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A Study of Emactuzumab and Atezolizumab Administered in Combination in Participants With Advanced Solid Tumors

NCT02323191

Description:

This Phase 1, open-label, multicenter, global study will evaluate the safety, pharmacokinetics, and activity of emactuzumab and atezolizumab administered in combination in participants with selected locally advanced or metastatic solid tumors that are not amenable to standard treatment. Participants who receive emactuzumab and atezolizumab will continue to receive study drug as long as they experience clinical benefit in the opinion of the investigator or until unacceptable toxicity or symptomatic deterioration attributed to disease progression as determined by the investigator after an integrated assessment of radiographic data, biopsy results (if available), and clinical status, or withdrawal of consent.

Related Conditions:
  • Bladder Carcinoma
  • Breast Carcinoma
  • Gastric Carcinoma
  • Ovarian Carcinoma
  • Soft Tissue Sarcoma
Recruiting Status:

Completed

Phase:

Phase 1

Trial Eligibility

Document

Title

  • Brief Title: A Study of Emactuzumab and Atezolizumab Administered in Combination in Participants With Advanced Solid Tumors
  • Official Title: Open-Label, Multicenter, Dose Escalation Phase Ib Study With Expansion Phase to Evaluate the Safety, Pharmacokinetics, and Activity of RO5509554 (Emactuzumab) and MPDL3280A (Atezolizumab) Administered in Combination in Patients With Advanced Solid Tumors

Clinical Trial IDs

  • ORG STUDY ID: BP29428
  • SECONDARY ID: 2014-002428-29
  • SECONDARY ID: RG7155
  • NCT ID: NCT02323191

Conditions

  • Solid Cancers

Interventions

DrugSynonymsArms
AtezolizumabMPDL3280A, TECENTRIQPart 1 (Dose-finding): Emactuzumab + Atezolizumab
EmactuzumabRO5509554Part 1 (Dose-finding): Emactuzumab + Atezolizumab

Purpose

This Phase 1, open-label, multicenter, global study will evaluate the safety, pharmacokinetics, and activity of emactuzumab and atezolizumab administered in combination in participants with selected locally advanced or metastatic solid tumors that are not amenable to standard treatment. Participants who receive emactuzumab and atezolizumab will continue to receive study drug as long as they experience clinical benefit in the opinion of the investigator or until unacceptable toxicity or symptomatic deterioration attributed to disease progression as determined by the investigator after an integrated assessment of radiographic data, biopsy results (if available), and clinical status, or withdrawal of consent.

Trial Arms

NameTypeDescriptionInterventions
Part 1 (Dose-finding): Emactuzumab + AtezolizumabExperimentalParticipants will receive escalating doses of emactuzumab along with atezolizumab every 3 weeks (q3w).
  • Atezolizumab
  • Emactuzumab
Part 2 (Expansion): Emactuzumab + AtezolizumabExperimentalParticipants will receive emactuzumab at or below the MTDs for the combination treatments that are determined during Part 1 along with atezolizumab.
  • Atezolizumab
  • Emactuzumab

Eligibility Criteria

        Inclusion Criteria:

          -  Eastern Cooperative Oncology Group performance status 0 or 1

          -  Participants must have histologically confirmed diagnosis of locally advanced and/or
             metastatic triple negative breast cancer, ovarian cancer, bladder cancer, gastric
             cancer, or soft tissue sarcoma, with exceptions defined in the exclusion criteria

          -  Measurable disease at baseline as per RECIST version 1.1

          -  Life expectancy of greater than or equal to (>=) 16 weeks

          -  Adequate bone marrow, liver, cardiac, and renal function

          -  Negative serum pregnancy test within 7 days prior to study treatment in premenopausal
             women and women less than or equal to (<=) 12 months post-menopause. Postmenopausal
             state is defined as amenorrhea for greater than (>) 12 months.

        Exclusion Criteria:

          -  Allergy or hypersensitivity to components of the emactuzumab formulation or to
             components of the atezolizumab formulation

          -  Active or untreated central nervous system (CNS) metastases as determined by computed
             tomography (CT) or magnetic resonance imaging evaluation during screening (within 28
             days before C1D1) and prior radiographic assessments. Participants with
             radiographically stable, asymptomatic previously irradiated lesions are eligible
             provided participant is >= 4 weeks beyond completion of cranial irradiation and >= 3
             weeks off of corticosteroid therapy. Participants with metastases to the brain stem,
             midbrain, pons, medulla, or within 10 millimeter (mm) of the optic apparatus (optic
             nerves and chiasm) are completely excluded

          -  Leptomeningeal disease

          -  History of or active autoimmune disease

          -  Evidence of significant, uncontrolled concomitant diseases, which could affect
             compliance with the protocol or interpretation of results, including significant
             cardiovascular disease (such as New York Heart Association Class III or IV cardiac
             disease, myocardial infarction within the last 6 months, unstable arrhythmias, or
             unstable angina) or pulmonary disease (including obstructive pulmonary disease and
             history of symptomatic bronchospasm)

