Clinical Trials /

Phase Ib Study of Anetumab Ravtansine in Combination With Pemetrexed and Cisplatin in Mesothelin-expressing Solid Tumors

NCT02639091

Description:

Determine the safety, tolerability and maximum tolerated dose of anetumab ravtansine (BAY 94-9343) in combination with pemetrexed 500 mg/m2 and cisplatin 75 mg/m2 in subjects with mesothelin-expressing predominantly epithelial mesothelioma or nonsquamous non-small-cell lung cancer.

Related Conditions:
  • Mesothelioma
  • Non-Small Cell Lung Carcinoma
Recruiting Status:

Completed

Phase:

Phase 1

Trial Eligibility

Document

Title

  • Brief Title: Phase Ib Study of Anetumab Ravtansine in Combination With Pemetrexed and Cisplatin in Mesothelin-expressing Solid Tumors
  • Official Title: An Open Label Phase Ib Dose Escalation Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Immunogenicity and Maximum Tolerated Dose of Anetumab Ravtansine in Combination With Pemetrexed 500 mg/m2 and Cisplatin 75 mg/m2 in Subjects With Mesothelin-expressing Predominantly Epithelial Mesothelioma or Nonsquamous Non-small-cell Lung Cancer

Clinical Trial IDs

  • ORG STUDY ID: 17631
  • SECONDARY ID: 2016-003988-18
  • NCT ID: NCT02639091

Conditions

  • Medical Oncology

Interventions

DrugSynonymsArms
BAY 94-9343BAY 94-9343 + Pemetrexed + Cisplatin
PemetrexedBAY 94-9343 + Pemetrexed + Cisplatin
CisplatinBAY 94-9343 + Pemetrexed + Cisplatin

Purpose

Determine the safety, tolerability and maximum tolerated dose of anetumab ravtansine (BAY 94-9343) in combination with pemetrexed 500 mg/m2 and cisplatin 75 mg/m2 in subjects with mesothelin-expressing predominantly epithelial mesothelioma or nonsquamous non-small-cell lung cancer.

Trial Arms

NameTypeDescriptionInterventions
BAY 94-9343 + Pemetrexed + CisplatinExperimentalInvestigating the combination of anetumab ravtansine (BAY 94-9343) with Pemetrexed (500 mg/m2) and Cisplatin (75 mg/m2) in Part 1 (dose escalation cohorts) and Part 2 (two MTD expansion cohorts)
  • BAY 94-9343
  • Pemetrexed
  • Cisplatin

Eligibility Criteria

        Inclusion Criteria:

          -  Subjects may be male or female, and must be aged =/>18 years on the date of signing
             the informed consent form.

          -  Subjects must have histologically confirmed, unresectable, locally advanced or
             metastatic pleural or peritoneal predominantly (>50% of tumor component) epithelial
             mesothelioma or nonsquamous non-small-cell lung cancer (NSCLC). Both
             chemotherapy-naive and previously treated subjects will be eligible; however, newly
             diagnosed NSCLC subjects eligible for FDA-approved therapies should have received the
             same before enrollment (e.g. subjects with epidermal growth factor receptor
             [EGFR]-mutated and anaplastic lymphoma kinase [ALK]-translocated NSCLC should have
             received FDA-approved targeted therapies).

          -  Subjects must have at least 1 measurable or evaluable tumor lesion according to RECIST
             1.1 (for nonsquamous NSCLC) or mRECIST (for epithelial pleural mesothelioma). Subjects
             with resected primary tumors who have documented metastases are eligible.

          -  Subjects must have a life expectancy of at least 12 weeks.

          -  Subjects must have ECOG (Eastern Cooperative Oncology Group performance Status of 0 or
             1

          -  Subjects must have adequate bone marrow, liver, kidney, and coagulation functions.

        Exclusion Criteria:

          -  Subjects who have a previous or concurrent cancer that is distinct in primary site or
             histology from the cancer being evaluated in this study, or any previous cancer
             curatively treated >3 years before the start of study Treatment.

