Phase II, randomized, safety and efficacy study in recurrent/metastatic breast cancer with accessible lesions. Primary End point is rate of Progression Free Survival (PFS) at the 16 week treatment time point. Hypothesis: Adenoviral vector (Ad-RTS-hIL-12) alone and in combination with chemotherapy (palifosfamide) is safe and efficacious.
Multicenter, open-label, randomized study evaluating the safety and efficacy of INXN-1001 (veledimex) and INXN-2001 (Ad-RTS-hIL-12) alone and in combination with palifosfamide. Part 1 is the safety run-in where a safety assessment will be made after 1 cycle of therapy. Part 2, eligible subjects will be randomly assigned to active treatment Arms A or C. Once the monotherapy (Arm A) is determined to be safe and tolerable, Part 1 combination therapy (Arm C) will begin. Subjects should receive six cycles of study treatment, in the absence of meeting withdrawal criteria.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
12
Oral activator ligand with adenoviral vector injection of cancer lesions
Small molecule chemotherapy, IV administration
Baptist Cancer Institute
Jacksonville, Florida, United States
Henry Ford Health System
Detroit, Michigan, United States
Billings Clinic
Billings, Montana, United States
Signal Point Clinical Research Center
Middletown, Ohio, United States
Number of Participants With Treatment-Emergent Adverse Events (TEAEs)
This measure will capture the incidence of Treatment-Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), and AEs leading to discontinuation. As per the protocol, safety and tolerability were assessed by monitoring adverse events, physical examinations, vital signs, electrocardiograms (ECGs), and clinical laboratory evaluations.
Time frame: 16 months
16-Week Progression-Free Survival (PFS) Rate
This is the primary efficacy endpoint, defined as the proportion of subjects who had not progressed or died prior to 16 weeks from the date of their first dose. Progression was determined by modified Response Evaluation Criteria in Solid Tumors
Time frame: 16 weeks
Best Overall Response (BOR) by mRECIST v1.1
Best Overall Response (BOR) was determined for each evaluable subject up to their final tumor assessment. Per the modified Response Evaluation Criteria in Solid Tumors (mRECIST) v1.1, responses were defined as: Complete Response (CR), disappearance of all non-nodal target lesions and reduction in short axis of pathological lymph nodes to \<10 mm; Partial Response (PR), at least a 30% decrease in the sum of diameters of target lesions from baseline; Progressive Disease (PD), at least a 20% increase in the sum of diameters from the smallest sum recorded; Stable Disease (SD), neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD
Time frame: 24 weeks
Estimate PFS by Modified RECIST v1.1
Progression-free survival (PFS) is the time in days from the first dose of study treatment to the first assessment on which the response is reported as disease progression or death due to any cause (whichever is first) + 1 day. Subjects withdrawing from the study will be censored at their last non-progressive disease response assessment. If a subject does not have a disease response assessment, the subject will be censored on the date of the first treatment as described above. Kaplan-Meier plots will not be presented; PFS will be listed only.
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Greenville Hospital System
Greenville, South Carolina, United States
The Jones Clinic, PC
Germantown, Tennessee, United States
Mary Crowley Medical Research Center
Dallas, Texas, United States
Evergreen Hematology & Oncology
Spokane, Washington, United States
Time frame: 16 months
Area Under the Plasma Concentration-Time Curve From 0 to 24 Hours (AUC0-24) of INXN-1001
The area under the plasma concentration versus time curve from time 0 to 24 hours (AUC0-24) for INXN-1001
Time frame: Cycle 1 Day 1 and Cycle 1 Day 7
Change From Baseline in MUC-1 Specific T-Cell Response by ELISPOT Assay
To assess for a cellular immune response, the number of MUC-1 specific interferon-gamma (IFN-γ) secreting T-cells was measured from peripheral blood mononuclear cells (PBMCs) using an ELISPOT assay. Results are reported as spot-forming cells (SFC) per million PBMCs
Time frame: Screening and the Post-Treatment Safety Assessment visit (28 days after the last dose of study drug), with the final assessment occurring up to 7 months after the start of treatment.
Change From Baseline in Serum Interferon-gamma (IFN-γ) Levels
Serum levels of IFN-γ were measured by immunoassay to assess the pharmacodynamic effect of the treatment
Time frame: Screening, 24 hours after the first injection (Day 2), and at the Post-Treatment Safety Assessment visit, with the final assessment occurring up to 7 months after the start of treatment.
Change From Baseline in Serum Interleukin-12 (IL-12) Levels
Serum levels of IL-12 were measured by immunoassay to assess the pharmacodynamic effect of the treatment
Time frame: Screening, 24 hours after the first injection (Day 2), and at the Post-Treatment Safety Assessment visit, with the final assessment occurring up to 7 months after the start of treatment.
Change From Baseline in CD3+ CD4+ T-Cell Count
Absolute counts of CD3+ CD4+ helper T-cells in peripheral blood were measured by flow cytometry to evaluate changes in immune cell populations.
Time frame: Screening, Cycle 1 the Post-Treatment Safety Assessment visit Day 28 ± 3, and Follow-Up Tumor Assessment visits Day 63 ± 7
Change From Baseline in CD3+ CD8+ T-Cell Count
Absolute counts of CD3+ CD8+ cytotoxic T-cells in peripheral blood were measured by flow cytometry to evaluate changes in immune cell populations
Time frame: Screening, Cycle 1 the Post-Treatment Safety Assessment visit Day 28 ± 3, and Follow-Up Tumor Assessment visits Day 63 ± 7
Maximum Plasma Concentration (Cmax) of INXN-1001
The maximum observed plasma concentration (Cmax) of INXN-1001 following oral administration.
Time frame: Cycle 1 Day 1 and Cycle 1 Day 7. On Day 1, samples were collected pre-dose and at 0.5, 1, 2, 4, and 6 hours post-dose. On Day 7, samples were collected pre-dose and at 1-2 and 4-6 hours post-dose
Time to Maximum Plasma Concentration (Tmax) of INXN-1001
The time to reach the maximum observed plasma concentration (Tmax) of INXN-1001 following oral administration
Time frame: Cycle 1 Day 1 and Cycle 1 Day 7
Clinical Benefit Rate (CBR)
Clinical Benefit Rate (CBR) was a pre-specified secondary endpoint defined as the proportion of subjects with a best overall response of Complete Response (CR), Partial Response (PR), or Stable Disease (SD), as assessed by modified RECIST (mRECIST) v1.1.
Time frame: From the first dose of study treatment for up to 1 year.