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Trial Title: A Study of Safety and Efficacy of KFA115 Alone and in Combo With Pembrolizumab in Patients With Select Advanced Cancers

NCT ID: NCT05544929

Condition: Carcinoma, Non-Small-Cell Lung
Cutaneous Melanoma
Carcinoma, Renal Cell
Carcinoma, Ovarian Epithelial
Nasopharyngeal Carcinoma
Carcinoma, Thymic
Anal Cancer
Mesothelioma
Esophagogastric Cancer
High Microsatellite Instability Colorectal Carcinoma
Squamous Cell Carcinoma of Head and Neck
Triple Negative Breast Neoplasms

Conditions: Official terms:
Carcinoma
Neoplasms
Melanoma
Carcinoma, Squamous Cell
Nasopharyngeal Carcinoma
Mesothelioma
Mesothelioma, Malignant
Breast Neoplasms
Carcinoma, Non-Small-Cell Lung
Colorectal Neoplasms
Melanoma, Cutaneous Malignant
Anus Neoplasms
Carcinoma, Renal Cell
Squamous Cell Carcinoma of Head and Neck
Triple Negative Breast Neoplasms
Carcinoma, Ovarian Epithelial
Thymoma
Microsatellite Instability
Pembrolizumab

Conditions: Keywords:
Lung cancer
Non-small-cell lung cancer
NSCLC
Malignant Skin Cancer
Skin Cancer
Cutaneous melanoma
Renal cell carcinoma
RCC
Kidney cancer
Renal cancer
Clear cell carcinoma
Cancer of the ovaries
Female reproductive cancer
Ovarian carcinoma
Epithelial ovarian cancer
Nasopharyngeal Neoplasms
Nasopharyngeal carcinoma
NPC
Thymic carcinoma
Thymic tumor
Rectal cancer
Rectal neoplasms
Esophageal cancer
Cancer of throat
Colon cancer
Colorectal cancer
Bowel cancer
Cancer of the colon and rectum
High microsatellite instability colorectal carcinoma
CRC
MSI-H CRC
Advanced solid malignancies
Head and neck cancer
HNSCC
SCCHN
Squamous cell carcinoma of the head and neck
Cancer
Advanced cancer
NVP-KFA115
Triple Negative Breast Cancer
TNBC
Mesothelioma
Anal cancer

Study type: Interventional

Study phase: Phase 1

Overall status: Recruiting

Study design:

Allocation: Non-Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: KFA115
Description: Immunomodulatory agent
Arm group label: KFA115 + pembrolizumab
Arm group label: KFA115 run-in (1 cycle) + pembrolizumab
Arm group label: Single-agent KFA115

Other name: NVP-KFA115

Intervention type: Drug
Intervention name: pembrolizumab
Description: Anti-PD-1 antibody
Arm group label: KFA115 + pembrolizumab
Arm group label: KFA115 run-in (1 cycle) + pembrolizumab

Other name: Keytruda

Summary: The purpose of this study is to characterize the safety and tolerability of KFA115 and KFA115 in combination with pembrolizumab in patients with select advanced cancers, and to identify the maximum tolerated dose and/or recommended dose.

