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NCT05098132PHASE1, PHASE2Recruiting

Study of STK-012 Alone and With Other Treatments in Patients With Advanced Lung Cancer and Other Cancers

Synthekine

Start Date

1/25/2022

Completion Date

1/1/2029

Summary

This is a phase 1/2, multicenter, open-label study. The phase 1 portion is a dose escalation and expansion study of STK-012 as monotherapy and in combination therapy in patients with selected advanced solid tumors. The phase 2 portion is a randomized study of STK-012 in combination with standard of care (SoC) pembrolizumab, pemetrexed, and carboplatin versus SoC, in patients with first line, PD-L1 negative or STK11 mutated, non-squamous, non-small cell lung cancer.

Detailed Description

Phase 1: The phase 1a portion is a dose escalation study to evaluate STK-012 as monotherapy and in combination therapy in patients with selected solid tumors. The phase 1b portion is a dose expansion study to evaluate STK-012 as monotherapy and in combination therapy at the candidate recommended phase 2 dose (RP2D) in selected solid tumor types. Phase 2: The phase 2 portion is a randomized, open label study to evaluate STK-012 at two dose levels in combination with standard of care (SoC) pembrolizumab, pemetrexed and carboplatin, versus SoC, in patients with first line, PD-L1 negative or STK11 mutated, non-squamous, non-small cell lung cancer. Subjects in the randomized Phase 2 portion (Part G) will be randomized 1:1:1 and stratified by tumor PD-L1 expression and STK11 mutation status.

Eligibility Criteria

Age Range: 18 years to No maximum

Selected Inclusion Criteria: 1. Phase 1: Selected advanced solid tumors 2. Phase 2: * Diagnosis of non-small cell lung cancer (NSCLC). * Stage IV or Stage IIIB/IIIC and not a candidate for definitive treatment. * Non-squamous (NSQ) cell histology. * No prior systemic therapy for advanced/metastatic NSQ NSCLC. * Must have a tumor that meets at least one of the following criteria on local testing: * PD-L1 negative (TPS \<1%), OR; * STK11 mutated on tumor tissue or ctDNA * No known actionable EGFR, ALK, ROS1, or other actionable genomic aberrations for which there is a local standard of care available as front line therapy. Selected Exclusion Criteria: 2\. Phase 2: * Prior immune checkpoint inhibitor (anti-PD\[L\]1 and/or anti-CTLA-4) treatment * Rare tumor subtypes (mucinous histology or tumors with small cell, neuroendocrine, or sarcomatoid components). * Received radiotherapy ≤ 7 days of the first dose of study treatment. * Known active central nervous system metastases * Any history of carcinomatous meningitis

Interventions

DRUG

STK-012

DRUG

pembrolizumab KEYTRUDA®

DRUG

pemetrexed

DRUG

carboplatin

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Conditions

Advanced Solid TumorNon Small Cell Lung CancerUntreated Advanced NSCLC1st Line NSCLC

Locations

University of Arizona Cancer Center

Tucson, Arizona 85721

United States

Beverly Hills Cancer Center

Beverly Hills, California 90211

United States

Providence Medical Foundation

Fullerton, California 92835

United States

UC San Diego Moores Cancer Center

La Jolla, California 92093-0698

United States

Cedars Sinai

Los Angeles, California 90048

United States

Hoag Memorial Hospital Presbyterian

Newport Beach, California 92663

United States

UCLA Hematology/Oncology - Santa Monica

Santa Monica, California 90404

United States

Yale New Haven Hospital, Yale Cancer Center

New Haven, Connecticut 06510

United States

Georgetown University

Washington D.C., District of Columbia 20057

United States

Winship Cancer Institute, Emory University

Atlanta, Georgia 30322

United States

University of Chicago

Chicago, Illinois 60637

United States

University of Maryland

Baltimore, Maryland 21201

United States

Massachusetts General Hospital

Boston, Massachusetts 02114

United States

Beth Israel Deaconess Medical Center

Boston, Massachusetts 02215

United States

Dana-Farber Cancer Institute

Boston, Massachusetts 02215

United States

HealthPartners Cancer Center at Regions Hospital

Saint Paul, Minnesota 55101

United States

Northwell Health

Lake Success, New York 11042

United States

NYU Langone Health

New York, New York 10016

United States

Columbia University Irving Medical Center

New York, New York 10032

United States

Memorial Sloan-Kettering Cancer Center

New York, New York 10065

United States

Duke Cancer Center

Durham, North Carolina 27710

United States

University Hospitals Cleveland

Cleveland, Ohio 44106

United States

The James Cancer Hospital and Solove Research Institute

Columbus, Ohio 43210

United States

Providence Cancer Institute

Portland, Oregon 97123

United States

Fox Chase Cancer Center

Philadelphia, Pennsylvania 19111

United States

UPMC Hillman Cancer Center

Pittsburgh, Pennsylvania 15232

United States

Baptist Memorial Hospital Cancer Center

Memphis, Tennessee 38120

United States

Sarah Cannon Research Institute - Nashville

Nashville, Tennessee 37203

United States

Renovatio Clinical

El Paso, Texas 79915

United States

Oncology Consultants

Houston, Texas 77303

United States

Renovatio Clinical

The Woodlands, Texas 77380

United States

NEXT Virginia

Fairfax, Virginia 22031

United States

Northwest Medical Specialties

Tacoma, Washington 98405

United States

LTD High Technology Hospital Medcenter

Batumi, 6000

Georgia

Caraps Medline, Ltd (JSC VIAN)

Tbilisi, 0159

Georgia

Institute of Clinical Oncology (ICO)

Tbilisi, 0159

Georgia

Israel Georgian Medical Research Clinic Healthycore

Tbilisi, 0159

Georgia

START Dublin

Dublin, 07

Ireland

St. James Hospital

Dublin, 08

Ireland

Beaumont Hospital

Dublin, 09

Ireland

University Hospital Galway

Galway, H91 YR71

Ireland

Hospital Quirón Barcelona

Barcelona, 08023

Spain

START Rioja

Logroño, 26006

Spain

MD Anderson

Madrid, 28033

Spain

Hospital Universitario Ramon y Cajal

Madrid, 28034

Spain

Hospital Regional de Málaga

Málaga, 29011

Spain

Clinica Universidad de Navarra - Pamplona

Pamplona, 31008

Spain