About this trial
The purpose of Part 1 of this study is to determine a safe, tolerable, and feasible recommended total dose of intratumorally administered JNJ-1761981. The purpose of Part 2 of this study is to identify the optimal volumetric dose of JNJ-1761981 for the treatment of tumor lesions.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Part 1: Individuals with a diagnosis of locally advanced or metastatic disease (solid tumors except tumors of the central nervous system [CNS]) who have previously received available standard therapy and progressed, or cannot tolerate standard therapy, or for whom there is no standard of care per regional guidelines
Part 2 Cohort A: Individuals with histologically or cytologically confirmed metastatic tumors of adenocarcinoma or squamous cell carcinoma histology, for which any platinum-based systemic regimen is considered a standard of care (per national comprehensive cancer network [NCCN] guidelines) and whose disease has progressed after standard therapy
Eastern cooperative oncology group performance status (ECOG) performance status of Grade 0 or 1
Part 2 Cohort A participants planned to receive optional cetrelimab (participants not meeting this criterion may still be enrolled in the study but cannot receive cetrelimab): Thyroid function laboratory values within normal range except for participants on thyroid hormone replacement therapy
Disqualifiers
Active symptomatic disease involvement of the central nervous system
Prior or concurrent second malignancy (other than the disease under study) that due to natural history or treatment is likely to interfere with any study endpoints of safety or the antitumor activity of the study treatment(s)
Active bleeding diathesis or requirement for therapeutic anticoagulation that cannot be interrupted or altered for procedures
Known allergies, hypersensitivity, or intolerance to JNJ-1761981 or its excipients
Trial design
Sequential
Treatments tested in this trial
JNJ-1761981
DrugJNJ-1761981 will be administered intratumorally.
Cetrelimab
DrugCetrelimab will be administered intravenously.
Treatment groups
Trial outcomes
Primary outcomes
Part 1: Number of Participants with Adverse Events (AE) by Severity
An AE is any untoward medical occurrence in a participant administered a pharmaceutical (investigational or non investigational) product. An AE does not necessarily have a causal relationship with the treatment. Severity of AEs will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version (v) 5.0. by using standard grades as follows: Grade 1: Mild; asymptomatic or mild symptoms; Grade 2: Moderate; minimal, local or noninvasive intervention indicated; Grade 3: Severe but not immediately life threatening; hospitalization or prolongation of hospitalization indicated; Grade 4: Life-threatening consequences; and Grade 5: Death related to AE.
Part 1: Number of Participants with Dose-Limiting Toxicities (DLTs)
High grade hematologic or non-hematologic toxicities with exceptions and/or toxicities leading to treatment discontinuation will be regarded as DLT.
Part 1: Number of Participants with AEs by Severity Related to Delivery Device and/or Procedure
An AE is any untoward medical occurrence in a participant administered a pharmaceutical (investigational or non investigational) product. An AE does not necessarily have a causal relationship with the treatment. Participants with AEs related to delivery device and/or procedure will be reported.
Part 1: Number of Participants who Received Planned Total Dose per Level
Number of participants who received planned total dose per level will be reported.
Secondary outcomes
Parts 1 and 2: Plasma Concentration of Free and Total Platinum
Plasma concentration of free and total platinum will be assessed.
Part 1: Administered Tumor Response Rate
Administered tumor response rate is defined as the percentage of JNJ-1761981 administered lesions that achieve CR or PR.
Parts 1 and 2: Administered Tumor Duration of Response
Administered tumor duration of response will be calculated among JNJ-1761981 administered lesions that responded from the date of initial documentation of lesion response to the date of first documented evidence of progression or start of subsequent anticancer treatment or death due to any cause, whichever occurs first.
Parts 1 and 2: Objective Response Rate (ORR)
ORR is defined as the percentage of participants who have best response of Complete Response (CR) or Partial Response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.
Sponsors and contacts
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