A Study of TRK-950 in Combinations With Anti-Cancer Treatment Regimens in Patients With Advanced Solid Tumors
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The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details. |
ClinicalTrials.gov Identifier: NCT03872947 |
Recruitment Status :
Recruiting
First Posted : March 13, 2019
Last Update Posted : October 4, 2022
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Condition or disease | Intervention/treatment | Phase |
---|---|---|
Solid Tumor Colorectal Cancer Cholangiocarcinoma Bladder Cancer Ovarian Cancer Gastric Cancer Palpable Subcutaneous Malignant Lesions Renal Cell Carcinoma Melanoma Epithelial Ovarian Cancer Primary Peritoneal Cancer Fallopian Tube Cancer | Biological: TRK-950 Drug: Irinotecan Drug: Leucovorin Drug: 5-FU Drug: Gemcitabine Drug: Cisplatin Drug: Carboplatin Biological: Ramucirumab Drug: Paclitaxel Biological: Nivolumab Biological: Pembrolizumab Drug: Imiquimod Cream Biological: Bevacizumab Drug: Topotecan Drug: PLD | Phase 1 |
Expanded Access : Toray Industries, Inc has indicated that access to an investigational treatment associated with this study is available outside the clinical trial.
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 169 participants |
Allocation: | Non-Randomized |
Intervention Model: | Parallel Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | A Phase 1b, Multicenter Study to Determine the Dose, Safety, Efficacy and Pharmacokinetics of TRK-950 When Used in Combinations With Selected Anti-Cancer Treatment Regimens in Patients With Selected Advanced Solid Tumors |
Actual Study Start Date : | April 26, 2019 |
Estimated Primary Completion Date : | August 2024 |
Estimated Study Completion Date : | August 2024 |

Arm | Intervention/treatment |
---|---|
Experimental: Arm A: TRK-950 + FOLFIRI
|
Biological: TRK-950
Intravenously over 60 minutes Drug: Irinotecan Intravenously over 30 - 90 minutes Drug: Leucovorin Intravenously over 30 - 90 minutes Drug: 5-FU Intravenously bolus and intravenously for two days |
Experimental: Arm B: TRK-950 + Gemcitabine/Cisplatin
|
Biological: TRK-950
Intravenously over 60 minutes Drug: Gemcitabine Intravenously over 30 minutes Drug: Cisplatin Intravenously over 60 minutes |
Experimental: Arm C: TRK-950 + Gemcitabine/Carboplatin
|
Biological: TRK-950
Intravenously over 60 minutes Drug: Gemcitabine Intravenously over 30 minutes Drug: Carboplatin Intravenously per package insert |
Experimental: Arm D: TRK-950 + Ramucirumab/Paclitaxel
|
Biological: TRK-950
Intravenously over 60 minutes Biological: Ramucirumab Intravenously over 60 minutes Drug: Paclitaxel Intravenously |
Experimental: Arm E: TRK-950 + PD1 inhibitors
•Solid Tumors E-1: TRK-950 + Nivolumab •TRK-950 will be administered IV on days 1, 8, 15, and 22 of a 28-day cycle. After the administration of TRK-950 on days 1 and 15, Nivolumab will be administered as an IV infusion. E-2: TRK-950 + Pembrolizumab •TRK-950 will be administered IV on days 1, 8 and 15 of a 21-day cycle. After the administration of TRK-950 on day 1, Pembrolizumab will be administered as an IV infusion. |
Biological: TRK-950
Intravenously over 60 minutes Biological: Nivolumab Intravenously over 30 minutes Biological: Pembrolizumab Intravenously over 30 minutes |
Experimental: Arm F: TRK-950 + Imiquimod Cream
|
Biological: TRK-950
Intravenously over 60 minutes Drug: Imiquimod Cream Topically |
Experimental: Arm G: TRK-950 + Bevacizumab
|
Biological: TRK-950
Intravenously over 60 minutes Biological: Bevacizumab Intravenously over 90 minutes for the first dose, over 60 for the second dose and over 30 minutes for all subsequent doses |
Experimental: Arm H: TRK-950 + PD1 inhibitors
