Description:
The primary objective of this study is to determine the safety, tolerability, maximum
tolerated dose (MTD) or recommended Phase 2 dose (RP2D) and efficacy of rogaratinib in
combination with copanlisib in patients with locally advanced or metastatic solid tumors that
are mRNA-positive for at least one FGFR1-4 subtype.
The secondary objectives of this study are to characterize the pharmacokinetics (PK) of
rogaratinib and copanlisib alone and in combination, and to assess the anti-tumor efficacy of
rogaratinib in combination with copanlisib for locally advanced or metastatic solid tumors
that are mRNA-positive for at least one FGFR1-4 subtype.
Title
- Brief Title: Phase 1 Study of the Combination of Rogaratinib With Copanlisib in Patients With Fibroblast Growth Factor Receptor (FGFR)-Positive, Locally Advanced or Metastatic Solid Tumors
- Official Title: A Multicenter Phase 1 Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Maximum Tolerated Dose (MTD) and/or Recommended Phase 2 Dose (RP2D) of the Combination of Rogaratinib and Copanlisib in Patients With FGFR-positive, Locally Advanced or Metastatic Solid Tumors
Clinical Trial IDs
- ORG STUDY ID:
19774
- SECONDARY ID:
2018-000419-26
- NCT ID:
NCT03517956
Conditions
- Advanced or Metastatic Solid Tumor
Interventions
Drug | Synonyms | Arms |
---|
Rogaratinib (BAY1163877) | | Patients with FGFR1-4 - positive solid tumors |
Copanlisib (BAY80-6946) | | Patients with FGFR1-4 - positive solid tumors |
Purpose
The primary objective of this study is to determine the safety, tolerability, maximum
tolerated dose (MTD) or recommended Phase 2 dose (RP2D) and efficacy of rogaratinib in
combination with copanlisib in patients with locally advanced or metastatic solid tumors that
are mRNA-positive for at least one FGFR1-4 subtype.
The secondary objectives of this study are to characterize the pharmacokinetics (PK) of
rogaratinib and copanlisib alone and in combination, and to assess the anti-tumor efficacy of
rogaratinib in combination with copanlisib for locally advanced or metastatic solid tumors
that are mRNA-positive for at least one FGFR1-4 subtype.
Trial Arms
Name | Type | Description | Interventions |
---|
Patients with FGFR1-4 - positive solid tumors | Experimental | Dose escalation:
The starting dose of the combination will be escalated in a stepwise fashion, escalating one drug at a time.
Dose expansion (urothelial cancer):
Patients in the dose expansion will be treated with the combination identified in the dose escalation part of the study. | - Rogaratinib (BAY1163877)
- Copanlisib (BAY80-6946)
|
Eligibility Criteria
Inclusion Criteria:
- High FGFR mRNA expression levels (RNAscope score of ≥3; measurement is part of this
protocol) in archival or fresh tumor biopsy specimen.
- Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0 or 1.
- At least 1 measurable lesion according to Response Evaluation Criteria in Solid Tumors
(RECIST 1.1) in contrast enhanced (unless contraindicated) CT or MRI.
- Adequate bone marrow, liver and renal function.
- Glomerular filtration rate (GFR) ≥ 30 mL/min/1.73 m*2 according to the Modification of
Diet in Renal Disease (MDRD) formula.
- Left ventricular ejection fraction (LVEF) equal to or above the lower limit of normal
(LLN) at the institution.
- Life expectancy of at least 3 months.
- For the dose escalation part: Patients with histologically confirmed, locally advanced
or metastatic solid tumors who are not candidates for or refuse standard therapy or
whose disease progressed and for which standard anti-cancer treatment is no longer
effective, excluding primary brain or spinal tumors. Patients who have been advised
with all standard treatment options and still refuse them must be documented and can
be allowed to enter the trial.
- For the dose expansion part: Patients with histologically confirmed, locally advanced
or metastatic urothelial carcinoma (transitional cell carcinoma) including urinary
bladder, renal pelvis, ureters, urethra who are not candidates for or refuse standard
therapy or whose disease progressed and for which standard anticancer treatment is no
longer effective. Patients who have been advised with all standard treatment options
and still refuse them must be documented and can be allowed to enter the trial.
Exclusion Criteria:
- Previous or concurrent cancer that is distinct from tumor for which the patient is
enrolled in the study, except
- curatively treated cervical carcinoma in situ
- treated basal-cell carcinoma
- localized prostate cancer treated with curative intent and known absence of
prostate-specific antigen (PSA) relapse or incidental prostate cancer (T1/T2a,
Gleason score ≤ 6, and PSA ≤ 10 ng/mL undergoing active surveillance and
treatment-naïve)
- any cancer curatively treated > 3 years before planned start of study treatment.