Detailed description: This is a phase I, open-label, multi-center study of KFA115 as a single agent and in combination with pembrolizumab. The study consists of a dose escalation part, followed by dose expansion part(s) for single-agent KFA115 and KFA115 in combination with pembrolizumab. The escalation parts will characterize safety and tolerability. After the determination of the maximum tolerated dose (MTD) / recommended dose (RD), the dose expansion parts will assess the preliminary anti-tumor activity in defined patient populations and further assess the safety and tolerability at MTD/RD.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Non-small cell lung cancer with historic PD-L1 ≥ 1%, as determined locally using a clinically accepted assay. Patients must have experienced benefit from previous anti-PD(L)1-containing therapy for at least 4 months based on investigator-assessed disease stability or response prior to developing documented disease progression. Patients must have also received prior platinum-based chemotherapy, either in combination or in sequence with anti-PD-(L)1, unless patient was ineligible to receive such treatment. - Renal cell carcinoma, clear cell histology, previously treated with anti-PD(L)1-containing therapy and a VEGF targeted therapy as monotherapy or in combination. Patients should have documented disease progression following anti-PD(L)1-containing therapy. - Cutaneous melanoma, previously treated with anti-PD(L)1-containing therapy. Patients should have documented disease progression following anti-PD(L)1-containing therapy. Patients with BRAF V600-mutant melanoma must have also received prior therapy with a BRAF V600 inhibitor, with or without a MEK inhibitor. - Ovarian cancer, high-grade serous histology, naïve to anti-PD(L)1 therapy, must have received one prior systemic therapy in platinum-resistant setting. - Nasopharyngeal carcinoma, non-keratinizing locally advanced recurrent or metastatic. Depending on the study arm, patients may be naïve to anti-PD(L)1 therapy, or previously treated with platinum-based chemotherapy with or without anti-PD-(L)1. - Locally advanced unresectable or metastatic triple negative breast cancer, ovarian cancer (high-grade serous histology), anal cancer (squamous), MSI-H CRC, esophagogastric cancer, mesothelioma, and HNSCC. - Locally advanced unresectable or metastatic anal cancer (squamous), thymic carcinoma, MSI-H CRC, esophagogastric cancer, mesothelioma, and HNSCC, all naïve to anti-PD(L)1 therapy and for whom anti PD(L)1 therapy is not available. - Triple negative breast cancer with historic PD-L1 CPS ≥ 1%, must have received at least one line of chemotherapy. In addition, these patients must have previously received sacituzumab govitecan, and in the case of a BRCA mutation a PARP inhibitor, if these treatments are locally approved and accessible to the patient. Exclusion Criteria: - Impaired cardiac function or clinically significant cardiac disease. - Use of agents known to prolong the QT interval unless they can be permanently discontinued for the duration of study. - History of severe hypersensitivity reactions to any ingredient of study drug(s) and other mAbs and/or their excipients. - Active, known or suspected autoimmune disease. Patients with vitiligo, type I diabetes, residual hypothyroidism only requiring hormone replacement, psoriasis not requiring systemic treatment or conditions not expected to recur may be considered. Patients previously exposed to anti-PD-1/PD-L1 treatment who are adequately treated for skin rash or with replacement therapy for endocrinopathies should not be excluded. - Any evidence of interstitial lung disease (ILD) or pneumonitis, or a prior history of ILD or non-infectious pneumonitis requiring high-dose glucocorticoids. - Patients who discontinued prior anti-PD-(L)1 therapy due to an anti-PD-(L)1-related toxicity (applicable to the KFA115 in combination with pembrolizumab treatment arms). - Patients with symptomatic peripheral neuropathy limiting instrumental activities of daily living. Other protocol-defined inclusion/exclusion criteria may apply

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Massachusetts General Hospital .

Address:
City: Boston
Zip: 02114
Country: United States

Status: Recruiting

Contact:
Last name: Justin Gainor

Phone: 617-724-4000
Email: jgainor@partners.org

Investigator:
Last name: Justin Gainor
Email: Principal Investigator

Facility:
Name: NYU School of Medicine Langone Health

Address:
City: New York
Zip: 10015
Country: United States

Status: Recruiting

Contact:
Last name: Amy Ciriaco

Phone: 212-731-5662
Email: amy.ciriaco@nyulangone.org

Investigator:
Last name: Kristen Spencer
Email: Principal Investigator

Facility:
Name: University of Pittsburgh MC

Address:
City: Pittsburgh
Zip: 15232
Country: United States

Status: Recruiting

Contact:
Last name: Aric Fellers

Phone: 412-623-4897
Email: fellersaj@upmc.edu

Investigator:
Last name: Jason Luke
Email: Principal Investigator

Facility:
Name: SCRI Oncology Partners Sarah Cannon new location

Address:
City: Nashville
Zip: 37203
Country: United States

Status: Recruiting

Contact:
Last name: Katie Robbins
Email: Katerina.Robbins@scri.com

Investigator:
Last name: Melissa Johnson
Email: Principal Investigator

Facility:
Name: Novartis Investigative Site

Address:
City: Toronto
Zip: M5G 2M9
Country: Canada

Status: Recruiting

Facility:
Name: Novartis Investigative Site

Address:
City: Dresden
Zip: 01307
Country: Germany

Status: Recruiting

Facility:
Name: Novartis Investigative Site

Address:
City: Essen
Zip: 45147
Country: Germany

Status: Recruiting

Facility:
Name: Novartis Investigative Site

Address:
City: Shatin New Territories
Country: Hong Kong

Status: Recruiting

Facility:
Name: Novartis Investigative Site

Address:
City: Milano
Zip: 20133
Country: Italy

Status: Recruiting

Facility:
Name: Novartis Investigative Site

Address:
City: Chuo ku
Zip: 104 0045
Country: Japan

Status: Recruiting

Facility:
Name: Novartis Investigative Site

Address:
City: Singapore
Zip: 119228
Country: Singapore

Status: Recruiting

Facility:
Name: Novartis Investigative Site

Address:
City: Barcelona
Zip: 08035
Country: Spain

Status: Recruiting

Facility:
Name: Novartis Investigative Site

Address:
City: Taipei
Zip: 10002
Country: Taiwan

Status: Recruiting

Start date: October 26, 2022

Completion date: February 20, 2026

Lead sponsor:
Agency: Novartis Pharmaceuticals
Agency class: Industry

Source: Novartis

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05544929

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