          -  Any approved anti-cancer therapy, including chemotherapy or hormonal therapy, within 3
             weeks prior to initiation of study treatment, with the exceptions provided in the
             protocol

          -  Prior corticosteroids as anti-cancer therapy within a minimum of 14 days of first
             receipt of study drug

          -  Prior toxicities from chemotherapy, radiotherapy, and other anti-cancer therapies,
             including immunotherapy that have not regressed to Grade <=1 severity (Common
             Terminology Criteria for Adverse Events [CTCAE] v4.03, or later versions)

          -  History of human immunodeficiency virus (HIV)

          -  Participants with active hepatitis B, active hepatitis C, or active tuberculosis

          -  Participant has had pulmonary embolism or any other thrombo-embolic event within 6
             months prior to study entry

          -  Participants has a history of hematological malignancy within the last 5 years prior
             to study entry

          -  Treatment with systemic immunosuppressive medications - Pregnant or lactating women
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Percentage of Participants With Dose Limiting Toxicities (DLTs)
Time Frame:21 days
Safety Issue:
Description:

Secondary Outcome Measures

Measure:Maximum Observed Plasma Concentration (Cmax) of Emactuzumab
Time Frame:predose (-4 h) on Day 1 of Cycle 1 up to approximately 3 years (detailed timeframe provided in measure description)
Safety Issue:
Description:predose (-4 hours [h]) and 0.5h post end of infusion (90 minutes infusion) on Days (D) 1 of Cycle (C) 1, 2, 3, 4, 5, 6, all subsequent cycles (Cycle Length=21 days) until disease progression (up to approximately 3 years); 5h postdose on D1 of C1; postdose on D2, D4 or D5, D8, D15 of C1, C2, C4; D12, D19 of C1, C4; 44 and 120 days post last infusion; 28 day follow-up visit (up to approximately 3 years)
Measure:Maximum Observed Plasma Concentration (Cmax) of Atezolizumab
Time Frame:predose (-4 h) on D1 of C1, C2, C3, C4, C6, then every 8 cycles (Cycle Length=21 days); 0.5h post end of infusion (60 minutes infusion) on D1 of C1; 120 days post last infusion (up to approximately 3 years)
Safety Issue:
Description:
Measure:Minimum Observed Plasma Trough Concentration (Cmin) of Emactuzumab
Time Frame:predose (-4 h) on D1 of C2, C3, C4, C5, C6, all subsequent cycles (Cycle Length=21 days) until disease progression (up to approximately 3 years)
Safety Issue:
Description:
Measure:Minimum Observed Plasma Trough Concentration (Cmin) of Atezolizumab
Time Frame:predose (-4 h) on D1 of C1, C2, C3, C4, C6, then every 8 cycles (Cycle Length=21 days)
Safety Issue:
Description:
Measure:Area under the Concentration-Time Curve (AUC) of Emactuzumab
Time Frame:predose (-4 h) on Day 1 of Cycle 1 up to approximately 3 years (detailed timeframe provided in measure description)
Safety Issue:
Description:predose (-4 h) and 0.5h post end of infusion (90 minutes infusion) on D1 of C1, C2, C3, C4, C5, C6, all subsequent cycles (Cycle Length=21 days) until disease progression (up to approximately 3 years); 5h postdose on D1 of C1; postdose on D2, D4 or D5, D8, D15 of C1, C2, C4; D12, D19 of C1, C4; 44 and 120 days post last infusion; 28 day follow-up visit (up to approximately 3 years)
Measure:Total Clearance (CL) of Emactuzumab
Time Frame:predose (-4 h) and 0.5h post end of infusion (90 minutes infusion) on D1 of C1, C4 (Cycle Length=21 days); 5h postdose on D1 of C1; postdose on D2, D4 or D5, D8, D12, D15, D19 of C1, C4
Safety Issue:
Description:
Measure:Volume of Distribution at Steady State (Vss) of Emactuzumab
Time Frame:predose (-4 h) and 0.5h post end of infusion (90 minutes infusion) on D1 of C1, C4 (Cycle Length=21 days); 5h postdose on D1 of C1; postdose on D2, D4 or D5, D8, D12, D15, D19 of C1, C4
Safety Issue:
Description:
Measure:Accumulation Ratio (Rac) of Emactuzumab
Time Frame:predose (-4 h) and 0.5h post end of infusion (90 minutes infusion) on D1 of C1, C4 (Cycle Length=21 days); 5h postdose on D1 of C1; postdose on D2, D4 or D5, D8, D12, D15, D19 of C1, C4
Safety Issue:
Description:
Measure:Terminal Elimination Half-life (t1/2) of Emactuzumab
Time Frame:predose (-4 h) and 0.5h post end of infusion (90 minutes infusion) on D1 of C1, C4 (Cycle Length=21 days); 5h postdose on D1 of C1; postdose on D2, D4 or D5, D8, D12, D15, D19 of C1, C4
Safety Issue:
Description:
Measure:Emactuzumab Concentration at the time of Tumor Progression (Cprog)
