This is a study to investigate the safety and efficacy of an investigational OBX-115 regimen in adult participants with advanced solid tumors.
Primary Objective (Phase 1): • Assess the safety and tolerability of OBX-115 regimen Primary Objective (Phase 2): * Evaluate preliminary efficacy of OBX-115 regimen as measured by Blinded Independent Central Review (BICR) using objective response rate (ORR) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 (Cohort 3) * Evaluate preliminary efficacy of OBX-115 regimen as measured by the investigator using objective response rate (ORR) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 (Cohorts 1, 2, 4) Secondary (Phase 1): • Assess preliminary efficacy of OBX-115 regimen by evaluating ORR Secondary (Phase 2): • Evaluate safety and tolerability of OBX 115 based on the collected AE data Secondary (both Phase 1 and Phase 2): * Evaluate duration of response (DOR): To evaluate the duration from the time that criteria are met for CR or PR per RECIST v1.1 as assessed by BICR until disease progression or death due to cancer (Phase 2 Cohort 3). * Evaluate duration of response (DOR): To evaluate the duration from the time that criteria are met for CR or PR per RECIST v1.1 as assessed by the investigator until disease progression or death due to cancer (Phase 1 and Phase 2 Cohorts 1, 2, and 4). * Evaluate disease control rate (DCR): To evaluate the percentage of participants with a best overall confirmed response of CR or PR at any time plus stable disease (SD) for at least 4 weeks per RECIST v1.1 as assessed by BICR (Phase 2 Cohort 3). * Evaluate disease control rate (DCR): To evaluate the percentage of participants with a best overall confirmed response of CR or PR at any time plus stable disease (SD) for at least 4 weeks per RECIST v1.1 as assessed by the investigator (Phase 1 and Phase 2 Cohorts 1, 2, and 4). * Evaluate progression-free survival (PFS): To evaluate the time from the date of OBX-115 infusion until disease progression per RECIST v1.1 as assessed by BICR or death due to any cause (Phase 2 Cohort 3). * Evaluate progression-free survival (PFS): To evaluate the time from the date of OBX-115 infusion until disease progression per RECIST v1.1 as assessed by the investigator or death due to any cause (Phase 1 and Phase 2 Cohorts 1, 2, and 4). * Evaluate overall survival (OS): To evaluate the time from the date of OBX-115 infusion to death due to any cause * Evaluate feasibility of the manufacturing process: Evaluated as the proportion of OBX-115 products initiated for manufacturing that pass release criteria for infusion.
Study Type
INTERVENTIONAL
A tumor sample is obtained from each participant for autologous OBX-115 manufacture. After lymphodepletion including cyclophosphamide and fludarabine, participant will receive OBX-115 infusion, followed by short courses of acetazolamide.
The Angeles Clinic and Research Institute (Melanoma)
Los Angeles, California, United States
RECRUITINGUSC Norris Comprehensive Cancer Center (Melanoma/NSCLC)
Los Angeles, California, United States
Incidence and nature of dose-limiting toxicities (DLTs)
• Incidence of dose-limiting toxicities (DLTs) during the first 28 days after OBX-115 infusion (Phase 1).
Time frame: 28 Days
The proportion of participants who have a confirmed complete response (CR) or partial response (PR) per RECIST v1.1
• The proportion of participants who have a confirmed complete response (CR) or partial response (PR) per RECIST v1.1 as assessed by Blinded Independent Central Review (BICR) from the date of OBX-115 infusion until disease progression, death, start of a new anticancer therapy, withdrawal of consent, or end of study, whichever comes first (Phase 2 Cohort 3)
Time frame: 2 years
The proportion of participants who have a confirmed complete response (CR) or partial response (PR) per RECIST v1.1
• The proportion of participants who have a confirmed complete response (CR) or partial response (PR) per RECIST v1.1 as assessed by the Investigator from the date of OBX-115 infusion until disease progression, death, start of a new anticancer therapy, withdrawal of consent, or end of study, whichever comes first (Phase 2 Cohort 1, 2, and 4)
Time frame: 2 years
The proportion of participants who have a confirmed CR or PR per RECIST v1.1
• The proportion of participants who have a confirmed CR or PR per RECIST v1.1 as assessed by the Investigator from the date of OBX-115 infusion until disease progression, death, start of a new anticancer therapy, withdrawal of consent, or end of study, whichever comes first (Phase 1)
Time frame: 2 years
Incidence of AEs
• Incidence of treatment-emergent adverse events (TEAEs), including SAEs, study intervention related AEs, and AEs leading to early discontinuation of study intervention or withdrawal from the Assessment Period or death up to 2 years after initiation of study intervention
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Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
208
Stanford Cancer Institute (Melanoma/NSCLC)
Stanford, California, United States
RECRUITINGOrlando Health Cancer Institute (Melanoma/NSCLC)
Orlando, Florida, United States
RECRUITINGJames Graham Brown Cancer Center (Melanoma/NSCLC)
Louisville, Kentucky, United States
RECRUITINGMemorial Sloan Kettering (Melanoma/NSCLC)
New York, New York, United States
RECRUITINGThe Ohio State University
Columbus, Ohio, United States
ACTIVE_NOT_RECRUITINGAllegheny Research Institute (Melanoma/NSCLC)
Pittsburgh, Pennsylvania, United States
RECRUITINGM.D. Anderson Cancer Center (Melanoma/NSCLC)
Houston, Texas, United States
RECRUITINGMelanoma Institute of Australia
Wollstonecraft, New South Wales, Australia
RECRUITINGTime frame: 2 years