Description:
Primary Objectives:
- Phase1: To characterize the safety and tolerability of isatuximab in combination with
atezolizumab in participants with unresectable hepatocellular carcinoma (HCC),
platinum-refractory recurrent/metastatic squamous cell carcinoma of the head and neck
(SCCHN), platinum-resistant/refractory epithelial ovarian cancer (EOC), or recurrent
glioblastoma multiforme (GBM), and to determine the recommended Phase 2 dose (RP2D).
- Phase2: To assess response rate (RR) of isatuximab in combination with atezolizumab in
participants with HCC or SCCHN or EOC.
- Phase2: To assess the progression free survival rate at 6 months (PFS-6) of isatuximab
in combination with atezolizumab, or as a single agent in participants with GBM.
Secondary Objectives:
- To evaluate the safety profile of isatuximab monotherapy (GBM only), or in combination
with atezolizumab in Phase 2.
- To evaluate the immunogenicity of isatuximab and atezolizumab.
- To characterize the pharmacokinetic (PK) profile of isatuximab single agent (GBM only)
and atezolizumab in combination with isatuximab.
- To assess the overall efficacy of isatuximab in combination with atezolizumab, or single
agent (GBM only).
Title
- Brief Title: Safety, Preliminary Efficacy and PK of Isatuximab (SAR650984) Alone or in Combination With Atezolizumab in Patients With Advanced Malignancies
- Official Title: A Phase 1/2 Open-label, Multi-center, Safety, Preliminary Efficacy and Pharmacokinetic (PK) Study of Isatuximab (SAR650984) in Combination With Atezolizumab or Isatuximab Alone in Patients With Advanced Malignancies
Clinical Trial IDs
- ORG STUDY ID:
ACT15377
- SECONDARY ID:
2018-000390-67
- SECONDARY ID:
U1111-1202-0839
- NCT ID:
NCT03637764
Conditions
Interventions
Drug | Synonyms | Arms |
---|
Isatuximab SAR650984 | Sarclisa | Phase1 |
Atezolizumab | Tecentriq® | Phase1 |
Purpose
Primary Objectives:
- Phase1: To characterize the safety and tolerability of isatuximab in combination with
atezolizumab in participants with unresectable hepatocellular carcinoma (HCC),
platinum-refractory recurrent/metastatic squamous cell carcinoma of the head and neck
(SCCHN), platinum-resistant/refractory epithelial ovarian cancer (EOC), or recurrent
glioblastoma multiforme (GBM), and to determine the recommended Phase 2 dose (RP2D).
- Phase2: To assess response rate (RR) of isatuximab in combination with atezolizumab in
participants with HCC or SCCHN or EOC.
- Phase2: To assess the progression free survival rate at 6 months (PFS-6) of isatuximab
in combination with atezolizumab, or as a single agent in participants with GBM.
Secondary Objectives:
- To evaluate the safety profile of isatuximab monotherapy (GBM only), or in combination
with atezolizumab in Phase 2.
- To evaluate the immunogenicity of isatuximab and atezolizumab.
- To characterize the pharmacokinetic (PK) profile of isatuximab single agent (GBM only)
and atezolizumab in combination with isatuximab.
- To assess the overall efficacy of isatuximab in combination with atezolizumab, or single
agent (GBM only).
Detailed Description
The total study duration per patient is up to 28 months including an up to 28 days screening
period, an up to 24 months treatment period, and a 3 months safety follow up period.
Trial Arms
Name | Type | Description | Interventions |
---|
Phase1 | Experimental | Isatuximab and atezolizumab combination in patients with unresectable hepatocellular carcinoma (HCC), platinum-refractory recurrent/metastatic squamous cell carcinoma of the head and neck (SCCHN), platinum-resistant/refractory epithelial ovarian cancer (EOC), or recurrent glioblastoma multiforme (GBM):
Isatuximab dose 1 depending on DLT observed and atezolizumab predefined dose Q3W | - Isatuximab SAR650984
- Atezolizumab
|
Phase2-Cohort A: HCC | Experimental | Isatuximab and atezolizumab combination: Isatuximab dose determined in Phase 1 part of study and atezolizumab predefined dose Q3W | - Isatuximab SAR650984
- Atezolizumab
|
Phase2-Cohort B: SCCHN | Experimental | Isatuximab and atezolizumab combination: Isatuximab dose determined in Phase 1 part of study and atezolizumab predefined dose Q3W | - Isatuximab SAR650984
- Atezolizumab
|
Phase2-Cohort C: EOC | Experimental | Isatuximab and atezolizumab combination: Isatuximab dose determined in Phase 1 part of study and atezolizumab predefined dose Q3W | - Isatuximab SAR650984
- Atezolizumab
|
Phase2-Cohort D-1:GBM | Experimental | Isatuximab and atezolizumab combination: Isatuximab dose determined in Phase 1 part of study and atezolizumab predefined dose Q3W | - Isatuximab SAR650984
- Atezolizumab
|
Phase2-Cohort D-2: GBM, isatuximab monotherapy | Experimental | Isatuximab dose 2 | |
Phase2-Cohort E | Experimental | Isatuximab and atezolizumab combination: Isatuximab dose 3 and atezolizumab predefined dose Q3W in participants with one tumor type (HCC, SCCHN, EOC, or GBM), or isatuximab monotherapy (GBM only) dose 3 | - Isatuximab SAR650984
- Atezolizumab
|
Eligibility Criteria
Inclusion criteria :
- Patients must have a known diagnosis of either unresectable hepatocellular carcinoma
(HCC), platinum-refractory recurrent/metastatic squamous cell carcinoma of the head
and neck (SCCHN), platinum-resistant/refractory epithelial ovarian cancer (EOC) with
evidence of measurable disease or recurrent glioblastoma multiforme (GBM).
