Combining PYX-201 with Pembrolizumab for Advanced Solid Tumors
A Phase 1/2, Open-label, Global, Multicenter, Dose-Escalation and Dose-Expansion Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Preliminary Efficacy of PYX-201 in Combination With Pembrolizumab in Participants With Advanced Solid Tumors
This study is testing a new combination of two cancer treatments, PYX-201 and pembrolizumab, to see how well they work and how safe they are for people with advanced solid tumors like certain types of breast and head and neck cancers.
Quick facts
| Phase | Phase1; Phase2 |
|---|---|
| Study type | Interventional |
| Enrollment | 220 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Pyxis Oncology, Inc Industry-sponsored |
| Drugs / interventions | pembrolizumab, chemotherapy |
| Locations | 19 sites (San Diego, California and 18 other locations) |
| Trial ID | NCT06795412 on ClinicalTrials.gov |
What this trial studies
This study aims to determine the recommended Phase 2 doses and maximum tolerated dose of PYX-201 when used in combination with pembrolizumab for patients with advanced solid tumors. Participants will include those with various types of advanced cancers, such as head and neck squamous cell carcinoma and triple-negative breast cancer. The study will assess the safety and efficacy of this combination therapy through a series of evaluations and measurements. Fresh tumor biopsies or archived tumor tissue samples will be required for participant eligibility.
Who should consider this trial
Good fit: Ideal candidates include adults aged 18 and older with histologically confirmed advanced solid tumors and an ECOG performance status of 0 to 1.
Not a fit: Patients with non-advanced solid tumors or those who do not meet the eligibility criteria may not benefit from this study.
Why it matters
Potential benefit: If successful, this combination therapy could provide a new treatment option for patients with advanced solid tumors.
How similar studies have performed: Other studies combining immunotherapies with targeted treatments have shown promise, suggesting potential for success in this approach.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria 1. Histologically or cytologically confirmed advanced solid tumors, including first-line (1L) head and neck squamous cell carcinoma (HNSCC), advanced or metastatic triple negative breast cancer (TNBC), hormone receptor positive (HR+) and human epidermal growth factor receptor 2 negative breast cancer (HER2- BC), gastric cancer (GC), cervical cancer, and second-line and higher (2L+) HNSCC. 2. Male or non-pregnant, non-lactating female participants age ≥18 years. 3. Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0 to 1. 4. Participant must have at least 1 measurable lesion per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 criteria. 5. Life expectancy of \>3 months, in the opinion of the Investigator. 6. Adequate hematologic function. 7. Adequate hepatic function. 8. Adequate renal function. 9. Adequate coagulation profile. 10. Clinical sites must conduct fresh tumor biopsy or provide participant's archived tumor tissue sample. Exclusion Criteria 1. Known additional malignancy that is progressing or has required active treatment within the past 2 years. 2. Have any active central nervous system (CNS) metastases and/or carcinomatous meningitis. 3. Significant cardiovascular disease within 6 months prior to start of study drug. 4. Evidence of an active systemic bacterial, fungal, or viral infection requiring treatment at the start of study drug. 5. Known active hepatitis B virus (HBV), hepatitis C virus (HCV), human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDS). 6. Failure to recover to Baseline severity or National Cancer Institute - Common Terminology Criteria for Adverse Events (NCI-CTCAE) v5.0 Grade ≤1 from acute non-hematologic toxicity due to previous therapy, prior to Screening. 7. Participants with Grade \>1 neuropathy of any grade per CTCAE v5.0 and/or receiving treatment for neuropathy at Screening. 8. History of uncontrolled diabetes mellitus. 9. Participants with immunodeficiency or active autoimmune disease that is contraindicated for pembrolizumab. 10. Participants with a history of (noninfectious) pneumonitis/interstitial lung disease (ILD) that required steroids or has current pneumonitis/ILD. 11. Prior solid organ or bone marrow progenitor cell transplantation. 12. Prior high-dose chemotherapy requiring stem cell rescue. 13. Previously received treatment with a programmed death-1 (PD-1)/L1 inhibitor any prior treatment with an agent directed to another stimulatory or co inhibitory T-cell receptor. 14. Severe hypersensitivity (Grade ≥3) to pembrolizumab and/or any of its excipients and/or PYX-201 and/or any of its excipients.
Where this trial is running
San Diego, California and 18 other locations
- University of California San Diego — San Diego, California, United States (Recruiting)
- Sarcoma Oncology Center — Santa Monica, California, United States (Recruiting)
- Moffitt Cancer Center — Tampa, Florida, United States (Recruiting)
- University of Chicago — Chicago, Illinois, United States (Recruiting)
- Massachusetts General Hospital — Boston, Massachusetts, United States (Recruiting)
- Dana-Farber Cancer Institute — Boston, Massachusetts, United States (Recruiting)
- University of Pennsylvania — Philadelphia, Pennsylvania, United States (Recruiting)
- University of Pittsburgh Medical Center — Pittsburgh, Pennsylvania, United States (Recruiting)
- University of Texas - M.D. Anderson Cancer Center — Houston, Texas, United States (Recruiting)
- NEXT Oncology Houston — Houston, Texas, United States (Recruiting)
- NEXT Virginia — Fairfax, Virginia, United States (Recruiting)
- Hopital Saint - Andre - CHU de Bordeaux — Bordeaux, France (Recruiting)
- Centre Léon Bérard — Lyon, France (Recruiting)
- Hôpital de la Timone — Marseille, France (Recruiting)
- Hospital Universitario Vall d'Hebron — Barcelona, Spain (Recruiting)
- Hospital Universitario Ramón y Cajal — Madrid, Spain (Recruiting)
- START Madrid - Hospital Universitario Fundación Jiménez Díaz — Madrid, Spain (Recruiting)
- Hospital Universitario 12 de Octubre — Madrid, Spain (Recruiting)
- Hospital Clínico Universitario de Valencia — Valencia, Spain (Recruiting)
Study contacts
- Study coordinator: Pyxis Oncology Clinical Trial Team
- Email: clinicaltrials@pyxisoncology.com
- Phone: 617-453-3596
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.