Study to Test How Well Patients With Advanced Solid Tumors Respond to Treatment With the Elimusertib in Combination With Pembrolizumab, to Find the Optimal Dose for Patients, How the Drug is Tolerated and the Way the Body Absorbs, Distributes and Discharges the Drug

Not Recruiting

Trial ID: NCT04095273

Purpose

The purpose of the study is to test how well patients with advanced solid tumors respond to treatment with elimusertib (BAY1895344) in combination with pembrolizumab. In addition researchers want to find for patients the optimal dose of elimusertib in combination with pembrolizumab, how the drug is tolerated and the way the body absorbs, distributes and discharges the drug. The study medication, elimusertib, works by blocking a substance (ATR Kinase) which is produced by the body and is important for the growth of tumor cells. Pembrolizumab is an immunologic checkpoint blocker that promotes an immune response against the tumor.

Official Title

A Multicenter, Non-randomized, Open-label Phase 1b Study to Determine the Maximum Tolerated and Recommended Phase 2 Dose of the ATR Inhibitor Elimusertib in Combination With Pembrolizumab and to Characterize Its Safety, Tolerability, Pharmacokinetics and Preliminary Anti-tumor Activity in Participants With Advanced Solid Tumors

Stanford Investigator(s)

Melinda L. Telli, M.D.
Melinda L. Telli, M.D.

Professor of Medicine (Oncology)

Eligibility


Inclusion Criteria:

   - Participant must be ≥18 years of age inclusive, at the time of signing the informed
   consent.

   - Presence of the putative biomarkers of DDR deficiency in tumor and/or other tissues
   (dose escalation only).

   - Participants must have histologically confirmed solid tumors .

   - Eastern Cooperative Oncology Group performance status (ECOG-PS) of 0 to 1.

   - Adequate bone marrow function as assessed by laboratory tests to be conducted within 7
   days before the first dose of study intervention.

   - Participants must have adequate kidney function, as assessed by the estimated
   glomerular filtration rate (eGFR) > 40 mL/min per 1.73 m*2 within 7 days before the
   first dose of study intervention.

   - Participants must have adequate liver function as assessed by laboratory tests to be
   conducted within 7 days before the first dose of study intervention.

   - Participants must have adequate coagulation, as assessed by laboratory tests as
   applicable, (to be conducted within 7 days before the first dose of study
   intervention) or be on stable anti-coagulation treatment.

   - Adequate cardiac function per institutional normal measured by echocardiography
   (recommended) or multigated acquisition (MUGA) scan/cardiac MRI per institutional
   guidelines.

   - Participants must have measurable disease (at least one measurable lesion) as per
   RECIST 1.1, or evaluable disease according to the Prostate Cancer Clinical Trials
   Working Group 3 (PCWG3) classification as applicable. Lesions situated in a previously
   irradiated area are considered measurable if progression has been demonstrated in such
   lesions

Exclusion Criteria:

   - Ongoing infections of Common terminology criteria for adverse events (CTCAE) grade ≥2
   not responding to therapy or active clinically serious infections.

   - Participants with

      - Known human immunodeficiency virus (HIV)

      - Active Hepatitis B infection (positive for Hepatitis B surface antigen (HBsAg)/
      Hepatitis B virus (HBV) DNA).

      - Active Hepatitis C infection (positive anti-HCV Antibody and quantitative HCV RNA
      results greater than the lower limits of detection of the assay).

   - Active autoimmune disease (active defined as having autoimmune disease related
   symptoms and detectable autoantibodies) that has required systemic treatment in the
   past 2 years (i.e., with use of disease-modifying agents, corticosteroids, or
   immunosuppressive drugs). Replacement therapy (e.g. thyroxine, insulin, or physiologic
   corticosteroid replacement therapy for adrenal or pituitary insufficiency, etc.) is
   not considered a form of systemic treatment

   - Diagnosis of immunodeficiency or participant is receiving chronic systemic steroid
   therapy (in dosing exceeding 10 mg daily of prednisone equivalent) or any other form
   of immunosuppressive therapy within 7 days prior to the first dose of study
   intervention. The use of physiologic doses of corticosteroids may be approved after
   consultation with the sponsor.

   - Pleural effusion or ascites that causes respiratory compromise (CTCAE Grade ≥ 2
   dyspnea).

   - History of cardiac disease: congestive heart failure New York Heart Association (NYHA)
   class >II, unstable angina (angina symptoms at rest), new-onset angina (within the
   past 6 months before study entry), myocardial infarction within the past 6 months
   before study entry, or cardiac arrhythmias requiring anti-arrhythmic therapy (beta
   blockers, calcium channel blockers, and digoxin are permitted)

   - Uncontrolled arterial hypertension despite optimal medical management (per
   investigator's opinion)

   - Moderate or severe hepatic impairment, i.e., Child-Pugh class B or C.

   - History of organ allograft transplantation

   - Evidence or history of bleeding disorder, i.e., any hemorrhage / bleeding event of
   CTCAE Grade > 2 within 4 weeks before the first dose of study intervention

Intervention(s):

drug: Elimusertib (BAY1895344)

drug: Pembrolizumab (Keytruda®)

Not Recruiting

Contact Information

Stanford University
School of Medicine
300 Pasteur Drive
Stanford, CA 94305
Anastasia L Harper
650-725-0378

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