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Trial Title: A Study of ELI-002 7P in Subjects With KRAS/NRAS Mutated Solid Tumors

NCT ID: NCT05726864

Condition: Pancreatic Ductal Adenocarcinoma
Colorectal Cancer
KRAS G12D
KRAS G12R
KRAS G12V
KRAS G12A
KRAS G12C
KRAS G12S
KRAS G13D
NRAS G12D
NRAS G12R
NRAS G12V
NRAS G12C
NRAS G12S

Conditions: Official terms:
Colorectal Neoplasms
Adenocarcinoma

Conditions: Keywords:
Kirsten rat sarcoma (KRAS)
Neuroblastoma ras viral oncogene homolog (NRAS)
Pancreatic ductal adenocarcinoma (PDAC)
Colorectal cancer (CRC)
Colon cancer
Rectal cancer
Immunotherapy
Vaccine therapy
Adjuvant therapy
serum tumor biomarker
Carbohydrate antigen 19-9 (CA19-9)
Carcinoembryonic antigen (CEA)
circulating tumor DNA (ctDNA)

Study type: Interventional

Study phase: Phase 1/Phase 2

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Sequential Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: ELI-002 7P
Description: ELI-002 Amph-CpG-7909 admixed with ELI-002 Amph-Peptides 7P administered via SC injection weekly for 4 consecutive weeks, followed by bi-weekly injections over 4 weeks, during the Immunization Period; additional SC injections weekly for 4 weeks during the Booster Period (the two periods are separated by 2 months of no dosing)
Arm group label: Phase 1A: ELI-002 7P (High Peptide dose)
Arm group label: Phase 1A: ELI-002 7P (Low Peptide dose)
Arm group label: Phase 1B: ELI-002 7P
Arm group label: Phase 2 randomized: ELI-002 7P

Summary: This is a Phase 1/2 study to assess the safety and efficacy of ELI-002 7P immunotherapy (a lipid-conjugated immune-stimulatory oligonucleotide [Amph-CpG-7909] plus a mixture of lipid-conjugated peptide-based antigens [Amph-Peptides 7P]) as adjuvant treatment in subjects with solid tumors with mutated KRAS/NRAS. This study builds on the experience obtained with related product ELI-002 2P, which was studied in protocol ELI-002-001 under IND 26909.

Detailed description: The study consists of 3 phases: Phase 1A, Phase 1B, and Phase 2. In Phase 1A, seven Amph modified KRAS and NRAS peptides, G12D, G12R, G12V, G12A, G12C, G12S, G13D (Amph-Peptides 7P) will be evaluated in combination with recommended Phase 2 dose of Amph-CpG-7909 (10.0mg). This Amph-CpG-7909 dose will be evaluated with two Amph-Peptides 7P dose levels (1.4mg and 4.9mg) in 6 subjects per dose level. Following enrollment of these 12 subjects, the independent data monitoring committee (IDMC) will decide if another 6 subjects should be enrolled or if the dose can be determined for Phase 1B and Phase 2 portions of the study to be opened. If another 6 subjects are enrolled to Phase 1A, the IDMC will meet again to decide upon the dose for Phase 1B and Phase 2 prior to opening these portions of the study. In Phase 1B, one dose expansion cohort of up to 17 colorectal cancer [CRC] subjects may be added to evaluate for preliminary evidence of biomarker response, including circulating tumor deoxyribonucleic acid (ctDNA) and/or serum tumor biomarker (such as CA19-9 and CEA) reduction and clearance in KRAS and NRAS. In Phase 2, an additional 135 PDAC subjects will be randomized 2:1 (ELI-002 7P versus observation) to further evaluate antitumor activity. Subjects randomized to ELI-002 7P will receive subcutaneous (SC) injections of ELI-002 7P during Immunization and Booster Periods. Subjects randomized to observation will have the same safety and efficacy evaluations and will follow the same assessment schedule as subjects randomized to ELI-002 7P but will not receive study treatment. Subjects randomized to observation will be able to elect to cross-over to ELI-002 7P treatment in the event of confirmed disease progression.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - KRAS/NRAS mutated (G12D, G12R, G12V, G12A, G12C, G12S, G13D) solid tumor - Phase 1 only: positive for circulating tumor DNA and/or elevated serum tumor biomarkers (such as CA19-9 and CEA) despite prior standard therapy including surgery and chemotherapy/radiation therapy where applicable - Screening CT is negative for recurrent disease - Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 Exclusion Criteria: - Presence of tumor mutations where specific therapy is approved - Known brain metastases - Use of immunosuppressive drugs

