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Brief Title: High-Risk Skin Cancers With Atezolizumab Plus NT-I7
Official Title: A Phase 1b/2a, Open Label Study to Evaluate Anti-tumor Efficacy and Safety of rhIL-7-hyFc (NT-I7) in Combination With Anti-PD-L1 (Atezolizumab) in Patients With Anti-PD-1/PD-L1 naïve or Relapsed/Refractory High-risk Skin Cancers
Study ID: NCT03901573
Brief Summary: The purpose of this study is to test whether the addition of NT-I7 to atezolizumab provides clinically meaningful outcomes for patients with anti-PD-1/PD-L1 naive or relapsed/refractory high-risk melanoma, Merkel Cell Carcinoma (MCC) and cutaneous Squamous Cell Carcinoma (cSCC)
Detailed Description: This is a Phase 1b/2a, open-label, multicenter study to evaluate the safety, tolerability and anti-tumor effect of NT-I7 (rhIL-7-hyFc) in combination with atezolizumab (MPDL3280A, anti-PD-L1) in patients with anti-PD-1/PD-L1 naïve or relapsed/refractory high-risk skin cancers including cutaneous Squamous Cell Carcinoma (cSCC), Merkel Cell Carcinoma (MCC) and melanoma. This study has been designed to evaluate the safety and tolerability, including the Maximum Tolerated Dose (MTD) or recommended Phase 2 dose (RP2D), of NT-I7 in combination with atezolizumab. There are two phases to this study: * Phase 1b, a NT-I7 dose-escalation phase to determine the MTD or RP2D * Phase 2a, a non-randomized parallel dose expansion phase to confirm the MTD or RP2D in both arms. Arm I: Anti-PD-1/PD-L1 (checkpoint inhibitors, CPI) naïve patients with cSCC and MCC Arm II: Anti-PD-1/PD-L1 relapsed/refractory patients with cSCC, MCC and melanoma Number of Patients A total of up to 84 patients will be enrolled; Up to 24 patients will be enrolled in the Phase 1b (up to 6 patients per dose level, using 3 + 3 design), and 60 patients will be enrolled in the Phase 2a (24 patients in Arm I, i.e., 12 patients for each indication, and 36 in Arm II, i.e., 12 patients for each indication).
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
City of Hope, Duarte, California, United States
Northwestern University, Chicago, Illinois, United States
Dana Farber, Boston, Massachusetts, United States
MGH, Boston, Massachusetts, United States
Washington University, Saint Louis, Missouri, United States
Mt Sinai, New York, New York, United States
Cleveland Clinic, Cleveland, Ohio, United States
Providence Portland Medical Center, Portland, Oregon, United States
Name: NgocDiep Le, MD, PhD
Affiliation: NeoImmuneTech, Inc.
Role: STUDY_CHAIR
Name: Martin Cheever, MD
Affiliation: Fred Hutchinson Cancer Center
Role: STUDY_DIRECTOR
Name: Brian Gastman, MD
Affiliation: The Cleveland Clinic
Role: PRINCIPAL_INVESTIGATOR