Description:
A First-in-Human Pharmacokinetic, Safety, and Tolerability Study of PF-07265807 as
Monotherapy and in Combination in Participants with Advanced or Metastatic Solid Tumors
Title
- Brief Title: Study of PF-07265807 in Participants With Metastatic Solid Tumors.
- Official Title: A PHASE 1, OPEN-LABEL, MULTI-CENTER, DOSE-FINDING, PHARMACOKINETIC, SAFETY AND TOLERABILITY STUDY OF PF 07265807 IN PARTICIPANTS WITH SELECTED ADVANCED OR METASTATIC SOLID TUMOR MALIGNANCIES
Clinical Trial IDs
- ORG STUDY ID:
C4201002
- SECONDARY ID:
ARRAY-067-102
- SECONDARY ID:
2021-004270-59
- NCT ID:
NCT04458259
Conditions
Interventions
Drug | Synonyms | Arms |
---|
PF-07265807 | ARRY-067 | Doublet Dose Escalation: Part 2 |
Sasanlimab | PF-06801591; RN-888 | Doublet Dose Escalation: Part 2 |
Axitinib | AG-013736; Inlyta | Expansion Phase: Part 4, Cohort 4 |
Purpose
A First-in-Human Pharmacokinetic, Safety, and Tolerability Study of PF-07265807 as
Monotherapy and in Combination in Participants with Advanced or Metastatic Solid Tumors
Trial Arms
Name | Type | Description | Interventions |
---|
Monotherapy Dose Escalation: Part 1 | Experimental | Monotherapy dose escalation of PF-07265807 in participants with select tumor types. | |
Doublet Dose Escalation: Part 2 | Experimental | Doublet combination dose escalation of PF-07265807 with sasanlimab in participants with select tumor types. PF-07265807 will dose escalate. Sasanlimab dose will stay constant. | |
Triplet Dose Escalation: Part 3 | Experimental | Triplet combination dose escalation of PF-07265807 with sasanlimab plus axitinib in participants with RCC. PF-07265807 will dose escalate. Sasanlimab dose will stay constant. Axitinib dose will follow label. | - PF-07265807
- Sasanlimab
- Axitinib
|
Expansion Phase: Part 4, Cohort 1 | Experimental | PF-07265807 monotherapy in participants with METex14 mutant NSCLC. | |
Expansion Phase: Part 4, Cohort 2 | Experimental | PF-07265807 with sasanlimab in participants with MSS CRC | |
Expansion Phase: Part 4, Cohort 3 | Experimental | PF-07265807 with sasanlimab in participants with PD-L1+ gastric cancer/GEJ | |
Expansion Phase: Part 4, Cohort 4 | Experimental | PF-07265807 with sasanlimab plus axitinib in participants with RCC | - PF-07265807
- Sasanlimab
- Axitinib
|
Eligibility Criteria
Inclusion Criteria:
- At least one measurable (Parts 1-4) or non-measurable lesion (Parts 1-3), not
previously irradiated, as defined by RECIST 1.1
- ECOG Performance Status 0 or 1, 2 with approval
- Adequate Bone Marrow Function
- Adequate Renal Function
- Adequate Liver Function
- Resolved acute effects of any prior therapy
- Able to provide adequate archival tumor tissue or freshly obtained tumor tissue (some
participants will require mandatory pre- and on-treatment biopsy is part of the
biomarker cohort).
- Life expectancy of at least 3 months.
- Part 1 and Part 2: Participants who are intolerant or resistant to standard treatment
for selected solid tumors.
- Part 3: Participants with advanced/metastatic RCC with a clear cell component and
progressed with no standard therapy available.
- Part 4, Cohort 1: Participants with NSCLC with METex14-skipping alteration(s) and
progressed on at least 1 prior therapy.
- Part 4, Cohort 2: Participants with MSS CRC with intermediate TMB and progressed with
no satisfactory alternative treatment available, but has not received prior treatment
with an anti-PD-(L)1 therapy.
- Part 4, Cohort 3: Participants with metastatic gastric or GEJ adenocarcinoma that is
PD-L1 positive that has progressed on at least 2 but no more than 3 prior chemotherapy
regiments, but has not received prior treatment with an anti-PD-(L)1 therapy.
