Two Part Study of Nenocorilant Combined With Nivolumab in Patients With Advanced Solid Malignancies

Sponsor: Corcept Therapeutics

Sponsor score: 0

ClinicalTrials ID:NCT07276373

This Phase 1b/2 study assesses the safety and optimal dose of nenocorilant with nivolumab in advanced solid malignancies. Phase 1b involves dose escalation of nenocorilant with fixed-dose nivolumab. Eligible patients must have advanced solid tumors, ECOG 0-1, and adequate organ function. Interventions include nenocorilant (200-400 mg) and nivolumab (240 mg/480 mg).

Patient Parameters

Program Overview

This open-label, dose-finding, and proof of concept study will evaluate the safety, tolerability, maximum-tolerated dose (MTD) and/or optimal dose of nenocorilant when administered in combination with nivolumab in patients with advanced solid malignancies.

Description

This is a Phase 1b/2 study that consists of 2 parts.

In the dose-finding Phase 1b part, researchers will evaluate escalating dose levels of nenocorilant (given with a fixed dose and schedule of nivolumab) in patients with advanced solid malignancies. All patients will be treated with the combination of nenocorilant plus nivolumab in 28-day cycles. Nenocorilant will be administered orally once daily using a continuous dosing schedule, under fed conditions. Nivolumab will be initially given at 240 mg administered intravenously (IV) once every 2 weeks. After 3 months of treatment, patients may choose to switch to a fixed dosing regimen of 480 mg IV once every 4 weeks if they tolerate the combination regimen of nenocorilant plus nivolumab.

The proof-of-concept Phase 2 part of this study is optional and may be added to further evaluate combination treatment in patients with advanced solid malignancies.

Eligibility Criteria

Inclusion Criteria

Part 1

  • Signed and dated institutional review board (IRB)/ independent ethics committee (IEC)-approved informed consent form (ICF)
  • Has solid malignancies that have received all available standard therapies for the specific tumor type or for which no standard therapy exists, unless patient is intolerant of treatment
  • Has a life expectancy of ≥ 3 months
  • Has evaluable disease based on RECIST v1.1
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • Has adequate organ function
  • Negative serum or urine pregnancy test for female patients of childbearing potential
  • Agreement to use appropriate precautions to avoid pregnancy, unless the patient and/or their sole sexual partner is permanently sterilized

Exclusion Criteria

Part 1

  • Past or current immune-related adverse events (irAEs) due to anti-programmed cell death protein 1 ligand 1 (PD[L]1) therapy that meet any of the following criteria:

    1. Grade ≥ 3
    2. Resulted in discontinuation of anti-PD(L)1 therapy
  • Medical history of an autoimmune or inflammatory disease requiring immunosuppressive therapy

  • Medical history of adrenal insufficiency

  • Has had any major surgery within 4 weeks prior to the first dose of study treatment

  • Concurrent treatment with mifepristone or another glucocorticoid receptor (GR) modulator

  • Unable to swallow, retain, or absorb oral medication

  • Concurrent participation in another interventional clinical trial

  • Has toxicities due to prior therapies that are reversible and have not resolved

  • Requirement for treatment with prohibited medications, including but not limited to systemic corticosteroids and cytochrome P450(CYP)3A inducers or inhibitors

  • Has a known history of severe hypersensitivity to any of the study drugs, or other human/humanized monoclonal antibodies

  • Pregnant or lactating patients or female patients expecting to conceive children within the projected duration of the trial

  • Has clinically significant uncontrolled condition(s) which, in the opinion of the Investigator, may confound the results of the trial or interfere with the patient's safety or participation

  • Known psychiatric disorder that would interfere with trial compliance

  • Has infection with HIV, hepatitis C virus, or hepatitis B virus

  • Has untreated parenchymal brain metastasis or has uncontrolled central nervous system metastases

  • Has a history of another malignancy within 2 years prior to study treatment, unless cured

  • Has received prior autologous or allogeneic organ or tissue transplantation

  • A QTcF interval >450 msec, a family history of long QT syndrome or unexplained sudden death at young age, or a requirement for use of medication that may prolong the QTc interval

Locations

FACILITYZIPCITYSTATE
Site 0390025Los AngelesCalifornia
Site 0449546Grand RapidsMichigan
Site 0178229San AntonioTexas
Site 0284119West Valley CityUtah

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