Clinical Trials /

Combination Margetuximab and Pembrolizumab for Advanced, Metastatic HER2(+) Gastric or Gastroesophageal Junction Cancer

NCT02689284

Description:

This main purpose of this clinical study is to learn about the safety and activity of margetuximab and pembrolizumab combination treatment in patients with HER2+ gastric and gastroesophageal junction cancer.

Related Conditions:
  • Adenocarcinoma of the Gastroesophageal Junction
  • Gastric Adenocarcinoma
Recruiting Status:

Completed

Phase:

Phase 1/Phase 2

Trial Eligibility

Document

Title

  • Brief Title: Combination Margetuximab and Pembrolizumab for Advanced, Metastatic HER2(+) Gastric or Gastroesophageal Junction Cancer
  • Official Title: A Phase 1b/2, Open Label, Dose Escalation Study of Margetuximab in Combination With Pembrolizumab in Patients With Relapsed/Refractory Advanced HER2+ Gastroesophageal Junction or Gastric Cancer

Clinical Trial IDs

  • ORG STUDY ID: CP-MGAH22-05
  • NCT ID: NCT02689284

Conditions

  • Gastric Cancer
  • Stomach Cancer
  • Esophageal Cancer

Interventions

DrugSynonymsArms
Margetuximab plus pembrolizumabKeytrudaMargetuximab plus pembrolizumab

Purpose

This main purpose of this clinical study is to learn about the safety and activity of margetuximab and pembrolizumab combination treatment in patients with HER2+ gastric and gastroesophageal junction cancer.

Detailed Description

      Detailed Description: Both margetuximab and pembrolizumab are monoclonal antibodies used in
      combination to treat HER2+ gastric and gastroesophageal junction cancer. This study has two
      parts: Dose Escalation and Dose Expansion. The Dose Escalation phase of the study will
      evaluate safety of escalating doses of the combination treatment. The Dose Expansion phase
      will evaluate safety and activity of the combination in patients with gastric or
      gastroesophageal cancer once the final dose and schedule are defined. In addition, a cohort
      of patients with HER2+ 3+ gastric cancer patients will be enrolled in the Dose Expansion
      Phase.
    

Trial Arms

NameTypeDescriptionInterventions
Margetuximab plus pembrolizumabExperimentalmargetuximab administered in combination with pembrolizumab
  • Margetuximab plus pembrolizumab

Eligibility Criteria

        Inclusion Criteria:

          1. Signed written informed consent.

          2. Age ≥ 18 years old (or minimum age based upon local regulations)

          3. Unresectable locally advanced or metastatic histologically proven HER2+
             gastroesophageal junction (GEJ) or gastric cancer. Gastric Cancer Expansion Phase will
             include only gastric cancer patients with 3+ HER2 positivity.

          4. HER2+ as 3+ (as defined in AJCC staging manual 8th edition) by IHC or in-situ
             hybridation (ISH) amplified.

          5. Have received prior treatment with trastuzumab.

          6. Have received treatment with at least one or more lines of cytotoxic chemotherapy in
             the metastatic setting.

          7. Resolution of chemotherapy, immunotherapy or radiation-related toxicities.

          8. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.

          9. Life expectancy ≥ 12 weeks.

         10. Measurable disease as per RECIST 1.1 criteria.

        Exclusion Criteria:

          1. Patients with symptomatic central nervous system (CNS) metastases.

          2. Patients with any history of known or suspected autoimmune disease with the specific
             exceptions of vitiligo, atopic dermatitis, or psoriasis not requiring systemic
             treatment.

          3. History of prior allogeneic bone marrow, stem-cell or solid organ transplantation.

          4. Treatment with any systemic anti-neoplastic therapy, or investigational therapy within
             the 3 weeks prior to the initiation of study drug.

          5. Treatment with radiation therapy within 3 weeks prior to the initiation of study drug
             administration.

          6. Treatment with corticosteroids (≥10 mg per day prednisone or equivalent) or other
             immune suppressive drugs within the 14 days prior to the initiation of study drug
             administration.

          7. History of clinically-significant cardiovascular disease.

          8. Clinically-significant pulmonary compromise, including a requirement for supplemental
             oxygen use to maintain adequate oxygenation.

          9. History of (non-infectious) pneumonitis that required steroids or presence of active
             pneumonitis

         10. Clinically-significant gastrointestinal disorders, such as perforation,
             gastrointestinal bleeding, or diverticulitis.

         11. Evidence of active viral, bacterial, or systemic fungal infection.
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Determine the recommended expansion phase dose of margetuximab in combination with pembrolizumab
Time Frame:9 months
Safety Issue:
Description:Characterize maximum tolerated dose (MTD) or maximum administered dose (MAD) (if no MTD is defined) of margetuximab when administered in combination with pembrolizumab

Secondary Outcome Measures

Measure:Overall Survival (OS)
Time Frame:24 Months
Safety Issue:
Description:To investigate the preliminary effect of the combination treatment on OS
Measure:Progression Free Survival (PFS)
Time Frame:24 Months
Safety Issue:
Description:To investigate the preliminary effect of the combination treatment on PFS

Details

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

Trial Keywords

  • Stomach Cancer
  • Gastroesophageal Junction
  • Gastric Cancer
  • Cancer of the Stomach
  • Cancer of Stomach
  • Stomach
  • Pembrolizumab
  • Keytruda
  • HER2+
  • GEJ
  • HER2 positive
  • Metastatic
  • Margetuximab
  • Immunotherapy
  • Trastuzumab
  • Human epidermal growth factor receptor 2
  • Human epidermal growth factor receptor 2-positive
  • gastroesophageal junction cancer
  • Pembro
  • PD-L1
  • PD-1
  • PD
  • Tumor
  • Cancer
  • KEYNOTE MK3475-PN197

Last Updated

August 19, 2021