Clinical Trials /

Phase I/II Study of PDR001 in Patients With Advanced Malignancies

NCT02404441

Description:

The purpose of this "first-in-human" study of PDR001 is to characterize the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD) and antitumor activity of PDR001 administered i.v. as a single agent to adult patients with solid tumors. By blocking the interaction between PD-1 and its ligands, PD-L1 and PD-L2, PDR001 inhibits the PD-1 immune checkpoint, resulting in activation of an antitumor immune response by activating effector T-cells and inhibiting regulatory T-cells. This study has been designed as a phase I/II, multi-center, open-label study starting with a phase I dose escalation part followed by a phase II part. PDR001 will be administered every 2 weeks until patient experiences unacceptable toxicity, progressive disease per immune related Response Criteria (irRC) and/or treatment is discontinued at the discretion of the investigator or the patient.

Related Conditions:
  • Breast Carcinoma
  • Malignant Solid Tumor
  • Melanoma
  • Non-Small Cell Lung Carcinoma
Recruiting Status:

Completed

Phase:

Phase 1/Phase 2

Trial Eligibility

Document

Title

  • Brief Title: Phase I/II Study of PDR001 in Patients With Advanced Malignancies
  • Official Title: Open Label Multicenter Phase I/II Study of the Safety and Efficacy of PDR001 Administered to Patients With Advanced Malignancies

Clinical Trial IDs

  • ORG STUDY ID: CPDR001X2101
  • SECONDARY ID: 2014-003929-17
  • NCT ID: NCT02404441

Conditions

  • Melanoma
  • NSCLC
  • Triple Negative Breast Cancer
  • Anaplastic Thyroid Cancer
  • Other Solid Tumors

Interventions

DrugSynonymsArms
PDR001Selected tumor types

Purpose

The purpose of this "first-in-human" study of PDR001 is to characterize the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD) and antitumor activity of PDR001 administered i.v. as a single agent to adult patients with solid tumors. By blocking the interaction between PD-1 and its ligands, PD-L1 and PD-L2, PDR001 inhibits the PD-1 immune checkpoint, resulting in activation of an antitumor immune response by activating effector T-cells and inhibiting regulatory T-cells. This study has been designed as a phase I/II, multi-center, open-label study starting with a phase I dose escalation part followed by a phase II part. PDR001 will be administered every 2 weeks until patient experiences unacceptable toxicity, progressive disease per immune related Response Criteria (irRC) and/or treatment is discontinued at the discretion of the investigator or the patient.

Trial Arms

NameTypeDescriptionInterventions
patients with solid tumorsOtherPhase I Dose escalation cohorts
  • PDR001
Selected tumor typesOtherPhase II expansion: Selected tumor types: melanoma, NSCLC, triple negative breast cancer, anaplastic thyroid cancer
  • PDR001

Eligibility Criteria

        Inclusion Criteria:

          -  Written informed consent must be obtained prior to any screening procedures

          -  Phase I part: Patients with advanced/metastatic solid tumors, with measurable or
             non-measurable disease as determined by RECIST version 1.1 (refer to Appendix 1), who
             have progressed despite standard therapy or are intolerant of standard therapy, or for
             whom no standard therapy exists.

          -  Phase II part: Patients with advanced/metastatic solid tumors, with at least one
             measurable lesion as determined by RECIST version 1.1, who have progressed following
             their last prior therapy, and fit into one of the following groups:

               -  Group 1a and 1b: NSCLC:

        Patients with NSCLC must have had disease recurrence or progression during or after no more
        than one prior systemic chemotherapy regimen (platinum doublet-based) for advanced or
        metastatic disease. Prior maintenance therapy is allowed (e.g. pemetrexed, erlotinib,
        bevacizumab).

        Only patients with EGFR mutation-negative tumor are eligible (defined as negative for exon
        19 deletions and for the L858R mutation in EGFR at a minimum; however, if more extensive
        EGFR mutation testing has been performed, the tumor must not harbor any known activating
        EGFR mutations in Exons 18-21 in order to be considered EGFR mutation-negative). All
        patients must be tested for EGFR mutational status and, for ALK translocation status if no
        mutation is detected in EGFR. Patients with ALK translocation-positive NSCLC must have had
        disease progression following treatment with a corresponding inhibitor and no more than one
        systemic chemotherapy regimen (platinum doublet-based), in any sequence.

          -  Group 2: Melanoma:

        All patients must have been tested for BRAF mutations. Patients with V600 mutation positive
        melanoma must have clinical or radiological evidence of disease progression during or after
        treatment with a BRAF inhibitor alone or in combination with other agents.

          -  Group 3: Triple negatice breast cancer.

          -  Group 4: Anaplastic thyroid cancer

          -  Patients are not required to have received or progressed on a prior therapy.

