In Situ Immunomodulation With CDX-301, Radiation Therapy, CDX-1140 and Poly-ICLC in Patients w/ Unresectable and Metastatic Solid Tumors
NCT04616248 · Status: ACTIVE_NOT_RECRUITING · Phase: PHASE1 · Type: INTERVENTIONAL · Enrollment: 14
Last updated 2026-01-07
Summary
This phase I trial evaluates the safety and effectiveness of in situ immunomodulation with CDX-301, radiotherapy, CDX-1140 and Poly-ICLC (Cohort A) and these with intravenous (IV) pembrolizumab and subcutaneous (SC) tocilizumab (Cohort B) in treating patients with unresectable and measurable metastatic melanoma, cutaneous squamous cell carcinoma (SCC), basal cell carcinoma (BCC), Merkel cell carcinoma, high-grade bone and soft tissue sarcoma or HER2/neu(-) breast cancer. CDX-301 may induce cross-presenting dendritic cells, master regulators in the immune system. Radiation therapy uses high energy to kill tumor cells and release antigens that may be picked up, processed and presented by cross-presenting dendritic cells. CDX-1140 and Poly-ICLC may activate tumor antigen-loaded,cross-presenting dendritic cells, and generate tumor-specific T lymphocytes, a type of immune cells, that can search out and attack cancers. Giving immune modulators and radiation therapy may stimulate tumor cell death and activate the immune system.
Conditions
- Anatomic Stage IV Breast Cancer AJCC v8
- Metastatic Breast Carcinoma
- Prognostic Stage IV Breast Cancer AJCC v8
- Unresectable Breast Carcinoma
- Metastatic Melanoma
- Unresectable Melanoma
- Cutaneous Squamous Cell Carcinoma
- Merkel Cell Carcinoma
- Soft Tissue Sarcoma
- Bone Sarcoma
- Sarcoma,Soft Tissue
- Sarcoma of Bone
- Basal Cell Carcinoma
Interventions
- BIOLOGICAL
-
Anti-CD40 Agonist Monoclonal Antibody CDX-1140
Given IT
- DRUG
-
Poly ICLC
Given IT
- RADIATION
-
Radiation Therapy
Undergo radiation therapy
- BIOLOGICAL
-
Recombinant Flt3 Ligand
Given IT
- DRUG
-
Given IV
- DRUG
-
Given SC
Sponsors & Collaborators
-
National Institutes of Health (NIH)
collaborator NIH -
University of Southern California
lead OTHER
Principal Investigators
-
Fumito Ito, MD · University of Southern California
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SEQUENTIAL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-01-09
- Primary Completion
- 2027-01-09
- Completion
- 2028-01-09
- FDA Drug
- Yes
Countries
- United States
Study Locations
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