NCT03026166

Brief Summary

The purpose of this study is to assess the safety and efficacy of rovalpituzumab tesirine administered in combination with nivolumab or nivolumab and ipilimumab in participants with extensive-stage small cell lung cancer (SCLC).

Trial Health

63
Monitor

Trial Health Score

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

Enrollment
42

participants targeted

Target at P50-P75 for phase_1

Timeline
Completed

Started Mar 2017

Typical duration for phase_1

Geographic Reach
5 countries

35 active sites

Status
terminated

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

January 18, 2017

Completed
2 days until next milestone

First Posted

Study publicly available on registry

January 20, 2017

Completed
2 months until next milestone

Study Start

First participant enrolled

March 30, 2017

Completed
2.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 3, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 3, 2019

Completed
12 months until next milestone

Results Posted

Study results publicly available

July 1, 2020

Completed
Last Updated

July 17, 2020

Status Verified

July 1, 2020

Enrollment Period

2.3 years

First QC Date

January 18, 2017

Results QC Date

June 12, 2020

Last Update Submit

July 1, 2020

Conditions

Keywords

CancerExtensive-Stage Small Cell Lung CancerNivolumabIpilimumabRovalpituzumab tesirine

Outcome Measures

Primary Outcomes (2)

  • Number of Participants With Dose-limiting Toxicities (DLT)

    Dose-limiting toxicities were defined as any of the following in the 12-week DLT-evaluation period, graded according to the National Cancer Institute's Common Terminology Criteria for Adverse Events (NCI CTCAE), version 4.03: * Grade 4 thrombocytopenia (or Grade 3 thrombocytopenia with bleeding) lasting more than 7 days and/or requiring platelet transfusion * Grade 4 neutropenia lasting more than 7 days, and/or requiring hematopoietic growth factor rescue, or any febrile neutropenia (Grade 3 or 4 neutropenia with concurrent fever ≥ 38.3°C) * Grade 4 anemia unrelated to underlying disease * Clinically significant Grade 3 or 4 non-hematologic laboratory abnormality that did not resolve to Grade 0/1 or baseline within 7 days * Grade 3 or 4 non-laboratory adverse event (AE), except fatigue, asthenia, nausea, or other manageable constitutional symptom

    Up to 12 weeks

  • Number of Participants With Adverse Events (AEs)

    The investigator rated the severity of each AE according to the NCI CTCAE Version 4.03 and according to the following: Grade 1: The AE is transient and easily tolerated by the subject (mild). Grade 2: The AE causes the subject discomfort and interrupts the subject's usual activities (moderate). Grade 3/4: The AE causes considerable interference with the subject's usual activities and may be incapacitating or life-threatening (severe). Grade 5: The AE resulted in death of the subject (severe). The maximum severity AE for each participant is reported. A serious adverse event was defined as an AE meeting any of the following: * Death * Life-threatening * Resulted in hospitalization or prolongation of hospitalization * Resulted in congenital abnormality * Resulted in persistent or significant disability or incapacity * Was an important medical event requiring medical intervention to prevent a serious outcome. Relationship to study drug was assessed by the Investigator.

    From the first dose of study drug until 100 days after the last dose of study drug; median duration of treatment was 65 days and 53 days in each cohort respectively.

Secondary Outcomes (4)

  • Objective Response Rate (ORR)

    Cohort 1: at Week 6, Week 13, and every 8 weeks thereafter; Cohort 2: at Week 6, Week 12, Week 18, and every 8 weeks thereafter, to the end of follow-up; median duration on follow-up was 31.7 and 48.0 weeks in each cohort respectively.

  • Duration of Response (DOR)

    Cohort 1: at Week 6, Week 13, and every 8 weeks thereafter; Cohort 2: at Week 6, Week 12, Week 18 and every 8 weeks thereafter, to the end of follow-up; median duration on follow-up was 31.7 and 48.0 weeks in each cohort respectively.

  • Progression-free Survival (PFS)

    From first dose of study drug to the end of follow-up; median duration on follow-up was 31.7 and 48.0 weeks in each cohort respectively.

  • Overall Survival (OS)

    From first dose of study drug to the end of follow-up; median duration on follow-up was 31.7 and 48.0 weeks in each cohort respectively.

