A Phase I/Ib, First-In-Human, Multi-Part, Open-Label Study to Investigate the Safety, Tolerability, Pharmacokinetics, Biological and Clinical Activity of DF6215 Monotherapy and in Combination Therapy in Patients with Advanced (Unresectable, Recurrent, or Metastatic) Solid Tumors; is designed to assess the safety, tolerability, and preliminary efficacy of DF6215 alone or in combination with pembrolizumab in patients with advanced solid tumors. The study is open-label, meaning both participants and investigators are aware of the treatment being administered.
This Phase I/Ib trial involves multiple parts and includes both dose-escalation and dose-expansion phases. The primary objectives are to evaluate the safety and tolerability of DF6215, an investigational biologic agent, when administered either as a monotherapy or in combination with pembrolizumab, a known immunotherapy drug, and evaluate the clinical activity of DF6215 monotherapy and in combination with pembrolizumab. Secondary objectives include assessing pharmacokinetics, pharmacodynamics, and preliminary efficacy based on tumor response using RECIST 1.1 criteria. The trial will enroll adult patients with advanced (unresectable, recurrent, or metastatic) solid tumors, and the study design allows for dose modifications based on safety monitoring and the occurrence of dose-limiting toxicities (DLTs). The trial will also incorporate a safety monitoring committee to review data at regular intervals to ensure patient safety .
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
255
Immunotherapy (cytokine) targeting effector cells.
Anti-PD-1 immunotherapy agent
Anti-PD-1 immunotherapy agent
The Angeles Clinic and Research Institute - West Los Angeles Office
Los Angeles, California, United States
RECRUITINGUniversity of California Irvine Medical Center
Orange, California, United States
RECRUITINGUniversity of California San Diego Moores Cancer Center
San Diego, California, United States
RECRUITINGSarcoma Oncology Center
Santa Monica, California, United States
RECRUITINGTampa General Hospital
Tampa, Florida, United States
RECRUITINGMoffitt Cancer Center
Tampa, Florida, United States
RECRUITINGNYU Langone Health
New York, New York, United States
RECRUITINGLifespan - Rhode Island Hospital
Providence, Rhode Island, United States
RECRUITINGSCRI Oncology Partners
Nashville, Tennessee, United States
RECRUITINGCancer Research SA (CRSA)
Adelaide, South Australia, Australia
RECRUITING...and 11 more locations
Maximum Tolerated Dose (MTD) of DF6215 Monotherapy and in Combination with Pembrolizumab
Determine the maximum tolerated dose of DF6215 both as monotherapy and when combined with pembrolizumab, by assessing the occurrence of dose-limiting toxicities.
Time frame: First 28 days for monotherapy; first 42 days for combination therapy.
Safety and Tolerability of DF6215 Monotherapy and in Combination with Pembrolizumab
Evaluate the safety and tolerability of DF6215 monotherapy and in combination with pembrolizumab at various dose levels by monitoring the incidence, severity, and causality of treatment-emergent adverse events (TEAEs), serious adverse events (SAEs), adverse events of special interest (AESIs), and TEAEs leading to discontinuation, per Common Terminology Criteria for Adverse Events (CTCAE) v5.0.
Time frame: Continuously throughout the study, up to 2 years.
Efficacy Expansion: Clinical Activity of DF6215 monotherapy and in combination of Pembrolizumab
To evaluate the clinical activity of DF6215 monotherapy and in combination with pembrolizumab, measured by ORR per investigator assessment as defined by RECIST 1.1 in the efficacy expansion part.
Time frame: Assessed from the start of treatment until disease progression or study end, up to 2 years.
Clinical Activity: Objective Response Rate (ORR), Disease Control Rate (DCR), and Clinical Benefit Rate (CBR)
Evaluate the clinical activity of DF6215 monotherapy and in combination with pembrolizumab, measured by ORR, DCR, and CBR as per RECIST 1.1.
Time frame: Assessed every 8 weeks until disease progression or study termination, up to 2 years.
Pharmacokinetics (PK) Parameters
Assess the PK of DF6215 monotherapy and in combination with pembrolizumab at multiple dose levels, measured by PK parameters such as area under the concentration-time curve (AUC0-t), maximum concentration (Cmax), minimum concentration (Cmin), time to reach maximum concentration (tmax), and half-life (t½).
Time frame: Samples collected at predetermined time points across the first and second cycles and periodically thereafter.
Immunogenicity: Incidence of Anti-Drug Antibodies (ADAs)
To assess the immunogenicity of DF6215 monotherapy and in combination with pembrolizumab, measured by incidence of patients with anti-drug antibodies against DF6215.
Time frame: Samples collected at predetermined time points across the first and second cycles and periodically thereafter.
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