About this trial
Phase I, open label, dose-escalation, and safety study designed to assess the safety and biologic activity of the investigational agent CBL0137 in combination with standard of care drugs, ipilimumab and nivolumab in sequential cohorts of adult patients with locally advanced and metastatic melanoma who are candidates for immune checkpoint blockade and have tumors accessible for serial biopsies.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients considered to have stage III or stage IV disease amenable to serial biopsies as determined by the treating physician. Note: patients with in-transit metastasis may be eligible after surgical consultation if not surgical candidates.
Patients must have disease amenable to and must be willing to undergo protocol-directed repeat biopsies and blood draws.
Age > 18 years
ECOG performance status 0 or 1
Disqualifiers
Patients may not be receiving any other investigational agents
Patients with a known active autoimmune disease
Prior treatment with CTLA-4 or PD1/PD-L1 pathway targeted systemic treatment
Concurrent medical condition requiring the use of immunosuppressive medications, or immunosuppressive doses of systemic corticosteroids
Trial design
Single group
Treatments tested in this trial
CBL0137
DrugPatient will be enrolled at 3 dose levels of CBL 0137, dose level -1 (320 mg/m²), dose level 1 (400 mg/m²), dose level 2 (540 mg/m²)
Ipilimumab
DrugPatient will be on Ipilimumab (1 mg/kg)
Nivolumab
DrugPatient will be on Nivolumab (3 mg/kg)
Treatment groups
Trial outcomes
Primary outcomes
Initial assessment of safety and tolerability of the combination of CBL0137 with Nivolumab and Ipilimumab.
The primary endpoint will be safety/tolerability of the combination of CBL0137 with ipilimumab and nivolumab. Patients will be treated as part of assigned dose level in planned 3+ 3 design with 3 possible dose levels and assessed for Dose limiting toxicities ( DLTs)
Sponsors and contacts
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Fox Chase Cancer Center
Lead sponsor
Incuron
Collaborator