Study Arms (3)

Rovalpituzumab Tesirine and Nivolumab

EXPERIMENTAL

Participants will receive 2 doses of 0.3 mg/kg rovalpituzumab tesirine by intravenous (IV) infusion 6 weeks apart (Day 1 of Cycles 1 and 3), and 2 doses of 360 mg nivolumab IV 3 weeks apart beginning on Cycle 2 (Day 1 of Cycles 2 and 3). Participants will then receive maintenance therapy with 480 mg nivolumab IV once every 4 weeks from Cycle 4 until disease progression.

Drug: NivolumabDrug: Rovalpituzumab tesirine

Rovalpituzumab Tesirine and Nivolumab + Ipilimumab 1 mg/kg

EXPERIMENTAL

Participants will receive 2 doses of 0.3 mg/kg rovalpituzumab tesirine IV 6 weeks apart (Day 1 of Cycles 1 and 3), nivolumab 1 mg/kg every 3 weeks for 4 cycles beginning on Cycle 2 (Day 1 of Cycles 2-5), and ipilimumab 1 mg/kg IV every 3 weeks for 4 cycles beginning on Cycle 2 (Day 1 of Cycles 2-5). After a 6-week washout, participants will then receive maintenance therapy with 480 mg nivolumab IV once every 4 weeks from Cycle 6 until disease progression.

Drug: IpilimumabDrug: NivolumabDrug: Rovalpituzumab tesirine

Rovalpituzumab Tesirine and Nivolumab + Ipilimumab 3 mg/kg

EXPERIMENTAL

Participants will receive 2 doses of 0.3 mg/kg rovalpituzumab tesirine IV 6 weeks apart (Day 1 of Cycles 1 and 3), nivolumab 1 mg/kg every 3 weeks for 4 cycles beginning on Cycle 2 (Day 1 of Cycles 2-5), and ipilimumab 3 mg/kg IV every 3 weeks for 4 cycles beginning on Cycle 2 (Day 1 of Cycles 2-5). After an 8-week washout, participants will then receive maintenance therapy with 480 mg nivolumab IV once every 4 weeks from Cycle 6 until disease progression.

Drug: IpilimumabDrug: NivolumabDrug: Rovalpituzumab tesirine

Interventions

Administered by intravenous infusion

Also known as: Yervoy®
Rovalpituzumab Tesirine and Nivolumab + Ipilimumab 1 mg/kgRovalpituzumab Tesirine and Nivolumab + Ipilimumab 3 mg/kg

Administered by intravenous infusion

Also known as: Opdivo®
Rovalpituzumab Tesirine and NivolumabRovalpituzumab Tesirine and Nivolumab + Ipilimumab 1 mg/kgRovalpituzumab Tesirine and Nivolumab + Ipilimumab 3 mg/kg

Administered by intravenous infusion

Also known as: SC16LD6.5
Rovalpituzumab Tesirine and NivolumabRovalpituzumab Tesirine and Nivolumab + Ipilimumab 1 mg/kgRovalpituzumab Tesirine and Nivolumab + Ipilimumab 3 mg/kg

Eligibility Criteria

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

You may qualify if:

  • Participants with histologically or cytologically confirmed extensive-stage small cell lung cancer (SCLC) with progressive disease after at least one platinum-based chemotherapeutic regimen and with evaluable or measurable disease
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • Adequate hematologic, hepatic, and renal function

You may not qualify if:

  • Has active, known, or suspected autoimmune disease
  • Had prior exposure to an immuno-oncology or pyrrolobenzodiazepine (PBD)-based drug

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (35)

