E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
locally advanced or metastatic solid tumor malignancies, platinum resistant ovarian cancer, post-anti-pd-1 melanoma, second line or later cervical cancer, neoadjuvant melanoma and neoadjuvant non-small cell lung cancer |
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E.1.1.1 | Medical condition in easily understood language |
Locally Advanced or Metastatic Solid Tumor Malignancies |
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E.1.1.2 | Therapeutic area | Diseases [C] - Cancer [C04] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 24.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10085681 |
E.1.2 | Term | Carbohydrate antigen 242 |
E.1.2 | System Organ Class | 10022891 - Investigations |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
− The main objective of Part 1 and 2 was to evaluate the safety and tolerability, and define the Maximum Tolerated Dose (MTD) and Recommended Phase 2 Dose (RP2D) of TransCon IL-2 β/γ alone or in combination with pembrolizumab − The main objective of Part 3 is to evaluate the safety and tolerability of TransCon IL-2 β/γ at RP2D as monotherapy and in combination with pembrolizumab, standard of care (SOC) chemotherapy, or TransCon TLR7/8 Agonist, or in combination with pembrolizumab and SOC chemotherapy |
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E.2.2 | Secondary objectives of the trial |
- To evaluate the antitumor activity of TransCon IL-2 β/γ alone or in combination with pembrolizumab, SOC chemotherapy, or TransCon TLR7/8 Agonist, or in combination with pembrolizumab and SOC chemotherapy - To characterize the plasma pharmacokinetics (PK) of TransCon IL-2 β/γ and Free IL-2 β/γ alone or in combination with pembrolizumab, SOC chemotherapy, or TransCon TLR7/8 Agonist, or in combination with pembrolizumab and SOC chemotherapy |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
-Participants must be at least 18 years of age at the time of signing the informed consent; -Capable of giving signed informed consent; -Archival or newly obtained formalin-fixed tissue of tumor specimen: -Part 3, Cohort 3, 4 and 5: A tumor biopsy sample must be provided at baseline unless deemed unfeasible. A fresh biopsy is preferred, but archival tissue is also acceptable. -Part 3, Cohorts 6a-c and 7: archival tissue or newly obtained formalin-fixed tumor tissue; -Demonstrated adequate organ function at screening drawn within 28 days prior to C1D1; -Life expectancy >12 weeks as determined by the Investigator; -For women of childbearing potential: agreement to remain abstinent. -Part 3 ECOG: 0 or 1 Cohort 3, -Histologic or cytologic documentation of epithelial ovarian cancer, primary peritoneal cancer, or fallopian tube cancer. Carcinosarcoma, sarcoma, mucinous ovarian cancer, or low-grade serous histologies are excluded; -Must have platinum-resistant ovarian cancer; -participants must be appropriate candidates for treatment with single agent paclitaxel, docetaxel, or pemetrexed at study entry based on treating investigator’s clinical assessment; -At least 1 measurable target lesion as per RECIST 1:1. Cohort 4: -Histologically or cytologically confirmed diagnosis of unresectable (stage III) or metastatic (stage IV) cutaneous melanoma who have progressed on anti-PD-1 therapy or had recurrence <6 months after adjuvant anti-PD-1 therapy; -At least 2 target lesions of measurable disease per RECIST 1.1, at least 1 lesion that is safely accessible for intratumoral injection and is also ≥15 mm in the longest diameter; -Participants may not have liver metastases; Cohort 5: - Histologically or cytologically confirmed diagnosis of extra-pelvic metastatic or recurrent cervical cancer with squamous cell, adenocarcinoma or adenosquamous histology who are not candidates for curative therapy. - Have received at least 1, but no more than 2 prior systemic treatment regimens for recurrent or metastatic cervical cancer. - Participants who have undergone treatment with anti-PD-1, anti-PD-L1, or anti-CTLA-4 antibody must have evidence of disease progression. - At least 2 target lesions of measurable disease per RECIST 1.1, at least 1 lesion that is safely accessible for intratumoral injection and is also ≥15 mm in the longest diameter. - Participants may not have liver metastases Cohort 6a-c: -Histologically or cytologically confirmed diagnosis of resectable cutaneous melanoma; -Complete surgical resection must be deemed achievable; -No prior radiotherapy or systemic anticancer therapy for melanoma; -At least one lesion that is safely accessible for intratumoral injection and is also ≥15 mm in the longest diameter Cohort 7: -Histologically or cytologically confirmed NSCLC without EGFR-activating mutations, ALK or ROS1 rearrangements and with completely resectable disease, according to AJCC 8th edition; -Complete surgical resection must be deemed achievable; -No prior radiotherapy or systemic anticancer therapy for NSCLC; -Participants must have adequate cardiopulmonary function; -Evaluable disease with at least 1 measurable target lesion per RECIST 1.1 criteria Other protocol-defined inclusion criteria may apply. |
