title: IMPORT-201: A Phase 1 First-in-Human Dose Finding/Randomized Phase 2 Study of IMM60 and Pembrolizumab for Advanced Melanoma and Metastatic NSCLC

The goal of this clinical trial is to learn about IMM60 with or without pembrolizumab in participants with advanced melanoma or non-small cell lung cancer. There are two phases:

  • Phase 1: This phase is designed to learn about the safety of IMM60 with or without pembrolizumab and to find a safe dose to test in Phase 2.
  • Phase 2: This phase is designed to learn whether IMM60 + pembrolizumab improves progression-free survival at 12 months compared to pembrolizumab alone in participants with non-small cell lung cancer.
Read the detailed description

This exploratory phase 1/phase 2 study is designed to establish a recommended phase 2 dose of IMM60 and provide preliminary estimates of safety and efficacy of IMM60 alone and in combination with pembrolizumab in participants with NSCLC and melanoma. In phase 1, initial safety will be assessed in a multiple dose escalation cohort for IMM60 alone, then for the IMM60 + pembrolizumab combination. Phase 2 of the study will recruit PD-1 pretreated melanoma participants and randomize PD-L1 > 50% total NSCLC participants 2:1 to IMM60 + pembrolizumab vs pembrolizumab alone. There is an additional cohort of PD-L1 < 1% NSCLC participants.

Being tested
IMM60, Pembrolizumab
Keywords
Invariant natural killer T cells (iNKT), Programmed Cell Death-1 (PD1, PD-1)
Medical subject headings
Carcinoma, Non-Small-Cell Lung, Melanoma, Parkinson Disease 4, Autosomal Dominant Lewy Body

What participants receive

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

  • IMM60Drug

    Also called PORT-2

    IMM60, every 3 weeks for up to 6 cycles, intravenous (IV) infusion

  • PembrolizumabDrug

    Also called KEYTRUDA®

    Pembrolizumab, 200 mg, every 3 weeks for up to 35 cycles or approximately 2 years, intravenous (IV) infusion

Study groups in NCT05709821
Study groupRoleWhat they receive
Phase 1 IMM60 dose escalation safety armExperimental3 dose levels of IMM60 will be assessed (1, 3, 9 and 36 mg/m^2 administered IV every 3 weeks for up to 6 cycles)
Receives: Drug: IMM60
Phase 1 IMM60 + pembrolizumab combination safety armExperimentalPembrolizumab 200 mg IV every 3 weeks for up to 35 cycles will be administered in combination with IMM60 IV every 3 weeks for up to 6 cycles. The IMM60 dose will be determined based on the results of the IMM60 dose escalation safety cohort.
Receives: Drug: IMM60; Drug: Pembrolizumab
Phase 2 PD-L1 ≥50% NSCLC Cohort 1 (Randomized, IMM60 + pembrolizumab)ExperimentalPembrolizumab 200 mg IV every 3 weeks for up to 35 cycles will be administered in combination with IMM60 IV every 3 weeks for up to 6 cycles. The IMM60 dose will be determined based on the results of the Phase 1 dose escalation safety cohorts.
Receives: Drug: IMM60; Drug: Pembrolizumab
Phase 2 PD-L1 ≥50% NSCLC Cohort 1 (Randomized, pembrolizumab monotherapy)Active comparatorPembrolizumab 200 mg IV every 3 weeks for up to 35 cycles.
Receives: Drug: Pembrolizumab
Phase 2 PD-L1 <1% NSCLC Cohort 2ExperimentalParticipants will be treated with one cycle of IMM60 with a tumor biopsy before and after, to determine any changes in PD-L1 expression. After this one cycle, the participants will receive the combination of IMM60 IV for up to 6 total cycles + pembrolizumab 200 mg every 3 weeks administered IV. The IMM60 dose will be determined based on the results of the Phase 1 dose escalation cohorts.
Receives: Drug: IMM60; Drug: Pembrolizumab
Melanoma CohortExperimentalIMM60 IV every 3 weeks for up to 6 cycles. The IMM60 dose will be determined based on the results of the Phase 1 dose escalation cohorts.
Receives: Drug: IMM60

