A Study of PDR001 in Combination With CJM112, EGF816, Ilaris® (Canakinumab) or Mekinist® (Trametinib)
Phase Ib, Open-label, Multi-center Study to Characterize the Safety, Tolerability and Pharmacodynamics (PD) of PDR001 in Combination With CJM112, EGF816, Ilaris® (Canakinumab) or Mekinist® (Trametinib)
2 other identifiers
interventional
283
9 countries
23
Brief Summary
The purpose of this study was to combine the PDR001 checkpoint inhibitor with each of four agents with immunomodulatory activity to identify the doses and schedule for combination therapy and to preliminarily assess the safety, tolerability, pharmacological and clinical activity of these combinations.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1
Started Aug 2016
Longer than P75 for phase_1
23 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
May 17, 2016
CompletedStudy Start
First participant enrolled
August 23, 2016
CompletedFirst Posted
Study publicly available on registry
September 14, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 17, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
March 17, 2021
CompletedMarch 29, 2022
March 1, 2022
4.6 years
May 17, 2016
March 15, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (7)
Frequency of treatment-emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) as a measure of safety
Throughout the study at every visit, an average of 1 year
Changes between baseline and post-baseline laboratory parameters and vital signs.
Baseline and throughout the study at every visit, an average of 1 year
Incidence of dose limiting toxicities (DLTs) of treatment (Escalation only)
During the first two cycles; Cycle = 28 days
Frequency of dose interruptions
Throughout the study at every visit, an average of 1 year
Dose intensities
Throughout the study at every visit, an average of 1 year
Severity of treatment-emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) as a measure of safety
Throughout the study at every visit, an average of 1 year
Frequency of dose reductions
Throughout the study at every visit, an average of 1 year
Secondary Outcomes (16)
Key secondary: Histopathology of tumor infiltrating lymphocytes (TILs)
Baseline and approximately after 2 cycles of treatment and at disease progression; Cycle = 28 days
Changes from baseline in electrocardiogram (ECG) parameters
Baseline and end of treatment, an average of 1 year
Best overall response (BOR)
T1: Every 2 cycles until the start of T2. T2: Every 2 cycles until cycle 3 and then every 3 cycles until PD; cycle = 28 days
Progression free survival (PFS) per irRC and RECIST v1.1
T1: Every 2 cycles until the start of T2. T2: Every 2 cycles until cycle 3 and then every 3 cycles until PD; cycle = 28 days
Treatment Free Survival (TFS)
T1: Every 2 cycles until the start of T2. T2: Every 2 cycles until cycle 3 and then every 3 cycles until PD; cycle = 28 days
- +11 more secondary outcomes
Study Arms (23)
PDR + ACZ 100mg Q8W
EXPERIMENTALPDR + ACZ 100mg Q8W
PDR + ACZ 300mg Q8W
EXPERIMENTALPDR + ACZ 300mg Q8W
PDR + ACZ RDE TNBC
EXPERIMENTALPDR + ACZ Recommended Dose for Expansion (RDE) Triple Negative Breast Cancer (TNBC)
PDR + ACZ RDE NSCLC
EXPERIMENTALPDR + ACZ Recommended Dose for Expansion (RDE) Non-Small Cell Lung Cancer (NSCLC)
PDR + ACZ RDE CRC
EXPERIMENTALPDR + ACZ Recommended Dose for Expansion (RDE) Colorectal Cancer (CRC)
PDR + CJM 25mg Q4W
EXPERIMENTALPDR + CJM 25mg Q4W
PDR + CJM 75mg Q4W
EXPERIMENTALPDR + CJM 75mg Q4W
PDR + CJM 225mg Q4W
EXPERIMENTALPDR + CJM 225mg Q4W
PDR + CJM 450mg Q4W
EXPERIMENTALPDR + CJM 450mg Q4W
PDR + CJM 450mg Q2W
EXPERIMENTALPDR + CJM 450mg Q2W
PDR + CJM 900mg Q4W
EXPERIMENTALPDR + CJM 900mg Q4W
PDR + CJM 900mg Q2W
EXPERIMENTALPDR + CJM 900mg Q2W
PDR + CJM 1200mg Q4W
EXPERIMENTALPDR + CJM 1200mg Q4W
PDR + TMT 0.5mg QD
EXPERIMENTALPDR + TMT 0.5mg QD
PDR + TMT 1mg QD
EXPERIMENTALPDR + TMT 1mg QD
PDR + TMT 1mg QD, 3 Weeks on/1 Week off
EXPERIMENTALPDR + TMT 1mg QD, 3 Weeks on/1 Week off
PDR + TMT 1.5 mg QD, 2 Weeks on/2 Weeks off
EXPERIMENTALPDR + TMT 1.5 mg QD, 2 Weeks on/2 Weeks off
PDR + TMT 1.5 mg QD, 3 Weeks on/1 Week off
EXPERIMENTALPDR + TMT 1.5 mg QD, 3 Weeks on/1 Week off
PDR + EGF816 25mg QD
EXPERIMENTALPDR + EGF816 25mg QD
PDR + EGF816 50mg QD
EXPERIMENTALPDR + EGF816 50mg QD
s.a. ACZ RDE TNBC
EXPERIMENTALSingle agent (s.a.) ACZ Recommended Dose for Expansion (RDE) Triple Negative Breast Cancer (TNBC)
s.a. ACZ RDE NSCLC
EXPERIMENTALSingle agent (s.a.) ACZ Recommended Dose for Expansion (RDE) Non-Small Cell Lung Cancer (NSCLC)
s.a. ACZ RDE CRC
EXPERIMENTALSingle agent (s.a.) ACZ Recommended Dose for Expansion (RDE) Colorectal Cancer (CRC)
Interventions
Powder for solution for infusion
Solution for injection
Solution for infusion
Tablets
Eligibility Criteria
You may qualify if:
- Patients with advanced/metastatic cancer, with measurable disease as determined by RECIST version 1.1, who have progressed despite standard therapy or are intolerant to standard therapy, and for whom no effective therapy is available.