- Ongoing or previous anti-cancer treatment within 4 weeks of study treatment start (or
6 weeks for mitomycin C, nitrosoureas and monoclonal antibodies); with exceptions.
- Prior toxicity to anti-FGFR-directed or anti-PI3K-directed therapies leading to
treatment discontinuation (previous exposure is allowed in other circumstances). If
prior toxicity to anti-FGFR-directed or anti-PI3K-directed therapies leading to
treatment discontinuation is different from the known safety profile of rogaratinib or
copanlisib, enrollment is allowed.
- Symptomatic brain or meningeal metastatic tumors unless the patient is >6 months from
definitive therapy, has no evidence of tumor growth on an imaging study and is
clinically stable with respect to the tumor at the start of study treatment. Also the
patient must not be undergoing acute steroid therapy or taper (chronic steroid therapy
is acceptable provided that the dose is stable for one month prior to and following
screening radiographic studies).
- History or current condition of an uncontrolled cardiovascular disease including
congestive heart failure NYHA > Class 2, unstable angina (symptoms of angina at rest)
or new-onset angina (within last 3 months) or myocardial infarction within past 6
months and cardiac arrhythmias requiring anti-arrhythmic therapy (beta-blockers or
digoxin are permitted).
- Active hepatitis B (HBV) or C (HCV) infection.
- Active clinically serious infections (≥ CTCAE v4.03 Grade 2).
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Incidence of treatment-emergent adverse events (TEAEs) |
Time Frame: | Up to 32 months |
Safety Issue: | |
Description: | ORR in patients receiving the recommended dose of the rogaratinib-copanlisib-combination during the dose expansion part |
Secondary Outcome Measures
Measure: | Maximum plasma concentration of Copanlisib (Cmax) |
Time Frame: | 0 (pre-dose), 0.5, 1 (end of infusion), 2, 4, 8, 24, 48 hours after drug administration (Days 1, 2, 3) and 0, 0.5, 1, 2, 4, 8, 24, 48 hours after drug administration (Days 15, 16, 17) in dose escalation |
Safety Issue: | |
Description: | |
Measure: | Area under the plasma concentration versus time curve of Copanlisib (AUC (0-48)) |
Time Frame: | 0 (pre-dose), 0.5, 1 (end of infusion), 2, 4, 8, 24, 48 hours after drug administration (Days 1, 2, 3) and 0, 0.5, 1, 2, 4, 8, 24, 48 hours after drug administration (Days 15, 16, 17) in dose escalation |
Safety Issue: | |
Description: | |
Measure: | Area under the plasma concentration versus time curve of Rogaratinib (AUC (0-8)) |
Time Frame: | 0 (pre-dose), 0.5, 1, 2, 4, 6, 8 hours after drug (Day 14) and 0 (pre-dose), 0.5, 1, 2, 4, 6, 8, 24, 48 hours after drug (Days 15 to 17) in dose escalation; 0 (pre-dose) and 1 hour after drug on Day 1 of dose expansion |
Safety Issue: | |
Description: | |
Measure: | Maximum plasma concentration of Rogaratinib (Cmax) |
Time Frame: | 0 (pre-dose), 0.5, 1, 2, 4, 6, 8 hours after drug (Day 14) and 0 (pre-dose), 0.5, 1, 2, 4, 6, 8, 24, 48 hours after drug (Days 15 to 17) in dose escalation; 0 (pre-dose) and 1 hour after drug on Day 1 of dose expansion |
Safety Issue: | |
Description: | |
Measure: | Objective response rate (ORR) |
Time Frame: | Up to 32 months |
Safety Issue: | |
Description: | |
Measure: | Disease control rate (DCR) |
Time Frame: | Up to 32 months |
Safety Issue: | |
Description: | |
Measure: | Duration of response (DOR) for Partial Response and Complete Response |
Time Frame: | Up to 32 months |
Safety Issue: | |
Description: | |
Measure: | Progression-free survival (PFS) |
Time Frame: | Up to 32 months |
Safety Issue: | |
Description: | |
Measure: | Overall survival (OS) |
Time Frame: | Up to 32 months |
Safety Issue: | |
Description: | |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Completed |
Lead Sponsor: | Bayer |
Trial Keywords
- Phase I
- Locally advanced or metastatic solid tumor
- Urothelial cancer
- FGFR inhibitor
Last Updated
March 22, 2021