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Brief Title: STK-012 Monotherapy and in Combination With Pembrolizumab in Patients With Solid Tumors

A Phase 1/2 Study to Evaluate STK-012 as a Single Agent and in Combination Therapy in Subjects With Front-line Advanced NSCLC and Other Selected Indications

INTRODUCTION

  • Org Study ID: STK-012-101
  • Secondary ID: N/A
  • NCT ID: NCT05098132
  • Sponsor: Synthekine

BRIEF SUMMARY

This is a phase 1/2, multicenter, open-label study. The phase 1 portion is a dose escalation and expansion study of STK-012 as monotherapy and in combination therapy in patients with selected advanced solid tumors. The phase 2 portion is a randomized study of STK-012 in combination with standard of care (SoC) pembrolizumab, pemetrexed, and carboplatin versus SoC, in patients with first line, PD-L1 negative or STK11 mutated, non-squamous, non-small cell lung cancer.

DETAILED DESCRIPTION

Phase 1: The phase 1a portion is a dose escalation study to evaluate STK-012 as monotherapy and in combination therapy in patients with selected solid tumors. The phase 1b portion is a dose expansion study to evaluate STK-012 as monotherapy and in combination therapy at the candidate recommended phase 2 dose (RP2D) in selected solid tumor types.

Phase 2: The phase 2 portion is a randomized, open label study to evaluate STK-012 at two dose levels in combination with standard of care (SoC) pembrolizumab, pemetrexed and carboplatin, versus SoC, in patients with first line, PD-L1 negative or STK11 mutated, non-squamous, non-small cell lung cancer. Subjects in the randomized Phase 2 portion (Part G) will be randomized 1:1:1 and stratified by tumor PD-L1 expression and STK11 mutation status.

  • Overall Status
    Recruiting
  • Start Date
    January 25, 2022
  • Phase
    PHASE1, PHASE2
  • Study Type
    Interventional

PRIMARY OUTCOMES

Primary Outcome 1 - Measure: Phase 1a: Treatment emergent adverse events (TEAEs)

Primary Outcome 1 - Timeframe: From 1st dose of study treatment through 90 days after last dose

Primary Outcome 2 - Measure: Phase 1a: Serious adverse events (SAEs)

Primary Outcome 2 - Timeframe: From 1st dose of study treatment through 90 days after last dose

Primary Outcome 3 - Measure: Phase 1a: Dose limiting toxicities (DLTs)

Primary Outcome 3 - Timeframe: Cycle 1

Primary Outcome 4 - Measure: Phase 1a: Deaths

Primary Outcome 4 - Timeframe: Days 1 through 21

Primary Outcome 5 - Measure: Phase 1b: TEAEs at the RP2D

Primary Outcome 5 - Timeframe: From 1st dose of study treatment until death

Primary Outcome 6 - Measure: Phase 1b: SAEs at the RP2D

Primary Outcome 6 - Timeframe: up to 4 years

Primary Outcome 7 - Measure: Phase 1b: Deaths at the RP2D

Primary Outcome 7 - Timeframe: From 1st dose of study treatment through 90 days after last dose

Primary Outcome 8 - Measure: Phase 2: Overall response rate (ORR) in Arm A versus Arm C

Primary Outcome 8 - Timeframe: From 1st dose of study treatment through 90 days after last dose

CONDITION

  • Advanced Solid Tumor
  • Non Small Cell Lung Cancer
  • Untreated Advanced NSCLC
  • 1st Line NSCLC

ELIGIBILITY

Selected Inclusion Criteria:
1. Phase 1: Selected advanced solid tumors

- 2. Phase 2:
* Diagnosis of non-small cell lung cancer (NSCLC).

- * Stage IV or Stage IIIB/IIIC and not a candidate for definitive treatment.

- * Non-squamous (NSQ) cell histology.

- * No prior systemic therapy for advanced/metastatic NSQ NSCLC.