- Part 4, Cohort 4: Participants with metastatic RCC with a clear cell component with
IMDC intermediate or poor risk that have not received any prior systemic therapy for
metastatic disease.
Exclusion Criteria:
- Known active uncontrolled or symptomatic CNS metastases.
- Any other active malignancy within 2 years prior to enrollment.
- Major surgery within 6 weeks, radiation therapy within 4 weeks, systemic anti-cancer
therapy within 2 week or 5 half-lives (4 weeks or 5 half-lives for antibody therapies
or investigational drug(s) taken on another study) prior to study entry.
- Active or history of autoimmune disease requiring >10mg/day prednisone or other
concurrent immunosuppressive therapy.
- Active, uncontrolled infection (controlled HBV, HCV, HIV/AIDS may be allowed) as
defined in protocol.
- Retinal or other serious ophthalmic disorders as defined in protocol.
- Clinically significant cardiac disease as defined in protocol.
- Uncontrolled HTN that cannot be controlled by medications.
- Inability to consume or absorb study drug.
- Known or suspected hypersensitivity to PF-07265807.
- Prohibited concomitant medications as defined in protocol.
- Active inflammatory GI disease, uncontrollable chronic diarrhea, or previous gastric
resection or lap band surgery affecting absorption.
- Active bleeding disorder.
For Part 2, Part 3, and Part 4, Cohorts 2-4:
- Known history of non-infectious pneumonitis that required steroid treatment or current
pneumonitis.
- Discontinuation of prior checkpoint inhibitor for treatment-related toxicity.
- Experienced >= G3 treatment-related irAE with prior PD-(L)1 agent.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Parts 1, 2, and 3: Number of participants with dose limiting toxicities (DLTs) |
Time Frame: | Baseline through day 21 or 42 |
Safety Issue: | |
Description: | DLTs will be evaluated during the first cycle (day 21) or two cycles (day 42). The number of DLTs will be used to determine the maximum tolerated dose (MTD) |
Secondary Outcome Measures
Measure: | Parts 1, 2, and 3: Maximum plasma concentration (Cmax) and dose normalized (Cmax(dn)) |
Time Frame: | Each cycle is 21 days. Cycle 1 Days 1 and 14, predose, 0.5,1,2,4,8 and 24 hours post dose; Day 7 predose and 2 hours post dose; Cycle 2 Days 1 and 14, predose and 2 hours post dose; Cycles 3-6 Days 1 and 14 predose |
Safety Issue: | |
Description: | Single dose (Cmax / Cmax(dn)) and multiple dose (assuming steady state is achieved; Cmax,ss / Cmax,ss(dn)) pharmacokinetic (PK) parameters of PF-07265807, its metabolite, sasanlimab, or axitinib |
Measure: | Parts 1, 2, and 3: Time to reach maximum plasma concentration (Tmax) |
Time Frame: | Each cycle is 21 days. Cycle 1 Days 1 and 14, predose, 0.5,1,2,4,8 and 24 hours post dose; Day 7 predose and 2 hours post dose; Cycle 2 Days 1 and 14, predose and 2 hours post dose; Cycles 3-6 Days 1 and 14 predose |
Safety Issue: | |
Description: | Single dose (Tmax) and multiple dose (assuming steady state is achieved; Tmax,ss) pharmacokinetic parameters of PF-07265807, its metabolite, sasanlimab, or axitinib |
Measure: | Parts 1, 2, and 3: Minimum plasma concentration (Cmin) |
Time Frame: | Each cycle is 21 days. Cycle 1 Days 1 and 14, predose, 0.5,1,2,4,8 and 24 hours post dose; Day 7 predose and 2 hours post dose; Cycle 2 Days 1 and 14, predose and 2 hours post dose; Cycles 3-6 Days 1 and 14 predose |
Safety Issue: | |
Description: | Single dose (Cmin) and multiple dose (assuming steady state is achieved; Cmin,ss) pharmacokinetic parameters of PF-07265807, its metabolite, sasanlimab, or axitinib |
Measure: | Parts 1, 2, and 3: Average observed concentration (Cavg) |
