RE: Trials1 Feb 2023 23:12
Konar,
I'm not sure, it's probably too early to tell and don't forget the interims mentioned another 16 patients who had been recruited and I assume were undergoing screening - some of those may well be for cohorts 3 and 4.
I haven't checked the figures, but I think recruitment is probably more straightforward for the monotherapy arms of the trial - the patients have failed other treatments and no other therapies are currently indicated.
It's more complicated when it comes to the combination arms. As you know, in order to be eligible patients must be receiving a checkpoint inhibitor alone as their standard of care (SOC). However, where checkpoint inhibitors (CPIs) are approved as SOC, it's often in combination with other drugs. For example, with triple negative breast cancer, Keytruda is approved in combination with chemotherapy, with renal cancer NICE have recently approved Keytruda as a first line treatment - but in combination with the tyrosine kinase inhibitor, lenvatinib etc. etc.. Where a consultant feels an approved combination of CPI and another drug is the best option for the patient, he obviously will go ahead and prescribe that treatment which would exclude the patient from the Modi1 trial. So lots of factors to be taken into account.
Pure speculation on my part, but given their limited treatment options, I also wonder whether patients might be more willing to consent to join the monotherapy arms of the trial .