RBN-2397 inhibits PARP7, an enzyme that is switched on by cancer stresses, such as the toxins in cigarette smoke. Cancer cells use PARP7 to hide from the immune system by stopping the cell from sending a signal (Type 1 interferon) that tells the immune system that something is wrong and to kill the cell. RBN-2397 has been shown in animal and human studies to inhibit tumor growth and also shuts down the "don't kill me" signal the tumor is sending to evade the immune system. The purpose of this study is to determine if RBN-2397 in combination with pembrolizumab (a PD-1 inhibitor) has the ability to restore the response to treatment in patients with SCCL that have been previously treated with a PD-1/PD-1 ligand (PD-L1) inhibitor and have had a response followed by disease progression. The Phase 1b portion of the study will assess the safety of RBN-2397 in combination with pembrolizumab (a PD-1 inhibitor) and define the dose of RBN-2397 to be used in combination with pembrolizumab for the Phase 2. The Phase 2 portion of the study will assess the anti-tumor activity of RBN-2397 in combination with pembrolizumab.
This is an open label, multicenter Phase 1b/2 single arm study that will evaluate the safety and antitumor activity of RBN-2397 in combination with pembrolizumab in patients with confirmed diagnosis of advanced squamous cell carcinoma of the lung who have received prior therapy. The study consists of a Phase 1b Safety Run in and Phase 2. During the Phase 1b Safety Run-in, approximately 10 patients will be enrolled in a 3+3 fashion and treated with continuous oral dosing with RBN-2397 twice daily (BID) in combination with the fixed approved dose of intravenous (IV) pembrolizumab every 3 weeks \[Q3W\]) to establish RP2D of RBN-2397 in combination with pembrolizumab. During Phase 2, approximately 40 patients will be treated with continuous oral dosing with the RP2D of RBN-2397 BID in combination with the fixed approved dose of IV pembrolizumab. In both the Phase 1b Safety Run in and Phase 2, a treatment cycle is defined as 21 days. On Day 1 of each treatment cycle, RBN-2397 will be administered orally and followed by IV infusion of pembrolizumab at the fixed approved dose according to the approved local product label. During the remaining days of the 21-day treatment cycle, only RBN-2397 BID will be administered. Treatment cycles will continue until disease progression, unacceptable treatment-related toxicity, or withdrawal of consent
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
50
Continuous oral dosing with the RP2D of RBN-2397 (outpatient basis). Pembrolizumab IV infusion over 30 minutes in clinic on Day 1 of each cycle.
Helen F. Graham Cancer Center (Christiana Care)
Newark, Delaware, United States
Cancer Treatment Centers of America
Newnan, Georgia, United States
Hematology and Oncology Clinic
Baton Rouge, Louisiana, United States
Sarah Cannon Research Institute
Nashville, Tennessee, United States
Rambam Care Campus
Haifa, Israel
Hadassah Medical Center
Jerusalem, Israel
Shaare Zedek Medical Center
Jerusalem, Israel
Hospital Clinico Universitario De Santiago De Compostela
A Coruña, Spain
NEXT Oncology Barcelona
Barcelona, Spain
Vall D'Hebron Insitute of Oncology
Barcelona, Spain
...and 9 more locations
Determine recommended Phase 2 dose (RP2D) (Phase 1b)
Incidence rate of Dose limiting Toxicities (DLTs) of RBN 2397 in combination with pembrolizumab
Time frame: through study completion (an average of 6 months)
Overall Response Rate (Phase 2)
Proportion of patients with confirmed response of CR or PR (RECIST v1.1)
Time frame: From start of treatment (C1D1) up to 78 weeks
Safety determined by Treatment-Emergent Adverse Events
Incidence and severity of adverse events/serious adverse events as assessed by NCI CTCAE, version 5.0
Time frame: From start of treatment through 90 days after the last dose of study drug
Cmax of RBN-2397
Assessment of Maximum plasma concentration (Cmax)
Time frame: Through Study Day 22
Tmax of RBN-2397
Time to maximum plasma concentration (Tmax)
Time frame: Through Study Day 22
AUC of RBN-2397
Assessment of area under the curve (AUC) of RBN-2397
Time frame: Through Study Day 22
T1/2 of RBN-2397
Assessment of terminal half-life (T1/2) of RBN-2397
Time frame: Through Study Day 22
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