This dose-escalation study will evaluate the safety, tolerability, pharmacokinetics, and pharmacodynamics of IPI-549 monotherapy and IPI-549 in combination with nivolumab in subjects with advanced solid tumors.
Study IPI-549-01 is a first-in-human multicenter, open-label, up to five-part Phase 1/1b dose-escalation study designed to evaluate safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of IPI-549 monotherapy and IPI-549 in combination with nivolumab in subjects with advanced solid tumors. Approximately 175 subjects will receive IPI-549, either as a monotherapy or in combination with nivolumab. Subjects will receive IPI-549 until the maximum tolerated dose (MTD) is achieved or until disease progression or unacceptable toxicity. Part A (QD dosing) (and Part B (BID dosing) if necessary) a dose escalation part of the study will evaluate the safety and tolerability, PK, and PD of IPI-549 as a single agent in subjects with advanced solid tumors. Part A/B will determine the recommended phase 2 dose (RP2D) for IPI-549 single agent that is going to be administered in Part D as a single agent and Part C in combination with nivolumab. Part C a dose-escalation part of the study will evaluate the safety and tolerability, PK, and PD of IPI-549 when administered in combination with IV nivolumab 240 mg every 2 weeks (Q2W) in subjects with advanced solid tumors. Part C will determine the RP2D for the combination of IPI-549 and nivolumab (combination RP2D). Part D will evaluate the safety, tolerability, PK, PD, and preliminary clinical activity of IPI-549 administered as a single agent in a cohort of subjects with advanced solid tumors. Part D, Cycle 2 will also include a pilot food (a high-fat meal) effect evaluation that will have 8 subjects out of the entire cohort of subjects participating in the Part D. Part E will evaluate the safety, tolerability, PK, PD, and preliminary clinical activity of IPI-549 in combination with intravenous (IV) nivolumab 240 mg Q2W in a cohort of subjects with non-small cell lung cancer (NSCLC), a cohort of subjects with melanoma and a cohort of subjects with Squamous Cell Cancer of the Head and Neck (SCCHN). One or more cohorts of subjects with additional tumor types may be enrolled if supported by data generated in dose escalation or earlier expansion cohorts. To be eligible for enrollment in Part E, subjects must have received an anti-PD1/PD-L1 as their most recent treatment prior to study entry. The dose level to be administered in Part E will be the combination RP2D as determined in Part C. Part F will evaluate the safety, tolerability, PK, PD, and preliminary clinical activity of IPI-549 in combination with intravenous (IV) nivolumab 240 mg Q2W in a cohort of subjects with triple negative breast cancer (TNBC). One or more cohorts of subjects with additional tumor types may be enrolled if supported by data generated in dose escalation or earlier expansion cohorts. To be eligible for enrollment in Part E, subjects must have no prior anti-PD1/PD-L1 therapy. The dose level to be administered in Part E will be the combination RP2D as determined in Part C. Part G will evaluate the safety, tolerability, PK, PD, and preliminary clinical activity of IPI-549 in combination with intravenous (IV) nivolumab 240 mg Q2W in a cohort of subjects with adrenocortical carcinoma (ACC) and a cohort of subjects with mesothelioma who have received at least first line available therapy. One or more cohorts of subjects with additional tumor types may be enrolled if supported by data generated in dose escalation or earlier expansion cohorts. The dose level to be administered in Part E will be the combination RP2D as determined in Part C. Part H will evaluate the safety, tolerability, PK, and preliminary clinical activity of IPI-549 in combination with IV nivolumab 240 mg Q2W in subjects with advanced cancer with high-circulating MDSCs (ie, ≥ 20.5% as measured by Serametrix CLIA-certified assay); other indication(s) are to be determined. For subject's with a microsatellite instability-high tumor, or tumor type for which anti-PD-1/anti-PD-L1 therapy is considered standard of care, that subject must have previously received an anti-PD-1 or anti-PD-L1 therapy.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
219
IPI-549 daily dose administered orally in 28-day cycles (Part A/BC/D/D-Annex/E)
Nivolumab (240 mg, Q2W) administered intravenously (IV) in 28-day cycles (Part C/D-Annex/E).
