ClinicalTrials.gg
CompletedNCT03329950Updated Mar 28, 2024

A Study of CDX-1140 (CD40) as Monotherapy or in Combination in Patients With Advanced Malignancies

A Phase 1 interventional study of CDX-1140 and CDX-301 in Melanoma, Non-small Cell Lung Cancer and Breast Cancer, sponsored by Celldex Therapeutics. Completed at 11 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-03-28.

Sponsored by Celldex Therapeutics · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Sep 2022, 4 years 2 months ago, and no results have been posted to the registry.

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Phase
Phase 1
Study type
Interventional
Enrollment
132
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 2,048 studies in Melanoma with a site in United States — 243 open to participants now, 439 under way, 32 of them phase 3. Melanoma · United States.

Enrollment
360th of 1,748
132 · median 37
Started
2017
with 84 others
Phase 1
647 of 2,048
54 open now
Registered
1,324th of 2,048
by date

Among the 2,048 studies in Melanoma with a site in United States, this one is the 360th largest by enrollment of the 1,748 interventional ones that give a count, is one of 85 that started in 2017, is one of 647 in phase 1, and was the 1,324th registered.

Melanoma

3,372 studies on the registry are indexed under Melanoma; 580 are open to participants now.

Browse Melanoma studies →

Open to participants now

243 of the 2,048 studies in Melanoma with a site in United States are open now. Recruiting first, the newest first:

238 more — sign in →

All 243 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 468 Melanoma studies recruiting now, 381 (81%) set no upper age limit and 49 (10%) stop at 75 or younger; 47 take children under 18; 29 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

This is a study to determine the maximum tolerated dose (MTD) for CDX-1140 (CD40 antibody), either alone or in combination with CDX-301 (FLT3L), pembrolizumab, or chemotherapy and to further evaluate its tolerability and efficacy in expansion cohorts once the MTD is determined.

Read the detailed description

This study will determine the MTD of CDX-1140 while also evaluating the safety, tolerability and efficacy of CDX-1140 alone (Part 1) or in combination with CDX-301 (Part 2), pembrolizumab (Part 3), or chemotherapy (Part 4) in patients with cancer.

Eligible patients that enroll to the dose-escalation portion of the study will be assigned to one of several dose levels of CDX-1140. The dose-escalation part of the study will test the safety profile of CDX-1140, alone or in combination with CDX-301, pembrolizumab or chemotherapy and determine which dose(s) of CDX-1140 will be studied in the expansion portions of the study.

All patients enrolled in the study will be closely monitored to determine if there is a response to the treatment as well as for any side effects that may occur.

03

Conditions studied

  • Melanoma
  • Non-small Cell Lung Cancer
  • Breast Cancer
  • Gastric Cancer
  • Renal Cell Carcinoma
  • Ovarian Cancer
  • Cholangiocarcinoma
  • Bladder Urothelial Carcinoma
  • Pancreatic Adenocarcinoma
  • Colorectal Cancer
  • Esophageal Cancer
  • Hepatic Cancer
  • Head and Neck Cancer
  • Primary Peritoneal Cancer
  • Fallopian Tube Cancer
  • Other Solid Tumors
  • Diffuse Large B-cell Lymphoma (DLBCL)
  • Mantle Cell Lymphoma
  • Indolent B-cell Lymphomas
  • Non-Hodgkin Lymphoma
  • Follicular Lymphoma
  • Lymphoplasmacytic Lymphoma
  • Waldenstrom's Disease
  • Marginal Zone Lymphoma
  • Mucosa Associated Lymphoid Tissue
  • Small Lymphocytic Leukemia

Keywords

  • CDX-1140
  • Solid Tumors
  • Liver Cancer
  • GI Cancer
  • Kidney Cancer
  • Celldex
  • Monoclonal
  • Antibody
  • CD40
  • CD-40
  • Flt3l
  • CDX-301
  • Lung Cancer
  • Bile duct cancer
  • TNBC
  • RCC
  • Non-Hodgkin Lymphoma
  • Follicular Lymphoma
  • Dendritic cell
  • Keynote A-23
  • pembrolizumab
  • Keytruda
  • Chemotherapy
  • Gemcitabine
  • Nab-paclitaxel
  • CD40L
  • CD40 Ligand
  • Pancreas cancer
  • Metastatic pancreas cancer
  • Unresectable pancreas cancer
  • Stage IV pancreas cancer
  • Squamous cell cancer lung
  • Non-squamous cell cancer lung
  • Metastatic lung cancer
  • Stage IV lung cancer
  • Squamous cell cancer of head and neck
  • Stage IV cancer of head and neck
  • Throat cancer
  • Oropharyngeal cancer
  • Laryngeal cancer
  • Oral cancer
  • FLT3 Ligand
  • fms-like tyrosine kinase 3 ligand
  • KEYTRUDA®
04

