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

ArmDescriptionAssigned 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.
  • Drug: Nenocorilant 200 mg
    Nenocorilant 200 mg will be supplied as 50 and/or 100 mg tablets.
    Other names:
    • CORT125236
  • Drug: Nivolumab
    Nivolumab 240 mg and 480 mg will be supplied as single-dose 120 mg/12 mL (10 mg/mL) vials.
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.
  • Drug: Nenocorilant 300 mg
    Nenocorilant 300 mg will be supplied as 50 and/or 100 mg tablets.
    Other names:
    • CORT125236
  • Drug: Nivolumab
    Nivolumab 240 mg and 480 mg will be supplied as single-dose 120 mg/12 mL (10 mg/mL) vials.
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.
  • Drug: Nenocorilant 400 mg
    Nenocorilant 400 mg will be supplied as 50 and/or 100 mg tablets.
    Other names:
    • CORT125236
  • Drug: Nivolumab
    Nivolumab 240 mg and 480 mg will be supplied as single-dose 120 mg/12 mL (10 mg/mL) vials.

Recruiting Locations

Site 03
Los Angeles, California 90025

Site 04
Grand Rapids, Michigan 49546

Site 01
San Antonio, Texas 78229

Site 02
West Valley City, Utah 84119

More Details

Status
Recruiting
Sponsor
Corcept Therapeutics

Study Contact

Corcept Therapeutics
650-684-0171
corceptstudy750@corcept.com

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.