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E.4 | Principal exclusion criteria |
-Symptomatic central nervous system metastases; -Active autoimmune diseases, -Any uncontrolled bacterial, fungal, viral, or other infection; -Significant cardiac disease; -A marked clinically significant baseline prolongation of QT/QTc interval, using Fridericia’s QT correction formula -Positive for HIV or has known active hepatitis B or C infection; -Known hypersensitivity to any study treatment; - Participants who have been previously treated with IL-2 or IL-2 variants (all participants) or TLR agonist, excluding topical agents for unrelated disease (Part 3, Cohorts 4, 5 and 6 ONLY); - Systemic immunosuppressive treatment with the exception for participants on corticosteroid taper (for example, for chronic obstructive pulmonary disease exacerbation); - Vaccination with live, attenuated vaccines within 4 weeks of C1D1. -Women who are breastfeeding or have a positive serum pregnancy test during screening Exclusion Criteria Specific to Part 3 ONLY -Other active malignancies within the last 2 years. Other protocol-defined exclusion criteria may apply. |
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E.5 End points |
E.5.1 | Primary end point(s) |
Treatment emergent and treatment related adverse events, serious adverse events (SAEs), adverse events leading to treatment discontinuation, deaths. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
Through study completion, expected average of 2 years |
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E.5.2 | Secondary end point(s) |
Part 3- cohorts 3,4,5: -Objective response rate (ORR) by Response Evaluation Criteria in Solid Tumors (RECIST 1.1), duration of response (DoR), and time to response (TTR) per independent central review (ICR) - ORR by RECIST 1.1, DoR, and TTR per investigator assessment - Progression-free survival (PFS) by RECIST 1.1 per ICR - PFS by RECIST 1.1 per investigator assessment - Overall Survival (OS); Part 3, cohorts 6a-c, and Cohort 7 - ORR prior to surgery by RECIST 1.1 per ICR - ORR prior to surgery by RECIST 1.1 per investigator assessment - Pathologic complete response (pCR) per central assessment for pathology review - Major pathologic response (MPR) per central assessment for pathology review - pCR per local assessment for pathology review - MPR per local assessment for pathology review - Event-free survival (EFS) by RECIST 1.1 per ICR - EFS by RECIST 1.1 per investigator assessment - OS
-TransCon IL-2 β/γ and free IL-2 β/γ PK parameters, alone or in combination with pembrolizumab, SOC chemotherapy, or TransCon TLR7/8 Agonist, or in combination with pembrolizumab and SOC chemotherapy |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
1.Overall Response Rate-Time Frame: Average of 2 years 2.Pathologic Complete Response-Time Frame: 15 weeks 3.Major Pathologic Response-Time Frame: 15 weeks 4.Duration of Response-Time Frame: Average of 2 years 5.Time to Response-Time Frame: Expected up to 1 year from first dose 6.Progression Free Survival (PFS)-Time Frame: Average of 2 years 7.Event free survival (EFS) by RECIST 1.1-Time Frame: 2 years 8.Overall Survival (OS) -Time Frame: Average of 2 years 9.PK Characterization (Cmax) -Time Frame: Average of 2 years 10.PK Characterization (Tmax) -Time Frame: Average of 2 years 11.PK Characterization (AUClast) -Time Frame: Average of 2 years 12.PK Characterization (AUC0-t) -Time Frame: Average of 2 years 13.PK Characterization (t1/2) -Time Frame: Average of 2 years |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | Yes |
E.6.13.1 | Other scope of the trial description |
-Tolerability -Immunogenicity |
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E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 7 |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 30 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Australia |
Canada |
Korea, Republic of |
Singapore |
Taiwan |
United States |
France |
Poland |
Spain |
Switzerland |
Italy |
Belgium |
United Kingdom |
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E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 2 |
E.8.9.1 | In the Member State concerned months | 6 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 2 |
E.8.9.2 | In all countries concerned by the trial months | 6 |
E.8.9.2 | In all countries concerned by the trial days | 0 |