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Completed

NCT Number: NCT03696771

Study to Determine Safety and Dose of NJH395 in Non-breast HER2+ Advanced Cancer

A first-in-human study using NJH395 in non-breast HER2-positive advanced malignancies

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Novartis Investigative Site, Milan, MI, Italy

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About this study

This study has two parts. There will be a single dose of NJH395 in the first part and multiple doses of NJH395 in the second part. After the first part is completed, the second part may open.

Who can participate

Healthy volunteers accepted: No

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

Key Inclusion Criteria:

  • Patient must have known histologically or cytologically confirmed and documented HER2-positive solid tumor excluding patients with breast cancer
  • Advanced/metastatic cancer with measurable disease as determined by RECIST v.1.1 who have progressed or are intolerant to all approved therapies known to confer clinical benefit.
  • Eastern Cooperative Oncology Group (ECOG) performance status ≤2.
  • Patient must have a site of disease amenable to biopsy, and be a candidate for tumor biopsy according to the treating institution's guidelines. Patient must be willing to undergo a new tumor biopsy prior to therapy, and during therapy on this study.

Key Exclusion Criteria:

  • History of severe hypersensitivity to any ingredient of study drug, trastuzumab or other monoclonal antibody.
  • Patients previously treated with TLR 7/8 agonist.
  • Impaired cardiac function or history of clinically significant cardiac disease
  • Active, known or suspected autoimmune disease.
  • Human Immunodeficiency virus (HIV) infection
  • History of or current interstitial lung disease or pneumonitis Grade 2 or greater.
  • Discontinued prior checkpoint inhibitor due to a checkpoint inhibitor related toxicity.
  • Currently receiving medications known to cause Torsades de Pointe that cannot be discontinued 7 days prior to starting treatment

Other protocol defined inclusion/exclusion criteria may apply.

Treatment and study plan

NJH395

Drug

Immune stimulator antibody conjugate (ISAC), consisting of a monoclonal antibody which targets HER2 conjugated to an immune-stimulatory agent

Primary outcomes

  1. Incidence and severity of dose limiting toxicities (DLTs)

    Time frame: 21 days

    The time frame will expand to 42 days for the second part of the study

  2. Number of participants with Adverse Events

    Time frame: 2.5 years

Secondary outcomes

  1. Concentration versus time profiles for NJH395 and its catabolite

    Time frame: 126 days

  2. PK parameter (Cmax) for NJH395

    Time frame: 126 days

  3. Pharmacokinetic (PK) parameter (AUC) for NJH395

    Time frame: 126 days

  4. Incidence of anti-NJH395 antibodies and neutralizing antibodies to trastuzumab

    Time frame: 126 days

  5. Overall Response Rate

    Time frame: 2.5 years

    Response assessed by RECIST v1.1 and iRECIST

  6. Clinical Benefit Rate (CBR)

    Time frame: 2.5 years

    Response assessed by RECIST v1.1 and iRECIST

  7. Progression Free Survival (PFS)

    Time frame: 2.5 years

    Time from start of treatment to date of the first documented progression or death in months

  8. Duration of Response (DOR)

    Time frame: 2.5 years

    Response assessed by RECIST v1.1 and iRECIST

  9. Characterization of tumor-infiltrating lymphocytes by IHC

    Time frame: Cycle 1 Day 5, Cycle 2 Day 1 (each cycle is 21 days), Cycle 8 Day 1 and at end of treatment (expected between months 6 and 7)

    Change from baseline in TILs by immunohistochemistry (IHC) (such as CD8).

Sponsors and collaborators

Lead sponsor

Novartis Pharmaceuticals

Industry

Registry information

Official study title

A Phase I, Multicenter, Open-label Dose Finding Study of NJH395, Administered Intravenously in Patients With Non-breast HER2+ Advanced Malignancies

Important dates

Study start
2018
Primary completion
2020
Study completion
2020
First posted
Oct 5, 2018
Registry last updated
Feb 4, 2022

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.