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Completed

NCT Number: NCT02676869

Phase 1 Study of IMP321 (Eftilagimod Alpha) Adjuvant to Anti-PD-1 Therapy in Unresectable or Metastatic Melanoma

The purpose of this study is to determine the safety, tolerability and recommended phase 2 dose of a new drug, known as IMP321, in combination with pembrolizumab when given to patients with unresectable or metastatic melanoma.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Greenslopes Private Hospital, Brisbane, Queensland, Australia

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Main Inclusion Criteria

  • Histologically confirmed diagnosis of locally advanced (unresectable Stage III) or metastatic (Stage IV) melanoma
  • Currently receiving anti-PD-1 therapy with pembrolizumab and after 3 cycles achieved asymptomatic irPD (slowly progressive, not requiring urgent intervention, and stable performance status) or sub-optimal response (irSD, irPR) as demonstrated in imaging assessments performed within 6 weeks prior to study start
  • Female or male 18 years of age or above
  • ECOG performance status 0-1
  • Evidence of measurable disease as defined by Response Evaluation Criteria in Solid Tumours (RECIST) version 1.1 10. Adequate Laboratory criteria

Main Exclusion Criteria

  • More than four prior lines of therapies for advanced or metastatic disease.
  • Prior PD-1/PDL-1 targeted therapy
  • Currently receiving treatment with another investigational drug, or less than 4 weeks since ending treatment on another investigational drug
  • Currently receiving systemic chemotherapy, targeted small molecule therapy, radiotherapy, or biological cancer therapy (other than pembrolizumab) or less than 4 weeks since completion of these therapies and first dose of study treatment
  • History of irAEs from ipilimumab of CTCAE Grade 4 requiring steroid treatment
  • Known cerebral or leptomeningeal metastases
  • Serious intercurrent infection within 4 weeks prior to first dose of study treatment
  • Active acute or chronic infection
  • History or evidence of interstitial lung disease or active non-infectious pneumonitis
  • Active auto-immune disease requiring immunosuppressive therapy
  • HIV positivity, active hepatitis B or hepatitis C
  • Continuous systemic treatment with either corticosteroids or other immunosuppressive medications within 4 weeks prior to first dose of study treatment

Treatment and study plan

IMP321 (eftilagimod alpha)

Drug

Part A: Single subcutaneous injections of 1 mg (cohort 1), 6 mg (cohort 2) or 30 mg (cohort 3) of IMP321 administered every 2 weeks

Part B: Single subcutaneous injections of 30 mg of IMP321 administered every 2 weeks

Other names: Eftilagimod alpha

Pembrolizumab

Drug

Administered according to the approved label.

Primary outcomes

  1. To assess the recommended phase 2 dose

    Time frame: From the time of inform consent form signature until 30 days after end of treatment

  2. To asses frequency of adverse events

    Time frame: From the time of inform consent form signature until 30 days after end of treatment

  3. To asses severity of adverse events

    Time frame: From the time of inform consent form signature until 30 days after end of treatment

  4. To asses duration of adverse events

    Time frame: From the time of inform consent form signature until 30 days after end of treatment

Secondary outcomes

  1. Best overall response rate (ORR) to irRC and RECIST 1.1

    Time frame: From the time of inform consent form signature until 30 days after end of treatment.

  2. Time to next treatment (TTNT)

    Time frame: Up to 12 months

  3. Progression-free survival

    Time frame: Up to 12 months

  4. Overall survival (part B only)

    Time frame: Up to 12 months

Sponsors and collaborators

Lead sponsor

Immutep Australia Pty. Ltd.

Industry

Registry information

Official study title

A Multicentre, Open Label, Dose Escalation, Phase 1 Study in Patients With Unresectable or Metastatic Melanoma Receiving IMP321 (LAG-3Ig Fusion Protein-eftilagimod Alpha) as an Adjunctive Therapy to Anti-PD-1 Therapy With Pembrolizumab

Acronym: TACTI-mel

Important dates

Study start
2016
Primary completion
2019
Study completion
2019
First posted
Feb 8, 2016
Registry last updated
Dec 18, 2019

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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