What is being measured

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

  1. Phase 1 Co-Primary Objective - Identify Maximum Tolerated Dose (MTD)

    To confirm the maximum tolerated dose (MTD) of IMM60 alone and in combination with pembrolizumab, defined as the highest dose level at which <2 out of 6 participants experience a dose-limiting toxicity

    Measured: Assessed at the end of Cycle 1 for each patient (each Cycle is 28 days)

  2. Phase 1 Co-Primary Objective - Safety

    To characterize the safety of IMM60 alone and in combination with pembrolizumab, as assessed by the frequency of Grade 3 or higher treatment-related adverse events

    Measured: Through Phase 1 completion, an average of 1 year

  3. Phase 2 Primary Objective - Progression-free Survival

    To compare the progression-free survival (PFS) rate at 12 months in the randomized arms comparing pembrolizumab alone versus IMM60 + pembrolizumab in patients with advanced PD-L1 ≥50% NSCLC

    Measured: 12 months after last participant enrolled

Secondary outcomes (7)
  1. To characterize the safety of IMM60 alone or in combination with pembrolizumab

    Frequency and severity of treatment-related adverse events (AEs)

    Measured: Through study completion, an average of 3 years

  2. To determine if IMM60 can restore sensitivity in PD-1 inhibitor-resistant melanoma (phase 2)

    Objective response rate (ORR) per Response Evaluation Criteria In Solid Tumors (RECIST) 1.1 in melanoma patients who have progressed on PD-1, and have added IMM60

    Measured: 12 months after last participant enrolled

  3. Pharmacokinetics of IMM60 - Cmax (IMM60 arms only)

    IMM60 maximal concentration (Cmax)

    Measured: During Cycles 1 and 3 (each Cycle is 28 days)

  4. Pharmacokinetics of IMM60 - AUC (IMM60 arms only)

    IMM60 area under the curve (AUC)

    Measured: During Cycles 1 and 3 (each Cycle is 28 days)

  5. Objective Response Rate (ORR)

    ORR is to be reported as the proportion of patients who have a Complete Response or Partial Response per Response Evaluation Criteria In Solid Tumors (RECIST) 1.1

    Measured: 12 months after last participant enrolled

  6. To determine if IMM60 can sensitize patients with programmed death-ligand 1 (PD-L1) <1% NSCLC to PD-1 inhibition

    Objective response rate (ORR) per Response Evaluation Criteria In Solid Tumors (RECIST) 1.1 in PDL1 <1% NSCLC patients who receive IMM60 + pembrolizumab

    Measured: 12 months after last participant enrolled

  7. To assess the ability of IMM60 to convert PD-L1 negative patients to PD-L1 positive

    Percent of PD-L1 negative (<1%) NSCLC tumors that increase PD-L1 gene expression following treatment with IMM60

    Measured: 12 months after last participant enrolled

Timeline

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

  1. First posted2 Feb 2023
  2. Study start15 Nov 2023
  3. Primary completion22 Apr 2024
  4. Study completion22 Apr 2024

Why it stopped: Prioritization of other pipeline assets. No safety or efficacy issues were observed.

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
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
1 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05709821
Sponsor's protocol ID
IMPORT-201
Other IDs
KEYNOTE-E69, 2022-003310-36
Status last verified
Apr 2024
First submitted
6 Jan 2023
Last updated
24 Apr 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing IMM60 and Pembrolizumab in people with Non-small Cell Lung Cancer and Melanoma, run by iOx Therapeutics at 14 sites in 3 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 12 inclusion and 11 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 24 Apr 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 14 sites in Spain, United States, United Kingdom. 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?

The study was stopped early (reason given: Prioritization of other pipeline assets. No safety or efficacy issues were observed.). 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?

Phase 1 Co-Primary Objective - Identify Maximum Tolerated Dose (MTD) (time frame: Assessed at the end of Cycle 1 for each patient (each Cycle is 28 days)). 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?
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 24 Apr 2024.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in