Ucsd /Id# 161030

La Jolla, California, 92093, United States

Location

Florida Hospital /ID# 161017

Orlando, Florida, 32803, United States

Location

University Cancer & Blood Cent /ID# 161028

Athens, Georgia, 30607, United States

Location

University of Chicago /ID# 161006

Chicago, Illinois, 60637-1443, United States

Location

The University of Kansas Clini /ID# 162915

Fairway, Kansas, 66205, United States

Location

Washington University-School of Medicine /ID# 161011

St Louis, Missouri, 63110, United States

Location

Rutgers Cancer Institute of NJ /ID# 161032

New Brunswick, New Jersey, 08903, United States

Location

Memorial Sloan Kettering Cancer Center /ID# 161010

New York, New York, 10065-6007, United States

Location

Duke University Medical Center /ID# 161009

Durham, North Carolina, 27710-3000, United States

Location

Oregon Health and Science University /ID# 161029

Portland, Oregon, 97239, United States

Location

Medical University of South Carolina /ID# 161007

Charleston, South Carolina, 29425, United States

Location

Tennessee Oncology, PLLC /ID# 161012

Nashville, Tennessee, 37203, United States

Location

Vanderbilt University Med Ctr /ID# 162916

Nashville, Tennessee, 37232-6307, United States

Location

Virginia Cancer Institute /ID# 161025

Richmond, Virginia, 23230, United States

Location

University of Wisconsin Clinic /ID# 161013

Madison, Wisconsin, 53705, United States

Location

CHU de Besancon - Jean Minjoz /ID# 165173

Besançon, Doubs, 25000, France

Location

Centre Oscar Lambret /ID# 165169

Lille, Hauts-de-France, 59020, France

Location

Institut Gustave Roussy /ID# 165168

Villejuif, Val-de-Marne, 94800, France

Location

Institut Sainte Catherine /ID# 165172

Avignon, 84082, France

Location

CHRU de Brest - Hospital Morva /ID# 165170

Brest, 29609, France

Location

Hopital La Timone /ID# 165171

Marseille, 13005, France

Location

KH Martha-Maria Halle Dolau /ID# 165180

Halle, Saxony-Anhalt, 06120, Germany

Location

Asklepios Fachkliniken M. Gaut /ID# 165183

Gauting, 82131, Germany

Location

Lungen Clinic Grosshansdorf /ID# 165182

Großhansdorf, 22927, Germany

Location

Lungenfachklinik Immenhausen /ID# 165181

Immenhausen, 34376, Germany

Location

Istituto Clinico Humanitas /ID# 165176

Rozzano, Milano, 20089, Italy

Location

Centro di Riferimento Oncologi /ID# 165174

Aviano, 33081, Italy

Location

Azienda Ospedaliero Universitaria Policlinico Vittorio Emanuele /ID# 165178

Catania, 95123, Italy

Location

Istituto Europeo di Oncologia /ID# 165175

Milan, 20141, Italy

Location

AO Univ di Modena /ID# 165177

Modena, 41100, Italy

Location

Clinica Universitar de Navarra - Pamplona /ID# 165165

Pamplona, Navarra, Comunidad, 31008, Spain

Location

Hosp Univ Quiron Dexues /ID# 165166

Barcelona, 08028, Spain

Location

Hospital Genl Gregorio Maranon /ID# 165162

Madrid, 28007, Spain

Location

Hospital Universitario Fundacion Jimenez Diaz /ID# 165164

Madrid, 28040, Spain

Location

Hospital Universitario Madrid /ID# 165163

Madrid, 28050, Spain

Location

MeSH Terms

Conditions

Small Cell Lung CarcinomaNeoplasms

Interventions

IpilimumabNivolumabrovalpituzumab tesirine

Condition Hierarchy (Ancestors)

Carcinoma, BronchogenicBronchial NeoplasmsLung NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsNeoplasms by SiteLung DiseasesRespiratory Tract Diseases

Intervention Hierarchy (Ancestors)

Antibodies, Monoclonal, HumanizedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsSerum GlobulinsGlobulins

Results Point of Contact

Title
Global Medical Services
Organization
AbbVie

Study Officials

  • AbbVie Inc.

    AbbVie

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SEQUENTIAL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 18, 2017

First Posted

January 20, 2017

Study Start

March 30, 2017

Primary Completion

July 3, 2019

Study Completion

July 3, 2019

Last Updated

July 17, 2020

Results First Posted

July 1, 2020

Record last verified: 2020-07

Data Sharing

IPD Sharing
Will share

AbbVie is committed to responsible data sharing regarding the clinical trials we sponsor. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols and clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications.

Shared Documents
STUDY PROTOCOL, SAP, CSR, ANALYTIC CODE
Time Frame
Data requests can be submitted at any time and the data will be accessible for 12 months, with possible extensions considered.
Access Criteria
Access to this clinical trial data can be requested by any qualified researchers who engage in rigorous, independent scientific research, and will be provided following review and approval of a research proposal and Statistical Analysis Plan (SAP) and execution of a Data Sharing Agreement (DSA). For more information on the process, or to submit a request, visit the following link.
More information

Locations