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Study to Evaluate the Safety, Tolerability, and Pharmacodynamics of Investigational Treatments in Combination With Standard of Care Immune Checkpoint Inhibitors in Participants With Advanced Melanoma

NCT02723006

Description:

The purpose of this study is to determine the initial safety profile and initial antitumor activity of the combination treatments (immune checkpoint inhibitors [nivolumab, ipilimumab] with investigational drugs [TAK-580, TAK-202 (plozalizumab), vedolizumab]) in the 3 arms when administered to participants with advanced melanoma.

Related Conditions:
  • Melanoma
Recruiting Status:

Terminated

Phase:

Phase 1

Trial Eligibility

Document

Title

  • Brief Title: Study to Evaluate the Safety, Tolerability, and Pharmacodynamics of Investigational Treatments in Combination With Standard of Care Immune Checkpoint Inhibitors in Participants With Advanced Melanoma
  • Official Title: An Open-Label, Phase 1b, Multi-Arm Study to Evaluate the Safety, Tolerability, and Pharmacodynamics of Investigational Treatments in Combination With Standard of Care Immune Checkpoint Inhibitors in Patients With Advanced Melanoma

Clinical Trial IDs

  • ORG STUDY ID: C28003
  • SECONDARY ID: U1111-1177-4142
  • SECONDARY ID: 2015-005554-35
  • NCT ID: NCT02723006

Conditions

  • Melanoma

Interventions

DrugSynonymsArms
TAK-580MLN2480TAK-580 + nivolumab
TAK-202MLN1202, plozalizumabTAK-202 (plozalizumab) + nivolumab
vedolizumabEntyviovedolizumab + nivolumab + ipilimumab
nivolumabOpdivoTAK-202 (plozalizumab) + nivolumab
ipilimumabYervoyvedolizumab + nivolumab + ipilimumab

Purpose

The purpose of this study is to determine the initial safety profile and initial antitumor activity of the combination treatments (immune checkpoint inhibitors [nivolumab, ipilimumab] with investigational drugs [TAK-580, TAK-202 (plozalizumab), vedolizumab]) in the 3 arms when administered to participants with advanced melanoma.

Detailed Description

      The drugs being tested in this study are called TAK-580, TAK-202 (plozalizumab), and
      vedolizumab. These investigational drugs were given along with standard of care checkpoint
      inhibitors ([nivolumab in Arms 1 and 2] or nivolumab + ipilimumab in Arm 3). This study
      looked at the safety profile of the combination treatments in each arm when administered to
      participants with metastatic melanoma.

      The study planned to enroll approximately 156 participants. Participants were assigned to one
      of the 3 treatment groups:

        -  TAK-580 + nivolumab

        -  TAK-202 (plozalizumab) + nivolumab

        -  vedolizumab + nivolumab + ipilimumab

      This study consists of 3 parts. A dose-escalation safety lead-in phase, confirmatory safety
      phase and a cohort expansion phase. This multi-center trial will be conducted in the United
      States. The overall time to participate in this study is 50 weeks. Participants may make
      multiple visits to the clinic and 30, 60, and 90 days after last dose of study drug for
      follow-up assessments.
    

Trial Arms

NameTypeDescriptionInterventions
TAK-580 + nivolumabExperimentalTAK-580 orally, once weekly along with nivolumab, intravenous, every 2 weeks.
  • TAK-580
  • nivolumab
TAK-202 (plozalizumab) + nivolumabExperimentalTAK-202 (plozalizumab) 2 milligram (mg), intravenous, once in Week 1, 3, 5, 9, and every 4 weeks thereafter with nivolumab infusion, intravenous, every 2 weeks.
  • TAK-202
  • nivolumab
vedolizumab + nivolumab + ipilimumabExperimentalVedolizumab intravenous, once in Week 1, 3, 5, and 13 along with nivolumab infusion, intravenous, once in Week 1, 4, 7, 10, and 13 and every 2 weeks thereafter, along with ipilimumab intravenous, once in Week 1, 4, 7, and 10.
  • vedolizumab
  • nivolumab
  • ipilimumab

Eligibility Criteria

        Inclusion Criteria:

          1. Is a male or female participant of 18 years or older.

          2. Has histologically confirmed, unresectable Stage III or Stage IV melanoma per the
             American Joint Committee on Cancer (AJCC) staging system.

          3. Has an eastern cooperative oncology group (ECOG) performance status of 0-1.

          4. Adequate bone marrow reserve and renal and hepatic function within 28 days before the
             first dose of study drug on the basis of the defined laboratory parameters.

          5. For TAK-580 + nivolumab and TAK-202 (plozalizumab) + nivolumab only: Had disease
             accessible for repeat nonsignificant risk biopsy (those occurring outside the brain,
             lung/mediastinum, and pancreas, or obtained with endoscopic procedures extending
             beyond the esophagus, stomach, or bowel) and willingness to undergo serial tumor
             biopsies.

          6. Additional Inclusion Requirements for TAK-580 + nivolumab

             a) BRAF V600 mutation-positive or NRAS mutation-positive disease previously untreated
             with RAF, MEK, or other inhibitors of the mitogen-activated protein kinase (MAPK)
             pathway. Participants who have progressed on these agents can still be enrolled in
             TAK-202 (plozalizumab) + nivolumab or vedolizumab + nivolumab + ipilimumab.

          7. Additional Inclusion Requirements for expansion cohorts only a) Measurable disease per
             Response Evaluation Criteria in Solid Tumors (RECIST) guidelines (Version 1.1) and at
             least 1 nonsignificant risk, non-target lesion accessible for biopsy per the
             guidelines above (for TAK-580 + nivolumab and TAK-202 (plozalizumab) + nivolumab
             only).

