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A Dose Escalation Phase I Study to Assess the Safety and Clinical Activity of Multiple Cancer Indications
Trial Status: active
THINK (THerapeutic Immunotherapy with NKR-2) is a multinational (EU/US) open-label Phase
I study to assess the safety and clinical activity of multiple administrations of
autologous NKR-2 cells in seven refractory cancers, including five solid tumors
(colorectal, ovarian, bladder, triple-negative breast and pancreatic cancers) and two
hematological tumors (acute myeloid leukemia and multiple myeloma).
Inclusion Criteria
Main inclusion criteria are:
- Men or women ≥ 18 years old at the time of signing the ICF,
- Patient with a CRC, epithelial ovarian cell or fallopian tube carcinoma, urothelial
carcinoma, TNBC, pancreatic cancer, AML/MDS or MM,
- Disease must be measurable according to the corresponding guidelines,
- Patient with an ECOG performance status 0 or 1, and AML patients with anemia
resulting in an ECOG performance status of 2,
- Patient with adequate bone marrow reserve, hepatic and renal functions.
- Patients must have sufficient pulmonary functions with a Forced Expiratory Volume in
the first second (FEV-1)/Forced Vital Capacity (FVC) ≥ 0.7 with FEV-1 ≥ 50%
predicted.
Main exclusion criteria are:
- Patient with a tumor metastasis in the central nervous system,
- Patients who have received another cancer therapy within 2 weeks before the planned
day for the apheresis (except hydroxyurea for AML patients),
- Patients who receive or are planned to receive any other investigational product
within the 3 weeks before the planned day for the first NKR-2 administration (except
hydroxyurea for AML patients),
- Patient is under systemic immunosuppressive drugs, unless specific cases authorized
per protocol,
- Patients who have received other cell therapies,
- Patients who underwent major surgery within 4 weeks before the planned day for the
first NKR-2 administration.
- Patient cannot present with history of idiopathic pulmonary fibrosis, organizing
pneumonia, drug-induced pneumonitis, idiopathic pneumonitis and/or active or acute
exacerbation of chronic obstructive pulmonary disease (COPD).
Detailed disease specific criteria exist and can be discussed with contacts listed below.
Additional locations may be listed on ClinicalTrials.gov for NCT03018405.
Locations matching your search criteria
United States
Florida
Tampa
Moffitt Cancer Center
Status: Active
Name Not Available
Pennsylvania
Pittsburgh
University of Pittsburgh Cancer Institute (UPCI)
Status: Approved
Name Not Available
This open-label Phase I study aims at assessing the safety and clinical activity of the
NKR-2 treatment administered 3 times with a 2-week interval between each administration
in different tumor types. In absence of progressive disease at the first tumor assessment
following NKR-2 administratio, the patient will receive a new cycle of 3 administrations
maximum with a 2-week interval. The study will contain two consecutive segments: a Phase
I dose escalation and a Phase I expansion segment.
The Phase I dose escalation segment will include 2 arms, one in solid tumors and one in
hematological tumors. The dose escalation design will include 3 dose levels: The dose
escalation phase will consist of 3 cohorts (Cohorts 1-3) for the solid tumors, and 3
cohorts (Cohorts 4-6) for the hematological tumors; with each set of 3 cohorts receiving
escalating doses of the NKR-2 therapy.
Two additional cohorts will be added in each dose escalation arm with the aim to provide
a more intense treatment during the induction treatment. These additional cohorts in both
the solid arm (cohort 8-9 - only in CRC) and in the hematological arm of the study
(cohort 10-11 - only in AML/MDS) will therefore evaluate a tighter schedule of NKR-2
injections with the three first injections within the induction cycle separated by a
1-week interval followed two weeks later by a second cycle (cycle 2) with a 2-weeks
interval between each three NKR 2 injections. These cohorts will each enroll 3 patients
in case of no DLT. Based on safety and early clinical data from these cohorts, the
specific schedule of cohorts 8-11 might be selected for the expansion.