BOXR1030 T Cells in Subjects With Advanced GPC3-Positive Solid Tumors

Last updated: December 16, 2024
Sponsor: Sotio Biotech Inc.
Overall Status: Active - Recruiting

Phase

1/2

Condition

Digestive System Neoplasms

Liver Disease

Neuroendocrine Carcinoma

Treatment

CAR-GPC3 T Cells

Clinical Study ID

NCT05120271
B1030-101
  • Ages 18-80
  • All Genders

Study Summary

This is a first-in-human (FIH), Phase 1/2, open-label, multicenter study to assess safety and determine the recommended Phase 2 dose (RP2D) of BOXR1030 administration after lymphodepleting chemotherapy (LD chemotherapy) in subjects with glypican-3 positive (GPC3+) advanced solid tumors.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Aged 18 to 80 years at time of enrollment

  2. Body weight >/= 50kg

  3. Able to provide a recent tumor specimen taken within 6 months prior to signingconsent and after the initiation of the subject's most recent systemic anti-cancertherapy, for GPC3 expression assessment by immunohistochemistry (IHC). Previouslycollected tumor tissue older than 6 months at time of GPC3 IHC testing or collectedprior to initiation of current or last systemic therapy may be permitted for GPC3prescreening. If prescreening sample is found to be GPC3+, a new tumor biopsy willbe needed to confirm tumor remains GPC3+ in order to proceed.

  4. Histologically confirmed advanced unresectable or metastatic hepatocellularcarcinoma (HCC), squamous cell carcinoma (SCC) of the lung, myxoid/round cellliposarcoma (MRCLS), or Merkel cell carcinoma (MCC) with GPC3 overexpression by IHC.Subjects must consent to IHC testing in a separate informed consent. Note: Tumorsamples will be sent to a central laboratory for GPC3 expression analysis.

  5. Documentation of disease progression or refractory disease or intolerance to priorlines of standard-of-care therapies. Patients with tumors with genetic alterationsand mutations (e.g., breast cancer gene, epidermal growth factor receptor mutations,and anaplastic lymphoma kinase translocation) who have approved targeted therapiesavailable for their cancer will need to have been treated with such approvedtherapies or refused such approved targeted therapy for their cancer prior toenrolling in this study.

  6. Life expectancy >16 weeks

  7. Have adequate organ function (renal/hepatic/pulmonary)

  8. Left ventricular ejection fraction ≥50% by multiple-gated acquisition scan orechocardiogram

  9. Eastern Cooperative Group performance status of 0 to 1

  10. For subjects with HCC:

  • Child-Pugh Score of A

  • No fibrolamellar carcinoma or mixed hepatocellular cholangiocarcinoma histology

  • No grade 2 or grade 3 ascites based on the European Association for the Studyof Liver guidelines.

  1. A minimum of 2 sites of disease, including at least 1 site that is measurable byRECIST 1.1 criteria to ensure sufficient disease for response assessment. At least 1of the other lesions must be considered adequate for Protocol-required tumor biopsy.

  2. Adequate wash-out of prior systemic therapy for underlying malignancy, relative toleukapheresis:

  • Last dose of any antineoplastic treatment must be at least 2 weeks beforeleukapheresis.

  • Last dose of any investigational agent must be at least 3 half-lives of thetreatment, or 28 days, before leukapheresis (whichever is shorter).

Adequate wash-out of prior systemic therapy for underlying malignancy, relative to LD chemotherapy:

Subjects may receive an additional dose of their last received form of therapy at the same dose and dosing schedule following leukapheresis as bridging therapy; however, the required wash-out period prior to start of LD chemotherapy must be adhered to:

  • The last dose of systemic nitrosourea or systemic mitomycin-C must be at least 6weeks before the first dose of LD chemotherapy in this study.

