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NCT04485013PHASE1Recruiting

TTX-080 HLA-G Antagonist in Subjects With Advanced Cancers

Tizona Therapeutics, Inc

Start Date

7/14/2020

Completion Date

6/1/2027

Summary

TTX-080-001 is a Phase 1, open label, dose escalation and dose expansion clinical study to determine the safety, tolerability, and recommended Phase 2 dose of TTX-080 monotherapy (HLA-G inhibitor) and in combination with either pembrolizumab (PD-1 inhibitor), cetuximab (EGFR inhibitor) or FOLFIRI plus cetuximab (EGFR inhibitor) in patients with advanced refractory / resistant solid malignancies including metastatic colorectal cancer (mCRC) patients.

Detailed Description

TTX-080 is a fully human mAb designed to block the interaction of HLA-G with its known ligands, ILT2 and ILT4 molecules. The Phase 1a was an open label, multicenter, dose escalation clinical trial to determine the safety, tolerability, MTD or OBD, and the RP2D of TTX-080 when administered as a single agent. The Phase 1b is a dose expansion of TTX-080 monotherapy and in combination with either pembrolizumab or cetuximab in adult subjects with advanced refractory/resistant solid malignancies, including Head and Neck squamous cell carcinoma (HNSCC), Non-Small Cell Lung Cancer (NSCLC), Colorectal cancer (CRC), triple negative breast cancer (TNBC), renal cell carcinoma (RCC), and acral melanoma. Additionally, the Phase 1b includes randomized arms with TTX-080 in combination with FOLFIRI plus cetuximab compared to FOLFIRI plus cetuximab in metastatic Colorectal cancer. The study will seek to evaluate the pharmacokinetics and immunogenicity of TTX-080, and characterize the anti-tumor activity of TTX-080 as a monotherapy and in combination with pembrolizumab, cetuximab or FOLFIRI plus cetuximab. Only arm 9 and 10 are currently open to enrollment.

Eligibility Criteria

Age Range: 18 years to No maximum

Abbreviated Inclusion Criteria: 1. Subject with histological diagnosis of advanced/metastatic cancer \[currently enrolling in CRC only\] 2. Age 18 years or older, is willing and able to provide informed consent 3. Evidence of measurable disease 4. Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1 AND life expectancy of at least 12 weeks Abbreviated Exclusion Criteria: 1. History of allergy or hypersensitivity to study treatment components. Subjects with a history of severe hypersensitivity reaction to any monoclonal antibody 2. Use of an investigational agent within 28 days prior to the first dose of study treatment and throughout the study 3. Receiving high-dose systemic steroid therapy or any other form of immunosuppressive therapy 4. History of severe autoimmune disease 5. Uncontrolled intercurrent illness or other active malignancy requiring ongoing treatment

Interventions

DRUG

TTX-080

DRUG

TTX-080

DRUG

pembrolizumab

DRUG

cetuximab

DRUG

FOLFIRI

DRUG

cetuximab

DRUG

TTX-080

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Conditions

Cancer

Locations

Arizona Oncology Associates

Tucson, Arizona 85711

United States

University of Southern California

Los Angeles, California 90033

United States

Hoag Memorial Hospital

Newport Beach, California 92663

United States

Rocky Mountain Cancer Centers

Denver, Colorado 80218

United States

Yale Cancer Center

New Haven, Connecticut 06511

United States

Christiana Care Helen F. Graham Cancer Center

Newark, Delaware 19713

United States

John Hopkins Kimmer Cancer Center

Washington D.C., District of Columbia 20016

United States

Florida Cancer Specialists

Daytona Beach, Florida 32117

United States

Florida Cancer Specialists

Fleming Island, Florida 32003

United States

Ocala Oncology Center

Ocala, Florida 34474

United States

AdventHealth Research Institute

Orlando, Florida 32804

United States

Illinois Cancer Specialists

Arlington Heights, Illinois 60005

United States

University of Illinois

Chicago, Illinois 60612

United States

Indiana University

Indianapolis, Indiana 46202

United States

Norton Cancer Institute

Louisville, Kentucky 40241

United States

American Oncology Partners, P.A. - The Center for Cancer & Blood Disorders

Bethesda, Maryland 20817

United States

Maryland Oncology Hematology

Silver Spring, Maryland 20904

United States

Dana-Farber Cancer Institute

Boston, Massachusetts 02215

United States

START Midwest

Grand Rapids, Michigan 49546

United States

Regions Hospital Cancer Care Center

Saint Paul, Minnesota 55101

United States

Washington University in St Louis

St Louis, Missouri 63110

United States

Nebraska Cancer Center Oncology Hematology West P.C.

Omaha, Nebraska 68130

United States

Rutgers Cancer Institute of New Jersey

New Brunswick, New Jersey 08903

United States

Icahn School of Medicine at Mount Sinai

New York, New York 10029

United States

Stony Brook University

Stony Brook, New York 11794

United States

University of Cincinnati

Cincinnati, Ohio 45267

United States

Zangmeister Cancer Center

Columbus, Ohio 43219

United States

The University of Toledo

Toledo, Ohio 43606

United States

University of Oklahoma

Oklahoma City, Oklahoma 73104

United States

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania 15232

United States

Medical University of South Carolina

Charleston, South Carolina 29425

United States

Sarah Cannon Research Institute

Nashville, Tennessee 37203

United States

Vanderbilt - Ingram Cancer Center

Nashville, Tennessee 37232

United States

Texas Oncology - Dallas

Dallas, Texas 75246

United States

START Dallas

Fort Worth, Texas 76104

United States

The University of Texas MD Anderson Cancer Center

Houston, Texas 77030

United States

Texas Oncology - Paris

Paris, Texas 75460

United States

NEXT Oncology

San Antonio, Texas 78229

United States

NEXT Oncology Virginia

Fairfax, Virginia 22031

United States

Northwest Medical Specialties

Tacoma, Washington 98405

United States

Northwest Cancer Specialists

Vancouver, Washington 98684

United States