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.
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
Interventions
Drug | Synonyms | Arms |
---|
BAY 94-9343 | | BAY 94-9343 + Pemetrexed + Cisplatin |
Pemetrexed | | BAY 94-9343 + Pemetrexed + Cisplatin |
Cisplatin | | BAY 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
Name | Type | Description | Interventions |
---|
BAY 94-9343 + Pemetrexed + Cisplatin | Experimental | Investigating 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