A trial looking at ozekibart (INBRX-109) for people with chondrosarcoma (ChonDRAgon)
Cancer type:
Status:
Phase:
This trial is looking at a drug called ozekibart (INBRX-109) for a primary bone cancer called chondrosarcoma. A primary bone cancer is one that started in the bone.
You pronounce ozekibart as ozek-e-bart.
It is open to people with the most common type of chondrosarcoma called conventional chondrosarcoma:
- that has spread to another part of the body or
- cannot be removed by surgery with the aim to cure
More about this trial
Ozekibart is a . It works by attaching to receptors are on the surface of damaged cells including cancer cells. When these receptors are triggered it causes the cell to die (
).
We know from research that ozekibart might help people with a including chondrosarcoma.
In this trial some people will have ozekibart and some will have a dummy treatment (). During the trial if your cancer gets worse and you are having the dummy drug you might be able to switch over to ozekibart.
The aims of this trial are to find out:
- how well ozekibart works for people with chondrosarcoma
- more about the side effects
- what happens to ozekibart in the body
- how ozekibart affects
quality of life
Who can enter
The following bullet points are a summary of the entry conditions for this trial. Talk to your doctor or the trial team if you are unsure about any of these. They will be able to advise you.
Who can take part
You may be able to join this trial if all of the following apply. You:
- have a
primary bone cancer called conventional chondrosarcoma that has either spread to another part of the body or cannot be removed by surgery with the aim to cure
- have a sample of tissue (
biopsy ) that the trial team can ask for a piece of and is suitable to use. If this is not available, you must be willing to have a new biopsy taken.
- have an area of cancer that the doctor can measure
- had a scan within 6 months of starting the trial treatment that shows your cancer is getting worse
- have satisfactory blood test results
- can look after yourself and are active but might not be able to do heavy physical work (performance status 0 or 1)
- are willing to use reliable contraception during the trial and for a period of time after if there is any chance you or your partner could become pregnant
- are between 18 and 85 years old
Who can’t take part
Cancer related
You cannot join this trial if any of these apply. You:
- have a rare type of chondrosarcoma called non conventional chondrosarcoma
- have signs of cancer spread to the brain, the tissue surrounding the brain or the spinal cord. This is apart from cancer spread that is controlled and you don’t need to have
steroids . You might also be able to take part if the cancer has only spread to the spinal cord.
- have or had another cancer. This is apart from certain ones that your doctor will know about.
- have had a drug called a DR5 agonist
- have had any cancer treatment within 4 weeks of starting trial treatment. This includes experimental drugs used as part of another clinical trial.
- have radiotherapy within 4 weeks of starting trial treatment. For radiotherapy for symptom control (palliative radiotherapy) it is 1 week unless it was to the brain or spinal cord.
- have ongoing side effects of radiotherapy or you are taking steroids for radiotherapy side effects
- have moderate to severe side effects from past cancer treatments. You may be able to take part if you have hair loss, mild numbness and tingling in your hands and feet (peripheral neuropathy) or low numbers of a type of white blood cell called lymphocytes in your bloodstream (lymphopenia)
- have had a stem cell or bone marrow transplant from a donor (
allogeneic transplant ) within the past 5 years. You might be able to take part if you had a stem cell or a bone marrow transplant more than 5 years ago and you have no symptoms of graft versus host disease (GvHD)
- had treatment for cancer in the liver, such as
radiofrequency ablation (RFA) , trans-arterial chemoembolization (TACE),
cryotherapy ,
stereotactic body radiation therapy (SBRT) , within a year of starting trial treatment
- had
radioembolisation using Yttrium-90 beads to treat liver cancer. Your doctor will know this.
Medical conditions
You cannot join this trial if any of these apply. You:
- have ongoing
liver problems - are 45 years or older and your fatty liver scores are over a certain amount
- had liver damage or inflammation (toxic liver disease) caused by substances such as medication within the year before starting trial treatment
- are 65 years or older and have a
body mass index (BMI) of 30 or more
- had a viral infection such as hepatitis A, hepatitis D, hepatitis E, CMV or EBV within the year before starting trial treatment
- have an infection that needed treatment within 2 weeks of taking part in the trial
- have or had hepatitis B, hepatitis C or HIV
- have major surgery within 4 weeks of taking part in the trial
- have a
blood clot (DVT)
- have a blood clot in the lung (pulmonary embolism) that has not gone away or has not been stable for at least 3 months of starting trial treatment
- have type 2
diabetes that is not controlled by medication or you have health problems that mean you are at a greater risk of developing diabetes
- have an under active
thyroid gland (hypothyroidism) that is not controlled by medication
- have high blood pressure (hypertension) that is not controlled by medication
- have too many fats called triglycerides in your blood, and it is not controlled by medication
- have a level of oxygen in your blood that is below 92%
- have changes in how your brain works that can make you feel confused, restless or not like yourself
- have or had multiple sclerosis (MS) or another disease that affects the myelin sheath of the nerves affecting how well the nerves work
- have another medical condition, mental health condition or any other reason that could affect you taking part in a clinical trial
Other
You cannot join this trial if either of the following apply. You:
- are allergic or sensitive to ozekibart or how it is made
- are pregnant or breastfeeding
Trial design
This is an international phase 2 trial. The team need 200 people worldwide to take part.