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Banner MD Anderson Cancer Center

Address:
City: Gilbert
Zip: 85234
Country: United States

Status: Recruiting

Contact:
Last name: Angel Tameron
Email: angel.tameron@bannerhealth.com

Contact backup:
Last name: Palee Swisher
Email: palee.swisher@bannerhealth.com

Investigator:
Last name: Madappa Kundranda, MD
Email: Principal Investigator

Facility:
Name: Mayo Clinic Comprehensive Cancer Center

Address:
City: Phoenix
Zip: 85054
Country: United States

Status: Recruiting

Contact:
Last name: Jose Silva
Email: Silva.Jose2@mayo.edu

Contact backup:
Last name: Rochelle Quinonez
Email: quinonez.rochelle@mayo.edu

Investigator:
Last name: Tanios Bekaii-Saab, MD
Email: Principal Investigator

Facility:
Name: City of Hope

Address:
City: Duarte
Zip: 91010
Country: United States

Status: Recruiting

Contact:
Last name: Vincent Chung, MD

Phone: 626-218-9200
Email: vchung@coh.org

Contact backup:
Last name: Xiomara Anaya

Phone: 626-218-9780

Phone ext: 89782

Investigator:
Last name: Vincent Chung, MD
Email: Principal Investigator

Facility:
Name: Cedars-Sinai Medical Center

Address:
City: Los Angeles
Zip: 90048
Country: United States

Status: Recruiting

Contact:
Last name: Abrahm Levi

Phone: 310-248-8084
Email: abrahm.levi@cshs.org

Contact backup:
Last name: Zachariah Brown

Phone: 310-423-5618
Email: zachariah.brown@cshs.org

Investigator:
Last name: Andrew Hendifar, MD
Email: Principal Investigator

Facility:
Name: University of California Los Angeles

Address:
City: Los Angeles
Zip: 90095
Country: United States

Status: Recruiting

Contact:
Last name: Lisa Yonemoto

Phone: 310-633-8400

Phone ext: 16045
Email: lyonemoto@mednet.ucla.edu

Investigator:
Last name: Zev Wainberg, MD
Email: Principal Investigator

Facility:
Name: University of California, Irvine

Address:
City: Orange
Zip: 92868
Country: United States

Status: Recruiting

Contact:
Last name: Jennifer Valerin, MD, PhD

Contact backup:

Phone: 877-827-8839
Email: ucstudy@uci.edu

Investigator:
Last name: Jennifer Valerin, MD, PhD
Email: Principal Investigator

Facility:
Name: University of Colorado Hospital-Anschutz Cancer Pavillion

Address:
City: Aurora
Zip: 80045
Country: United States

Status: Recruiting

Contact:
Last name: McKenna Russen

Phone: 303-724-9836
Email: mckenna.russen@cuanschutz.edu

Investigator:
Last name: Alexis Leal, MD
Email: Principal Investigator

Facility:
Name: University of Miami

Address:
City: Coral Gables
Zip: 33124
Country: United States

Status: Recruiting

Contact:
Last name: Yolanda Justal
Email: yxj512@med.miami.edu

Contact backup:
Last name: Peter J Hosein, MD
Email: phosein@med.miami.edu

Investigator:
Last name: Peter J Hosein, MD
Email: Principal Investigator

Facility:
Name: University of Florida Health Cancer Center

Address:
City: Gainesville
Zip: 32610
Country: United States

Status: Recruiting

Contact:
Last name: Ashley Gregorek

Phone: 352-265-5124

Contact backup:
Email: Phase1@cancer.ufl.edu

Investigator:
Last name: Thomas George, MD, FACP
Email: Principal Investigator

Facility:
Name: Mayo Clinic Comprehensive Cancer Center

Address:
City: Jacksonville
Zip: 32224
Country: United States

Status: Recruiting

Contact:
Last name: Qandeel Anwar
Email: anwar.qandeel@mayo.com

Contact backup:
Last name: Jesse Vines

Phone: 904-953-4209
Email: vines.jesse@mayo.edu

Investigator:
Last name: Umair Majeed, MBBS, MD
Email: Principal Investigator

Facility:
Name: Moffitt Cancer Center

Address:
City: Tampa
Zip: 33612
Country: United States

Status: Recruiting

Contact:
Last name: Lauren Ponto

Phone: 813-745-7658
Email: lauren.ponto@moffitt.org

Investigator:
Last name: DaeWon Kim, MD
Email: Principal Investigator

Facility:
Name: Emory Winship Cancer Institute

Address:
City: Atlanta
Zip: 30322
Country: United States

Status: Recruiting

Contact:
Last name: Katie Coleman

Phone: 404-251-1278
Email: kathleen.marie.coleman@emory.edu

Contact backup:
Last name: Ariana Satcher

Phone: 404-778-8201
Email: ariana.satcher@emoryhealthcare.org

Investigator:
Last name: Olumide B Gbolahan, MBBS, MSc
Email: Principal Investigator