Time Frame: | Each cycle is 21 days. Cycle 1 Days 1 and 14, predose, 0.5,1,2,4,8 and 24 hours post dose; Day 7 predose and 2 hours post dose; Cycle 2 Days 1 and 14, predose and 2 hours post dose; Cycles 3-6 Days 1 and 14 predose |
Safety Issue: | |
Description: | Single dose (Cavg) and multiple dose (assuming steady state is achieved; Cavg,ss) pharmacokinetic parameters of PF-07265807, its metabolite, sasanlimab, or axitinib |
Measure: | Parts 1, 2, and 3: Area under the curve from the time of dose to the last measurable concentration (AUClast) and dose normalized (AUClast(dn)) |
Time Frame: | Each cycle is 21 days. Cycle 1 Days 1 and 14, predose, 0.5,1,2,4,8 and 24 hours post dose; Day 7 predose and 2 hours post dose; Cycle 2 Days 1 and 14, predose and 2 hours post dose; Cycles 3-6 Days 1 and 14 predose |
Safety Issue: | |
Description: | Single dose (AUClast and AUClast(dn)) pharmacokinetic parameters of PF-07265807, its metabolite, sasanlimab, or axitinib |
Measure: | Parts 1, 2, and 3: Area under the curve from the time of dose to the time of the subsequent dose (AUCtau) and dose normalized (AUCtau(dn)) |
Time Frame: | Each cycle is 21 days. Cycle 1 Days 1 and 14, predose, 0.5,1,2,4,8 and 24 hours post dose; Day 7 predose and 2 hours post dose; Cycle 2 Days 1 and 14, predose and 2 hours post dose; Cycles 3-6 Days 1 and 14 predose |
Safety Issue: | |
Description: | Multiple dose assuming steady state is achieved (AUCtau,ss and AUCtau,ss(dn)) and single dose (as data permits; AUCtau) pharmacokinetic parameters of PF-07265807, its metabolite, sasanlimab, or axitinib |
Measure: | Parts 1, 2, and 3: Terminal elimination half-life (t1/2) |
Time Frame: | Each cycle is 21 days. Cycle 1 Days 1 and 14, predose, 0.5,1,2,4,8 and 24 hours post dose; Day 7 predose and 2 hours post dose; Cycle 2 Days 1 and 14, predose and 2 hours post dose; Cycles 3-6 Days 1 and 14 predose |
Safety Issue: | |
Description: | As data permits, single dose (t1/2) pharmacokinetic parameters of PF-07265807, its metabolite, sasanlimab, or axitinib |
Measure: | Parts 1, 2, and 3: Area under the curve from the time of dose extrapolated to infinity (AUCinf) and dose normalized (AUCinf(dn)) |
Time Frame: | Each cycle is 21 days. Cycle 1 Days 1 and 14, predose, 0.5,1,2,4,8 and 24 hours post dose; Day 7 predose and 2 hours post dose; Cycle 2 Days 1 and 14, predose and 2 hours post dose; Cycles 3-6 Days 1 and 14 predose |
Safety Issue: | |
Description: | As data permits, single dose (AUCinf and AUCinf(dn)) pharmacokinetic parameters of PF-07265807, its metabolite, sasanlimab, or axitinib |
Measure: | Parts 1, 2, and 3: Apparent oral clearance (CL/F) |
Time Frame: | Each cycle is 21 days. Cycle 1 Days 1 and 14, predose, 0.5,1,2,4,8 and 24 hours post dose; Day 7 predose and 2 hours post dose; Cycle 2 Days 1 and 14, predose and 2 hours post dose; Cycles 3-6 Days 1 and 14 predose |
Safety Issue: | |
Description: | Single dose (CL/F) and multiple dose (as data permits) pharmacokinetic parameters of PF-07265807, its metabolite, sasanlimab, or axitinib |
Measure: | Parts 1, 2, and 3: Apparent terminal volume of distribution (Vz/F) |
Time Frame: | Each cycle is 21 days. Cycle 1 Days 1 and 14, predose, 0.5,1,2,4,8 and 24 hours post dose; Day 7 predose and 2 hours post dose; Cycle 2 Days 1 and 14, predose and 2 hours post dose; Cycles 3-6 Days 1 and 14 predose |
Safety Issue: | |
Description: | As data permits, single dose (Vz/F) and multiple dose (Vss/F) pharmacokinetic parameters of PF-07265807, its metabolite, sasanlimab, or axitinib |
Measure: | Parts 1, 2, and 3: Accumulation ratio area under the curve (Rac,auc) and of maximum observed concentration (Rac,cmax) |