•Melanoma H-1: TRK-950 + Nivolumab •TRK-950 will be administered IV on days 1, 8, 15, and 22 of a 28-day cycle. After the administration of TRK-950 on days 1 and 15, Nivolumab will be administered as an IV infusion. H-2: TRK-950 + Pembrolizumab •TRK-950 will be administered IV on days 1, 8 and 15 of a 21-day cycle. After the administration of TRK-950 on day 1, Pembrolizumab will be administered as an IV infusion. |
Biological: TRK-950
Intravenously over 60 minutes Biological: Nivolumab Intravenously over 30 minutes Biological: Pembrolizumab Intravenously over 30 minutes |
Experimental: Arm J: TRK-950 + FOLFIRI
|
Biological: TRK-950
Intravenously over 60 minutes Drug: Irinotecan Intravenously over 30 - 90 minutes Drug: Leucovorin Intravenously over 30 - 90 minutes Drug: 5-FU Intravenously bolus and intravenously for two days |
Experimental: Arm K: TRK-950(Lower-dose) + Gemcitabine / Carboplatin / Bevacizumab
|
Biological: TRK-950
Intravenously over 60 minutes Drug: Gemcitabine Intravenously over 30 minutes Drug: Carboplatin Intravenously per package insert Biological: Bevacizumab Intravenously over 90 minutes for the first dose, over 60 for the second dose and over 30 minutes for all subsequent doses |
Experimental: Arm M: TRK-950(Lower-dose) + Topotecan
|
Biological: TRK-950
Intravenously over 60 minutes Drug: Topotecan Intravenously over 30 minutes |
Experimental: Arm O: TRK-950(Lower-dose) + PLD
|
Biological: TRK-950
Intravenously over 60 minutes Drug: PLD Intravenously over 60 minutes |
Experimental: Arm Q: TRK-950(Lower-dose) +Ramucirumab/Paclitaxel
|
Biological: TRK-950
Intravenously over 60 minutes Biological: Ramucirumab Intravenously over 60 minutes Drug: Paclitaxel Intravenously |
Experimental: Arm R: TRK-950(Lower-dose) +Bevacizumab
|
Biological: TRK-950
Intravenously over 60 minutes Biological: Bevacizumab Intravenously over 90 minutes for the first dose, over 60 for the second dose and over 30 minutes for all subsequent doses |
- Frequency of patients experiencing treatment emergent adverse events as assessed by CTCAE v5.0 [ Time Frame: through study completion, an average of 1 year ]
- Frequency of patients experiencing adverse events of special interest (AESIs) [ Time Frame: through study completion, an average of 1 year ]
- Blood pressure [ Time Frame: through study completion, an average of 1 year ]mmHg
- Heart rate [ Time Frame: through study completion, an average of 1 year ]bpm
- Respiratory rate [ Time Frame: through study completion, an average of 1 year ]bpm
- Temperature [ Time Frame: through study completion, an average of 1 year ]°F or °C
- Weight [ Time Frame: through study completion, an average of 1 year ]lbs/kg
- Height [ Time Frame: through study completion, an average of 1 year ]inches/cm
- Performance status using Karnofsky performance status criteria [ Time Frame: through study completion, an average of 1 year ]
- QTc interval determined from 12-lead Electrocardiogram [ Time Frame: through study completion, an average of 1 year ]msec
- QRS interval determined from 12-lead Electrocardiogram [ Time Frame: through study completion, an average of 1 year ]msec
- Frequency of patients with laboratory abnormalities (Complete Blood Count, Coagulation, Urinalysis and Serum Chemistry) [ Time Frame: through study completion, an average of 1 year ]
- Overall response rate (ORR) [ Time Frame: through study completion, an average of 1 year ]
- Disease Control Rate (DCR) [ Time Frame: through study completion, an average of 1 year ]
- Serum concentration of TRK-950 [ Time Frame: through study completion, an average of 1 year ]
- Plasma concentration of Gemcitabine for the first six patients in Arm K [ Time Frame: At the beginning of Cycle 1 and Cycle 4 (each cycle is 21 days) ]
