NCT02900664

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

93
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
283

participants targeted

Target at P75+ for phase_1

Timeline
Completed

Started Aug 2016

Longer than P75 for phase_1

Geographic Reach
9 countries

23 active sites

Status
completed

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

Completed
3 months until next milestone

Study Start

First participant enrolled

August 23, 2016

Completed
22 days until next milestone

First Posted

Study publicly available on registry

September 14, 2016

Completed
4.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 17, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 17, 2021

Completed
Last Updated

March 29, 2022

Status Verified

March 1, 2022

Enrollment Period

4.6 years

First QC Date

May 17, 2016

Last Update Submit

March 15, 2022

Conditions

Keywords

CRCTNBCNSCLC (adenocarcinoma)ImmunomodulationBiomarkersBayesian logistic regression modelPDR001ImmunotherapyRectal cancerMetastatic adenocarcinomaColorectal cancercolon cancerbowel cancercancer of the colon and rectumColorectal adenocarcinomaadenocarcinomacoloncancerlarge intestinelarge intestine cancercolorectum cancerTriple-negative breast cancer (TNBC)TNBC, basal typesecretory celladenoid cysticmedullaryductal carcinomainflammatorybreast carcinomabreast cancerbreast lumpPagets diseaseHER2 positive metastatic breast cancerbreast cancer positive for human epidermal growth factor receptor 2 (HER2)breast cancer progressionestrogen-receptor (ER) positive(+) breast cancerNon-small cell lung carcinoma (NSCLC)treatment of lung cancer after first metastasislung cancerlung adenocarcinomaSquamous cell lung carcinomaLarge-cell lung carcinomaNon small cell lung carcinomaNon small cell lung cancerNon-small cell lung cancerNSCLCLarge cell lung carcinomaLarge cell lung cancerPagent's disease

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

EXPERIMENTAL

PDR + ACZ 100mg Q8W

Biological: PDR001Biological: ACZ885

PDR + ACZ 300mg Q8W

EXPERIMENTAL

PDR + ACZ 300mg Q8W

Biological: PDR001Biological: ACZ885

PDR + ACZ RDE TNBC

EXPERIMENTAL

PDR + ACZ Recommended Dose for Expansion (RDE) Triple Negative Breast Cancer (TNBC)

Biological: PDR001Biological: ACZ885

PDR + ACZ RDE NSCLC

EXPERIMENTAL

PDR + ACZ Recommended Dose for Expansion (RDE) Non-Small Cell Lung Cancer (NSCLC)

Biological: PDR001Biological: ACZ885

PDR + ACZ RDE CRC

EXPERIMENTAL

PDR + ACZ Recommended Dose for Expansion (RDE) Colorectal Cancer (CRC)

Biological: PDR001Biological: ACZ885

PDR + CJM 25mg Q4W

EXPERIMENTAL

PDR + CJM 25mg Q4W

Biological: PDR001Biological: CJM112

PDR + CJM 75mg Q4W

EXPERIMENTAL

PDR + CJM 75mg Q4W

Biological: PDR001Biological: CJM112

PDR + CJM 225mg Q4W

EXPERIMENTAL

PDR + CJM 225mg Q4W

Biological: PDR001Biological: CJM112

PDR + CJM 450mg Q4W

EXPERIMENTAL

PDR + CJM 450mg Q4W

Biological: PDR001Biological: CJM112

PDR + CJM 450mg Q2W

EXPERIMENTAL

PDR + CJM 450mg Q2W

Biological: PDR001Biological: CJM112

PDR + CJM 900mg Q4W

EXPERIMENTAL

PDR + CJM 900mg Q4W

Biological: PDR001Biological: CJM112

PDR + CJM 900mg Q2W

EXPERIMENTAL

PDR + CJM 900mg Q2W

Biological: PDR001Biological: CJM112

PDR + CJM 1200mg Q4W

EXPERIMENTAL

PDR + CJM 1200mg Q4W

Biological: PDR001Biological: CJM112

PDR + TMT 0.5mg QD

EXPERIMENTAL

PDR + TMT 0.5mg QD

Biological: PDR001Drug: TMT212

PDR + TMT 1mg QD

EXPERIMENTAL

PDR + TMT 1mg QD

Biological: PDR001Drug: TMT212

PDR + TMT 1mg QD, 3 Weeks on/1 Week off

EXPERIMENTAL

PDR + TMT 1mg QD, 3 Weeks on/1 Week off

Biological: PDR001Drug: TMT212

PDR + TMT 1.5 mg QD, 2 Weeks on/2 Weeks off

EXPERIMENTAL

PDR + TMT 1.5 mg QD, 2 Weeks on/2 Weeks off

Biological: PDR001Drug: TMT212

PDR + TMT 1.5 mg QD, 3 Weeks on/1 Week off

EXPERIMENTAL

PDR + TMT 1.5 mg QD, 3 Weeks on/1 Week off

Biological: PDR001Drug: TMT212

PDR + EGF816 25mg QD

EXPERIMENTAL

PDR + EGF816 25mg QD

Drug: EGF816

PDR + EGF816 50mg QD

EXPERIMENTAL

PDR + EGF816 50mg QD

Drug: EGF816

s.a. ACZ RDE TNBC

EXPERIMENTAL

Single agent (s.a.) ACZ Recommended Dose for Expansion (RDE) Triple Negative Breast Cancer (TNBC)