  • For all other systemic cytotoxic chemotherapy, the wash-out must be the duration ofa full cycle of that therapy. For example, if the prior therapy is given in 3-weekcycles, there must be at least 3 weeks between the last dose of that therapy and thefirst dose of LD chemotherapy in this study. If the prior therapy is administeredmore frequently than every 2 weeks, a minimum 2-week wash-out is required.

  • For biologic therapy (e.g., antibodies) the wash-out must be either the duration ofthe biologic agent dosing interval, or 3 weeks, whichever is shorter.

  • For small molecule therapies, the wash-out must be 5 half-lives of the drug.

  • For any investigational agent, the wash-out must be 3 half-lives of theinvestigational agent, or 4 weeks, whichever is shorter.

Note: Local radiation of lesions is allowed if indicated for palliation requiring 1 week wash-out prior to start of BOXR1030 dosing if < 2 weeks of radiotherapy for non-central nervous system (CNS) disease; locally treated lesions will be considered non-target lesions. Hormone ablation is also allowed as clinically indicated.

Exclusion

Exclusion Criteria:

  1. Prior treatment with adoptive cell therapy (e.g., CAR T-cell therapy, natural killercell therapy, engineered T-cell receptor therapy).

  2. History of allogenic hematopoietic stem cell transplant.

  3. Known untreated CNS tumors or brain metastasis. Subjects are eligible if CNSmetastases are asymptomatic, have been treated with radiotherapy for at least 1month prior to informed consent, are off corticosteroids and have neurologicallyreturned to baseline (residual signs or symptoms related to the CNS treatment arepermitted). Imaging obtained for the purpose of CNS metastases management performedduring screening must document radiographic stability of CNS lesions for at least 1month prior to leukapheresis and be performed after completion of any CNS directedtherapy. If brain scans are performed, magnetic resonance scans are preferred;however, computed tomography scans are acceptable if magnetic resonance imaging ismedically contraindicated. CNS evaluation for subjects with no suspicion of braintumors in their history is not required for the study. Subjects with knownleptomeningeal metastases are excluded.

  4. Subjects who have not recovered to < 1 or baseline from all AEs due to previoustherapies (subjects with ≤ grade 2 peripheral neuropathy that has been stable for atleast 4 weeks or < grade 2 endocrine-related AEs that has been stable for at least 4weeks on replacement therapy).

  5. Planned use of any antineoplastic treatment or investigational agent from the timeof the first dose of LD chemotherapy through the end of study participation, exceptfor allowed local radiation of lesions for palliation (to be considered non-targetlesions after treatment) and hormone ablation.

  6. Uncontrolled or life-threatening symptomatic concomitant disease includingclinically significant gastrointestinal bleeding or pulmonary hemorrhage within 4weeks before screening, known symptomatic human immunodeficiency virus (HIV)positive with an acquired immunodeficiency syndrome-defining opportunistic infectionwithin the past 12 months prior to screening, or a current CD4 count <350 cells/µL,symptomatic active hepatitis B or C checked at screening, or active tuberculosistherapy. Subjects with HIV are eligible if:

  • They have received antiretroviral therapy (ART) as clinically indicated for atleast 12 months prior to starting LD therapy and have an HIV viral load lessthan 40 copies/mL prior to start of LD therapy.

  • They continue on ART as clinically indicated while enrolled on study.

  • CD4 counts> 350 cells/µL and CD4 counts and viral load are monitored perstandard of care by a local health care provider.

  • They are fully vaccinated against SARS-CoV-2.

  1. Has received prior radiotherapy within 2 weeks of the start of BOXR1030. Subjectsmust have recovered from all radiation-related toxicities, not requirecorticosteroids, and not have had severe radiation pneumonitis.

  2. Potentially life-threatening second malignancy requiring systemic treatment withinthe last 3 years (i.e., subjects with a history of prior malignancy are eligible iftreatment was completed at least 3 years before entering the Treatment Period andthe subject has no evidence of disease) or which would impede evaluation oftreatment response.

