Clinical Trials /

Phase Ib/II Study of MCS110 in Combination With PDR001 in Patients With Advanced Malignancies

NCT02807844

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.

Related Conditions:
  • Breast Carcinoma
  • Endometrial Carcinoma
  • Melanoma
  • Pancreatic Adenocarcinoma
Recruiting Status:

Completed

Phase:

Phase 1/Phase 2

Trial Eligibility

Document

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

DrugSynonymsArms
MCS110colony-stimulating factor-1 [CSF-1])Ph II: MCS110 7.5 mg/kg Q3W + PDR001 300 mg Q3W - EC
PDR001Ph 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

NameTypeDescriptionInterventions
Ph Ib: MCS110 1 mg/kg Q3W + PDR001 100 mg Q3WExperimentalPhase Ib: MCS110 1 mg/kg every 3 weeks (Q3W) + PDR001 100 mg Q3W
  • MCS110
  • PDR001
Ph Ib: MCS110 3 mg/kg Q3W + PDR001 100 mg Q3WExperimentalPhase Ib: MCS110 3 mg/kg Q3W + PDR001 100 mg Q3W
  • MCS110
  • PDR001
Ph Ib: MCS110 3 mg/kg Q3W + PDR001 300 mg Q3WExperimentalPhase Ib: MCS110 3 mg/kg Q3W + PDR001 300 mg Q3W
  • MCS110
  • PDR001
Ph Ib: MCS110 5 mg/kg Q3W + PDR001 300 mg Q3WExperimentalPhase Ib: MCS110 5 mg/kg Q3W + PDR001 300 mg Q3W
  • MCS110
  • PDR001
Ph Ib: MCS110 7.5 mg/kg Q3W + PDR001 300 mg Q3WExperimentalPhase Ib: MCS110 7.5 mg/kg Q3W + PDR001 300 mg Q3W
  • MCS110
  • PDR001
Ph Ib: MCS110 10 mg/kg Q3W + PDR001 300 mg Q3WExperimentalPhase Ib: MCS110 10 mg/kg Q3W + PDR001 300 mg Q3W
  • MCS110
  • PDR001
Ph II: MCS110 7.5 mg/kg Q3W + PDR001 300 mg Q3W - TNBCExperimentalPhase II: MCS110 7.5 mg/kg Q3W + PDR001 300 mg Q3W - Triple negative breast cancer (TNBC)
  • MCS110
  • PDR001
Ph II: MCS110 7.5 mg/kg Q3W + PDR001 300 mg Q3W - PCExperimentalPhase II: MCS110 7.5 mg/kg Q3W + PDR001 300 mg Q3W - Pancreatic cancer (PC)
  • MCS110
  • PDR001
Ph II: MCS110 7.5 mg/kg Q3W + PDR001 300 mg Q3W - ECExperimentalPhase II: MCS110 7.5 mg/kg Q3W + PDR001 300 mg Q3W - Endometrial cancer (EC)
  • MCS110
  • PDR001
Ph II: MCS110 7.5 mg/kg Q3W + PDR001 300 mg Q3W - MEExperimentalPhase II: MCS110 7.5 mg/kg Q3W + PDR001 300 mg Q3W - Melanoma (ME)
  • MCS110
  • PDR001

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