Description:
This study is to characterize the safety, tolerability, pharmacokinetics (PK),
pharmacodynamics (PD) and anti-tumor activity of LAG525 as a single agent and in combination
with PDR001 to adult patients with solid tumors. The study consists of a dose escalation
phase (I) to determine the maximum tolerated dose (MTD) or recommended Phase 2 dose (RP2D)
for LAG525 as a single agent and in combination with PDR001, and a dose expansion phase (II)
which will characterize treatment of LAG525 as a single agent and in combination with PDR001
at the MTD or RP2D.
Title
- Brief Title: Safety and Efficacy of LAG525 Single Agent and in Combination With PDR001 in Patients With Advanced Malignancies.
- Official Title: A Phase I/II, Open Label, Multicenter Study of the Safety and Efficacy of LAG525 Single Agent and in Combination With PDR001 Administered to Patients With Advanced Malignancies
Clinical Trial IDs
- ORG STUDY ID:
CLAG525X2101C
- NCT ID:
NCT02460224
Conditions
Interventions
Drug | Synonyms | Arms |
---|
LAG525 | | Arm A |
PDR001 | | Arm B: combination of LAG525 and PDR001 |
Purpose
This study is to characterize the safety, tolerability, pharmacokinetics (PK),
pharmacodynamics (PD) and anti-tumor activity of LAG525 as a single agent and in combination
with PDR001 to adult patients with solid tumors. The study consists of a dose escalation
phase (I) to determine the maximum tolerated dose (MTD) or recommended Phase 2 dose (RP2D)
for LAG525 as a single agent and in combination with PDR001, and a dose expansion phase (II)
which will characterize treatment of LAG525 as a single agent and in combination with PDR001
at the MTD or RP2D.
Trial Arms
Name | Type | Description | Interventions |
---|
Arm A | Experimental | Single agent treatment arm with LAG525 | |
Arm B: combination of LAG525 and PDR001 | Experimental | Combination treatment arm with LAG525 and PDR001 | |
Arm C | Experimental | Single agent treatment arm with LAG525 in Japanese pts | |
Eligibility Criteria
Inclusion Criteria:
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 had disease progression following their
last prior therapy and fit into one of the following groups:
- Group 1: NSCLC
- Group 2: Melanoma
- Group 3: Renal cancer
- Group 4: Mesothelioma
- Group 5: TNBC
- Eastern Cooperative Oncology Group (ECOG) Performance Status ≤ 1
- Patient must have a site of disease amenable to biopsy, and be a candidate for tumor
biopsy.
Exclusion Criteria:
- History of severe hypersensitivity reactions to study treatment ingredients or other
mAbs
- Active, known or suspected autoimmune disease
- Active infection requiring systemic antibiotic therapy
- HIV infection. Active hepatitis B virus (HBV) or hepatitis C virus (HCV) infection
- Patients receiving chronic treatment with systemic steroid therapy, other than
replacement-dose corticosteroids in the setting of adrenal insufficiency
- Patients receiving systemic treatment with any immunosuppressive medication
- Use of live vaccines against infectious disease within 4 weeks of initiation of study
treatment
- Systemic anti-cancer therapy within 2 weeks of the first dose of study treatment.
- 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 drug-induced pneumonitis or current pneumonitis.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Phase I part: Incidence of dose limiting toxicities (DLTs) |
Time Frame: | 30 months |
Safety Issue: | |
Description: | A dose-limiting toxicity (DLT) is defined as an adverse event or abnormal laboratory value assessed as having a suspected relationship to study drug, and unrelated to disease, disease progression, inter-current illness, or concomitant medications that occurs within the first cycle of treatment with single agent LAG525 or within the first two cycles of treatment with the combination of LAG525 and PDR001 |
Secondary Outcome Measures
Measure: | AUC |
Time Frame: | 30 months |
Safety Issue: | |
Description: | Characterize the pharmacokinetic profile of single agent LAG525 given alone and in combination with PDR001 |
Measure: | Presence and/ or concentration of anti-LAG525 and anti-PDR001 antibodies |
Time Frame: | 30 months |
Safety Issue: | |
Description: | Assess emergence of anti-LAG525, and anti-PDR001 antibodies following one or more intravenous (i.v.) infusions of single agent LAG525 given alone or in combination with PDR001 |
Measure: | Overall response Rate (ORR) |
Time Frame: | 30 months |
Safety Issue: | |
Description: | Evaluate the preliminary antitumor activity per RECIST as well as per immune related Response Criteria (irRC) on single agent LAG525 given alone or in combination with PDR001 |
Measure: | Safety incidence of Adverse Events (AEs) |
Time Frame: | 30 months |
Safety Issue: | |
Description: | Characterize the safety of single agent LAG525 given alone and in combination with PDR001 |
Measure: | Tolerability measured by dose interruptions |
Time Frame: | 30 months |
Safety Issue: | |
Description: | Characterize the tolerability of single agent LAG525 given alone and in combination with PDR001 |
Measure: | Progression free survival (PFS) |
Time Frame: | 30 months |
Safety Issue: | |
Description: | Evaluate the preliminary antitumor activity per RECIST as well as per immune related Response Criteria (irRC) on single agent LAG525 given alone or in combination with PDR001 |
Measure: | Duration of response (DOR) |
Time Frame: | 30 months |
Safety Issue: | |
Description: | Evaluate the preliminary antitumor activity per RECIST as well as per immune related Response Criteria (irRC) on single agent LAG525 given alone or in combination with PDR001 |
Measure: | Disease control rate (DCR) |
Time Frame: | 30 months |
Safety Issue: | |
Description: | Evaluate the preliminary antitumor activity per RECIST as well as per immune related Response Criteria (irRC) on single agent LAG525 given alone or in combination of PDR001 |
Measure: | Safety measured by incidence of Serious Adverse Events (SAEs) |
Time Frame: | 30 months |
Safety Issue: | |
Description: | Characterize the safety of single agent LAG525 given alone and in combination with PDR001 |
Measure: | Cmax |
Time Frame: | 30 months |
Safety Issue: | |
Description: | Characterize the pharmacokinetic profile of single agent LAG525 given alone and in combination with PDR001 |
Measure: | Tmax |
Time Frame: | 30 months |
Safety Issue: | |
Description: | Characterize the pharmacokinetic profile of single agent LAG525 given alone and in combination with PDR001 |
Measure: | half-life |
Time Frame: | 30 months |
Safety Issue: | |
Description: | Characterize the pharmacokinetic profile of single agent LAG525 given alone and in combination with PDR001 |
Measure: | Tolerability measured by dose reductions |
Time Frame: | 30 months |
Safety Issue: | |
Description: | Characterize the tolerability of single agent LAG525 given alone and in combination with PDR001 |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Completed |
Lead Sponsor: | Novartis Pharmaceuticals |
Trial Keywords
- Non-small cell lung cancer
- Melanoma
- Renal cancer
- Mesothelioma
- Triple Negative Breast
- TNBC
- Renal
Last Updated
April 8, 2021