- Patients must fit into one of the following groups:
- Colorectal cancer (CRC) (not mismatch repair deficient by local assay including PCR and/or immunohistochemistry)
- Non-small cell lung cancer (NSCLC) (adenocarcinoma)
- Triple Negative Breast Cancer (TNBC) (D
- ECOG Performance Status ≤ 2
- Patient must have a site of disease amenable to biopsy, and be a candidate for tumor biopsy according to the treating institution's guidelines. Patient must be willing to undergo a new tumor biopsy at baseline, and again during therapy on this study.
- Prior therapy with PD-1/PDL-1 inhibitors is allowed provided any toxicity attributed to prior PD-1- or PD-L1-directed therapy did not lead to discontinuation of therapy.
- Written informed consent must be obtained prior to any screening procedures other than procedures performed as part of standard of care.
You may not qualify if:
- Presence of symptomatic central nervous system (CNS) metastases, or CNS metastases that require local CNS-directed therapy, or increasing doses of corticosteroids within the prior 2 weeks.
- History of severe hypersensitivity reactions to other monoclonal antibodies.
- Out of range laboratory values for measures of hepatic and renal function, electrolytes and blood counts
- Impaired cardiac function or clinically significant cardiac disease.
- Patients with active, known or suspected autoimmune disease.
- Human Immunodeficiency Virus infection at screening.
- Escalation part: Active Hepatitis B (HBV) or Hepatitis C (HCV) virus infection at screening.
- Expansion part: Patients with active HBV or HCV are excluded, excepting those patients undergoing treatment for HBV or HCV.
- Malignant disease, other than that being treated in this study.
- Recent systemic anti-cancer therapy
- Active infection requiring systemic antibiotic therapy.
- Patients requiring chronic treatment with systemic steroid therapy, other than replacement dose steroids in the setting of adrenal insufficiency or treatment with low, stable dose of steroid (\<10mg/ day prednisone or equivalent) for stable CNS metastatic disease.
- Patients receiving systemic treatment with any immunosuppressive medication, excepting the above
- Use of any live vaccines against infectious diseases (e.g. influenza, varicella, pneumococcus) within 4 weeks of initiation of study treatment.
- Participation in an interventional, investigational study within 2 weeks of the first dose of study treatment.
- +20 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (23)
Sidney Kimmel Comprehensive Cancer Center SC-3
Baltimore, Maryland, 21287-0013, United States
Dana Farber Cancer Center
Boston, Massachusetts, 02215, United States
Sarah Cannon Research Institute
Nashville, Tennessee, 37203, United States
University of Texas MD Anderson Cancer Center
Houston, Texas, 77030, United States
Novartis Investigative Site
Brussels, BE-B-1200, Belgium
Novartis Investigative Site
Wilrijk, 2610, Belgium
Novartis Investigative Site
Toronto, Ontario, M5G 2M9, Canada
Novartis Investigative Site
Montreal, Quebec, H3T 1E2, Canada
Novartis Investigative Site
Lyon, 69373, France
Novartis Investigative Site
Paris, 75231, France
Novartis Investigative Site
Toulouse, 31059, France
Novartis Investigative Site
Villejuif, 94800, France
Novartis Investigative Site
Tel Aviv, 6423906, Israel
Novartis Investigative Site
Milan, MI, 20132, Italy
Novartis Investigative Site
Rozzano, MI, 20089, Italy
Novartis Investigative Site
Singapore, 119228, Singapore
Novartis Investigative Site
Singapore, 169610, Singapore
Novartis Investigative Site
Barcelona, Catalonia, 08036, Spain
Novartis Investigative Site
L'Hospitalet de Llobregat, Catalonia, 08907, Spain
Novartis Investigative Site
Madrid, 28009, Spain
Novartis Investigative Site
Madrid, 28050, Spain
Novartis Investigative Site
Tainan, 70403, Taiwan
Novartis Investigative Site
Taoyuan District, 33305, Taiwan
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Novartis Pharmaceuticals
Novartis Pharmaceuticals
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 17, 2016
First Posted
September 14, 2016
Study Start
August 23, 2016
Primary Completion
March 17, 2021
Study Completion
March 17, 2021
Last Updated
March 29, 2022
Record last verified: 2022-03
Data Sharing
- IPD Sharing
- Will not share