          -  Subjects who have a history or current evidence of bleeding disorder, i.e. any
             hemorrhage / bleeding event of CTCAE (Common Terminology Criteria for Adverse Events)
             Grade ≥2 within 4 weeks before the start of study Treatment.

          -  Subjects who have new or progressive brain or meningeal or spinal metastases.

          -  Subjects who have a history or current evidence of uncontrolled cardiovascular disease
             i.e. NYHA (New York Heart Association) Class III or IV.

          -  Subjects who have a history or current evidence of uncontrolled hypertension defined
             as systolic blood pressure ≥160 mmHg or diastolic blood pressure ≥100 mmHg at
             screening despite optimal medical management.

          -  Subjects who have a history or current evidence of malignant biliary obstruction
             requiring biliary stent.

          -  Subjects who have had solid organ or bone marrow Transplantation.

          -  Subjects who have a history of hypersensitivity to any of the study drugs or their
             excipients, or a history of severe hypersensitivity to any other Antigen.

          -  Subjects who have a history of human immunodeficiency virus (HIV) infection or
             subjects who have an active hepatitis B virus (HBV) or hepatitis C virus (HCV)
             infection requiring treatment.

          -  Subjects who have an active clinically serious infection of CTCAE Grade ≥2 or
             non-healing wound unrelated to the primary Tumor.

          -  Subjects who have received systemic cancer therapy, radiotherapy, investigational drug
             treatment outside of this study within 4 weeks before the start of study treatment,
             granulocyte colony stimulating factors, (G-CSF) or granulocyte macrophage-stimulating
             factors (GM-CSF), erythropoietin-stimulating agents within 3 weeks before the start of
             general screening, drugs with known renal toxicity and strong cytochrome P450 3A4
             (CYP3A4) inhibitors or strong CYP3A4 inducers within 2 weeks before the treatment.

          -  Subjects who have started oral or parenteral anticoagulation therapy within 2 weeks
             before the start of anetumab ravtansine until end of treatment visit.
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Maximum tolerated dose (MTD)
Time Frame:Up to 2 years
Safety Issue:
Description:MTD is defined as the highest dose of oral anetumab ravtansine (BAY 94-9343) administered in combination with IV pemetrexed and cisplatin that can be given such that not more than 1 of 6 subjects at a given dose level experience a DLT (dose-limiting toxicity).

Secondary Outcome Measures

Measure:Plasma concentrations of anetumab ravtansine (BAY 94-9343), pemetrexed and cisplatin
Time Frame:- BAY 94-9343: C1D1,D2,D3,D8,D15, C2D1, C3D1,D2,D3,D8,D15, C4D1, C6D1 and subsequent cycles every 3rd cycle up to 2 years or until discontinuation of study treatment, whichever comes first - Pemetrexed: C1D1, D2, D3 - Cisplatin: C1D1, D2, D3
Safety Issue:
Description:C (treatment cycle), D (day); Each cycle is defined as a period of 21 days
Measure:Tumor response evaluation following mRECIST criteria to determine the number of patients with CR, PR, SD or PD
Time Frame:Baseline, every 8 weeks up to cycle 12; then every 12 weeks from cycle 13 up to 2 years, or until discontinuation of study treatment, whichever comes first
Safety Issue:
Description:CR (complete response); PR (partial response); SD (stable disease); PD (progressive disease); Each cycle is defined as a period of 21 days
Measure:Number of patients with a positive titer of anti-drug antibodies
Time Frame:Day1 of C1, C3, C6 and subsequent cycles every 3rd cycle up to 2 years or until discontinuation of study treatment, whichever comes first
Safety Issue:
Description:Each cycle is defined as a period of 21 days

Details

Phase:Phase 1
Primary Purpose:Interventional
Overall Status:Completed
Lead Sponsor:Bayer

Trial Keywords

  • Phase 1
  • Solid tumors
  • Mesothelioma
  • Lung cancer
  • Pemetrexed
  • Cisplatin

Last Updated

November 7, 2019