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A Phase Ib Study of Neoadjuvant of Cetuximab Plus Motolimod and Cetuximab Plus Motolimod Plus Nivolumab

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ClinicalTrials.gov Identifier: NCT02124850
Recruitment Status : Terminated
First Posted : April 28, 2014
Last Update Posted : October 25, 2019
Sponsor:
Information provided by (Responsible Party):
Celgene

Study Description
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Brief Summary:
Protocol VRXP-A106 will enroll patients with Stage II-IVA head and neck cancer patients who will be treated with surgical resection. Cetuximab and motolimod (Cohort 1); and cetuximab, motolimod, and nivolumab (Cohort 2) will be administered for a 3-4 week period before surgery. The primary objective of the study is to determine the extent to which the administration of neoadjuvant motolimod plus cetuximab and motolimod plus cetuximab and nivolumab modulates immune biomarkers (NK, mDC and T cell activation as well as tumor infiltration and serum cytokines) in peripheral blood and head and neck cancer tumors. An exploratory objective of the study is to assess whether modulation of biomarkers as described above can predict anti-tumor response.

Condition or disease Intervention/treatment Phase
Squamous Cell Carcinoma of the Head and Neck Drug: Motolimod Drug: Cetuximab Drug: Nivolumab Phase 1

Study Design
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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 18 participants
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Phase Ib Study of Neoadjuvant Immune Biomarker Modulation With Cetuximab Plus Motolimod and With Cetuximab Plus Motolimod Plus Nivolumab
Actual Study Start Date : October 28, 2014
Actual Primary Completion Date : August 11, 2016
Actual Study Completion Date : October 31, 2016

Resource links provided by the National Library of Medicine


Arms and Interventions
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Arm Intervention/treatment
Experimental: Motolimod plus cetuximab
Cohort 1: motolimod plus cetuximab
 Drug: Motolimod
Other Name: VTX-2337

Drug: Cetuximab
Other Name: Erbitux
Experimental: Motolimod, cetuximab, and nivolumab
Cohort 2: motolimod, cetuximab, and nivolumab
 Drug: Motolimod
Other Name: VTX-2337

Drug: Cetuximab
Other Name: Erbitux

Drug: Nivolumab
Other Name: Opdivo


Outcome Measures
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Primary Outcome Measures :
  1. The change in immune biomarkers including FcγR genotype, NK activation, tumor infiltration and serum cytokines, mDC, T cell activation, and tumor-antigen specific cytotoxic T lymphocyte induction. [ Time Frame: change from baseline to up to 4 weeks ]

Other Outcome Measures:
  1. Anti-tumor response [ Time Frame: Change from baseline to pre-surgery ]

Eligibility Criteria
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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Previously untreated stage II, III, or IVA histologically or cytologically confirmed squamous cell carcinoma of the head and neck
  • Primary tumors of the oral cavity, oropharynx, hypopharynx, or larynx
  • Macroscopic complete resection of the primary tumor must be planned
  • Age ≥ 18 years
  • ECOG performance status 0-1
  • Adequate hematologic, renal and hepatic function
  • Have signed written informed consent

Exclusion Criteria:

  • Subjects who fail to meet inclusion criteria
  • Primary tumors of the sinuses, paranasal sinuses, or nasopharynx, or unknown primary tumors
  • Prior severe infusion reaction to a monoclonal antibody
  • Pregnancy or breastfeeding
  • Evidence of distant metastasis
  • Any other malignancy active within 5 years except for non-melanoma skin cancer or carcinoma in situ of the cervix, DCIS or LCIS of the breast
  • Prior history of head and neck cancer
  • Prior therapy with motolimod, nivolumab, or other agents targeting PD-1/PD-L1
  • Prior therapy targeting the EGFR pathway
  • Acute hepatitis, known HIV, or active uncontrolled infection
  • Patients with active autoimmune disease
  • History of uncontrolled cardiac disease within prior 6 months
  • Uncontrolled peptic or gastric ulcer disease, or gastrointestinal bleeding within prior 6 months
  • Active alcohol abuse or other illness or circumstance that carries a likelihood of inability to comply with study treatment and follow-up or otherwise compromise the study's objectives
  • Treatment with a non-approved or investigational drug within 30 days prior to Day 1 of study treatment
  • Live vaccine within 30 days of planned start of study therapy
  • History of pneumonitis or interstitial lung disease
  • History of allergic reactions attributed to compounds of similar chemical or biologic composition to nivolumab
Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02124850


Locations
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United States, Pennsylvania
University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, United States, 15232
Sponsors and Collaborators
Celgene
Investigators
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Study Director: Amar Patel, MD Celgene
More Information
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Publications of Results:
https://clincancerres.aacrjournals.org/content/clincanres/early/2017/11/28/1078-0432.CCR-17-0357.full.pdf

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Responsible Party: Celgene
ClinicalTrials.gov Identifier: NCT02124850    
Other Study ID Numbers: VRXP-A106
First Posted: April 28, 2014    Key Record Dates
Last Update Posted: October 25, 2019
Last Verified: October 2019
Additional relevant MeSH terms:
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Squamous Cell Carcinoma of Head and Neck
Carcinoma, Squamous Cell
Carcinoma
Neoplasms, Glandular and Epithelial
Neoplasms by Histologic Type
Neoplasms
Head and Neck Neoplasms
 Neoplasms by Site
Nivolumab
Cetuximab
Antineoplastic Agents, Immunological
Antineoplastic Agents
Immune Checkpoint Inhibitors
Molecular Mechanisms of Pharmacological Action