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    Clinical Trial Results:
    A Phase 1b/2, Open-label, Multicenter, Dose-escalation and Expansion Trial of Intratumoral SD-101 in Combination With Pembrolizumab in Patients With Metastatic Melanoma or Recurrent or Metastatic Head and Neck Squamous Cell Carcinoma

    Summary
    EudraCT number
    2016-004461-47
    Trial protocol
    DE  
    Global end of trial date
    24 Apr 2020

    Results information
    Results version number
    v1(current)
    This version publication date
    02 Feb 2022
    First version publication date
    02 Feb 2022
    Other versions
    Summary report(s)
    SYNERGY-001_Final_Am 1_08Feb2021 - Synopsis

    Trial information

    Close Top of page
    Trial identification
    Sponsor protocol code
    DV3-MEL-01[SYNERGY-001]
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT02521870
    WHO universal trial number (UTN)
    -
    Other trial identifiers
    US IND number: 125878
    Sponsors
    Sponsor organisation name
    Dynavax Technologies Corporation
    Sponsor organisation address
    2100 Powell Street, Suite 900, Emeryville, California, United States, 94608
    Public contact
    Referat Klinische Prüfung, Paul-Ehrlich-Institut (PEI), +49 6103771811, klinpruefung@pei.de, Paul-Ehrlich-Institut (PEI), klinpruefung@pei.de
    Scientific contact
    Referat Klinische Prüfung, Paul-Ehrlich-Institut (PEI), +49 6103771811, klinpruefung@pei.de, Paul-Ehrlich-Institut (PEI), klinpruefung@pei.de
    Sponsor organisation name
    Southwood Research Limited
    Sponsor organisation address
    Weesperstraat 61, Amsterdam Noord-Holland, Netherlands, 1018 VN
    Public contact
    Samy Chabri, Southwood Research Limited, +44 (0)7867 645052, samy@southwoodresearch.com
    Scientific contact
    Samy Chabri, Southwood Research Limited, +44 (0)7867 645052, samy@southwoodresearch.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    08 Feb 2021
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    24 Apr 2020
    Global end of trial reached?
    Yes
    Global end of trial date
    24 Apr 2020
    Was the trial ended prematurely?
    Yes
    General information about the trial
    Main objective of the trial
    Phase 1 (Dose Escalation: Metastatic Melanoma) is closed. • To assess the safety and tolerability of escalating intratumoral doses of SD-101 in combination with intravenous pembrolizumab in patients with metastatic melanoma • To evaluate the expression of IFN-inducible genes in whole blood 24 hours after intratumoral injection of SD-101 given with pembrolizumab in patients with metastatic melanoma as a pharmacodynamic marker of SD-101 activity • To determine an RP2D of SD-101 in combination with pembrolizumab to be evaluated in Phase 2 Phase 2 (Dose Expansion: Metastatic Melanoma or Recurrent or Metastatic Head and Neck Squamous Cell Carcinoma): •To assess the tumor response both locally and systemically including: -Treatment response of the injected lesion(s) (local response) -Treatment response of the non-injected lesion(s) (systemic response) -Treatment response of all lesions
    Protection of trial subjects
    This study was conducted in accordance with the protocol, good clinical practice (GCP) as defined in International Council on Harmonisation (ICH) guidelines, and applicable local regulatory requirements. In Phase 1, assessments of injection-site reactions were collected for a minimum of 90 minutes through the first 4 weekly injections and for 30 minutes following the remaining injections of SD-101 at the clinical site. In Phase 2, injection-site reactions that persisted for more than 7 days were recorded as AEs. All other AEs and laboratory safety measurements were graded per NCI CTCAE Version 4.03. All AEs, whether gradable by CTCAE or not, were also to be evaluated for seriousness. AEs were collected through 28 days after the last dose of SD-101. During combination treatment, patients would undergo targeted physical examinations and laboratory assessments, which included a complete blood count (CBC) with differential, platelet assessment, coagulation testing, thyroid function tests, and serum chemistry (including creatinine, liver function tests, and lactate dehydrogenase [LDH]). During monotherapy, safety was evaluated through the careful monitoring of the results of all clinical and laboratory assessments. Injection site reactions were expected to spontaneously subside and adverse reactions could be treated with oral medications. The combination of SD-101 and pembrolizumab was well tolerated in the 4 patient populations evaluated here. The typical adverse reaction to SD-101 is an injection-site reaction or flu-like illness starting the evening of an injection that may include pyrexia, headache, myalgia, malaise, or chills and is treatable with over-the-counter medication. Adding SD-101, an innate immune stimulant, to pembrolizumab, an immune checkpoint blocker, did not lead to an increased rate of irAEs over pembrolizumab monotherapy.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    01 Sep 2015
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Australia: 33
    Country: Number of subjects enrolled
    New Zealand: 10
    Country: Number of subjects enrolled
    United States: 186
    Country: Number of subjects enrolled
    Germany: 12
    Worldwide total number of subjects
    241
    EEA total number of subjects
    12
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    116
    From 65 to 84 years
    116
    85 years and over
    9

    Subject disposition

    Close Top of page
    Recruitment
    Recruitment details
    Number of Subjects Planned was 24 subjects in Phase 1 Dose Escalation and 260 subjects in Phase 2 Dose Expansion. In final, 241 subjects were enrolled: 22 subjects in Phase 1 Dose Escalation (1 mg n = 6; 2 mg n = 5; 4 mg n = 5; 8 mg n = 6); 219 subjects in Phase 2 Dose Expansion.

    Pre-assignment
    Screening details
    Routine laboratory tests (serum chemistry, hematology) for screening should be performed within 28 days prior to enrollment or can be obtained from a standard of care visit within 28 days of first dose of pembrolizumab. Laboratories obtained within 7 days of Day 1 visit, with the exception of a CBC with ANC, do not need to be repeated on Day 1.

    Period 1
    Period 1 title
    Dose expansion study phase 2 (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Non-randomised - controlled
    Blinding used
    Not blinded
    Blinding implementation details
    This is an open-label trial.

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Melanoma Anti-PD-1/L1 Naïve SD-101 2 mg
    Arm description
    Phase 1 Dose Escalation cohorts and Phase 2 Dose Expansion cohorts were rearranged as analysis groups for analyses to assess study objectives, based on tumor indications, anti-PD-1/L1 experience, and dose of SD-101. The participants in this analysis group include participants in Phase 1 Dose Escalation Cohort 1 (SD-101 2 mg) and participants in Phase 2 Dose Expansion Cohort 1 and Cohort 5. Dose Expansion Cohort 5: Participants with melanoma who are anti-PD-1/L1-naïve were administered SD-101 2 mg intratumorally starting on Day 1 dose Q1W for 4 weeks followed by dose Q3W for 16 doses (up to 20 total doses). Participants were also administered Pembrolizumab 200 mg intravenously Q3W starting on Day 1 for up to 35 treatments or until disease progression. Dose: 2.0 mg per lesion in 1 to 4 lesions.
    Arm type
    Experimental

    Investigational medicinal product name
    SD-101
    Investigational medicinal product code
    SD-101
    Other name
    Pharmaceutical forms
    Solution for injection in vial
    Routes of administration
    Intratumoral use
    Dosage and administration details
    SD-101 drug product was administered by intratumoral injection into a single target lesion. Dose Expansion Cohort 5: Participants with melanoma who are anti-PD-1/L1-naïve were administered SD-101 2 mg intratumorally starting on Day 1 dose Q1W for 4 weeks followed by dose Q3W for 16 doses (up to 20 total doses). Participants were also administered Pembrolizumab 200 mg intravenously Q3W starting on Day 1 for up to 35 treatments or until disease progression. Dose: 2.0 mg per lesion in 1 to 4 lesions.

    Investigational medicinal product name
    Pembrolizumab
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Powder for concentrate for solution for injection/infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Pembrolizumab 200 mg was administered intravenously every 3 weeks (Q3W) for two years for up to 35 treatments (35 doses) or until disease progression.

    Arm title
    Melanoma Anti-PD-1/L1 Naïve SD-101 8 mg
    Arm description
    Phase 1 Dose Escalation cohorts and Phase 2 Dose Expansion cohorts were rearranged as analysis groups for analyses to assess study objectives, based on tumor indications, anti-PD-1/L1 experience, and dose of SD-101. The participants in this analysis group include participants in Phase 1 Dose Escalation Cohort 3 (SD-101 8 mg) and participants in Phase 2 Dose Expansion Cohort 1. Dose Expansion Cohort 1: Participants with melanoma who are anti-PD-1/L1-naïve were administered SD-101 8 mg intratumorally starting on Day 22 dose Q1W for 4 weeks followed by dose Q3W for 7 doses, then 9 weeks off, then dose Q1W for 4 weeks followed by dose Q3W for 7 doses (up to 22 total doses). Participants were also administered Pembrolizumab 200 mg intravenously Q3W starting on Day 1 for up to 35 treatments or until disease progression. Dose: 8.0 mg in a single lesion if 1 lesion is selected or 2.0 mg per lesion if 2 to 4 lesions are selected for injection
    Arm type
    Experimental

    Investigational medicinal product name
    SD-101
    Investigational medicinal product code
    SD-101
    Other name
    Pharmaceutical forms
    Solution for injection in vial
    Routes of administration
    Intratumoral use
    Dosage and administration details
    SD-101 drug product was administered by intratumoral injection into a single target lesion. Dose Expansion Cohort 1: Participants with melanoma who are anti-PD-1/L1-naïve were administered SD-101 8 mg intratumorally starting on Day 22 dose Q1W for 4 weeks followed by dose Q3W for 7 doses, then 9 weeks off, then dose Q1W for 4 weeks followed by dose Q3W for 7 doses (up to 22 total doses). Participants were also administered Pembrolizumab 200 mg intravenously Q3W starting on Day 1 for up to 35 treatments or until disease progression.

    Investigational medicinal product name
    Pembrolizumab
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Powder for concentrate for solution for injection/infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Pembrolizumab 200 mg was administered intravenously every 3 weeks (Q3W) for two years for up to 35 treatments (35 doses) or until disease progression.

