30 Participants Needed

PBF-1129 + Nivolumab for Lung Cancer

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Overseen ByThe Ohio State University Comprehensive Cancer Center
Age: 18+
Sex: Any
Trial Phase: Phase 1
Sponsor: Dwight Owen
Must be taking: PD-1, PD-L1 therapies
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Breakthrough TherapyThis drug has been fast-tracked for approval by the FDA given its high promise

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores the effectiveness of a new drug combination, PBF-1129 (an adenosine A2B receptor antagonist) and nivolumab (also known as Opdivo), for individuals with non-small cell lung cancer that has recurred or spread. The goal is to determine the optimal dose and understand any side effects of this treatment duo. PBF-1129 and nivolumab aim to enhance the immune system's ability to fight cancer. Ideal candidates for this trial have already undergone standard chemotherapy and immunotherapy for their recurrent or metastatic lung cancer. As a Phase 1 trial, this research focuses on understanding how the treatment works in people, offering participants the opportunity to be among the first to receive this new therapy.

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

The trial information does not specify if you need to stop taking your current medications. However, if you are on systemic steroid therapy or immunosuppressive drugs, you may need to stop them before starting the trial.

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

Research has shown that PBF-1129, when tested alone, was well tolerated by patients with non-small cell lung cancer. Previous studies found no serious side effects at the doses tested, indicating that the treatment is generally safe.

Nivolumab, the other treatment in this trial, has already received approval for other conditions. Past studies reported safety outcomes similar to those observed in real-world use. Although some serious side effects occurred in a small number of patients, these were uncommon.

Overall, both treatments have demonstrated a good safety record in earlier studies, suggesting they are generally well-tolerated, though individual experiences may vary.12345

Why are researchers excited about this trial's treatments?

Researchers are excited about the combination of PBF-1129 and nivolumab for lung cancer because it brings a fresh approach to treatment. Most lung cancer treatments focus on chemotherapy or targeted therapies, but PBF-1129 is unique as it targets the adenosine A2B receptor, which plays a role in suppressing the immune system's response to cancer. When combined with nivolumab, an immune checkpoint inhibitor that unleashes the immune system to attack cancer cells, this duo has the potential to enhance the immune system's ability to fight lung cancer more effectively. This novel combination could offer new hope for patients who haven't responded well to existing therapies.

What evidence suggests that this treatment might be an effective treatment for lung cancer?

Research shows that PBF-1129, one of the treatments in this trial, targets specific parts of cancer cells and has shown promise in slowing tumor growth in non-small cell lung cancer. Patients tolerated it well, experiencing no serious side effects. Studies also suggest it works effectively when combined with other treatments.

Nivolumab, the other treatment in this trial, has a strong history of treating non-small cell lung cancer. Research has shown that patients with advanced stages of this cancer lived longer when treated with nivolumab, with up to 42% of patients surviving after treatment. This trial will test the combination of PBF-1129 and Nivolumab, aiming to leverage the strengths of both to help the immune system fight cancer more effectively.26789

Who Is on the Research Team?

Dwight H Owen, MD, MS | Medical ...

Dwight Owen, MD

Principal Investigator

Ohio State University Comprehensive Cancer Center

Are You a Good Fit for This Trial?

Adults with recurrent or metastatic non-small cell lung cancer who have tried standard treatments, including chemotherapy and immunotherapy. They must have good organ function, no untreated brain metastases, no active infections like HIV/Hepatitis B or C, not be pregnant/breastfeeding, and willing to use contraception. Prior PD-1/PD-L1 therapy is required; prior CTLA4 therapy is okay.

Inclusion Criteria

You have a recent tumor tissue sample stored in a special way, or you can provide unstained slides with tissue samples from a recent tumor biopsy or surgery.
Your albumin levels are at least 2.5 mg/dL.
Your blood clotting time is not too fast or too slow, unless you are taking medication to control it.
See 18 more

Exclusion Criteria

You have brain metastases that have not been treated yet. If you have already been treated for brain metastases and are doing well, you may still be eligible.
You had bad side effects from a previous treatment with a checkpoint inhibitor.
Has a history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the trial, interfere with the subject's participation for the full duration of the trial, or is not in the best interest of the subject to participate, in the opinion of the treating investigator
See 6 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive PBF-1129 orally once daily and nivolumab intravenously on day 1 of each 28-day cycle

