Phase
Condition
Ovarian Cancer
Non-hodgkin's Lymphoma
Pelvic Cancer
Treatment
Pembrolizumab (KEYTRUDA® ) 25 Mg/mL Solution for Injection
BI-1808
Pembrolizumab 25 Mg/mL Solution for Injection
Clinical Study ID
Ages > 18 All Genders
Study Summary
Eligibility Criteria
Inclusion
Inclusion Criteria:
Is willing and able to provide written informed consent for the trial.
Is ≥18 years of age on the day of signing informed consent.
Has a histologically confirmed advanced malignancy. Subjects with CTCL [MF or SS]who satisfy the Phase 2a, Cohort 3-specific eligibility criteria may be enrolledinto the Phase 1 part of the study.
Is intolerant of, refuses, or is not eligible for standard antineoplastic therapy.
Has at least 1 measurable disease lesion as defined by RECIST.
Is able to safely undergo a baseline tumor tissue biopsy prior to first dose ofBI-1808 (on non previously irradiated lesions only). The biopsy must be performed atleast 4 weeks following the last dose of tumor directed therapy.
Has a life expectancy of ≥12 weeks.
Has an Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.
Has adequate organ function as confirmed by laboratory values.
Phase 2a Expansion Cohort-Specific Inclusion Criteria:
Ovarian Cancer:
Histologically confirmed and documented recurrent ovarian, fallopian tube, and peritoneal cancer.
TCL:
histologically confirmed diagnosis
Stable doses of systemic steroids (≤20 mg prednisone equivalent) and oflow-to-medium potency topical steroids permitted (no change in preceding 4 weeks).
Stage IB-IV with failure of at least 1 systemic therapy.
No current large cell transformation for subjects with CTCL.
Prior therapy - No prior allo hematopoietic stem cell transplantation (HSCT); >90days since auto HSCT; >4 weeks since systemic therapy and >2 weeks sinceskin-directed therapy.
Stable doses of systemic steroids (≤20 mg prednisone equivalent) and oflow-to-medium potency topical steroids permitted (no change in preceding 4 weeks).
Previous systemic therapies include brentuximab vedotin, bexarotene, extracorporealphotopheresis (ECP), methotrexate, mogamulizumab, romidepsin, vorinostat, orsystemic therapy with localized radiation treatment or skin-directed therapy.
Melanoma:
Histologically confirmed diagnosis of unresectable or metastatic melanoma. Subjects in Part A:
Required prior therapies will include anti-programmed death-ligand 1 (PD-1) therapyeither as monotherapy or as part of a combination regimen.
For subjects with a known BRAF V600-activating mutation combination targeted therapywill be required in addition to anti-PD-1/programmed death-ligand 1 (PD-L1) therapy. Subjects in part B:
Subjects with prior lines of treatment are not eligible.
All Tumor Types:
Locally advanced unresectable, recurrent or metastatic immune checkpoint inhibitor-naïve solid tumors, likely to benefit from immune checkpoint inhibitor treatment, based on Investigator opinion.
b. Subjects must have received prior standard therapy appropriate for their tumor type and stage of disease, or in the opinion of the Investigator, would be unlikely to tolerate or derive clinical benefit from appropriate standard of care therapy.
c. Subjects with known activation mutations must have prior target therapy.
Exclusion
Exclusion Criteria:
Needs doses of prednisolone >10 mg daily (or equipotent doses of othercorticosteroids) while on the trial other than as premedication.
Has known active central nervous system (CNS) metastases and/or carcinomatousmeningitis.
Has known or suspected hypersensitivity to BI-1808 or pembrolizumab
Has cardiac or renal amyloid light-chain amyloidosis.
Has received the following:
Chemotherapy or small molecule products within 4 weeks of first dose ofBI-1808.
Radiotherapy within 2 weeks of first dose of BI-1808. A 1-week washout ispermitted for palliative radiation (≤2 weeks of radiotherapy) for non-CNSdisease. Subjects who have previously had radiation pneumonitis are notallowed.
Immunotherapy within 4 weeks prior to the first dose of BI-1808.
Has not recovered from AEs to at least Grade 1 by NCI CTCAE
Has had Grade ≥3 autoimmune manifestations of previous immune checkpoint inhibitortreatments (eg, anti-PD-1, anti-PD-L1, or anti-CTLA-4).
Has a history of (noninfectious) pneumonitis that required steroids or has currentpneumonitis.