- Plasma concentration of Carboplatin for the first six patients in Arm K [ Time Frame: At the beginning of Cycle 1 and Cycle 4 (each cycle is 21 days) ]
- Serum concentration of Bevacizumab for the first six patients in Arm K [ Time Frame: At the beginning of Cycle 1, Cycle 2, Cycle 4 and Cycle 5 (each cycle is 21 days) ]
- Plasma concentration of Topotecan for the first six patients in Arm M [ Time Frame: At the beginning of Cycle 1 and Cycle 3 (each cycle is 28 days) ]
- Plasma concentration of PLD for the first six patients in Arm O [ Time Frame: At the beginning and middle of Cycle 1 and Cycle 3 (each cycle is 28 days) ]
- Serum concentration of Ramucirumab for the first six patients in Arm Q [ Time Frame: At the beginning and middle of Cycle 1 and Cycle 4 (each cycle is 28 days) ]
- Plasma concentration of Paclitaxel for the first six patients in Arm Q [ Time Frame: At the beginning of Cycle 1 and Cycle 4 (each cycle is 28 days) ]
- Serum concentration of Bevacizumab for the first six patients in Arm R [ Time Frame: At the beginning and middle of Cycle 1 and Cycle 4 (each cycle is 28 days) ]

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Histologically confirmed solid malignancy for which the following treatment regimens are warranted:
- Arm A. Colorectal Cancer with no prior history of treatment with Irinotecan alone or in combination: FOLFIRI as standard of care
- Arm B. Cholangiocarcinoma, Bladder Cancer with no prior history of treatment with Gemcitabine alone or in combination: Gemcitabine / Cisplatin as standard of care
- Arm C and Expansion Cohort 1. Ovarian Cancer who have relapsed at least 6 or more months after completion of a previous platinum-based therapy and have no prior history of treatment with gemcitabine alone or in combination: Gemcitabine / Carboplatin as standard of care
- Arm D and Expansion Cohort 2. Gastric Cancer including Gastroesophageal Junction with no prior history of treatment with Ramucirumab, Paclitaxel or any Taxane class drug: Ramucirumab / Paclitaxel as standard of care
- Arm E. Solid Tumors: Eligible for PD1 Inhibitor (Nivolumab or Pembrolizumab) monotherapy as standard of care according to the approved drug label by the relevant regulatory authority
- Arm F. Locally advanced or metastatic disease in a cancer with at least one palpable subcutaneous malignant lesion (≤ 2 cm in diameter) for treatment with TRK-950 and Imiquimod cream (US Sites Only)
- Arm G. Renal Cell Carcinoma with no prior history of treatment with Bevacizumab alone or in combination: Bevacizumab for use in a fourth line or later treatment
- Arm H. Melanoma patients who progressed while taking Nivolumab, Pembrolizumab, or Ipilimumab, within the last 6 months prior to cycle 1 day 1
- Arm J. Colorectal Cancer patients who progressed on FOLFIRI or any other Irinotecan-containing therapy regimen within the last 6 months prior to cycle 1 day 1
- Arm K. (US Sites Only). Platinum Sensitive epithelial ovarian, primary peritoneal or fallopian tube cancer with ≤ 2 prior treatment lines who have recurred > 6 months after most recent platinum-based chemotherapy and who are eligible for gemcitabine, carboplatin, and Bevacizumab as standard of care for dosing of TRK-950(Lower-dose)
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Arms M and O. Platinum Resistant epithelial ovarian, primary peritoneal or fallopian tube cancer with ≤ 5 prior treatment regimens, as defined below and who are eligible for topotecan or pegylated liposomal doxorubicin as standard of care for dosing of TRK-950(Lower-dose)
- Patients who have only had 1 line of platinum-based therapy must have received at least 4 cycles of platinum, must have had a response, and then progressed between 3 months and less than or equal to 6 months after the last date of platinum.