  3. Clinically significant (i.e., active) cardiovascular disease: cerebral vascularaccident/stroke (<6 months prior to enrollment), myocardial infarction (<6 monthsprior to enrollment), unstable angina, congestive heart failure (New York HeartAssociation Classification Class II), or the presence of any condition that canincrease proarrhythmic risk (e.g., hypokalemia, bradycardia, heart block) includingany new, unstable, or serious cardiac arrhythmia requiring medication, or otherbaseline arrhythmia that might interfere with interpretation of electrocardiogramson study (e.g., bundle branch block).

  4. Has an active infection excluding controlled HIV.

  5. Has an active autoimmune disease requiring systemic (immunosuppressive) therapy.

NOTE: Additional inclusion/exclusion criteria may apply. The above information is not intended to be an exhaustive list of considerations for potential participation in a clinical trial.

Study Design

Total Participants: 110
Treatment Group(s): 1
Primary Treatment: CAR-GPC3 T Cells
Phase: 1/2
Study Start date:
October 26, 2022
Estimated Completion Date:
December 31, 2042

Study Description

This is a FIH, Phase 1/2, open-label, multicenter study to assess safety and determine the maximum tolerated dose (MTD) and/or RP2D of BOXR1030 administration after LD chemotherapy in subjects with GPC3+ advanced solid tumors. After signing informed consent and completing all screening assessments, eligible subjects will be enrolled and undergo leukapheresis to obtain T cells for BOXR1030 manufacturing. Subjects will receive a 3-day LD chemotherapy regimen with fludarabine and cyclophosphamide, administered according to institutional standard practice for these drugs, including inpatient administration as appropriate. Subjects must be hospitalized for BOXR1030 administration and will remain hospitalized for 10 days after the infusion. For 28 days after BOXR1030 administration, all subjects must stay within a distance that requires no more than 2 hours of travel to the study site.

During the Post-treatment Evaluation Period (within 6 months after BOXR1030 administration), study visits will occur daily for the first week, twice in the second week, and then once weekly at Weeks 3, 4, 6, 9, 12, 15, 18, and 24. Safety (targeted physical examination, adverse event [AE] assessment, and clinical laboratory tests) will be evaluated and samples will be collected for endpoint analyses. For 28 days after BOXR1030 administration, subjects will be required to monitor their temperature and complete neurological evaluation via the immune effector cell-associated encephalopathy assessment tool every day (to be administered by site staff during clinical visits and by a caregiver at home on non-clinic days). At regular intervals, antitumor activity will be assessed per RECIST 1.1 and iRECIST criteria.

After 6 months of follow-up from BOXR1030 administration, subjects will enter the Long-term Follow-up Period for a total duration of 15 years after BOXR1030 dosing. Study visits are scheduled at Months 7, 9, 11, 13, 15, 18, 21, and 24, every 6 months thereafter until Year 5, and then annually through Year 15. Long-term follow-up assessments will focus on long-term safety and disease status. Subjects whose disease does not progress before Week 24 will enter the Long-term Follow-up at Month 7. Survival status will be checked at these visits.

Connect with a study center

  • Beatson Institute for Cancer Research Wolfson Wohl Cancer Research Centre

    Glasgow, G61 1BD
    United Kingdom

    Site Not Available

  • The Royal Marsden NHS Foundation Trust

    London, SW3 6JJ
    United Kingdom

    Active - Recruiting

  • University College London Hospitals NHS Foundation Trust

    London, NW1 2PG
    United Kingdom

    Active - Recruiting

  • Baylor Scott and White Research Institute

    Dallas, Texas 75246
    United States

    Active - Recruiting

  • University of Texas MD Anderson Cancer Center

    Houston, Texas 77030-4008
    United States

    Active - Recruiting

  • Froedtert and Medical College of Wisconsin

    Milwaukee, Wisconsin 53226
    United States

    Active - Recruiting

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