Who can participate

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

Eligibility criteria

Key Inclusion Criteria:

  1. Recurrent, locally advanced or melanoma (including mucosal and/or ocular), bladder/urothelial, non-small cell lung cancer, pancreatic adenocarcinoma, breast, colorectal, gastric, esophageal, renal cell, hepatic, ovarian fallopian or primary peritoneal carcinoma, head and neck, and cholangiocarcinoma. Additional tumor types (except primary CNS tumors) may be enrolled after discussion with, and approval from, the medical monitor.
  2. Must have received all standard of care therapies (approved or unapproved) as deemed appropriate by the treating physician. Patients who refuse standard therapy are excluded from the study.
  3. If of (male or female), agrees to practice an effective form of during study treatment and for at least 3 months following last treatment
  4. Willingness to undergo a pre-treatment and on-treatment , if required.

Additional Inclusion Criteria for Part 1:

  1. Advanced diffuse large B-cell lymphoma (DLBCL), mantle cell lymphoma, or indolent B-cell lymphoma are also eligible.
  2. Lymphoma patients must have received ≥ 1 prior systemic therapy

Additional Inclusion Criteria for Part 3:

  1. Patients must have documented progression while receiving or anti-PD-L1 based regimens for FDA approved indications
  2. Patients cannot have received more than one anti-PD-1 or anti-PD-L1 based regimen

Additional Inclusion Criteria for Part 4:

  1. Patients must have metastatic pancreatic adenocarcinoma, and have not received previous treatment in a metastatic setting

Key Exclusion Criteria:

  1. History of severe reactions to other monoclonal antibodies.
  2. Previous treatment with any anti-0 antibody or with FLT3L.
  3. Inadequate from prior therapy as defined in the Protocol.
  4. Major surgery within 4 weeks prior to study treatment.
  5. Use of medications within 4 weeks or systemic within 2 weeks prior to study treatment.
  6. Other prior , except for adequately treated basal or squamous cell skin cancer or in situ cancers. For all other cancers, the patient must be disease-free for at least 3 years to be allowed to enroll.
  7. Active, untreated central nervous system metastases.
  8. Active disease or documented history of autoimmune disease.
  9. History of (non-infectious) pneumonitis or has current pneumonitis.
  10. Active infection requiring systemic therapy, known infection of , , or .

Additional Exclusion Criteria for lymphoma patients in Part 1:

  1. Prior allogenic stem cell transplantation
  2. Patients who have received stem cell transplant ≤ 12 weeks prior to the first dose of study drug.

There are additional criteria your study doctor will review with you to confirm your eligibility for the study.

Terms in these criteria, in plain language(16)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

PD-1, PD-L1 and checkpoint inhibitors

PD-1, PD-L1 and CTLA-4 are proteins that act as brakes on the immune system. Checkpoint inhibitors, such as pembrolizumab or nivolumab, block them so the immune system can attack a cancer.

PD-L1 can also be measured in a tumour sample. Some scores count stained tumour cells only (TPS); others also count certain immune cells (CPS). The study names the score and the minimum it uses.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

CD4 count

The number of CD4 cells, a type of white blood cell, in a given amount of blood. It is used to follow how well the immune system is doing in HIV.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
132 participants (actual)

Study arms

  • Experimental
    CDX-1140

    Part 1: Eligible patients will receive CDX-1140, based on cohort assigned, in 4 week cycles until progression, intolerance, or two years of treatment.

    Drug: CDX-1140

  • Experimental
    CDX-1140 and CDX-301

    Part 2: Eligible patients will receive CDX-1140, based on cohort assigned, in 4 week cycles until progression, intolerance or two years of treatment. A fixed dose of CDX-301 is injected once a day for five days before cycles 1 and 2 of CDX-1140.

    Drug: CDX-1140 · Drug: CDX-301

  • Experimental
    CDX-1140 and pembrolizumab

    Part 3: Eligible patients will receive CDX-1140, based on cohort assigned, in 3 week cycles until progression, or intolerance, or two years of treatment. A fixed dose of pembrolizumab will also be given in 3 week cycles.

    Drug: CDX-1140 · Drug: pembrolizumab

  • Experimental
    CDX-1140 and chemotherapy

    Part 4: Eligible patients will receive CDX-1140, based on cohort assigned, in 4 week cycles until progression, or intolerance, or two years of treatment. Chemotherapy will also be given according to standard of care.

