Description:
The purpose of this study of MCS110 with PDR001 was to characterize the safety, tolerability,
pharmacokinetics (PK), pharmacodynamics (PD), and antitumor activity of the combination of
MCS110 with PDR001 in adult patients with solid tumors.
Title
- Brief Title: Phase Ib/II Study of MCS110 in Combination With PDR001 in Patients With Advanced Malignancies
- Official Title: A Phase Ib/II, Open Label, Multicenter Study of MCS110 in Combination With PDR001 in Patients With Advanced Malignancies
Clinical Trial IDs
- ORG STUDY ID:
CMCS110Z2102
- SECONDARY ID:
2016-000210-29
- NCT ID:
NCT02807844
Conditions
- Triple Negative Breast Cancer
- Pancreatic Carcinoma
- Melanoma
- Endometrial Carcinoma
Interventions
Drug | Synonyms | Arms |
---|
MCS110 | colony-stimulating factor-1 [CSF-1]) | Ph II: MCS110 7.5 mg/kg Q3W + PDR001 300 mg Q3W - EC |
PDR001 | | Ph II: MCS110 7.5 mg/kg Q3W + PDR001 300 mg Q3W - EC |
Purpose
The purpose of this study of MCS110 with PDR001 was to characterize the safety, tolerability,
pharmacokinetics (PK), pharmacodynamics (PD), and antitumor activity of the combination of
MCS110 with PDR001 in adult patients with solid tumors.
Detailed Description
Combined treatment with MCS110 and PDR001 was expected to result in Tumor-associated
macrophages (TAM) depletion, enhanced T-cell activation and synergistic antitumor activity in
the clinical setting.
This study was a Phase Ib/II, multi-center, open label study starting with a Phase Ib dose
escalation part followed by a Phase II part. MCS110 and PDR001 were administered i.v. Q3W
until the patient experienced unacceptable toxicity, progressive disease as per irRC and/or
treatment was discontinued at the discretion of the investigator or the patient. Patients
were not to discontinue treatment based on progressive disease per Response evaluation
criteria in solid tumors (RECIST) v1.1. During the Phase Ib part of the study, cohorts of
patients were treated with increasing doses of MCS110 and PDR001 every 3 weeks until a
Recommended Phase 2 Dose (RP2D) was determined for this treatment combination.
To assure that the combination RP2D did not exceed the Maximum tolerated dose (MTD), the
combination MCS110 and PDR001 dose escalation was guided by a Bayesian logistic regression
model (BLRM) with overdose control (EWOC) principle based on dose limiting toxicity data in
the context of available safety, Pharmacokinetics (PK) and Pharmacodynamics (PD) information.
Once the MTD and/or RP2D was declared, additional patients were enrolled in the Phase II part
in order to assess the preliminary anti-tumor activity of MCS110 in combination with PDR001
in anti-PD1/PD-L1-naive triple negative breast cancer (TNBC), pancreatic (PC), endometrial
carcinoma (EC) and anti PD1/PD-L1-resistance melanoma (ME).
Trial Arms
Name | Type | Description | Interventions |
---|
Ph Ib: MCS110 1 mg/kg Q3W + PDR001 100 mg Q3W | Experimental | Phase Ib: MCS110 1 mg/kg every 3 weeks (Q3W) + PDR001 100 mg Q3W | |
Ph Ib: MCS110 3 mg/kg Q3W + PDR001 100 mg Q3W | Experimental | Phase Ib: MCS110 3 mg/kg Q3W + PDR001 100 mg Q3W | |
Ph Ib: MCS110 3 mg/kg Q3W + PDR001 300 mg Q3W | Experimental | Phase Ib: MCS110 3 mg/kg Q3W + PDR001 300 mg Q3W | |
Ph Ib: MCS110 5 mg/kg Q3W + PDR001 300 mg Q3W | Experimental | Phase Ib: MCS110 5 mg/kg Q3W + PDR001 300 mg Q3W | |
Ph Ib: MCS110 7.5 mg/kg Q3W + PDR001 300 mg Q3W | Experimental | Phase Ib: MCS110 7.5 mg/kg Q3W + PDR001 300 mg Q3W | |
Ph Ib: MCS110 10 mg/kg Q3W + PDR001 300 mg Q3W | Experimental | Phase Ib: MCS110 10 mg/kg Q3W + PDR001 300 mg Q3W | |
Ph II: MCS110 7.5 mg/kg Q3W + PDR001 300 mg Q3W - TNBC | Experimental | Phase II: MCS110 7.5 mg/kg Q3W + PDR001 300 mg Q3W - Triple negative breast cancer (TNBC) | |
Ph II: MCS110 7.5 mg/kg Q3W + PDR001 300 mg Q3W - PC | Experimental | Phase II: MCS110 7.5 mg/kg Q3W + PDR001 300 mg Q3W - Pancreatic cancer (PC) | |
Ph II: MCS110 7.5 mg/kg Q3W + PDR001 300 mg Q3W - EC | Experimental | Phase II: MCS110 7.5 mg/kg Q3W + PDR001 300 mg Q3W - Endometrial cancer (EC) | |
Ph II: MCS110 7.5 mg/kg Q3W + PDR001 300 mg Q3W - ME | Experimental | Phase II: MCS110 7.5 mg/kg Q3W + PDR001 300 mg Q3W - Melanoma (ME) | |
Eligibility Criteria
Main Inclusion Criteria:
- Signed informed consent prior to any procedures
- Phase Ib part: Adult patients with advanced melanoma, endometrial carcinoma,
pancreatic or TNBC, with measurable or non-measurable disease who have progressed
despite standard therapy or are intolerant of standard therapy, or for whom no
standard therapy exists.