Biological: ACZ885

s.a. ACZ RDE NSCLC

EXPERIMENTAL

Single agent (s.a.) ACZ Recommended Dose for Expansion (RDE) Non-Small Cell Lung Cancer (NSCLC)

Biological: ACZ885

s.a. ACZ RDE CRC

EXPERIMENTAL

Single agent (s.a.) ACZ Recommended Dose for Expansion (RDE) Colorectal Cancer (CRC)

Biological: ACZ885

Interventions

PDR001BIOLOGICAL

Powder for solution for infusion

Also known as: Spartalizumab/PDR001
PDR + ACZ 100mg Q8WPDR + ACZ 300mg Q8WPDR + ACZ RDE CRCPDR + ACZ RDE NSCLCPDR + ACZ RDE TNBCPDR + CJM 1200mg Q4WPDR + CJM 225mg Q4WPDR + CJM 25mg Q4WPDR + CJM 450mg Q2WPDR + CJM 450mg Q4WPDR + CJM 75mg Q4WPDR + CJM 900mg Q2WPDR + CJM 900mg Q4WPDR + TMT 0.5mg QDPDR + TMT 1.5 mg QD, 2 Weeks on/2 Weeks offPDR + TMT 1.5 mg QD, 3 Weeks on/1 Week offPDR + TMT 1mg QDPDR + TMT 1mg QD, 3 Weeks on/1 Week off
ACZ885BIOLOGICAL

Solution for injection

Also known as: canakinumab
PDR + ACZ 100mg Q8WPDR + ACZ 300mg Q8WPDR + ACZ RDE CRCPDR + ACZ RDE NSCLCPDR + ACZ RDE TNBCs.a. ACZ RDE CRCs.a. ACZ RDE NSCLCs.a. ACZ RDE TNBC
CJM112BIOLOGICAL

Solution for infusion

PDR + CJM 1200mg Q4WPDR + CJM 225mg Q4WPDR + CJM 25mg Q4WPDR + CJM 450mg Q2WPDR + CJM 450mg Q4WPDR + CJM 75mg Q4WPDR + CJM 900mg Q2WPDR + CJM 900mg Q4W
TMT212DRUG

Tablets

Also known as: trametinib
PDR + TMT 0.5mg QDPDR + TMT 1.5 mg QD, 2 Weeks on/2 Weeks offPDR + TMT 1.5 mg QD, 3 Weeks on/1 Week offPDR + TMT 1mg QDPDR + TMT 1mg QD, 3 Weeks on/1 Week off
EGF816DRUG

Tablets

Also known as: Nazartinib
PDR + EGF816 25mg QDPDR + EGF816 50mg QD

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

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

Location

Dana Farber Cancer Center

Boston, Massachusetts, 02215, United States

Location

Sarah Cannon Research Institute

Nashville, Tennessee, 37203, United States

Location

University of Texas MD Anderson Cancer Center

Houston, Texas, 77030, United States

Location

Novartis Investigative Site

Brussels, BE-B-1200, Belgium

Location

Novartis Investigative Site

Wilrijk, 2610, Belgium

Location

Novartis Investigative Site

Toronto, Ontario, M5G 2M9, Canada

Location

Novartis Investigative Site

Montreal, Quebec, H3T 1E2, Canada

Location

Novartis Investigative Site

Lyon, 69373, France

Location

Novartis Investigative Site

Paris, 75231, France

Location

Novartis Investigative Site

Toulouse, 31059, France

Location

Novartis Investigative Site

Villejuif, 94800, France

Location

Novartis Investigative Site

Tel Aviv, 6423906, Israel

Location

Novartis Investigative Site

Milan, MI, 20132, Italy

Location

Novartis Investigative Site

Rozzano, MI, 20089, Italy

Location

Novartis Investigative Site

Singapore, 119228, Singapore

Location

Novartis Investigative Site

Singapore, 169610, Singapore

Location

Novartis Investigative Site

Barcelona, Catalonia, 08036, Spain

Location

Novartis Investigative Site

L'Hospitalet de Llobregat, Catalonia, 08907, Spain

Location

Novartis Investigative Site

Madrid, 28009, Spain

Location

Novartis Investigative Site

Madrid, 28050, Spain

Location

Novartis Investigative Site

Tainan, 70403, Taiwan

Location

Novartis Investigative Site

Taoyuan District, 33305, Taiwan

Location

Related Links

MeSH Terms

Conditions

Colorectal NeoplasmsTriple Negative Breast NeoplasmsCarcinoma, Non-Small-Cell LungAdenocarcinomaRectal NeoplasmsColonic NeoplasmsIntestinal NeoplasmsNeoplasmsCarcinoma, DuctalBreast NeoplasmsLung NeoplasmsAdenocarcinoma of Lung

Interventions

spartalizumabcanakinumabtrametinibnazartinib

Condition Hierarchy (Ancestors)

Gastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteDigestive System DiseasesGastrointestinal DiseasesColonic DiseasesIntestinal DiseasesRectal DiseasesBreast DiseasesSkin DiseasesSkin and Connective Tissue DiseasesCarcinoma, BronchogenicBronchial NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsLung DiseasesRespiratory Tract DiseasesCarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypeNeoplasms, Ductal, Lobular, and Medullary

Study Officials

  • Novartis Pharmaceuticals

    Novartis Pharmaceuticals

    STUDY DIRECTOR

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

Locations