CTX-471 + Pembrolizumab for Cancer

No longer recruiting at 10 trial locations
JB
NW
Overseen ByNatalie Warholic
Age: 18+
Sex: Any
Trial Phase: Phase 1
Sponsor: Compass Therapeutics
Must be taking: PD-1 or PD-L1 inhibitors
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to test a new treatment for individuals with advanced cancers that have worsened despite other PD-1 or PD-L1 inhibitor drugs. The study will examine the effects of a new drug, CTX-471 (an experimental treatment), alone or combined with pembrolizumab (a type of immunotherapy). The trial seeks participants with specific cancers, such as lung cancer or melanoma, whose conditions have progressed despite previous treatments. As a Phase 1 trial, the research focuses on understanding how the treatment works in people, offering participants the opportunity to be among the first to receive this new treatment.

Do I need to stop my current medications to join the trial?

The trial protocol does not specify if you need to stop taking your current medications. However, you cannot have had systemic therapy with immunosuppressive agents within 7 days before starting the trial treatment. It's best to discuss your current medications with the study team to understand any specific requirements.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

A previous study found CTX-471 to be safe and well-tolerated, with patients experiencing only mild liver issues, which is an improvement over similar treatments. When combined with pembrolizumab (KEYTRUDA®), research showed a decrease in certain proteins that can increase inflammation, suggesting the combination might also be safe.

As a Phase 1 trial, this marks the first time the treatment is tested in humans. This phase focuses on safety, so some uncertainty remains. However, the early findings are promising.12345

Why are researchers excited about this trial's treatments?

Researchers are excited about the combination of CTX-471 and pembrolizumab for cancer treatment because it offers a novel approach to boosting the immune system's ability to fight tumors. Unlike traditional chemotherapy, which directly attacks cancer cells, CTX-471 is an antibody that targets the CD137 receptor on immune cells, potentially enhancing their activity against cancer. When combined with pembrolizumab, a well-known immune checkpoint inhibitor, this treatment may provide a stronger and more targeted immune response, especially for challenging cancers like non-small cell lung cancer (NSCLC), small cell lung cancer (SCLC), and melanoma. This dual-action strategy could lead to improved outcomes for patients who have limited options with current treatments.

What evidence suggests that this trial's treatments could be effective for cancer?

Research has shown that CTX-471, a new type of antibody, delivers promising results in early tests. It effectively targets tumors that typically resist other treatments. Initial human studies suggest that CTX-471 is safe and well-tolerated by patients. In this trial, some participants will receive CTX-471 alone, while others will receive it in combination with pembrolizumab, a current cancer treatment, to assess their combined effectiveness. Early results from this combination have demonstrated a decrease in substances that cause inflammation and can exacerbate cancer. While further research is necessary, these early findings offer hope for those seeking new treatments for advanced cancers.12467

Who Is on the Research Team?

TS

Thomas Scheutz, MD, PhD

Principal Investigator

Compass Therapeutics

Are You a Good Fit for This Trial?

Adults with certain advanced cancers (like lung, melanoma, or head and neck) that worsened after PD-1/PD-L1 inhibitor treatment can join. They must have good organ function, no recent immunosuppressants or vaccines, not be pregnant or breastfeeding, and agree to use birth control. Excluded are those with severe heart issues, active infections like hepatitis B/C or HIV unless controlled, other recent cancer treatments or live vaccines.

Inclusion Criteria

My liver is functioning well according to recent blood tests.
I am a male either sterile or will use birth control during and 4 months after the study.
It's been over 28 days since my last PD-1/PD-L1 therapy, and over 21 days since any cancer treatment, radiotherapy, or surgery.
See 14 more

Exclusion Criteria

I've had lung radiation over 30Gy within the last 6 months for a specific treatment.
I have received a tissue transplant from another person for my treatment.
I am currently on medication for an active infection.
See 23 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive CTX-471 as a monotherapy or in combination with pembrolizumab, with dose escalation and expansion phases

up to 2 years

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • CTX-471
  • Pembrolizumab
Trial Overview The trial is testing CTX-471 alone or with pembrolizumab in patients whose cancer progressed on PD-1/PD-L1 inhibitors. It's a Phase 1 study with two parts: first finding the right dose (escalation), then expanding to more patients at that dose (expansion).
How Is the Trial Designed?
4Treatment groups
Experimental Treatment
Group I: Arm 2 Part 2 Dose ExpansionExperimental Treatment2 Interventions
Group II: Arm 2 Part 1 Dose EscalationExperimental Treatment2 Interventions
Group III: Arm 1 Part 2 Dose ExpansionExperimental Treatment1 Intervention
Group IV: Arm 1 Part 1 Dose EscalationExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Compass Therapeutics

Lead Sponsor

Trials
5
Recruited
430+

Iqvia Pty Ltd

Industry Sponsor

Trials
120
Recruited
177,000+

Ari Bousbib

Iqvia Pty Ltd

Chief Executive Officer since 2016

MBA from Columbia University, Master of Science in Mathematics and Mechanical Engineering from Ecole Superieure des Travaux Publics, Paris

Jeffrey Spaeder

Iqvia Pty Ltd

Chief Medical Officer

MD

Merck, Sharp & Dohme, LLC, Rahway, NJ USA

Collaborator

Trials
1
Recruited
100+

Citations

News Release DetailsThese data arise from Compass's Phase 1 open-label, first-in-human study that evaluated CTX-471 as a monotherapy in patients with metastatic or ...
Phase 1 study of CTX-471, a novel CD137 agonist ...Conclusions: In this phase 1 study, CTX-471 was shown to be a safe and well-tolerated, novel anti-CD137 antibody. CTX-471 monotherapy ...
News Release DetailsCTX-471 monotherapy demonstrated efficacy in multiple murine models, including models highly resistant to immune checkpoint inhibitors.
Enhanced efficacy of CTX-471, a CD137 agonist antibody, in ...Tumor growth inhibition was accompanied by pharmacodynamic evidence consistent with decrease of vascular bed density and enhancement of cellular ...
Compass Therapeutics to Present Phase 1 Data for CTX- ...CTX-471, a novel anti-CD137 agonist antibody, demonstrated anti-tumor activity in the Company's Phase 1 Dose. Escalation and Dose Expansion, first-in-human ...
Compass Therapeutics to Present Phase 1 Data for CTX ...“CTX-471 was well tolerated with a low level of liver toxicity, suggesting a differentiated safety profile compared with other CD137-targeted ...
AbstractFindings include evidence of CTX-471 pharmacodynamic activity as well as baseline tumor characteristics predictive of clinical responses to CTX- ...
Unbiased ResultsWe believe in providing patients with all the options.
Your Data Stays Your DataWe only share your information with the clinical trials you're trying to access.
Verified Trials OnlyAll of our trials are run by licensed doctors, researchers, and healthcare companies.
Terms of Service·Privacy Policy·Cookies·Security