Bladder Cancer Clinical Trial

A Dose Escalation and Dose Expansion Study of Intratumoral ONM-501 Alone and in Combination With Cemiplimab in Patients With Advanced Solid Tumors and Lymphomas.

Summary

A phase 1, multicenter, open label, non-randomized dose escalation and dose expansion study to examine the maximum tolerated dose, (MTD), minimum effective dose (MED) and/or recommended dose for expansion (RDE) of intratumoral ONM-501 as monotherapy and in combination with a PD-1 checkpoint inhibitor in patients with advanced solid tumors and lymphomas.

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Full Description

This Phase 1, multi-center trial will consist of three parts: monotherapy dose escalation; combination therapy dose finding; and combination therapy dose expansion exploring two doses in specific tumor indication(s). Each dosing cycle of ONM-501 will be 21 days. ONM 501 will be administered as intratumoral injections once per week for three weeks (on Days 1, 8, and 15), followed by three weeks without ONM-501 administration. The monotherapy dose escalation will utilize an accelerated titration method.

The combination agent will be administered according to standard protocol, once every three weeks. This phase will evaluate ONM-501 in combination with approved immune checkpoint inhibitor (ICI) cemiplimab. Enrollment in this phase will follow a "Rolling 6" or 6+0 methodology - up to 6 patients will be enrolled in a staggered format; dose escalation of ONM-501 will be permitted.

Once the recommended doses for expansion (RDEs) are determined for ONM-501 + ICI combination or ONM-501 monotherapy, the expansion phase of this study will be initiated. The expansion phase will enroll patients in one to three indication-specific expansion cohorts.

View Eligibility Criteria

Eligibility Criteria

Inclusion Criteria:

Ability to understand and willingness to sign written informed consent before performance of any study procedures
Age ≥ 18 years
Participants with solid tumors or lymphomas, confirmed by available histopathology records or current biopsy, that are advanced, nonresectable, or recurrent and progressing since last antitumor therapy, and for which no alternative standard therapy exists.
Participants must have a minimum of one injectable and measurable lesion.
Participants with prior Hepatitis B or C are eligible if they have adequate liver function
Participants with human immunodeficiency virus (HIV) are eligible if on established HAART for a minimum of 4 weeks prior to enrollment, have an HIV viral load <400 copies/mL, and have CD4+ T-cell (CD4+) counts ≥ 350 cells/uL
Adequate bone marrow function:
Adequate liver function

Exclusion Criteria: Patients will be excluded from this study if they meet any of the following criteria (Part 1a and Part 1b).

Other malignancy active within the previous 2 years except for basal or squamous cell skin cancer, superficial bladder cancer, or carcinoma in situ of the cervix or breast that has completed curative therapy.
Major surgery within 4 weeks before the first dose of study drug.
Brain metastases that are untreated or in the posterior fossa or involve the meninges. Participants with stable or previously treated progressing brain metastases (except in the posterior fossa or involving the meninges) may be permitted in a case-by-case basis at the Sponsor's discretion.
Prolongation of corrected QT (QTc) interval to >470 millisecond (ms) for males and females when electrolytes balance is normal.
Females who are breastfeeding or pregnant at screening or baseline
Females of childbearing potential that refuse to use a highly effective method of contraception.
Has uncontrolled or poorly controlled hypertension as defined by a sustained BP > 9. Has received prior investigational therapy within 5 half-lives of the agent or 4 weeks before the first administration of study drug, whichever is shorter.
Has had any major cardiovascular event within 6 months prior to study drug 10. Has known hypersensitivity to any component in the formulation of ONM-501
Has an active infection requiring systemic treatment
Is participating in another therapeutic clinical trial

Additional Exclusion Criteria for ONM-501 in Combination with cemiplimab (Part 1b)

Has known hypersensitivity to any component in the formulation of cemiplimab
Has any active or recent history of a known or suspected autoimmune disease or recent history of a syndrome that required systemic corticosteroids (>10 mg daily prednisone equivalent)
Has a condition requiring systemic treatment with corticosteroids

Study is for people with:

Bladder Cancer

Phase:

Phase 1

Estimated Enrollment:

168

Study ID:

NCT06022029

Recruitment Status:

Recruiting

Sponsor:

OncoNano Medicine, Inc.

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There are 6 Locations for this study

See Locations Near You

BRCR Global
Tamarac Florida, 33321, United States More Info
Isabela Vazquez
Contact
541-447-0614
[email protected]
Chintan Gandhi, MD
Principal Investigator
Ohio State University
Columbus Ohio, 43210, United States More Info
Allison Reynolds
Contact
[email protected]
Joal Beane, MD
Principal Investigator
Allegheny Health Network
Pittsburgh Pennsylvania, 15224, United States More Info
Shelly A Evans, MBA, BS, RN
Contact
724-612-2931
[email protected]
Patrick Wagner, MD
Principal Investigator
UPMC Hillman Cancer Center
Pittsburgh Pennsylvania, 15232, United States More Info
Barb Stadterman
Contact
412-647-5554
[email protected]
Liza Villaruz, MD
Principal Investigator
University of Texas Southwestern Medical Center
Dallas Texas, 75390, United States More Info
Heather McArthur, MD
Contact
833-722-6237
[email protected]
Heather McArthur
Principal Investigator
MD Anderson Cancer Center
Houston Texas, 77030, United States More Info
Hebah Elbahy
Contact
832-294-7238
[email protected]
Sarina A. Piha-Paul, MD
Principal Investigator

How clear is this clinincal trial information?

Study is for people with:

Bladder Cancer

Phase:

Phase 1

Estimated Enrollment:

168

Study ID:

NCT06022029

Recruitment Status:

Recruiting

Sponsor:


OncoNano Medicine, Inc.

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