    Arm title
    Melanoma Anti-PD-1/L1 Experienced SD-101 2 mg
    Arm description
    Phase 1 Dose Escalation cohorts and Phase 2 Dose Expansion cohorts were rearranged as analysis groups for analyses to assess study objectives, based on tumor indications, anti-PD-1/L1 experience, and dose of SD-101. The participants in this analysis group include participants in Phase 1 Dose Escalation Cohort 1 (SD-101 2 mg) and participants in Phase 2 Dose Expansion Cohort 2 and Cohort 8. Dose Expansion Cohort 8: Participants with melanoma who are anti-PD-1/L1 refractory or resistant were administered SD-101 2 mg intratumorally starting on Day 1 dose Q1W for 4 weeks followed by dose Q3W for 16 doses (up to 20 total doses). Participants were also administered Pembrolizumab 200 mg intravenously Q3W starting on Day 1 for up to 35 treatments or until disease progression. Dose: 2.0 mg per lesion in 1 to 4 lesions
    Arm type
    Experimental

    Investigational medicinal product name
    SD-101
    Investigational medicinal product code
    SD-101
    Other name
    Pharmaceutical forms
    Solution for injection in vial
    Routes of administration
    Intratumoral use
    Dosage and administration details
    SD-101 drug product was administered by intratumoral injection into a single target lesion. Dose Expansion Cohort 8: Participants with melanoma who are anti-PD-1/L1 refractory or resistant were administered SD-101 2 mg intratumorally starting on Day 1 dose Q1W for 4 weeks followed by dose Q3W for 16 doses (up to 20 total doses). Participants were also administered Pembrolizumab 200 mg intravenously Q3W starting on Day 1 for up to 35 treatments or until disease progression. Dose: 2.0 mg per lesion in 1 to 4 lesions.

    Investigational medicinal product name
    Pembrolizumab
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Powder for concentrate for solution for injection/infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Pembrolizumab 200 mg was administered intravenously every 3 weeks (Q3W) for two years for up to 35 treatments (35 doses) or until disease progression.

    Arm title
    Melanoma Anti-PD-1/L1 Experienced SD-101 8 mg
    Arm description
    Phase 1 Dose Escalation cohorts and Phase 2 Dose Expansion cohorts were rearranged as analysis groups for analyses to assess study objectives, based on tumor indications, anti-PD-1/L1 experience, and dose of SD-101. The participants in this analysis group include participants in Phase 1 Dose Escalation Cohort 3 (SD-101 8 mg) and participants in Phase 2 Dose Expansion Cohort 2. Dose Expansion Cohort 2: Participants with melanoma who are anti-PD-1/L1-experienced were administered SD-101 8 mg intratumorally starting on Day 1 dose Q1W for 4 weeks followed by dose Q3W for 7 doses, then 9 weeks off, then dose Q1W for 4 weeks followed by dose Q3W for 7 doses (up to 22 total doses). Participants were also administered Pembrolizumab 200 mg intravenously Q3W starting on Day 1 for up to 35 treatments or until disease progression. Dose: 8.0 mg in a single lesion.
    Arm type
    Experimental

    Investigational medicinal product name
    SD-101
    Investigational medicinal product code
    SD-101
    Other name
    Pharmaceutical forms
    Solution for injection in vial
    Routes of administration
    Intratumoral use
    Dosage and administration details
    SD-101 drug product was administered by intratumoral injection into a single target lesion. Dose Expansion Cohort 2: Participants with melanoma who are anti-PD-1/L1-experienced were administered SD-101 8 mg intratumorally starting on Day 1 dose Q1W for 4 weeks followed by dose Q3W for 7 doses, then 9 weeks off, then dose Q1W for 4 weeks followed by dose Q3W for 7 doses (up to 22 total doses). Participants were also administered Pembrolizumab 200 mg intravenously Q3W starting on Day 1 for up to 35 treatments or until disease progression. Dose: 8.0 mg in a single lesion.

    Investigational medicinal product name
    Pembrolizumab
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Powder for concentrate for solution for injection/infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Pembrolizumab 200 mg was administered intravenously every 3 weeks (Q3W) for two years for up to 35 treatments (35 doses) or until disease progression.

    Arm title
    HNSCC Anti-PD-1/L1 Naïve SD-101 2 mg
    Arm description
    Phase 1 Dose Escalation cohorts and Phase 2 Dose Expansion cohorts were rearranged as analysis groups for analyses to assess study objectives, based on tumor indications, anti-PD-1/L1 experience, and dose of SD-101. The participants in this analysis group include participants in Phase 2 Dose Expansion Cohort 3 and Cohort 6. Dose Expansion Cohort 6: Participants with HNSCC who are anti-PD-1/L1-naïve were administered SD-101 2 mg intratumorally starting on Day 1 dose Q1W for 4 weeks followed by dose Q3W for 16 doses (up to 20 total doses). Participants were also administered Pembrolizumab 200 mg intravenously Q3W starting on Day 1 for up to 35 treatments or until disease progression. Dose: 2.0 mg per lesion in 1 to 4 lesions
    Arm type
    Experimental

    Investigational medicinal product name
    SD-101
    Investigational medicinal product code
    SD-101
    Other name
    Pharmaceutical forms
    Solution for injection in vial
    Routes of administration
    Intratumoral use
    Dosage and administration details
    SD-101 drug product was administered by intratumoral injection into a single target lesion. Dose Expansion Cohort 6: Participants with HNSCC who are anti-PD-1/L1-naïve were administered SD-101 2 mg intratumorally starting on Day 1 dose Q1W for 4 weeks followed by dose Q3W for 16 doses (up to 20 total doses). Participants were also administered Pembrolizumab 200 mg intravenously Q3W starting on Day 1 for up to 35 treatments or until disease progression. Dose: 2.0 mg per lesion in 1 to 4 lesions.

    Investigational medicinal product name
    Pembrolizumab
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Powder for concentrate for solution for injection/infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Pembrolizumab 200 mg was administered intravenously every 3 weeks (Q3W) for two years for up to 35 treatments (35 doses) or until disease progression.

    Arm title
    HNSCC Anti-PD-1/L1 Naïve SD-101 8 mg
    Arm description
    Phase 1 Dose Escalation cohorts and Phase 2 Dose Expansion cohorts were rearranged as analysis groups for analyses to assess study objectives, based on tumor indications, anti-PD-1/L1 experience, and dose of SD-101. The participants in this analysis group include participants in Phase 2 Dose Expansion Cohort 3. Dose Expansion Cohort 3: Participants with HNSCC who are anti-PD-1/L1-naïve were administered SD-101 8 mg intratumorally starting on Day 22 dose Q1W for 4 weeks followed by dose Q3W for 7 doses, then 9 weeks off, then dose Q1W for 4 weeks followed by dose Q3W for 7 doses (up to 22 total doses). Participants were also administered Pembrolizumab 200 mg intravenously Q3W starting on Day 1 for up to 35 treatments or until disease progression. Dose: 8.0 mg in a single lesion
    Arm type
    Experimental

    Investigational medicinal product name
    SD-101
    Investigational medicinal product code
    SD-101
    Other name
    Pharmaceutical forms
    Solution for injection in vial
    Routes of administration
    Intratumoral use
    Dosage and administration details
    SD-101 drug product was administered by intratumoral injection into a single target lesion. Dose Expansion Cohort 3: Participants with HNSCC who are anti-PD-1/L1-naïve were administered SD-101 8 mg intratumorally starting on Day 22 dose Q1W for 4 weeks followed by dose Q3W for 7 doses, then 9 weeks off, then dose Q1W for 4 weeks followed by dose Q3W for 7 doses (up to 22 total doses). Participants were also administered Pembrolizumab 200 mg intravenously Q3W starting on Day 1 for up to 35 treatments or until disease progression. Dose: 8.0 mg in a single lesion.

    Investigational medicinal product name
    Pembrolizumab
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Powder for concentrate for solution for injection/infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Pembrolizumab 200 mg was administered intravenously every 3 weeks (Q3W) for two years for up to 35 treatments (35 doses) or until disease progression.

    Arm title
    HNSCC Anti-PD-1/L1 Experienced SD-101 2 mg
    Arm description
    Phase 1 Dose Escalation cohorts and Phase 2 Dose Expansion cohorts were rearranged as analysis groups for analyses to assess study objectives, based on tumor indications, anti-PD-1/L1 experience, and dose of SD-101. The participants in this analysis group include participants in Phase 2 Dose Expansion Cohort 4 and Cohort 7. Dose Expansion Cohort 7: Participants with HNSCC who are anti-PD-1/L1 refractory or resistant were administered SD-101 2 mg intratumorally starting on Day 1 dose Q1W for 4 weeks followed by dose Q3W for 16 doses (up to 20 total doses). Participants were also administered Pembrolizumab 200 mg intravenously Q3W starting on Day 1 for up to 35 treatments or until disease progression. Dose: 2.0 mg per lesion in 1 to 4 lesions.
    Arm type
    Experimental

    Investigational medicinal product name
    SD-101
    Investigational medicinal product code
    SD-101
    Other name
    Pharmaceutical forms
    Solution for injection in vial
    Routes of administration
    Intratumoral use
    Dosage and administration details
    SD-101 drug product was administered by intratumoral injection into a single target lesion. Dose Expansion Cohort 7: Participants with HNSCC who are anti-PD-1/L1 refractory or resistant were administered SD-101 2 mg intratumorally starting on Day 1 dose Q1W for 4 weeks followed by dose Q3W for 16 doses (up to 20 total doses). Participants were also administered Pembrolizumab 200 mg intravenously Q3W starting on Day 1 for up to 35 treatments or until disease progression. Dose: 2.0 mg per lesion in 1 to 4 lesions.

    Investigational medicinal product name
    Pembrolizumab
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Powder for concentrate for solution for injection/infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Pembrolizumab 200 mg was administered intravenously every 3 weeks (Q3W) for two years for up to 35 treatments (35 doses) or until disease progression.

    Arm title
    HNSCC Anti-PD-1/L1 Experienced SD-101 8 mg
    Arm description
    Phase 1 Dose Escalation cohorts and Phase 2 Dose Expansion cohorts were rearranged as analysis groups for analyses to assess study objectives, based on tumor indications, anti-PD-1/L1 experience, and dose of SD-101. The participants in this analysis group include participants in Phase 2 Dose Expansion Cohort 4. Dose Expansion Cohort 4: Participants with HNSCC who are anti-PD-1/L1-experienced were administered SD-101 8 mg intratumorally starting on Day 1 dose Q1W for 4 weeks followed by dose Q3W for 7 doses, then 9 weeks off, then dose Q1W for 4 weeks followed by dose Q3W for 7 doses (up to 22 total doses). Participants were also administered Pembrolizumab 200 mg intravenously Q3W starting on Day 1 for up to 35 treatments or until disease progression. Dose: 8.0 mg in a single lesion
    Arm type
    Experimental

    Investigational medicinal product name
    SD-101
    Investigational medicinal product code
    SD-101
    Other name
    Pharmaceutical forms
    Solution for injection in vial
    Routes of administration
    Intratumoral use
    Dosage and administration details
    SD-101 drug product was administered by intratumoral injection into a single target lesion. Dose Expansion Cohort 4: Participants with HNSCC who are anti-PD-1/L1-experienced were administered SD-101 8 mg intratumorally starting on Day 1 dose Q1W for 4 weeks followed by dose Q3W for 7 doses, then 9 weeks off, then dose Q1W for 4 weeks followed by dose Q3W for 7 doses (up to 22 total doses). Participants were also administered Pembrolizumab 200 mg intravenously Q3W starting on Day 1 for up to 35 treatments or until disease progression. Dose: 8.0 mg in a single lesion.

