Description:
This is a Phase 2 study to evaluate the safety and efficacy of avelumab in combination with
axitinib in patients with advanced or metastatic non-small cell lung cancer (NSCLC) who have
received at least one prior platinum containing therapy, and in treatment naïve patients with
advanced or metastatic urothelial cancer, who are ineligible for cisplatin containing
chemotherapy for their advanced disease.
Title
- Brief Title: A Study of Avelumab in Combination With Axitinib In Non-Small Cell Lung Cancer (NSCLC) or Urothelial Cancer (Javelin Medley VEGF)
- Official Title: A PHASE 2, OPEN LABEL STUDY TO EVALUATE SAFETY AND CLINICAL ACTIVITY OF AVELUMAB (BAVENCIO (REGISTERED)) IN COMBINATION WITH AXITINIB (INLYTA (REGISTERED)) IN PATIENTS WITH ADVANCED OR METASTATIC PREVIOUSLY TREATED NON-SMALL CELL LUNG CANCER OR TREATMENT NAÏVE CISPLATIN-INELIGIBLE UROTHELIAL CANCER JAVELIN MEDLEY VEGF
Clinical Trial IDs
- ORG STUDY ID:
B9991027
- SECONDARY ID:
2017-004345-24
- SECONDARY ID:
AVE/ AXI COMBO UC
- SECONDARY ID:
AVE/AXI COMBO UC/NSCLC
- NCT ID:
NCT03472560
Conditions
- Non-Small Cell Lung Cancer
- Urothelial Cancer
Interventions
Drug | Synonyms | Arms |
---|
Avelumab (MSB0010718C) | Bavencio | Avelumab in combination with axitinib |
Axitinib (AG-013736) | Inlyta | Avelumab in combination with axitinib |
Purpose
This is a Phase 2 study to evaluate the safety and efficacy of avelumab in combination with
axitinib in patients with advanced or metastatic non-small cell lung cancer (NSCLC) who have
received at least one prior platinum containing therapy, and in treatment naïve patients with
advanced or metastatic urothelial cancer, who are ineligible for cisplatin containing
chemotherapy for their advanced disease.
Trial Arms
Name | Type | Description | Interventions |
---|
Avelumab in combination with axitinib | Experimental | Avelumab administered at 800 mg IV every two weeks in combination with axitinib, 5 mg PO BID. | - Avelumab (MSB0010718C)
- Axitinib (AG-013736)
|
Eligibility Criteria
Inclusion Criteria:
- Non-small cell lung cancer (NSCLC) Cohort: Histologically or cytologically confirmed
diagnosis of NSCLC that is locally advanced or metastatic; No activating EGFR
mutations, ALK or ROS1 translocations/rearrangements where testing is standard of
care; received at least 1 prior platinum-based chemotherapy regimen for locally
advanced or metastatic NSCLC; No more than 2 prior lines of systemic therapy for
locally advanced or metastatic disease (If disease progression occurred during or
within 6 months after neoadjuvant/adjuvant chemotherapy or radiotherapy-chemotherapy,
the regimen is counted as 1 prior treatment regimen towards the allowed limit of prior
treatment regimens); Checkpoint inhibitor naïve.
- Urothelial Cancer (UC) Cohort: Histologically or cytologically confirmed diagnosis of
transitional cell carcinoma (TCC) of the urothelium (if mixed, more than 50% TCC
component) including bladder, urethra, ureters, or renal pelvis that is locally
advanced or metastatic; No prior systemic treatment for locally advanced or metastatic
disease; Prior neoadjuvant or adjuvant therapy is permitted if disease progression
occurred >12 months after the completion of therapy; Checkpoint inhibitor naïve;
Ineligible for receiving cisplatin-containing front-line chemotherapy based at least
one of the following criteria: ECOG performance status (PS) 2; Renal dysfunction
(defined as creatinine-clearance <60 ml/min); Grade 2 peripheral neuropathy; Grade 2
hearing loss (hearing loss measured by audiometry of 25 decibels at two contiguous
frequencies).
- At least 1 measurable lesion by RECIST v1.1 not previously irradiated.
- Availability of an archival FFPE tumor tissue block from primary diagnosis specimen or
metastatic specimen or 15 unstained slides (10 minimum). If an archived sample is not
available, a fresh tumor biopsy must be performed.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1. For UC
patients, ECOG performance 2 is permitted (cisplatin ineligibility criterion)
Exclusion Criteria:
- Prior immunotherapy with an anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CD137, anti-OX-40,
anti-GITR, anti-LAG-3, anti-TIM-3 or anti-CTLA-4 antibody (including ipilimumab).
- Newly diagnosed brain metastases or known symptomatic brain metastases requiring
steroids.
- Radiologically documented evidence of major blood vessel invasion or encasement by
cancer or intratumor cavitation, regardless of tumor histology.
- Active autoimmune disease (that might deteriorate when receiving an immunostimulatory
agent).
