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A Dose Escalation and Dose Expansion Study of Intratumoral ONM-501 Alone and in Combination With Cemiplimab in Patients With Advanced Solid Tumors and Lymphomas.
Trial Status: active
A phase 1, multicenter, open label, non-randomized dose escalation and dose expansion
study to examine the maximum tolerated dose, (MTD), minimum effective dose (MED) and/or
recommended dose for expansion (RDE) of intratumoral ONM-501 as monotherapy and in
combination with a PD-1 checkpoint inhibitor in patients with advanced solid tumors and
lymphomas.
Inclusion Criteria
Inclusion Criteria:
1. Ability to understand and willingness to sign written informed consent before
performance of any study procedures
2. Age ≥ 18 years
3. Participants with solid tumors or lymphomas, confirmed by available histopathology
records or current biopsy, that are advanced, nonresectable, or recurrent and
progressing since last antitumor therapy, and for which no alternative standard
therapy exists.
4. Participants must have a minimum of one injectable and measurable lesion.
5. Participants with prior Hepatitis B or C are eligible if they have adequate liver
function
6. Participants with human immunodeficiency virus (HIV) are eligible if on established
HAART for a minimum of 4 weeks prior to enrollment, have an HIV viral load <400
copies/mL, and have CD4+ T-cell (CD4+) counts ≥ 350 cells/uL
7. Adequate bone marrow function:
8. Adequate liver function
Exclusion Criteria: Patients will be excluded from this study if they meet any of the
following criteria (Part 1a and Part 1b).
1. Other malignancy active within the previous 2 years except for basal or squamous
cell skin cancer, superficial bladder cancer, or carcinoma in situ of the cervix or
breast that has completed curative therapy.
2. Major surgery within 4 weeks before the first dose of study drug.
3. Brain metastases that are untreated or in the posterior fossa or involve the
meninges. Participants with stable or previously treated progressing brain
metastases (except in the posterior fossa or involving the meninges) may be
permitted in a case-by-case basis at the Sponsor's discretion.
4. Prolongation of corrected QT (QTc) interval to >470 millisecond (ms) for males and
females when electrolytes balance is normal.
5. Females who are breastfeeding or pregnant at screening or baseline
6. Females of childbearing potential that refuse to use a highly effective method of
contraception.
7. Has uncontrolled or poorly controlled hypertension as defined by a sustained BP > 9.
Has received prior investigational therapy within 5 half-lives of the agent or 4
weeks before the first administration of study drug, whichever is shorter.
8. Has had any major cardiovascular event within 6 months prior to study drug 10. Has
known hypersensitivity to any component in the formulation of ONM-501
9. Has an active infection requiring systemic treatment
10. Is participating in another therapeutic clinical trial
Additional Exclusion Criteria for ONM-501 in Combination with cemiplimab (Part 1b)
1. Has known hypersensitivity to any component in the formulation of cemiplimab
2. Has any active or recent history of a known or suspected autoimmune disease or
recent history of a syndrome that required systemic corticosteroids (>10 mg daily
prednisone equivalent)
3. Has a condition requiring systemic treatment with corticosteroids
Additional locations may be listed on ClinicalTrials.gov for NCT06022029.
Locations matching your search criteria
United States
Pennsylvania
Pittsburgh
University of Pittsburgh Cancer Institute (UPCI)
Status: Active
Name Not Available
Texas
Dallas
UT Southwestern/Simmons Cancer Center-Dallas
Status: Active
Name Not Available
This Phase 1, multi-center trial will consist of three parts: monotherapy dose
escalation; combination therapy dose finding; and combination therapy dose expansion
exploring two doses in specific tumor indication(s). Each dosing cycle of ONM-501 will be
21 days. ONM 501 will be administered as intratumoral injections once per week for three
weeks (on Days 1, 8, and 15), followed by three weeks without ONM-501 administration. The
monotherapy dose escalation will utilize an accelerated titration method.
The combination agent will be administered according to standard protocol, once every
three weeks. This phase will evaluate ONM-501 in combination with approved immune
checkpoint inhibitor (ICI) cemiplimab. Enrollment in this phase will follow a "Rolling 6"
or 6+0 methodology - up to 6 patients will be enrolled in a staggered format; dose
escalation of ONM-501 will be permitted.
Once the recommended doses for expansion (RDEs) are determined for ONM-501 + ICI
combination or ONM-501 monotherapy, the expansion phase of this study will be initiated.
The expansion phase will enroll patients in one to three indication-specific expansion