This is a Phase 1, open-label, 2-part, multi-center study evaluating the safety, tolerability, PK, pharmacodynamics (PD), immunogenicity, and antitumor activity of CUE-102 intravenous (IV) monotherapy in HLA-A\*0201 positive patients with WT1 positive recurrent/metastatic solid tumors who have failed conventional therapies.
CUE-102 is a novel fusion protein developed for the treatment of patients with WT1-positive malignancies by selective engagement and expansion of tumor antigen-specific T cells that should allow for increased potential for anti-cancer efficacy and reduced toxicity relative to non-targeted forms of immunotherapy that result in systemic activation of the immune system. The goal of Part A is to characterize the safety, tolerability, and biological effects of CUE-102. The goal of Part B is to expand the safety and immune activity data at the RP2D identified in Part A, and to evaluate antitumor activity at this dose.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
42
CUE-102 is a novel fusion protein developed for the treatment of patients with WT1-positive malignancies.
Mayo Clinic
Phoenix, Arizona, United States
Cedars-Sinai Medical Center
Los Angeles, California, United States
Dose Limiting Toxicity
Evaluate dose-limiting toxicities (DLTs) during the first cycle of treatment with CUE-102, and to establish a recommended Phase 2 dose (RP2D)
Time frame: 21 Days
Maximum Tolerated Dose
Evaluate maximum tolerated dose (MTD) to establish a recommended Phase 2 dose (RP2D)
Time frame: 21 Days
Serum PK AUC for CUE-102
Area under the concentration-time curve (AUC) of CUE-102.
Time frame: Up to 2 years
Serum PK Cmax for CUE-102
Maximum serum concentration (Cmax) of CUE-102.
Time frame: Up to 2 years
Serum PK T1/2 for CUE-102
Terminal half-life (T1/2) of CUE-102.
Time frame: Up to 2 years
Safety and Tolerability of CUE-102 Assessed by NCI CTCAE v5.0
To evaluate safety and tolerability of CUE-102 using NCI CTCAE v5.0.
Time frame: Up to 2 years
Antitumor Response Rate with Treatment of CUE-102
To evaluate antitumor response rate of CUE-102 by RECIST 1.1
Time frame: Up to 2 years
Antitumor Duration of Response with Treatment of CUE-102
To evaluate antitumor duration of response of CUE-102 by RECIST 1.1
Time frame: Up to 2 years
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Stanford Advanced Medicine Cancer Center
Palo Alto, California, United States
Moffitt Cancer Center
Tampa, Florida, United States
Winship Cancer Institute
Atlanta, Georgia, United States
Johns Hopkins University
Baltimore, Maryland, United States
Mayo Clinic - Rochester
Rochester, Minnesota, United States
Carol G. Simon Cancer Center - Morristown Medical Center
Morristown, New Jersey, United States
Montefiore Medical Center
The Bronx, New York, United States
Carolina BioOncology Institute
Huntersville, North Carolina, United States
...and 5 more locations
Antitumor Clinical Benefit Rate with Treatment of CUE-102
To evaluate antitumor clinical benefit rate of CUE-102 by RECIST 1.1
Time frame: Up to 2 years
Progression-Free Survival with Treatment of CUE-102
To evaluate antitumor progression-free survival of CUE-102 by RECIST 1.1
Time frame: Up to 2 years
Overall Survival with Treatment of CUE-102
To evaluate overall survival after treatment with CUE-102
Time frame: From First CUE-102 to Date of Death
Immune Response Assessed by WW1 Tetramer-Positive T cell Lymphocytes
To evaluate the potential for immune response after treatment with CUE-102 using assessment of number of WT1 tetramer-positive T cell lymphocytes.
Time frame: Up to 2 years
Immune Response Assessed by CTL Markers of Activation
To evaluate the potential for immune response after treatment with CUE-102 using assessment of cytotoxic T lymphocyte (CTL) markers of activation
Time frame: Up to 2 years