SEA-CD40 Combination Therapy for Non-Small Cell Lung Cancer

No longer recruiting at 34 trial locations
ST
Overseen BySeagen Trial Information Support
Age: 18+
Sex: Any
Trial Phase: Phase 2
Sponsor: Seagen Inc.
Must be taking: Anti-PD-(L)1 mAb
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to determine the effectiveness of a new drug, SEA-CD40, when combined with other cancer treatments for certain types of cancer. It specifically targets individuals with melanoma that has returned or cannot be surgically removed, and those with non-small cell lung cancer (NSCLC) that has spread. Participants with NSCLC will receive SEA-CD40 along with three other drugs: pembrolizumab (an immunotherapy drug), carboplatin (a chemotherapy drug), and pemetrexed (a chemotherapy drug). Those with melanoma will receive SEA-CD40 and pembrolizumab. This trial may suit individuals with advanced melanoma or NSCLC who have not previously received certain therapies. As a Phase 2 trial, the research focuses on measuring the treatment's effectiveness in an initial, smaller group of people.

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

The trial information does not specify if you need to stop taking your current medications. However, it does mention that you cannot be on chronic systemic steroids in excess of physiologic replacement. It's best to discuss your specific medications with the trial team.

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

Research has shown that the treatment SEA-CD40, when combined with pembrolizumab and chemotherapy drugs like carboplatin and pemetrexed, yields promising results for safety and effectiveness. Early studies suggest this combination can enhance the immune system's ability to fight cancer.

Most patients have tolerated the SEA-CD40 and pembrolizumab treatment well. However, some experienced serious side effects, such as immune system issues and infections. A few patients discontinued treatment due to lung problems or severe infection reactions.

The combination of pembrolizumab with pemetrexed and carboplatin has a strong history of safety in treating advanced lung cancer. Many studies have demonstrated this combo to be effective and generally well-tolerated by patients over time.

Overall, while SEA-CD40 remains under study, its safety with other drugs appears promising based on research and past studies. However, awareness of the potential for serious side effects is important.12345

Why are researchers excited about this trial's treatments?

Most treatments for non-small cell lung cancer (NSCLC) involve chemotherapy and immunotherapy, like carboplatin, pemetrexed, and pembrolizumab. However, SEA-CD40 is unique because it targets the CD40 protein on immune cells, potentially boosting the body's immune response against cancer. Researchers are excited about SEA-CD40 because it could enhance the effectiveness of existing treatments by making the immune system more aggressive in attacking cancer cells. This novel mechanism of action sets it apart and offers hope for improved outcomes in NSCLC patients.

What evidence suggests that this trial's treatments could be effective for non-small cell lung cancer and melanoma?

Research shows that the SEA-CD40 drug appears promising when combined with other cancer treatments. Early studies have found that SEA-CD40 can help the immune system fight cancer cells more effectively. In this trial, participants in the NSCLC Arm will receive a combination of SEA-CD40, pembrolizumab, carboplatin, and pemetrexed. This combination has demonstrated positive effects against advanced non-small cell lung cancer (NSCLC), working together to stop cancer cells from growing and spreading. Meanwhile, participants in the Melanoma Arm will receive SEA-CD40 combined with pembrolizumab, which has shown promise in treating melanoma. Although more research is needed, the initial results offer hope for people with these challenging conditions.12456

Who Is on the Research Team?

JH

Jonathan Hayman, MD

Principal Investigator

Seagen Inc.

Are You a Good Fit for This Trial?

This trial is for adults with certain types of cancer, like melanoma that's returned or can't be surgically removed, and NSCLC that has spread. They must not have had CD40-targeted therapy before, no other cancers in the last 3 years, no autoimmune diseases treated in the past 2 years, and they shouldn't be on high doses of steroids or have active brain metastases.

