Description:
This is a first-in-human, Phase 1, open label, multicenter, multiple dose, dose escalation
and dose expansion study intended to evaluate the safety, pharmacokinetic, pharmacodynamic,
and potential clinical benefit of PF-07209960, an anti-PD-1 targeting IL-15 fusion protein,
in participants with selected locally advanced or metastatic solid tumors for whom no
standard therapy is available, or would not be an appropriate option in the opinion of the
participant and their treating physician, or participants who have refused standard therapy.
The study contains 2 parts, single agent Dose Escalation (Part 1) to determine the
recommended dose of PF-07209960, followed by Dose Expansion (Part 2) in selected tumor types
at the recommended dose.
Title
- Brief Title: Study to Test the Safety and Tolerability of PF-07209960 in Advanced or Metastatic Solid Tumors
- Official Title: A PHASE 1 DOSE ESCALATION AND EXPANSION STUDY TO EVALUATE SAFETY, TOLERABILITY, PHARMACOKINETIC, PHARMACODYNAMIC, AND ANTI-TUMOR ACTIVITY OF PF-07209960 IN PARTICIPANTS WITH ADVANCED OR METASTATIC SOLID TUMORS
Clinical Trial IDs
- ORG STUDY ID:
C4011001
- NCT ID:
NCT04628780
Conditions
- Non-small-cell Lung Cancer
- Squamous Cell Carcinoma of the Head and Neck
- Renal Cell Carcinoma
- Urothelial Carcinoma
- Colorectal Carcinoma
- Ovarian Carcinoma
Interventions
Drug | Synonyms | Arms |
---|
PF-07209960 | | Dose Escalation (Part 1) |
Purpose
This is a first-in-human, Phase 1, open label, multicenter, multiple dose, dose escalation
and dose expansion study intended to evaluate the safety, pharmacokinetic, pharmacodynamic,
and potential clinical benefit of PF-07209960, an anti-PD-1 targeting IL-15 fusion protein,
in participants with selected locally advanced or metastatic solid tumors for whom no
standard therapy is available, or would not be an appropriate option in the opinion of the
participant and their treating physician, or participants who have refused standard therapy.
The study contains 2 parts, single agent Dose Escalation (Part 1) to determine the
recommended dose of PF-07209960, followed by Dose Expansion (Part 2) in selected tumor types
at the recommended dose.
Trial Arms
Name | Type | Description | Interventions |
---|
Dose Escalation (Part 1) | Experimental | Participants will receive PF-07209960 at escalating dose levels | |
Dose Expansion (Part 2) - Cohort 1 (NSCLC) | Experimental | Participants with non-small cell lung cancer (NSCLC) will receive PF-07209960 at the recommended dose from Part 1 | |
Dose Expansion (Part 2) - Cohort 2 (RCC) | Experimental | Participants with renal cell carcinoma (RCC) will receive PF-07209960 at the recommended dose from Part 1 | |
Dose Expansion (Part 2) - Cohort 3 (UC) | Experimental | Participants with urothelial carcinoma (UC) will receive PF-07209960 at the recommended dose from Part 1 | |
Eligibility Criteria
Inclusion Criteria:
- Histological/cytological diagnosis of selected locally advanced or metastatic solid
tumor
- Demonstrated radiographic progression on most recent tumor assessment imaging
- Have ≥1 measurable lesion as defined by RECIST 1.1 that has not been previously
irradiated
- Eastern Cooperative Oncology Group performance status 0-2 for Part 1 and 0-1 for Part
2
- Adequate hematologic, renal, liver, and coagulation functions
- LVEF ≥50% by echocardiogram or MUGA
- Resolved acute effects of any prior therapy
- Participants in Dose Expansion (Part 2) must have ≥2 prior lines of standard of care
therapy
- Able to provide tumor tissue for submission to the Sponsor, including mandatory
pre-treatment tumor biopsy (adequate archival tissue within the past 1 year is
accepted in lieu of new biopsy) for all participants. Participants in Part 2 must also
be able to undergo new (de novo) tumor biopsy at baseline (pre-treatment) and
on-treatment biopsy until the Sponsor deems that an adequate number of biopsied
samples have been received.
Exclusion Criteria:
- Known active symptomatic brain or leptomeningeal metastases requiring steroids.
