Description:
This study will be conducted in adult participants diagnosed with NSCLC who have been
previously treated for a minimum of 12 weeks with any PD-1 or PD-L1 checkpoint inhibitor.
This is a phase 1b/2, multi-center, open label study designed to assess safety and
tolerability of grapiprant in combination with pembrolizumab, to determine the recommended
phase 2 dose (RP2D) with pembrolizumab, and to evaluate disease response with grapiprant
based on investigator assessments. Pharmacokinetics, pharmacodynamics and response biomarkers
will also be assessed.
Title
- Brief Title: Grapiprant (ARY-007) and Pembrolizumab in Patients With Advanced or Metastatic Post-PD-1/L1 NSCLC Adenocarcinoma
- Official Title: Open Label, Single Arm, Phase 1b/2 Study to Evaluate the Safety and Efficacy of Grapiprant (ARY-007) in Combination With Pembrolizumab in Patients With Advanced or Metastatic Post-PD-1/L1 Non-Small Cell Lung Cancer (NSCLC) Adenocarcinoma
Clinical Trial IDs
- ORG STUDY ID:
ARYS-002
- SECONDARY ID:
KEYNOTE-888
- NCT ID:
NCT03696212
Conditions
- Non-small Cell Lung Cancer Adenocarcinoma
Interventions
Drug | Synonyms | Arms |
---|
grapiprant and pembrolizumab | ARYS-007, MK-3475, KEYNOTE-888, IK-007 | grapiprant and pembrolizumab combination |
Purpose
This study will be conducted in adult participants diagnosed with NSCLC who have been
previously treated for a minimum of 12 weeks with any PD-1 or PD-L1 checkpoint inhibitor.
This is a phase 1b/2, multi-center, open label study designed to assess safety and
tolerability of grapiprant in combination with pembrolizumab, to determine the recommended
phase 2 dose (RP2D) with pembrolizumab, and to evaluate disease response with grapiprant
based on investigator assessments. Pharmacokinetics, pharmacodynamics and response biomarkers
will also be assessed.
Trial Arms
Name | Type | Description | Interventions |
---|
grapiprant and pembrolizumab combination | Experimental | Participants will be treated with grapiprant in combination with pembrolizumab. | - grapiprant and pembrolizumab
|
Eligibility Criteria
Key Inclusion Criteria:
- Male and female adult patients at least 18 years of age on day of signing informed
consent
- Histologically confirmed non-small cell lung cancer (NSCLC) adenocarcinoma
- Advanced (stage IIIb) disease that is not amenable to curative intent treatment with
concurrent chemoradiation and metastatic (stage IV) patients
- Progressed clinically and/or radiographically per RECIST v1.1 after receiving a PD-1
or PD-L1 antagonist for a minimum of 12 weeks
- Measurable disease per RECIST v1.1
- Disease that can be safely accessed via bronchoscopic, thoracoscopic or percutaneous
biopsy for multiple core biopsies and participant is willing to provide tissue from
newly obtain biopsies on study in a subgroup of patients
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1
- Adequate organ function
- Highly effective birth control
- Able to swallow and absorb oral tablets
Key Exclusion Criteria:
- Current use of NSAIDs, COX-2 inhibitors
- Known epidermal growth factor receptor (EGFR), anaplastic lymphoma kinase (ALK), ROS
gene alteration
- No history of smoking (≤100 cigarettes lifetime)
- History of severe hypersensitivity reactions to a PD-1/L1 antibody
- Received prior systemic anti-cancer therapy including investigational agents within 4
weeks prior to treatment or 5 half-lives, whichever is shorter
- Received prior radiotherapy within 2 weeks of start of study treatment
- Has received a live vaccine within 30 days prior to the first dose of study treatment
- Taking strong CYP3A4 or P-glycoprotein inhibitors or inducers
- Diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy or any
other form of immunosuppressive therapy within 7 days prior the first dose of study
treatment
- Known additional malignancy that is progressing or has required active treatment
within the past 3 years (with some permitted exceptions)
- Known active CNS metastases and/or carcinomatous meningitis
- Active autoimmune disease that has required systemic treatment in past 2 years