    Investigational medicinal product name
    Pembrolizumab
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Powder for concentrate for solution for injection/infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Pembrolizumab 200 mg was administered intravenously every 3 weeks (Q3W) for two years for up to 35 treatments (35 doses) or until disease progression.

    Number of subjects in period 1 [1]
    Melanoma Anti-PD-1/L1 Naïve SD-101 2 mg Melanoma Anti-PD-1/L1 Naïve SD-101 8 mg Melanoma Anti-PD-1/L1 Experienced SD-101 2 mg Melanoma Anti-PD-1/L1 Experienced SD-101 8 mg HNSCC Anti-PD-1/L1 Naïve SD-101 2 mg HNSCC Anti-PD-1/L1 Naïve SD-101 8 mg HNSCC Anti-PD-1/L1 Experienced SD-101 2 mg HNSCC Anti-PD-1/L1 Experienced SD-101 8 mg
    Started
    45
    41
    31
    30
    28
    23
    23
    9
    Completed
    5
    3
    0
    0
    0
    0
    0
    0
    Not completed
    40
    38
    31
    30
    28
    23
    23
    9
         Consent withdrawn by subject
    3
    4
    -
    1
    1
    1
    2
    -
         Adverse Event
    9
    8
    -
    2
    -
    -
    1
    -
         Non-Compliance with Study Drug
    1
    1
    -
    -
    -
    -
    -
    -
         Death
    1
    1
    2
    1
    5
    3
    2
    1
         Other
    14
    6
    7
    3
    5
    2
    1
    1
         Lost to follow-up
    1
    -
    -
    -
    -
    -
    -
    -
         Progressive disease
    11
    18
    22
    23
    17
    17
    17
    7
    Notes
    [1] - The number of subjects reported to be in the baseline period are not the same as the worldwide number enrolled in the trial. It is expected that these numbers will be the same.
    Justification: This study was conducted in 2 Phases. Phase 1 enrolled 22 patients for the Dose Escalation to determine an RP2D of SD-101 in combination with pembrolizumab to be evaluated in Phase 2 Dose Expansion. The dose cohorts for SD-101 were 1 mg, 2 mg, 4 mg, and 8 mg. Two RP2Ds were selected (2 mg and 8 mg). Patients who received 1 mg (n=6) or 4 mg (n=5) of SD-101 in the Dose Escalation Phase are not included in phase 2 of the study (n=241 (enrolled for phase 2) - 11 = 230 patients for the analysis set).

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Melanoma Anti-PD-1/L1 Naïve SD-101 2 mg
    Reporting group description
    Phase 1 Dose Escalation cohorts and Phase 2 Dose Expansion cohorts were rearranged as analysis groups for analyses to assess study objectives, based on tumor indications, anti-PD-1/L1 experience, and dose of SD-101. The participants in this analysis group include participants in Phase 1 Dose Escalation Cohort 1 (SD-101 2 mg) and participants in Phase 2 Dose Expansion Cohort 1 and Cohort 5. Dose Expansion Cohort 5: Participants with melanoma who are anti-PD-1/L1-naïve were administered SD-101 2 mg intratumorally starting on Day 1 dose Q1W for 4 weeks followed by dose Q3W for 16 doses (up to 20 total doses). Participants were also administered Pembrolizumab 200 mg intravenously Q3W starting on Day 1 for up to 35 treatments or until disease progression. Dose: 2.0 mg per lesion in 1 to 4 lesions.

    Reporting group title
    Melanoma Anti-PD-1/L1 Naïve SD-101 8 mg
    Reporting group description
    Phase 1 Dose Escalation cohorts and Phase 2 Dose Expansion cohorts were rearranged as analysis groups for analyses to assess study objectives, based on tumor indications, anti-PD-1/L1 experience, and dose of SD-101. The participants in this analysis group include participants in Phase 1 Dose Escalation Cohort 3 (SD-101 8 mg) and participants in Phase 2 Dose Expansion Cohort 1. Dose Expansion Cohort 1: Participants with melanoma who are anti-PD-1/L1-naïve were administered SD-101 8 mg intratumorally starting on Day 22 dose Q1W for 4 weeks followed by dose Q3W for 7 doses, then 9 weeks off, then dose Q1W for 4 weeks followed by dose Q3W for 7 doses (up to 22 total doses). Participants were also administered Pembrolizumab 200 mg intravenously Q3W starting on Day 1 for up to 35 treatments or until disease progression. Dose: 8.0 mg in a single lesion if 1 lesion is selected or 2.0 mg per lesion if 2 to 4 lesions are selected for injection

    Reporting group title
    Melanoma Anti-PD-1/L1 Experienced SD-101 2 mg
    Reporting group description
    Phase 1 Dose Escalation cohorts and Phase 2 Dose Expansion cohorts were rearranged as analysis groups for analyses to assess study objectives, based on tumor indications, anti-PD-1/L1 experience, and dose of SD-101. The participants in this analysis group include participants in Phase 1 Dose Escalation Cohort 1 (SD-101 2 mg) and participants in Phase 2 Dose Expansion Cohort 2 and Cohort 8. Dose Expansion Cohort 8: Participants with melanoma who are anti-PD-1/L1 refractory or resistant were administered SD-101 2 mg intratumorally starting on Day 1 dose Q1W for 4 weeks followed by dose Q3W for 16 doses (up to 20 total doses). Participants were also administered Pembrolizumab 200 mg intravenously Q3W starting on Day 1 for up to 35 treatments or until disease progression. Dose: 2.0 mg per lesion in 1 to 4 lesions

    Reporting group title
    Melanoma Anti-PD-1/L1 Experienced SD-101 8 mg
    Reporting group description
    Phase 1 Dose Escalation cohorts and Phase 2 Dose Expansion cohorts were rearranged as analysis groups for analyses to assess study objectives, based on tumor indications, anti-PD-1/L1 experience, and dose of SD-101. The participants in this analysis group include participants in Phase 1 Dose Escalation Cohort 3 (SD-101 8 mg) and participants in Phase 2 Dose Expansion Cohort 2. Dose Expansion Cohort 2: Participants with melanoma who are anti-PD-1/L1-experienced were administered SD-101 8 mg intratumorally starting on Day 1 dose Q1W for 4 weeks followed by dose Q3W for 7 doses, then 9 weeks off, then dose Q1W for 4 weeks followed by dose Q3W for 7 doses (up to 22 total doses). Participants were also administered Pembrolizumab 200 mg intravenously Q3W starting on Day 1 for up to 35 treatments or until disease progression. Dose: 8.0 mg in a single lesion.

    Reporting group title
    HNSCC Anti-PD-1/L1 Naïve SD-101 2 mg
    Reporting group description
    Phase 1 Dose Escalation cohorts and Phase 2 Dose Expansion cohorts were rearranged as analysis groups for analyses to assess study objectives, based on tumor indications, anti-PD-1/L1 experience, and dose of SD-101. The participants in this analysis group include participants in Phase 2 Dose Expansion Cohort 3 and Cohort 6. Dose Expansion Cohort 6: Participants with HNSCC who are anti-PD-1/L1-naïve were administered SD-101 2 mg intratumorally starting on Day 1 dose Q1W for 4 weeks followed by dose Q3W for 16 doses (up to 20 total doses). Participants were also administered Pembrolizumab 200 mg intravenously Q3W starting on Day 1 for up to 35 treatments or until disease progression. Dose: 2.0 mg per lesion in 1 to 4 lesions

    Reporting group title
    HNSCC Anti-PD-1/L1 Naïve SD-101 8 mg
    Reporting group description
    Phase 1 Dose Escalation cohorts and Phase 2 Dose Expansion cohorts were rearranged as analysis groups for analyses to assess study objectives, based on tumor indications, anti-PD-1/L1 experience, and dose of SD-101. The participants in this analysis group include participants in Phase 2 Dose Expansion Cohort 3. Dose Expansion Cohort 3: Participants with HNSCC who are anti-PD-1/L1-naïve were administered SD-101 8 mg intratumorally starting on Day 22 dose Q1W for 4 weeks followed by dose Q3W for 7 doses, then 9 weeks off, then dose Q1W for 4 weeks followed by dose Q3W for 7 doses (up to 22 total doses). Participants were also administered Pembrolizumab 200 mg intravenously Q3W starting on Day 1 for up to 35 treatments or until disease progression. Dose: 8.0 mg in a single lesion

    Reporting group title
    HNSCC Anti-PD-1/L1 Experienced SD-101 2 mg
    Reporting group description
    Phase 1 Dose Escalation cohorts and Phase 2 Dose Expansion cohorts were rearranged as analysis groups for analyses to assess study objectives, based on tumor indications, anti-PD-1/L1 experience, and dose of SD-101. The participants in this analysis group include participants in Phase 2 Dose Expansion Cohort 4 and Cohort 7. Dose Expansion Cohort 7: Participants with HNSCC who are anti-PD-1/L1 refractory or resistant were administered SD-101 2 mg intratumorally starting on Day 1 dose Q1W for 4 weeks followed by dose Q3W for 16 doses (up to 20 total doses). Participants were also administered Pembrolizumab 200 mg intravenously Q3W starting on Day 1 for up to 35 treatments or until disease progression. Dose: 2.0 mg per lesion in 1 to 4 lesions.