It is a randomised trial. A computer puts you into 1 of 2 treatment groups. Neither you nor your doctor can choose which group you are in. The 2 treatment groups are:
• ozekibart
• a dummy treatment (placebo)
Out of every 3 people that take part, 2 will go into the ozekibart group.
This is a blinded trial. Neither you, your doctor or the trial team will know which treatment group you are in. Your doctor will be able to find out which group you are in if needed.
You have ozekibart or the placebo as a drip into a vein over an hour. You have it every 3 weeks. Each 3 week period is called a .
You see the doctor before having your first treatment. This is to give you some medication to take before starting your treatment. This is called premedication. The doctor will tell you about the premedication and when to take it.
When you finish having your first treatment you need to stay in the hospital for at least 4 hours. This is so the team can watch out for any side effects that might happen straight after. These are called infusion related side effects. If you have any, they will be able to deal with them. They may also give you some medication to take before you have any further treatments. These will help with the infusion related side effects.
If you don’t have any infusion related side effects after the first treatment, you will stay for about 30 minutes after each treatment going forward.
You can continue to have treatment as long as it is helping and the side effects are not too bad.
If your chondrosarcoma gets worse
You have regular scans during treatment to see how it is working. If your chondrosarcoma is getting worse, the trial team will find out which treatment you are having and tell your doctor.
If you are having the placebo, you can change over to having ozekibart. Your doctor will discuss this with you and answer any questions before you decide whether you want to change over or not.
If you are having ozekibart, you stop having it. Your doctor will discuss with you other treatment options that might be available.
Quality of life
You fill in questionnaires:
- before starting treatment
- during treatment
- after treatment
The questions ask about:
- your general health and wellbeing
- what daily activities you can do
- side effects
These are quality of life questionnaires.
Samples for research - everyone
The team will take blood samples. Where possible they will take these when you have blood tests done as part of the routine care.
They will use these samples to:
- find out more about what happens to ozekibart in the body
- look for substances (
biomarkers ) that might show how well treatment is working and why treatment might not be working for some people
- check if you are developing
antibodies to ozekibart
You must agree to have these samples to take part.
Before taking part, the team will ask for a piece of the sample of tissue () that was taken previously. If this is not available, you must be willing to have a fresh biopsy taken. The team use this to test for
changes (
) and biomarkers. This will help them understand more about the treatment.
Samples for research - optional
When you agree to take part in the trial the team will ask if they can take a fresh biopsy of the chondrosarcoma.
During the trial you have scans to check whether the treatment is working. If the treatment has stopped working the team will look at what treatment you were having.
If you were having ozekibart the team will ask for another biopsy.
They will use these samples to find out more about possible biomarkers that might show how well the treatment is working.
You do not have to agree to have these biopsies taken. You can still take part in the trial.
Hospital visits
You see the doctor for a and to have tests. The tests include:
- blood tests
- a urine test
- a CT scan or an MRI scan, your doctor will tell you which one you have
- a heart trace (ECG)
You see the doctor regularly during treatment. This is to see how you are and for blood tests.
You have a scan:
- every 6 weeks for about 6 months and then
- every 9 weeks until the chondrosarcoma gets worse
Follow up
You see the doctor about a month after stopping treatment. This is for:
- a physical examination
- blood tests
- a urine test
- a CT scan or an MRI scan
- a heart trace (ECG)
You then see them every 3 months, or have follow up by phone or online, until your chondrosarcoma gets worse or the trial has finished.
Side effects
The trial team monitor you during treatment and afterwards. Contact your advice line or tell your doctor or nurse if any side effects are bad or not getting better.
Ozekibart is a new drug and there might be side effects we don’t know about yet.
The most common side effects of ozekibart we do know about include:
- tiredness (fatigue)
- changes to how your liver works
- feeling or being sick
- diarrhoea
- a high temperature (fever)
- a drop of red blood cells (anaemia) causing tiredness and breathlessness
- an increased level of bilirubin and alkaline phosphate in the blood
- loss of appetite
Risk of damage to the liver
Ozekibart can damage the liver. You will have 2 medications to help prevent this happening.
We know from previous studies that for most people the damage to the liver or liver related side effects are mild to moderate. When they stopped taking ozekibart the liver damage reversed and the liver returned to normal.
For some people the liver damage can be more severe and might cause liver failure.
The signs of liver damage can include:
- yellowing of the skin and whites of the eyes
- a dark colour to the urine
- tiredness
- itching
- stomach discomfort
- flu-like symptoms
- loss of appetite
- swelling of the tummy (abdomen)
- feeling or being sick
If you have any of the above tell your doctor straight away.
You have regular blood tests to check whether you might have liver damage.
Infusion related reaction
You might have a reaction while having your treatment or soon after. This is called an infusion related reaction. The signs of this include:
- a high temperature
- chills
- shortness of breath
- pain
- feeling or being sick
- feeling dizzy due to low blood pressure
- getting headaches due to high blood pressure
- fast heartbeat
- chest pain
- sore muscles or joints
Tell your nurse of doctor straight away if you have any of these symptoms.
Location
Recruitment start:
Recruitment end:
How to join a clinical trial
Please note: In order to join a trial you will need to discuss it with your doctor, unless otherwise specified.
Chief Investigator
Professor Robin Jones
Supported by
Inhibrx Biosciences, Inc
If you have questions about the trial please contact our cancer information nurses
Freephone 0808 800 4040