ACE2016 in Adult Subjects With Locally Advanced or Metastatic Solid Tumors Expressing Epidermal Growth Factor Receptor (EGFR)

Trial statusRecruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age18+
SponsorAcepodia Biotech, Inc.

About this trial

ACE2016 is an off-the-shelf, allogeneic gamma delta T (gdT) cell therapy derived from healthy donors, that is under investigation for the treatment of Locally Advanced or Metastatic Solid Tumors Expressing Epidermal Growth Factor Receptor (EGFR).

The ACE2016-001 study is an open-label, Phase I, first-in-human (FIH) study that aims to evaluate the safety and tolerability, persistency, pharmacodynamics and efficacy of ACE2016 in patients with Locally Advanced or Metastatic Solid Tumors Expressing Epidermal Growth Factor Receptor (EGFR).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Locally advanced unresectable or metastatic solid tumors that have failed at least two lines of therapy (one of which must be targeted therapy)

At least one measurable lesion as defined by RECIST v1.1 criteria

Eastern Cooperative Oncology Group (ECOG) Performance Status 0-1

Adequate hematologic and renal, hepatic and cardiac function

Disqualifiers

Prior treatment with a genetically modified cell therapy product targeting EGFR

History of allogeneic transplantation

Subjects with active CNS metastases

History or presence of clinically relevant Central Nervous System (CNS) disorder (e.g. epilepsy)

Trial design

Design model

Sequential

Treatments tested in this trial

  • Cyclophosphamide

    Drug

    Lymphodepleting agent

  • Fludarabine

    Drug

    Lymphodepleting agent

  • ACE2016

    Drug

    Allogeneic gamma delta T (gdT) cell therapy

  • Pembrolizumab

    Drug

    Immune checkpoint anti-PD-1 antibody

Treatment groups

30 Participants
are divided into 3 treatment groups
Group A: ACE2016 ONLY: 1 DOSEExperimental treatment 3 interventions
Group B: ACE2016 ONLY: 3 DOSESExperimental treatment 3 interventions
Group C: ACE2016 AND PEMBROLIZUMAB: 3 DOSESExperimental treatment 4 interventions

Trial outcomes

Primary outcomes

1

Incidence of DLTs, AESIs, Grade 3 or higher TEAEs, TEAEs considered related to ACE2016, TEAEs resulting in death, SAEs, related SAEs, and TEAEs leading to treatment discontinuation will be summarized by cohort

Time frame
1 year
2

Change from baseline in clinical laboratory tests results

Number of subject with change from baseline clinical significant lab findings by cohort (descriptive)

Time frame
1 year
3

Change from baseline in vital signs results

Number of subjects with change from baseline clinical significant vital signs findings by cohort (descriptive)

Time frame
1 year
4

Recommended Dose (RD)

Time frame
1 year

Secondary outcomes

1

Persistence of ACE2016 before and after administration

Half-life of ACE2016

Time frame
1 year
2

Measure of anti-ACE2016 antibodies after administration

Titration of anti-ACE2016 antibodies after administration

Time frame
1 year
3

Objective Response Rate (ORR)

Proportion of subjects assessed as having a complete response (CR) or partial response (PR) according to RECIST v1.1

Time frame
1 year
4

Disease Control Rate (DCR)

Number of subjects with a complete response (CR), partial response (PR) or stable disease (SD) as defined by RECIST v1.1

Time frame
1 year

Other outcomes

1

Pharmacodynamics of ACE2016

Change from baseline IL2,6,8,10 IFN TNF, and change in TBNK cell subsets.

Time frame
1 year
2

gdT infiltration in tumor mass

Optional biopsy to examine gdT cell infiltration

Time frame
1 year

Sponsors and contacts

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