    Reporting group title
    HNSCC Anti-PD-1/L1 Experienced SD-101 8 mg
    Reporting group description
    Phase 1 Dose Escalation cohorts and Phase 2 Dose Expansion cohorts were rearranged as analysis groups for analyses to assess study objectives, based on tumor indications, anti-PD-1/L1 experience, and dose of SD-101. The participants in this analysis group include participants in Phase 2 Dose Expansion Cohort 4. Dose Expansion Cohort 4: Participants with HNSCC who are anti-PD-1/L1-experienced were administered SD-101 8 mg intratumorally starting on Day 1 dose Q1W for 4 weeks followed by dose Q3W for 7 doses, then 9 weeks off, then dose Q1W for 4 weeks followed by dose Q3W for 7 doses (up to 22 total doses). Participants were also administered Pembrolizumab 200 mg intravenously Q3W starting on Day 1 for up to 35 treatments or until disease progression. Dose: 8.0 mg in a single lesion

    Reporting group values
    Melanoma Anti-PD-1/L1 Naïve SD-101 2 mg Melanoma Anti-PD-1/L1 Naïve SD-101 8 mg Melanoma Anti-PD-1/L1 Experienced SD-101 2 mg Melanoma Anti-PD-1/L1 Experienced SD-101 8 mg HNSCC Anti-PD-1/L1 Naïve SD-101 2 mg HNSCC Anti-PD-1/L1 Naïve SD-101 8 mg HNSCC Anti-PD-1/L1 Experienced SD-101 2 mg HNSCC Anti-PD-1/L1 Experienced SD-101 8 mg Total
    Number of subjects
    45 41 31 30 28 23 23 9 230
    Age categorical
    Units: Subjects
        ≤ 18 years
    0 0 0 0 0 0 0 0 0
        Between 18 and 65 years
    16 18 13 17 16 10 15 4 109
        ≥ 65 years
    29 23 18 13 12 13 8 5 121
    Age continuous
    Age were summarized with descriptive statistics such as mean, standard deviation, median, minimum, and maximum. Age was calculated between a subject's birth date and the date of his/her consent.
    Units: years
        arithmetic mean (standard deviation)
    66.2 ± 13.34 65.3 ± 12.44 65.6 ± 12.99 62.4 ± 15.25 62.6 ± 10.66 67.2 ± 9.59 61.0 ± 12.94 65.2 ± 12.35 -
    Gender categorical
    Units: Subjects
        Female
    13 14 10 7 9 2 8 1 64
        Male
    32 27 21 23 19 21 15 8 166
    Race
    Count and percentage are reported for categorical variables such as sex, race, and ethnicity.
    Units: Subjects
        White
    44 41 30 25 24 20 19 9 212
        Black or African American
    1 0 0 0 0 2 2 0 5
        Asian
    0 0 1 1 2 1 2 0 7
        Other
    0 0 0 4 2 0 0 0 6
    Ethnicity
    Count and percentage are reported for categorical variables such as sex, race, and ethnicity.
    Units: Subjects
        Hispanic or Latino
    0 2 1 4 0 0 2 1 10
        Not Hispanic or Latino
    43 37 28 26 28 22 20 8 212
        Unknown or Not Reported
    2 2 2 0 0 1 1 0 8

    End points

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    End points reporting groups
    Reporting group title
    Melanoma Anti-PD-1/L1 Naïve SD-101 2 mg
    Reporting group description
    Phase 1 Dose Escalation cohorts and Phase 2 Dose Expansion cohorts were rearranged as analysis groups for analyses to assess study objectives, based on tumor indications, anti-PD-1/L1 experience, and dose of SD-101. The participants in this analysis group include participants in Phase 1 Dose Escalation Cohort 1 (SD-101 2 mg) and participants in Phase 2 Dose Expansion Cohort 1 and Cohort 5. Dose Expansion Cohort 5: Participants with melanoma who are anti-PD-1/L1-naïve were administered SD-101 2 mg intratumorally starting on Day 1 dose Q1W for 4 weeks followed by dose Q3W for 16 doses (up to 20 total doses). Participants were also administered Pembrolizumab 200 mg intravenously Q3W starting on Day 1 for up to 35 treatments or until disease progression. Dose: 2.0 mg per lesion in 1 to 4 lesions.

    Reporting group title
    Melanoma Anti-PD-1/L1 Naïve SD-101 8 mg
    Reporting group description
    Phase 1 Dose Escalation cohorts and Phase 2 Dose Expansion cohorts were rearranged as analysis groups for analyses to assess study objectives, based on tumor indications, anti-PD-1/L1 experience, and dose of SD-101. The participants in this analysis group include participants in Phase 1 Dose Escalation Cohort 3 (SD-101 8 mg) and participants in Phase 2 Dose Expansion Cohort 1. Dose Expansion Cohort 1: Participants with melanoma who are anti-PD-1/L1-naïve were administered SD-101 8 mg intratumorally starting on Day 22 dose Q1W for 4 weeks followed by dose Q3W for 7 doses, then 9 weeks off, then dose Q1W for 4 weeks followed by dose Q3W for 7 doses (up to 22 total doses). Participants were also administered Pembrolizumab 200 mg intravenously Q3W starting on Day 1 for up to 35 treatments or until disease progression. Dose: 8.0 mg in a single lesion if 1 lesion is selected or 2.0 mg per lesion if 2 to 4 lesions are selected for injection

    Reporting group title
    Melanoma Anti-PD-1/L1 Experienced SD-101 2 mg
    Reporting group description
    Phase 1 Dose Escalation cohorts and Phase 2 Dose Expansion cohorts were rearranged as analysis groups for analyses to assess study objectives, based on tumor indications, anti-PD-1/L1 experience, and dose of SD-101. The participants in this analysis group include participants in Phase 1 Dose Escalation Cohort 1 (SD-101 2 mg) and participants in Phase 2 Dose Expansion Cohort 2 and Cohort 8. Dose Expansion Cohort 8: Participants with melanoma who are anti-PD-1/L1 refractory or resistant were administered SD-101 2 mg intratumorally starting on Day 1 dose Q1W for 4 weeks followed by dose Q3W for 16 doses (up to 20 total doses). Participants were also administered Pembrolizumab 200 mg intravenously Q3W starting on Day 1 for up to 35 treatments or until disease progression. Dose: 2.0 mg per lesion in 1 to 4 lesions

    Reporting group title
    Melanoma Anti-PD-1/L1 Experienced SD-101 8 mg
    Reporting group description
    Phase 1 Dose Escalation cohorts and Phase 2 Dose Expansion cohorts were rearranged as analysis groups for analyses to assess study objectives, based on tumor indications, anti-PD-1/L1 experience, and dose of SD-101. The participants in this analysis group include participants in Phase 1 Dose Escalation Cohort 3 (SD-101 8 mg) and participants in Phase 2 Dose Expansion Cohort 2. Dose Expansion Cohort 2: Participants with melanoma who are anti-PD-1/L1-experienced were administered SD-101 8 mg intratumorally starting on Day 1 dose Q1W for 4 weeks followed by dose Q3W for 7 doses, then 9 weeks off, then dose Q1W for 4 weeks followed by dose Q3W for 7 doses (up to 22 total doses). Participants were also administered Pembrolizumab 200 mg intravenously Q3W starting on Day 1 for up to 35 treatments or until disease progression. Dose: 8.0 mg in a single lesion.

    Reporting group title
    HNSCC Anti-PD-1/L1 Naïve SD-101 2 mg
    Reporting group description
    Phase 1 Dose Escalation cohorts and Phase 2 Dose Expansion cohorts were rearranged as analysis groups for analyses to assess study objectives, based on tumor indications, anti-PD-1/L1 experience, and dose of SD-101. The participants in this analysis group include participants in Phase 2 Dose Expansion Cohort 3 and Cohort 6. Dose Expansion Cohort 6: Participants with HNSCC who are anti-PD-1/L1-naïve were administered SD-101 2 mg intratumorally starting on Day 1 dose Q1W for 4 weeks followed by dose Q3W for 16 doses (up to 20 total doses). Participants were also administered Pembrolizumab 200 mg intravenously Q3W starting on Day 1 for up to 35 treatments or until disease progression. Dose: 2.0 mg per lesion in 1 to 4 lesions

    Reporting group title
    HNSCC Anti-PD-1/L1 Naïve SD-101 8 mg
    Reporting group description
    Phase 1 Dose Escalation cohorts and Phase 2 Dose Expansion cohorts were rearranged as analysis groups for analyses to assess study objectives, based on tumor indications, anti-PD-1/L1 experience, and dose of SD-101. The participants in this analysis group include participants in Phase 2 Dose Expansion Cohort 3. Dose Expansion Cohort 3: Participants with HNSCC who are anti-PD-1/L1-naïve were administered SD-101 8 mg intratumorally starting on Day 22 dose Q1W for 4 weeks followed by dose Q3W for 7 doses, then 9 weeks off, then dose Q1W for 4 weeks followed by dose Q3W for 7 doses (up to 22 total doses). Participants were also administered Pembrolizumab 200 mg intravenously Q3W starting on Day 1 for up to 35 treatments or until disease progression. Dose: 8.0 mg in a single lesion

    Reporting group title
    HNSCC Anti-PD-1/L1 Experienced SD-101 2 mg
    Reporting group description
    Phase 1 Dose Escalation cohorts and Phase 2 Dose Expansion cohorts were rearranged as analysis groups for analyses to assess study objectives, based on tumor indications, anti-PD-1/L1 experience, and dose of SD-101. The participants in this analysis group include participants in Phase 2 Dose Expansion Cohort 4 and Cohort 7. Dose Expansion Cohort 7: Participants with HNSCC who are anti-PD-1/L1 refractory or resistant were administered SD-101 2 mg intratumorally starting on Day 1 dose Q1W for 4 weeks followed by dose Q3W for 16 doses (up to 20 total doses). Participants were also administered Pembrolizumab 200 mg intravenously Q3W starting on Day 1 for up to 35 treatments or until disease progression. Dose: 2.0 mg per lesion in 1 to 4 lesions.

    Reporting group title
    HNSCC Anti-PD-1/L1 Experienced SD-101 8 mg
    Reporting group description
    Phase 1 Dose Escalation cohorts and Phase 2 Dose Expansion cohorts were rearranged as analysis groups for analyses to assess study objectives, based on tumor indications, anti-PD-1/L1 experience, and dose of SD-101. The participants in this analysis group include participants in Phase 2 Dose Expansion Cohort 4. Dose Expansion Cohort 4: Participants with HNSCC who are anti-PD-1/L1-experienced were administered SD-101 8 mg intratumorally starting on Day 1 dose Q1W for 4 weeks followed by dose Q3W for 7 doses, then 9 weeks off, then dose Q1W for 4 weeks followed by dose Q3W for 7 doses (up to 22 total doses). Participants were also administered Pembrolizumab 200 mg intravenously Q3W starting on Day 1 for up to 35 treatments or until disease progression. Dose: 8.0 mg in a single lesion

    Primary: Phase 1 Dose Escalation and Phase 2 Dose Expansion - Overall Response Rate (ORR) by Analysis Group

