Description:
This study will determine the pharmacodynamically-active dose of gevokizumab and the
tolerable dose and preliminary efficacy of gevokizumab in combination with the standard of
care anti-cancer therapy in patients with metastatic colorectal cancer, metastatic
gastroesophageal cancer and metastatic renal cell carcinoma.
Title
- Brief Title: Gevokizumab With Standard of Care Anti-cancer Therapies for Metastatic Colorectal, Gastroesophageal, and Renal Cancers
- Official Title: Phase Ib Study of Gevokizumab in Combination With Standard of Care Anti-cancer Therapies in Patients With Metastatic Colorectal Cancer, Gastroesophageal Cancer and Renal Cell Carcinoma
Clinical Trial IDs
- ORG STUDY ID:
CVPM087A2101
- SECONDARY ID:
2018-003952-19
- NCT ID:
NCT03798626
Conditions
- Colorectal Cancer
- Gastroesophageal Cancer
- Renal Cell Carcinoma
Interventions
Drug | Synonyms | Arms |
---|
Gevokizumab | VPM087 | 1st line colorectal cancer |
Bevacizumab | | 1st line colorectal cancer |
Modified FOLFOX6 | oxaliplatin, leucovorin, 5-fluorouracil | 1st line colorectal cancer |
FOLFIRI | irinotecan, leucovorin, 5-fluorouracil | 2nd line colorectal cancer |
Ramucirumab | | 2nd line gastroesophageal cancer |
Paclitaxel | | 2nd line gastroesophageal cancer |
Cabozantinib | | 2nd or 3rd line renal cell carcinoma |
Purpose
This study will determine the pharmacodynamically-active dose of gevokizumab and the
tolerable dose and preliminary efficacy of gevokizumab in combination with the standard of
care anti-cancer therapy in patients with metastatic colorectal cancer, metastatic
gastroesophageal cancer and metastatic renal cell carcinoma.
Trial Arms
Name | Type | Description | Interventions |
---|
1st line colorectal cancer | Experimental | Treatment for 1st line metastatic colorectal cancer (mCRC) with Gevokizumab, modified FOLFOX6, bevacizumab | - Gevokizumab
- Bevacizumab
- Modified FOLFOX6
|
2nd line colorectal cancer | Experimental | Treatment for 2nd line mCRC with Gevokizumab, FOLFIRI, bevacizumab | - Gevokizumab
- Bevacizumab
- FOLFIRI
|
2nd line gastroesophageal cancer | Experimental | Treatment for 2nd line metastatic gastroesophageal cancer (mGEC) with Gevokizumab, paclitaxel, ramucirumab | - Gevokizumab
- Ramucirumab
- Paclitaxel
|
2nd or 3rd line renal cell carcinoma | Experimental | Treatment for 2nd or 3rd line metastatic renal cell carcinoma (mRCC) with Gevokizumab, cabozantinib | |
Eligibility Criteria
Inclusion Criteria:
- Metastatic disease not amenable to potentially curative surgery and with available
archival tumor tissue or fresh tumor tissue biopsy.
- Presence of at least 1 measurable lesion assessed by CT and/or MRI according to RECIST
1.1.
For Cohort A:
- First line metastatic colorectal cancer.
For Cohort B:
- Second line metastatic colorectal cancer that has progressed on prior chemotherapy
administered for metastatic disease and which must include a fluoropyrimidine and
oxaliplatin.
For Cohort C:
- Second line metastatic gastroesophageal cancer that has progressed on prior line of
chemotherapy administered for metastatic disease, and which must include a platinum agent
and fluoropyrimidine doublet.
For Cohort D:
- Second or third line metastatic renal cell carcinoma with a clear-cell component and has
received one or two lines of treatment for metastatic disease that included an
anti-angiogenic agent for at least 4 weeks with radiologic progression on that treatment.
For subjects starting from Part 1a in Cohorts A and B:
- Serum hs-CRP at screening ≥ 10 mg/L.
- Not requiring immediate initiation of anti-cancer therapy per investigator's best
judgement.
For subjects starting from Part 2 in Cohorts C and D:
- Serum hs-CRP at screening ≥ 10 mg/L.
Exclusion Criteria:
For All Cohorts:
- Currently receiving any of the prohibited medications or has contraindications as
outlined in the protocol.
- Symptomatic brain metastases or brain metastases that require directed therapy (such
as focal radiotherapy or surgery).
