This is an open-label, dose escalation and dose expansion, multi-center phase I study evaluating the safety and tolerability of CF33-CD19 administered intravenously (IV) or intratumorally (IT) in combination with blinatumomab and with or without hydroxyurea in adults with advanced or metastatic solid tumors.
CF33-CD19, a novel chimeric orthopoxvirus, will be administered as a monotherapy or in combination with blinatumomab and with or without hydroxyurea to assess the safety and efficacy of the treatment regimens as well as immunological changes in the tumour microenvironment. Subjects eligible for treatment include those with any metastatic or advanced solid tumor who have documented radiological progression per RECIST following at least two prior lines of therapy. All enrolled monotherapy subjects will be treated with CF33-CD19 on Day 1 and 8 of Cycle 1 and then on Day 1 of each 21-day cycle thereafter. Subjects treated with the combination regimen will receive CF33-CD19 on Days 1 and 15 of each 28-day cycle. In addition, they will receive blinatumomab as a 7-day continuous infusion from Days 2-9 and Days 16-23 of each cycle.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
25
Safety Run-In Phase: CF33-CD19 will be administered intratumorally on Days 1 and 8 of Cycle 1 and Day 1 of each subsequent 21-day cycle.
Safety Run-In Phase: CF33-CD19 will be administered intravenously on Days 1 and 8 of Cycle 1 and Day 1 of each subsequent 21-day cycle.
Dose Escalation Combination Phase: CF33-CD19 will be administered intratumorally on Days 1 and 15 of each 28 day cycle.
City of Hope
Duarte, California, United States
Emory Winship Cancer Institute
Atlanta, Georgia, United States
Northwestern
Chicago, Illinois, United States
University of Nebraska Medical Center
Omaha, Nebraska, United States
All Treatment Arms - Incidence and severity of Adverse Events
Adverse events will be graded according to CTCAE v5.0.
Time frame: From first dose of study drug through 30 days following the last dose of study treatment
Monotherapy Treatment Arms - Determination of the Recommended Phase 2 Dose (RP2D) to apply to Dose Escalation Combination Phase as supported by immune response as seen in lymphocyte subsets
Change in lymphocyte subset expression in tumor tissue and peripheral blood pre and post dose
Time frame: From first dose of study drug through treatment discontinuation, an average of 6 months
Monotherapy Treatment Arms - Determination of RP2D to apply to Dose Escalation Combination Phase as supported by immune response as seen in cytokines
Change in cytokine levels in peripheral blood pre and post dose
Time frame: From first dose of study drug through treatment discontinuation, an average of 6 months
Monotherapy Treatment Arms - Determination of RP2D to apply to Dose Escalation Combination Phase as supported by anti-tumor activity
Stable Disease and Response (PR and CR) based on RECIST v1.1 and iRECIST v1.0.
Time frame: From first dose of study drug through treatment discontinuation, an average of 6 months
Combination Treatment Arms - Determination of the Recommended Phase 2 Dose (RP2D) for CF33-CD19 + blinatumomab + hydroxyurea combination as supported by immune response as seen in lymphocyte subsets
Change in lymphocyte subset expression in tumor tissue and peripheral blood pre and post dose
Time frame: From first dose of study drug through treatment discontinuation, an average of 6 months
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Dose Escalation Combination Phase: CF33-CD19 will be administered intravenously on Days 1 and 15 of each 28 day cycle.
Blinatumomab will be infused via a 7-day continuous infusion from Days 2-9 and Days 16-23 of each 28-day cycle.
Hydroxyurea will be orally administered daily.
Roswell Park Comprehensive Cancer Center
Buffalo, New York, United States
University of Cincinnati
Cincinnati, Ohio, United States
University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, United States
MD Anderson Cancer Center
Houston, Texas, United States
Combination Treatment Arms - Determination of RP2D for CF33-CD19 + blinatumomab + hydroxyurea combination as supported by immune response as seen in cytokines
Change in cytokine levels in peripheral blood pre and post dose
Time frame: From first dose of study drug through treatment discontinuation, an average of 6 months
Combination Treatment Arms - Determination of RP2D for CF33-CD19 + blinatumomab + hydroxyurea combination as supported by anti-tumor activity
Stable Disease and Response (PR and CR) based on RECIST v1.1 and iRECIST v1.0.
Time frame: From first dose of study drug through treatment discontinuation, an average of 6 months
All Treatment Arms - Overall Response Rate
Overall Response Rate (ORR) is defined as the proportion of subjects in the efficacy population who achieve a radiographic Investigator-assessed confirmed CR or PR, per RECIST v1.1 or confirmed iCR or iPR per iRECIST v1.0.
Time frame: From first dose of study drug through treatment discontinuation, an average of 6 months
All Treatment Arms - Progression Free Survival
Progression Free Survival (PFS) defined as the time from first dose of study drug to first documentation of PD based on RECIST 1.1, or to death from any cause.
Time frame: From first dose of study drug through treatment discontinuation, an average of 6 months
All Treatment Arms - Duration of Response
Duration of Response (DoR) measured as the time from the date a response of PR/iPR or better was first recorded to the date on which progressive disease was first noted or the date of death due to any cause.
Time frame: From first dose of study drug through treatment discontinuation, an average of 6 months
All Treatment Arms - Disease Control Rate
Disease Control Rate (DCR), measured as the proportion of subjects who achieve an Investigator-assessed confirmed CR/iCR, PR/iPR, or Stable Disease (SD)/immune SD (iSD) per RECIST v1.1 and iRECIST v1.0.
Time frame: From first dose of study drug through treatment discontinuation, an average of 6 months