Study of STK-012 Alone and With Other Treatments in Patients With Advanced Lung Cancer and Other Cancers
- Summary
- This is a phase 1/2, multicenter, open-label study. The phase 1 portion is a dose escalation and expansion study of STK-012 as monotherapy and in combination therapy in patients with selected advanced solid tumors. The phase 2 portion is a randomized study of STK-012 in combination with standard of care (SoC) pembrolizumab, pemetrexed, and carboplatin versus SoC, in patients with first line, PD-L1 negative or STK11 mutated, non-squamous, non-small cell lung cancer.
- Acronym
- SYNERGY-101
- Short title
- Study of STK-012 Alone and With Other Treatments in Patients With Advanced Lung Cancer and Other Cancers
- Official title
- A Phase 1/2 Study to Evaluate STK-012 as a Single Agent and in Combination Therapy in Subjects With Front-line Advanced NSCLC and Other Selected Indications
- Control arm
- Active comparator
- Registry reports results
- Listing at source
- Listed
- Recruitment status
- Recruiting
- Phase
- Phase 1/Phase 2
- Study type
- Interventional
- Completion date
- 2029-01-01
- First posted
- 2021-10-28
- Registry last updated
- 2026-07-21
- Primary completion date
- 2029-01-01
- Start date
- 2022-01-25
- Participants
- Participant count basis
- Estimated
- Planned participants
- Protocol amendments
- Randomisation ratio
- 1:1:1
- Number of sites
- Data monitoring committee
- Registry sponsor category
- Industry
- Lead sponsor
- Synthekine
- Source registry
- ClinicalTrials.gov
- Registry ID
- NCT05098132
- ClinicalTrials.gov ID
- NCT05098132
- Registry record
- Open registry record
- Allocation
- Randomised
- Model
- Parallel groups
- Purpose
- Treatment
- Masking
- No masking
Phase 1a: Treatment emergent adverse events (TEAEs)
Timeframe: From 1st dose of study treatment through 90 days after last dose
Incidence of TEAEs in participants with select advanced solid tumors
Phase 1a: Serious adverse events (SAEs)
Timeframe: From 1st dose of study treatment through 90 days after last dose
Incidence of SAEs in participants with select advanced solid tumors
Phase 1a: Dose limiting toxicities (DLTs)
Timeframe: Cycle 1, Days 1 through 21
Incidence of DLTs in participants with select advanced solid tumors
Phase 1a: Deaths
Timeframe: From 1st dose of study treatment until death, up to 4 years
Incidence of death in participants with select advanced solid tumors
Phase 1b: TEAEs at the RP2D
Timeframe: From 1st dose of study treatment through 90 days after last dose
Incidence of TEAEs at the recommended phase 2 dose (RP2D) in participants with select advanced solid tumors
Phase 1b: SAEs at the RP2D
Timeframe: From 1st dose of study treatment through 90 days after last dose
Incidence of SAEs at the RP2D in participants with select advanced solid tumors
Phase 1b: Deaths at the RP2D
Timeframe: From 1st dose of study treatment until death, up to 4 years
Incidence of death at the RP2D in participants with select advanced solid tumors
Phase 2: Overall response rate (ORR) in Arm A versus Arm C
Timeframe: From randomization until disease progression or death, or the last evaluable assessment in the absence of progression, up to 4 years
To compare the ORR in 1L NSQ NSCLC (PD-L1\<1% or STK11m) subjects treated with STK-012 2.25 mg + SoC vs. SoC (Arms A vs. C). ORR is the proportion of subjects with confirmed complete response (CR) or confirmed partial response (PR) per BICR.
Phase 1: ORR
Timeframe: From enrollment until disease progression or death, or the last evaluable assessment in the absence of progression, up to 4 years
Assessment of preliminary efficacy, specifically ORR, in select advanced solid tumors. ORR is the proportion of subjects with confirmed CR or confirmed PR per investigator assessment.
Phase 1: Progression free survival (PFS)
Timeframe: From enrollment until first documentation of disease progression per investigator assessment or death due to any cause, whichever occurs first, up to 4 years
Assessment of preliminary efficacy, specifically PFS, in select advanced solid tumors.
Phase 1: Overall survival (OS)
Timeframe: From enrollment until death due to any cause, up to 4 years
Assessment of preliminary efficacy, specifically OS, in select advanced solid tumors.
Phase 1/2: STK-012 ADAs
Timeframe: From screening through 30 days after last dose of STK-012
Anti-drug antibodies (ADA) to assess immunogenicity of STK-012 in advanced NSCLC and other select solid tumors.
Phase 1/2: AUC of STK-012
Timeframe: From screening through 30 days after last dose of STK-012
Area under the curve (AUC) to assess pharmacokinetic (PK) characterization of STK-012 in advanced NSCLC and other select solid tumors.
Phase 1/2: Cmax of STK-012
Timeframe: From screening through 30 days after last dose of STK-012
Maximum concentration (Cmax) to assess PK characterization of STK-012 in advanced NSCLC and other select solid tumors.
Phase 1/2: Tmax of STK-012
Timeframe: From screening through 30 days after last dose of STK-012
Time of maximum concentration (Tmax) to assess PK characterization of STK-012 in advanced NSCLC and other select solid tumors.
Phase 1/2: Half life of STK-012
Timeframe: From screening through 30 days after last dose of STK-012
Half life (t1/2) to assess PK characterization of STK-012 in advanced NSCLC and other select solid tumors.
