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Brief Title: FF-10832 in Combo With Pembrolizumab in Urothelial & Non-small Cell Lung Cancer

A Phase 2a Study With Safety Run-in to Evaluate the Safety, Tolerability, and Preliminary Efficacy of FF-10832 Monotherapy or in Combination With Pembrolizumab in Patients With Advanced Solid Tumors

INTRODUCTION

  • Org Study ID: FF10832-PEM-201/KEYNOTE-B57
  • Secondary ID: N/A
  • NCT ID: NCT05318573
  • Sponsor: Fujifilm Pharmaceuticals U.S.A., Inc.

BRIEF SUMMARY

To confirm a recommended Phase 2 dose (RP2D) of FF-10832 (Gemcitabine Liposome Injection) given intravenously Day 1 of a 21-day cycle, in combination with 200 mg pembrolizumab given intravenously Day 1 of the same 21-day cycle, for treatment of advanced urothelial and non-small cell lung cancer

DETAILED DESCRIPTION

This is a Phase 2a, open label clinical trial evaluating FF-10832 in combination with pembrolizumab and as monotherapy. The trial will begin with a safety run-in phase of 10 patients receiving combination therapy with pembrolizumab; FF 10832 will be dosed at 40 mg/m2 with a fixed dose of pembrolizumab (200 mg).

After confirmation of the appropriate FF-10832 dose for use with pembrolizumab, the trial will enroll up to an additional 100 patients in 2 cohorts (urothelial cancer [UC] and non-small cell lung cancer [NSCLC]) into 4 separate expansion treatment arms (approximately 25 patients in each treatment arm). The disease-defined cohorts will be patients who have progressed on PD-1/PD-L1 therapy who have UC or NSCLC.

The UC cohort will be randomized (1:1) to one of two treatment arms (monotherapy or combination therapy) and the NSCLC cohort will be randomized (1:1) to one of two treatment arms (monotherapy or combination therapy), to further establish safety and gain preliminary information on antitumor activity of FF-10832 as monotherapy or in combination with pembrolizumab.

  • Overall Status
    Recruiting
  • Start Date
    June 1, 2022
  • Phase
    Phase 2
  • Study Type
    Interventional

PRIMARY OUTCOMES

Primary Outcome 1 - Measure:

Primary Outcome 1 - Timeframe: N/A

CONDITION

  • Advanced Urothelial Carcinoma
  • Advanced Non Small Cell Lung Cancer

ELIGIBILITY

Inclusion Criteria:
1. Written informed consent is provided by patient or legally acceptable representative;

- 2. Age ≥ 18 years;

- 3. Patient populations:
1. In the Safety Run-in, patients with histologically or cytologically confirmed advanced or metastatic solid tumors who have disease progression after treatment with standard therapies for metastatic disease that are known to confer clinical benefit, or are intolerant to treatment or refuse standard treatment will be enrolled in therapy

- 2. In Expansion Phase, patient must have urothelial or NSCLC, and have failed prior anti-PD-1 or anti-PD-L1

- 4. Have measurable disease per RECIST 1.1 as assessed by the local site investigator/radiology

- 5. Eastern Cooperative Oncology Group performance status of 0 to 1

- 6. Life expectancy of ≥ 3 months
Exclusion Criteria:
1. Positive urine pregnancy test within 72 hours prior to treatment

- 2. Has received prior systemic anti-cancer therapy including investigational agents within 4 weeks (or 5 half-lives, whichever is shorter) prior to treatment;

- 3. Has received prior therapy with an anti-PD-1, anti-PD-L1, or anti PD-L2 agent or with an agent directed to another stimulatory or co-inhibitory T-cell receptor (e.g., CTLA-4, OX 40, CD137), AND was discontinued from that treatment due to a Grade 3 or higher immune-related adverse event;

- 4. Has received prior radiotherapy within 2 weeks of start of study treatment.

- 5. For patients with NSCLC:
1. Patients who have received radiation therapy to the lung that is >30 Gy within 6 months of the first dose of trial treatment are excluded;

- 2. Patients with mutations (e.g., EGFR mutations or ALK gene rearrangements) will be excluded unless they have been previously treated with all specific targeted therapies.

- 6. Has received a live or live-attenuated vaccine within 30 days prior to the first dose of study intervention.

- 7. Has had an allogeneic tissue /solid organ transplant.

Gender: All

Minimum Age: 18 Years

Maximum Age: N/A

Healthy Volunteers: No

OFFICIAL INFORMATION

Name: N/A

Role: N/A

Affiliation: N/A

Overall Contact

Name: FPHU Study Coordinator

Phone: N/A

Email: fphu@td2inc.com

LOCATION

Facility Status Contact
Facility: Sharp Memorial Hospital (Oncology Clinical Research)
San Diego, California 92123
United States
Status: Recruiting Contact: N/A
Facility: Sibley Memorial Hospital
Washington, District of Columbia 20016
United States
Status: Recruiting Contact: N/A
Facility: University of Kansas Cancer Center - Westwood
Westwood, Kansas 66205
United States
Status: Recruiting Contact: N/A
Facility: University of Kentucky Medical Center
Lexington, Kentucky 40536
United States
Status: Recruiting Contact: N/A
Facility: University of Louisville Brown Cancer Center
Louisville, Kentucky 40202
United States
Status: Recruiting Contact: N/A
Facility: Henry Ford Cancer - Detroit (Brigitte Harris Cancer Pavilion)
Detroit, Michigan 48202
United States
Status: Recruiting Contact: N/A
Facility: Washington University School of Medicine, Center for Adv Medicine
Saint Louis, Missouri 63110
United States
Status: Recruiting Contact: N/A
Facility: Comprehensive Cancer Centers of Nevada - Southern Hills
Las Vegas, Nevada 89148
United States
Status: Recruiting Contact: N/A
Facility: NYU Langone Health
New York, New York 10016
United States
Status: Recruiting Contact: N/A
Facility: Icahn School of Medicine at Mount Sinai
New York, New York 10029
United States
Status: Recruiting Contact: N/A
Facility: TriHealth Cancer Institute; Good Samaritan Hospital
Cincinnati, Ohio 45220
United States
Status: Recruiting Contact: N/A
Facility: Providence Cancer Institute Franz Clinic
Portland, Oregon 97213
United States
Status: Recruiting Contact: N/A
Facility: Hospital of the Univ of Pennsylvania Perlman Center
Philadelphia, Pennsylvania 19104
United States
Status: Recruiting Contact: N/A
Facility: UPMC Hillman Cancer Center
Pittsburgh, Pennsylvania 15232
United States
Status: Recruiting Contact: N/A
Facility: Medical University of South Carolina
Charleston, South Carolina 29425
United States
Status: Recruiting Contact: N/A
Facility: Avera Cancer Institute
Sioux Falls, South Dakota 57105
United States
Status: Recruiting Contact: N/A
Facility: University of Texas Southwestern Medical Center
Dallas, Texas 75235
United States
Status: Recruiting Contact: N/A
Facility: Virginia Cancer Specialists, PC
Fairfax, Virginia 22031
United States
Status: Recruiting Contact: N/A
Facility: University of Wisconsin Clinical Science Center
Madison, Wisconsin 53792
United States
Status: Recruiting Contact: N/A