Description:
This Phase 1b/2 study will examine the effects of the study drugs, avelumab, binimetinib and
talazoparib when given in a 2 (doublet) or 3 (triplet) drug combination, in patients with
locally advanced or metastatic RAS-mutant solid tumors. The Phase 1b part of the study will
assess if the different study drugs can be given together safely and which doses to use for
further research. Phase 2 will test if the study treatments have an effect on tumor size and
growth, and gather more information about potential side effects.
Title
- Brief Title: A Study of Avelumab, Binimetinib and Talazoparib in Patients With Locally Advanced or Metastatic RAS-mutant Solid Tumors
- Official Title: A PHASE 1B/2 STUDY TO EVALUATE SAFETY AND CLINICAL ACTIVITY OF COMBINATIONS OF AVELUMAB, BINIMETINIB AND TALAZOPARIB IN PATIENTS WITH LOCALLY ADVANCED OR METASTATIC RAS-MUTANT SOLID TUMORS
Clinical Trial IDs
- ORG STUDY ID:
B9991033
- SECONDARY ID:
2018-000124-34
- NCT ID:
NCT03637491
Conditions
Interventions
Drug | Synonyms | Arms |
---|
Avelumab | MSB0010718C | Avelumab and binimetinib |
Binimetinib | MEK162, ARRY-438162 | Avelumab and binimetinib |
Talazoparib | MDV3800, BMN 673 | Avelumab, binimetinib and talazoparib |
Purpose
This Phase 1b/2 study will examine the effects of the study drugs, avelumab, binimetinib and
talazoparib when given in a 2 (doublet) or 3 (triplet) drug combination, in patients with
locally advanced or metastatic RAS-mutant solid tumors. The Phase 1b part of the study will
assess if the different study drugs can be given together safely and which doses to use for
further research. Phase 2 will test if the study treatments have an effect on tumor size and
growth, and gather more information about potential side effects.
Detailed Description
This is a Phase 1b/2, open label, multi-center, safety, clinical activity, pharmacokinetic
(PK), and pharmacodynamics (PD) study of combinations of avelumab, binimetinib and
talazoparib in adult patients with metastatic pancreatic ductal adenocarcinoma and other
locally advanced or metastatic KRAS- or NRAS-mutant solid tumors.
The Phase 1b part of this study will initially assess doublet drug combinations to determine
a recommended dose for further investigation. Following this, the recommended dose for the
combination of avelumab, binimetinib and talazoparib (triplet) will be determined. The
recommended doses for the doublet and triplet combinations will be used in the Phase 2 part
of the study, which will assess the safety and preliminary anti-tumor activity of the study
treatments.
Trial Arms
Name | Type | Description | Interventions |
---|
Avelumab and binimetinib | Experimental | Open label | |
Avelumab, binimetinib and talazoparib | Experimental | Open label | - Avelumab
- Binimetinib
- Talazoparib
|
Binimetinib and talazoparib. | Experimental | Open label. | |
Eligibility Criteria
Inclusion Criteria:
- Histological diagnosis of locally advanced (primary or recurrent) or metastatic solid
tumors that are not amenable for treatment with curative intent as follows:
1. Metastatic pancreatic ductal adenocarcinoma; or
2. Phase 2 only: Stage IIIb/IV NSCLC or other advanced solid tumors with documented
positive KRAS or NRAS mutation as determined using a validated test performed in
a CAP/CLIA-certified laboratory (or other comparable local or regional
certification).
- Have had disease progression during or following at least 1 and not more than 2 prior
lines of treatment for advanced or metastatic disease.
- Patients with NSCLC must have previously received treatment with an anti-PD-1 or
anti-PD-L1 agent for advanced disease.
- Measurable disease as per RECIST v1.1 criteria.
- Provision of a baseline tumor sample.
- Age ≥18 years (Japanese patients must be ≥20 years old)
- Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) 0 or 1.
- Adequate bone marrow, renal and liver functions.
- Adequate cardiac function.
- Informed consent provided.
Exclusion Criteria:
- Prior treatment with avelumab, a PARP inhibitor or MEK inhibitor.
- Prior systemic anti-cancer therapy within 2 weeks prior to study enrollment.
- Persisting toxicity related to prior therapy.
- Current use of immunosuppressive medication.
- Known history of immune-mediated colitis, inflammatory bowel disease, pneumonitis,
pulmonary fibrosis, uveitis or iritis.
- Active or prior autoimmune disease that might deteriorate when receiving an
immunostimulatory agent.
- Diagnosis of myelodysplastic syndrome (MDS).
- Known symptomatic brain metastases requiring steroids.
- Known history of testing positive for HIV or hepatitis.
- Clinically significant (ie, active) cardiovascular disease.
- History of thromboembolic or cerebrovascular events.
- Current or anticipated use of a P-gp inhibitor, inducer, or inhibitor of breast cancer
resistance protein (BCRP)
- Uncontrolled hypertension.
- Concurrent neuromuscular disorder that is associated with the potential of elevated
creatinine kinase.