          -  Patients must not be at short term risk for life threatening complications (such as
             airway compromise or bleeding from locoregional or metastatic disease,).

          -  Chemoradiation and/or surgery should be considered prior to study entry for those
             patients with locally advanced disease if those therapies are considered to be in the
             best interest of the patient.

               -  ECOG Performance Status ≤ 1.

               -  Patients must have a site of disease amenable to biopsy, and be a candidate for
                  tumor biopsy. Patient must be willing to undergo a new tumor biopsy at baseline
                  or at molecular pre-screening if applicable, and during therapy on this study.
                  For patients in the phase II part of the study, exceptions may be granted after
                  documented discussion with Novartis. After a sufficient number of paired biopsies
                  are collected, the decision may be taken to stop the collection of biopsies.

        Exclusion Criteria:

          -  History of severe hypersensitivity reactions to other mAbs

          -  Subjects with active, known or suspected autoimmune disease. Subjects with vitiligo,
             type I diabetes mellitus, residual hypothyroidism due to autoimmune condition only
             requiring hormone replacement, psoriasis not requiring systemic treatment, or
             conditions not expected to recur in the absence of an external trigger are permitted
             to enroll.

          -  Active infection requiring systemic antibiotic therapy.

          -  HIV infection.

          -  Active HBV or HCV infection.

          -  Patients with ocular melanoma.

          -  Systemic anti-cancer therapy within 2 weeks of the first dose of study treatment. For
             cytotoxic agents that have major delayed toxicity, e.g. mitomycin C and nitrosoureas,
             4 weeks washout period. For patients receiving anticancer immunotherapies such as
             CTLA-4 antagonists, 6 weeks is indicated as the washout period.

          -  Prior PD-1- or PD-L1-directed therapy.

          -  Patients requiring chronic treatment with systemic steroid therapy, other than
             replacement-dose steroids in the setting of adrenal insufficiency. Topical, inhaled,
             nasal and ophthalmic steroids are not prohibited.

          -  Patients receiving systemic treatment with any immunosuppressive medication (other
             than steroids as described above).

          -  Use of any vaccines against infectious diseases (e.g. influenza, varicella,
             pneumococcus) within 4 weeks of initiation of study treatment.

          -  Presence of ≥ CTCAE grade 2 toxicity (except alopecia, peripheral neuropathy and
             ototoxicity, which are excluded if ≥ CTCAE grade 3) due to prior cancer therapy

        Other protocol defined Inclusion/Exclusion may apply.
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Part l: The exposure (AUC(0-336h)) after first dose of treatment
Time Frame:8 months
Safety Issue:
Description:To estimate the recommended phase 2 dose (RP2D) and/or the maximum tolerated dose (MTD) for PDR001

Secondary Outcome Measures

Measure:Presence and/or concentration of anti-PDR001
Time Frame:42 months
Safety Issue:
Description:To assess emergence of anti-PDR001 antibodies following one or more intravenous (i.v.) infusions of PDR001. Each cycle = 28 days; End of treatment = expected to be in average 1 year after the start of study treatment
Measure:Overall Response Rate (ORR) - Phase l only
Time Frame:27 months
Safety Issue:
Description:Preliminary antitumor activity of PDR001
Measure:Progression Free Survival (PFS) - Phase l/ll
Time Frame:61 months
Safety Issue:
Description:Preliminary antitumor activity of PDR001
Measure:Duration of Response (DOR) - Phase l/ll
Time Frame:61 months
Safety Issue:
Description:Preliminary antitumor activity of PDR001
Measure:Disease Control Rate (DCR) - Phase l/ll
Time Frame:61 months
Safety Issue:
Description:Preliminary antitumor activity of PDR001
Measure:Overall Response Rate (ORR) per immune related Response Criteria - Phase ll only
Time Frame:61 months
Safety Issue:
Description:Preliminary antitumor activity of PDR001
Measure:Serum pharmacokinetic (PK) parameter AUCs
Time Frame:37 months
Safety Issue:
Description:Characterize the pharmacokinetic (PK) profile of PDR001
Measure:Serum Pharmacokinetic (PK) parameter Cmax
Time Frame:37 months
Safety Issue:
Description:Characterize the pharmacokinetic (PK) profile of PDR001
Measure:Serum Pharmacokinetic (PK) parameter Tmax
Time Frame:37 months
Safety Issue:
Description:Characterize the pharmacokinetic (PK) profile of PDR001

Details

Phase:Phase 1/Phase 2
Primary Purpose:Interventional
Overall Status:Completed
Lead Sponsor:Novartis Pharmaceuticals

Trial Keywords

  • Phase I/II, PDR001, Checkpoint inhibitor, PD-1, PD-L1

Last Updated

March 11, 2021