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Trial Title: A Study of OnCARlytics (CF33-CD19) in Combination with Blinatumomab in Adults with Advanced or Metastatic Solid Tumors (OASIS)

NCT ID: NCT06063317

Condition: Solid Tumor, Adult

Conditions: Official terms:
Neoplasms
Blinatumomab

Conditions: Keywords:
Immunotherapy
Oncolytic Virus
Bispecific T-Cell Engager
BiTE
Blincyto

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: Biological
Intervention name: CF33-CD19 IT
Description: Safety Run-In Phase: CF33-CD19 will be administered intratumorally on Days 1 and 8 of Cycle 1 and Day 1 of each subsequent 21-day cycle. Dose Escalation Combination Phase: CF33-CD19 will be administered intratumorally on Days 1 and 15 of each 28-day cycle.
Arm group label: CF33-CD19 IT Administration Monotherapy
Arm group label: CF33-CD19 IT Administration in Combination with Blinatumomab

Intervention type: Biological
Intervention name: CF33-CD19 IV
Description: Safety Run-In Phase: CF33-CD19 will be administered intravenously on Days 1 and 8 of Cycle 1 and Day 1 of each subsequent 21-day cycle. Dose Escalation Combination Phase: CF33-CD19 will be administered intravenously on Days 1 and 15 of each 28-day cycle.
Arm group label: CF33-CD19 IV Administration Monotherapy
Arm group label: CF33-CD19 IV Administration in Combination with Blinatumomab

Intervention type: Biological
Intervention name: Blinatumomab
Description: Blinatumomab will be infused via a 7-day continuous infusion from Days 2-9 and Days 16-23 of each 28-day cycle.
Arm group label: CF33-CD19 IT Administration in Combination with Blinatumomab
Arm group label: CF33-CD19 IV Administration in Combination with Blinatumomab

Other name: Blincyto

Summary: This is an open-label, dose escalation and dose expansion, multi-center phase I study evaluating the safety and tolerability of CF33-CD19 administered intravenously (IV) or intratumorally (IT) in combination with blinatumomab in adults with advanced or metastatic solid tumors.

Detailed description: CF33-CD19, a novel chimeric orthopoxvirus, will be administered as a monotherapy or in combination with blinatumomab to assess the safety and efficacy of the treatment regimens as well as immunological changes in the tumour microenvironment. Subjects eligible for treatment include those with any metastatic or advanced solid tumor who have documented radiological progression per RECIST following at least two prior lines of therapy. All enrolled monotherapy subjects will be treated with CF33-CD19 on Day 1 and 8 of Cycle 1 and then on Day 1 of each 21-day cycle thereafter. Subjects treated with the combination regimen will receive CF33-CD19 on Days 1 and 15 of each 28-day cycle. In addition, they will receive blinatumomab as a 7-day continuous infusion from Days 2-9 and Days 16-23 of each cycle.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Written informed consent from subject or legally authorized representative. 2. Age ≥ 18 years old on the date of consent. 3. Life expectancy of at least 3 months. 4. Any histologically or cytologically confirmed advanced or metastatic solid tumor with documented radiological progression per RECIST v1.1. Eligible subjects must have received at least two prior lines of approved therapies, including targeted therapies, for which they are eligible and failed or relapsed on or after that treatment. 5. Eastern Cooperative Oncology Group (ECOG) performance status 0 - 1. 6. At least one measurable lesion as defined by RECIST v1.1 criteria. 7. Adequate renal function. 8. Adequate hepatic function. 9. Adequate hematologic function. 10. Willing and able to comply with scheduled visits, study treatment plan, laboratory tests, and other study procedures. Exclusion Criteria: 1. Prior treatment with a poxvirus based oncolytic virus or a bispecific CD19-directed CD3 T-cell engager. 2. Continuous systemic treatment with either corticosteroids (>10 mg daily prednisone equivalents) or other immunosuppressive medications within 4 weeks prior to first dose of study treatment. 3. Any radiation within 2 weeks of start of study treatment. 4. Active autoimmune disease. 5. Current or history of severe skin disease with open wounds. 6. History of (non-infectious) pneumonitis / interstitial lung disease that required steroids or has current pneumonitis / interstitial lung disease. 7. History of pancreatitis. 8. > Grade 2 neuropathy. 9. Prior allogeneic tissue/organ transplant or other medical conditions requiring ongoing treatment with immunosuppressive drugs or any condition resulting in a systemic immunosuppressed state. 10. Medical history of central nervous system (CNS) metastases unless the subject has completed definitive treatment for the CNS lesions with whole brain radiation therapy (WBRT) or stereotactic radiosurgery (SRS) and are neurologically stable, asymptomatic, and off corticosteroids for at least 2 months prior to first dose. 11. History of documented congestive heart failure (New York Heart Association [NYHA] class II - IV), unstable angina, poorly controlled hypertension, clinically significant valvular heart disease or high-risk uncontrolled arrhythmias. 12. Bleeding diathesis due to underlying medical condition or ongoing anticoagulation medication. 13. History or presence of clinically relevant CNS pathology, or any other CNS disability judged by the Investigator to be clinically significant and precluding informed consent or participation in the study. 14. Active infection requiring systemic treatment.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: City of Hope

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

Status: Recruiting

Contact:
Last name: Aruna Parikh
Email: arparikh@coh.org

Contact backup:
Last name: Dan Li, MD

Facility:
Name: Emory Winship Cancer Institute

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

Status: Recruiting

Contact:
Last name: Emma Barton-Judson
Email: ejudson@emory.edu

Contact backup:
Last name: Mehmet Bilen, MD

Facility:
Name: Northwestern

Address:
City: Chicago
Zip: 60208
Country: United States

Status: Recruiting

Contact:
Last name: Jamila Juzer
Email: jamila.juzer@northwestern.edu

Contact backup:
Last name: Devalingam Mahalingam, MD

Facility:
Name: Roswell Park Comprehensive Cancer Center

Address:
City: Buffalo
Zip: 14203
Country: United States

Status: Recruiting

Contact:
Last name: Paige Burkard
Email: Paige.Burkard@roswellpark.org

Contact backup:
Last name: Christos Fountzilas, MD

Facility:
Name: University of Cincinnati

Address:
City: Cincinnati
Zip: 45219
Country: United States

Status: Recruiting

Contact:
Last name: Melanie Margraf
Email: margrame@ucmail.uc.edu

Contact backup:
Last name: Jennifer Leddon

Facility:
Name: University of Pittsburgh Medical Center

Address:
City: Pittsburgh
Zip: 15219
Country: United States

Status: Recruiting

Contact:
Last name: Kimberly Tyberg
Email: sheridankj@upmc.edu

Contact backup:
Last name: Jason Luke, MD

Facility:
Name: MD Anderson Cancer Center

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

Status: Recruiting

Contact:
Last name: Li Li
Email: LLi8@mdanderson.org

Contact backup:
Last name: Anthony Conley

Start date: October 2, 2023

Completion date: May 2029

Lead sponsor:
Agency: Imugene Limited
Agency class: Industry

Source: Imugene Limited

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06063317
http://www.imugene.com/

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