- Known history of Gilbert's syndrome.
- History or current evidence of retinal degenerative disease, retinal vein occlusion
(RVO) or current risk factors for RVO.
- Other acute or chronic medical or psychiatric condition.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Dose Limiting Toxicity (DLT) |
Time Frame: | Cycle 1 (days 1-28 of study treatment) |
Safety Issue: | |
Description: | Phase 1: DLT during the primary DLT evaluation period (Cycle 1) |
Secondary Outcome Measures
Measure: | Concentration of avelumab in blood |
Time Frame: | Day 1, Day 8 and Day 15 of Cycle 1 (each cycle is 28 days); Day 1 and Day 15 of Cycle 2; and Day 1 of Cycles 3, 5, 9 and 12. |
Safety Issue: | |
Description: | Pharmacokinetic parameters: pre-dose/trough concentrations (Ctrough) |
Measure: | Concentration of avelumab in blood |
Time Frame: | Day 1, Day 8 and Day 15 of Cycle 1 (each cycle is 28 days); Day 1 and Day 15 of Cycle 2; and Day 1 of Cycles 3, 5, 9 and 12. |
Safety Issue: | |
Description: | Pharmacokinetic parameters: post dose concentrations (Cmax) |
Measure: | Avelumab ADA levels |
Time Frame: | Day 1, Day 8 and Day 15 of Cycle 1 (each cycle is 28 days); Day 1 and Day 15 of Cycle 2; and Day 1 of Cycles 3, 5, 9 and 12. |
Safety Issue: | |
Description: | Immunogenicity assessment of avelumab |
Measure: | Neutralizing antibodies (nAb) against avelumab. |
Time Frame: | Day 1, Day 8 and Day 15 of Cycle 1 (each cycle is 28 days); Day 1 and Day 15 of Cycle 2; and Day 1 of Cycles 3, 5, 9 and 12. |
Safety Issue: | |
Description: | Immunogenicity assessment of avelumab |
Measure: | Concentration of binimetinib in plasma |
Time Frame: | Pre-dose on Day 1, Day 8 and Day 15 of Cycle 1 (each cycle is 28 days). Day 1 of Cycle 2 and 3 |
Safety Issue: | |
Description: | Pharmacokinetic parameters: pre-dose/trough concentrations (Ctrough) |
Measure: | Concentration of binimetinib in plasma |
Time Frame: | Day 1, Day 8 and Day 15 of Cycle 1 (each cycle is 28 days). Day 1 of Cycle 2 and Cycle 3. |
Safety Issue: | |
Description: | Pharmacokinetic parameters: post dose concentrations (Cmax). |
Measure: | Concentration of talazoparib in plasma |
Time Frame: | Pre-dose on Day 1, 8 and Day 15 of Cycle 1 (each cycle is 28 days), and on Day 1 of Cycle 2 and 3 |
Safety Issue: | |
Description: | Pharmacokinetic parameters: pre-dose/trough concentrations (Ctrough) |
Measure: | Biomarker Tumor Mutational Burden |
Time Frame: | Baseline |
Safety Issue: | |
Description: | Tumor mutational burden in baseline tumor tissue |
Measure: | Biomarker PD-L1 |
Time Frame: | Baseline |
Safety Issue: | |
Description: | PD-L1 expression level in baseline tumor tissue. |
Measure: | Biomarker DNA Damage Repair |
Time Frame: | Baseline |
Safety Issue: | |
Description: | DDR gene alterations in baseline tumor tissue. |
Measure: | Objective Response |
Time Frame: | From the start of treatment until disease progression/recurrence up to approximately 24 months. |
Safety Issue: | |
Description: | Phase 1b: Confirmed OR based on Investigator assessment per RECIST v1.1. |
Measure: | Time to Tumor Response (TTR) |
Time Frame: | Baseline up to approximately 24 months |
Safety Issue: | |
Description: | TTR is defined, for patients with an OR, as the time from the 'start date' to the first documentation of objective response (CR or PR) which is subsequently confirmed |
Measure: | Duration of Response (DR) |
Time Frame: | Baseline up to approximately 24 months |
Safety Issue: | |
Description: | DR is defined, for patients with OR, as the time from the first documentation of objective response (CR or PR) to the date of first documentation of PD or death due to any cause |
Measure: | Overall Survival (OS) |
Time Frame: | Baseline up to approximately 24 months |
Safety Issue: | |
Description: | OS is defined as the time from time from the 'start date' to the date of death due to any cause. Patients without an event (death) will be censored at the date of last contact |
Measure: | Progression Free Survival |
Time Frame: | Baseline up to approximately 24 months |
Safety Issue: | |
Description: | PFS is defined as the time from 'start date' to the date of PD by RECIST v1.1 or death due to any cause, whichever occurs first |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Terminated |
Lead Sponsor: | Pfizer |
Trial Keywords
- KRAS
- NRAS
- PDAC
- Pancreatic Cancer
Last Updated
July 23, 2021