CLINICAL TRIAL / NCT03739931
Dose Escalation Study of mRNA-2752 for Intratumoral Injection to Participants in Advanced Malignancies
- Interventional
- Recruiting
- NCT03739931
Contact Information
A Phase 1, Open-Label, Multicenter, Dose Escalation Study of mRNA-2752, a Lipid Nanoparticle Encapsulating mRNAs Encoding Human OX40L, IL-23, and IL-36γ, for Intratumoral Injection Alone and in Combination With Immune Checkpoint Blockade
The clinical study will assess the safety and tolerability of escalating intratumoral doses of mRNA-2752 in participants with relapsed/refractory solid tumor malignancies or lymphoma.
This is a Phase 1, open-label, multicenter, dose-escalation study of intratumoral
injections of mRNA-2752 alone and in combination with intravenously administered immune
checkpoint blockade therapy in participants with histologically confirmed advanced or
metastatic solid tumor malignancies or lymphoma. The study consists of Dose Escalation
and Dose Confirmation Parts, which will occur in Arm A and Arm B, followed by a Dose
Expansion Part, which will occur in Arm B, and a Dose Exploration in Arm C as a
neoadjuvant therapy for cutaneous melanoma.
Participants in Arm A and in Arm B will be enrolled into the Dose Escalation Part and the
doses of mRNA-2752 will be administered in a dose escalation regimen until a maximum
tolerated dose (MTD) or a recommended dose for expansion (RDE) is identified. When the
MTD/RDE is identified, participants with solid tumors or lymphoma with visceral lesions
may be enrolled into the Dose Confirmation Part to confirm that the dose is also
appropriate for this subgroup.
Gender
All
Age Group
18 Years and up
Accepting Healthy Volunteers
No
Inclusion Criteria:
- Written informed consent prior to completing any study-specific procedure
- Histologically confirmed advanced or metastatic disease with at least 1 measurable
lesion as determined by Response Evaluation Criteria in Solid Tumors (RECIST)
version 1.1 or Cheson 2016 criteria
- Dose Escalation/Confirmation:
o Has disease progression after adequate standard of care therapies for metastatic
disease that are known to confer clinical benefit, is intolerant to treatment, or
refuses standard treatment (no limit to prior lines of therapy)
- Dose Expansion:
- Group 1 Triple negative breast cancer: Must have objective evidence of disease
progression during or following at least one prior line of therapy for
metastatic or locally advanced disease. Enrollment to Stage 3 of this cohort
will include participants who have previously progressed on prior immune
checkpoint blockade or participants with programmed death-ligand 1 (PD-L1)
negative tumor based on archival tissue (if available).
- Group 2 Head and neck squamous cell carcinoma: Must have objective evidence of
disease progression during or following platinum-containing chemotherapy as
well as a PD-1/L1 therapy
- Group 3 Non-Hodgkin's lymphoma: Must have objective evidence of disease
progression and have received 2 or more prior lines of therapy. Participants
with large B-cell lymphoma must have received prior anthracycline containing
chemotherapy.
- Group 4 Urothelial cancer, first line: Must be cisplatin ineligible and PD-L1
negative
- Group 5 Urothelial cancer: Must have objective evidence of disease progression
during or following platinum-containing chemotherapy
- Group 6 Cutaneous melanoma: Must be refractory to immune checkpoint blockade in
the primary or secondary acquired resistance setting.
- Group 7 Non-small cell lung cancer, primary refractory or secondary acquired
resistance to immune checkpoint blockade.
- Dose Exploration:
o Newly diagnosed resectable, BRAF wild-type, Stage IIIB/C/D and Stage IV cutaneous
melanoma with clinically evident lymph node involvement in the neoadjuvant setting.
- Has a tumor lesion amenable to biopsy and must be willing to provide the baseline
and on-treatment tumor biopsy samples if medically feasible. For participants with
only 1 lesion amenable to injection, biopsy, and RECIST assessment, that lesion must
be ≥2 centimeters (cm)
- Eastern Cooperative Oncology Group (ECOG) performance status of ≤1, with no
deterioration over the previous 2 weeks prior to baseline or day of first dosing.
- Has a body weight of >30 kilograms (kg)
- Adequate hematological and biological function
- Has evidence of post-menopausal status or negative urinary or serum pregnancy test
for female pre-menopausal participants
- Treatment Arm B and Arm C: Clinical euthyroid status. Participants with clinically
stable hypothyroidism, on adequate thyroid supplementation, are permitted on study.
Exclusion Criteria:
- Has received prior systemic anticancer therapy including investigational agents
within 5 half-lives or 28 days of the start of study treatment, whichever is
shorter. Participants enrolled to Arm C may not have received any previous
anti-cancer therapy, immune therapy, radiotherapy, or investigational agents.
- Has received prior radiotherapy within 14 days before the first dose of study
treatment. Participants enrolled to Arm C may not have had prior anticancer therapy
including radiotherapy.
- Has received a live vaccine within 30 days before the first dose of study treatment
- Has current or prior use of immunosuppressive medication within 14 days before the
first dose of study treatment
- Have major surgical procedures within 28 days or non-study-related minor procedures
within 7 days before the first dose of study treatment.
- Requires active systemic anticoagulation at the time of intratumoral injection or
biopsy
- Active central nervous system tumors or metastases
- Any unresolved toxicity National Cancer Institute (NCI) Common Terminology Criteria
for Adverse Events (CTCAE) Grade ≥2 from previous anticancer therapy with the
exception of alopecia, vitiligo, and protocol defined laboratory values
- Participants with Grade ≥2 neuropathy will be evaluated on a case-by-case basis
after consultation with the Medical Monitor.
- Participants with irreversible toxicity not reasonably expected to be
exacerbated by treatment with durvalumab may be included only after
consultation with the Medical Monitor.
- Any active or prior documented autoimmune or inflammatory disorders
- History of primary immunodeficiency, allogenic solid organ transplantation, or
tuberculosis
- Active infection including tuberculosis (clinical evaluation that includes clinical
history, physical examination and radiographic findings, and tuberculosis testing in
line with local practice), hepatitis B (known positive HBV surface antigen [HBsAg]
result), hepatitis C, or human immunodeficiency virus (positive HIV 1/2 antibodies).
Participants with a past or resolved HBV infection (defined as the presence of
hepatitis B core antibody [anti-HBc] and absence of HBsAg) are eligible.
Participants positive for hepatitis C (HCV) antibody are eligible only if polymerase
chain reaction is negative for HCV ribonucleic acid (RNA).
- Uncontrolled intercurrent illness, including but not limited to, ongoing or active
infection, symptomatic congestive heart failure, uncontrolled hypertension, unstable
angina pectoris, cardiac arrhythmia, interstitial lung disease (ILD), serious
chronic gastrointestinal conditions associated with diarrhea, or psychiatric
illness/social situations that would limit compliance with study requirement,
substantially increase risk of incurring AEs, or compromise the ability of the
participant to give written informed consent
- Has active GI bleeding or hemoptysis or history of bleeding disorder
- Is a female participant who is pregnant or breastfeeding or male or female
participant of reproductive potential who are not willing to employ effective birth
control from screening to 120 days after the last dose of study treatment