Two Part Study of Nenocorilant Combined With Nivolumab in Patients With Advanced Solid Malignancies
Purpose
This open-label, dose-finding, and proof of concept study will evaluate the safety, tolerability, maximum-tolerated dose (MTD) and/or optimal dose of nenocorilant when administered in combination with nivolumab in patients with advanced solid malignancies.
Condition
- Neoplasms
Eligibility
- Eligible Ages
- Over 18 Years
- Eligible Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
Part 1 - Signed and dated institutional review board (IRB)/ independent ethics committee (IEC)-approved informed consent form (ICF) - Has solid malignancies that have received all available standard therapies for the specific tumor type or for which no standard therapy exists, unless patient is intolerant of treatment - Has a life expectancy of ≥ 3 months - Has evaluable disease based on RECIST v1.1 - Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 - Has adequate organ function - Negative serum or urine pregnancy test for female patients of childbearing potential - Agreement to use appropriate precautions to avoid pregnancy, unless the patient and/or their sole sexual partner is permanently sterilized
Exclusion Criteria
Part 1 - Past or current immune-related adverse events (irAEs) due to anti-programmed cell death protein 1 ligand 1 (PD[L]1) therapy that meet any of the following criteria: 1. Grade ≥ 3 2. Resulted in discontinuation of anti-PD(L)1 therapy - Medical history of an autoimmune or inflammatory disease requiring immunosuppressive therapy - Medical history of adrenal insufficiency - Has had any major surgery within 4 weeks prior to the first dose of study treatment - Concurrent treatment with mifepristone or another glucocorticoid receptor (GR) modulator - Unable to swallow, retain, or absorb oral medication - Concurrent participation in another interventional clinical trial - Has toxicities due to prior therapies that are reversible and have not resolved - Requirement for treatment with prohibited medications, including but not limited to systemic corticosteroids and cytochrome P450(CYP)3A inducers or inhibitors - Has a known history of severe hypersensitivity to any of the study drugs, or other human/humanized monoclonal antibodies - Pregnant or lactating patients or female patients expecting to conceive children within the projected duration of the trial - Has clinically significant uncontrolled condition(s) which, in the opinion of the Investigator, may confound the results of the trial or interfere with the patient's safety or participation - Known psychiatric disorder that would interfere with trial compliance - Has infection with HIV, hepatitis C virus, or hepatitis B virus - Has untreated parenchymal brain metastasis or has uncontrolled central nervous system metastases - Has a history of another malignancy within 2 years prior to study treatment, unless cured - Has received prior autologous or allogeneic organ or tissue transplantation - A QTcF interval >450 msec, a family history of long QT syndrome or unexplained sudden death at young age, or a requirement for use of medication that may prolong the QTc interval
Study Design
- Phase
- Phase 1/Phase 2
- Study Type
- Interventional
- Allocation
- Non-Randomized
- Intervention Model
- Sequential Assignment
- Primary Purpose
- Treatment
- Masking
- None (Open Label)
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Experimental Cohort 1a: Nenocorilant 200 mg and Nivolumab |
Cohort 1a: Patients will receive nenocorilant 200 mg orally under fed conditions once daily, and nivolumab 240 mg IV every 2 weeks. After 3 months of treatment, patients may choose to switch the nivolumab regimen to 480 mg IV every 4 weeks if the nenocorilant nivolumab combination is tolerated. |
|
|
Experimental Cohort 1b: Nenocorilant 300 mg and Nivolumab |
Cohort 1b: Patients will receive nenocorilant 300 mg orally under fed conditions once daily, and nivolumab 240 mg IV every 2 weeks. After 3 months of treatment, patients may choose to switch the nivolumab regimen to 480 mg IV every 4 weeks if the nenocorilant nivolumab combination is tolerated. |
|
|
Experimental Cohort 1c: Nenocorilant 400 mg and Nivolumab |
Cohort 1c: Patients will receive nenocorilant 400 mg orally under fed conditions once daily, and nivolumab 240 mg IV every 2 weeks. After 3 months of treatment, patients may choose to switch the nivolumab regimen to 480 mg IV every 4 weeks if the nenocorilant nivolumab combination is tolerated. |
|
Recruiting Locations
Los Angeles, California 90025
Grand Rapids, Michigan 49546
San Antonio, Texas 78229
West Valley City, Utah 84119
More Details
- Status
- Recruiting
- Sponsor
- Corcept Therapeutics
Detailed Description
This is a Phase 1b/2 study that consists of 2 parts. In the dose-finding Phase 1b part, researchers will evaluate escalating dose levels of nenocorilant (given with a fixed dose and schedule of nivolumab) in patients with advanced solid malignancies. All patients will be treated with the combination of nenocorilant plus nivolumab in 28-day cycles. Nenocorilant will be administered orally once daily using a continuous dosing schedule, under fed conditions. Nivolumab will be initially given at 240 mg administered intravenously (IV) once every 2 weeks. After 3 months of treatment, patients may choose to switch to a fixed dosing regimen of 480 mg IV once every 4 weeks if they tolerate the combination regimen of nenocorilant plus nivolumab. The proof-of-concept Phase 2 part of this study is optional and may be added to further evaluate combination treatment in patients with advanced solid malignancies.