- Suspected or proven immunocompromised state, or infections (as defined in the
protocol).
- Conditions that have a high risk of clinically significant bleeding after
administration of anti-VEGF agents.
- Clinically significant, uncontrolled or recent (within last 6 months) cardiovascular
disease.
For Cohort D:
- Concomitant medications, herbal supplements, and/or fruits and their juices that are
known as strong inhibitors or inducers of CYP3A4/5, and medications that have a narrow
therapeutic window and are predominantly metabolized through CYP3A4/5.
- Impairment of GI function or GI disease that may significantly alter the absorption of
cabozantinib.
Other protocol-defined inclusion/exclusion criteria may apply
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Part 1a (Dose finding): Change in high-sensitivity C-reactive protein (hsCRP) after first dose of gevokizumab monotherapy |
Time Frame: | Baseline, Day 15 |
Safety Issue: | |
Description: | Log scale change of hsCRP at Day 15 from baseline |
Secondary Outcome Measures
Measure: | Part 2 (Expansion): Overall response rate (ORR) per investigator assessment using RECIST v1.1 |
Time Frame: | Up to 5 years |
Safety Issue: | |
Description: | ORR is defined as the proportion of subjects with best overall response (BOR) of complete response (CR) or partial response (PR), according to RECIST 1.1 |
Measure: | Part 2 (Expansion): Duration of response (DOR) per investigator assessment using RECIST v1.1 |
Time Frame: | Up to 5 years |
Safety Issue: | |
Description: | Duration of response is defined as the time from first documented response of CR or PR to date of first documented progression or death due to any cause, according to RECIST 1.1 criteria |
Measure: | Part 2 (Expansion): Disease Control Rate (DCR) per investigator assessment using RECIST v1.1 |
Time Frame: | Up to 5 years |
Safety Issue: | |
Description: | DCR is defined as the proportion of subjects with a BOR of CR, PR, or stable disease (SD), according to RECIST 1.1. |
Measure: | Part 2 (Expansion): Overall survival (OS) |
Time Frame: | Up to 5 years |
Safety Issue: | |
Description: | OS is defined as the time from date of first dose of study treatment to date of death due to any cause. |
Measure: | Serum concentration of gevokizumab, as monotherapy and in the combination regimens |
Time Frame: | Up to 5 years |
Safety Issue: | |
Description: | To characterize the pharmacokinetics of gevokizumab therapy |
Measure: | Serum concentration of bevacizumab |
Time Frame: | Up to 5 years |
Safety Issue: | |
Description: | To characterize the pharmacokinetics of bevacizumab therapy |
Measure: | Serum concentration of ramucirumab |
Time Frame: | Up to 5 years |
Safety Issue: | |
Description: | To characterize the pharmacokinetics of ramucirumab therapy |
Measure: | Serum concentration of irinotecan |
Time Frame: | Up to 3 months |
Safety Issue: | |
Description: | To characterize the pharmacokinetics of irinotecan therapy |
Measure: | Serum concentration of paclitaxel |
Time Frame: | Up to 3 months |
Safety Issue: | |
Description: | To characterize the pharmacokinetics of paclitaxel therapy |
Measure: | Serum concentration of cabozantinib |
Time Frame: | Up to 3 months |
Safety Issue: | |
Description: | To characterize the pharmacokinetics of cabozantinib therapy |
Measure: | Number of patients with anti-drug antibodies for gevokizumab in the combination regimens |
Time Frame: | Up to 5 years |
Safety Issue: | |
Description: | Incidence of immunogenicity for gevokizumab |
Measure: | Number of patients with anti-drug antibodies for bevacizumab in the combination regimens |
Time Frame: | Up to 5 years |
Safety Issue: | |
Description: | Incidence of immunogenicity for bevacizumab |
Measure: | Number of patients with anti-drug antibodies for ramucirumab in the combination regimens |
Time Frame: | Up to 5 years |
Safety Issue: | |
Description: | Incidence of immunogenicity for ramucirumab |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Novartis Pharmaceuticals |
Trial Keywords
- colorectal cancer
- gastroesophageal cancer
- renal cell carcinoma
- gevokizumab
- bevacizumab
- modified FOLFOX6
- FOLFIRI
- ramucirumab
- paclitaxel
- cabozantinib
- CRC
- GEC
- RCC
- VPM087
Last Updated
August 24, 2021