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    End point title
    Phase 1 Dose Escalation and Phase 2 Dose Expansion - Overall Response Rate (ORR) by Analysis Group [1]
    End point description
    Overall response rate (ORR) by analysis group based on investigator assessment using Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 was evaluated from Baseline (Day 1) through Day 743 or End of Study (EOS). The intent-to-treat (ITT) population comprises of all participants who were enrolled in the study. The objective response rate is defined by the total of CR plus PR of the each relevant subject analysis set. As of Protocol Amendment 9, efficacy and exploratory endpoints were no longer collected. The collection of safety endpoints was simplified.
    End point type
    Primary
    End point timeframe
    Day 1 through Day 743
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No statistical analysis: all analysis were descriptive.
    End point values
    Melanoma Anti-PD-1/L1 Naïve SD-101 2 mg Melanoma Anti-PD-1/L1 Naïve SD-101 8 mg Melanoma Anti-PD-1/L1 Experienced SD-101 2 mg Melanoma Anti-PD-1/L1 Experienced SD-101 8 mg HNSCC Anti-PD-1/L1 Naïve SD-101 2 mg HNSCC Anti-PD-1/L1 Naïve SD-101 8 mg HNSCC Anti-PD-1/L1 Experienced SD-101 2 mg HNSCC Anti-PD-1/L1 Experienced SD-101 8 mg
    Number of subjects analysed
    45
    41
    31
    30
    28
    23
    23
    9
    Units: Count of Participants
        Complete Response
    9
    4
    0
    1
    2
    0
    0
    1
        Partial Response
    25
    16
    7
    3
    4
    6
    2
    0
        Stable Disease
    2
    8
    8
    8
    7
    5
    3
    2
        Progressive Disease
    5
    8
    12
    11
    10
    9
    10
    4
        Not Evaluable
    4
    5
    4
    7
    5
    3
    8
    2
    No statistical analyses for this end point

    Primary: Objective Response Rate

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    End point title
    Objective Response Rate [2]
    End point description
    The objective response rate is defined by the total of CR and PR. As of Protocol Amendment 9, efficacy and exploratory endpoints were no longer collected. The collection of safety endpoints was simplified.
    End point type
    Primary
    End point timeframe
    Day 1 Through Day 743
    Notes
    [2] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No statistical analysis: all analysis were descriptive.
    End point values
    Melanoma Anti-PD-1/L1 Naïve SD-101 2 mg Melanoma Anti-PD-1/L1 Naïve SD-101 8 mg Melanoma Anti-PD-1/L1 Experienced SD-101 2 mg Melanoma Anti-PD-1/L1 Experienced SD-101 8 mg HNSCC Anti-PD-1/L1 Naïve SD-101 2 mg HNSCC Anti-PD-1/L1 Naïve SD-101 8 mg HNSCC Anti-PD-1/L1 Experienced SD-101 2 mg HNSCC Anti-PD-1/L1 Experienced SD-101 8 mg
    Number of subjects analysed
    45
    41
    31
    30
    28
    23
    23
    9
    Units: Counts of participants
    34
    20
    7
    4
    6
    6
    2
    1
    No statistical analyses for this end point

    Secondary: Phase 1 Dose Escalation and Phase 2 Dose Expansion - Time to Objective Response by Analysis Group

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    End point title
    Phase 1 Dose Escalation and Phase 2 Dose Expansion - Time to Objective Response by Analysis Group
    End point description
    Time to objective response by analysis group based on investigator assessment using Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 was evaluated from Baseline (Day 1) through Day 743 or End of Study (EOS). The intent-to-treat (ITT) population comprises of all participants who were enrolled in the study. This subset of participants analyzed comprises of participants with objective response. As of Protocol Amendment 9, efficacy and exploratory endpoints were no longer collected. The collection of safety endpoints was simplified.
    End point type
    Secondary
    End point timeframe
    Day 1 through Day 743
    End point values
    Melanoma Anti-PD-1/L1 Naïve SD-101 2 mg Melanoma Anti-PD-1/L1 Naïve SD-101 8 mg Melanoma Anti-PD-1/L1 Experienced SD-101 2 mg Melanoma Anti-PD-1/L1 Experienced SD-101 8 mg HNSCC Anti-PD-1/L1 Naïve SD-101 2 mg HNSCC Anti-PD-1/L1 Naïve SD-101 8 mg HNSCC Anti-PD-1/L1 Experienced SD-101 2 mg HNSCC Anti-PD-1/L1 Experienced SD-101 8 mg
    Number of subjects analysed
    34
    20
    7
    4
    6
    6
    2
    1
    Units: month
        arithmetic mean (standard deviation)
    3.2 ± 1.6
    4.1 ± 2.96
    5.1 ± 3.06
    4.3 ± 2.98
    2.3 ± 0.92
    2.4 ± 0.87
    2.7 ± 1.09
    2.1 ± 0
    No statistical analyses for this end point

    Secondary: Phase 1 Dose Escalation and Phase 2 Dose Expansion - Duration of Response by Analysis Group

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    End point title
    Phase 1 Dose Escalation and Phase 2 Dose Expansion - Duration of Response by Analysis Group
    End point description
    Duration of response by analysis group based on investigator assessment using Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 was evaluated from Baseline (Day 1) through Day 743 or End of Study (EOS). The intent-to-treat (ITT) population comprises of all participants who were enrolled in the study. This subset of participants analyzed comprises of participants with objective response. As of Protocol Amendment 9, efficacy and exploratory endpoints were no longer collected. The collection of safety endpoints was simplified.
    End point type
    Secondary
    End point timeframe
    Day 1 through Day 743
    End point values
    Melanoma Anti-PD-1/L1 Naïve SD-101 2 mg Melanoma Anti-PD-1/L1 Naïve SD-101 8 mg Melanoma Anti-PD-1/L1 Experienced SD-101 2 mg Melanoma Anti-PD-1/L1 Experienced SD-101 8 mg HNSCC Anti-PD-1/L1 Naïve SD-101 2 mg HNSCC Anti-PD-1/L1 Naïve SD-101 8 mg HNSCC Anti-PD-1/L1 Experienced SD-101 2 mg HNSCC Anti-PD-1/L1 Experienced SD-101 8 mg
    Number of subjects analysed
    34
    20
    7
    4
    6
    6
    2
    1
    Units: month
        arithmetic mean (standard deviation)
    11.1 ± 6.42
    11.7 ± 5.96
    4.6 ± 6.57
    7.6 ± 7.28
    5.9 ± 4.93
    6.3 ± 3.96
    2.1 ± 0.07
    8.1 ± 0
    No statistical analyses for this end point

    Secondary: Phase 1 Dose Escalation and Phase 2 Dose Expansion - Disease Control Rate (DCR) by Analysis Group

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    End point title
    Phase 1 Dose Escalation and Phase 2 Dose Expansion - Disease Control Rate (DCR) by Analysis Group
    End point description
    Disease Control Rate (DCR) by analysis group based on investigator assessment using Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 was evaluated from Baseline (Day 1) through Day 743 or End of Study (EOS). The intent-to-treat (ITT) population comprises of all participants who were enrolled in the study. As of Protocol Amendment 9, efficacy and exploratory endpoints were no longer collected. The collection of safety endpoints was simplified.
    End point type
    Secondary
    End point timeframe
    Day 1 through Day 743
    End point values
    Melanoma Anti-PD-1/L1 Naïve SD-101 2 mg Melanoma Anti-PD-1/L1 Naïve SD-101 8 mg Melanoma Anti-PD-1/L1 Experienced SD-101 2 mg Melanoma Anti-PD-1/L1 Experienced SD-101 8 mg HNSCC Anti-PD-1/L1 Naïve SD-101 2 mg HNSCC Anti-PD-1/L1 Naïve SD-101 8 mg HNSCC Anti-PD-1/L1 Experienced SD-101 2 mg HNSCC Anti-PD-1/L1 Experienced SD-101 8 mg
    Number of subjects analysed
    45
    41
    31
    30
    28
    23
    23
    9
    Units: Participants
    36
    28
    15
    12
    13
    11
    5
    3
    No statistical analyses for this end point

    Secondary: Phase 1 Dose Escalation and Phase 2 Dose Expansion - Progression-Free Survival Rate by Analysis Group

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    End point title
    Phase 1 Dose Escalation and Phase 2 Dose Expansion - Progression-Free Survival Rate by Analysis Group
    End point description
    Progression-Free Survival (PFS) rate by analysis group based on investigator assessment using Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 was evaluated from Baseline (Day 1) through Day 743 or End of Study (EOS). The intent-to-treat (ITT) population comprises of all participants who were enrolled in the study. As of Protocol Amendment 9, efficacy and exploratory endpoints were no longer collected. The collection of safety endpoints was simplified.
    End point type
    Secondary
    End point timeframe
    Day 1 through Day 743
    End point values
    Melanoma Anti-PD-1/L1 Naïve SD-101 2 mg Melanoma Anti-PD-1/L1 Naïve SD-101 8 mg Melanoma Anti-PD-1/L1 Experienced SD-101 2 mg Melanoma Anti-PD-1/L1 Experienced SD-101 8 mg HNSCC Anti-PD-1/L1 Naïve SD-101 2 mg HNSCC Anti-PD-1/L1 Naïve SD-101 8 mg HNSCC Anti-PD-1/L1 Experienced SD-101 2 mg HNSCC Anti-PD-1/L1 Experienced SD-101 8 mg
    Number of subjects analysed
    45
    41
    31
    30
    28
    23
    23
    9
    Units: Month rate
    arithmetic mean (confidence interval 95%)
        3-month rate
    85.7 (70.9 to 93.3)
    71.9 (54 to 83.8)
    46.7 (28.4 to 63)
    48 (27.8 to 65.6)
    46.4 (26.6 to 64.1)
    43.5 (23.3 to 62.1)
    31.6 (12.9 to 52.2)
    37.5 (8.7 to 67.4)
        6-month rate
    78.4 (62.6 to 88.1)
    63.3 (45.2 to 76.8)
    33 (17.2 to 49.8)
    24 (9.8 to 41.7)
    26.5 (10.5 to 45.7)
    17.4 (5.4 to 35)
    0 (0 to 0)
    25 (3.7 to 55.8)
        9-month rate
    70.8 (54.3 to 82.3)
    60.4 (42.4 to 74.4)
    21.4 (8.6 to 37.9)
    14.4 (3.9 to 31.4)
    21.2 (7.1 to 40.3)
    17.4 (5.4 to 35)
    0 (0 to 0)
    12.5 (0.7 to 42.3)
        12-month rate
    70.8 (54.3 to 82.3)
    53.7 (35.7 to 68.7)
    21.4 (8.6 to 37.9)
    9.6 (1.7 to 25.7)
    15.9 (4.2 to 34.4)
    8.7 (1.5 to 24.2)
    0 (0 to 0)
    0 (0 to 0)
        15-month rate
    65.1 (48.2 to 77.8)
    49.9 (31.9 to 65.5)
    0 (0 to 0)
    9.6 (1.7 to 25.7)
    15.9 (4.2 to 34.4)
    4.3 (0.3 to 18.2)
    0 (0 to 0)
    0 (0 to 0)
        18-month rate
    61.5 (44 to 75)
    40.3 (22.3 to 57.7)
    0 (0 to 0)
    9.6 (1.7 to 25.7)
    0 (0 to 0)
    0 (0 to 0)
    0 (0 to 0)
    0 (0 to 0)
        21-month rate
    61.5 (44 to 75)
    40.3 (22.3 to 57.7)
    0 (0 to 0)
    0 (0 to 0)
    0 (0 to 0)
    0 (0 to 0)
    0 (0 to 0)
    0 (0 to 0)
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Day 1 through Day 743 For Dose Escalation purposes, a DLT would be defined as any selected AEs as per protocol occurring from the time of the first injection (Day 1) through Study Day 29.
    Adverse event reporting additional description
    The safety population included all enrolled patients who received at least 1 dose of SD-101. The measures of safety in the trial were routine clinical and laboratory procedures. AEs, SAEs, and abnormal laboratory values were summarized by the proportion of subjects who experienced them.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    18.1
    Reporting groups
    Reporting group title
    SD-101 8 mg in Anti-PD-1/L1-Naïve Melanoma
    Reporting group description
    Dose Expansion Cohort 1: Participants with melanoma who are anti-PD-1/L1-naïve were administered SD-101 8 mg intratumorally starting on Day 22 dose Q1W for 4 weeks followed by dose Q3W for 7 doses, then 9 weeks off, then dose Q1W for 4 weeks followed by dose Q3W for 7 doses (up to 22 total doses). Participants were also administered Pembrolizumab 200 mg intravenously Q3W starting on Day 1 for up to 35 treatments or until disease progression. Dose: 8.0 mg in a single lesion if 1 lesion is selected or 2.0 mg per lesion if 2 to 4 lesions are selected for injection Objective: determine the safety and efficacy of SD-101(2) and pembrolizumab in anti-PD-1/L1 therapy naïve patients with recurrent or metastatic melanoma.

