Study of STK-012 Alone and With Other Treatments in Patients With Advanced Lung Cancer and Other Cancers

Phase
Phase 1/Phase 2
Recruitment status
Participants
Lead sponsor
Start date
Number of sites

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
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
Recruitment status
Phase
Phase 1/Phase 2
Study type
Interventional

Completion date
First posted
Registry last updated
Primary completion date
Start date

Participants
Participant count basis
Planned participants
Protocol amendments
Randomisation ratio
Number of sites

Data monitoring committee
Registry sponsor category
Lead sponsor
Source registry
ClinicalTrials.gov

Registry ID
ClinicalTrials.gov ID
Registry record
Open registry record

Allocation
Randomised
Model
Parallel groups
Purpose
Treatment
Masking
No masking
Sources for study design

  1. 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

  2. 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

  3. Phase 1a: Dose limiting toxicities (DLTs)

    Timeframe: Cycle 1, Days 1 through 21

    Incidence of DLTs in participants with select advanced solid tumors

  4. 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

  5. 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

  6. 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

  7. 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

  8. 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.

  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. 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.

  6. 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.

  7. 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.

  8. 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.

  9. 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.

  10. 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.

  11. 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.

  12. 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.

  13. 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.

  14. 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)

  15. 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)

  16. 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)

Sources for outcomes

Sex
All
Age groups
Adults, Older adults
Minimum age
18 Years
Healthy volunteers
No

Selected Inclusion Criteria:

  1. Phase 1: Selected advanced solid tumors

  2. 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
Sources for eligibility

  • 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.

Sources for sites

  • 2025
  • 2025-522632-14-00
  • KEYNOTE-G63
Sources for references

Related records

Drugs (3)

Collaborators (1)

Lead sponsors (1)

Conditions (1)

Targets (4)