This is a Phase 1, open-label, dose-escalation study of CBX-663 in participants with R/R AML, MDS or CMML (Cohort A), advanced solid tumors (Cohort B), or recurrent or progressive GBM (Cohort C) (collectively called 'indication cohorts'). Participants aged ≥18 years are planned to be enrolled. CBX-663 will initially be investigated on a fixed dosing schedule. CBX-663 will be administered intravenously (IV) on Cycle 1 Day 1 (C1D1) and then once weekly (QW) in 21-day cycles. Participants will continue treatment with CBX-663 until unacceptable toxicity, progressive disease, withdrawal of consent, or lack of clinical benefit.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
120
Intravenous (I.V.) CBX-663
NEXT Oncology- Virginia
Fairfax, Virginia, United States
Recommended Phase 2 Dose (RP2D)
To determine the RP2D.
Time frame: Until the end of study (approximately 24 months)
To determine safety and tolerability of CBX-663; Dose Limiting Toxicities (DLTs), Treatment-Emergent Adverse Events (TEAEs) and Treatment-Related Adverse Events (TRAEs).
Frequency and type of dose-limiting toxicities (DLT), Frequency, duration, and severity of treatment-emergent adverse events (TEAEs), treatment-related AEs (TRAEs), and serious adverse events (SAEs), Frequency and severity of cytokine release syndrome (CRS) adverse events (AEs), Withdrawal from the study, drug discontinuations, drug interruptions, or dose reductions due to adverse events Incidence/shifts of clinical laboratory abnormalities
Time frame: From enrollment through 30 days following end of treatment.
To assess the PK of CBX-663: AUC0-t
Area under the plasma concentration-time curve from time 0 to time of last measurable concentration (AUC0-t) of CBX-663 and relevant metabolites.
Time frame: Approximately 1 year.
To assess the PK of CBX-663: Cmax
Maximum plasma concentration (Cmax) of CBX-663 and relevant metabolites.
Time frame: Approximately 1 year.
To assess the PK of CBX-663: Tmax
Time to observed maximum plasma concentration of CBX-663 and relevant metabolites
Time frame: Approximately 1 year.
To assess the PK of CBX-663: Ctau
CBX-663 drug concentration at the end of the dosing interval.
Time frame: Approximately 1 year.
To assess the PK of CBX-663: T½
Terminal elimination half-life of CBX-663.
Time frame: Approximately 1 year.
To assess the PK of CBX-663: Degree of accumulation
Degree of CBX-663 accumulation in the blood stream and body.
Time frame: Approximately 1 year.
To assess the preliminary anti-leukemic activity of CBX-663 in participants with R/R AML (Cohort A):
Objective response rate (ORR), complete response (CR), CR with partial hematologic recovery (CRh), CR with incomplete hematologic recovery (CRi) (Dohner, 2022) CR rate (CR+CRh) CRc Rate (CR+ CRh + CRi)
Time frame: From enrollment through 30 days following end of treatment
To assess the preliminary anti-leukemic activity of CBX-663 in participants with R/R CMML (Cohort A)
Response criteria for CMML: evaluated per IWG 2015 (Savona, 2015) in adults with endpoints including CR, PR, complete cytogenetic remission, marrow response and clinical benefit as appropriate
Time frame: From enrollment through 30 days following end of treatment.
To assess the preliminary anti-leukemic activity of CBX-663 in participants with R/R MDS (Cohort A):
Best Overall Response (BOR) as defined by MDS/MPN International Working Group (IWG) 2023 (Zeidan, 2023) for Higher-Risk MDS and IWG 2018 (Platzbecker, 2019) for Lower-Risk MDS
Time frame: From enrollment through 30 days following end of treatment.
To assess the preliminary anti-leukemic activity of CBX-663 in participants in Cohort A: Duration of Response (DoR)
To assess the duration of response (DoR) of CBX-663.
Time frame: From enrollment through 30 days following end of treatment.
To assess the preliminary anti-leukemic activity of CBX-663 in participants in Cohort A: Time to Response (TTR)
To assess the time to response (TTR) of CBX-663.
Time frame: From enrollment through 30 days following end of treatment.
To assess the preliminary anti-leukemic activity of CBX-663 in participants with R/R AML, MDS or CMML (Cohort A): CRminimal residual disease (MRD)- rate for participants with CRc.
To assess the CRminimal residual disease (MRD)- rate for participants with CRc of CBX-663.
Time frame: From enrollment through 30 days following end of treatment.
To assess the preliminary anti-leukemic activity of CBX-663 in Cohort A: Hematologic Improvement (HI)
HI defined as: * Not meeting criteria for CR (or CR equivalent) or CRuni or CRL * HIerythroid (HI-E) * HIplatelets (HI-P) * HIneutrophils (HI-N)
Time frame: From enrollment through 30 days following end of treatment.