- History of pneumonitis that required steroids or has current pneumonitis
- Has an active infection requiring systemic therapy
- Recent or current GI ulcer, colitis or non-immune colitis
- Known history of human immunodeficiency virus (HIV) infection, or known active
Hepatitis B, or Hepatitis C virus infection
- Has had an allogeneic tissue/solid organ transplant
- Clinically significant (i.e.active) cardiovascular disease
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Safety and tolerability of grapiprant in combination with pembrolizumab |
Time Frame: | Up to 90 days after the end of treatment (average of 7 months) |
Safety Issue: | |
Description: | Number of incidence, severity, relationship, concomitant medications administered, and duration of treatment emergent adverse events using CTCAE v5.0 |
Secondary Outcome Measures
Measure: | Progression-free survival (PFS) |
Time Frame: | Up to 12 months |
Safety Issue: | |
Description: | Participants who discontinue treatment without disease progression |
Measure: | Overall survival (OS) |
Time Frame: | Up to 2 years from start of study drug |
Safety Issue: | |
Description: | Date of study drug to date of death due to any cause |
Measure: | Duration of treatment (DoT) |
Time Frame: | 7 months |
Safety Issue: | |
Description: | Disease response for time of duration on treatment |
Measure: | Disease control rate (DCR) |
Time Frame: | 7 months |
Safety Issue: | |
Description: | Percentage of patients who have achieved CR, PR and stable disease |
Measure: | Duration of response (DoR) |
Time Frame: | Up to 12 months |
Safety Issue: | |
Description: | Time from documentation of tumor response to disease progression per RECIST and iRECIST 1.1 |
Measure: | PK of grapiprant: AUC |
Time Frame: | Days 1 and 2 of first 2 cycles (every 21 days), followed by Day 1 of every even cycle beginning with Cycle 4 (every 42 days) through end of treatment (average of 4 months). |
Safety Issue: | |
Description: | Area under the plasma concentration-time curve |
Measure: | PK of grapiprant: Cmax |
Time Frame: | Days 1 and 2 of first 2 cycles (every 21 days), followed by Day 1 of every even cycle beginning with Cycle 4 (every 42 days) through end of treatment (average of 4 months). |
Safety Issue: | |
Description: | Peak serum concentration of grapiprant |
Measure: | Plasma decay half-life (t1/2) |
Time Frame: | Days 1 and 2 of first 2 cycles (every 21 days), followed by Day 1 of every even cycle beginning with Cycle 4 (every 42 days) through end of treatment (average of 4 months). |
Safety Issue: | |
Description: | Measurement of half-life of grapiprant after dosing |
Measure: | Apparent oral clearance (CL/F) |
Time Frame: | Days 1 and 2 of first 2 cycles (every 21 days), followed by Day 1 of every even cycle beginning with Cycle 4 (every 42 days) through end of treatment (average of 4 months). |
Safety Issue: | |
Description: | Rate of elimination of the drug from plasma after oral administration |
Measure: | Peak to trough ratio |
Time Frame: | Days 1 and 2 of first 2 cycles (every 21 days), followed by Day 1 of every even cycle beginning with Cycle 4 (every 42 days) through end of treatment (average of 4 months). |
Safety Issue: | |
Description: | Measure how drug effect is sustained over dose interval |
Measure: | Observed accumulation ratio |
Time Frame: | Days 1 and 2 of first 2 cycles (every 21 days), followed by Day 1 of every even cycle beginning with Cycle 4 (every 42 days) through end of treatment (average of 4 months). |
Safety Issue: | |
Description: | Relationship between the dosing interval and the rate of elimination for the drug |
Measure: | Pharmacodynamic immune effects in paired tumor biopsies |
Time Frame: | Predose through cycle 3 (each cycle is 21 days) |
Safety Issue: | |
Description: | Asses changes in tumor infiltrating helper T cells, cytoxic T cells and regulatory monocyte/macrophages with study treatment |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Terminated |
Lead Sponsor: | Arrys Therapeutics |
Last Updated
February 21, 2021