Phase 2: PFS in Arm A versus Arm C
Timeframe: From randomization until first documentation of disease progression per BICR or death due to any cause, whichever occurs first, up to 4 years
To compare the PFS in 1L NSQ NSCLC (PD-L1\<1% or STK11m) subjects treated with STK-012 2.25 mg + SoC vs. SoC (Arms A vs. C). PFS is the time from randomization until the first documentation of disease progression per BICR or death due to any cause, whichever occurs first.
Phase 2: ORR in Arm B versus Arm C
Timeframe: From randomization until disease progression or death, or the last evaluable assessment in the absence of progression, up to 4 years
To compare the ORR in 1L NSQ NSCLC (PD-L1\<1% or STK11m) subjects treated with STK-012 1.5 mg + SoC vs. SoC (Arms B vs. C). ORR is the proportion of subjects with confirmed CR or confirmed PR per BICR.
Phase 2: PFS in Arm B versus Arm C
Timeframe: From randomization until first documentation of disease progression per BICR or death due to any cause, whichever occurs first, up to 4 years
To compare the PFS in 1L NSQ NSCLC (PD-L1\<1% or STK11m) subjects treated with STK-012 1.5 mg + SoC vs. SoC (Arms B vs. C). PFS is the time from randomization until the first documentation of disease progression per BICR or death due to any cause, whichever occurs first.
Phase 2: OS in Arm A versus C
Timeframe: From randomization until death due to any cause, up to 4 years
To compare the OS in 1L NSQ NSCLC (PD-L1\<1% or STK11m) subjects treated with STK-012 2.25 mg + SoC vs. SoC (Arms A vs. C). OS is the time from randomization until death due to any cause.
Phase 2: OS in Arm B versus C
Timeframe: From randomization until death due to any cause, up to 4 years
To compare the OS in 1L NSQ NSCLC (PD-L1\<1% or STK11m) subjects treated with STK-012 1.5 mg + SoC vs. SoC (Arms B vs. C). OS is the time from randomization until death due to any cause.
Phase 2: TEAEs
Timeframe: From 1st dose of study treatment through 90 days after last dose
Incidence of TEAEs in 1L NSQ NSCLC (PD-L1\<1% or STK11m)
Phase 2: SAEs
Timeframe: From 1st dose of study treatment through 90 days after last dose
Incidence of SAEs in 1L NSQ NSCLC (PD-L1\<1% or STK11m)
Phase 2: Deaths
Timeframe: From 1st dose of study treatment until death, up to 4 years
Incidence of death in 1L NSQ NSCLC (PD-L1\<1% or STK11m)
- Sex
- All
- Age groups
- Adults, Older adults
- Minimum age
- 18 Years
- Healthy volunteers
- No
Selected Inclusion Criteria:
-
Phase 1: Selected advanced solid tumors
-
Phase 2:
-
Diagnosis of non-small cell lung cancer (NSCLC).
-
Stage IV or Stage IIIB/IIIC and not a candidate for definitive treatment.
-
Non-squamous (NSQ) cell histology.
-
No prior systemic therapy for advanced/metastatic NSQ NSCLC.
-
Must have a tumor that meets at least one of the following criteria on local testing:
- PD-L1 negative (TPS <1%), OR;
- STK11 mutated on tumor tissue or ctDNA
-
No known actionable EGFR, ALK, ROS1, or other actionable genomic aberrations for which there is a local standard of care available as front line therapy.
-
Selected Exclusion Criteria:
2. Phase 2:
- Prior immune checkpoint inhibitor (anti-PD[L]1 and/or anti-CTLA-4) treatment
- Rare tumor subtypes (mucinous histology or tumors with small cell, neuroendocrine, or sarcomatoid components).
- Received radiotherapy ≤ 7 days of the first dose of study treatment.
- Known active central nervous system metastases
- Any history of carcinomatous meningitis
- University of Arizona Cancer CenterTucson, United StatesRecruiting
- Beverly Hills Cancer CenterBeverly Hills, United StatesRecruiting
- Providence Medical FoundationFullerton, United StatesRecruiting
- UC San Diego Moores Cancer CenterLa Jolla, United StatesActive, not recruiting
- Cedars SinaiLos Angeles, United StatesRecruiting
- Hoag Memorial Hospital PresbyterianNewport Beach, United StatesRecruiting
- UCLA Hematology/Oncology - Santa MonicaSanta Monica, United StatesRecruiting
- Yale New Haven Hospital, Yale Cancer CenterNew Haven, United StatesRecruiting
- Georgetown UniversityWashington D.C., United StatesRecruiting
- Winship Cancer Institute, Emory UniversityAtlanta, United StatesRecruiting
- University of ChicagoChicago, United StatesRecruiting
- University of MarylandBaltimore, United StatesRecruiting
- Massachusetts General HospitalBoston, United StatesRecruiting
- Beth Israel Deaconess Medical CenterBoston, United StatesRecruiting
- Dana-Farber Cancer InstituteBoston, United StatesRecruiting
- HealthPartners Cancer Center at Regions HospitalSaint Paul, United StatesRecruiting
- Northwell HealthLake Success, United StatesRecruiting
- NYU Langone HealthNew York, United StatesRecruiting
- Columbia University Irving Medical CenterNew York, United StatesActive, not recruiting
- Memorial Sloan-Kettering Cancer CenterNew York, United StatesRecruiting
- Duke Cancer CenterDurham, United StatesActive, not recruiting
- University Hospitals ClevelandCleveland, United StatesRecruiting
- The James Cancer Hospital and Solove Research InstituteColumbus, United StatesRecruiting
- Providence Cancer InstitutePortland, United StatesRecruiting
- Fox Chase Cancer CenterPhiladelphia, United StatesRecruiting
And 22 more, listed on the interactive page.
- 2025
- 2025-522632-14-00
- KEYNOTE-G63