Facility:
Name: University of Iowa

Address:
City: Iowa City
Zip: 52242
Country: United States

Status: Recruiting

Contact:
Last name: Naomi H Fei, MD
Email: naomi-fei@uiowa.edu

Investigator:
Last name: Naomi H Fei, MD
Email: Principal Investigator

Facility:
Name: Ochsner Health

Address:
City: New Orleans
Zip: 70121
Country: United States

Status: Recruiting

Contact:
Last name: Jonathan Mizrahi, MD

Phone: 504-842-3910
Email: jonathan.mizrahi@ochsner.org

Contact backup:
Last name: Kristin Tassin

Phone: 504-842-3929
Email: kristin.tassin@ochsner.org

Investigator:
Last name: Jonathan Mizrahi, MD
Email: Principal Investigator

Facility:
Name: Massachusetts General Hospital

Address:
City: Boston
Zip: 02210
Country: United States

Status: Recruiting

Contact:
Last name: Colin D Weekes, MD

Phone: 617-724-4000
Email: cdweekes@mgh.harvard.edu

Investigator:
Last name: Colin D Weekes, MD
Email: Principal Investigator

Facility:
Name: Dana Farber Cancer Institute

Address:
City: Boston
Zip: 02215
Country: United States

Status: Recruiting

Contact:
Last name: Harshabad Singh, MBBS

Phone: 857-215-1345
Email: harshabad.singh@dfci.harvard.edu

Investigator:
Last name: Harshabad Singh, MBBS
Email: Principal Investigator

Facility:
Name: University of Michigan

Address:
City: Ann Arbor
Zip: 48109
Country: United States

Status: Recruiting

Contact:
Last name: CancerAnswerLine@med.umich.edu

Phone: 800-865-1125

Investigator:
Last name: Vaibhav Sahai, MBBS, MS
Email: Principal Investigator

Facility:
Name: Mayo Clinic Comprehensive Cancer Center

Address:
City: Rochester
Zip: 55905
Country: United States

Status: Recruiting

Contact:
Last name: Ryan Carr, MD
Email: carr.ryan@mayo.edu

Contact backup:
Last name: Preston Buechler

Phone: 507-422-5917
Email: buechler.preston@mayo.edu

Investigator:
Last name: Ryan Carr, MD
Email: Principal Investigator

Facility:
Name: Northwell Health

Address:
City: Lake Success
Zip: 11042
Country: United States

Status: Recruiting

Contact:
Last name: Craig Devoe, MD

Phone: 516-734-8896
Email: cdevoe@northwell.edu

Contact backup:
Email: ci-phasei_clinicaltrialsunit@northwell.edu

Investigator:
Last name: Craig Devoe, MD
Email: Principal Investigator

Facility:
Name: Memorial Sloan Kettering Cancer Center

Address:
City: New York
Zip: 10022
Country: United States

Status: Recruiting

Contact:
Last name: Eileen M O'Reilly, MD

Phone: 646-888-4182

Investigator:
Last name: Eileen O'Reilly, MD
Email: Principal Investigator

Facility:
Name: New York Presbyterian Weill Cornell Medical Center

Address:
City: New York
Zip: 10065
Country: United States

Status: Recruiting

Contact:
Last name: Casey Owens

Phone: 646-962-6046
Email: cdo4001@med.cornell.edu

Facility:
Name: Lehigh Valley Health Network

Address:
City: Allentown
Zip: 18003
Country: United States

Status: Recruiting

Contact:
Last name: Alexandra Bauman

Phone: 610-402-0581
Email: alexandra_l.bauman@lvhn.org

Investigator:
Last name: Suresh G Nair, MD
Email: Principal Investigator

Facility:
Name: University of Pennsylvania

Address:
City: Philadelphia
Zip: 19104
Country: United States

Status: Recruiting

Contact:
Last name: Mark O'Hara, MD

Phone: 215-360-0919
Email: mark.ohara@pennmedicine.upenn.edu

Contact backup:
Last name: Luda Mazaleuskaya

Phone: 1-267-455-9141
Email: mazali@pennmedicine.upenn.edu

Facility:
Name: Sarah Cannon Research Institute

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

Status: Recruiting

Contact:
Last name: Clinical Trial Inquiries

Phone: 844-482-4812

Investigator:
Last name: Meredith Pelster, MD, MSCI
Email: Principal Investigator

Facility:
Name: Vanderbilt University Medical Center

Address:
City: Nashville
Zip: 37212
Country: United States

Status: Recruiting

Contact:
Last name: Clinical Trial Inquiries

Phone: 800-811-8480
Email: CTIP@VUMC.org

Investigator:
Last name: Dana B Cardin, MD
Email: Principal Investigator

Facility:
Name: University of Texas Southwestern

Address:
City: Dallas
Zip: 75390
Country: United States

Status: Recruiting

Contact:
Last name: Ellen Siglinsky

Phone: 214-645-9684
Email: ellen.siglinsky@utsouthwestern.edu

Contact backup:
Last name: Pauline Phan

Phone: 214-852-0731
Email: pauline.phan@utsouthwestern.edu

Investigator:
Last name: Syed Kazmi, MD
Email: Principal Investigator

Facility:
Name: The University of Texas MD Anderson Cancer Center

Address:
City: Houston
Zip: 77030
Country: United States

Status: Recruiting

Contact:
Email: GIClinicalTrials@mdanderson.org

Investigator:
Last name: Shubham Pant, MD
Email: Principal Investigator

Facility:
Name: Medical College of Wisconsin

Address:
City: Milwaukee
Zip: 53226
Country: United States

Status: Recruiting

Contact:
Last name: Colleen Cotter

Phone: 414-805-8839
Email: cmcotter@mcw.edu

Contact backup:
Last name: Olivia Gorman

Phone: 414-805-6345
Email: ogorman@mcw.edu

Investigator:
Last name: Ben George, MD
Email: Principal Investigator

Start date: April 14, 2023

Completion date: November 2026

Lead sponsor:
Agency: Elicio Therapeutics
Agency class: Industry

Source: Elicio Therapeutics

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05726864

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