- * Must have a tumor that meets at least one of the following criteria on local testing:
* PD-L1 negative (TPS <1%), OR; - * STK11 mutated on tumor tissue or ctDNA - * No known actionable EGFR, ALK, ROS1, or other actionable genomic aberrations for which there is a local standard of care available as front line therapy.
Selected Exclusion Criteria:
2. Phase 2:
* Prior immune checkpoint inhibitor (anti-PD[L]1 and/or anti-CTLA-4) treatment

- * Rare tumor subtypes (mucinous histology or tumors with small cell, neuroendocrine, or sarcomatoid components).

- * Received radiotherapy ≤ 7 days of the first dose of study treatment.

- * Known active central nervous system metastases

- * Any history of carcinomatous meningitis

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: Synthekine STK-012-101 Contact

Phone: 650-606-6319

Email: [email protected]

LOCATION

Facility Status Contact
Facility: University of Arizona Cancer Center
Tucson, Arizona 85721
United States
Status: Recruiting Contact: N/A
Facility: Beverly Hills Cancer Center
Beverly Hills, California 90211
United States
Status: Recruiting Contact: N/A
Facility: Providence Medical Foundation
Fullerton, California 92835
United States
Status: Recruiting Contact: N/A
Facility: Cedars Sinai
Los Angeles, California 90048
United States
Status: Recruiting Contact: N/A
Facility: Hoag Memorial Hospital Presbyterian
Newport Beach, California 92663
United States
Status: Recruiting Contact: N/A
Facility: UCLA Hematology/Oncology - Santa Monica
Santa Monica, California 90404
United States
Status: Recruiting Contact: N/A
Facility: Yale New Haven Hospital, Yale Cancer Center
New Haven, Connecticut 06510
United States
Status: Recruiting Contact: N/A
Facility: Georgetown University
Washington D.C., District of Columbia 20057
United States
Status: Recruiting Contact: N/A
Facility: Winship Cancer Institute, Emory University
Atlanta, Georgia 30322
United States
Status: Recruiting Contact: N/A
Facility: University of Chicago
Chicago, Illinois 60637
United States
Status: Recruiting Contact: N/A
Facility: University of Maryland
Baltimore, Maryland 21201
United States
Status: Recruiting Contact: N/A
Facility: Massachusetts General Hospital
Boston, Massachusetts 02114
United States
Status: Recruiting Contact: N/A
Facility: Beth Israel Deaconess Medical Center
Boston, Massachusetts 02215
United States
Status: Recruiting Contact: N/A
Facility: Dana-Farber Cancer Institute
Boston, Massachusetts 02215
United States
Status: Recruiting Contact: N/A
Facility: HealthPartners Cancer Center at Regions Hospital
Saint Paul, Minnesota 55101
United States
Status: Recruiting Contact: N/A
Facility: Northwell Health
Lake Success, New York 11042
United States
Status: Recruiting Contact: N/A
Facility: NYU Langone Health
New York, New York 10016
United States
Status: Recruiting Contact: N/A
Facility: Memorial Sloan-Kettering Cancer Center
New York, New York 10065
United States
Status: Recruiting Contact: N/A
Facility: University Hospitals Cleveland
Cleveland, Ohio 44106
United States
Status: Recruiting Contact: N/A
Facility: The James Cancer Hospital and Solove Research Institute
Columbus, Ohio 43210
United States
Status: Recruiting Contact: N/A
Facility: Providence Cancer Institute
Portland, Oregon 97123
United States
Status: Recruiting Contact: N/A
Facility: Fox Chase Cancer Center
Philadelphia, Pennsylvania 19111
United States
Status: Recruiting Contact: N/A
Facility: Oncology Consultants
Houston, Texas 77303
United States
Status: Recruiting Contact: N/A
Facility: NEXT Virginia
Fairfax, Virginia 22031
United States
Status: Recruiting Contact: N/A