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A Study to Evaluate Safety/Tolerability of Immunotherapy Combinations in Participants With Triple-Negative Breast Cancer or Gynecologic Malignancies

NCT03719326

Description:

This is a Phase 1/1b, open-label, dose-escalation, and dose-expansion study to evaluate the safety, tolerability, pharmacokinetic (PK), pharmacodynamic (PD), and clinical activity of etrumadenant (AB928) in combination with pegylated liposomal doxorubicin (PLD) with or without IPI-549 in participants with advanced metastatic triple-negative breast cancer (TNBC) or ovarian cancer, and etrumadenant in combination with nanoparticle albumin-bound-paclitaxel (NP) in participants with advanced metastatic TNBC.

Related Conditions:
  • Breast Carcinoma
  • Ovarian Carcinoma
Recruiting Status:

Active, not recruiting

Phase:

Phase 1

Trial Eligibility

Document

Title

  • Brief Title: A Study to Evaluate Safety/Tolerability of Immunotherapy Combinations in Participants With Triple-Negative Breast Cancer or Gynecologic Malignancies
  • Official Title: A Phase 1/1b Study to Evaluate the Safety and Tolerability of Immunotherapy Combinations in Participants With Breast or Gynecologic Malignancies

Clinical Trial IDs

  • ORG STUDY ID: AB928CSP0002
  • NCT ID: NCT03719326

Conditions

  • TNBC - Triple-Negative Breast Cancer
  • Ovarian Cancer

Interventions

DrugSynonymsArms
EtrumadenantAB928Dose Escalation-Arm A
IPI-549Dose Escalation-Arm C
Pegylated liposomal doxorubicin (PLD)Dose Escalation-Arm A
nanoparticle albumin-bound paclitaxel (NP)Dose Escalation-Arm B

Purpose

This is a Phase 1/1b, open-label, dose-escalation, and dose-expansion study to evaluate the safety, tolerability, pharmacokinetic (PK), pharmacodynamic (PD), and clinical activity of etrumadenant (AB928) in combination with pegylated liposomal doxorubicin (PLD) with or without IPI-549 in participants with advanced metastatic triple-negative breast cancer (TNBC) or ovarian cancer, and etrumadenant in combination with nanoparticle albumin-bound-paclitaxel (NP) in participants with advanced metastatic TNBC.

Detailed Description

      In the dose escalation phase, the following will be assessed:

        -  Arm A: escalating doses of etrumadenant in combination with PLD at standard doses will
           be assessed in participants with advanced metastatic triple-negative breast cancer or
           ovarian cancer. Eligible participants will receive oral administration of etrumadenant
           as well as intravenous (IV) infusion of PLD. The recommended dose (RDE) for expansion
           Arms 1 and 2 and escalation Arm C will be determined upon completion of this dose
           escalation arm.

        -  Arm B: escalating doses of etrumadenant in combination with the NP at standard doses
           will also be assessed in participants with advanced metastatic TNBC. Eligible
           participants will receive oral administration of etrumadenant as well as NP infusion.
           The RDE of etrumadenant will be determined upon completion of this dose escalation arm.

        -  Arm C: escalating doses of IPI-549 in combination with the RDE of etrumadenant (from Arm
           A) and PLD at standard doses will be assessed in participants with advanced metastatic
           TNBC or ovarian cancer. Eligible participants will receive oral administration of both
           etrumadenant and IPI-549 as well as IV infusion of PLD. The RDE of IPI-549 for expansion
           Arm 4 will be determined upon completion of this dose escalation arm.

      In the dose expansion phase, the following will be assessed:

        -  Arms 1 and 2: Etrumadenant at the RDE in combination with PLD at standard doses may be
           assessed in participants with advanced metastatic TNBC or ovarian cancer.

        -  Arm 3: Etrumadenant at the RDE in combination with NP at standard doses may be assessed
           in participants with advanced metastatic TNBC.

        -  Arm 4: Etrumadenant and IPI-549 at the RDE in combination with PLD at standard doses may
           be assessed in participants with advanced metastatic TNBC.

      Overall duration of treatment will depend on how well the treatment is tolerated. Treatment
      may continue until unacceptable toxicity or progressive disease or other reasons specified in
      the protocol.
    

Trial Arms

NameTypeDescriptionInterventions
Dose Escalation-Arm AExperimentalDose escalation is a 3+3 design, including a Dose Limiting Toxicity (DLT) evaluation period.
  • Etrumadenant
  • Pegylated liposomal doxorubicin (PLD)
Dose Escalation-Arm BExperimentalDose escalation is a 3+3 design, including a Dose Limiting Toxicity (DLT) evaluation period.
  • Etrumadenant
  • nanoparticle albumin-bound paclitaxel (NP)
Dose Escalation-Arm CExperimentalDose escalation is a 3+3 design, including a Dose Limiting Toxicity (DLT) evaluation period.
  • Etrumadenant
  • IPI-549
  • Pegylated liposomal doxorubicin (PLD)
Dose Expansion-TNBC-Arm 1ExperimentalThe dose given will be determined from the dose escalation part (Arm A).
  • Etrumadenant
  • Pegylated liposomal doxorubicin (PLD)
Dose Expansion-Ovarian Cancer-Arm 2ExperimentalThe dose given will be determined from the dose escalation part (Arm A).
  • Etrumadenant
  • Pegylated liposomal doxorubicin (PLD)
Dose Expansion-TNBC-Arm 3ExperimentalThe dose given will be determined from the dose escalation part (Arm B). .
  • Etrumadenant
  • nanoparticle albumin-bound paclitaxel (NP)
Dose Expansion-TNBC-Arm 4ExperimentalThe dose expansion will be determined from the dose escalation part (Arm C).
  • Etrumadenant
  • IPI-549
  • Pegylated liposomal doxorubicin (PLD)