Has an active, known, or suspected autoimmune disease.
Is a female subject and has the ability to become pregnant (or already pregnant orlactating/breastfeeding). However, those female subjects who have a negative serumor urine pregnancy test before enrollment and agree to use a highly effective methodof birth control for 4 weeks before entering the trial, during the trial, and for 12months after last dose of BI-1808, are considered eligible.
Is a male subject with partner(s) of childbearing potential (unless he agrees totake measures not to father children by using 1 form of highly effectivecontraception [condom plus spermicide gel] during the trial and for 12 months aftercompleting treatment).
Has had major surgery from which the subject has not yet recovered.
Is at high medical risk because of nonmalignant systemic disease including severeactive infections on treatment with antibiotics, antifungals, or antivirals.
Has presence of chronic graft versus host disease.
Has had an allogenic tissue/solid organ transplant.
Has known human immunodeficiency (HIV) and/or history of hepatitis B or Cinfections, or has a positive test for HIV antibody, hepatitis B antigen/hepatitis Bvirus DNA or hepatitis C antibody or RNA.
Has a history of active tuberculosis (Bacillus tuberculosis).
Has received a live vaccine within 30 days before the first dose of study treatment.
Has uncontrolled or significant cardiovascular disease.
Has a known psychiatric or substance abuse disorder that would interfere with thesubject's ability to cooperate with the requirements of the trial.
Has a history or current evidence of any condition, therapy, or laboratoryabnormality that might confound the results of the trial, interfere with thesubject's participation for the full duration of the trial, or is not in the bestinterest of the subject to participate, in the opinion of the treating Investigator.
Is participating or planning to participate in another interventional clinicaltrial, or has participated in a trial of an investigational agent or has used aninvestigational device within 4 weeks prior to first dose of study drug.
Has a known additional malignancy of another type, with the exception of adequatelytreated cone biopsied carcinoma in situ (eg, breast carcinoma, cervical cancer insitu) and basal or squamous cell carcinoma of the skin. Male subjects withasymptomatic prostate cancer without known metastatic disease and with norequirement for therapy or requiring only hormonal therapy and with normalprostate-specific antigen for >1 year prior to start of trial therapy are eligible.
Has a diagnosis of primary or acquired immunodeficiency disorder or taking any otherform of immunosuppressive therapy within 7 days prior the first dose of study drug.
Has symptomatic ascites or pleural effusion, requires surgical intervention ofadditional medication
Study Design
Study Description
Connect with a study center
Rigshospitalet
Copenhagen,
DenmarkActive - Recruiting
Herlev Hospital
Herlev, 2730
DenmarkActive - Recruiting
Magyar Honvédség-Egészségügyi Központ
Budapest, 1134
HungaryActive - Recruiting
PRA Health Sciences - Hungary
Budapest, 1077
HungarySite Not Available
Debreceni Egyetem Klinikai Központ
Debrecen, 4032
HungaryActive - Recruiting
Byudzhetnoye Uchrezhdeniye Zdravookhraneniya Omskoy Oblasti - Klinicheskiy Onkologicheskiy Dispanser
Omsk, 644013
Russian FederationTerminated
National Medical Research Center VA Almazov
Saint Petersburg, 197022
Russian FederationSite Not Available
N.N. Petrov National Medical Research Center of Oncology
St Petersburg, 197758
Russian FederationSite Not Available
Sahlgrenska University Hospital
Gothenburg, 41345
SwedenActive - Recruiting
Skanes University Hospital
Lund, 223 70
SwedenActive - Recruiting
Karolinska University Hospital, Solna
Stockholm, 17176
SwedenActive - Recruiting
University Hospitals of Leicester NHS Trust
Leicester, LE1 5WW
United KingdomActive - Recruiting
Guy's and Saint Thomas' NHS Foundation Trust
London, SE1 9RT
United KingdomActive - Recruiting
Sarah Cannon Research Institute UK
London, W1G 6AD
United KingdomActive - Recruiting
The Royal Marsden Hospital NHS Foundation Trust
London,
United KingdomActive - Recruiting
The Christie NHS Foundation Trust
Manchester, M20 4BX
United KingdomActive - Recruiting
Southampton General Hospital
Southampton, SO16 6YD
United KingdomActive - Recruiting
City of Hope National Medical Center
Duarte, California 91010
United StatesActive - Recruiting
University of Pennsylvania
Philadelphia, Pennsylvania 19104
United StatesActive - Recruiting
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