Study of STK-012 Alone and With Other Treatments in Patients With Advanced Lung Cancer and Other Cancers

Sponsor: Synthekine

Sponsor score: 0

ClinicalTrials ID:NCT05098132

This phase 1/2 study evaluates STK-012, an engineered IL-2, alone and with pembrolizumab, pemetrexed, and carboplatin. Phase 1 (closed) focused on dose escalation/expansion in solid tumors. Phase 2 (open) targets PD-L1 negative, non-squamous NSCLC patients, comparing STK-012 combinations to standard care. Eligibility excludes prior systemic therapy and actionable genomic aberrations.

Patient Parameters

Program Overview

This is a phase 1/2, multicenter, open-label study. The phase 1 portion is a dose escalation and expansion study of STK-012 as monotherapy and in combination therapy in patients with selected advanced solid tumors. The phase 2 portion is a randomized study of STK-012 in combination with standard of care (SoC) pembrolizumab, pemetrexed, and carboplatin versus SoC, in patients with first line, PD-L1 negative, non-squamous, non-small cell lung cancer.

Description

Phase 1 [closed to enrollment]: The phase 1a portion is a dose escalation study to evaluate STK-012 as monotherapy and in combination therapy in patients with selected solid tumors. The phase 1b portion is a dose expansion study to evaluate STK-012 as monotherapy and in combination therapy at the candidate recommended phase 2 dose (RP2D) in selected solid tumor types.

Phase 2 [open to enrollment]: The phase 2 portion is a randomized, open label study to evaluate STK-012 at two dose levels in combination with standard of care (SoC) pembrolizumab, pemetrexed and carboplatin, versus SoC, in patients with first line, PD-L1 negative, non-squamous, non-small cell lung cancer.

Eligibility Criteria

Inclusion Criteria

  1. Phase 1 [closed to enrollment]

  2. Phase 2 [open to enrollment]:

    • Diagnosis of non-small cell lung cancer (NSCLC).
    • Stage IV or Stage IIIB/IIIC and not a candidate for definitive treatment.
    • Non-squamous (NSQ) cell histology.
    • No prior systemic therapy for advanced/metastatic NSQ NSCLC.
    • Tumor is PD-L1 negative (TPS <1%) by local testing.
    • No known actionable EGFR, ALK, ROS1, or other actionable genomic aberrations for which there is a local standard of care available as front line therapy.

Selected

Exclusion Criteria

  1. Phase 1 [closed to enrollment]

  2. Phase 2 [open to enrollment]:

    • Prior immune checkpoint inhibitor (anti-PD[L]1 and/or anti-CTLA-4) treatment
    • Tumor with small cell, neuroendocrine, or sarcomatoid components.
    • Received radiotherapy ≤ 7 days of the first dose of study treatment.
    • Known untreated central nervous system metastases
    • Any history of carcinomatous meningitis

Locations

FACILITYZIPCITYSTATE
University of Arizona Cancer Center85721TucsonArizona
Beverly Hills Cancer Center90211Beverly HillsCalifornia
Providence Medical Foundation92835FullertonCalifornia
UC San Diego Moores Cancer Center92093-0698La JollaCalifornia
Hoag Memorial Hospital Presbyterian92663Newport BeachCalifornia
UCLA Hematology/Oncology - Santa Monica90404Santa MonicaCalifornia
Yale New Haven Hospital, Yale Cancer Center06510New HavenConnecticut
Georgetown University20057Washington D.C.District of Columbia
Winship Cancer Institute, Emory University30322AtlantaGeorgia
Massachusetts General Hospital02114BostonMassachusetts

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