Description:
The purpose of this "first-in-human" study of FAZ053 is to characterize the safety,
tolerability, pharmacokinetics (PK), pharmacodynamics (PD) and antitumor activity of FAZ053
administered Intravenously (i.v.)as a single agent or in combination with PDR001 in adult
patients with advanced solid tumors.
By blocking the interaction between Programmed Death Ligand-1 (PD-L1) and its receptors,
Programmed Death-1 (PD-1) and B7.1, FAZ053 inhibits the PD-L1 immune checkpoint, resulting in
activation of an antitumor immune response by activating effector T-cells and inhibiting
regulatory T-cells.
This study has been designed as a Phase I, open-label, multi-center study with a dose
escalation part of FAZ053 as single agent and in combination with PDR001, followed by a dose
expansion part of FAZ053 as single agent.
FAZ053 will initially be dosed every three weeks. A less frequent dosing regimen such as
every 6 weeks may be evaluated in parallel.
A patient may continue treatment with FAZ053 single agent or in combination with PDR001 until
the patient experiences unacceptable toxicity, confirmed disease progression per immune
related Response Criteria and/or treatment is discontinued at the discretion of the
investigator or the patient.
Title
- Brief Title: A Study of FAZ053 Single Agent and in Combination With PDR001 in Patients With Advanced Malignancies.
- Official Title: A Phase I, Open-label, Multi-center Dose Escalation Study of FAZ053 as Single Agent and in Combination With PDR001 in Adult Patients With Advanced Malignancies
Clinical Trial IDs
- ORG STUDY ID:
CFAZ053X2101
- SECONDARY ID:
2016-001470-15
- NCT ID:
NCT02936102
Conditions
- Advanced Solid Tumors
- Triple Negative Breast Cancer
- Chordoma and Alveolar Soft Part Sarcoma
Interventions
Drug | Synonyms | Arms |
---|
FAZ053 | | FAZ053 + PDR001 |
PDR001 | | FAZ053 + PDR001 |
Purpose
The purpose of this "first-in-human" study of FAZ053 is to characterize the safety,
tolerability, pharmacokinetics (PK), pharmacodynamics (PD) and antitumor activity of FAZ053
administered Intravenously (i.v.)as a single agent or in combination with PDR001 in adult
patients with advanced solid tumors.
By blocking the interaction between Programmed Death Ligand-1 (PD-L1) and its receptors,
Programmed Death-1 (PD-1) and B7.1, FAZ053 inhibits the PD-L1 immune checkpoint, resulting in
activation of an antitumor immune response by activating effector T-cells and inhibiting
regulatory T-cells.
This study has been designed as a Phase I, open-label, multi-center study with a dose
escalation part of FAZ053 as single agent and in combination with PDR001, followed by a dose
expansion part of FAZ053 as single agent.
FAZ053 will initially be dosed every three weeks. A less frequent dosing regimen such as
every 6 weeks may be evaluated in parallel.
A patient may continue treatment with FAZ053 single agent or in combination with PDR001 until
the patient experiences unacceptable toxicity, confirmed disease progression per immune
related Response Criteria and/or treatment is discontinued at the discretion of the
investigator or the patient.
Trial Arms
Name | Type | Description | Interventions |
---|
FAZ053 single agent | Experimental | | |
FAZ053 + PDR001 | Experimental | | |
Eligibility Criteria
Inclusion Criteria:
- Written informed consent prior to any procedure.
- Dose escalation cohorts of FAZ053 single agent and FAZ053 in combination with PDR001:
Patients with advanced/metastatic solid tumors with measurable or non-measurable
disease as determined by Response Evaluation Criteria in Solid Tumors (RECIST) version
1.1 who may or may not have received prior treatment with an immune checkpoint
inhibitor, who have progressed despite standard therapy, or for whom no standard
therapy is available.
- Dose expansion groups of FAZ053 single agent: Patients with advanced/metastatic solid
tumors with at least one measurable lesion as determined by RECIST version 1.1 who may
or may not have received prior treatment with an immune checkpoint inhibitor (for
FAZ053 single agent no treatment with an anti-PD-L1 inhibitor is permitted), who have
progressed despite standard therapy, or for whom no standard therapy is available and
fit into one of the following groups:
- FAZ053 single agent: TNBC/ Chordoma/ ASPS
- Performance Status (PS) ≤ 2:
- Patient must have a site of disease amenable to biopsy and be a candidate for tumor
biopsy according to the treating institution's guidelines. Patient must be willing to
undergo a new tumor biopsy at screening/ baseline and during therapy on this study.
Exclusion Criteria:
- Presence of symptomatic central nervous system (CNS) metastases or CNS metastases that
require local CNS-directed therapy (e.g. radiotherapy or surgery) or increasing doses
of corticosteroids within the prior 2 weeks. Patients with treated brain metastases
should be neurologically stable (for 4 weeks post-treatment and prior to study
enrollment) and off of steroids for at least 2 weeks before administration of any
study treatment.
- History of severe hypersensitivity to study treatment excipients and additives or
other monoclonal antibodies (mAbs) and/or their excipients.
