SynKIR-110 for Mesothelin Expressing Ovarian Cancer, Cholangiocarcinoma or Mesothelioma

Purpose

This first-in-human (FIH) trial is designed to assess the safety, feasibility, and potential activity of a single intravenous (IV) dose of SynKIR-110 administered to subjects with mesothelin-expressing advanced ovarian cancer, mesothelioma, and cholangiocarcinoma.

Conditions

  • Ovarian Cancer
  • Cholangiocarcinoma Recurrent
  • Mesothelioma, Malignant

Eligibility

Eligible Ages
Over 18 Years
Eligible Genders
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Pathologically confirmed recurrent or relapsed advanced ovarian cancer, primary peritoneal cancer, fallopian tube cancer, cholangiocarcinoma, or epithelial mesothelioma (pleural or peritoneal) after at least 1 prior line of systemic therapy for advanced disease - Adult 18 years of age or older. - Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1. - Has at least 1 measurable lesion by iRECIST for ovarian cancer or cholangiocarcinoma or lesions measurable for mRECIST for mesothelioma. - Satisfactory Blood coagulation parameters - Satisfactory organ and bone marrow function

Exclusion Criteria

  • Active invasive cancers other than mesothelioma, cholangiocarcinoma, and ovarian unless surgically and medically cured without evidence of recurrent disease for 5 years. - History of T or B cell malignancies or previous gene-engineered T cell therapies. - Sarcomatoid/biphasic mesothelioma. - Pulmonary exclusions - Have acquired hereditary, congenital immunodeficiency or have recognized immunodeficiency disease - Active hepatitis B, active hepatitis C, or any HIV infection at the time of screening - Active autoimmune disease

Study Design

Phase
Phase 1
Study Type
Interventional
Allocation
N/A
Intervention Model
Single Group Assignment
Primary Purpose
Treatment
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
SynKIR-110
Single dose gravity drip IV administration
  • Biological: SynKIR-110, Autologous T cells Transduced with Mesothelin KIR-CAR
    Autologous T cells Transduced with Mesothelin KIR-CAR

Recruiting Locations

University of Kansas Cancer Center
Westwood, Kansas 66205
Contact:
Nurse Navigation
913-945-7552
CTNurseNav@kumc.edu

More Details

Status
Recruiting
Sponsor
Verismo Therapeutics

Study Contact

Emily Winters, MS
267-392-6848
emily.winters@verismotherapeutics.com

Detailed Description

This is a Phase 1, FIH, multicenter, open-label, dose-escalation pilot study of a single IV gravity drip infusion of SynKIR-110 in subjects with advanced, mesothelin-expressing tumors (ovarian cancer, primary peritoneal cancer, fallopian tube cancer, cholangiocarcinoma, or mesothelioma). Up to 42 subjects will be assessed to determine the safety and feasibility of treatment with SynKIR-110. Informed consent will be obtained from subjects prior to participation in this study. The study includes an enrollment screening period (which includes pre-leukapheresis safety/eligibility and leukapheresis visits), treatment period (administration of non-myeloablative lymphodepleting chemotherapy followed by a single infusion of investigational product), and a 12-month follow-up period or until disease progression. Subjects will be followed for 12 months or until confirmed disease progression, whichever occurs first, at which point they will be invited to participate in a long-term safety follow-up study. Up to 6 cohorts of 3 to 6 subjects per cohort will be treated to determine the safety and feasibility of treatment with SynKIR-110. Doses will be escalated following a standard 3 + 3 design until either an MTD or MFD is reached. An additional 6 to 9 subjects will be treated at the MTD/MFD to further assess safety and potential activity of SynKIR-110.