About this trial
This is a prospective, open-label, single arm, non-randomized study of RiMO-301 with hypofractionated radiation and a PD-1 Inhibitor in patients with unresectable, recurrent or metastatic head-neck cancer.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Diagnosis of head-neck cancer that requires palliative radiotherapy
receiving a PD-1 inhibitor (pembrolizumab or nivolumab) as a standard of care, or
suitable to receive a PD-1 inhibitor (pembrolizumab or nivolumab) as a standard of care in the discretion of the treating physician or Principal Investigator
Must have at least 1 target lesion that is clinically accessible to RiMO-301 injection and amenable to receive RT regimens specified in this protocol
Disqualifiers
Have signs or symptoms of end organ failure, major chronic illnesses other than cancer, or any severe concomitant conditions
Symptomatic central nervous system metastases and/or carcinomatous meningitis
Active autoimmune disease that has required systemic treatment in the past 2 years
Ongoing clinically significant infection at or near the incident lesion
Trial design
Single group
Treatments tested in this trial
RiMO-301
DrugA single dose of RiMO-301 will be administered via an intratumoral injection. PD-1 inhibitor (pembrolizumab or nivolumab) will be administered via a 30-minute intravenous infusion until disease progression or unacceptable toxicity. Patients will receive hypofractionated radiation in 5 fractions.
Treatment groups
Trial outcomes
Primary outcomes
Determination of Recommended Dose
• The dose limiting toxicities of RiMO-301 with hypofractionated X-ray radiotherapy and a PD-1 inhibitor, as assessed by CTCAEv5, will not be observed in 33% or more patients
Evaluation of Anti-Tumor Response
• To determine the objective response rate: complete or partial response, as defined by RECIST and itRECIST
Secondary outcomes
Evaluation of Progression-Free Survival
Time from enrollment to local-regional recurrence, local-regional progression, distant progression or death from any cause, whichever occurs first
Evaluation of Overall Survival
Time from enrollment to death from any cause
Sponsors and contacts
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Coordination Pharmaceuticals, Inc.
Lead sponsor
University of Illinois at Chicago
Collaborator