Study Assessing MTD, Safety, Tolerability, PK and Anti-tumor Effects of LNS8801alone and With Pembrolizumab

Trial statusRecruiting
Trial phasePhase 1, Phase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorLinnaeus Therapeutics, Inc.

About this trial

This Phase 1/2, first-in-human, open-label, multicenter study follows a 3+3 ascending dose escalation design to determine the MTD/RP2D and to characterize the safety, tolerability, PK, and antitumor effects of LNS8801 alone and in combination with pembrolizumab. The study will include a dose escalation phase, a dose expansion phase, and phase 2A cohorts. Up to 200 patients will be accrued for this study. Up to 15 study sites in the United States will participate in the study.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Has histopathologically confirmed locally advanced or metastatic solid tumor cancer.

Is able to understand and voluntarily sign a written informed consent form and is willing and able to comply with protocol requirements.

Is considered likely to meet the detailed inclusion and

Disqualifiers

Having received anti-PD-1/L1 therapy at least twice if dosed every 4 weeks (q4w) or longer, at least 3 times if dosed every 3 weeks (q3w), or at least 4 times if dosed every 2 weeks (q2w) and,

Having documented clinical or radiographic progression of disease (PD) while on anti-PD-1/L1 therapy.

Has no standard of care or the patient declines standard of care options.

Has measurable disease per RECIST v1.1 or RANO as assessed by the local site investigator/radiologist. Lesions in a previously irradiated area are measurable if progression has been demonstrated after radiation. Lesions must be measurable in at least 2 dimensions in a spiral CT scan or MRI. For lymphoma patients only, the minimum measurement must be >15 mm on the long axis and >10 mm on the short axis.

Trial design

Design model

Single group

Treatments tested in this trial

  • LNS8801 -Small molecule, orally bioavailable, selective agonist of GPER

    Drug

    LNS8801 -Small molecule, orally bioavailable, selective agonist of GPER

  • Pembrolizumab - anti-PD-1 antibody

    Biological/Vaccine

    pembrolizumab- anti-PD-1 antibody

Treatment groups

200 Participants
are divided into 1 treatment group
Group A: ActiveOther 2 interventions

Trial outcomes

Primary outcomes

1

Adverse events observed for LNS8801 dosed alone and in combination with pembrolizumab

Time frame
Duration of study, approximately 24 months

Secondary outcomes

1

LNS8801 plasma exposure (AUC) as a function of dose

AUC0-end

Time frame
During first 23 days of dosing
2

LNS8801 plasma exposure (Cmax) as a function of dose

Cmax

Time frame
During the first 23 days of dosing
3

LNS8801 plasma exposure (t1/2) as a function of dose

T1/2

Time frame
During the first 23 days of dosing

Other outcomes

Sponsors and contacts

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Linnaeus Therapeutics, Inc.

Lead sponsor

Merck Sharp & Dohme LLC

Collaborator