        Exclusion Criteria:

          1. Has active brain metastases or leptomeningeal metastases. Participants with brain
             metastases are eligible if these have been treated and there is no magnetic resonance
             imaging (MRI) evidence of progression for at least 4 weeks after treatment is complete
             and within 28 days prior to first dose of study drug administration. There must also
             be no requirement for high doses of systemic corticosteroids that could result in
             immunosuppression (greater than [>] 10 milligram per day [mg/day] prednisone
             equivalents) for at least 2 weeks prior to study drug administration.

          2. Completed a prior therapy less than (<) 2 weeks prior to first dose and for whom
             adverse events (AEs) related to prior therapy had not returned to baseline or improved
             to Grade 1.

          3. Has active, known or suspected autoimmune disease.

          4. Has a condition requiring systemic treatment with either corticosteroids or other
             immunosuppressive medications within 14 days of study drug administration.

          5. Has a history of pneumonitis requiring treatment with steroids; history of idiopathic
             pulmonary fibrosis (including pneumonitis), interstitial lung disease, drug-induced
             pneumonitis, organizing pneumonia, or evidence of active pneumonitis on screening
             chest computed tomography (CT) scan; history of radiation pneumonitis in the radiation
             field (fibrosis) is permitted.

          6. Is previously diagnosed human immunodeficiency virus (HIV) infection or active
             hepatitis B or C.

          7. Additional Exclusion Requirements for arm 1 only (nivolumab Plus TAK-580)

               1. Concomitant use or administration of clinically significant enzyme inducers less
                  than or equal to (<=) 14 days before the first dose of TAK-580.

               2. Treatment with gemfibrozil (or other strong CYP2C8 inhibitor) within 14 days
                  before the first dose of TAK-580.

               3. Left ventricular ejection fraction (LVEF) <50 percent (%) as measured by
                  echocardiogram (ECHO) or multiple gated acquisition scan (MUGA) within 4 weeks
                  before receiving the first dose of study drug.

               4. Known gastrointestinal (GI) disease or prior GI procedure that could interfere
                  with the oral absorption or tolerance of the TAK-580.

          8. Additional Exclusion Requirements for arm 3 only (vedolizumab Plus nivolumab Plus
             ipilimumab)

               1. Had prior exposure to rituximab, natalizumab, vedolizumab, or alemtuzumab.

               2. Has a history of any major neurological disorders, including stroke, multiple
                  sclerosis, or neurodegenerative disease.

               3. Has taken any live vaccinations within 30 days before study drug administration
                  except for the influenza vaccine.
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Number of Dose Limiting Toxicities (DLTs) During the Dose-escalation Safety Lead-in Phase
Time Frame:TAK-580 + Nivolumab and TAK-202 + Nivolumab: Baseline up to Week 9; Vedolizumab + Nivolumab + Ipilimumab: Baseline up to Week 7
Safety Issue:
Description:DLTs was evaluated according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 4.03.

Secondary Outcome Measures

Measure:Overall Response Rate (ORR) During the Dose-escalation Safety Lead-in Phase
Time Frame:Baseline up to Week 50
Safety Issue:
Description:ORR based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. was the percentage of participants with complete response (CR) or partial response (PR). CR: was disappearance of all target lesions. Any pathological lymph nodes (target or non-target) had to be reduced in short axis to less than (<) 10 millimeter (mm). PR: was at least a 30 percent (%) decrease in sum of diameter (SOD) of target lesions, taking as reference the baseline SOD.
Measure:Duration of Response (DOR) During the Dose-escalation Safety Lead-in Phase
Time Frame:From date of first documented confirmed CR/PR until date of first documentation of PD or death (up to Week 50)
Safety Issue:
Description:DOR based on RECIST version 1.1 was the time from the date of first documented confirmed CR/PR until the first documentation of confirmed progressive disease (PD) or death, whichever occurred first. CR: was disappearance of all target lesions. Any pathological lymph nodes (target or non-target) had to be reduced in short axis to <10 mm. PR: at least 30% decrease in SOD of target lesions, taking as reference the baseline SOD persistence of one or more non- target lesions and/or maintenance of tumor marker level above the normal limits. PD: at least 20% increase (including an absolute increase of at least 5 mm) in the SOD of target lesions, taking as reference the smallest sum and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions.
Measure:Progression-free Survival (PFS) During the Dose-escalation Safety Lead-in Phase
Time Frame:From first dose date to the date of the first documentation of confirmed PD or death (up to Week 50)
Safety Issue:
Description:PFS was the time from first dose date to date of the first documentation of confirmed PD or death, whichever occurred first. PD: at least 20% increase (including an absolute increase of at least 5 mm) in the SOD of target lesions.
Measure:Overall Survival (OS) During the Dose-escalation Safety Lead-in Phase
Time Frame:From first dose of study drug until date of death from any cause (up to Week 50)
Safety Issue:
Description:OS was the time from date of first dose of study drug until date of death from any cause.
Measure:Number of Participants Reporting Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Time Frame:From the first dose of study drug up to 30 days after the last dose of study drug (up to Week 50)
Safety Issue:
Description:

Details

Phase:Phase 1
Primary Purpose:Interventional
Overall Status:Terminated
Lead Sponsor:Millennium Pharmaceuticals, Inc.

Trial Keywords

  • Drug Therapy

Last Updated

April 1, 2021