Time Frame:predose (-4 h) on Day 1 of Cycle 1 up to approximately 3 years (detailed timeframe provided in measure description)
Safety Issue:
Description:predose (-4 h) and 0.5h post end of infusion (90 minutes infusion) on D1 of C1, C2, C3, C4, C5, C6, all subsequent cycles (Cycle Length=21 days) until disease progression (up to approximately 3 years); 5h postdose on D1 of C1; postdose on D2, D4 or D5, D8, D15 of C1, C2, C4; D12, D19 of C1, C4; 44 and 120 days post last infusion; 28 day follow-up visit (up to approximately 3 years)
Measure:Emactuzumab Concentration at the Time of Tumor Response (Complete Response/Partial Response)
Time Frame:predose (-4 h) on Day 1 of Cycle 1 up to approximately 3 years (detailed timeframe provided in measure description)
Safety Issue:
Description:predose (-4 h) and 0.5h post end of infusion (90 minutes infusion) on D1 of C1, C2, C3, C4, C5, C6, all subsequent cycles (Cycle Length=21 days) until disease progression (up to approximately 3 years); 5h postdose on D1 of C1; postdose on D2, D4 or D5, D8, D15 of C1, C2, C4; D12, D19 of C1, C4; 44 and 120 days post last infusion; 28 day follow-up visit (up to approximately 3 years)
Measure:Emactuzumab Concentration at the Time of Infusion-related Reaction (IRR) or Hypersensitivity Reaction
Time Frame:predose (-4 h) on Day 1 of Cycle 1 up to approximately 3 years (detailed timeframe provided in measure description)
Safety Issue:
Description:predose (-4 h) and 0.5h post end of infusion (90 minutes infusion) on D1 of C1, C2, C3, C4, C5, C6, all subsequent cycles (Cycle Length=21 days) until disease progression (up to approximately 3 years); 5h postdose on D1 of C1; postdose on D2, D4 or D5, D8, D15 of C1, C2, C4; D12, D19 of C1, C4; 44 and 120 days post last infusion; 28 day follow-up visit (up to approximately 3 years)
Measure:Change From Baseline in Tumor-Associated Macrophages (TAMs) Levels in Paired-Tumor Biopsies at Specified Timepoints
Time Frame:Baseline (predose [-4 h] on D1 of C2; Cycle Length=21 days), at disease progression (up to approximately 3 years)
Safety Issue:
Description:
Measure:Change From Baseline in Dermal Macrophages Levels in Paired Skin Biopsies at Specified Timepoints
Time Frame:Baseline, D15 of C1 (Cycle Length=21 days)
Safety Issue:
Description:
Measure:Change From Baseline in Circulating Cluster of Differentiation (CD) 14DimCD16high Monocytes Levels in Peripheral Blood at Specified Timepoints
Time Frame:Baseline up to approximately 3 years (detailed timeframe provided in measure description)
Safety Issue:
Description:Baseline (predose [-4 h] on D1 of C1), predose [-4 h] on D1 of C2, C3, C5, then every other cycle (Cycle Length=21 days) until disease progression (up to approximately 3 years); postdose on D2, D8, D15 of C1, C2; D4 or D5 of C1; 44 days post last infusion (up to approximately 3 years)
Measure:Percentage of Participants With Anti-therapeutic Antibodies to Emactuzumab
Time Frame:predose (-4 h) on D1 of C1, C2, C3, C4, C6, all subsequent cycles (Cycle Length=21 days) until disease progression (up to approximately 3 years), 44 and 120 days post last infusion, 28 day follow-up visit (up to approximately 3 years)
Safety Issue:
Description:
Measure:Percentage of Participants With Anti-therapeutic Antibodies to Atezolizumab
Time Frame:predose (-4 h) on D1 of C1, C2, C3, C4, C6, then every 8 cycles (Cycle Length=21 days; up to approximately 3 years), 120 days post last infusion (up to approximately 3 years)
Safety Issue:
Description:
Measure:Percentage of Participants With Best Overall Response as Determined Using Response Evaluation Criteria in Solid Tumors (RECIST) v1.1
Time Frame:Baseline up to disease progression or death, whichever occurs first (assessed up to approximately 3 years)
Safety Issue:
Description:
Measure:Percentage of Participants With Best Overall Response as Determined Using Modified RECIST
Time Frame:Baseline up to disease progression or death, whichever occurs first (assessed up to approximately 3 years)
Safety Issue:
Description:
Measure:Percentage of Participants With Objective Response as Determined Using RECIST v1.1
Time Frame:Baseline up to disease progression or death, whichever occurs first (assessed up to approximately 3 years)
Safety Issue:
Description:
Measure:Percentage of Participants With Objective Response as Determined Using Modified RECIST
Time Frame:Baseline up to disease progression or death, whichever occurs first (assessed up to approximately 3 years)
Safety Issue:
Description:

Details

Phase:Phase 1
Primary Purpose:Interventional
Overall Status:Completed
Lead Sponsor:Hoffmann-La Roche

Last Updated

August 27, 2020