Eligibility Criteria

        1. Female participants, 18 years or older

          2. Measurable disease per radiographic evaluation

          3. Performance status 0 or 1

          4. Available archival tissue sample (within 2 years) or a fresh tumor biopsy may be
             required

          5. Adequate organ, cardiac, and bone marrow function

          6. Dose escalation

               1. Participants with breast cancer:

                    -  Locally advanced or metastatic triple negative breast cancer (ER-negative,
                       PgR-negative, and HER2-negative according to ASCO/CAP guidelines) with
                       disease progression

                    -  No available alternative or curative therapy

                    -  Participants may have received any number of prior therapies for
                       advanced/recurrent and progressive disease

               2. Participants with ovarian cancer:

                    -  Locally advanced or metastatic ovarian cancer with disease progression

                    -  No available alternative or curative therapy Participants may have received
                       any number of prior therapies for advanced/recurrent and progressive disease

          7. Dose expansion

               1. Participants with breast cancer:

                    -  Locally advanced or metastatic triple negative breast cancer (ER-negative,
                       PgR-negative, and HER2-negative according to ASCO/CAP guidelines)

                    -  Disease progression after no more than 3 prior lines of therapy

               2. Participants with ovarian cancer:

                    -  Locally advanced or metastatic ovarian cancer that is platinum-resistant

                    -  Disease progression after no more than 3 prior lines of therapy

        Exclusion:

          1. Received a live, attenuated vaccine within 4 weeks prior to first study treatment

          2. Prior anticancer treatment including approved agents, systemic radiotherapy, or
             investigational therapy within 4 weeks prior first study treatment

          3. Cancer other than the disease under study within 2 years prior to study entry, except
             for some cancers with a low risk of spreading like non-melanoma skin cancers

          4. Inability to swallow oral medications

          5. Participant is breastfeeding, pregnant, or expects to become pregnant during the study

          6. Active autoimmune disease or documented history of autoimmune disease within 2 years
             prior to first study treatment

          7. History of peptic ulcer or stomach bleeding within 6 months prior to first study
             treatment

          8. Use of drugs contraindicated by the protocol within 4 weeks prior to and during study
             treatment

          9. Prior treatment with drugs that suppress the immune system within 2 weeks prior to
             first study treatment

         10. Presence of metastases in the brain or cancer spreading into the cerebrospinal fluid -
             CSF (leptomeningeal disease)

         11. HIV, Hepatitis B, and C test results negative prior to first study treatment

         12. Major surgery within 4 weeks prior to first study treatment

         13. Participants who have previously received maximum cumulative lifetime anthracycline
             dosage or baseline ejection fraction <50% (on heart echography)
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:Female
Healthy Volunteers:No

Primary Outcome Measures

Measure:Incidence of Adverse Events (AEs)
Time Frame:From first dose date to 30 days after the last dose (Approximately 1 year)
Safety Issue:
Description:

Secondary Outcome Measures

Measure:Plasma concentration of etrumadenant
Time Frame:Recorded at baseline (prior to first dose), during the first 4 cycles of treatment (4 months) and at the end of treatment (i.e. in total approximately 5 months)
Safety Issue:
Description:
Measure:Plasma concentration of IPI-549
Time Frame:Recorded at baseline (prior to first dose), during the first 4 cycles of treatment (4 months) and at the end of treatment (i.e. in total approximately 5 months)
Safety Issue:
Description:
Measure:Percentage of participants with a best overall response of Complete Response (CR) or Partial Response (PR), as determined by Investigator according to Response Evaluation in Solid Tumors (RECIST) v 1.1
Time Frame:From study enrollment until participation discontinuation, first occurrence of progressive disease or death from any cause, whichever occurs first (approximately 3-5 years)
Safety Issue:
Description:
Measure:Percentage of participants with Disease Control (complete response, partial response, or stable disease) for > 6 months as determined by RECIST v1.1
Time Frame:From study enrollment until disease progression or loss of clinical benefit (up to approximately 3-5 years)
Safety Issue:
Description:
Measure:Duration of Response as determined by the Investigator according to RECIST v1.1
Time Frame:From the date of the first occurrence of a documented objective response to first documentation of disease progression or death from any cause, whichever occurs first (up to approximately 3-5 years)
Safety Issue:
Description:
Measure:Progression Free Survival (PFS) as determined by the Investigator according to RECIST v1.1
Time Frame:From start of the treatment up to first occurrence of progressive disease or death from any cause, whichever occurs first (up to approximately 3-5 years)
Safety Issue:
Description:
Measure:Overall Survival (OS) as determined by the Investigator according to RECIST v1.1
Time Frame:From start of treatment up to death from any cause (up to approximately 3-5 years)
Safety Issue:
Description:
Measure:Percentage of etrumadenant target inhibition in peripheral blood
Time Frame:Cycle 1 Day 1 through Cycle 4 Day 1 (4 months) and at the end of treatment (in total approximately 5 months)
Safety Issue:
Description:
Measure:Immunophenotyping activity in select immune subsets for etrumadenant and IPI-549 in peripheral blood
Time Frame:Cycle 1 Day 1 through Cycle 4 Day 1 (4 months) and at the end of treatment (in total approximately 5 months).
Safety Issue:
Description:

Details

Phase:Phase 1
Primary Purpose:Interventional
Overall Status:Active, not recruiting
Lead Sponsor:Arcus Biosciences, Inc.

Trial Keywords

  • Triple Negative Breast Cancer
  • TNBC
  • Ovarian Cancer

Last Updated

May 7, 2021