- Phase II part: Adult patients with advanced solid tumors who have received standard
therapy (no more than 3 prior lines of treatment) or are intolerant of standard
therapy, have progressed following their last prior therapy, and fit into one of the
following groups:
- Group 1: TNBC who did not receive prior anti-PD-1/PD-L1 treatment
- Group 2: Pancreatic adenocarcinoma who did not receive prior anti-PD-1/PD-L1
treatment
- Group 3: Endometrial carcinoma who did not receive prior anti-PD-1/PD-L1
treatment
- Group 4: Melanoma who progressed on prior anti-PD-1/PD-L1 treatment.
Main Exclusion Criteria:
- Patients with the following:
- Symptomatic central nervous system (CNS) metastases or those requiring local
CNS-directed therapy.
- Abnormal liver, renal, or blood lab values.
- Impaired cardiac function or clinically significant cardiac disease.
- Active autoimmune disease or documented autoimmune disease within 3 years of
screening.
- Active infection requiring antibiotic therapy.
- Known HIV, active hepatitis B or C virus.
- Concurrent malignant disease.
- Patients who received systemic anticancer therapy, major surgery, or radiotherapy
within 2 weeks of study treatment, or live vaccines within 4 weeks of study treatment.
- Patients requiring chronic treatment with systemic steroid therapy or any
immunosuppressive therapy.
- Patients who used hematopoietic colony-stimulating growth factors within 2 weeks of
study treatment.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Phase Ib: Percentage of Participants With Adverse Events, as a Measure of Safety |
Time Frame: | From start of treatment to a maximum timeframe of 116.4 weeks for phase Ib |
Safety Issue: | |
Description: | Phase Ib: To characterize the safety and tolerability of MCS110 in combination with PDR001 in patients with advanced solid malignancies and to identify a recommended dose combination for Phase II. |
Secondary Outcome Measures
Measure: | Phase II : Overall Response Rate (ORR) - Per irRC |
Time Frame: | 4 years |
Safety Issue: | |
Description: | Phase II: Overall Response Rate (Complete response (CR) or Partial response (PR)) (with confirmation) as per investigator based on immune related Response criteria (irRC) (FAS) |
Measure: | Phase Ib: Overall Response Rate (ORR) |
Time Frame: | 4 years |
Safety Issue: | |
Description: | Phase Ib: Overall Response Rate (Complete response (CR) or Partial response (PR)), per RECIST v1.1 and per immune related Response criteria (irRC) |
Measure: | Phase II : Bayesian Inference of Overall Response Rate (ORR) - Per irRC - Mean |
Time Frame: | 4 years |
Safety Issue: | |
Description: | Phase II: Overall Response Rate (Complete response (CR) or Partial response (PR)) (with confirmation) as per investigator based on immune related Response criteria (irRC)- mean (FAS) |
Measure: | Phase 1b: Clinical Benefit Rate (CBR) |
Time Frame: | 4 years |
Safety Issue: | |
Description: | Phase 1b: Clinical Benefit Rate (Complete response (CR) or Partial response (PR) or Stable disease (SD) > 4 month)) per RECIST v1.1 and per immune related Response criteria (irRC) |
Measure: | Phase II: Clinical Benefit Rate (Complete Response (CR) or Partial Response (PR) or Stable Disease (SD) > 4 Month)) - Per irRC |
Time Frame: | 4 years |
Safety Issue: | |
Description: | Phase II: Clinical Benefit Rate (Complete response (CR) or Partial response (PR) or Stable disease (SD) > 4 month)) per immune related Response criteria (irRC) |
Measure: | Phase II: Bayesian Inference of Clinical Benefit Rate - Per irRC - Mean |
Time Frame: | 4 years |
Safety Issue: | |
Description: | Phase II: Clinical Benefit Rate (Complete response (CR) or Partial response (PR) or Stable disease (SD) > 4 month)) per investigator based on immune related Response criteria (irRC)- mean (FAS) |
Measure: | Phase 1b and Phase II: Progression Free Survival Based on Investigator Assessment as Per RECIST v1.1 and Per Immune Related Response Criteria (irRC) - Using Kaplan-Meier Method - Median |