- ≥18 years of age.
- For patients with HCC: Documentation of progressive disease (PD) during or after
treatment with either sorafenib or lenvatinib, or intolerance to the therapy.
- For patients with SCCHN: Received and failed up to 2 lines of prior systemic
anti-cancer therapy with documentation of tumor recurrence or PD within 6 months of
last platinum-based therapy in primary, recurrent, or metastatic setting.
- For patients with EOC: Received up to 3 lines of prior platinum-containing therapy
when the disease was platinum-sensitive, and the patients should not have received any
systemic therapy for platinum-resistant/refractory disease. specific to France only:
Documentation of PD on or after 1 line of anti-cancer therapy for platinum
resistant/refractory disease (unless patients are ineligible or intolerant to standard
of care for platinum-resistant/refractory disease).
- For patients with GBM: Documentation of PD or first recurrence during or after
temozolomide maintenance therapy for newly diagnosed GBM treated with 1st line
radiotherapy plus concurrent temozolomide.
Exclusion criteria:
- Prior exposure to agent that blocks CD38 or participation in clinical studies with
isatuximab.
- For patients with HCC, SCCHN, EOC or GBM prior exposure to any agent (approved or
investigational) that blocks the PD-1/PD-L1 pathway.
- Evidence of other immune related disease /conditions.
- History of non-infectious pneumonitis requiring steroids or current pneumonitis;
history of the thoracic radiation.
- Has received a live-virus vaccination within 28 days of planned treatment start.
Seasonal flu vaccines that do not contain live virus are permitted.
- Prior solid organ or bone marrow transplantation.
- Eastern Cooperative Oncology Group performance status (PS) ≥2 for patients with HCC,
SCCHN or EOC or Karnofsky performance score ≤ 70 for patients with GBM.
- Poor bone marrow reserve.
- Poor organ function.
The above information is not intended to contain all considerations relevant to a patient's
potential participation in a clinical trial.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Dose Limiting Toxicities (DLTs) |
Time Frame: | Up to 3 weeks after first study treatment administration |
Safety Issue: | |
Description: | DLTs as observed during DLT-observation period |
Secondary Outcome Measures
Measure: | Immunogenicity: isatuximab |
Time Frame: | Up to 90 days following the last administration of study treatment (Up to approximately 27 months after first study treatment administration) |
Safety Issue: | |
Description: | Levels of anti-drug antibody against isatuximab |
Measure: | Immunogenicity: atezolizumab |
Time Frame: | Up to 30 days following the last administration of study treatment (Up to approximately 25 months after first study treatment administration) |
Safety Issue: | |
Description: | Levels of anti-drug antibody against atezolizumab |
Measure: | Tumor burden change |
Time Frame: | Up to 12 months after last patient's first treatment in a given cohort |
Safety Issue: | |
Description: | The best percent-change from baseline in a sum of the diameters (longest for non-nodal lesion, short axis for nodal lesions) for all target lesions in participants with HCC, SCCHN and EOC, and in a sum of products of diameters for all target lesions in participants with GBM |
Measure: | Disease control rate |
Time Frame: | Up to 12 months after last patient's first treatment in a given cohort |
Safety Issue: | |
Description: | The sum of complete responses (CR) + partial responses (PR) + stable disease (SD) |
Measure: | Duration of response |
Time Frame: | Up to 12 months after last patient's first treatment in a given cohort |
Safety Issue: | |
Description: | The time from the date of the first response (PR or CR in radiographic objective response) that is subsequently confirmed to the date of first confirmed disease progression or death, whichever occurs first. |
Measure: | Progress free survival |
Time Frame: | Up to 12 months after last patient's first treatment in a given cohort |
Safety Issue: | |
Description: | The time from the first study treatment administration to the date of first documentation of progressive disease (RECIST 1.1 for participants with HCC, SCCHN, EOC and RANO criteria for participants with GBM) or the date of death from any cause |
Measure: | Response Rate |
Time Frame: | Up to 12 months after last patient's first treatment in a given cohort |
Safety Issue: | |
Description: | In GBM assessed by RANO criteria |
Measure: | Pharmacokinetic (PK) parameters: Area under the curve (AUC0-T) |
Time Frame: | From pre-isatuximab-dose on Cycle 1 Day 1 to 168 hours after start of isatuximab dose on Cycle 1 Day 1 (duration of assessment: 7 days; overall cycle duration: 21 days) |
Safety Issue: | |
Description: | AUC0-T is the area under the plasma concentration versus time curve calculated using the trapezoidal method over the dosing interval (T; i.e., 7 days for isatuximab) after the first infusion. |
Measure: | Assessment of PK parameter: Cmax |
Time Frame: | From pre-isatuximab-dose on Cycle 1 Day 1 to 168 hours after start of isatuximab dose on Cycle 1 Day 1 (duration of assessment: 7 days; overall cycle duration: 21 days) |
Safety Issue: | |
Description: | Cmax is maximum drug concentration observed |
Measure: | Assessment of PK parameter: tmax |
Time Frame: | From pre-isatuximab-dose on Cycle 1 Day 1 to 168 hours after start of isatuximab dose on Cycle 1 Day 1 (duration of assessment: 7 days; overall cycle duration: 21 days) |
Safety Issue: | |
Description: | Time to reach Cmax |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Active, not recruiting |
Lead Sponsor: | Sanofi |
Trial Keywords
- Anti-CD38 monoclonal antibody
Last Updated
November 25, 2020