A Phase 1 Study of LNCB74 in Advanced Solid Tumors

Launched by NEXTCURE, INC. · Jan 13, 2025

Keywords

ClinConnect Summary

This clinical trial is studying a new treatment called LNCB74 for patients with advanced solid tumors, which are cancers that have spread and cannot be surgically removed. The trial aims to find out how safe LNCB74 is and to determine the highest dose that can be given without causing serious side effects. It includes patients with various types of cancer, such as ovarian, breast, and lung cancer, among others.

To participate, you need to be at least 18 years old and have a confirmed diagnosis of an advanced solid tumor that hasn't been treated successfully in the past. You'll need to provide written consent and a sample of your tumor tissue. The study is currently recruiting participants and is open to all genders. If you join, you can expect regular check-ups and monitoring to assess how well the treatment is working and to watch for any side effects. It’s important to know that there are specific health requirements and conditions that might prevent someone from participating, so discussing this with your doctor would be a good next step if you're interested.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 1. The participant provides written informed consent
• • 2. ≥ 18 years of age on day of signing informed consent.
• • 3. Participant with histologically or cytologically confirmed diagnosis of advanced unresectable and/or metastatic solid tumors
• • 4. A male participant must agree to use contraception and refrain from sperm donation or expecting to father a child
• • 5. A female participant is eligible to participate if she is not pregnant, not breastfeeding, not a woman of childbearing potential
• • 6. Have measurable disease per RECIST 1.1 as assessed by the local site investigator/radiology
• • 7. Able to provide tumor tissue sample.
• • 8. Willing to undergo fresh tumor biopsy at Screening and On-treatment if archival tissue not available
• • 9. Have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1
• • 10. Life expectancy greater than or equal to 12 weeks as judged by the Investigator.
• • 11. Have adequate organ function
• Exclusion Criteria:
• • 1. A WOCBP who has a positive serum pregnancy test (within 72 hours) prior to treatment.
• • 2. Has received prior investigational agents within 4 weeks prior to treatment.
• • 3. Has received anti-cancer chemotherapy (Immunotherapy (non-antibody-based therapy), retinoid therapy, hormonal therapy within 2 weeks prior to treatment.
• • 4. Has received antibody-based anti-cancer therapy within 4 weeks prior to treatment.
• • 5. Has received targeted agents and small molecules within 2 weeks or 5 half-lives, whichever is longer.
• • 6. Has received prior platinum-based chemotherapy and progressed within 4 weeks of initiating therapy (platinum-refractory disease)
• • 7. Has received an ADC with MMAE payload.
• • 8. Has received prior radiotherapy within 2 weeks of start of study treatment for focal radiation or within 4 weeks for wide-field radiotherapy
• • 9. Has received G-CSF or GM-CSF within 7 days prior to start of study treatment.
• • 10. Has received a live or live-attenuated vaccine within 30 days prior to the first dose of study intervention.
• • 11. Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy (in dosing exceeding 10 mg daily of prednisone equivalent) or any other form of immunosuppressive therapy within 7 days prior to the first dose of study drug
• • 12. Has a known additional malignancy that is progressing or has required active treatment within the past 3 years
• • 13. Has known active CNS metastases and/or carcinomatous meningitis
• • 14. Has severe hypersensitivity (≥ Grade 3), known allergy or reaction LNCB74 or any of its excipients.
• • 15. Has a history of (non-infectious) pneumonitis / interstitial lung disease that required steroids or has current pneumonitis / interstitial lung disease.
• • 16. Has active ≥Grade 2 sensory or motor neuropathy.
• • 17. Has active or chronic corneal disorders, other active ocular conditions requiring ongoing therapy or any clinically significant corneal disease.
• • 18. Has an active infection requiring systemic therapy.
• • 19. Any major surgery within 4 weeks of study drug administration.
• • 20. Toxicity (except for alopecia) related to prior anti-cancer therapy and/or surgery, unless the toxicity is either resolved, returned to baseline or Grade 1, or deemed irreversible.
• • 21. Prior organ or tissue allograft.
• • 22. Uncontrolled or significant cardiovascular disease
• • 23. Participants with serious or uncontrolled medical disorders.
• • 24. Participants who are on total parenteral nutrition (TPN)
• • 25. Participants with history of bowel obstruction within one month of screening
• • 26. Participants with history of significant ascites requiring paracentesis within 2 weeks of screening
• • 27. Has a known history of human immunodeficiency virus (HIV) infection with an acquired immune deficiency syndrome (AIDS)-defining opportunistic infection within the last year, or a current CD4 count \<350 cells/µl
• • 28. Has known active Hepatitis B (defined as HBsAg reactive) or known active Hepatitis C virus (defined as HCV RNA \[qualitative\] is detected) infection
• • 29. Has a history or current evidence of any condition, therapy, or laboratory abnormality, or other circumstance that might confound the results of the study or interfere with the participant's participation for the full duration of the study
• • 30. Has a known psychiatric or substance abuse disorder that would interfere with the participant's ability to cooperate with the requirements of the study