- Patients who have received 2 to 5 lines of prior therapy must have received at least 4 cycles of platinum and then progressed within 6 months after the date of the last dose of platinum.
- Prior treatment with bevacizumab is required for patients with 1 to 2 prior lines of therapy
- Arm Q. Gastric Cancer including GEJ cancer with only 1 prior treatment regimen, which recurred during or within 4 months after frontline treatment, and no prior history of treatment with Ramucirumab, Paclitaxel or any Taxane class drug for metastatic disease: eligible to receive Ramucirumab/Paclitaxel as standard of care (Lower-dose)
- Arm R. Clear cell renal cell carcinoma with no prior history of treatment with Bevacizumab alone or in combination: Bevacizumab for use in a fourth line or later treatment. (Lower-dose)
- Primary or metastatic tumors measurable per RECIST v1.1 on CT scan or by calipers (subcutaneous lesions)
- Karnofsky performance of ≥70
- Life expectancy of at least 3 months
- Age ≥ 18 years
- Signed, written IRB-approved informed consent
Exclusion Criteria:
- Laboratory values or medications that are contraindicated in the selected standard of care treatment regimens
- New York Heart Association Class III or IV, cardiac disease, myocardial infarction within the past 6 months, unstable arrhythmia, or evidence of ischemia on ECG
- Active, uncontrolled bacterial, viral, or fungal infections, requiring systemic therapy. Prophylactic antibiotics are acceptable.
- Pregnant or nursing women
- Treatment with radiation therapy within 2 weeks, or treatment with surgery, chemotherapy, immunotherapy, targeted therapy or investigational therapy within four weeks prior to initiation of study treatment (6 weeks for nitrosoureas or mitomycin C, and 2 weeks or 5 half-lives whichever is longer for TKIs).
- Unwillingness or inability to comply with procedures required in this protocol
- Known active infection with HIV, hepatitis B, hepatitis C
- Serious nonmalignant disease that could compromise protocol objectives in the opinion of the investigator and/or the sponsor
- Patients who are currently receiving any other investigational agent
- Any contraindicated condition or drug which would make the patient ineligible for the respective treatment regimen that is to be used in combination with TRK-950 (for example, autoimmune disorders for nivolumab or pembrolizumab treatment) as described in the Full Prescribing Information

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03872947
Contact: Vicki Bauernschub, BSN, RN | 602 358 8324 | vbauernschub@td2inc.com |
United States, Arizona | |
HonorHealth Research Institute | Recruiting |
Scottsdale, Arizona, United States, 85258 | |
Contact: Joyce Schaffer, MSN,RN,AOCNS 480-323-1339 | |
AOA-HOPE | Recruiting |
Tucson, Arizona, United States, 85711 | |
Contact: AOA-HOPE 520-886-0206 | |
Contact: Julie Klinker, BSN (520)269-3821 Julie.klinker@usoncology.com | |
United States, California | |
USC Norris Comprehensive Cancer Center | Recruiting |
Los Angeles, California, United States, 90033 | |
Contact: Xiomara Menendez, BSN, RN 323-409-4368 Xiomara.Menendez@med.usc.edu | |
HOAG Memorial Hospital Presbyterian | Recruiting |
Newport, California, United States, 92663 | |
