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CompletedNCT03454451Updated Dec 21, 2023

CPI-006 Alone and in Combination With Ciforadenant and With Pembrolizumab for Patients With Advanced Cancers

A Phase 1 interventional study of CPI-006 and CPI-006 + ciforadenant in Non-Small Cell Lung Cancer, Renal Cell Cancer and Colorectal Cancer, sponsored by Corvus Pharmaceuticals, Inc.. Completed at 27 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-12-21.

Sponsored by Corvus Pharmaceuticals, Inc. · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
117
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a Phase 1/1b open-label, dose escalation and dose expansion study of CPI-006, a humanized monoclonal antibody (mAb) targeting the CD73 cell-surface ectonucleotidase in adult subjects with select advanced cancers. CPI-006 will be evaluated as a single agent, in combination with ciforadenant (an oral adenosine 2A receptor antagonist), in combination with pembrolizumab (an anti-PD1 antibody), and in combination with ciforadenant and pembrolizumab.

02

Conditions studied

  • Non-Small Cell Lung Cancer
  • Renal Cell Cancer
  • Colorectal Cancer
  • Triple Negative Breast Cancer
  • Cervical Cancer
  • Ovarian Cancer
  • Pancreatic Cancer
  • Endometrial Cancer
  • Sarcoma
  • Squamous Cell Carcinoma of the Head and Neck
  • Bladder Cancer
  • Metastatic Castration Resistant Prostate Cancer
  • Non-hodgkin Lymphoma

Keywords

  • NSCLC
  • RCC
  • TNBC
  • mCRPC
  • CRC
  • Lung Cancer
  • Kidney Cancer
  • Rectal Cancer
  • Breast Cancer
  • Sarcoma
  • Endometrial
  • Pancreatic
  • Ovarian
  • SCCHN
  • NHL
03

Who can participate

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

Inclusion criteria

  1. Eastern Cooperative Oncology Group (ECOG) Performance Status 0-1.
  2. Documented incurable cancer with one of the following histologies: nonsmall cell lung cancer, renal cell cancer, triple negative breast cancer, colorectal cancer with microsatellite instability(MSI), bladder cancer, cervical cancer, uterine cancer, sarcoma, endometrial cancer, and metastatic castration resistant prostate cancer.
  3. At least 1 measurable lesion per Response Evaluation Criteria in Solid Tumors (RECIST 1.1).
  4. For Escalation: At least 1 but not more than 5 prior systemic therapies for advanced/ recurrent or progressing disease. For Expansion: Subject must have progressed on, be refractory to, or intolerant to 1-3 prior systemic therapies.
  5. Willingness to provide tumor biopsies.

Exclusion criteria

Exclusion Criteria

  1. History of severe hypersensitivity reaction to monoclonal antibodies.
  2. Subjects who have received prior therapy with regimens containing cytotoxicT-lymphocyte antigen-4 (CTLA-4), programmed cell death ligand 1 (PDL1), or PD1 antagonists are NOT permitted to enroll unless all adverse events (AEs) while receiving prior immunotherapy have resolved to Grade 1 or baseline prior to screening.
  3. History of (non-infectious) pneumonitis that required steroids or subject has current pneumonitis.
  4. The use of any investigational medication or device in the 30 days prior to screening and throughout the study is prohibited.
  5. Symptomatic, untreated, or actively progressing central nervous system (CNS) metastases.
04

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
117 participants (actual)

Study arms

  • Experimental
    Cohort 1a

    CPI-006

    Drug: CPI-006

  • Experimental
    Cohort1b

    CPI-006 + ciforadenant

    Drug: CPI-006 + ciforadenant

  • Experimental
    Cohort 1c

    CPI-006 + pembrolizumab

    Drug: CPI-006 + pembrolizumab

  • Experimental
    Cohort 2a

    CPI-006

    Drug: CPI-006

  • Experimental
    Cohort 2b

    CPI-006 + ciforadenant

    Drug: CPI-006 + ciforadenant

  • Experimental
    Cohort 2c

    CPI-006 + pembrolizumab

    Drug: CPI-006 + pembrolizumab

Interventions

  • DrugCPI-006

    Subjects will receive escalating doses of CPI-006 administered intravenously once every 21 days until MTD is reached or until disease progression.

  • DrugCPI-006 + ciforadenant

    Subjects will receive escalating doses of CPI-006 administered intravenously once every 21 days in combination with CPI-444 orally twice daily until MTD is reached for CPI-006 or until disease progression.

