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NCT04408599

A Safety and Tolerability Study of NC410 in Subjects With Advanced or Metastatic Solid Tumors

Terminated Phase 1, PHASE2 Results posted Last updated 25 July 2024
What this trial tests

Phase 1, PHASE2 trial testing NC410 in Advanced or Metastatic Solid Tumors in 46 participants. Terminated before completion.

Timeline
10 June 2020
Primary endpoint
6 July 2023
6 July 2023

Quick facts

Lead sponsorNextCure, Inc.
PhasePhase 1, PHASE2
StatusTerminated
Study typeINTERVENTIONAL
Allocationnon randomized
Designsequential
Maskingnone
Primary purposetreatment
Enrollment46
Start date10 June 2020
Primary completion6 July 2023
Estimated completion6 July 2023
Sites5 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

NextCure, Inc. — full company profile →

Who can join

18 and older, any sex, with Advanced or Metastatic Solid Tumors or Ovarian Cancer. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Treatment-emergent Adverse Events as Assessed by CTCAE v5.0 Primary · From enrollment through up to 90 days after end of treatment, an average of 1 year

Number of Participants With Treatment-emergent Adverse Events

GroupValue95% CI
NC410 3mg3
NC410 6mg3
NC410 15mg4
NC410 30mg9
NC410 60mg10
NC410 100mg9
NC410 200mg6
Objective Response Rate Per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 Secondary · Approximately 1 year

To assess antitumor activity/efficacy by evaluating objective response rate (ORR), defined as the percentage of participants who experienced a complete response (CR; disappearance of all target lesions) or a partial response (PR; at least a 30% decrease in the sum of diameters of target lesions) based on Response Evaluation Criteria in Solid Tumors (RECIST) v1.1

GroupValue95% CI
NC410 3mg0
NC410 6mg0
NC410 15mg0
NC410 30mg0
NC410 60mg0
NC410 100mg0
NC410 200mg0
Duration of Response Per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 and Modified Response Evaluation Criteria in Solid Tumors Secondary · Approximately 1 year

To assess antitumor activity/efficacy by evaluating duration of response (DoR), defined as the time from the first documented complete response or partial response per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 or Modified Response Evaluation Criteria in Solid Tumors to the first documented progressive disease or death due to any cause, whichever occurs first. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by CT or MRI: CompleteResponse (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in t

GroupValue95% CI
NC410 3mgNANA – NA
NC410 6mgNANA – NA
NC410 15mgNANA – NA
NC410 30mgNANA – NA
NC410 60mgNANA – NA
NC410 100mgNANA – NA
NC410 200mgNANA – NA
Disease Control Rate Per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 Secondary · Approximately 1 year

To assess antitumor activity/efficacy by evaluating disease control rate (DCR), defined as the proportion of participants in whom a documented complete response, partial response, or stable disease is observed as the best overall response per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.

GroupValue95% CI
NC410 3mg1
NC410 6mg3
NC410 15mg1
NC410 30mg1
NC410 60mg1
NC410 100mg1
NC410 200mg1
Maximum Plasma Concentration (Cmax) of NC410 Secondary · Days 1, 2, 3 and 8 of Cycles 1 and 5. Each cycle is 14 days in duration.

To evaluate the Maximum Plasma Concentration (Cmax) of NC410

Cycle 1
GroupValue95% CI
NC410 15mgNA± NA
NC410 30mg754± 295
NC410 60mg2801± 1102
NC410 100mg5296± 4405
NC410 200mg11665± 9821
Cycle 5
GroupValue95% CI
NC410 15mg443± NA
NC410 30mg1490± 184
NC410 60mg2200± NA
NC410 100mg2220± NA
NC410 200mg2880± NA
Progression-free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 and Modified Response Evaluation Criteria in Solid Tumors Secondary · Approximately 1 year

To evaluate progression-free survival (PFS), defined as the time from the first dose of NC410 to the first occurrence of documented progressive disease or death due to any cause, whichever occurs first. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), asa 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions .

GroupValue95% CI
NC410 3mg1.71.6 – NA
NC410 6mg3.63.6 – NA
NC410 15mg1.30.5 – NA
NC410 30mg1.71.0 – 3.5
NC410 60mg1.41.0 – 1.7
NC410 100mg1.41.2 – 1.8
NC410 200mg1.81.2 – NA
Overall Survival (OS) as Assessed by Time of Death Secondary · Approximately 1 year

To evaluate overall survival (OS), defined as the time from the first dose of NC410 to death due to any cause.

GroupValue95% CI
NC410 3mgNA7.6 – NA
NC410 6mg5.34.1 – NA
NC410 15mgNANA – NA
NC410 30mgNA1.4 – NA
NC410 60mg4.81.0 – NA
NC410 100mgNA1.3 – NA
NC410 200mgNA1.2 – NA
Area Under the Curve (AUC) of NC410 Secondary · Days 1, 2, 3 and 8 of Cycles 1 and 5. Each cycle is 14 days in duration.

To evaluate the Area Under the Curve (AUC) of NC410.

Cycle 1
GroupValue95% CI
NC410 30mg13528± 15259
NC410 60mg64530± 38613
NC410 100mg107591± 52432
NC410 200mg263894± 121831
Cycle 5
GroupValue95% CI
NC410 15mg1056± NA
NC410 30mg47324± 3674
NC410 60mg41448± NA
NC410 100mg205493± NA
NC410 200mg260199± NA
Half-life (t1/2) of NC410 Secondary · Days 1, 2, 3 and 8 of Cycles 1 and 5. Each cycle is 14 days in duration.

To evaluate the half-life (t1/2) of NC410

Cycle 1
GroupValue95% CI
NC410 30mg75.7± 74.7
NC410 60mg126± 52.0
NC410 100mg173± 43.6
NC410 200mg111± 53.8
Cycle 5
GroupValue95% CI
NC410 30mg138± 7.23
NC410 60mg41.1± NA
NC410 100mg156± NA
NC410 200mg194± NA

Adverse events — posted to ClinicalTrials.gov

Time frame: From enrollment through up to 90 days after end of treatment, an average of 1 year.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

NC410 3mg
Serious: 1/3 (33%)
Deaths: 1/3
NC410 6mg
Serious: 3/3 (100%)
Deaths: 2/3
NC410 15mg
Serious: 2/4 (50%)
Deaths: 0/4
NC410 30mg
Serious: 5/10 (50%)
Deaths: 2/10
NC410 60mg
Serious: 5/10 (50%)
Deaths: 4/10
NC410 100mg
Serious: 7/10 (70%)
Deaths: 3/10
NC410 200mg
Serious: 3/6 (50%)
Deaths: 1/6

Serious adverse events (29 terms)

ReactionSystemNC410 3mgNC410 6mgNC410 15mgNC410 30mgNC410 60mgNC410 100mgNC410 200mg
AnaemiaBlood and lymphatic system disorders
Cardiac arrestCardiac disorders
Abdominal painGastrointestinal disorders
Abdominal pain upperGastrointestinal disorders
AscitesGastrointestinal disorders
PancreatitisGastrointestinal disorders
Small intestinal obstructionGastrointestinal disorders
Disease ProgressionGeneral disorders
Non-cardiac chest painGeneral disorders
Biliary obstructionHepatobiliary disorders
Cholangitis acuteHepatobiliary disorders
Cholecystitis acuteHepatobiliary disorders
Hepatic HaemorrhageHepatobiliary disorders
Infusion Related Hypersensitivity reactionImmune system disorders
SepsisInfections and infestations
Urinary tract infectionInfections and infestations
FallInjury, poisoning and procedural complications
Hip FractureInjury, poisoning and procedural complications
Failure to ThriveMetabolism and nutrition disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Colorectal CancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Cerebral IschaemiaNervous system disorders
EncephalopathyNervous system disorders
Acute Kidney InjuryRenal and urinary disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Other adverse events (126 terms — click to expand)

