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Brief Title: GRN-1201 With Pembrolizumab in Subjects With Metastatic PD-L1+ NSCLC
Official Title: A Pilot, Open-Label, Multi-Center, Multi-Dose Study of GRN-1201 Added to Pembrolizumab in Subjects With Non-Small Cell Lung Cancer With High PD-L1 Expression
Study ID: NCT03417882
Brief Summary: This is a non-randomized, Phase 2, 2-stage, open-label, multi-center study of GRN-1201/sargramostim + pembrolizumab in subjects with PD-L1+ metastatic NSCLC. All subjects will have newly diagnosed metastatic PD-L1+ (TPS ≥ 50%) NSCLC with no epidermal growth factor receptor (EGFR) or anaplastic lymphoma kinase (ALK) genomic tumor aberrations. Subjects with EGFR or ALK genomic tumor aberrations with progression on FDA-approved therapy for these aberrations are eligible
Detailed Description: This is a non-randomized, Phase 2, 2-stage, open-label, multi-center study of GRN-1201/sargramostim + pembrolizumab in subjects with metastatic PD-L1+ NSCLC. All subjects will have newly diagnosed metastatic PD-L1+ (TPS ≥ 50%) NSCLC with no epidermal growth factor receptor (EGFR) or anaplastic lymphoma kinase (ALK) genomic tumor aberrations. The study will follow a Simon two-stage design with up to 64 total subjects enrolled. All subjects will receive GRN-1201 at 3.0 mg in combination with 75 µg sargramostim and 200 mg pembrolizumab. GRN-1201 is to be administered once weekly for 4 weeks followed by every 3-week dosing for an additional 12 doses (16 total doses of GRN-1201). Each dose of GRN-1201 will be given as 1 mL divided into 4 separate 0.25 mL intradermal injections on each day of treatment. Pembrolizumab is to be given every 3 weeks for up to a total of 35 doses. This study will consist of a screening period of up to 28 days; a treatment period consisting of GRN-1201/sargramostim administered weekly for 4 weeks (4 doses) followed by administration every 3 weeks for 12 additional doses . Pembrolizumab is to be given every 3 weeks for up to a total of 35 doses. A follow up visit will occur approximately 4 weeks after the last administration of treatment for the study. In addition, all subjects will be followed for evaluation of disease progression and survival
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
St Joseph Hospital of Orange, Orange, California, United States
University of Colorado Cancer Center, Aurora, Colorado, United States
Florida Hosptial Cancer Center- AdventHealth, Orlando, Florida, United States
Robert H Lurie Cancer Center at Northwestern University, Chicago, Illinois, United States
University of Illinois at Chicago, Chicago, Illinois, United States
Orchard Healthcare, Skokie, Illinois, United States
Norton Healthcare Cancer Institute, Louisville, Kentucky, United States
East Jefferson General Hospital, Metairie, Louisiana, United States
Ocshner Cancer Institute, New Orleans, Louisiana, United States
Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire, United States
Virginia Cancer Institute, Richmond, Virginia, United States