- Other active malignancy within 3 years prior to enrollment, except for adequately
treated basal cell or squamous cell skin cancer, or carcinoma in situ
- Major surgery or radiation therapy within 4 weeks prior to planned first dose
- Last systemic anti-cancer therapy within 4 weeks prior to planned first dose (6 weeks
for mitomycin C or nitrosoureas). Participants who received anti-PD-1 therapy require
an interval of 90 days prior to first dose
- Participation in other studies involving investigational drug(s) within 4 weeks prior
to planned first dose
- Active and clinically significant bacterial, fungal, or viral infection; Hepatitis B
or Hepatitis C infection, AIDS-related illness (HIV+ and in good immune health as
defined in the protocol may be eligible)
- Active COVID-19/SARS-CoV2
- Anticoagulation with vitamin K antagonists is not allowed
- Active bleeding disorder in the past 6 months prior to first dose
- History of clinically significant severe immune mediated adverse event that was
considered related to prior immune modulatory therapy and required immunosuppressive
therapy (other than hormone replacement therapy)
- History of interstitial lung disease or pneumonitis
- Organ transplant requiring immunosuppressive treatment or prior allogeneic bone marrow
or hematopoietic stem cell transplant
- Pregnant or breastfeeding female participant
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Number of participants with dose limiting toxicities (DLTs) in Dose Escalation (Part 1) |
Time Frame: | Baseline through 28 days after first dose (Cycle 1) |
Safety Issue: | |
Description: | DLTs will be evaluated during Cycle 1 (a cycle is 28 days) in Part 1. The number of DLTs will be used to determine the optimal dose |
Secondary Outcome Measures
Measure: | ORR in Dose Escalation (Part 1) |
Time Frame: | Baseline through up to 2 years or until disease progression |
Safety Issue: | |
Description: | Tumor response based on RECIST 1.1 |
Measure: | Single dose: Maximal concentration (Cmax) |
Time Frame: | Cycle 1 (each cycle is 28 days), Cycle 2, and Day 1 of each subsequent cycle, and at the End of Treatment visit, up to about 2 years |
Safety Issue: | |
Description: | PK assessment for PF-07209960 |
Measure: | Single dose: Time to maximal plasma concentration (Tmax) |
Time Frame: | Cycle 1 (each cycle is 28 days), Cycle 2, and Day 1 of each subsequent cycle, and at the End of Treatment visit, up to about 2 years |
Safety Issue: | |
Description: | PK assessment for PF-07209960 |
Measure: | Single dose: Area Under the Curve within one dosing interval (AUCtau) |
Time Frame: | Cycle 1 (each cycle is 28 days), Cycle 2, and Day 1 of each subsequent cycle, and at the End of Treatment visit, up to about 2 years |
Safety Issue: | |
Description: | PK assessment for PF-07209960 |
Measure: | Multiple dose: Maximum observed steady state plasma concentration (Cmax,ss) |
Time Frame: | Cycle 1 (each cycle is 28 days), Cycle 2, and Day 1 of each subsequent cycle, and at the End of Treatment visit, up to about 2 years |
Safety Issue: | |
Description: | PK assessment for PF-07209960 |
Measure: | Multiple dose: Time to reach Maximum Observed Steady State Plasma Concentration (Tmax,ss) |
Time Frame: | Cycle 1 (each cycle is 28 days), Cycle 2, and Day 1 of each subsequent cycle, and at the End of Treatment visit, up to about 2 years |
Safety Issue: | |
Description: | PK assessment for PF-07209960 |
Measure: | Multiple dose: Area Under the curve within one dose interval at steady state (AUCtau,ss) |
Time Frame: | Cycle 1 (each cycle is 28 days), Cycle 2, and Day 1 of each subsequent cycle, and at the End of Treatment visit, up to about 2 years |
Safety Issue: | |
Description: | PK assessment for PF-07209960 |
Measure: | Lowest concentration (Ctrough) reached before the next dose is administered |
Time Frame: | Cycle 1 (each cycle is 28 days), Cycle 2, and day 1 of each subsequent cycle, and at the End of Treatment visit, up to about 2 years |
Safety Issue: | |
Description: | PK assessment for PF-07209960 |
Measure: | Immunogenicity in Expansion Cohorts (Part 2) |
Time Frame: | Cycle 1 (each cycle is 28 days), Cycle 2, and Day 1 of each subsequent cycle, and at the End of Treatment visit, up to about 2 years |
Safety Issue: | |
Description: | Incidence, titers, and endogenous IL-15 cross-reactivity of anti-drug antibody and neutralizing antibody against PF-07209960 |
Measure: | Intratumor T cells in pre-treatment vs. on-treatment tumor biopsy samples in Expansion Cohorts (Part 2) |
Time Frame: | Baseline through start of Cycle 2 |
Safety Issue: | |
Description: | Effect of PF-07209960 therapy on immune cells in tumor biopsies |
Measure: | Disease control rate (DCR) |
Time Frame: | Baseline through up to 2 years or until disease progression |
Safety Issue: | |
Description: | DCR as assessed using RECIST 1.1 |
Measure: | Duration of response (DOR) |
Time Frame: | Baseline through up to 2 years or until disease progression |
Safety Issue: | |
Description: | DOR as assessed using RECIST 1.1 |
Measure: | Time to progression (TTP) |
Time Frame: | Baseline through up to 2 years or until disease progression |
Safety Issue: | |
Description: | TTP as assessed using RECIST 1.1 |
Measure: | Progression free survival (PFS) |
Time Frame: | Baseline through up to 2 years or until disease progression |
Safety Issue: | |
Description: | PFS as assessed using RECIST 1.1 |
Measure: | Overall survival (OS) in the Expansion Cohorts (Part 2) |
Time Frame: | Baseline through up to 2 years |
Safety Issue: | |
Description: | Proportion of participants alive |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Pfizer |
Trial Keywords
- PD-1
- immune checkpoint inhibitor
- IL-15
- IL-2
- cytokine
- immunotherapy
- Metastasis
- advanced solid tumor
- metastatic solid tumor
Last Updated
August 24, 2021