Intratumoral Cavrotolimod Combined With Pembrolizumab or Cemiplimab in Patients With Merkel Cell Carcinoma, Cutaneous Squamous Cell Carcinoma, or Other Advanced Solid Tumors
NCT03684785 · Status: TERMINATED · Phase: PHASE1/PHASE2 · Type: INTERVENTIONAL · Enrollment: 57
Last updated 2022-04-07
Summary
This is a phase 1b/2, open-label, two-part, multicenter trial designed to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics and preliminary efficacy of intratumoral cavrotolimod injections alone and in combination with intravenous pembrolizumab or cemiplimab in patients with Merkel Cell Carcinoma, cutaneous squamous cell carcinoma, and advanced solid tumors.
Phase 1b of this trial is a 3+3 dose escalation study evaluating escalating or intermediate dose levels of cavrotolimod given with a fixed dose of pembrolizumab.
The Phase 2 dose expansion part of the study will consist of two primary cohorts of patients: Merkel cell carcinoma and cutaneous squamous cell carcinoma. Patients in the Merkel Cell Carcinoma cohort will receive IT cavrotolimod combined with a fixed, standard dose of pembrolizumab while the Cutaneous Squamous Cell Carcinoma cohort will receive IT cavrotolimod combined with a fixed, standard dose of cemiplimab. The Phase 2 dose expansion is designed to provide a preliminary estimate of efficacy in patients that have progressed on an anti-PD-(L)1 CPI.
Conditions
- Advanced or Metastatic Merkel Cell Carcinoma
- Advanced or Metastatic Cutaneous Squamous Cell Carcinoma
- Advanced or Metastatic Melanoma
- Advanced or Metastatic Head and Neck Squamous Cell Carcinoma
- Advanced or Metastatic Solid Tumors
Interventions
- DRUG
-
Cavrotolimod
Intratumorally dosed cavrotolimod.
- BIOLOGICAL
-
Pembrolizumab dosing as per the US prescribing information.
- BIOLOGICAL
-
Cemiplimab dosing as per the US prescribing information.
- DRUG
-
Cavrotolimod
Subcutaneously dosed cavrotolimod
Sponsors & Collaborators
-
Exicure, Inc.
lead INDUSTRY
Principal Investigators
-
Exicure Inc. · Exicure, Inc.
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SEQUENTIAL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-12-13
- Primary Completion
- 2022-03-30
- Completion
- 2022-03-30
- FDA Drug
- Yes
Countries
- United States
Study Locations
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