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CompletedNCT02518958PRIMETIMEUpdated Nov 18, 2019

A Phase I, Open-Label, Multiple Ascending Dose Study of RRx-001 and Nivolumab

A Phase 1 interventional study of RRx-001 and Nivolumab in Malignant Solid Tumor and Lymphoma, sponsored by EpicentRx, Inc.. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-11-18.

Sponsored by EpicentRx, Inc. · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
12
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This is a dose escalation protocol to determine the feasibility of co-administration of RRx-001 and nivolumab. Immune surveillance is an endogenous mechanism to cause remission of neoplastic growth. Epigenetic agents like RRx-001 are associated not only with enhanced gene transcription and restored expression of silenced genes but also with increased expression of pro-inflammatory mediators, upregulation of PD-L1 on tumor cells and de-repression of antigens that promote immune recognition of tumors. It is hypothesized that RRx-001, will prime or sensitize to immune checkpoint therapy targeting PD-1 interaction with nivolumab.

Read the detailed description

This is an open-label dose escalation study, consisting of the following periods:

    1. Screening Period (Up to 16 days): Eligibility for the study will be determined by Screening tests, physical examination/medical history, and fulfillment of eligibility criteria. Potential participants are required to provide written informed consent prior to the performance of any study specific Screening procedures.
    1. Treatment Period (Day 1 to 57): Between 15 and 45 eligible male and female adult subjects will receive weekly RRx-001 for a total of nine doses and every other week nivolumab for a total of 5 doses (odd cycles) or 4 doses (even cycles). Study medication (RRx-001 and nivolumab) will be administered intravenously at the study center. The Treatment Period will end following the last dose of nivolumab. Subjects will attend the study center weekly for on-study assessments.
    1. Follow-up Period: Subjects that have completed nivolumab dosing will undergo a follow-up assessment monthly, up to 100 days, for the emergence of delayed toxicity with particular attention to delayed immune related toxicities.
02

Conditions studied

  • Malignant Solid Tumor
  • Lymphoma

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03

In context

Lymphoma

5,578 studies on the registry are indexed under Lymphoma; 825 are open to participants now.

This study's enrollment of 12 is below the median of 40 across 4,508 interventional studies indexed under Lymphoma.

Browse Lymphoma studies →

Lead sponsor

EpicentRx, Inc. is the lead sponsor of 15 studies on the registry; none are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 2 (33%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Histologically or cytologically confirmed diagnosis of an advanced, malignant, solid tumor(s) or lymphoma that are either refractory or is intolerant to, or has refused all standard available life-prolonging therapies.
  • Measurable or evaluable disease based on RECIST criteria version. 1.1.
  • ECOG performance status is 0-2 at Screening.
  • Acceptable liver function at Screening,
  • Serum creatinine \< 2x institution upper limit of normal
  • Acceptable hematologic status at Screening
  • Female subjects of childbearing potential, and male subjects with partners of childbearing potential, must agree to use medically acceptable methods of contraception beginning on Study Day 1 and continuing until at least four weeks after administration of the subject's final dose of RRx-001.

Exclusion criteria

Exclusion Criteria:

  • Serious co-morbid medical condition, or a clinically significant laboratory finding(s) that, in the opinion of the Investigator, suggests the presence of an infectious, endocrine, and/or other inadequately treated systemic disorder.
  • If female, subject is pregnant and/or breastfeeding.
  • Subjects with active autoimmune disease or history of autoimmune disease that might recur and may affect vital organ function or require immune suppressive treatment including systemic corticosteroids, should be excluded.
  • Subjects having a condition requiring systemic treatment with either corticosteroids (> 10 mg daily prednisone equivalents) or other immunosuppressive medications within 14 days of study drug administration.
  • Prior therapy with any antibody/drug that targets the T cell coregulatory proteins, including but not limited to, anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CD137, anti-OX-40, and anti-CD40 antibodies. However, prior exposure to RRx-001 is allowed.
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
12 participants (actual)

Study arms

  • Experimental
    RRx-001 + Nivolumab

    Patients enrolled in this trial will receive study drug (RRx-001) on Day 1 as a single agent. Nivolumab (3 mg/kg) will be administered on Day 2 or Day 3 as a single agent.

    Drug: RRx-001 · Drug: Nivolumab

Interventions

  • DrugRRx-001
  • DrugNivolumab
06

What researchers measure

Primary outcomes

  1. Number, frequency and type of adverse events

    Time frame: 23 weeks

Secondary outcomes

  1. Time to Tumor Progression (TTP)

    Time to Tumor Progression (TTP) using Response Evaluation Criteria in Solid Tumors \[RECIST v1.1\] criteria

    Time frame: 23 weeks

  2. Overall Survival

    Time frame: 2 years

  3. Clinical benefit Rate

    Duration of clinical benefit (Stable disease or better) using Response Evaluation Criteria in Solid Tumors \[RECIST v1.1\] criteria

    Time frame: 23 weeks

  4. Progression-Free Survival (PFS)

    Progression-Free Survival (PFS) using Response Evaluation Criteria in Solid Tumors \[RECIST v1.1\] criteria

    Time frame: 23 weeks

07

Study locations

1 site
  • Walter Reed National Military Medical Center
    Bethesda, Maryland 20889, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 18, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02518958
Lead sponsor
EpicentRx, Inc.
Responsible party
Sponsor
First posted
Aug 10, 2015
Start date
Jul 21, 2015
Primary completion
May 17, 2016
Completion
Sep 12, 2016
Last update
Nov 18, 2019

Study contacts

Bryan Oronsky, MD
study director · EpicentRx, Inc.

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2019. You cannot join it, but the record below documents what was studied.

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