ReactionSystemNC410 3mgNC410 6mgNC410 15mgNC410 30mgNC410 60mgNC410 100mgNC410 200mg
AnaemiaBlood and lymphatic system disorders
ConstipationGastrointestinal disorders
NauseaGastrointestinal disorders
HypokalaemiaMetabolism and nutrition disorders
DizzinessNervous system disorders
LeukocytosisBlood and lymphatic system disorders
Abdominal painGastrointestinal disorders
VomitingGastrointestinal disorders
Urinary tract infectionInfections and infestations
Alanine aminotransferase increasedInvestigations
Aspartate aminotransferase increasedInvestigations
HyponatraemiaMetabolism and nutrition disorders
Gastrooesophageal reflux diseaseGastrointestinal disorders
AscitesGastrointestinal disorders
FatigueGeneral disorders
Non-cardiac chest painGeneral disorders
PyrexiaGeneral disorders
ChillsGeneral disorders
Infusion related reactionInjury, poisoning and procedural complications
Blood creatinine increasedInvestigations
Lipase increasedInvestigations
Blood alkaline phosphatase increasedInvestigations
Weight decreasedInvestigations
White blood cell count decreasedInvestigations
Electrocardiogram QT prolongedInvestigations
HyperuricaemiaMetabolism and nutrition disorders
HypomagnesaemiaMetabolism and nutrition disorders
DehydrationMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
HaematuriaRenal and urinary disorders
CoughRespiratory, thoracic and mediastinal disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
HypotensionVascular disorders
ThrombocytopeniaBlood and lymphatic system disorders
LymphopeniaBlood and lymphatic system disorders
Cardiac arrestCardiac disorders
Conduction disorderCardiac disorders
Sinus bradycardiaCardiac disorders

Most-reported serious reactions: Anaemia, Cardiac arrest, Abdominal pain, Abdominal pain upper, Ascites, Pancreatitis, Small intestinal obstruction, Disease Progression.

Data from ClinicalTrials.gov NCT04408599 adverse events section.

Sponsor's own description

This research study is studying a new drug, NC410, as a possible treatment for advanced or metastatic solid tumors.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Remodeling the tumor microenvironment via blockade of LAIR-1 and TGF-β signaling enables PD-L1-mediated tumor eradication.
    Horn LA, Chariou PL, Gameiro SR, Qin H, et al · · 2022 · cited 105× · PMID 35230974 · DOI 10.1172/jci155148
  2. Cancer immunotherapy by NC410, a LAIR-2 Fc protein blocking human LAIR-collagen interaction.
    Ramos MIP, Tian L, de Ruiter EJ, Song C, et al · · 2021 · cited 74× · PMID 34121658 · DOI 10.7554/elife.62927
  3. Clinical landscape of macrophage-reprogramming cancer immunotherapies.
    Rannikko JH, Hollmén M. · · 2024 · cited 70× · PMID 38831013 · DOI 10.1038/s41416-024-02715-6
  4. Regulation of tumor immunity and immunotherapy by the tumor collagen extracellular matrix.
    Flies DB, Langermann S, Jensen C, Karsdal MA, et al · · 2023 · cited 48× · PMID 37662958 · DOI 10.3389/fimmu.2023.1199513
  5. Collagen Fragments Produced in Cancer Mediate T Cell Suppression Through Leukocyte-Associated Immunoglobulin-Like Receptor 1.
    Vijver SV, Singh A, Mommers-Elshof ETAM, Meeldijk J, et al · · 2021 · cited 48× · PMID 34691040 · DOI 10.3389/fimmu.2021.733561
  6. A landscape of checkpoint blockade resistance in cancer: underlying mechanisms and current strategies to overcome resistance.
    Santiago-Sánchez GS, Fabian KP, Hodge JW. · · 2024 · cited 16× · PMID 38306161 · DOI 10.1080/15384047.2024.2308097
  7. Tipping the scales: Immunotherapeutic strategies that disrupt immunosuppression and promote immune activation.
    Santiago-Sánchez GS, Hodge JW, Fabian KP. · · 2022 · cited 13× · PMID 36159809 · DOI 10.3389/fimmu.2022.993624
  8. Beyond PD(L)-1 Blockade in Microsatellite-Instable Cancers: Current Landscape of Immune Co-Inhibitory Receptor Targeting.
    Crimini E, Boscolo Bielo L, Berton Giachetti PPM, Pellizzari G, et al · · 2024 · cited 5× · PMID 38254772 · DOI 10.3390/cancers16020281

Verify or expand the search:

Other recruiting trials for Advanced or Metastatic Solid Tumors

Currently open trials in the same condition.

Other NextCure, Inc. trials

Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04408599.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing