Description:
The purpose of this first-in-human study of MBG453 is to characterize the safety,
tolerability, pharmacokinetics, pharmacodynamics and anti-tumor activity of MBG453
administered i.v. as a single agent or in combination with PDR001 or decitabine in adult
patients with advanced solid tumors
Title
- Brief Title: Phase I-Ib/II Study of MBG453 as Single Agent and in Combination With PDR001 in Patients With Advanced Malignancies
- Official Title: Phase I-Ib/II Open-label Multi-center Study of the Safety and Efficacy of MBG453 as Single Agent and in Combination With PDR001 in Adult Patients With Advanced Malignancies
Clinical Trial IDs
- ORG STUDY ID:
CMBG453X2101
- SECONDARY ID:
2015-002354-12
- NCT ID:
NCT02608268
Conditions
Interventions
Drug | Synonyms | Arms |
---|
MBG453 | | Dose Expansion of MBG453 alone |
PDR001 | | Dose Expansion of MBG453 in combination with PDR001 |
Decitabine | | Safety run in for MBG453 in combination with decitabine |
Purpose
The purpose of this first-in-human study of MBG453 is to characterize the safety,
tolerability, pharmacokinetics, pharmacodynamics and anti-tumor activity of MBG453
administered i.v. as a single agent or in combination with PDR001 or decitabine in adult
patients with advanced solid tumors
Trial Arms
Name | Type | Description | Interventions |
---|
Dose escalation MBG453 alone | Experimental | | |
Dose escalation MBG453 in combination with PDR001 | Experimental | | |
Dose Ranging group | Experimental | | |
Dose Expansion of MBG453 alone | Experimental | | |
Dose Expansion of MBG453 in combination with PDR001 | Experimental | | |
Safety run in for MBG453 in combination with decitabine | Experimental | | |
Eligibility Criteria
Inclusion Criteria:
- Histologically documented advanced or metastatic solid tumors.
- Phase I-Ib part (including dose ranging part): Patients with advanced/metastatic solid
tumors, with measurable or non-measurable disease as determined by RECIST v1.1, who
have progressed despite standard therapy or are intolerant of standard therapy, or for
whom no standard therapy exists and who did not receive prior anti-PD-1/PD-L1
treatment.
- Phase II part (MBG453 single agent): Patients with advanced/metastatic solid tumors in
the indication in which at least one confirmed PR or CR was seen during the dose
escalation phase I part. Patients must have measurable disease as determined by RECIST
v1.1, have progressed despite standard therapy or be intolerant to standard therapy.
- Phase II part (MBG453 in combination PDR001): Patients with advanced/metastatic tumors
in the below selected indications, with at least one measurable lesion as determined
by RECIST v1.1, who have received standard therapy and are intolerant of standard
therapy or have progressed following their last prior therapy.:
- Melanoma (anti-PD-1/PD-L1 therapy naïve or pre-treated)
- Non small cell lung cancer (anti-PD-1/PD-L1 therapy naïve or pre-treated)
- Renal Cell Carcinoma (anti-PD-1/PD-L1 therapy naïve or pre-treated)
- 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 screening/baseline, and during therapy on the study.
- For MBG453 in combination with decitabine: anti-PD-1/PD-L1 therapy naïve SCLC patients
who have failed no more than two lines of standard chemotherapy including topotecan
Exclusion Criteria:
- Presence of symptomatic central nervous system metastases.
- History of severe hypersensitivity reactions to other monoclonal antibodies.
- Human Immunodeficiency Virus, Hepatitis B Virus or Hepatitis C Virus infection.
- Active autoimmune disease or a documented history of autoimmune disease, including
ulcerative colitis and Crohn's disease or any condition that requires systemic
steroids.
- Systemic steroid therapy or any immunosuppressive therapy (≥10mg/day prednisone or
equivalent).
- Use of any vaccines against infectious diseases (e.g. varicella, pneumococcus) within
4 weeks of initiation of study treatment.
- Pre-treatment with anti-CTLA4 antibodies in combination with any other antibody or
drug specifically targeting T-cell co-stimulation or checkpoint pathway.
- Participation in an interventional, investigational non-immunotherapy study within 2
weeks of the first dose of study treatment.
- Prior participation in an interventional, investigational cancer vaccine or
immunotherapy study except for an anti-PD-1/PD-L1 study.
- For MBG453 in combination with decitabine: Hypersensitivity to decitabine or to any of
the excipients, listed in decitabine country specific label
Other inclusion/exclusion criteria may apply.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Safety and tolerability of MBG453 alone and in combination with PDR001 or in combination with decitabine as assessed by incidence and severity of adverse events |
Time Frame: | 6.5 years |
Safety Issue: | |
Description: | |
Secondary Outcome Measures
Measure: | Best Overall Response (BOR) per RECIST v1.1 |
Time Frame: | 6.5 years |
Safety Issue: | |
Description: | |
Measure: | Maximum observed serum concentration (Cmax) of MBG453 and PDR001 derived from serum concentration versus time |
Time Frame: | 6.5 years |
Safety Issue: | |
Description: | |
Measure: | Presence and concentration of anti-MBG453 antibodies |
Time Frame: | 6.5 years |
Safety Issue: | |
Description: | |
Measure: | Expression of Programmed Death Ligand-1 (PD-L1) markers |
Time Frame: | 6.5 years |
Safety Issue: | |
Description: | |
Measure: | Tumor Infiltrating Lymphocytes (TIL) counts |
Time Frame: | 6.5 years |
Safety Issue: | |
Description: | |
Measure: | Overall survival |
Time Frame: | 6.5 years |
Safety Issue: | |
Description: | |
Measure: | Duration of Response (DOR) per RECIST v1.1 |
Time Frame: | 6.5 years |
Safety Issue: | |
Description: | |
Measure: | Progressive Free Survival (PFS) per RECIST v1.1 |
Time Frame: | 6.5 years |
Safety Issue: | |
Description: | |
Measure: | Progressive Free Survival per Immune-related Response Criteria (irRC) |
Time Frame: | 6.5 years |
Safety Issue: | |
Description: | |
Measure: | Overall Response Rate (ORR) per irRC |
Time Frame: | 6.5 years |
Safety Issue: | |
Description: | |
Measure: | Overall Response Rate (ORR) per RECIST v1.1 |
Time Frame: | 6.5 years |
Safety Issue: | |
Description: | |
Measure: | Time of maximum observed serum concentration (Tmax) of MBG453 and PDR001 derived from serum concentration versus time |
Time Frame: | 6.5 years |
Safety Issue: | |
Description: | |
Measure: | Area under the plasma concentration-time curve from time zero to infinity (AUCinf) of MBG453 and PDR001 derived from serum concentration versus time |
Time Frame: | 6.5 years |
Safety Issue: | |
Description: | |
Measure: | Area under the concentration-time in one dosing interval (AUCtau) of MBG453 and PDR001 derived from serum concentration versus time |
Time Frame: | 6.5 years |
Safety Issue: | |
Description: | |
Measure: | Area under the curve up to the last measurable concentration (AUClast) of MBG453 and PDR001 derived from serum concentration versus time |
Time Frame: | 6.5 years |
Safety Issue: | |
Description: | |
Measure: | Half-life (t1/2) of MBG453 and PDR001 derived from serum concentration versus time |
Time Frame: | 6.5 years |
Safety Issue: | |
Description: | |
Measure: | Clearance (CL) of MBG453 and PDR001 derived from serum concentration versus time |
Time Frame: | 6.5 years |
Safety Issue: | |
Description: | |
Measure: | Volume of distribution (V) of MBG453 and PDR001 derived from serum concentration versus time |
Time Frame: | 6.5 years |
Safety Issue: | |
Description: | |
Measure: | Accumulation ratio (AR) of MBG453 and PDR001 derived from serum concentration versus time |
Time Frame: | 6.5 years |
Safety Issue: | |
Description: | |
Measure: | Presence and concentration of anti-PDR001 antibodies |
Time Frame: | 6.5 years |
Safety Issue: | |
Description: | |
Measure: | Expression of immunological markers |
Time Frame: | 6.5 years |
Safety Issue: | |
Description: | |
Measure: | Expression of immune-related genes (RNA/protein) |
Time Frame: | 6.5 years |
Safety Issue: | |
Description: | |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Active, not recruiting |
Lead Sponsor: | Novartis Pharmaceuticals |
Trial Keywords
- Solid tumors
- Melanoma
- Non small cell lung cancer
- NSCLC
- Renal cell carcinoma
- RCC
- Phase I-Ib/II
- MBG453
- PDR001
- Checkpoint inhibitor
- PD-1
- TIM-3
Last Updated
July 19, 2021