Time Frame: | Up to year 4 |
Safety Issue: | |
Description: | Phase 1b and Phase II: Progression Free Survival. Progression is defined as a 20% increase in the sum of diameter of measurable lesions taking as reference the smallest sum of diameter recorded at or after baseline, or worsening of non-measurable lesions or the appearance of new lesions, using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) or Per Immune Related Response Criteria (irRC). Unlike RECIST 1.1, PD per irRC requires confirmation at a new assessment after at least 4 weeks - using Kaplan-Meier method - Median. |
Measure: | Phase 1b and Phase II: Overall Survival - Using Kaplan-Meier Method - Median |
Time Frame: | Up to year 4 |
Safety Issue: | |
Description: | Phase 1b and Phase II: Overall Survival - using Kaplan-Meier method - Median |
Measure: | Phase 1b and Phase II: Duration of Response (DOR) |
Time Frame: | 4 years |
Safety Issue: | |
Description: | Phase 1b and Phase II: Duration of Response (DOR) per RECIST v1.1 and per immune related Response criteria (irRC) |
Measure: | Phase 1b and Phase II: Disease Control Rate (DCR) |
Time Frame: | 4 years |
Safety Issue: | |
Description: | Phase 1b and Phase II: Disease Control Rate (Complete response (CR) or Partial response (PR) or Stable disease (SD) > 4 month)) per RECIST v1.1 and per immune related Response criteria (irRC) |
Measure: | Phase II: Percentage of Participants With Adverse Events, as a Measure of Safety |
Time Frame: | From start of treatment to a maximum timeframe of 92.4 weeks for phase II. |
Safety Issue: | |
Description: | Phase II: To further characterize the safety and tolerability of MCS110 given in combination with PDR001 |
Measure: | Phase Ib and Phase II: Immunogenicity MCS110 |
Time Frame: | 4 years |
Safety Issue: | |
Description: | Phase Ib and Phase II: Presence of anti-MCS110 antibodies |
Measure: | Phase Ib and Phase II: Immunogenicity PDR001 |
Time Frame: | 4 years |
Safety Issue: | |
Description: | Phase Ib and Phase II: Presence of anti-PDR001 antibodies |
Measure: | Phase Ib and Phase II: Pharmacokinetics of MCS110 - AUClast and AUCinf |
Time Frame: | cycle 1 (day 21) and cycle 4 (day 84) |
Safety Issue: | |
Description: | Phase Ib and Phase II: PK Parameters - AUClast, which is the AUC from time zero to the last measurable concentration sampling time (tlast) (mass × time
× volume-1); and AUCinf, which is the AUC from time zero to infinity (mass × time × volume-1) - MCS110 |
Measure: | Phase Ib and Phase II: Pharmacokinetics of PDR001 - AUClast and AUCinf |
Time Frame: | cycle 1 (day 21) and cycle 4 (day 84) |
Safety Issue: | |
Description: | Phase Ib and Phase II: Pharmacokinetics (PK) Parameters - AUClast, which is the AUC from time zero to the last measurable concentration sampling time (tlast) (mass × time
× volume-1); and AUCinf, which is the AUC from time zero to infinity (mass × time × volume-1) and AUCinf - PDR001 |
Measure: | Phase Ib and Phase II: Pharmacokinetics of MCS110 - Cmax and Clast |
Time Frame: | cycle 1 (day 21) and cycle 4 (day 84) |
Safety Issue: | |
Description: | Phase Ib and Phase II: PK Parameters - Cmax, which is the maximum (peak) observed plasma, blood, serum, or other body fluid drug concentration after single dose administration (mass × volume-1); and Clast - MCS110 |
Measure: | Phase Ib and Phase II: Pharmacokinetics of PDR001 - Cmax and Clast |
Time Frame: | cycle 1 (day 21) and cycle 4 (day 84) |
Safety Issue: | |
Description: | Phase Ib and Phase II: PK Parameters - Cmax, which is the maximum (peak) observed plasma, blood, serum, or other body fluid drug concentration after single dose administration (mass × volume-1); and Clast - PDR001 |
Measure: | Phase Ib and Phase II: Pharmacokinetics of MCS110 - Tmax |
Time Frame: | cycle 1 (day 21) and cycle 4 (day 84) |
Safety Issue: | |