To assess the preliminary anti-leukemic activity of CBX-663 in Cohort A: Transfusion Independence
Transfusion independence defined as any transfusion-free period lasting for at least 56 consecutive days, during which the participant is either on CBX-663 therapy or after cessation of CBX-663 therapy but prior to the start of new therapy.
Time frame: From enrollment through 30 days following end of treatment.
To assess the preliminary anti-leukemic activity of CBX-663 in Cohort A: Transfusion burden reduction
To assess the transfusion burden reduction of CBX-663.
Time frame: From enrollment through 30 days following end of treatment.
To assess the preliminary anti-leukemic activity of CBX-663 in Cohort A: Rate of leukemic transformation
To assess the rate of leukemic transformation of CBX-663.
Time frame: From enrollment through 30 days following end of treatment.
To assess the preliminary anti-leukemic activity of CBX-663 in Cohort A: Event free survival (EFS)
To assess the Event free survival (EFS) of CBX-663.
Time frame: From enrollment through 30 days following end of treatment.
To assess the preliminary anti-leukemic activity of CBX-663 in Cohort A: Overall Survival (OS)
To assess the Overall Survival (OS) of CBX-663.
Time frame: From enrollment through 30 days following end of treatment.
To assess the preliminary anti-tumor activity of CBX-663 in Cohort B based on Investigator assessment using Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 criteria: Overall Response Rate (ORR)
To assess overall response rate (ORR) of CBX-663.
Time frame: From enrollment through 30 days following the end of treatment.
To assess the preliminary anti-tumor activity of CBX-663 in Cohort B based on Investigator assessment using Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 criteria: Duration of Response (DoR)
To assess duration of response of CBX-663.
Time frame: From enrollment through 30 days following end of treatment.
To assess the preliminary anti-tumor activity of CBX-663 in Cohort B based on Investigator assessment using Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 criteria: Time to Response (TTR)
To assess time to response (TTR) of CBX-663.
Time frame: From enrollment through 30 days following end of treatment.
To assess the preliminary anti-tumor activity of CBX-663 in Cohort B based on Investigator assessment using Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 criteria: Disease Control Rate (DCR)
To assess disease control rate (DCR) of CBX-663.
Time frame: From enrollment through 30 days following end of treatment.
To assess the preliminary anti-tumor activity of CBX-663 in Cohort B based on Investigator assessment using Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 criteria: Progression Free Survival (PFS)
To assess progression free survival (PFS) of CBX-663.
Time frame: From enrollment through 30 days following end of treatment.
To assess the preliminary anti-tumor activity of CBX-663 in Cohort B based on Investigator assessment using Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 criteria: Overall Survival (OS)
To assess overall survival (OS) of CBX-663.
Time frame: From enrollment through 30 days following end of treatment.
To assess the preliminary anti-tumor activity of CBX-663 in participants with recurrent/progressive GBM (Cohort C): Overall Response Rate (ORR)
To assess the overall response rate (ORR) per Response Assessment in Neuro-Oncology (RANO) Criteria 2.0 (Wen 2023) and iRANO
Time frame: From enrollment through 30 days following the end of treatment.
To assess the preliminary anti-tumor activity of CBX-663 in Cohort C: Duration of Response (DoR)
To assess duration of response (DoR) of CBX-663.
Time frame: From enrollment through 30 days following end of treatment.
To assess the preliminary anti-tumor activity of CBX-663 in Cohort C: Time to Response (TTR)
To assess time to response (TTR) of CBX-663.
Time frame: From enrollment through 30 days following end of treatment.
To assess the preliminary anti-tumor activity of CBX-663 in Cohort C: Disease Control Rate (DCR)
To assess disease control rate of CBX-663.
Time frame: From enrollment through 30 days following end of treatment.
To assess the preliminary anti-tumor activity of CBX-663 in Cohort C: Progression Free Survival (PFS)
To assess progression free survival (PFS) of CBX-663.
Time frame: From enrollment through 30 days following end of treatment.
To assess the preliminary anti-tumor activity of CBX-663 in Cohort C: Overall Survival (OS)
To assess overall survival (OS) of CBX-663.
Time frame: From enrollment through 30 days following end of treatment.
To assess the preliminary anti-tumor activity of CBX-663 in Cohort C: Changes in Corticosteroid Use
To assess changes in corticosteroid use in participants with GBM.
Time frame: From enrollment through 30 days following end of treatment.
To assess the preliminary anti-tumor activity of CBX-663 in Cohort C: Changes in neurologic function as assessed by the Neurological Assessment in Neuro-Oncology scale
To assess changes in neurologic function as assessed by the Neurological Assessment in Neuro-Oncology scale in participants with GBM.
Time frame: From enrollment through 30 days following end of treatment.
To assess the immunogenicity of CBX-663.
Incidence and severity of anti-drug antibodies (ADAs)
Time frame: From enrollment through 30 days following the end of treatment.
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