UCSD
San Diego, California, United States
UCLA
Santa Monica, California, United States
Hematology Oncology Associates of the Treasure Coast
Port Saint Lucie, Florida, United States
Emory University
Atlanta, Georgia, United States
Massachusetts General Hospital
Boston, Massachusetts, United States
Beth Israel Deaconess Medical Center
Boston, Massachusetts, United States
Dana-Farber Cancer Institute
Boston, Massachusetts, United States
Hackensack University Medical Center
Hackensack, New Jersey, United States
Memorial Sloan Kettering Cancer Center
New York, New York, United States
MD Anderson Cancer Center
Houston, Texas, United States
...and 1 more locations
Part A/B/C: Dose Limiting Toxicities (DLT)
Time frame: From date of initial dose until up to 28 days for IPI-549
Part D/E: Adverse Events (AE) and safety laboratory values
Time frame: Number of patients with Clinically significant abnormal laboratory values and adverse events that are related to treatment from date of initial dose until 30 days after last dose of IPI-549 and 100 days after the last dose of Nivolumab
Part A/B: Adverse Events (AE) and safety laboratory values
Time frame: Number of patients with Clinically significant abnormal laboratory values and adverse events that are related to treatment assessed during every visit for duration of study participation which is estimated to be 24 months
Part A/B: Plasma concentrations of IPI-549 (metabolites, as appropriate)
Time frame: Assessed during Days 1- 22 of Cycles 1 and 2, Assessed During Day 1 of Cycles 3 and 4
Part A/B: Overall response rate (ORR), complete response/remission (CR) or partial response/remission (PR)
Time frame: Responses Assessed in Cycle 3 and every odd cycle through study completion, an average of 1 year
Part A/B: Duration of response (DoR)
Time frame: Responses Assessed in Cycle 3 and every odd cycle through study completion, an average of 1 year
Part C: Adverse Events (AE) and safety laboratory values
Time frame: Number of patients with Clinically significant abnormal laboratory values and adverse events that are related to treatment assessed during every visit for duration of study participation which is estimated to be 24 months
Part C: Plasma concentrations of IPI-549 (metabolites as appropriate)
Time frame: Assessed during Days 1- 2 of Cycles 1 and 2
Part C: Overall Response Rate (ORR)
Time frame: Responses Assessed in Cycle 3 and every odd cycle through study completion, an average of 1 year
Part C: Duration of Response (DoR)
Time frame: Responses Assessed in Cycle 3 and every odd cycle through study completion, an average of 1 year
Part D: Overall Response Rate (ORR)
Time frame: Responses Assessed in Cycle 3 and every odd cycle through study completion, an average of 1 year
Part D: Duration of Response (DoR)
Time frame: Responses Assessed in Cycle 3 and every odd cycle through study completion, an average of 1 year
Part D: Progression-Free Survival (PFS)
Time frame: Responses Assessed in Cycle 3 and every odd cycle through study completion, an average of 1 year
Part D: Overall Survival (OS)
Time frame: Estimated to be 3 years
Part D: Plasma concentrations of IPI-549 (and metabolites, as appropriate)
Time frame: Assessed during Days 1- 15 of Cycles 1 and 2, Assessed During Day 1 of Cycles 3 and 4
Part E:Overall Response Rate (ORR)
Time frame: Responses Assessed in Cycle 3 and every odd cycle through study completion, an average of 1 year
Part F:Overall Response Rate (ORR)
Time frame: Responses Assessed in Cycle 3 and every odd cycle through study completion, an average of 1 year
Part G:Overall Response Rate (ORR)
Time frame: Responses Assessed in Cycle 3 and every odd cycle through study completion, an average of 1 year
Part E: Duration of Response (DoR)
Time frame: Responses Assessed in Cycle 3 and every odd cycle through study completion, an average of 1 year
Part F: Duration of Response (DoR)
Time frame: Responses Assessed in Cycle 3 and every odd cycle through study completion, an average of 1 year
Part G: Duration of Response (DoR)
Time frame: Responses Assessed in Cycle 3 and every odd cycle through study completion, an average of 1 year
Part E: Progression Free Survival (PFS)
Time frame: Responses Assessed in Cycle 3 and every odd cycle through study completion, an average of 1 year
Part F: Progression Free Survival (PFS)
Time frame: Responses Assessed in Cycle 3 and every odd cycle through study completion, an average of 1 year
Part G: Progression Free Survival (PFS)
Time frame: Responses Assessed in Cycle 3 and every odd cycle through study completion, an average of 1 year
Part E: Overall Survival (OS)
Time frame: Estimated to be 3 years
Part F: Overall Survival (OS)
Time frame: Estimated to be 3 years
Part G: Overall Survival (OS)
Time frame: Estimated to be 3 years
Part E: Plasma concentrations of IPI-549 (and metabolites, as appropriate)
Time frame: Assessed during Days 1- 2 of Cycles 1 and 2
Part F: Plasma concentrations of IPI-549 (and metabolites, as appropriate)
Time frame: Assessed during Days 1- 2 of Cycles 1 and 2
Part G: Plasma concentrations of IPI-549 (and metabolites, as appropriate)
Time frame: Assessed during Days 1- 2 of Cycles 1 and 2
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