GR-MD-02 Plus Pembrolizumab in Melanoma, Non-small Cell Lung Cancer, and Squamous Cell Head and Neck Cancer Patients

NCT02575404 | Completed Phase 1

• 1 other identifier: 15-166
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

This study is a dose escalation of GR-MD-02 with the standard therapeutic dose of pembrolizumab in patients with advanced melanoma, non-small cell lung cancer, and head and neck squamous cell cancer.

Conditions

Melanoma; Non-Small Cell Lung Cancer; Squamous Cell Carcinoma of the Head and Neck

Keywords

Metastatic; Keytruda; pembrolizumab; GR-MD-02; Galactoarabino-rhamnogalacturonate; Immunotherapy

Outcome Measures

Primary Outcomes (1)

• Frequency and Severity of Treatment-Related Adverse Events Measured by Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0

  Patients are seen in clinic 7 times over 85 days. At each visit, a research nurse performs a toxicity check. Patients have 5 physical exams during the 85-day period.

  85 Days

Secondary Outcomes (2)

• Measure the response rate to combined therapy with GR-MD-02 and pembrolizumab in patients.

  Baseline and at Day 85

• Assess the biological activity of GR-MD-02 in combination with pembrolizumab.

  85 Days

Study Arms (4)

2 mg/kg GR-MD-02

EXPERIMENTAL

2 mg/kg GR-MD-02 in combination with standard pembrolizumab treatment.

Drug: GR-MD-02; Drug: Pembrolizumab

4 mg/kg GR-MD-02

EXPERIMENTAL

4 mg/kg GR-MD-02 in combination with standard pembrolizumab treatment.

Drug: GR-MD-02; Drug: Pembrolizumab

8 mg/kg GR-MD-02

EXPERIMENTAL

8 mg/kg GR-MD-02 in combination with standard pembrolizumab treatment.

Drug: GR-MD-02; Drug: Pembrolizumab

4 mg/kg GR-MD-02 17 Cycles Maximum

EXPERIMENTAL

4 mg/kg GR-MD-02 in combination with standard pembrolizumab treatment up to a maximum of 17 cycles.

Drug: GR-MD-02; Drug: Pembrolizumab

Interventions

GR-MD-02 DRUG

Patients will receive five doses of GR-MD-02 intravenously over 85 Days.

Also known as: Galactoarabino-rhamnogalactouronate

2 mg/kg GR-MD-02; 4 mg/kg GR-MD-02; 4 mg/kg GR-MD-02 17 Cycles Maximum; 8 mg/kg GR-MD-02

Pembrolizumab DRUG

Patients will receive five 200mg doses of pembrolizumab intravenously over 85 days. After 85 days, patients may continue to receive pembrolizumab every 3 weeks if clinical benefit is noted.

Also known as: Keytruda

2 mg/kg GR-MD-02; 4 mg/kg GR-MD-02; 4 mg/kg GR-MD-02 17 Cycles Maximum; 8 mg/kg GR-MD-02

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients with metastatic or unresectable melanoma for whom treatment with pembrolizumab is indicated. Histological confirmation of melanoma will be required by previous biopsy or cytology.
• Patients with non-small cell lung cancer for whom treatment with pembrolizumab is indicated.
• Patients with squamous cell carcinoma of the head and neck for whom treatment with pembrolizumab is indicated
• Patients who have radiographic progression using Response Evaluation Criteria In Solid Tumors (RECIST) currently on pembrolizumab are also eligible.
• Patients must be ≥ 18 years of age.
• Eastern Cooperative Oncology Group (ECOG) performance status of 0-2.
• Women of childbearing potential must have a serum or urine pregnancy test performed within 72 hours prior to the start of protocol treatment. The results of this test must be negative in order for the patient to be eligible. In addition, women of childbearing potential as well as male patients must agree to take appropriate precautions to avoid pregnancy.
• No active bleeding.
• Anticipated lifespan greater than 12 weeks.
• Patients must sign a study-specific consent document.

You may not qualify if:

• Patients who have previously received a galectin antagonist
• Patients with active autoimmune disease except for autoimmune thyroiditis or vitiligo
• Patients with history of colitis
• Patients with untreated brain metastases. Patients with treated brain metastases who demonstrate control of brain metastases with follow-up imaging 4 or more weeks after initial therapy are eligible.
• Other active metastatic cancer requiring treatment.
• Patients with active infection requiring antibiotics.
• Pregnant or lactating women, as treatment involves unforeseeable risks to the embryo or fetus.
• Need for chronic steroids. Inhaled corticosteroids are acceptable.
• Laboratory values (to be performed within 28 days of enrollment) outside of protocol-specified ranges.
• Inability to give informed consent and comply with the protocol. Patients with a history of psychiatric illness must be judged able to understand fully the investigational nature of the study and the risks associated with the therapy.
• Any medical condition that in the opinion of the Principal Investigator would compromise the safety or conduct of the study procedures.
• Unresolved immune-mediated pneumonitis, diarrhea, elevation of hepatocellular enzymes or other toxicities requiring greater than physiological replacement doses of steroids.

Sponsors & Collaborators

• Providence Health & Services: lead
• Galectin Therapeutics Inc.: collaborator

Study Sites (1)

Providence Cancer Center

Portland, Oregon, 97213, United States

Location

Related Links

• Providence Cancer Center

MeSH Terms

Conditions

Melanoma; Carcinoma, Non-Small-Cell Lung; Squamous Cell Carcinoma of Head and Neck; Neoplasm Metastasis

Interventions

belapectin; pembrolizumab

Condition Hierarchy (Ancestors)

Neuroendocrine Tumors; Neuroectodermal Tumors; Neoplasms, Germ Cell and Embryonal; Neoplasms by Histologic Type; Neoplasms; Neoplasms, Nerve Tissue; Nevi and Melanomas; Skin Neoplasms; Neoplasms by Site; Skin Diseases; Skin and Connective Tissue Diseases; Carcinoma, Bronchogenic; Bronchial Neoplasms; Lung Neoplasms; Respiratory Tract Neoplasms; Thoracic Neoplasms; Lung Diseases; Respiratory Tract Diseases; Carcinoma, Squamous Cell; Carcinoma; Neoplasms, Glandular and Epithelial; Head and Neck Neoplasms; Neoplastic Processes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Brendan Curti, MD

  Providence Health & Services

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 1
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 9, 2015
• First Posted: October 14, 2015
• Study Start: May 16, 2016
• Primary Completion: January 12, 2021
• Study Completion: October 10, 2022
• Last Updated: June 5, 2023

Record last verified: 2023-05

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)