Description: | Phase Ib and Phase II: PK Parameters - Tmax, which is the time to reach maximum (peak) plasma, blood, serum, or other body fluid drug concentration after single dose administration (time) - MCS110 |
Measure: | Phase Ib and Phase II: Pharmacokinetics of PDR001 - Tmax |
Time Frame: | cycle 1 (day 21) and cycle 4 (day 84) |
Safety Issue: | |
Description: | Phase Ib and Phase II: PK Parameters - Tmax, which is the time to reach maximum (peak) plasma, blood, serum, or other body fluid drug concentration after single dose administration (time) - PDR001 |
Measure: | Phase Ib and Phase II: Pharmacokinetics of MCS110 - T1/2 |
Time Frame: | cycle 1 (day 21) and cycle 4 (day 84) |
Safety Issue: | |
Description: | Phase Ib and Phase II: PK Parameters - T1/2, which is the terminal half-life associated with the terminal slope of a semi logarithmic concentration time curve (time) - MCS110 |
Measure: | Phase Ib and Phase II: Pharmacokinetics of PDR001 - T1/2 |
Time Frame: | cycle 1 (day 21) and cycle 4 (day 84) |
Safety Issue: | |
Description: | Phase Ib and Phase II: PK Parameters - T1/2, which is the terminal half-life associated with the terminal slope of a semi logarithmic concentration time curve (time) - PDR001 |
Measure: | Phase Ib and Phase II: Pharmacokinetics of MCS110 - CL |
Time Frame: | cycle 1 (day 21) and cycle 4 (day 84) |
Safety Issue: | |
Description: | Phase Ib and Phase II: PK Parameters - CL, which is the total body clearance of drug from the plasma (volume × time-1) - MCS110 |
Measure: | Phase Ib and Phase II: Pharmacokinetics of PDR001 - CL |
Time Frame: | cycle 1 (day 21) and cycle 4 (day 84) |
Safety Issue: | |
Description: | Phase Ib and Phase II: PK Parameters - CL, which is the total body clearance of drug from the plasma (volume × time-1) - PDR001 |
Measure: | Phase Ib and Phase II: Pharmacokinetics of MCS110 - Vz |
Time Frame: | cycle 1 (day 21) and cycle 4 (day 84) |
Safety Issue: | |
Description: | Phase Ib and Phase II: PK Parameters - Vz, which is the apparent volume of distribution during terminal phase (volume) - MCS110 |
Measure: | Phase Ib and Phase II: Pharmacokinetics of PDR001 - Vz |
Time Frame: | cycle 1 (day 21) and cycle 4 (day 84) |
Safety Issue: | |
Description: | Phase Ib and Phase II: PK Parameters - Vz, which is the apparent volume of distribution during terminal phase (volume) - PDR001 |
Measure: | Phase Ib and Phase II: Pharmacokinetics of MCS110 - Accumulation Ratio (AR) |
Time Frame: | cycle 4 (day 84) |
Safety Issue: | |
Description: | Phase Ib and Phase II: PK Parameters - Accumulation ratio (AR), which is the AUClast (multiple Dose)/AUClast (single dose) (for cycle 4 only) - MCS110 |
Measure: | Phase Ib and Phase II: Pharmacokinetics of PDR001 - Accumulation Ratio (AR) |
Time Frame: | cycle 4 (day 84) |
Safety Issue: | |
Description: | Phase Ib and Phase II: PK Parameters - Accumulation ratio (AR), which is the AUClast (multiple Dose)/AUClast (single dose) (for cycle 4 only) - PDR001 |
Measure: | Phase Ib and Phase II: All Collected Deaths |
Time Frame: | For ontreatment deaths: up to maximum timeframe of 116.4 weeks for phase Ib and 92.4 weeks for phase II. For total deaths: up to 3.8 years |
Safety Issue: | |
Description: | On treatment deaths are reported from the start of treatment until end of study treatment plus 30 days, up to maximum duration of 116.4 weeks for phase Ib and 92.4 weeks for phase II. Deaths post treatment survival follow up are reported after the on-treatment period, up to a maximum timeframe of 46 months (3.8 years). |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Completed |
Lead Sponsor: | Novartis Pharmaceuticals |
Trial Keywords
- Triple negative breast cancer
- Pancreatic carcinoma
- Melanoma
- Endometrial Carcinoma
- Immuno oncology
- Monoclonal antibody
- PDR001
- MCS110
- Advanced malignancies
- metasteses
- advanced cancer
- malignant
Last Updated
August 11, 2021