Non-Small Cell Lung Cancer
Conditions
Keywords
Nonsmall Cell Lung Cancer, NSCLC, Non-Small-Cell Lung Carcinoma, Carcinoma, Non-Small Cell Lung, KW-0761, Mogamulizumab
Brief summary
The purpose of this study is to evaluate the safety of mogamulizumab in combination with docetaxel in adult subjects with previously treated locally advanced or metastatic non-small cell lung cancer.
Interventions
BIOLOGICALmogamulizumab
Mogamulizumab will be administered by IV infusion.
DRUGDocetaxel
Docetaxel will be administered by IV infusion.
Sponsors
Kyowa Kirin, Inc.
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Histologically or cytologically confirmed Stage IIIB or IV advanced or metastatic NSCLC with measurable neoplastic disease. Sputum cytology alone is not considered an acceptable method of diagnosis; * Prior therapy must meet all of the following criteria: 1. Subject has experienced disease progression or unacceptable toxicity/intolerance after receiving at least 1 systemic platinum-containing regimen; 2. Subject with a tumor of non-squamous histology must be tested for epidermal growth factor receptor (EGFR) mutations and anaplastic lymphoma kinase (ALK) rearrangement. Subject with EGFR activating mutation or ALK rearrangement must have experienced disease progression or unacceptable toxicity/intolerance after receiving at least one EGFR tyrosine kinase inhibitor or ALK inhibitor; 3. Subject has received PD-1/PD-L1 blockade or has been informed of the results of relevant positive Phase 3 trials with these agents. * Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1 at baseline; * Minimum life expectancy of 3 months; * Agrees to use a medically effective method of contraception. Male subjects and women of child-bearing potential (WOCBP) must agree to use effective contraception, e.g., oral contraceptives, double barrier method (condom plus spermicide or diaphragm plus spermicide), or practice true abstinence from sexual intercourse during the study and for 3 months after the last dose. Women of child-bearing potential include female subjects who have experienced menarche and have not undergone surgical sterilization or are not postmenopausal (defined as amenorrhea ≥ 12 consecutive months without an alternative medical cause); * WOCBP must have a negative serum pregnancy test within 7 days prior to receiving investigational product and a negative urine pregnancy test on Day 1 of each Cycle; * Recovered (i.e., Grade ≤ 1 or to a baseline level) from the effects of recent surgery, radiotherapy, chemotherapy, hormonal therapy, or other therapies for cancer (with the exception of alopecia for which no resolution is required and peripheral neuropathy which must have resolved to Grade ≤ 1 for subjects receiving prior taxane-based chemotherapy); * Adequate organ function defined as below: 1. Total bilirubin ≤ upper limit of normal (ULN); 2. Hemoglobin (Hgb) ≥ 9.0 g/dL; 3. Serum creatinine (sCr) ≤ 1.5 x ULN; 4. Absolute neutrophil count (ANC) ≥ 1500 cells/mm3; 5. Platelets ≥ 100 × 109/L; * Sufficient archived tumor samples (if taken within 6 months prior to treatment may be submitted) available for PD assessments, or willingness to undergo a pre-treatment core needle biopsy, preferably of the primary tumor, in order to obtain such tissue; * Willing and able to undergo a post-dose core needle biopsy.
Exclusion criteria
* Prior treatment with docetaxel or mogamulizumab; * Requires administration of a prohibited medication or treatment; * Has a significant uncontrolled intercurrent illness including, but not limited to: 1. Ongoing or active infection requiring antibiotics; 2. Clinically significant cardiac disease (class III, or IV of the New York Heart Association classification; unstable angina pectoris, myocardial infarction within 6 months or is post angioplasty or stenting within 6 months; clinically significant cardiac arrhythmia, or uncontrolled hypertension (i.e., systolic blood pressure \> 150 mm Hg, diastolic blood pressure \> 90 mmHg) despite anti-hypertensive medication; 3. Uncontrolled diabetes, active liver disease, poorly controlled chronic obstructive pulmonary disease, serious or non-healing wound, ulcer, or fracture; 4. Known or tests positive for human immunodeficiency virus, hepatitis B, or hepatitis C 5. Active known auto-immune disease with the exception of autoimmune thyroiditis, vitiligo, and alopecia; 6. Pleural effusion requiring repetitive drainage, i.e., an indwelling catheter or 2 thoracenteses with 6 weeks of the first dose of mogamulizumab; * Received monoclonal antibodies (for any reason), chemotherapy, surgery, investigational therapy, or radiotherapy within 14 days of the first dose of mogamulizumab; * Received live, attenuated vaccine within 28 days prior to the first dose of mogamulizumab; * Use of immunosuppressive medication within 14 days before the first dose of mogamulizumab. Note: Inhaled, intranasal, intra-articular, or topical corticosteroids are allowed. Non-immunosuppresive doses of systemic steroids for adrenal replacement or for contrast allergy are allowed;; * Any history or signs of central nervous system metastases; * Any history or signs of pulmonary lymphangitic spread; * Experienced a Grade 3 or higher hypersensitivity reaction to monoclonal antibodies or other therapeutic proteins, and the reaction could not be controlled or prevented on subsequent infusion with standard therapies such as antihistamines, 5-hydroxytryptamine (5-HT3) receptor antagonists, or corticosteroids; * The subject has a history of severe hypersensitivity reactions to drugs formulated with polysorbate 80; * History of second primary cancer within the past 5 years, with the exception of: 1. Curatively resected non-melanomatous skin cancer; 2. Curatively treated cervical intraepithelial neoplasia or prostate carcinoma with current prostate specific antigen (PSA) \< 0.01 ng/mL; or 3. Curatively treated ductal carcinoma in situ of the breast; * The subject is pregnant or breastfeeding. * The subject has aspartate aminotransferase and/or alanine aminotransferase \> 1.5 × ULN, with concomitant alkaline phosphatase \> 2.5 × ULN.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of Subjects Reporting Adverse Events | Screening through 90 days after the last dose of study medication |
