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CancerPhase 1/2ICONICNCT02904226

JTX-2011 Alone and in Combination With Anti-PD-1 or Anti-CTLA-4 in Subjects With Advanced and/or Refractory Solid Tumors

A Phase 1/2 study testing JTX-2011, Nivolumab and Ipilimumab in people with Cancer, run by Jounce Therapeutics, Inc. at 16 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

JTX-2011-101 is a Phase 1/2, open label, dose escalation and expansion clinical study of JTX-2011 alone and in combination with nivolumab, ipilimumab, or pembrolizumab in adult subjects with advanced and/or refractory solid tumors, to determine the maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D), as… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Cancer
What is being tested?
JTX-2011, Nivolumab and Ipilimumab
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
242 participants
Where
16 sitesUnited States
Study dates
Aug 2016to 1 Jul 2020
Phase
Phase 1/2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Must be willing and able to participate and comply with all trial requirements and able to provide signed and dated informed consent prior to initiation of any trial procedures
  • Evaluable or measurable disease, according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 criteria, and meet the requirements for the intended study cohort
  • Male or Female ≥ 18 years of age
  • Have an Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0-1. Subjects with ECOG 2 may be considered for enrollment in Parts C, D, F, and H if approved by Medical Monitor
  • Have a predicted life expectancy of ≥ 3 months
  • Have laboratory values (obtained ≤ 28 days prior to first infusion day) in accordance with the study protocol
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  • If medical history of the following, case should be reviewed by the Medical Monitor: prior biliary tract disorders (as based on Hepatobiliary SOC high level terms of: obstructive bile duct disorders, hepatic vascular disorders, structural and other bile duct disorders) or portal hypertension and/or hepatic vascular disorders
  • Women of child-bearing potential (WOCBP) must have a negative serum pregnancy test at screening and a negative urine pregnancy test prior to administration of each dose of JTX-2011
  • WOCBP and males with partners of child-bearing potential must agree to use adequate birth control throughout their participation and for 5 months following the last study treatment

Who cannot join

  • Receiving concurrent anti-cancer treatment (excluding radiation therapy), either approved or investigational
  • Have refused standard therapy
  • Have received anti-cancer therapies listed below within the specified timeframe, or who have ongoing toxicity from prior therapy > Grade 1 according to the Common Terminology for Adverse Events (CTCAE). Exceptions to this are: > Grade 1 toxicities which in the opinion of the Investigator should not exclude the subject (e.g. alopecia, Grade 2 neuropathy, hypo- or hyperthyroidism or other endocrinopathies that are well-controlled with hormone replacement) and are approved by the Medical Monitor.
  • Have received biologic therapy, including immunotherapy, < 28 days prior to C1D1;
  • Have received CAR-T therapy;
  • Have received chemotherapy < 21 days prior to C1D1, or < 42 days for mitomycin or nitrosoureas;
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  • Have received targeted small molecule therapy < 14 days prior to C1D1;
  • Have undergone organ transplantation including allogeneic or autologous stem-cell transplantation, at any time;
  • Have undergone a major surgery (excluding minor procedures, e.g. placement of vascular access, biopsy, etc.) < 6 months prior to the first day of study treatment, C1D1
  • Have a history of intolerance, hypersensitivity, or treatment discontinuation due to severe immune adverse events on prior immunotherapy, or documented presence of neutralizing anti-drug antibody to nivolumab, ipilimumab, or pembrolizumab. Subjects who discontinued prior immunotherapies for immune-related adverse events that are well-controlled with appropriate treatment may be enrolled if approved by the Medical Monitor.
  • Have a diagnosis of immunodeficiency, either primary or acquired, or treatment with systemic steroids or any other form of immunosuppressive therapy within 7 days prior to C1D1. Exception: inhaled or topical steroids and adrenal replacement doses are permitted in the absence of active autoimmune disease as well as a one-time dose of immunosuppressive agents used prophylactically for contrast allergies
  • Have any active disease requiring systemic immunosuppressive treatment
  • Have known severe intolerance to or life-threatening hypersensitivity reactions to humanized monoclonal antibodies or intravenous immunoglobulin preparations; any history of anaphylaxis; prior history of human anti-human antibody response; known allergy to any of the study medications, their analogues, or excipients in the various formulations of any agent
  • Are symptomatic or have uncontrolled brain metastases, leptomeningeal disease, or spinal cord compression not definitively treated with surgery or radiation (brain metastases that are stable and asymptomatic, either treated or untreated, will be allowed)
  • Have current second malignancy at other sites, which requires treatment, or in the judgement of the Investigator, may require treatment within the next year. Concurrent malignancies that do not require treatment and are clinically stable are allowed. A past history of other malignancies is allowed as long as the subject is not receiving specific treatment other than hormonal therapy, and, in the judgement of the Investigator, is unlikely to have a recurrence.
  • Have active and clinically relevant bacterial, fungal, or viral infection, including known Hepatitis A, B, or C or human immunodeficiency virus (HIV) (testing not required)
  • Have received live vaccines within past 30 days (inactivated vaccines are allowed; seasonal vaccines should be up to date prior to first infusion day)
  • Women who are pregnant or breastfeeding
  • Have experienced symptomatic cardiac disease that is unresponsive to surgical or medical management
  • Have any medical or social condition that, in the opinion of the Investigator, might place a subject at increased risk, affect compliance, or confound safety or other clinical trial data interpretation

Trial locations and contacts

16 sites in 1 country.

