Tazemetostat + PD-1 Blockade for Non-Small Cell Lung Cancer
What You Need to Know Before You Apply
What is the purpose of this trial?
This is an open label, single arm, phase Ib/II clinical trial of checkpoint blockade, pembrolizumab and EZH2 inhibitor, tulmimetostat combination therapy for patients with advanced non-small cell lung cancer who have progressed from front or second-line treatment. Patients will be enrolled at multiple Veterans Affairs Medical Centers.
Do I need to stop my current medications to join the trial?
The trial does not specify if you need to stop taking your current medications. However, you cannot take medications that strongly affect the liver enzyme CYP3A4, like certain antibiotics or herbal supplements such as St. John's wort. It's best to discuss your current medications with the trial team.
Is the combination of Tazemetostat and Pembrolizumab safe for humans?
Pembrolizumab, a PD-1 inhibitor, has been used in various cancer treatments and is generally considered safe, but it can cause immune-related side effects like type 1 diabetes, thyroid issues, and inflammation of organs such as the lungs and liver. Tazemetostat's safety profile is not detailed here, but Pembrolizumab's known side effects should be considered when evaluating the combination's safety.12345
What makes the drug combination of Tazemetostat and Pembrolizumab unique for treating non-small cell lung cancer?
The combination of Tazemetostat and Pembrolizumab is unique because it combines a PD-1 inhibitor (Pembrolizumab) that helps the immune system attack cancer cells with Tazemetostat, which targets specific enzymes involved in cancer cell growth. This dual approach may offer a novel way to enhance the effectiveness of treatment for non-small cell lung cancer.34567
What data supports the effectiveness of the drug Tazemetostat + PD-1 Blockade for Non-Small Cell Lung Cancer?
Who Is on the Research Team?
Daniel S Shin, MD PhD
Principal Investigator
Michael E. DeBakey VA Medical Center, Houston, TX
Are You a Good Fit for This Trial?
This trial is for adults with advanced non-small cell lung cancer who've seen their disease progress after anti-PD-1/L1 therapy. They must have good performance status (ECOG 0-1), provide a tumor tissue sample, and have measurable disease. Adequate organ function and agreement to use contraception are required. Those with certain infections, recent major surgery, active pneumonitis or autoimmune diseases, other cancers within 3 years, or severe hypersensitivity to pembrolizumab can't participate.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Safety Lead-in Phase Ib
Safety lead-in phase using BOIN with 2 dose levels of tulmimetostat to determine recommended dose for phase II
Treatment Phase II
Combination treatment with tulmimetostat and pembrolizumab for up to 2 years
Follow-up
Participants are monitored for safety and effectiveness after treatment
What Are the Treatments Tested in This Trial?
Interventions
- Pembrolizumab
- Tazemetostat
Pembrolizumab is already approved in United States, European Union, United Kingdom for the following indications:
Find a Clinic Near You
Who Is Running the Clinical Trial?
VA Office of Research and Development
Lead Sponsor
VA Greater Los Angeles Healthcare System
Collaborator