About this trial
This is a phase II therapeutic interventional clinical trial that will evaluate the efficacy, safety, and outcomes of off-label immune checkpoint blockade use across malignancies.
Eligibility criteria
Qualifiers
Age ≥18 years.
Zubrod Performance Status 0-2.
Patients must have a documented malignancy where an off-label ICI is being considered by a physician.
Absolute Neutrophil Count (ANC) ≥1,000/mcL
Disqualifiers
Uncontrolled illness, including symptomatic congestive heart failure (NYHA III/IV), unstable angina, or cardiac procedure within 2 weeks of start of ICI.
Concurrent therapy: use of other investigational (no FDA approval for any indication) anti-cancer agents within 14 days of registration.
Although other therapy is allowed together with the off-label ICI use as outlined in the protocol, before starting the study ICI off-label drug, the patient must be off other anti-cancer therapies for at least 2 weeks or 5 half-lives, whichever is shorter.
Major surgery (as defined by the treating medical oncologist) within two weeks of the start date of immunotherapy.
Trial design
Treatments tested in this trial
- One or more off-label ICIs alone or with other on-label ICI(s)
- Off-label ICI(s) with targeted therapy
- off-label ICI(s) with other agents that are not targeted (including, but not limited to, chemotherapy, hormonal therapy, immunotherapy other than ICIs) with or without targeted agents