    Reporting group title
    SD-101 8 mg in Anti-PD-1/L1-Experienced Melanoma
    Reporting group description
    Dose Expansion Cohort 2: Participants with melanoma who are anti-PD-1/L1-experienced were administered SD-101 8 mg intratumorally starting on Day 1 dose Q1W for 4 weeks followed by dose Q3W for 7 doses, then 9 weeks off, then dose Q1W for 4 weeks followed by dose Q3W for 7 doses (up to 22 total doses). Participants were also administered Pembrolizumab 200 mg intravenously Q3W starting on Day 1 for up to 35 treatments or until disease progression. Dose: 8.0 mg in a single lesion. Determine the safety and efficacy of SD-101(2) and pembrolizumab in anti-PD-1/L1 therapy progressing patients with recurrent or metastatic melanoma.

    Reporting group title
    SD-101 8 mg in Anti-PD-1/L1-Naïve HNSCC
    Reporting group description
    Dose Expansion Cohort 3: Participants with HNSCC who are anti-PD-1/L1-naïve were administered SD-101 8 mg intratumorally starting on Day 22 dose Q1W for 4 weeks followed by dose Q3W for 7 doses, then 9 weeks off, then dose Q1W for 4 weeks followed by dose Q3W for 7 doses (up to 22 total doses). Participants were also administered Pembrolizumab 200 mg intravenously Q3W starting on Day 1 for up to 35 treatments or until disease progression. Dose: 8.0 mg in a single lesion Objective: determine the safety and efficacy of SD-101(2) and pembrolizumab in anti-PD-1/L1 therapy naïve patients with recurrent head and neck squamous cell carcinoma.

    Reporting group title
    SD-101 8 mg in Anti-PD-1/L1-Experienced HNSCC
    Reporting group description
    Dose Expansion Cohort 4: Participants with HNSCC who are anti-PD-1/L1-experienced were administered SD-101 8 mg intratumorally starting on Day 1 dose Q1W for 4 weeks followed by dose Q3W for 7 doses, then 9 weeks off, then dose Q1W for 4 weeks followed by dose Q3W for 7 doses (up to 22 total doses). Participants were also administered Pembrolizumab 200 mg intravenously Q3W starting on Day 1 for up to 35 treatments or until disease progression. Dose: 8.0 mg in a single lesion Objective: determine the safety and efficacy of SD-101(2) and pembrolizumab in anti-PD-1/L1 therapy progressing patients with recurrent head and neck squamous cell carcinoma.

    Reporting group title
    SD-101 2 mg in Anti-PD-1/L1-Naïve Melanoma
    Reporting group description
    Dose Expansion Cohort 5: Participants with melanoma who are anti-PD-1/L1-naïve were administered SD-101 2 mg intratumorally starting on Day 1 dose Q1W for 4 weeks followed by dose Q3W for 16 doses (up to 20 total doses). Participants were also administered Pembrolizumab 200 mg intravenously Q3W starting on Day 1 for up to 35 treatments or until disease progression. Dose: 2.0 mg per lesion in 1 to 4 lesions. Objective: determine the safety and efficacy of SD-101(3) and pembrolizumab in anti-PD-1/L1 therapy naïve patients with recurrent or metastatic melanoma.

    Reporting group title
    SD-101 2 mg in Anti-PD-1/L1-Naïve HNSCC
    Reporting group description
    Dose Expansion Cohort 6: Participants with HNSCC who are anti-PD-1/L1-naïve were administered SD-101 2 mg intratumorally starting on Day 1 dose Q1W for 4 weeks followed by dose Q3W for 16 doses (up to 20 total doses). Participants were also administered Pembrolizumab 200 mg intravenously Q3W starting on Day 1 for up to 35 treatments or until disease progression. Dose: 2.0 mg per lesion in 1 to 4 lesions Objective: determine the safety and efficacy of SD-101(3) and pembrolizumab in anti-PD-1/L1 therapy naïve patients with recurrent head and neck squamous cell carcinoma.

    Reporting group title
    SD-101 2 mg in Anti-PD-1/L1 Refractory or Resistant HNSCC
    Reporting group description
    Dose Expansion Cohort 7: Participants with HNSCC who are anti-PD-1/L1 refractory or resistant were administered SD-101 2 mg intratumorally starting on Day 1 dose Q1W for 4 weeks followed by dose Q3W for 16 doses (up to 20 total doses). Participants were also administered Pembrolizumab 200 mg intravenously Q3W starting on Day 1 for up to 35 treatments or until disease progression. Dose: 2.0 mg per lesion in 1 to 4 lesions. Objective: determine the safety and efficacy of SD-101(3) and pembrolizumab in anti-PD-1/L1 therapy refractory or resistant patients with recurrent head and neck squamous cell carcinoma.

    Reporting group title
    SD-101 2 mg in Anti-PD-1/L1 Refractory or Resistant Melanoma
    Reporting group description
    Dose Expansion Cohort 8: Participants with melanoma who are anti-PD-1/L1 refractory or resistant were administered SD-101 2 mg intratumorally starting on Day 1 dose Q1W for 4 weeks followed by dose Q3W for 16 doses (up to 20 total doses). Participants were also administered Pembrolizumab 200 mg intravenously Q3W starting on Day 1 for up to 35 treatments or until disease progression. Dose: 2.0 mg per lesion in 1 to 4 lesions Objective: determine the safety and efficacy of SD-101(3) and pembrolizumab in anti-PD-1/L1 therapy refractory or resistant patients with recurrent or metastatic melanoma.