- Active, known or suspected autoimmune disease. Patients with vitiligo, residual
hypothyroidism only requiring hormone replacement, psoriasis not requiring systemic
treatment or conditions not expected to recur in the absence of an external trigger
should not be excluded. Patients previously exposed to anti-PD-1/PD-L1 treatment who
are adequately treated for skin rash or with replacement therapy for endocrinopathies
should not be excluded.
- Treatment with cytotoxic or targeted antineoplastics within 3 weeks of initiation of
study treatment. For cytotoxic agents that have major delayed toxicity a washout
period of one cycle is indicated (examples are nitrosoureas and mitomycin C which
typically require a 6 week washout). Prior antibodies or immunotherapies require a 6
week washout.
- Patients receiving systemic chronic steroid therapy or any immunosuppressive therapy
(≥ 10mg/day prednisone or equivalent). Topical, inhaled, nasal and ophthalmic steroids
are allowed.
- Active infection requiring systemic antibiotic therapy.
Other protocol-defined inclusion/exclusion criteria may apply.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Number of participants with Adverse Events (AEs) as a measure of safety and tolerability |
Time Frame: | throughout the study up to 150 days after end of treatment |
Safety Issue: | |
Description: | |
Secondary Outcome Measures
Measure: | Serum concentration-time profiles of FAZ053 as single agent and FAZ053 in combination with PDR001. |
Time Frame: | 41 months |
Safety Issue: | |
Description: | |
Measure: | Presence of anti-FAZ053 and anti-PDR001. |
Time Frame: | 41 months |
Safety Issue: | |
Description: | |
Measure: | Concentration of anti-FAZ053 and anti-PDR001. |
Time Frame: | 41 months |
Safety Issue: | |
Description: | |
Measure: | Receptor Occupancy (RO) profiles when FAZ053 is given as single agent. |
Time Frame: | 41 months |
Safety Issue: | |
Description: | |
Measure: | Total soluble/shed PD-L1 concentration-time profiles when FAZ053 is given as single agent and for FAZ053 in combination with PDR001. |
Time Frame: | 41 months |
Safety Issue: | |
Description: | |
Measure: | Histopathology of tumor infiltrating lymphocytes (TILs) by hematoxylin. |
Time Frame: | 41 months |
Safety Issue: | |
Description: | |
Measure: | Histopathology of tumor infiltrating lymphocytes (TILs) by eosin (H&E) stain. |
Time Frame: | 41 months |
Safety Issue: | |
Description: | |
Measure: | Overall response rate (ORR) per RECIST v1.1 |
Time Frame: | 41 months |
Safety Issue: | |
Description: | |
Measure: | Best overall response per RECIST v1.1 |
Time Frame: | 41 months |
Safety Issue: | |
Description: | |
Measure: | Disease control rate per RECIST 1.1 |
Time Frame: | 41 months |
Safety Issue: | |
Description: | |
Measure: | Progression free survival (PFS) per RECIST 1.1 |
Time Frame: | 41 months |
Safety Issue: | |
Description: | |
Measure: | Duration of response per RECIST 1.1 |
Time Frame: | 41 months |
Safety Issue: | |
Description: | |
Measure: | Overall response rate (ORR) per immune related Response Criteria (irRC). |
Time Frame: | 41 months |
Safety Issue: | |
Description: | |
Measure: | Progression free survival (PFS) per immune related Response Criteria (irRC). |
Time Frame: | 41 months |
Safety Issue: | |
Description: | |
Measure: | Characterization of Tumor Infiltrating Lymphocytes (TILs) by Immunohistochemistry (IHC) |
Time Frame: | 41 months |
Safety Issue: | |
Description: | |
Measure: | Characterization of myeloid cell infiltrate by IHC. |
Time Frame: | 41 months |
Safety Issue: | |
Description: | |
Measure: | Area under the curve (AUC) for FAZ053 as single agent and FAZ053 in combination with PDR001. |
Time Frame: | 41 months |
Safety Issue: | |
Description: | |
Measure: | Cmax for FAZ053 as single agent and FAZ053 in combination with PDR001. |
Time Frame: | 41 months |
Safety Issue: | |
Description: | |
Measure: | Tmax for FAZ053 as single agent and FAZ053 in combination with PDR001. |
Time Frame: | 41 months |
Safety Issue: | |
Description: | |
Measure: | Half-life for FAZ053 as single agent and FAZ053 in combination with PDR001. |
Time Frame: | 41 months |
Safety Issue: | |
Description: | |
Measure: | Clast for FAZ053 as single agent and FAZ053 in combination with PDR001. |
Time Frame: | 41 months |
Safety Issue: | |
Description: | |
Measure: | Tlast for FAZ053 as single agent and FAZ053 in combination with PDR001. |
Time Frame: | 41 months |
Safety Issue: | |
Description: | |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Active, not recruiting |
Lead Sponsor: | Novartis Pharmaceuticals |
Trial Keywords
- Phase I
- FAZ053
- PDR001
- Checkpoint inhibitor
- PD-L1
- PD-1
Last Updated
July 16, 2021