16 sites in 1 country

United States16 sites
  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

  • Beth Israel Deaconess Medical Center

    Boston, Massachusetts, 02215

  • Dana Farber Cancer Institute

    Boston, Massachusetts, 02215

  • The University of Chicago Medicine Comprehensive Cancer Center

    Chicago, Illinois, 60637

  • Sarah Cannon Research Institute at HealthONE

    Denver, Colorado, 80218

  • Memorial Sloan Kettering Westchester

    Harrison, New York, 10604

  • The University of Texas - MD Anderson Cancer Center

    Houston, Texas, 77030

  • Memorial Sloan Kettering Monmouth

    Middletown, New Jersey, 07748

  • Sarah Cannon Research Institute at TriStar Health

    Nashville, Tennessee, 37203

  • Yale New Haven Hospital

    New Haven, Connecticut, 06510

  • Memorial Sloan Kettering Cancer Center

    New York, New York, 10065

  • Stanford University School of Medicine

    Palo Alto, California, 94304

  • South Texas Accelerated Research Therapeutics, LLC

    San Antonio, Texas, 78229

  • University of Washington

    Seattle, Washington, 98109

  • Washington University School of Medicine

    St Louis, Missouri, 63110

  • Georgetown Lombardi Comprehensive Cancer Center

    Washington D.C., District of Columbia, 20007

Other trials in United States

About this study

Official title: Phase 1/2 Multicenter Trial of ICOS Agonist Monoclonal Antibody (mAb) JTX-2011 Alone and in Combination With Nivolumab, Ipilimumab, or Pembrolizumab in Adult Subjects With Advanced and/or Refractory Solid Tumor Malignancies

JTX-2011-101 is a Phase 1/2, open label, dose escalation and expansion clinical study of JTX-2011 alone and in combination with nivolumab, ipilimumab, or pembrolizumab in adult subjects with advanced and/or refractory solid tumors, to determine the maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D), as well as to evaluate preliminary efficacy.

Read the detailed description

JTX-2011 is an agonist monoclonal antibody that specifically binds to the Inducible CO-Stimulator of T cells (ICOS) to generate an anti-tumor immune response. This is a Phase 1/2, open label, multicenter, dose escalation and expansion, first-in-human (FIH) clinical study to evaluate the safety and tolerability, PK, PD, and preliminary efficacy of the ICOS agonist monoclonal antibody JTX-2011 alone and in combination with nivolumab, ipilimumab, or pembrolizumab in adult subjects with advanced and/or refractory solid tumors. The study will include a dose escalation phase for single agent and the combination therapies, followed by an expansion phase in specified tumor types for single agent and the combination therapies.

Conditions
Cancer
Being tested
JTX-2011, Nivolumab, Ipilimumab, Pembrolizumab
Keywords
ICOS, ICOS agonist monoclonal antibody, JTX-2011, Anti-PD-1, Nivolumab, ICONIC, Immunotherapy, Immuno-oncology, Cancer, Solid Tumor, Dose Escalation, Dose Expansion, Anti-CTLA-4, Ipilimumab, Pembrolizumab
Medical subject headings
Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • JTX-2011Drug

    Also called ICOS agonist monoclonal antibody

    Specified dose on specified days

  • NivolumabDrug

    Also called Opdivo

    Specified dose on specified days

  • IpilimumabDrug

    Also called Yervoy

    Specified dose on specified days

  • PembrolizumabDrug

    Also called Keytruda

    Specified dose on specified days

Study groups in NCT02904226
Study groupRoleWhat they receive
Part A (JTX-2011)ExperimentalPhase 1 dose escalation and expansion of JTX-2011 by intravenous (IV) infusion
Receives: Drug: JTX-2011
Part B (JTX-2011 + nivolumab)ExperimentalPhase 1 dose escalation and expansion of JTX-2011 by IV infusion in combination with nivolumab by IV infusion
Receives: Drug: JTX-2011; Drug: Nivolumab
Part C (JTX-2011)ExperimentalPhase 2 expansion of JTX-2011 by IV infusion
Receives: Drug: JTX-2011
Part D (JTX-2011 + nivolumab)ExperimentalPhase 2 expansion of JTX-2011 by IV infusion in combination with nivolumab by IV infusion
Receives: Drug: JTX-2011; Drug: Nivolumab
Part E (JTX-2011 + ipilimumab)ExperimentalPhase 1 dose escalation of JTX-2011 by IV infusion in combination with ipilimumab by IV infusion
Receives: Drug: JTX-2011; Drug: Ipilimumab
Part F (JTX-2011 + ipilimumab)ExperimentalPhase 2 expansion of JTX-2011 by IV infusion in combination with ipilimumab by IV infusion
Receives: Drug: JTX-2011; Drug: Ipilimumab
Part G (JTX-2011 + pembrolizumab)ExperimentalPhase 1 dose escalation of JTX-2011 by IV infusion in combination with pembrolizumab by IV infusion
Receives: Drug: JTX-2011; Drug: Pembrolizumab
Part H (JTX-2011 + pembrolizumab)ExperimentalPhase 2 expansion of JTX-2011 by IV infusion in combination with pembrolizumab by IV infusion
Receives: Drug: JTX-2011; Drug: Pembrolizumab