| Number of Subjects Reporting Serious Adverse Events | Screening through 90 days after the last dose of study medication |
| Number of Subjects Experiencing Dose-limiting Toxicity | First dose of study medications through 4 weeks after the last dose of study medication |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Overall Response Rate | One year | The anti-tumor effect based on the Response Evaluation Criteria in Solid Tumors (RECIST version1.1), as well as by the immune-related RECIST (irRECIST). |
| Progression Free Survival by RECIST 1.1 | One year | The anti-tumor effect based on the Response Evaluation Criteria in Solid Tumors (RECIST version1.1), as well as by the immune-related RECIST (irRECIST). |
| Overall Survival | One year | The anti-tumor effect based on the Response Evaluation Criteria in Solid Tumors (RECIST version1.1), as well as by the immune-related RECIST (irRECIST). |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Mogamulizumab + Docetaxel Mogamulizumab (1.0 mg/kg, iv) was administered as monotherapy once weekly for 4 weeks. Subsequently, subjects received mogamulizumab (1.0 mg/kg) in combination with docetaxel (75 mg/m2), as separate infusions, on Day 1 every 3-weeks for up to 6 cycles. | 13 |
| Total | 13 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Adverse Event | 3 |
| Overall Study | Disease Progession | 6 |
| Overall Study | Physician Decision | 2 |
| Overall Study | Withdrawal by Subject | 2 |
Baseline characteristics
| Characteristic | Mogamulizumab + Docetaxel |
|---|---|
| Age, Categorical <=18 years | 0 Participants |
| Age, Categorical >=65 years | 6 Participants |
| Age, Categorical Between 18 and 65 years | 7 Participants |
| Region of Enrollment United States | 13 Participants |
| Sex: Female, Male Female | 8 Participants |
| Sex: Female, Male Male | 5 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | — / — |
| other Total, other adverse events | 12 / 13 |
| serious Total, serious adverse events | 6 / 13 |
Outcome results
Primary
Number of Subjects Experiencing Dose-limiting Toxicity
Time frame: First dose of study medications through 4 weeks after the last dose of study medication
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Mogamulizumab + Docetaxel | Number of Subjects Experiencing Dose-limiting Toxicity | 1 Participants |
Primary
Number of Subjects Reporting Adverse Events
Time frame: Screening through 90 days after the last dose of study medication
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Mogamulizumab + Docetaxel | Number of Subjects Reporting Adverse Events | 13 Participants |
Primary
Number of Subjects Reporting Serious Adverse Events
Time frame: Screening through 90 days after the last dose of study medication
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Mogamulizumab + Docetaxel | Number of Subjects Reporting Serious Adverse Events | 6 Participants |
Secondary
Overall Response Rate
The anti-tumor effect based on the Response Evaluation Criteria in Solid Tumors (RECIST version1.1), as well as by the immune-related RECIST (irRECIST).
Time frame: One year
Population: A total of 6 subjects were excluded from the Efficacy Evaluable Set. Two (2) subjects did not have a baseline or post-baseline assessment for response; and 4 subjects were excluded due to lack of investigational product(s) compliance, i.e., did not complete the first cycle of combination therapy (none of these subjects completed the Run-in period).
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Mogamulizumab + Docetaxel | Overall Response Rate | 0 Participants |
Secondary
Overall Survival
The anti-tumor effect based on the Response Evaluation Criteria in Solid Tumors (RECIST version1.1), as well as by the immune-related RECIST (irRECIST).
Time frame: One year
Population: A total of 6 subjects were excluded from the Efficacy Evaluable Set. Two (2) subjects did not have a baseline or post-baseline assessment for response; and 4subjects were excluded due to lack of investigational product(s) compliance, i.e., did not complete the first cycle of combination therapy (none of these subjects completed the Run-in period).
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Mogamulizumab + Docetaxel | Overall Survival | 8.88 months |
Secondary
Progression Free Survival by RECIST 1.1
The anti-tumor effect based on the Response Evaluation Criteria in Solid Tumors (RECIST version1.1), as well as by the immune-related RECIST (irRECIST).
Time frame: One year
Population: A total of 6 subjects were excluded from the Efficacy Evaluable Set. Two (2) subjects did not have a baseline or post-baseline assessment for response; and 4 subjects were excluded due to lack of investigational product(s) compliance, i.e., did not complete the first cycle of combination therapy (none of these subjects completed the Run-in period).
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Mogamulizumab + Docetaxel | Progression Free Survival by RECIST 1.1 | 1.87 months |