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TerminatedNCT03254732Updated Apr 27, 2022

Study ADI-PEG 20 Plus Pembrolizumab in Advanced Solid Cancers

A Phase 1 interventional study of ADI PEG20 and Pembrolizumab in Advanced Solid Cancers, sponsored by Polaris Group. Terminated at 1 site in Taiwan. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-04-27.

Sponsored by Polaris Group · Phase 1, Interventional, and Treatment

Why this study was terminated
Changing Corporate Priorities
Phase
Phase 1
Study type
Interventional
Enrollment
33
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This is a phase 1b, open label trial of ADI-PEG 20 (36 mg/m2) weekly in combination with pembrolizumab (1 and 2 mg/kg or 200 mg) every three weeks. Assessment of safety and tolerability of drug combination

Read the detailed description

This is an open-label, phase 1b trial of ADI-PEG 20 in combination with pembrolizumab in subjects with advanced cancers. Dose escalation will occur using a 3 + 3 + 3 design.

The first subject in a dose escalation cohort must have had treatment with ADI-PEG 20 + pembrolizumab with a week of follow up) before the next 2 subjects are enrolled. Thus subjects 2 and 3 may be enrolled on day 8 if there is no dose limiting toxicity (DLT) in subject 1. No additional delay is required between treating subjects 4 to 6 or 7 to 9 in an expanded cohort. Before proceeding to the next cohort dose level, the first 3 eligible subjects in each cohort will have received at least 21 days of treatment (i.e. at least 2 of the expected 3 doses of ADI-PEG 20 + one dose of pembrolizumab).

02

Conditions studied

  • Advanced Solid Cancers
03

Who can participate

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

Eligibility criteria

Select Inclusion Criteria:

  1. Histologically confirmed diagnosis of advanced solid tumor.
  2. Prior failure of a systemic treatment approved by the health authority in the country where the study will be enrolling. Such subjects may also have been treated with radiotherapy, local therapy or surgery.
  3. Measurable disease using RECIST 1.1 criteria.
  4. Age ≥ 18 years.

Select Exclusion Criteria:

  1. Subjects with history of another primary cancer, including co-existent second malignancy, with the exception of: a) curatively resected non-melanoma skin cancer; b) curatively treated cervical carcinoma in situ; or c) other primary solid tumor with no known active disease present or in the opinion of the investigator will not affect patient outcome.
  2. Subjects who had been treated with ADI-PEG 20 previously.
  3. History of seizure disorder not related to underlying cancer.
  4. Known allergy to pegylated compounds.
  5. Known allergy to E. coli drug products (such as GMCSF).
04

Study design

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

Study arms

  • Experimental
    ADI-PEG 20

    This is a phase 1b, open label trial of ADI-PEG 20 (36 mg/m2) weekly in combination with pembrolizumab (1 and 2 mg/kg or 200 mg) every three weeks.

    Drug: ADI PEG20 · Drug: Pembrolizumab

Interventions

  • DrugADI PEG20

    ADI is a recombinant protein cloned from M. hominis and produced in E. coli, and conjugated with PEG of 20,000 mw. Thus ADI-PEG 20 is an arginine degrading enzyme, ADI, coupled to PEG.

  • DrugPembrolizumab

    Pembrolizumab is a PD-1 blocking antibody indicated in the USA for the treatment.

    Also known as: Keytruda®

05

What researchers measure

Primary outcomes

  1. Number of Participants with Adverse Events as a Measure of Safety and Tolerability of ADI-PEG 20 in combination with Pembrolizumab in Advanced Solid Cancers

    Number of participants with treatment-related adverse events and severity this is graded by CTCAE and MedDRA for Coding

    Time frame: Up to 36 months

Secondary outcomes

  1. Number of Participants with PFS with Combination ADI-PEG 20 and Pembro.

    Progression Free Survival determined by RECIST 1.1

    Time frame: Assessments ever 9 weeks for 12 months

  2. Number of Participants with RR with Combination ADI-PEG 20 and Pembro.

    Response Rate determined by RECIST 1.1

    Time frame: Assessments ever 9 weeks for 12 months

Other outcomes

  1. Overall Survival

    Follow-Up by Phone or Clinic Visit

    Time frame: 12 months after end of treatment

06

Study locations

1 site
  • Facility National Cheng Kung University
    Tainan, 704, Taiwan
07

Registry details

Key details

Study ID
NCT03254732
Lead sponsor
Polaris Group
Responsible party
Sponsor
First posted
Aug 18, 2017
Start date
Jul 14, 2017
Primary completion
May 7, 2019
Completion
Feb 25, 2020
Last update
Apr 27, 2022

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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