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Treatment Emergent Adverse Events (TEAE)

    Number of participants with an adverse event occurring from the time of informed consent until resolution or new therapy initiated or for 28 days post final dose if no new therapy is initiated

    Measured: 46.3 months

  2. Number of Participants With Grade 5 (Fatal) Treatment Emergent Adverse Events (TEAE)

    Number of participants with Grade 5 (fatal) treatment emergent adverse events (TEAE) assessed according to the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) version 4.03.

    Measured: 46.3 months

  3. Number of Participants With Grade 4 (Life Threatening) Treatment Emergent Adverse Events (TEAE)

    Number of participants with Grade 4 (life threatening) treatment emergent adverse events (TEAE) assessed according to the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) version 4.03.

    Measured: 46.3 months

  4. Number of Participants With Grade 3 (Sever) Treatment Emergent Adverse Events (TEAE)

    Number of participants with Grade 3 (severe) treatment emergent adverse events (TEAE) assessed according to the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) version 4.03."

    Measured: 46.3 months

  5. Number of Participants With Grade 2 (Moderate) Treatment Emergent Adverse Events (TEAE)

    Number of participants with Grade 2 (moderate) treatment emergent adverse events (TEAE) assessed according to the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) version 4.03

    Measured: 46.3 months

  6. Number of Participants With Grade 1 (Mild) Treatment Emergent Adverse Events (TEAE)

    Number of participants with Grade 1 (mild) treatment emergent adverse events (TEAE) assessed according to the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) version 4.03

    Measured: 46.3 months

  7. Number of Participants With Dose Limiting Toxicities

    Number of participants with at least one dose limiting toxicity (DLT)

    Measured: 33 months

  8. Overall Response Rate

    Overall response rate (ORR) is defined as the proportion of subjects with a Best Overall Response characterized as either a Complete Response (CR) or Partial Response (PR) as defined by RECISTv1.1 guidelines based on investigator's review

    Measured: 46.5 months

  9. Disease Control Rate

    Disease Control Rate: Percent Subjects with confirmed Complete Response + confirmed Partial Response + BoR of SD (or unconfirmed complete response or partial response lasting at least 53 days from the date of first dose)

    Measured: 46.5 months

  10. Progression Free Survival

    Progression free survival, as determined by the Investigator using Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1)

    Measured: 46.5 months

  11. 6 Month Landmark Progression Free Survival

    Percentage of patients that are progression free at 6 months, estimated by the Kaplan Meier method as the probability of being event-free at 6 months out of the entire 45.5-month primary study period. This method generates survival probability estimates across the Time Frame of the study using all data throughout the course of the trial.

    Measured: 46.5 months

  12. 12 Month Landmark Progression Free Survival

    Percentage of patients that are progression free at 12 month, estimated by the Kaplan Meier method as the probability of being event-free at 12 months out of the entire 45.5-month primary study period. This method generates survival probability estimates across the Time Frame of the study using all data throughout the course of the trial.

    Measured: 46.5 months

  13. Landmark Overall Survival at 6 Months

    Percentage of patients that are alive at 6 month, estimated by the Kaplan Meier method as the probability of being event-free at 6 months out of the entire 45.5-month primary study period. This method generates survival probability estimates across the Time Frame of the study using all data throughout the course of the trial.

    Measured: 46.5 months

  14. Landmark Overall Survival at 12 Months

    Percentage of patients that are alive at 12 month, estimated by the Kaplan Meier method as the probability of being event-free at 12 months out of the entire 45.5-month primary study period. This method generates survival probability estimates across the Time Frame of the study using all data throughout the course of the trial.

    Measured: 46.5 months

  15. Overall Survival

    The time from first dose date to the date of death for any cause

    Measured: 46.5 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 Sep 2016 (estimated)
  2. Study startAug 2016
  3. Primary completion1 Jul 2020
  4. Study completion1 Jul 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
242 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02904226
Sponsor's protocol ID
JTX-2011-101
Acronym
ICONIC
Status last verified
Jun 2023
First submitted
7 Sep 2016
Last updated
3 Jul 2023
Data monitoring committee
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing JTX-2011, Nivolumab and Ipilimumab in people with Cancer, run by Jounce Therapeutics, Inc. at 16 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 20 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 3 Jul 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 16 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 9 Sep 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants With Treatment Emergent Adverse Events (TEAE) (time frame: 46.3 months). The study lists 15 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Jul 2023.

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