Description:
To characterize the safety and tolerability of NIS793 as single agent and in combination with
PDR001 and to identify recommended doses for future studies.
Title
- Brief Title: Phase I/Ib Study of NIS793 in Combination With PDR001 in Patients With Advanced Malignancies.
- Official Title: A Phase I/Ib, Open-label, Multi-center Dose Escalation Study of NIS793 in Combination With PDR001 in Adult Patients With Advanced Malignancies
Clinical Trial IDs
- ORG STUDY ID:
CNIS793X2101
- SECONDARY ID:
2016-003044-36
- NCT ID:
NCT02947165
Conditions
- Breast Cancer
- Lung Cancer
- Hepatocellular Cancer
- Colorectal Cancer
- Pancreatic Cancer
- Renal Cancer
Interventions
Drug | Synonyms | Arms |
---|
NIS793 | | NIS793 |
PDR001 | | NIS793 + PDR001 |
Purpose
To characterize the safety and tolerability of NIS793 as single agent and in combination with
PDR001 and to identify recommended doses for future studies.
Trial Arms
Name | Type | Description | Interventions |
---|
NIS793 | Experimental | | |
NIS793 + PDR001 | Experimental | | |
Eligibility Criteria
Inclusion Criteria:
1. Written informed consent must be obtained prior to any screening procedures.
2. Patient (male or female) ≥ 18 years of age.
3. Escalation: Patients with advanced/metastatic solid tumors, with measurable or
non-measurable disease as determined by RECIST version 1.1 who have progressed despite
standard therapy or are intolerant of standard therapy, or for whom no standard
therapy exists.
4. Expansion: Patients with advanced/metastatic solid tumors, with at least one
measurable lesion as determined by RECIST version 1.1, who have progressed despite
standard therapy following their last prior therapy or are intolerant to standard
therapy and fit into one of the following groups: Group 1: NSCLC resistant to
anti-PD-1/PD-L1; Group 2: TNBC; Group 3: HCC; Group 4: MSS-CRC; Group 5: pancreatic;
Group 6 ccRCC resistant to anti-PD-1/PD-L1.
Resistance to anti-PD-1/PD-L1 therapy is defined as: Documented progressive disease
occurring while on/or within 6 months after anti-PD-1 and/or anti-PD-L1 agent (single
or combination) received as the last therapy prior to enrollment.
5. ECOG Performance Status ≤ 2.
6. Patients must have a site of disease amenable to biopsy, and be a candidate for tumor
biopsy. Patient must be willing to undergo a new tumor biopsy at screening, and during
therapy on this study. Exceptions may be made on a case by case basis after documented
discussion with Novartis.
Exclusion Criteria:
1. History of severe hypersensitivity reactions to study treatment ingredients or other
monoclonal antibodies and components of study drug.
2. Patients with active, known or suspected autoimmune disease. Note: Patients with
vitiligo, type I diabetes mellitus, residual hypothyroidism only requiring hormone
replacement, psoriasis not requiring systemic treatment, or conditions not expected to
recur in the absence of an external trigger are permitted to enroll.
3. HIV infection.
4. Active HBV or HCV infection.
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: | Incidence of DLTs, AEs, SAEs and dose reductions / interruptions for NIS793 |
Time Frame: | Up to 90 days after end of treatment |
Safety Issue: | |
Description: | |
Secondary Outcome Measures
Measure: | Best overall response (BOR) |
Time Frame: | 48 months |
Safety Issue: | |
Description: | Evaluate the anti-tumor activity per RECIST as well as per immune related Response Criteria (irRC) of NIS793 as single agent and in combination with PDR001 every 2 cycles from start of treatment until cycle 9 then every 3 cycles until end of treatment (if applicable). |
Measure: | Disease control rate (DCR) |
Time Frame: | 48 months |
Safety Issue: | |
Description: | Evaluate the anti-tumor activity per RECIST as well as per immune related Response Criteria (irRC) of NIS793 as single agent and in combination with PDR001every 2 cycles from start of treatment until cycle 9 then every 3 cycles until end of treatment (if applicable). |
Measure: | Overall response rate (ORR) |
Time Frame: | 48 months |
Safety Issue: | |
Description: | Evaluate the anti-tumor activity per RECIST as well as per immune related Response Criteria (irRC) of NIS793 as single agent and in combination with PDR001 every2 cycles from start of treatment until cycle 9 then every 3 cycles until end of treatment (if applicable). |
Measure: | Progression free survival (PFS) |
Time Frame: | 48 months |
Safety Issue: | |
Description: | Evaluate the anti-tumor activity per RECIST as well as per immune related Response Criteria (irRC) of NIS793 as single agent and in combination with PDR001 every 2 cycles from start of treatment until cycle 9 then every 3 cycles until end of treatment. During disease progression f/u, every 8 weeks for 40 weeks, then every 12 weeks. |
Measure: | Duration of response (DOR) |
Time Frame: | 48 months |
Safety Issue: | |
Description: | Evaluate the anti-tumor activity per RECIST as well as per immune related Response Criteria (irRC) of NIS793 as single agent and in combination with PDR001 every 2 cycles from start of treatment until cycle 9 then every 3 cycles until end of treatment (if applicable). |
Measure: | Serum concentration-time profiles of NIS793 single agent and NIS793 in combination with PDR001 |
Time Frame: | 48 months |
Safety Issue: | |
Description: | Evaluate serum concentration of NIS793 and PDR001 up to 8 cycles after start of treatment and at end of treatment. |
Measure: | Presence of anti-NIS793 and anti-PDR001 antibodies |
Time Frame: | 48 months |
Safety Issue: | |
Description: | Assess the emergence of anti-NIS793 and anti-PDR001 antibodies up to 8 cycles after start of treatment and at end of treatment. |
Measure: | Concentration of anti-NIS793 and anti-PDR001 antibodies |
Time Frame: | 48 months |
Safety Issue: | |
Description: | Assess the concentration of anti-NIS793 and anti-PDR001 antibodies up to 8 cycles after start of treatment and at end of treatment. |
Measure: | Area under the curve (AUC) for NIS793 single agent and NIS793 in combination with PDR001. |
Time Frame: | 48 months |
Safety Issue: | |
Description: | Characterize the pharmacokinetic properties of NIS793 given alone and in combination with PDR001. |
Measure: | Cmax for NIS793 single agent and NIS793 in combination with PDR001. |
Time Frame: | 48 months |
Safety Issue: | |
Description: | Characterize the pharmacokinetic properties of NIS793 given alone and in combination with PDR001. |
Measure: | Tmax for NIS793 single agent and NIS793 in combination with PDR001. |
Time Frame: | 48 months |
Safety Issue: | |
Description: | Characterize the pharmacokinetic properties of NIS793 given alone and in combination with PDR001. |
Measure: | Half life of NIS793 as single agent and in combination with PDR001. |
Time Frame: | 48 months |
Safety Issue: | |
Description: | Characterize the pharmacokinetic properties of NIS793 given alone and in combination with PDR001. |
Measure: | Characterization of tumor infiltrating lymphocytes (TILs) by H&E |
Time Frame: | 48 months |
Safety Issue: | |
Description: | Assess change from baseline of immune infiltrates in tumor biopsies after 2 cycles of treatment. |
Measure: | Characterization of tumor infiltrating lymphocytes by immunohistochemistry using markers such as CD8 and PD-L1 |
Time Frame: | 48 months |
Safety Issue: | |
Description: | Assess change from baseline in immunological markers in tumor biopsies after 2 cycles of treatment. |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Completed |
Lead Sponsor: | Novartis Pharmaceuticals |
Last Updated
July 8, 2021