A Study to Investigate Safety and Tolerability of TransCon IL-2 β/γ Alone or in Combination With Pembrolizumab and/or TransCon TLR7/8 Agonist or Other Anticancer Therapies in Adult Participants With Locally Advanced or Metastatic Solid Tumor Malignancies

Sponsor: Ascendis Pharma Oncology Division A/S

Sponsor score: 0

ClinicalTrials ID:NCT05081609

This Phase 1/2 study evaluates TransCon IL-2 β/γ, a long-acting IL-2 prodrug, for safety and efficacy in adults with advanced solid tumors. Eligible participants must have adequate organ function and a life expectancy over 12 weeks. Interventions include TransCon IL-2 β/γ, pembrolizumab, chemotherapy, and TransCon TLR7/8 Agonist, administered via IV or IT, with surgery as a procedural option.

Patient Parameters

Program Overview

TransCon IL-2 β/γ is an investigational drug being developed for treatment of locally advanced or metastatic solid tumors. This is a first-in-human, open-label, Phase 1/2, dose escalation and dose expansion study of TransCon IL-2 β/γ as monotherapy or in combination therapy in adult participants with advanced or metastatic solid tumors. Given the unique PK profile enabled by the TransCon technology, TransCon IL-2 β/γ presents the opportunity to enhance the therapeutic index of current IL-2 therapy.

Description

IL-2 is a key cytokine that directs the immune system through pleiotropic effects mediated by promoting expansion of both cytotoxic effector cells and Tregs. TransCon IL-2 β/γ is designed as a long-acting delivery prodrug of IL-2 β/γ, a potent cytokine signaling molecule, with the potential to improve the safety and efficacy of IL-2.

Eligibility Criteria

Inclusion Criteria

  • At least 18 years of age, or country defined local legal age
  • Demonstrated adequate organ function at screening
  • Life expectancy >12 weeks as determined by the Investigator
  • Female and male participants of childbearing potential who are sexually active must agree to use highly effective methods of contraception
  • Participants must have histologically confirmed locally advanced, recurrent, or metastatic solid tumor malignancies that cannot be treated with curative intent (surgery or radiotherapy), with the exception of the neoadjuvant cohorts
  • Part 1 and Part 2: Eastern Cooperative Oncology Group (ECOG) performance status 0, 1, or 2
  • Part 3 and Part 4: Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
  • Participants who have undergone treatment with anti-PD-1, anti-PD-L1, or anti-cytotoxic T-lymphocyte-associated protein (CTLA-4) antibody must have a washout of at least 4 weeks from the last dose and evidence of disease progression per investigator assessment before Cycle 1 Day 1 (C1D1) with the exception of the neoadjuvant cohorts
  • Participants who have previously received an immunotherapy prior to C1D1 must have any immune-related toxicities resolved to ≤Grade 1 or baseline (prior to the immunotherapy) to be eligible, with the exception of participants on well controlled physiologic endocrine replacement
  • Part 3: Neoadjuvant cohorts: participants must have completely resectable disease

Key

Exclusion Criteria

  • Symptomatic central nervous system metastases and/or carcinomatous meningitis
  • Active autoimmune diseases, regardless of need for immunosuppressive treatment, with the exception of participants well controlled on physiologic endocrine replacement
  • Any uncontrolled bacterial, fungal, viral, or other infection
  • Significant cardiac disease
  • A marked clinically significant baseline prolongation of QT/QTc interval (e.g., repeated demonstration of a QTc interval >480 ms) [CTCAE Grade 1]) using Fridericia's QT correction formula
  • Positive for human immunodeficiency virus (HIV) or has known active hepatitis B or C infection
  • Known hypersensitivity to any study treatment(s) used in the specific study part/cohort
  • Participants who have been previously treated with IL-2 or IL-2 variants (all participants)
  • Systemic immunosuppressive treatment with the exception for patients on corticosteroid taper (for example, for chronic obstructive pulmonary disease exacerbation).
  • Vaccination with live, attenuated vaccines within 4 weeks of C1D1
  • Treatment with any other anti-cancer systemic treatment (approved or investigational) or radiation therapy within 4 weeks of C1D1
  • Part 3: Other active malignancies within the last 2 years
  • Women who are breastfeeding or have a positive serum pregnancy test during screening

Locations

FACILITYZIPCITYSTATE
Ascendis Pharma Investigational Site90048Los AngelesCalifornia
Ascendis Pharma Investigational Site90067Los AngelesCalifornia
Ascendis Pharma Investigational Site02114BostonMassachusetts
Ascendis Pharma Investigational Site07960MorristownNew Jersey
Ascendis Pharma Investigational Site10032New YorkNew York
Ascendis Pharma Investigational Site28078HuntersvilleNorth Carolina
Ascendis Pharma Investigational Site44718CantonOhio
Ascendis Pharma Investigational Site45219CincinnatiOhio
Ascendis Pharma Investigational Site73104Oklahoma CityOklahoma
Ascendis Pharma Investigational Site15232PittsburghPennsylvania

Get This Program In Your Inbox

You can sign up and apply your patients for this program.