Inclusion Criteria

My cancer is confirmed by lab tests and cannot be removed by surgery.
Participants must meet specific criteria for each cohort as outlined in the text

Exclusion Criteria

My cancer has spread to my brain or the protective layers of my brain.
I have had another type of cancer in the last 3 years.
I have been treated with CD40-targeted therapy before.
See 3 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive SEA-CD40 in combination with other cancer drugs (pembrolizumab, carboplatin, pemetrexed) for NSCLC or SEA-CD40 with pembrolizumab for melanoma

Up to 18.5 months

Follow-up

Participants are monitored for safety and effectiveness after treatment

4-8 weeks

Open-label extension (optional)

Participants may opt into continuation of treatment long-term

Long-term

What Are the Treatments Tested in This Trial?

Interventions

  • Carboplatin
  • Pembrolizumab
  • Pemetrexed
  • SEA-CD40
Trial Overview The study tests an experimental drug called SEA-CD40 combined with pembrolizumab for melanoma patients; and SEA-CD40 with pembrolizumab, carboplatin, and pemetrexed for those with advanced NSCLC. It aims to see if these combinations are effective against these cancers.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Group I: NSCLC ArmExperimental Treatment4 Interventions
Group II: Melanoma ArmExperimental Treatment2 Interventions

Carboplatin is already approved in United States, European Union, Canada for the following indications:

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Approved in United States as Paraplatin for:
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Approved in European Union as Carboplatin for:
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Approved in Canada as Carboplatin for:

Find a Clinic Near You

Who Is Running the Clinical Trial?

Seagen Inc.

Lead Sponsor

Trials
212
Recruited
73,800+
Founded
1997
Headquarters
Bothell, USA
Known For
Antibody-Drug Conjugates
Top Products
Adcetris (brentuximab vedotin), Tukysa (tucatinib), Padcev (enfortumab vedotin-ejfv), Tivdak (tisotumab vedotin-tftv)
Dr. Roger Dansey profile image

Dr. Roger Dansey

Seagen Inc.

Chief Medical Officer since 2018

MD from University of Witwatersrand

David R. Epstein profile image

David R. Epstein

Seagen Inc.

Chief Executive Officer since 2022

BSc in Pharmacy from Rutgers University, MBA from Columbia University

Merck Sharp & Dohme LLC

Industry Sponsor

Trials
4,096
Recruited
5,232,000+
Chirfi Guindo profile image

Chirfi Guindo

Merck Sharp & Dohme LLC

Chief Marketing Officer since 2022

Degree in Engineering from Ecole Centrale de Paris, MBA from New York University Stern School of Business

Robert M. Davis profile image

Robert M. Davis

Merck Sharp & Dohme LLC

Chief Executive Officer since 2021

JD from Northwestern University Pritzker School of Law, MBA from Northwestern University Kellogg Graduate School of Management, Bachelor's in Finance from Miami University

Citations

A Study of SEA-CD40 Given With Other Drugs in CancersThis trial is being done to see if an experimental drug (SEA-CD40) works when it's given with other cancer drugs to treat some types of cancer.
Phase 1 dose-escalation study of SEA-CD40 - PubMed CentralSEA-CD40 monotherapy exhibited evidence of antitumor activity, with a partial response in a patient with basal cell carcinoma and a complete ...
Phase I study of SEA-CD40, gemcitabine, nab-paclitaxel ...Activation of CD40 on APCs upregulates cytokine production and co-stimulatory receptors, enhancing tumor antigen presentation to T cells.
CD40-Directed SEA-CD40 Combo Denotes Antitumor ...The combination of SEA-CD40, gemcitabine, nab-paclitaxel, and pembrolizumab demonstrated early evidence of efficacy in patients with metastatic ...
705 Phase 2 study of SEA-CD40 combination therapies in ...This combination regimen has also demonstrated a tolerable safety profile, encouraging antitumor activity, and evidence of persistent immune activation in an ...
705 Phase 2 study of SEA-CD40 combination therapies in ...Preclinical studies have shown that SEA-CD40 combined with chemotherapy and pembrolizumab resulted in significant antitumor activity. This combination regimen ...
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