RECRUITING

Study of DF1001 in Patients With Advanced Solid Tumors

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

DF1001-001 is a study of a new molecule that targets natural killer (NK) cells and T-cell activation signals to specific receptors on cancer cells. The study will occur in two phases. The first phase will be a dose escalation phase, enrolling patients with various types of solid tumors that express human epidermal growth factor receptor 2 (HER2). The second phase will include a dose expansion using the best dose selected from the first phase of the study. Multiple cohorts will be opened with eligible patients having either HER2 activated non-small cell lung cancer, hormone receptor (HR) positive HER2 negative metastatic breast cancer, or HER2 positive metastatic breast cancer. DF1001-001 will be administered as monotherapy or in combination; combinations are DF1001 + nivolumab, DF1001 + Nab paclitaxel, and DF1001 + sacituzumab govitecan-hziy.

Official Title

A Phase I/II, First-In-Human, Multi-Part, Open-Label, Multiple-Ascending Dose Study to Investigate the Safety, Tolerability, Pharmacokinetics, Biological, and Clinical Activity of DF1001 in Patients With Locally Advanced or Metastatic Solid Tumors, and Expansion in Selected Indications

Quick Facts

Study Start:2019-11-11
Study Completion:2026-12
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT04143711

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. 1. Signed written informed consent.
  2. 2. Male or female patients aged ≥ 18 years.
  3. 3. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 at study entry and an estimated life expectancy of at least 3 months.
  4. 4. Baseline Left Ventricular Ejection Fraction (LVEF) ≥ 55% measured by echocardiography (preferred) or multigated acquisition (MUGA) scan.
  5. 5. Adequate hematological function.
  6. 6. Adequate hepatic function.
  7. 7. Adequate renal function.
  8. 8. Effective contraception for women of child bearing potential (WOCBP) patients as defined by World Health Organization (WHO) guidelines for 1 "highly effective" method or 2 "effective" methods.
  1. 1. Concurrent anticancer treatment (eg, cytoreductive therapy, radiotherapy \[with the exception of palliative bone directed radiotherapy\], immune therapy, or cytokine therapy except for erythropoietin), major surgery (excluding prior diagnostic biopsy), concurrent systemic therapy with steroids or other immunosuppressive agents, or use of any investigational drug within 28 days or 5 half-lives before the start of study treatment. Note: Patients receiving bisphosphonates are eligible provided treatment was initiated at least 14 days before the first dose of DF1001.
  2. 2. Previous malignant disease other than the target malignancy to be investigated in this study within the last 3 years, with the exception of basal or squamous cell carcinoma of the skin or cervical carcinoma in situ.
  3. 3. Rapidly progressive disease.
  4. 4. Active or history of central nervous system (CNS) metastases.
  5. 5. Receipt of any organ transplantation including autologous or allogeneic stem-cell transplantation.
  6. 6. Significant acute or chronic infections (including historic positive test for human immunodeficiency virus \[HIV\], or active or latent hepatitis B or active hepatitis C tested during the screening window).
  7. 7. Preexisting autoimmune disease (except for patients with vitiligo) needing treatment with systemic immunosuppressive agents for more than 28 days within the last 3 years or clinically relevant immunodeficiencies (eg, dys-gammaglobulinemia or congenital immunodeficiencies), or fever within 7 days of Day 1.
  8. 8. Known severe hypersensitivity reactions to mAbs (≥ Grade 3 NCI-CTCAE v5.0), any history of anaphylaxis, or uncontrolled asthma (ie, 3 or more features of partly controlled asthma).
  9. 9. Persisting toxicity related to prior therapy \> Grade 1 NCI-CTCAE v5.0, however alopecia and sensory neuropathy ≤ Grade 2 is acceptable.
  10. 10. Pregnancy or lactation in females during the study.
  11. 11. Known alcohol or drug abuse.
  12. 12. Serious cardiac illness
  13. 13. NYHA III of IV heart failure or systolic dysfunction (LVEF \< 55%)
  14. 14. High-risk uncontrolled arrhythmias ie, tachycardia with a heart rate \> 100/min at rest
  15. 15. Significant ventricular arrhythmia (ventricular tachycardia) or higher-grade Atrioventricular block (AV-block; second-degree AV-block Type 2 \[Mobitz 2\] or third-degree AV-block)
  16. 16. Angina pectoris requiring anti-anginal medication
  17. 17. Clinically significant valvular heart disease
  18. 18. Evidence of transmural infarction on ECG
  19. 19. Poorly controlled hypertension (defined by: systolic \> 180 mm Hg or diastolic \> 100 mm Hg)
  20. 20. Clinically relevant uncontrolled cardiac risk factors, clinically relevant pulmonary disease or any clinically relevant medical condition in the opinion of the Investigator that may limit participation in this study.
  21. 21. Severe dyspnea at rest due to complications of advanced malignancy or requiring supplementary oxygen therapy.
  22. 22. All other significant diseases (e.g., inflammatory bowel disease), which, in the opinion of the Investigator, might impair the patient's ability to participate
  23. 23. Any psychiatric condition that would prohibit the understanding or rendering of informed consent.
  24. 24. Legal incapacity or limited legal capacity.
  25. 25. Incapable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol .

Contacts and Locations

Study Contact

Sean Rossi
CONTACT
671-588-0086
Sean.Rossi@Dragonflytx.com

Study Locations (Sites)

University of California Irvine Medical Center
Irvine, California, 92868
United States
University of Southern California
Los Angeles, California, 90033
United States
Sharp Healthcare
San Diego, California, 92123
United States
University of California San Francisco
San Francisco, California, 94143
United States
University of Kansas Medical Center Research Institute, Inc.
Westwood, Kansas, 66205
United States
Louisiana State University
New Orleans, Louisiana, 70112
United States
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Baltimore, Maryland, 21287
United States
University of Michigan
Ann Arbor, Michigan, 48109
United States
Henry Ford Health System
Detroit, Michigan, 48202
United States
Montefiore Einstein Center for Cancer Care
Bronx, New York, 10461
United States
Icahn School of Medicine: Tisch Cancer Institute at Mount Sinai Medical Center
New York, New York, 10023
United States
University Hospitals Cleveland Medical Center
Cleveland, Ohio, 44106
United States
The Ohio State University
Columbus, Ohio, 43210
United States
University of Pennsylvania, Abramson Cancer Center
Philadelphia, Pennsylvania, 19104
United States
Rhode Island Hospital
Providence, Rhode Island, 02903
United States
Vanderbilt-Ingram Cancer Center
Nashville, Tennessee, 37232
United States
MD Anderson Cancer Center
Houston, Texas, 77030
United States
Multicare Health System Tacoma General Hospital
Tacoma, Washington, 98405
United States
University of Wisconsin
Madison, Wisconsin, 53715
United States

Collaborators and Investigators

Sponsor: Dragonfly Therapeutics

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2019-11-11
Study Completion Date2026-12

Study Record Updates

Study Start Date2019-11-11
Study Completion Date2026-12

Terms related to this study

Keywords Provided by Researchers

  • HER-2
  • NK Cell
  • Immunotherapy
  • Metastatic Breast Cancer
  • Non-small Cell Lung Cancer
  • Erbb2
  • DF1001
  • Sacituzumab Govitecan-hziy

Additional Relevant MeSH Terms

  • Solid Tumor, Adult