This is a phase Ib/II clinical trial to test safety and efficacy of combining CD24Fc with ipilimumab and nivolumab to decrease irAE, with built-in interim analyses, and safety and response stopping rules.
This is a phase 1b/II clinical trial using a fixed recommended phase 2 dose (RP2D) of CD24Fc to explore the safety and efficacy of combining CD24Fc with ipilimumab and nivolumab to reduce the toxicity of immunotherapy combination, in patients who are naïve to anti-PD1/L1 based checkpoint inhibitors. The dosing of nivolumab and ipilimumab will be fixed at FDA approved levels for each indication. Dosing of the drugs will continue until disease progression, unacceptable toxicity, or any other discontinuation criterion is met. Patients who complete 12 months on study treatment and demonstrate clinical benefit with manageable toxicity will be given the opportunity to continue treatment for another 12 months upon agreement between investigator and drug manufacturers.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
CD24Fc will be administrated as IV infusion in a dose of 480 mg, q3w x 4, then q4w for up to 6 times.
Ipilimumab will be administrated as IV infusion, q3w x 4. For metastatic melanoma, the dose will be 3mg/kg, q3w x4.
Nivolumab will be administrated as IV infusion. For metastatic melanoma, the dose will be 1mg/kg, q3w x 4, then 480 mg, q4w for up to 1 year.
Huntsman Cancer Institute
Salt Lake City, Utah, United States
Safety and tolerability of combination of CD24Fc with Ipilimumab and Nivolumab
The rate of Grade 3 or above treatment-related adverse events (TRAE) at 4 weeks after first dosing of drugs.
Time frame: 4 weeks
Profile of treatment related adverse events
To tabulate the treatment related adverse events in 1 year
Time frame: 1 year
The Objective Response Rate (OPR)
The rate of objective response with CD24Fc, Ipilimumab, Nivolumab combination therapy at 1 year
Time frame: 1 year
The Progression Free Survival (PFS)
The rate of Progression Free Survival with CD24Fc, Ipilimumab, Nivolumab combination therapy at 1 year.
Time frame: 1 year
The Overall Survival (OS)
The rate of Overall Survival with CD24Fc, Ipilimumab, Nivolumab combination therapy at 1 year.
Time frame: 1 year
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