    Serious adverse events
    SD-101 8 mg in Anti-PD-1/L1-Naïve Melanoma SD-101 8 mg in Anti-PD-1/L1-Experienced Melanoma SD-101 8 mg in Anti-PD-1/L1-Naïve HNSCC SD-101 8 mg in Anti-PD-1/L1-Experienced HNSCC SD-101 2 mg in Anti-PD-1/L1-Naïve Melanoma SD-101 2 mg in Anti-PD-1/L1-Naïve HNSCC SD-101 2 mg in Anti-PD-1/L1 Refractory or Resistant HNSCC SD-101 2 mg in Anti-PD-1/L1 Refractory or Resistant Melanoma
    Total subjects affected by serious adverse events
         subjects affected / exposed
    17 / 39 (43.59%)
    9 / 30 (30.00%)
    5 / 23 (21.74%)
    4 / 9 (44.44%)
    15 / 44 (34.09%)
    8 / 27 (29.63%)
    10 / 23 (43.48%)
    6 / 31 (19.35%)
         number of deaths (all causes)
    3
    7
    13
    3
    2
    6
    7
    5
         number of deaths resulting from adverse events
    1
    0
    0
    1
    1
    3
    0
    0
    Vascular disorders
    Hypotension
         subjects affected / exposed
    2 / 39 (5.13%)
    0 / 30 (0.00%)
    0 / 23 (0.00%)
    0 / 9 (0.00%)
    0 / 44 (0.00%)
    0 / 27 (0.00%)
    0 / 23 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Arterial rupture
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 30 (0.00%)
    0 / 23 (0.00%)
    0 / 9 (0.00%)
    0 / 44 (0.00%)
    1 / 27 (3.70%)
    0 / 23 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    General disorders and administration site conditions
    Influenza like illness
         subjects affected / exposed
    1 / 39 (2.56%)
    1 / 30 (3.33%)
    0 / 23 (0.00%)
    0 / 9 (0.00%)
    0 / 44 (0.00%)
    0 / 27 (0.00%)
    0 / 23 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Localised oedema
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 30 (0.00%)
    0 / 23 (0.00%)
    0 / 9 (0.00%)
    0 / 44 (0.00%)
    0 / 27 (0.00%)
    1 / 23 (4.35%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Oedema peripheral
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 30 (0.00%)
    0 / 23 (0.00%)
    0 / 9 (0.00%)
    0 / 44 (0.00%)
    0 / 27 (0.00%)
    0 / 23 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pyrexia
         subjects affected / exposed
    0 / 39 (0.00%)
    1 / 30 (3.33%)
    0 / 23 (0.00%)
    0 / 9 (0.00%)
    1 / 44 (2.27%)
    0 / 27 (0.00%)
    0 / 23 (0.00%)
    2 / 31 (6.45%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Asthenia
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 30 (0.00%)
    0 / 23 (0.00%)
    0 / 9 (0.00%)
    0 / 44 (0.00%)
    0 / 27 (0.00%)
    0 / 23 (0.00%)
    1 / 31 (3.23%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Systemic inflammatory response syndrome
         subjects affected / exposed
    0 / 39 (0.00%)
    1 / 30 (3.33%)
    0 / 23 (0.00%)
    0 / 9 (0.00%)
    0 / 44 (0.00%)
    1 / 27 (3.70%)
    0 / 23 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Pneumonitis
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 30 (0.00%)
    0 / 23 (0.00%)
    0 / 9 (0.00%)
    0 / 44 (0.00%)
    0 / 27 (0.00%)
    0 / 23 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pneumonia aspiration
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 30 (0.00%)
    0 / 23 (0.00%)
    0 / 9 (0.00%)
    0 / 44 (0.00%)
    0 / 27 (0.00%)
    1 / 23 (4.35%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    Respiratory failure
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 30 (0.00%)
    0 / 23 (0.00%)
    1 / 9 (11.11%)
    0 / 44 (0.00%)
    0 / 27 (0.00%)
    0 / 23 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Investigations
    Alanine Aminotransferase Increased
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 30 (0.00%)
    0 / 23 (0.00%)
    0 / 9 (0.00%)
    0 / 44 (0.00%)
    0 / 27 (0.00%)
    0 / 23 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Aspartate Aminotransferase Increased
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 30 (0.00%)
    0 / 23 (0.00%)
    0 / 9 (0.00%)
    0 / 44 (0.00%)
    0 / 27 (0.00%)
    0 / 23 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    Infusion Related Reaction
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 30 (0.00%)
    1 / 23 (4.35%)
    0 / 9 (0.00%)
    0 / 44 (0.00%)
    0 / 27 (0.00%)
    0 / 23 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cardiac disorders
    Autoimmune Myocarditis
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 30 (0.00%)
    0 / 23 (0.00%)
    0 / 9 (0.00%)
    0 / 44 (0.00%)
    0 / 27 (0.00%)
    0 / 23 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Angina Pectoris
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 30 (0.00%)
    0 / 23 (0.00%)
    0 / 9 (0.00%)
    0 / 44 (0.00%)
    0 / 27 (0.00%)
    0 / 23 (0.00%)
    1 / 31 (3.23%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Atrial fibrillation
         subjects affected / exposed
    0 / 39 (0.00%)
    1 / 30 (3.33%)
    1 / 23 (4.35%)
    0 / 9 (0.00%)
    0 / 44 (0.00%)
    0 / 27 (0.00%)
    0 / 23 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pulseless electrical activity
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 30 (0.00%)
    0 / 23 (0.00%)
    0 / 9 (0.00%)
    0 / 44 (0.00%)
    1 / 27 (3.70%)
    0 / 23 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    Nervous system disorders
    Headache
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 30 (0.00%)
    0 / 23 (0.00%)
    0 / 9 (0.00%)
    1 / 44 (2.27%)
    0 / 27 (0.00%)
    0 / 23 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Metabolic encephalopathy
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 30 (0.00%)
    0 / 23 (0.00%)
    0 / 9 (0.00%)
    0 / 44 (0.00%)
    0 / 27 (0.00%)
    0 / 23 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Myasthenia gravis
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 30 (0.00%)
    0 / 23 (0.00%)
    0 / 9 (0.00%)
    0 / 44 (0.00%)
    0 / 27 (0.00%)
    0 / 23 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Syncope
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 30 (0.00%)
    1 / 23 (4.35%)
    0 / 9 (0.00%)
    1 / 44 (2.27%)
    0 / 27 (0.00%)
    0 / 23 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Embolic stroke
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 30 (0.00%)
    0 / 23 (0.00%)
    0 / 9 (0.00%)
    1 / 44 (2.27%)
    0 / 27 (0.00%)
    0 / 23 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    Blood and lymphatic system disorders
    Eosinophilia
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 30 (0.00%)
    0 / 23 (0.00%)
    0 / 9 (0.00%)
    0 / 44 (0.00%)
    0 / 27 (0.00%)
    0 / 23 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Febrile Neutropenia
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 30 (0.00%)
    0 / 23 (0.00%)
    0 / 9 (0.00%)
    1 / 44 (2.27%)
    0 / 27 (0.00%)
    0 / 23 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Eye disorders
    Autoimmune retinopathy
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 30 (0.00%)
    0 / 23 (0.00%)
    0 / 9 (0.00%)
    0 / 44 (0.00%)
    0 / 27 (0.00%)
    0 / 23 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    2 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Vomiting
         subjects affected / exposed
    0 / 39 (0.00%)
    2 / 30 (6.67%)
    0 / 23 (0.00%)
    0 / 9 (0.00%)
    0 / 44 (0.00%)
    0 / 27 (0.00%)
    0 / 23 (0.00%)
    1 / 31 (3.23%)
         occurrences causally related to treatment / all
    0 / 0
    3 / 3
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Diarrhoea
         subjects affected / exposed
    0 / 39 (0.00%)
    1 / 30 (3.33%)
    0 / 23 (0.00%)
    0 / 9 (0.00%)
    1 / 44 (2.27%)
    0 / 27 (0.00%)
    0 / 23 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    2 / 2
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Nausea
         subjects affected / exposed
    0 / 39 (0.00%)
    1 / 30 (3.33%)
    0 / 23 (0.00%)
    0 / 9 (0.00%)
    0 / 44 (0.00%)
    0 / 27 (0.00%)
    0 / 23 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pancreatitis
         subjects affected / exposed
    0 / 39 (0.00%)
    1 / 30 (3.33%)
    0 / 23 (0.00%)
    0 / 9 (0.00%)
    1 / 44 (2.27%)
    0 / 27 (0.00%)
    0 / 23 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hepatobiliary disorders
    Autoimmune Hepatitis
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 30 (0.00%)
    0 / 23 (0.00%)
    0 / 9 (0.00%)
    0 / 44 (0.00%)
    0 / 27 (0.00%)
    0 / 23 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Skin and subcutaneous tissue disorders
    Angioedema
         subjects affected / exposed
    0 / 39 (0.00%)
    1 / 30 (3.33%)
    0 / 23 (0.00%)
    0 / 9 (0.00%)
    0 / 44 (0.00%)
    0 / 27 (0.00%)
    0 / 23 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Endocrine disorders
    Hypophysitis
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 30 (0.00%)
    0 / 23 (0.00%)
    0 / 9 (0.00%)
    1 / 44 (2.27%)
    0 / 27 (0.00%)
    0 / 23 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    Muscular Weakness
         subjects affected / exposed
    1 / 39 (2.56%)
    1 / 30 (3.33%)
    0 / 23 (0.00%)
    0 / 9 (0.00%)
    0 / 44 (0.00%)
    0 / 27 (0.00%)
    0 / 23 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Myositis
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 30 (0.00%)
    0 / 23 (0.00%)
    0 / 9 (0.00%)
    0 / 44 (0.00%)
    0 / 27 (0.00%)
    0 / 23 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Infections and infestations
    Cellulitis
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 30 (0.00%)
    0 / 23 (0.00%)
    1 / 9 (11.11%)
    2 / 44 (4.55%)
    1 / 27 (3.70%)
    0 / 23 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    1 / 3
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Meningitis aseptic
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 30 (0.00%)
    0 / 23 (0.00%)
    0 / 9 (0.00%)
    0 / 44 (0.00%)
    0 / 27 (0.00%)
    0 / 23 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pneumonia
         subjects affected / exposed
    1 / 39 (2.56%)
    3 / 30 (10.00%)
    1 / 23 (4.35%)
    0 / 9 (0.00%)
    0 / 44 (0.00%)
    2 / 27 (7.41%)
    1 / 23 (4.35%)
    1 / 31 (3.23%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 3
    0 / 1
    0 / 0
    0 / 0
    0 / 2
    0 / 1
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Septic Shock
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 30 (0.00%)
    0 / 23 (0.00%)
    0 / 9 (0.00%)
    0 / 44 (0.00%)
    0 / 27 (0.00%)
    1 / 23 (4.35%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Abscess
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 30 (0.00%)
    0 / 23 (0.00%)
    0 / 9 (0.00%)
    0 / 44 (0.00%)
    1 / 27 (3.70%)
    0 / 23 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    Metabolism and nutrition disorders
    Dehydration
         subjects affected / exposed
    3 / 39 (7.69%)
    1 / 30 (3.33%)
    1 / 23 (4.35%)
    0 / 9 (0.00%)
    0 / 44 (0.00%)
    1 / 27 (3.70%)
    0 / 23 (0.00%)
    0 / 31 (0.00%)
         occurrences causally related to treatment / all
    1 / 3
    0 / 1
    1 / 1
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 2%
    Non-serious adverse events
    SD-101 8 mg in Anti-PD-1/L1-Naïve Melanoma SD-101 8 mg in Anti-PD-1/L1-Experienced Melanoma SD-101 8 mg in Anti-PD-1/L1-Naïve HNSCC SD-101 8 mg in Anti-PD-1/L1-Experienced HNSCC SD-101 2 mg in Anti-PD-1/L1-Naïve Melanoma SD-101 2 mg in Anti-PD-1/L1-Naïve HNSCC SD-101 2 mg in Anti-PD-1/L1 Refractory or Resistant HNSCC SD-101 2 mg in Anti-PD-1/L1 Refractory or Resistant Melanoma
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    39 / 39 (100.00%)
    30 / 30 (100.00%)
    23 / 23 (100.00%)
    9 / 9 (100.00%)
    44 / 44 (100.00%)
    25 / 27 (92.59%)
    22 / 23 (95.65%)
    31 / 31 (100.00%)
    Vascular disorders
    Hypertension
         subjects affected / exposed
    13 / 39 (33.33%)
    2 / 30 (6.67%)
    2 / 23 (8.70%)
    0 / 9 (0.00%)
    4 / 44 (9.09%)
    1 / 27 (3.70%)
    0 / 23 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    13
    2
    2
    0
    4
    1
    0
    1
    Nervous system disorders
    Headache
         subjects affected / exposed
    25 / 39 (64.10%)
    14 / 30 (46.67%)
    10 / 23 (43.48%)
    4 / 9 (44.44%)
    23 / 44 (52.27%)
    3 / 27 (11.11%)
    2 / 23 (8.70%)
    9 / 31 (29.03%)
         occurrences all number
    25
    14
    10
    4
    23
    3
    2
    9
    General disorders and administration site conditions
    Fatigue
         subjects affected / exposed
    31 / 39 (79.49%)
    22 / 30 (73.33%)
    17 / 23 (73.91%)
    5 / 9 (55.56%)
    33 / 44 (75.00%)
    15 / 27 (55.56%)
    7 / 23 (30.43%)
    13 / 31 (41.94%)
         occurrences all number
    31
    22
    17
    5
    33
    15
    7
    13
    Chills
         subjects affected / exposed
    20 / 39 (51.28%)
    16 / 30 (53.33%)
    10 / 23 (43.48%)
    1 / 9 (11.11%)
    19 / 44 (43.18%)
    3 / 27 (11.11%)
    2 / 23 (8.70%)
    6 / 31 (19.35%)
         occurrences all number
    20
    16
    10
    1
    19
    3
    2
    6
    Malaise
         subjects affected / exposed
    20 / 39 (51.28%)
    11 / 30 (36.67%)
    0 / 23 (0.00%)
    2 / 9 (22.22%)
    14 / 44 (31.82%)
    0 / 27 (0.00%)
    2 / 23 (8.70%)
    4 / 31 (12.90%)
         occurrences all number
    20
    11
    0
    2
    14
    0
    2
    4
    Injection site erythema
         subjects affected / exposed
    9 / 39 (23.08%)
    13 / 30 (43.33%)
    4 / 23 (17.39%)
    2 / 9 (22.22%)
    17 / 44 (38.64%)
    1 / 27 (3.70%)
    1 / 23 (4.35%)
    4 / 31 (12.90%)
         occurrences all number
    9
    13
    4
    2
    17
    1
    1
    4
    Pyrexia
         subjects affected / exposed
    15 / 39 (38.46%)
    7 / 30 (23.33%)
    6 / 23 (26.09%)
    4 / 9 (44.44%)
    10 / 44 (22.73%)
    6 / 27 (22.22%)
    6 / 23 (26.09%)
    7 / 31 (22.58%)
         occurrences all number
    15
    7
    6
    4
    10
    6
    6
    7
    Influenza Like Illness
         subjects affected / exposed
    7 / 39 (17.95%)
    4 / 30 (13.33%)
    2 / 23 (8.70%)
    0 / 9 (0.00%)
    13 / 44 (29.55%)
    2 / 27 (7.41%)
    0 / 23 (0.00%)
    10 / 31 (32.26%)
         occurrences all number
    7
    4
    2
    0
    13
    2
    0
    10
    Injection Site Pain
         subjects affected / exposed
    6 / 39 (15.38%)
    8 / 30 (26.67%)
    0 / 23 (0.00%)
    1 / 9 (11.11%)
    11 / 44 (25.00%)
    0 / 27 (0.00%)
    2 / 23 (8.70%)
    4 / 31 (12.90%)
         occurrences all number
    6
    8
    0
    1
    11
    0
    2
    4
    Injection Site Swelling
         subjects affected / exposed
    5 / 39 (12.82%)
    0 / 30 (0.00%)
    3 / 23 (13.04%)
    1 / 9 (11.11%)
    9 / 44 (20.45%)
    2 / 27 (7.41%)
    1 / 23 (4.35%)
    0 / 31 (0.00%)
         occurrences all number
    5
    0
    3
    1
    9
    2
    1
    0
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    10 / 39 (25.64%)
    4 / 30 (13.33%)
    5 / 23 (21.74%)
    2 / 9 (22.22%)
    7 / 44 (15.91%)
    4 / 27 (14.81%)
    3 / 23 (13.04%)
    4 / 31 (12.90%)
         occurrences all number
    10
    4
    5
    2
    7
    4
    3
    4
    Neutropenia
         subjects affected / exposed
    2 / 39 (5.13%)
    0 / 30 (0.00%)
    0 / 23 (0.00%)
    0 / 9 (0.00%)
    1 / 44 (2.27%)
    0 / 27 (0.00%)
    0 / 23 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    2
    0
    0
    0
    1
    0
    0
    0
    Gastrointestinal disorders
    Diarrhoea
         subjects affected / exposed
    11 / 39 (28.21%)
    7 / 30 (23.33%)
    7 / 23 (30.43%)
    0 / 9 (0.00%)
    21 / 44 (47.73%)
    2 / 27 (7.41%)
    0 / 23 (0.00%)
    6 / 31 (19.35%)
         occurrences all number
    11
    7
    7
    0
    21
    2
    0
    6
    Nausea
         subjects affected / exposed
    15 / 39 (38.46%)
    10 / 30 (33.33%)
    8 / 23 (34.78%)
    0 / 9 (0.00%)
    13 / 44 (29.55%)
    8 / 27 (29.63%)
    0 / 23 (0.00%)
    9 / 31 (29.03%)
         occurrences all number
    15
    10
    8
    0
    13
    8
    0
    9
    Vomiting
         subjects affected / exposed
    6 / 39 (15.38%)
    6 / 30 (20.00%)
    3 / 23 (13.04%)
    0 / 9 (0.00%)
    6 / 44 (13.64%)
    5 / 27 (18.52%)
    0 / 23 (0.00%)
    6 / 31 (19.35%)
         occurrences all number
    6
    6
    3
    0
    3
    5
    0
    6
    Constipation
         subjects affected / exposed
    3 / 39 (7.69%)
    6 / 30 (20.00%)
    4 / 23 (17.39%)
    0 / 9 (0.00%)
    8 / 44 (18.18%)
    4 / 27 (14.81%)
    0 / 23 (0.00%)
    2 / 31 (6.45%)
         occurrences all number
    3
    6
    4
    0
    8
    4
    0
    2
    Dysphagia
         subjects affected / exposed
    2 / 39 (5.13%)
    0 / 30 (0.00%)
    6 / 23 (26.09%)
    0 / 9 (0.00%)
    1 / 44 (2.27%)
    5 / 27 (18.52%)
    0 / 23 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    2
    0
    6
    0
    1
    5
    0
    0
    Respiratory, thoracic and mediastinal disorders
    Dyspnoea
         subjects affected / exposed
    9 / 39 (23.08%)
    4 / 30 (13.33%)
    0 / 23 (0.00%)
    1 / 9 (11.11%)
    5 / 44 (11.36%)
    0 / 27 (0.00%)
    2 / 23 (8.70%)
    6 / 31 (19.35%)
         occurrences all number
    9
    4
    0
    1
    5
    0
    2
    6
    Cough
         subjects affected / exposed
    4 / 39 (10.26%)
    6 / 30 (20.00%)
    2 / 23 (8.70%)
    2 / 9 (22.22%)
    8 / 44 (18.18%)
    3 / 27 (11.11%)
    1 / 23 (4.35%)
    3 / 31 (9.68%)
         occurrences all number
    4
    6
    2
    2
    8
    3
    1
    3
    Skin and subcutaneous tissue disorders
    Pruritus
         subjects affected / exposed
    6 / 39 (15.38%)
    7 / 30 (23.33%)
    4 / 23 (17.39%)
    0 / 9 (0.00%)
    14 / 44 (31.82%)
    2 / 27 (7.41%)
    0 / 23 (0.00%)
    3 / 31 (9.68%)
         occurrences all number
    6
    7
    4
    0
    14
    2
    0
    3
    Rash
         subjects affected / exposed
    7 / 39 (17.95%)
    1 / 30 (3.33%)
    1 / 23 (4.35%)
    0 / 9 (0.00%)
    11 / 44 (25.00%)
    2 / 27 (7.41%)
    0 / 23 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    7
    1
    1
    0
    11
    2
    0
    1
    Psychiatric disorders
    Anxiety
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 30 (0.00%)
    3 / 23 (13.04%)
    2 / 9 (22.22%)
    0 / 44 (0.00%)
    1 / 27 (3.70%)
    1 / 23 (4.35%)
    0 / 31 (0.00%)
         occurrences all number
    0
    0
    3
    2
    0
    1
    1
    0
    Endocrine disorders
    Hypothyroidism
         subjects affected / exposed
    3 / 39 (7.69%)
    1 / 30 (3.33%)
    2 / 23 (8.70%)
    0 / 9 (0.00%)
    11 / 44 (25.00%)
    2 / 27 (7.41%)
    0 / 23 (0.00%)
    1 / 31 (3.23%)
         occurrences all number
    3
    1
    2
    0
    11
    2
    0
    1
    Musculoskeletal and connective tissue disorders
    Myalgia
         subjects affected / exposed
    17 / 39 (43.59%)
    16 / 30 (53.33%)
    9 / 23 (39.13%)
    2 / 9 (22.22%)
    18 / 44 (40.91%)
    1 / 27 (3.70%)
    1 / 23 (4.35%)
    2 / 31 (6.45%)
         occurrences all number
    17
    16
    9
    2
    18
    1
    1
    2
    Arthralgia
         subjects affected / exposed
    8 / 39 (20.51%)
    4 / 30 (13.33%)
    0 / 23 (0.00%)
    0 / 9 (0.00%)
    16 / 44 (36.36%)
    0 / 27 (0.00%)
    0 / 23 (0.00%)
    3 / 31 (9.68%)
         occurrences all number
    8
    4
    0
    0
    16
    0
    0
    3
    Neck Pain
         subjects affected / exposed
    2 / 39 (5.13%)
    0 / 30 (0.00%)
    0 / 23 (0.00%)
    2 / 9 (22.22%)
    1 / 44 (2.27%)
    0 / 27 (0.00%)
    2 / 23 (8.70%)
    0 / 31 (0.00%)
         occurrences all number
    2
    0
    0
    2
    1
    0
    2
    0
    Infections and infestations
    Cellulitis
         subjects affected / exposed
    3 / 39 (7.69%)
    0 / 30 (0.00%)
    0 / 23 (0.00%)
    0 / 9 (0.00%)
    5 / 44 (11.36%)
    0 / 27 (0.00%)
    0 / 23 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    3
    0
    0
    0
    5
    0
    0
    0
    Metabolism and nutrition disorders
    Decreased Appetite
         subjects affected / exposed
    11 / 39 (28.21%)
    9 / 30 (30.00%)
    3 / 23 (13.04%)
    0 / 9 (0.00%)
    11 / 44 (25.00%)
    3 / 27 (11.11%)
    0 / 23 (0.00%)
    3 / 31 (9.68%)
         occurrences all number
    11
    9
    3
    0
    11
    3
    0
    3
    Blood Creatinine Increased
         subjects affected / exposed
    8 / 39 (20.51%)
    0 / 30 (0.00%)
    2 / 23 (8.70%)
    0 / 9 (0.00%)
    7 / 44 (15.91%)
    1 / 27 (3.70%)
    0 / 23 (0.00%)
    0 / 31 (0.00%)
         occurrences all number
    8
    0
    2
    0
    7
    1
    0
    0