  • DrugCPI-006 + pembrolizumab

    Subjects will receive escalating doses of CPI-006 in combination with pembrolizumab administered intravenously once every 21 days until MTD is reached for CPI-006 or until disease progression.

  • DrugCPI-006

    Selected dose of CPI-006 administered intravenously once every 21 days until disease progression.

  • DrugCPI-006 + ciforadenant

    Selected dose of CPI-006 administered intravenously once every 21 days, in combination with CPI-444 orally twice daily until disease progression.

  • DrugCPI-006 + pembrolizumab

    Selected dose of CPI-006 in combination with pembrolizumab administered intravenously once every 21 days until disease progression.

05

What researchers measure

Primary outcomes

  1. Incidence of dose-limiting toxicities (DLTs) of CPI-006 as a single agent and in combination with ciforadenant and with pembrolizumab.

    Time frame: From start of treatment to end of treatment, up to 36 months

  2. Incidence of treatment-emergent adverse events as assessed by NCI CTCAE v.4.03, of CPI-006 as single agent and in combination with ciforadenant and with pembrolizumab.

    Time frame: From start of treatment to end of treatment, up to 36 months

  3. Identify the MDL(maximum dose level) of single agent CPI-006

    Time frame: From start of treatment to end of treatment, up to 36 months

Secondary outcomes

  1. Area under the curve (AUC) of CPI-006

    Time frame: Day 1, 2, 8 , and 15 of Cycle 1 & 4 (each cycle is 21 days).

  2. Maximum serum concentration (Cmax) of CPI-006

    Time frame: Day 1, 2, 8 , and 15 of Cycle 1 & 4 (each cycle is 21 days).

  3. Objective response rate per RECIST v.1.1 criteria of CPI-006 as single agent and in combination with ciforadenant and with pembrolizumab.

    Time frame: From start of treatment to end of treatment, up to 36 months

06

Study locations

27 sites
  • Arizona Oncology
    Tucson, Arizona 85711, United States
  • City Of Hope
    Duarte, California 91010, United States
  • UC San Francisco
    San Francisco, California 94143, United States
  • Yale School of Medicine
    New Haven, Connecticut 06519, United States
  • University of Miami
    Miami, Florida 33136, United States
  • Northwestern University
    Chicago, Illinois 60611, United States
  • The University of Chicago
    Chicago, Illinois 60637, United States
  • The John Hopkins University
    Baltimore, Maryland 21224, United States
  • Dana Farber
    Boston, Massachusetts 02215, United States
  • Comprehensive Cancer Centers of Nevada
    Las Vegas, Nevada 89169, United States
  • NY Hematology
    Albany, New York 12206, United States
  • Roswell Park Cancer Institute
    Buffalo, New York 14263, United States
  • Icahn School of Medicine at Mount Sinai
    New York, New York 10029, United States
  • Carolina BioOncology Institute
    Huntsville, North Carolina 28078, United States
  • Oncology Hematology Care
    Cincinnati, Ohio 45242, United States
  • University of Oklahoma - Stephenson Cancer Center
    Oklahoma City, Oklahoma 73104, United States
  • UPMC Hillman
    Pittsburgh, Pennsylvania 15232, United States
  • Greenville
    Greenville, South Carolina 29605, United States
  • Sarah Cannon Research Institute
    Nashville, Tennessee 37203, United States
  • Mary Crowley Cancer Research
    Dallas, Texas 75230, United States
  • Virginia Cancer
    Fairfax, Virginia 22031, United States
  • Froedtert Hospital & Medical College of Wisconsin
    Milwaukee, Wisconsin 53226, United States
  • Lifehouse
    Camperdown, New South Wales 2050, Australia
  • St. Vincent's Hospital
    Darlinghurst, New South Wales 2010, Australia
  • Westmead
    Westmead, New South Wales 3168, Australia
  • Royal Brisbane
    Herston, Queensland 4029, Australia
  • Monash Hospital
    Clayton, Victoria 3168, Australia
07

Registry details

Key details

Study ID
NCT03454451
Lead sponsor
Corvus Pharmaceuticals, Inc.
Responsible party
Sponsor
First posted
Mar 6, 2018
Start date
Apr 25, 2018
Primary completion
Dec 28, 2022
Completion
Feb 19, 2023
Last update
Dec 21, 2023

Study contacts

S Mahabhashyam, MD
study chair · Corvus Pharmaceuticals

Oversight

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

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