Study of ALE.C04 in Patients With Head and Neck Cancer

NCT ID: NCT06054477

Last Updated: 2025-02-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

21 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-10-30

Study Completion Date

2025-02-12

Brief Summary

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The purpose of this study is to evaluate the safety profile of ALE.C04 monotherapy and in combination with pembrolizumab, to characterize pharmacokinetics profile of ALE.C04, recommended Phase II dose (RP2D) for ALE.C04 in combination with pembrolizumab and to assess anti-tumor activity of ALE.C04 in combination with pembrolizumab in patients with Head and Neck Cancer.

Detailed Description

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The study comprises a phase I and a phase II. The phase I dose escalation part for both ALE.C04 monotherapy and in combination with pembrolizumab and a recommended dose for expansion (RDE) part for ALE.C04 in combination with pembrolizumab. The phase II comprises a 1:1 randomized 2 arms assessing ALE.C04 and pembrolizumab given in combination versus pembrolizumab monotherapy

Conditions

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Head and Neck Cancer Head and Neck Squamous Cell Carcinoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Phase 1 will consist of i) a dose escalation of ALE.C04 monotherapy evaluating approximately 3 dose levels of ALE.C04, ii) a dose escalation of ALE.C04 and pembrolizumab combination evaluating approximately 2 dose levels of ALE.C04 and iii) a randomized two RDEs evaluating two dose level of ALE.C04 combined with pembrolizumab to establish Recommended Phase 2 Dose (RP2D).

Phase 2 will consist of a 1:1 randomized 2 arms comparing ALE.C04 (at the RP2D dose determined in the phase 1) combined to pembrolizumab with pembrolizumab alone.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Open Label

Study Groups

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Phase 1 Dose Escalation

ALE.C04 single agent: Three planned doses of ALE.C04 and ALE.C04 in combination with pembrolizumab. Once a certain dose level of ALE.C04 is considered safe and well tolerated, the first cohort of patients receiving ALE.C04 at a lower dose level combined with pembrolizumab will be initiated

Group Type EXPERIMENTAL

ALE.C04

Intervention Type DRUG

Q3W

Pembrolizumab

Intervention Type DRUG

200mg Q3W

Phase 1 Recommended Dose for Expansion

Two ALE.C04 dose levels (higher or lower) will be considered for the combination with pembrolizumab

Group Type EXPERIMENTAL

ALE.C04

Intervention Type DRUG

Q3W

Pembrolizumab

Intervention Type DRUG

200mg Q3W

Phase 2 Randomized Combination part

ALE.C04 at RP2D combined to pembrolizumab compared to pembrolizumab monotherapy

Group Type ACTIVE_COMPARATOR

ALE.C04

Intervention Type DRUG

Q3W

Pembrolizumab

Intervention Type DRUG

200mg Q3W

Interventions

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ALE.C04

Q3W

Intervention Type DRUG

Pembrolizumab

200mg Q3W

Intervention Type DRUG

Other Intervention Names

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Keytruda

Eligibility Criteria

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Inclusion Criteria

1. Be willing and able to provide written informed consents
2. Be 18 years of age on day of signing informed consent.
3. Have histologically or cytologically confirmed Recurrent or Metastatic (R/M) Head and Neck Squamous Cell Carcinoma (HNSCC) that is considered incurable by local therapies.
4. Have provided tissue for claudin-1 (CLDN1), programmed death ligand-1 (PD-L1) and biomarker analysis in a central Clinical Laboratory Improvement Amendments (CLIA)-certified laboratory.
5. Have measurable disease based on RECIST 1.1 as determined by the site.
6. Have a performance status of 0 or 1 on the Eastern Cooperative Oncology Group (ECOG) Performance Scale.
7. Have results from testing of human papillomavirus (HPV) status for oropharyngeal cancer

Exclusion Criteria

1. Has progressive disease (PD) within 6 months of completion of curatively intended systemic treatment for locoregionally advanced HNSCC (Phase II randomized combination part only).
2. Has had radiation therapy (or other non-systemic therapy) within 2 weeks prior to randomization or patient has not fully recovered (i.e., ≤Grade 1 or at baseline) from adverse events due to a previously administered treatment. Palliative radiotherapy to a limited field is allowed.
3. Severe immune-related adverse events leading to discontinuation of prior immune-oncology agent only for Phase I dose escalation monotherapy and combination and Phase II monotherapy.
4. Has known active central nervous system (CNS) metastases and/or carcinomatous meningitis.
5. Dermatological conditions requiring active pharmacological treatment including psoriasis, atopic dermatitis, excessively dry skin or recurrent conjunctivitis, scleroderma, vitiligo, or any other active autoimmune dermatological disorder.
6. Has a history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the clinical study, interfere with the patient's participation for the full duration of the clinical study, or is not in the best interest of the patient to participate, in the opinion of the treating investigator.
7. Has received prior therapy with an anti-programmed death (PD)-1, anti-PD-L1 or anti-PD-L2 (Phase II randomized combination part only).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Alentis Therapeutics AG

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Banner MD Anderson Cancer Center

Gilbert, Arizona, United States

Site Status

University of Southern California USC Norris Comprehensive Cancer Center

Los Angeles, California, United States

Site Status

Yale University Yale Cancer Center

New Haven, Connecticut, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Karmanos Cancer Institute

Detroit, Michigan, United States

Site Status

Washington University School of Medicine

Lake Saint Louis, Missouri, United States

Site Status

Gabrail Cancer Center Research

Canton, Ohio, United States

Site Status

University Health Network, Princess Margaret Cancer Centre

Toronto, Ontario, Canada

Site Status

Centre Hospitalier Universitaire (CHU) de Bordeaux - Hospitalier Saint-Andre

Bordeaux, , France

Site Status

Oncopole Claudius Regaud, Iuct-Oncopole

Toulouse, , France

Site Status

Institut Gustave Roussy

Villejuif, , France

Site Status

Prince Of Wales Hospital

Hong Kong, , Hong Kong

Site Status

Candiolo cancer Center,FPO IRCCS

Candiolo, Piedmont, Italy

Site Status

Fondazione Irccs Istituto Nazionale Dei Tumori Di Milano

Milan, , Italy

Site Status

Istituto Europeo Di Oncologia S.R.L.

Milan, , Italy

Site Status

National Cancer Centre Singapore

Singapore, , Singapore

Site Status

Tan Tock Seng Hospital

Singapore, , Singapore

Site Status

Vall d'Hebron Institute of Oncology

Barcelona, , Spain

Site Status

MD Anderson Cancer Center

Madrid, , Spain

Site Status

Hospital Clínico Universitario de Santiago de Compostela

Santiago de Compostela, , Spain

Site Status

Incliva Biomedical Research Institute - Hospital Clinico Universitario Valencia

Valencia, , Spain

Site Status

Inselspital, University Hospital Bern

Bern, , Switzerland

Site Status

Countries

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United States Canada France Hong Kong Italy Singapore Spain Switzerland

Other Identifiers

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ALE.C04.01

Identifier Type: -

Identifier Source: org_study_id

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