Contact: Chi Nguyen, CCRP 949-764-6763 chi.nguyen@hoag.org | |
United States, Louisiana | |
Ochsner Clinic Foundation | Recruiting |
New Orleans, Louisiana, United States, 70121 | |
Contact: Amanda Woolery, RN Amanda.woolery@ochsner.org | |
United States, New Jersey | |
Atlantic Health System | Recruiting |
Morristown, New Jersey, United States, 07960 | |
Contact: Angela Alistar, Dr. 973-971-7960 Angela.Alistar@atlantichealth.org | |
United States, New York | |
Perlmutter Cancer Center at NYU Langone | Recruiting |
New York, New York, United States, 10016 | |
Contact: Priyanka Patel, BS Priyanka.Patel@nyulangone.org | |
Contact: Brianne Boljonis, BSN,RN Brianne.Boljonis@nyulangone.org | |
United States, Oregon | |
Oncology Associates of Oregon, P.C.(Willamette Valley Cancer Institute and Research Center) | Recruiting |
Eugene, Oregon, United States, 97401 | |
Contact: Oncology Associates of Oregon, P.C. 541-683-5001 | |
Contact: Jeanne Schaffer, RN-BSN Jeanne.Schaffer@usoncology.com | |
Northwest Cancer Specialists | Recruiting |
Portland, Oregon, United States, 97227 | |
Contact: Northwest Cancer Specialists 503-528-5005 | |
Contact: Amber Holden, BA (360)597-1300 amber.holden@compassoncology.com | |
United States, Texas | |
Texas Oncology, P.A. Baylor Charles A. Sammons Cancer Center | Recruiting |
Dallas, Texas, United States, 75246 | |
Contact: Texas Oncology, P.A. 214-370-1000 | |
Contact: Rita Lopez, AS (214)584-3236 rita.lopez2@usoncology.com | |
Texas Oncology - Downtown Fort Worth Cancer Center | Recruiting |
Fort Worth, Texas, United States, 76104 | |
Contact: Nori Sullivan, RN, BSN, CCRC 817-413-1760 nori.sullivan@usoncology.com | |
United States, Virginia | |
Virginia Cancer Specialists, PC | Recruiting |
Leesburg, Virginia, United States, 20176 | |
Contact: Virginia Cancer Specialists, PC 703-554-6800 | |
Contact: Carrie Friedman, Research Nurse Navigator (703)636-1473 carrie.friedman@usoncology.com | |
United States, Wisconsin | |
Medical College of Wisconsin | Recruiting |
Milwaukee, Wisconsin, United States, 53226 | |
Contact: Medical College of Wisconsin 866-680-0505 ext 8900 cccto@mcw.edu | |
Contact: Medical College of Wisconsin 414-805-8900 | |
France | |
Centre Léon Bérard | Recruiting |
Lyon, France, 69373 | |
Contact: Philippe Cassier, M.D. +33 (0)4 26 55 68 33 |
Responsible Party: | Toray Industries, Inc |
ClinicalTrials.gov Identifier: | NCT03872947 |
Other Study ID Numbers: |
950P1V02 |
First Posted: | March 13, 2019 Key Record Dates |
Last Update Posted: | October 4, 2022 |
Last Verified: | October 2022 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Studies a U.S. FDA-regulated Drug Product: | Yes |
Studies a U.S. FDA-regulated Device Product: | No |
Ovarian Neoplasms Carcinoma, Ovarian Epithelial Carcinoma, Renal Cell Cholangiocarcinoma Fallopian Tube Neoplasms Neoplasms Neoplasms by Site Neoplasms by Histologic Type Endocrine Gland Neoplasms Ovarian Diseases Adnexal Diseases Genital Neoplasms, Female Urogenital Neoplasms Endocrine System Diseases Gonadal Disorders |
Carcinoma Neoplasms, Glandular and Epithelial Urologic Neoplasms Urologic Diseases Adenocarcinoma Kidney Neoplasms Kidney Diseases Fallopian Tube Diseases Leucovorin Gemcitabine Bevacizumab Carboplatin Pembrolizumab Nivolumab Irinotecan |