Up to 1 year
Monthly visits for treatment administration

Follow-up

Participants are monitored for safety and effectiveness after treatment

Up to 1 year
Every 12 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Nivolumab
  • PBF-1129
Trial Overview The trial tests PBF-1129 combined with nivolumab to determine the safest dose and side effects for treating non-small cell lung cancer that has returned or spread. It explores how these drugs might help the immune system fight cancer by inhibiting tumor growth.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: Treatment (PBF-1129, nivolumab)Experimental Treatment3 Interventions

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

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Approved in United States as Opdivo for:
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Approved in European Union as Opdivo for:
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Approved in Canada as Opdivo for:
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Approved in Switzerland as Opdivo for:

Find a Clinic Near You

Who Is Running the Clinical Trial?

Dwight Owen

Lead Sponsor

Trials
6
Recruited
210+

National Cancer Institute (NCI)

Collaborator

Trials
14,080
Recruited
41,180,000+

Published Research Related to This Trial

Nivolumab, an immune checkpoint inhibitor, significantly improved overall survival and progression-free survival compared to docetaxel in patients with advanced squamous non-small cell lung cancer (NSCLC) in the CheckMate 017 trial.
Nivolumab was better tolerated than docetaxel, with manageable adverse effects, making it a promising treatment option for patients who have already undergone chemotherapy.
Nivolumab: a review in advanced squamous non-small cell lung cancer.Keating, GM.[2022]
Nivolumab, an anti-PD-1 antibody, was administered to a 63-year-old female patient with metastatic melanoma after renal transplantation, highlighting the potential for anti-tumor activity in high-risk patients, despite the challenges of concurrent immunosuppression.
The patient experienced acute renal allograft rejection and renal failure shortly after starting nivolumab, indicating significant risks associated with this treatment in transplant recipients, but she later showed a positive clinical response after re-challenging with nivolumab while on hemodialysis.
Antitumor activity of nivolumab on hemodialysis after renal allograft rejection.Ong, M., Ibrahim, AM., Bourassa-Blanchette, S., et al.[2023]
Combined immune checkpoint blockade (ICB) using nivolumab and ipilimumab shows significant efficacy in treating advanced melanoma, but it also leads to a higher frequency and severity of adverse drug reactions (ADRs) compared to single-agent therapies, based on pooled safety data from 1551 patients.
Most immune-related ADRs are reversible with glucocorticoids, but due to the increased risk and rapid onset of these toxicities, clinicians must be well-trained to monitor and manage these side effects effectively.
Combined immune checkpoint blockade (anti-PD-1/anti-CTLA-4): Evaluation and management of adverse drug reactions.Hassel, JC., Heinzerling, L., Aberle, J., et al.[2022]

Citations

Efficacy Data for Non-Small Cell Lung Cancer (NSCLC) - OpdivoFatal adverse reactions occurred in 3.6% of patients who received OPDIVO in combination with chemotherapy; these included sepsis (1%). OPDIVO and/or ...
Nivolumab in NSCLC: latest evidence and clinical potentialUpdated results presented in abstract form reported prolonged survival with a median of 9.2–14.9 months across the cohorts with a 1-year survival of 32–56% and ...
Neoadjuvant Nivolumab plus Chemotherapy in Resectable ...Our data show that three cycles of neoadjuvant nivolumab plus chemotherapy improved long-term clinical outcomes in patients with resectable ...
Real-World Effectiveness of Nivolumab Monotherapy After ...This study confirmed the effectiveness of nivolumab monotherapy for previously treated advanced NSCLC in real-world clinical practice.
Clinical trial results for previously treated stage 4 recurrent ...42% of patients given OPDIVO® (nivolumab) for advanced squamous NSCLC were alive. People ...
Real‐world safety of nivolumab in patients with non‐small‐ ...The 12‐month survival rate was 40.7%. In conclusion, the safety profile of nivolumab in this postmarketing surveillance was similar to that in clinical trials, ...
Long-Term Survival Outcomes With First-Line Nivolumab ...In patients with squamous NSCLC, median OS was 16.2 versus 8.2 months with nivolumab plus ipilimumab with or without chemotherapy versus ...
Real-World Safety and Efficacy of Nivolumab in Advanced ...There is a lack of real-world data on the safety and efficacy of nivolumab in patients with previously treated advanced non-small-cell lung cancer (NSCLC) ...
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