    Drug: CDX-1140 · Drug: Chemotherapy

Interventions

  • CDX-1140 will be administered every 4 weeks in Parts 1, 2 and 4, and every 3 weeks in Part 3.

  • CDX-301 will be injected once a day for five days before Cycles 1 and 2.

  • pembrolizumab will be administered every 3 weeks.

    Also known as: KEYTRUDA®

  • DrugChemotherapy

    Gemcitabine and Nab-paclitaxel will be administered on Day 1, Day 8 and Day 15 of each 4 week Cycle.

06

What researchers measure

Primary outcomes

  1. Safety and Tolerability of CDX-1140 as assessed by CTCAE v5.0

    The rates of drug-related adverse events will be summarized and maximum tolerated dose will be determined.

    Time frame: From first dose through 30 days after last dose

Secondary outcomes

  1. Objective Response Rate

    The percentage of patients who achieved a confirmed complete response or partial response by evaluation criteria in solid tumors for immune-based therapeutics (iRECIST; for solid tumor patients) and the lymphoma response to immunomodulatory therapy criteria (LYRIC; for lymphoma patients).

    Time frame: Every 8-12 weeks, starting with first dose until disease progression, assessed up to approximately 1-3 years.

  2. Clinical benefit rate

    The percentage of patients who achieve best response of confirmed CR or PR, or stable disease (SD) for at least four months

    Time frame: Every 8-12 weeks, starting with first dose until disease progression, assessed up to approximately 1-3 years

  3. Duration of Response

    The interval from which measurement criteria are first met for CR or PR until the first date that progressive disease is objectively documented

    Time frame: First occurrence of a documented objective response to disease progression or death (up to approximately 1-3 years)

  4. Progression-free survival

    The time from start of study drug to time of progression or death, whichever occurs first

    Time frame: From first dose to the first occurrence of disease progression or death due to any cause (up to approximately 1-3 years)

  5. Overall survival

    The time from start of study drug to death

    Time frame: The time from start of study drug to death from any cause (up to approximately 1-3 years)

  6. Immunogenicity evaluation

    Serum samples will be obtained for assessment of human anti-CDX-1140 and anti-CDX-301 antibodies

    Time frame: Prior to each dose of study treatment and at treatment discontinuation, up to approximately 1-3 years

  7. Pharmacokinetic evaluation

    CDX-1140 and CDX-301 concentrations will be measured

    Time frame: Prior to each study treatment, multiple timepoints after each study treatment, and at treatment discontinuation up to approximately 1-3 years

07

Study locations

11 sites
  • HonorHealth Research Insititute
    Scottsdale, Arizona 85258, United States
  • Northside Hospital, Inc.
    Atlanta, Georgia 30342, United States
  • Georgia Cancer Center at Augusta University
    Augusta, Georgia 30912, United States
  • Oncology Hematology West, PC dba Nebraska Cancer Specialists
    Omaha, Nebraska 68130, United States
  • Icahn School of Medicine at Mount Sinai
    New York, New York 10029, United States
  • Memorial Sloan Kettering Cancer Center
    New York, New York 10065, United States
  • Gabrail Cancer Center Research LLC
    Canton, Ohio 44718, United States
  • Providence Portland Medical Center
    Portland, Oregon 97213, United States
  • Abramson Cancer Center at the University of Pennsylvania
    Philadelphia, Pennsylvania 19104, United States
  • Rhode Island Hospital (RIH) The Miriam Hospital (TMH)
    Providence, Rhode Island 02903, United States
  • Houston Methodist
    Houston, Texas 77030, United States
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Dec 2017 to primary completion in Sep 2022, 57 months.

Of 225 industry-sponsored phase 1 interventional studies under Melanoma, half reached primary completion within 46 months of starting (the median), counting those still running; a quarter within 28 and three quarters within 66. This study's 57 months is above that.

Counting every sponsor, half of 411 studies reached it within 49 months; a quarter within 31 and three quarters within 76.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 23, 2017
First posted
Nov 6, 2017
StartActual
Dec 1, 2017
Primary completionActual
Sep 13, 2022
CompletionActual
Sep 13, 2022
Last update
Mar 28, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 28, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03329950
Responsible party
Sponsor
First posted
Nov 6, 2017
Start date
Dec 1, 2017
Primary completion
Sep 13, 2022
Completion
Sep 13, 2022
Last update
Mar 28, 2024

Oversight

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

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This study is completed, as verified in Mar 2024. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: CDX-1140

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