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Trial Title: A Study of NPX267 for Subjects With Solid Tumors Known to Express HHLA2/B7-H7

NCT ID: NCT05958199

Condition: Metastatic Malignant Neoplasm

Conditions: Official terms:
Neoplasms

Conditions: Keywords:
B7-H7/HHLA2
Non-small cell lung carcinoma
renal cell carcinoma
colorectal carcinoma
cholangiocarcinoma
pancreatic cancer
urothelial carcinoma
gastric gastroesophageal carcinoma
triple negative breast carcinoma
endometrial carcinoma
cervical cancer
osteosarcoma
prostate cancer
RECIST
Dose escalation
Dose expansion

Study type: Interventional

Study phase: Phase 1

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Intervention model description: Dose escalation and dose expansion

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: NPX267
Description: NPX267 will be administered by intravenous infusion every three weeks until documented disease progression or participant withdrawal
Arm group label: NPX267 Treatment

Summary: NPX267 is an antibody drug targeting the inhibitory receptor for B7-H7 (HHLA2) which may control evasion of the immune response in tumors. The goal of this clinical trial is to learn whether NPX267 is safe and tolerable in patients whose cancers are known to express HHLA2 including epidermal growth factor receptor (EGFR) mutant non-small cell lung cancer. The main questions it aims to answer are: - what is an appropriate dose to be given to patients? - are the side effects of treatment manageable? Participants will be evaluated for participation in the study. Patients who are treated will receive an intravenous infusion of NPX267 every three weeks if their disease has not progressed. Patients will be closely monitored by the treating physician.

Detailed description: This trial is divided into two parts. The first part (dose escalation) will test different doses of drug to find a dose for part two. In the second part (dose expansion), more patients will be tested to see if the drug has an effect on patient's tumors. Throughout the study, data will be collected to characterize the clinical activity of the drug. Samples of blood will be taken to help in an understanding of how the drug behaves in the body by assessing the amount of drug in the blood over time (pharmacokinetics), and changes in blood components (pharmacodynamics and safety). Tumor imaging by computed tomography (CT) or magnetic resonance imaging (MRI) will be done about every nine weeks to assess NPX267 impact on tumor growth.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Histologically or cytologically confirmed recurrent, metastatic solid tumor refractory to standard of care therapy in one of the following indications: Part 1a: non-small cell lung carcinoma (NSCLC), renal cell carcinoma (RCC), colorectal carcinoma (CRC), cholangiocarcinoma (CCA), pancreatic cancer (PDAC), urothelial carcinoma (UCC), gastric/gastroesophageal carcinoma, triple negative breast carcinoma, endometrial carcinoma, cervical cancer, osteosarcoma, and prostate cancer - Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1 - Normal bone marrow, kidney and liver function - Willing to use highly effective contraceptive measures throughout the trial Exclusion Criteria: - Have any unresolved toxicity of Grade ≥ 2 from previous anti-cancer treatment, except for alopecia, chronic neuropathy > 6 months, or changes in skin pigmentation - Have known or suspected brain metastases, unless they are clinically stable - Known autoimmune disease requiring immunosuppressive treatment requiring the equivalent of more than 10 mg prednisone daily - History of grade 3 immune-related pneumonitis or colitis

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Johns Hopkins University Sidney Kimmel Comprehensive Cancer Center

Address:
City: Baltimore
Zip: 21287
Country: United States

Status: Recruiting

Contact:
Last name: Danielle Wendler

Phone: 410-502-5140
Email: dschul15@jhmi.edu

Investigator:
Last name: Yasser Ged, MD
Email: Principal Investigator

Facility:
Name: Massachusetts General Hospital

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

Status: Recruiting

Contact:
Last name: Justin Gainor, MD

Phone: 617-724-4000
Email: JGAINOR@MGH.HARVARD.EDU

Investigator:
Last name: Justin Gainor, MD
Email: Principal Investigator

Facility:
Name: Albert Einstein Medical College Montefiore Medical Center

Address:
City: New York
Zip: 10461
Country: United States

Status: Recruiting

Contact:
Last name: Gunnar Lauer
Email: glauer@montefiore.org

Investigator:
Last name: Haiying Cheng, MD
Email: Principal Investigator

Facility:
Name: Sarah Cannon Research Institute Oncology Partners

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

Status: Recruiting

Contact:

Phone: 844-482-4812
Email: asksarah@sarahcannon.com

Investigator:
Last name: Melissa Johnson, MD
Email: Principal Investigator

Facility:
Name: MD Anderson Cancer Center

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

Status: Recruiting

Contact:
Last name: Aung Naing, MD

Phone: 713-563-3885
Email: anaing@mdanderson.org

Investigator:
Last name: Aung Naing, MD
Email: Principal Investigator

Facility:
Name: NEXT Oncology-San Antonio

Address:
City: San Antonio
Zip: 78229
Country: United States

Status: Recruiting

Contact:
Last name: Cheryl Merendon

Phone: 210-580-9521
Email: cmerendon@nextoncology.com

Investigator:
Last name: Ildefonso I Rodriguez Rivera, MD
Email: Principal Investigator

Facility:
Name: NEXT Oncology-Fairfax

Address:
City: Fairfax
Zip: 22031
Country: United States

Status: Recruiting

Contact:
Last name: Blake Patterson

Phone: 703-783-4505
Email: bpatterson@nextoncology.com

Investigator:
Last name: Alexander Spira, MD
Email: Principal Investigator

Start date: July 21, 2023

Completion date: January 2026

Lead sponsor:
Agency: NextPoint Therapeutics, Inc.
Agency class: Industry

Source: NextPoint Therapeutics, Inc.

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05958199

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