Just noticed the Clinical Trials website for the MAST study has been updated on the 20th of March. Have they now included overall survival? 9 sites now recruiting. Anyone with trials expertise able to comment further? Many thanks.
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Primary Outcome Measures: |
| 1. | Frequency and severity of Adverse Events of IV and IT CF33-hNIS as a monotherapy or in combination with pembrolizumab [ Time Frame: From first dose of study drug through 30 days following the last dose of study treatment. ]
Adverse events will be graded according to CTCAE v5.0. | 2. | Maximum ToleratedRecommended Phase 2Dose (MTDRP2D) of CF33-hNIS as a monotherapy or in combination with pembrolizumab [ Time Frame: From first dose of study drug through 21-42 days following the first dose of study treatment. ]
The MTD is defined as the dose level below the dose inducing Dose Limiting Toxicity (DLT) in > 33% of patients.RP2D determination will be based on evaluation of Dose Limiting Toxicities (DLT) as well as other safety, efficacy and correlative data. | Secondary Outcome Measures: |
| 1. | Objective Response Rate (ORR) of CF33-hNIS administered as a monotherapy or in combination with pembrolizumab [ Time Frame: Up to 2 years from first dose of study drug. ]
ORR is defined as the proportion of patients in the efficacy population who achieve a radiographic Investigator-assessed confirmed complete response (CR) or partial response (PR), per RECIST v1.1 or confirmed immune complete response (iCR) or immune partial response (iPR) per iRECIST v1.0. | 2. | Progression-free survival (PFS) of CF33-hNIS administered as a monotherapy or in combination with pembrolizumab. [ Time Frame: Up to 2 years from first dose of study drug. ]
PFS, defined as the time from start of treatment to the first documentation of progressive disease (PD) or death from any cause, whichever occurs first. | 3. | Overall survival (OS) of CF33-hNIS administered as a monotherapy or in combination with pembrolizumab. [ Time Frame:Up to 2 years from first dose of study drug.]
defined as the time from the start of treatment until death due to any cause. Median OS and OS rate at 12 months will be reported. | 34. | Duration of Response (DOR) of CF33-hNIS administered as a monotherapy or in combination with pembrolizumab. [ Time Frame: Up to 2 years from first dose of study drug. ]
DOR is defined as the time from the date a response of PR/iPR or better was first recorded to the date on which progressive disease was first noted or the date of death due to any cause. | 45. | Disease Control Rate (DCR) of CF33-hNIS administered as a monotherapy or in combination with pembrolizumab. [ Time Frame: Up to 2 years from first dose of study drug. ]
DCR is defined as the proportion of patients who achieve an Investigator-assessed confirmed CR/iCR, PR/iPR, or Stable Disease (SD)/immune SD (iSD) per RECIST v1.1 and iRECIST v1.0. | 56. | To evaluate viral titers of CF33-hNIS [ Time Frame: Up to 2 years from first dose of study drug. ]
Viral Plaque Assay (VPA) and polymerase chain reaction (PCR) testing from serum, urine, oral swab, rectal swab, injection site(s) swab and wound dressing swab. | 67. | To evaluate infection of tumors with CF33-hNIS [ Time Frame: 21 days from first dose of study drug ]
hNIS-based imaging via SPECT technetium-99 (99TC). | Other Outcome Measures: |
| 1. | To evaluation antiviral immune activation [ Time Frame: Up to 2 years from first dose of study drug. ]
Up regulation of PD-L1 expression as compared to baseline in tumor tissue and circulating tumor cells (CTC). Analysis of lymphocyte subsets and cytokine profile compared to baseline. |
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Eligibility
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Minimum Age: | 18 Years | Maximum Age: |
| Sex: | All | Gender Based: |
| Accepts Healthy Volunteers: | No | Criteria: | Inclusion Criteria: - Written informed consent from patient or legally authorized representative
- Age ≥ 18 years old on the date of consent
- Any metastatic or advanced solid tumor with documented radiological progression following at least two prior lines of treatment (which may have included prior immune checkpoint inhibitor treatment)
- ECOG performance status 0 - 2
- At least one measurable lesion
- Adequate renal function
- Adequate liver function
- Adequate hematologic function
- Willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures
Exclusion Criteria: - Prior treatment with an oncolytic virus.
- Continuous systemic treatment with either corticosteroids (>10 mg daily prednisone equivalents) or other immunosuppressive medications within 4 weeks prior to first dose of study treatment.
- Prior radiotherapy within 2 weeks of start of study treatment.
- Active autoimmune disease
- Receipt of radiation therapy to the lung within 6 months of the first dose of trial treatment.Prior allogenic tissue/organ transplant or other medical conditions requiring ongoing treatment with immunosuppressive drugs or any condition resulting in a systemic immunosuppressed state
- Prior allogenic tissue/organ transplant or other medical conditions requiring ongoing treatment with immunosuppressive drugs or any condition resulting in a systemic immunosuppressed stateInadequate pulmonary function per Investigator assessment.
- Uncontrolled brain or other central nervous system (CNS) metastases.
- History of documented congestive heart failure (New York Heart Association [NYHA] class III - IV), unstable angina, poorly controlled hypertension, clinically significant valvular heart disease or high-risk uncontrolled arrhythmias
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Contacts/Locations
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Central Contact Person: | Amanda Seiz Telephone: 613 9824 52542 9423 0881 Email: [email protected] | Locations: | United States, Arkansas |
| Highlands Oncology [Recruiting] Springdale, Arkansas, United States, 72762 Contact:Contact: Morgan Burns Contact:Principal Investigator: Patrick Travis, MD |
| United States, California |
| City of Hope Medical Center [Recruiting] Duarte, California, United States, 91010 Contact:Contact: Aruna Parikh Contact:Principal Investigator: Dan Li |
| United States, Florida |
| University of Miami [Not yet recruiting] Miami, Florida, United States, 33136 Contact:Contact: Alain Fernandez Marrero Contact:Principal Investigator: Jaime Merchan, MD |
| United States, Michigan |
| Barbara Ann Karmanos Cancer Institute [Recruiting] Detroit, Michigan, United States, 48201 Contact:Contact: Kelly Schneider Contact:Principal Investigator: Hirva Mamdani |
| United States, Ohio |
| University of Cincinnati [Recruiting] Cincinnati, Ohio, United States, 45219 Contact:Contact: Kayla Webb Contact:Principal Investigator: Jennifer Leddon |
| United States, Utah |
| Huntsman Cancer Institute [Recruiting] Salt Lake City, Utah, United States, 84112 Contact:Contact: Susan Sharry Contact:Principal Investigator: Wallace Akerly |
| United States, Virginia |
| NEXT Oncology [Recruiting] Fairfax, Virginia, United States, 22031 Contact:Contact: Hoda Kassab Contact:Principal Investigator: Alexander Spira |
| Australia, Queensland |
| Tasman Oncology Research [Recruiting] Southport, Queensland, Australia, 4215 Contact:Contact: Molly Phillips Contact:Principal Investigator: Andrew Hill, BHB, MBChB, FRACP |
| Australia, Victoria |
| St. Vincent's Hospital [Recruiting] Fitzroy, Victoria, Australia, 3065 Contact:Contact: Jane Mack Contact:Principal Investigator: Gavin Wright, MBBS, PhD |
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IPDSharing |
References
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Citations: |
| Links: | Description: Imugene Limited (ASX: IMU) is a publicly-listed Australian biotechnology company developing cancer immunotherapies. | Available IPD/Information: |
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