- Current use of immunosuppressive medication (except for those listed in protocol).
- Known prior severe hypersensitivity to the investigational products /monoclonal
antibodies.
- Known history of immune-mediated colitis, inflammatory bowel disease, immune-mediated
pneumonitis, pulmonary fibrosis.
- NCI CTCAE Grade 3 hemorrhage within 28 days prior to study enrollment.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Confirmed objective response |
Time Frame: | Baseline up to approximately 42 months |
Safety Issue: | |
Description: | Objective response (OR) is defined as a confirmed complete response (CR) or partial (PR) per RECIST v 1.1 |
Secondary Outcome Measures
Measure: | Time to Tumor Response (TTR) |
Time Frame: | Baseline up to approximately 42 months |
Safety Issue: | |
Description: | Time to Tumor Response (TTR) is defined as the time from the date of first dose of study treatment to the first documentation of objective response [complete response (CR) or partial response (PR)]. |
Measure: | Tumor tissue biomarker status (ie, positive or negative based on, for example, PD L1 expression and/or quantitation of tumor mutational burden as well as characterization of the immune repertoire in peripheral blood and/or tumor) |
Time Frame: | Screening and optional tumor biopsies obtained upon disease progression. Baseline up to approximately 42 months. |
Safety Issue: | |
Description: | Archived tumor tissue samples and de novo biopsies of primary and/or metastatic lesions. Tumor tissue biomarker status (ie, positive or negative based on, for example, PD L1 expression and/or quantitation of tumor mutational burden as well as characterization of the immune repertoire in peripheral blood and/or tumor). |
Measure: | Anti-drug antibody (ADA) titers against avelumab |
Time Frame: | Pre dose on Cycle 1 Day 1 and Day 15, Cycle 2 Day 1, and Day 15 of Cycles 3, 6, 9 and 12 (each cycle is 28 days) |
Safety Issue: | |
Description: | Immunogenicity assessment of avelumab. |
Measure: | Duration of Response (DR) |
Time Frame: | Baseline up to approximately 42 months |
Safety Issue: | |
Description: | Duration of Response (DR), is defined as the time from the first documentation of objective response [complete response (CR) or partial response (PR)] to the date of first documentation of progressive disease (PD) or death due to any cause, whichever occurs first. |
Measure: | Progression Free Survival (PFS) |
Time Frame: | Baseline up to approximately 42 months |
Safety Issue: | |
Description: | Progression Free Survival (PFS) is defined as the time from the date of first dose of study treatment to the date of the first documentation of progressive disease (PD) or death due to any cause, whichever occurs first. |
Measure: | Maximum Observed Plasma Concentration (Cmax) of axitinib |
Time Frame: | 2-4 hours post dose Cycle 1 Day 15 and Cycle 2 Day 1 and Day 15 (each cycle is 28 days) |
Safety Issue: | |
Description: | Cmax defined as the maximum plasma concentration of axitinib |
Measure: | Predose Concentration (Ctrough) of avelumab |
Time Frame: | Pre dose Cycle 1 Day 1 and Day 15, Cycle 2 Day 1 and Day 15 of Cycles 3, 6, 9, and 12 (each cycle is 28 days) |
Safety Issue: | |
Description: | Ctrough is defined as the concentration at the end of avelumab dosage interval |
Measure: | Predose concentration (Ctrough) of axitinib |
Time Frame: | Pre dose Cycle 1 Day 15 and Cycle 2 Day 1 and Day 15 (each cycle is 28 days) take up to 2 hr prior to the start of infusion. |
Safety Issue: | |
Description: | Ctrough is defined as the concentration at the end of axitinib dosage interval |
Measure: | Neutralizing antibodies (nAb) against avelumab |
Time Frame: | Pre dose on Cycle 1 Day 1 and Day 15, Cycle 2 Day 1, and Day 15 of Cycles 3, 6, 9 and 12 (each cycle is 28 days) |
Safety Issue: | |
Description: | Immunogenicity assessment of avelumab. |
Measure: | Maximum Observed Plasma Concentration (Cmax) of avelumab |
Time Frame: | Post dose Cycle 1 Day 1 and Day 15, Cycle 2 Day 1 (each cycle is 28 days) |
Safety Issue: | |
Description: | Cmax defined as the maximum plasma concentration of avelumab |
Measure: | Overall Survival (OS) |
Time Frame: | Baseline up to approximately 42 months |
Safety Issue: | |
Description: | Overall Survival (OS) is defined as the time from the date of first dose of study treatment to the date of death due to any cause. |
Details
Phase: | Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Active, not recruiting |
Lead Sponsor: | Pfizer |
Trial Keywords
- Cancer
- non-small cell lung cancer
- non small cell lung cancer
- NSCLC
- lung cancer
- urothelial cancer
- bladder cancer
- Avelumab
- Bavencio
- Axitinib
- Inlyta
Last Updated
August 9, 2021