Study of OBT076 Associated or Not in Patients With Recurrent or Metastatic Adenoid Cystic Carcinoma of the Head and Neck

Exclusion Criteria

• •1. Pretreatment with a programmed cell death protein (PD-1), PD-L1 or cytotoxic T- lymphocyte antigen 4 (CTLA-4) therapy or any other immuno-checkpoint inhibitors.
• •2. Prior chemotherapy within 28 days before study drug administration.
• •3. Prior systemic anticancer therapy (regardless if approved or investigational therapy) within 5 halflives of study drug administration
• •4. Major surgery within 14 days before study drug administration
• •5. Patients have not recovered from the toxicities (CTCAE v5.0 grade \> 1) of prior anticancer therapy
• •6. Prior curative radiotherapy ≤ 4 weeks or palliative radiotherapy ≤ 2 weeks before study drug administration, and/or from whom ≥ 30% of the bone marrow was irradiated
• •7. Patients with brain metastasis, except if treated with curative stereotactic radiotherapy
• •8. History of another malignancy within the last 2 years prior to randomization, with the exception of completely resected non-melanoma cell skin cancer outside the head and neck area or completely resected stage I breast cancer, gleason 6 localised prostate cancer, or completely resected in-situ non-muscular invasive bladder, cervix and/or uterine carcinomas.
• •9. Documented or suspected hypersensitivity or other contraindication to study drug or any excipients used in the manufacture of OBT076 or Balstilimab
• •10. Active or chronic corneal disorder or Sjogren's syndrome
• •11. Known history of infection with human immunodeficiency virus (HIV). If unknown history of HIV, an HIV screening test is to be performed and participants with positive serology for HIV-1/2 must be excluded.
• •12. Known chronically active hepatitis B virus (HBV) or hepatitis C virus (HCV) infection.
• •13. Known active Covid 19 infection.
• •14. Use of non-oncology vaccines containing live virus for prevention of infectious diseases within 28 days prior to study drug administration. The use of the inactivated seasonal influenza vaccine (Fluzone®) and covid vaccine is allowed.
• •15. Active or prior history of disease/medical condition listed below:
• •* Known or underlying medical condition that, in the investigator's opinion, would make the administration of study drug hazardous to the patient or obscure the interpretation of toxicity determination or adverse events
• •* Subject has a past medical history of or ongoing clinically relevant interstitial lung disease, drug-induced pneumonitis or severe / very severe Chronic Obstructive Pulmonary Disease (COPD).
• •* Patients with a condition requiring systemic treatment with either corticosteroids (\>10 mg daily prednisone equivalent) within 14 days or another immunosuppressive medication within 30 days of the first dose of study treatment. Inhaled or topical steroids, and adrenal replacement steroid doses (≤10 mg daily prednisone equivalent), are permitted in the absence of active autoimmune disease
• •* Active autoimmune disease or history of autoimmune disease that required systemic treatment within 2 years of the start of study treatment (i.e. with use of disease modifying agents or immunosuppressive drugs)
• •* Ongoing uncontrolled infection requiring intravenous antibiotics, or requiring/ongoing oral antibiotics as continuation of a prior IV antibiotic course, antivirals or antifungals within 7 days prior to randomization Note: patients with localized fungal infection of skin or nails are eligible
• •16. Impaired cardiovascular function or clinically significant cardiovascular diseases, including any of the following:
• •* Significant cardiac arrhythmia
• •* Unstable angina or angina requiring surgical or medical intervention within 6 months prior to randomization
• •* New York Heart Association Class \> 2 congestive heart failure.
• •* QTc using Fridericia's formula (QTcF) interval \> 470 ms
• •17. Prior organ transplantation, including allogeneic stem cell transplantation
• •18. Pregnant or breastfeeding women
• •19. History of uncontrolled seizures, central nervous system disorders or psychiatric disability judged by the investigator to be clinically significant, precluding informed consent, or interfering with compliance of drug administration.
• •20. Patient under guardianship, curatorship or deprived of liberty