This is a Phase 1 open-label, multi-center, dose-escalation study to evaluate the safety, PK, anti-tumor activity, and pharmacodynamic effects of SL-172154 administered by intratumoral injection in subjects with cutaneous squamous cell carcinoma (CSCC) or squamous cell carcinoma of the head and neck (SCCHN).
This Phase 1 trial will evaluate the safety, tolerability, pharmacokinetics, anti-tumor activity and pharmacodynamic effects of SL-172154 when administered as an intratumoral injection (ITI) and identify the dose and schedule i.e., recommended Phase 2 dose (RP2D) for future development. Eligible subjects must have unresectable or recurrent, locally advanced or metastatic squamous cell carcinoma of the skin or head and neck, that is not amenable to curative surgery or radiotherapy. The study design consists of four sequential dose-escalation cohorts and an optional pharmacodynamic cohort to obtain additional pharmacodynamic data at one or more dose levels that have completed evaluation for safety without exceeding the maximum tolerated dose (MTD).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
5
The investigational product (IP), SL-172154, is a novel fusion protein consisting of human SIRPα and CD40L (SIRPα -Fc-CD40L) linked via a human Fc.
University of California, Los Angeles
Los Angeles, California, United States
Dana-Farber Cancer Institute
Boston, Massachusetts, United States
University of North Carolina at Chapel Hill
Chapel Hill, North Carolina, United States
University of Cincinnati
Cincinnati, Ohio, United States
Incidence of All Treatment Emergent Adverse Events
Number of participants with treatment-emergent adverse events
Time frame: From Day 1 to 90 days after last injection of SL-172154, an average of 6 weeks. SL-172154 administration continued until disease progression or withdrawal of consent; there was no maximum treatment duration.
Maximum Tolerated Dose (MTD) of SL-172154 When Administered Intratumorally
Number of participants with dose limiting toxicities (DLTs)
Time frame: From Day 1 to Day 29.
Establish the Recommended Phase 2 Dose (RP2D) for SL-172154 When Administered by Intratumoral Injection (ITI)
Based on review of all data, including safety, tolerability, PK, anti-tumor activity and PD effects
Time frame: Approximately 18-24 months
Objective Response Rate of SL-172154 When Administered by Intratumoral Injection (ITI)
Number of participants with an objective response per investigator assessment according to Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v 1.1). Objective response includes complete response (disappearance of all target lesions) and partial response (\>/= 30% decrease in the sum of the longest diameter of target lesions).
Time frame: Approximately 18-24 months
Immunogenicity to SL-172154 When Administered by Intratumoral Injection (ITI)
Proportion of participants with positive anti-drug antibody titer
Time frame: Approximately 18-24 months
Maximum Observed Concentration (Cmax) of SL-172154 When Administered by Intratumoral Injection (ITI)
The Cmax is the maximum observed serum concentration of SL-172154 following single and multiple doses
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UPMC Hillman Cancer Center
Pittsburgh, Pennsylvania, United States
MD Anderson Cancer Center
Houston, Texas, United States
Time frame: Approximately 18-24 months
Time at Which the Maximum Concentration is Observed (Tmax) of SL-172154 When Administered by Intratumoral Injection (ITI)
The Tmax is the time at which the maximum concentration of SL-172154 is observed following single and multiple doses
Time frame: Approximately 18-24 months
Minimum Observed Concentration (Cmin) of SL-172154 When Administered by Intratumoral Injection (ITI)
The Cmin is the minimum observed serum concentration of SL-172154 following single and multiple doses
Time frame: Approximately 18-24 months
Area Under the Serum Concentration Time Curve (AUC) of SL-172154 When Administered by Intratumoral Injection (ITI)
The AUC is the area under the serum concentration time curve following single and multiple doses of SL-172154
Time frame: Approximately 18-24 months
Terminal Elimination Half-life (t1/2) of SL-172154 When Administered by Intratumoral Injection (ITI)
Terminal elimination half-life (t1/2) of SL-172154
Time frame: Approximately 18-24 months
Clearance (CL) of SL-172154 When Administered by Intratumoral Injection (ITI)
Clearance of Sl-172154
Time frame: Approximately 18-24 months
Volume of Distribution of SL-172154 When Administered by Intratumoral Injection (ITI)
Volume of distribtion of SL-172154
Time frame: Approximately 18-24 months