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    07 May 2015
    Amendment 1
    18 Dec 2015
    Amendment 2
    30 Mar 2016
    Amendment 3
    23 Sep 2016
    Amendment 4
    02 Jun 2017
    Amendment 5
    02 Apr 2018
    Amendment 6
    22 Jun 2018
    Amendment 7
    08 Feb 2019
    Amendment 8
    20 Nov 2019
    Amendment 9: the original protocol was amended 9 times. For Protocol Amendment 9 and based on available data from the trial (including efficacy, safety, and pharmacodynamics biomarkers), Cohorts 5 and 6 were CLOSED. Additionally, Cohort 8 (melanoma anti-PD- 1/L1–refractory or resistant) was expanded to approximately 50 patients. Note: As of Protocol Amendment 9, enrollment was closed for all cohorts. Enrolled patients continued to receive their assigned trial treatments as per the protocol. As of Protocol Amendment 9, efficacy and exploratory endpoints were no longer collected. The collection of safety endpoints was simplified.

    Interruptions (globally)

    Were there any global interruptions to the trial? Yes
    Date
    Interruption
    Restart date
    24 Apr 2020
    A strategic restructuring including the planned conclusion of clinical oncology development programs and no further sponsoring of the development of SD-101.
    -

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    The sponsor terminated the trial early due to strategic restructuring, including the planned conclusion of clinical oncology development programs and no further sponsoring of the development of SD-101.
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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