Time Frame: | Each cycle is 21 days. Cycle 1 Days 1 and 14, predose, 0.5,1,2,4,8 and 24 hours post dose; Day 7 predose and 2 hours post dose; Cycle 2 Days 1 and 14, predose and 2 hours post dose; Cycles 3-6 Days 1 and 14 predose |
Safety Issue: | |
Description: | As data permits, multiple dose (Rac,auc and Rac,cmax) pharmacokinetic parameters of PF-07265807, its metabolite, sasanlimab, or axitinib |
Measure: | Parts 1, 2, and 3: ORR |
Time Frame: | Baseline through approximately 2 years |
Safety Issue: | |
Description: | Response will be evaluable via radiographical tumor assessment by RECIST v1.1 |
Measure: | Part 4: Number of participants with treatment emergent AEs |
Time Frame: | Baseline through approximately 2 years |
Safety Issue: | |
Description: | AEs as characterized by type, frequency, severity, timing, seriousness, and relationship to study therapy |
Measure: | Part 4: Number of participants with laboratory abnormalities |
Time Frame: | Baseline through approximately 2 years |
Safety Issue: | |
Description: | Laboratory abnormalities as characterized by type, frequency, severity, and timing |
Measure: | Part4: PF-07265807 and its metabolite Pharmacokinetic (PK) concentration |
Time Frame: | Each cycle is 21 days. Cycle 1 Days 1 and 14, predose, 2, and 4 hours post dose. Day 7 predose and 2 hours post dose; Cycles 2-6 Days 1 and 14: predose |
Safety Issue: | |
Description: | PK concentrations of PF-07265807 and its metabolite: Predose/trough concentration (Ctrough) |
Measure: | Part4: PF-07265807 and its metabolite PK concentration |
Time Frame: | Each cycle is 21 days. Cycle 1 Days 1 and 14, predose, 2, and 4 hours post dose. Day 7 predose and 2 hours post dose; Cycles 2-6 Days 1 and 14: predose |
Safety Issue: | |
Description: | PK concentrations of PF-07265807 and its metabolite: Post dose concentration (Cmax) |
Measure: | Part 4, Cohorts 2-4: Sasanlimab PK concentration |
Time Frame: | Each cycle is 21 days. Cycle 1 Days 1, 7, and 14: predose; Cycles 2-6 Day 1: predose. |
Safety Issue: | |
Description: | PK concentrations of sasanlimab: predose/trough concentration (Ctrough) |
Measure: | Part 4, Cohort 4: Axitinib PK concentration |
Time Frame: | Each cycle is 21 days. Cycle 1 Day 1: predose; Cycle 1 Day 14: predose, 2, and 4 hours post dose |
Safety Issue: | |
Description: | PK concentrations of axitinib: predose/trough concentration (Ctrough) |
Measure: | Immunogenicity of sasanlimab when given in combination |
Time Frame: | Each cycle is 21 days. Cycle 1 Day 1 predose; Cycle 6 Day 1 predose; Cycle 13 Day 1 predose; and then Day 1 every 6 cycles |
Safety Issue: | |
Description: | Incidence and titer of anti-sasanlimab ADA response |
Measure: | Duration of Response |
Time Frame: | Baseline through approximately 2 years |
Safety Issue: | |
Description: | Response will be evaluable via radiographical tumor assessment by RECIST v1.1 |
Measure: | Disease Control Rate |
Time Frame: | Baseline through approximately 2 years |
Safety Issue: | |
Description: | Response will be evaluable via radiographical tumor assessment by RECIST v1.1 |
Measure: | Progression Free Survival |
Time Frame: | Baseline through approximately 2 years |
Safety Issue: | |
Description: | Response will be evaluable via radiographical tumor assessment by RECIST v1.1 |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Pfizer |
Trial Keywords
- TAMK (TAM kinase)
- MER (mer proto-oncogene)
- MERTK (mer proto-oncogene tyrosine kinase)
- AXL (AXL receptor tyrosine kinase)
- AXL/MER
- selective kinase inhibitor
- PD-1 (programmed cell death protein 1)
- PD-L1 (programmed cell death ligand 1)
- immune modulator
Last Updated
August 31, 2021