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A Safety and Efficacy Study of CC-122 in Combination With Nivolumab in Subjects With Unresectable Hepatocellular Carcinoma (HCC)

A Phase 1/2, MultiCenter, Open-label, Dose Finding Study to Assess the Safety, Tolerability and Preliminary Efficacy of CC-122 in Combination With Nivolumab in Subjects With Unresectable Hepatocellullar Carcinoma (HCC) Following First Line Treatment Failure

Status
Completed
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02859324
Enrollment
21
Registered
2016-08-09
Start date
2016-09-20
Completion date
2020-03-27
Last updated
2021-05-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Carcinoma, Hepatocellular

Keywords

CC-122, Nivolumab, Hepatocellular Carcinoma, Phase 1/2, Safety

Brief summary

CC-122-HCC-002 is a Phase 1/2 dose escalation and expansion clinical study of CC-122 in combination with nivolumab in subjects with unresectable hepatocellular carcinoma (HCC) who have progressed after or were intolerant to no more than 2 previous systemic therapies for unresectable HCC, or are naïve to systemic therapy.

Detailed description

Study population included subjects who had progressed after or were intolerant to no more than 2 previous systemic therapies for unresectable HCC, or are naïve to systemic therapy. The dose escalation part of the study was designed to explore three dose levels of CC-122 to identify the recommended phase 2 dose (RP2D) to be used in the expansion phase. Approximately 20 subjects were to be enrolled in the dose escalation part of the study. Subjects could be treated for up to 2 years, or until progression of disease, unacceptable toxicity, subject/physician decision, withdrawal of consent, death. Safety follow up until 28 days after CC122 treatment and 90 days after nivolumab treatment. RECIST 1.1 criteria was used to determine response. Survival follow up until death, withdrawal of consent, or the study closes. Subjects were permitted to continue treatment beyond progression (TBP) if they continue to meet protocol criteria, had stable performance status, had clinical benefit, other treatment options were discussed. A separate ICF was signed to continue TBP. During the dose escalation phase, CC-122 was administered orally 5 consecutive days out of 7 (5 days on/2 days off weekly) on Days 1 to 5, 8 to 12, 15 to 19 and 22 to 26 of each 28-day cycle. Once the RP2D for dosing of CC-122 in combination with nivolumab was defined, expansion (Phase 2) would start. A modified 3+3 dose escalation design was used to identify the initial toxicity of the combination. Up to six subjects were concurrently enrolled into a dose level. Decisions as to which dose level to enroll a new subject were based on the number of subjects enrolled and evaluable, the number of subjects experiencing DLTs, and the number of subjects enrolled but who are not yet evaluable for toxicity in the current cohort at the time of new subject entry. A Safety Review Committee (SRC) comprised of investigators participating in the study made dose escalation decisions based on these criteria. After completion of the Dose Escalation Phase, the Dose Expansion Phase of the study did not proceed due to the changing landscape in the treatment of HCC. There were no additional safety concerns or safety signals identified in the dose escalation phase of the study.

Interventions

DRUGCC-122
DRUGNivolumab

Sponsors

Celgene
Lead SponsorINDUSTRY

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

* Subjects must satisfy the following criteria to be enrolled in the study: * Subject is ≥ 18 years of age at the time of signing the informed consent form (ICF) * Subject has a confirmed pathologic diagnosis of Hepatocellular carcinoma (HCC) according to the American Association for the Study of Liver Diseases (AASLD) Guidelines. * Subjects who have progressed after or were intolerant to no more than 2 previous systemic therapies for unresectable HCC, or are naïve to systemic therapy. * Subject has at least one measurable lesion according to RECIST 1.1. * Subject has a life expectancy of ≥ 12 weeks * Subject has an Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0 or 1 * Subject has adequate hematologic function and adequate hepatic function at screening

Exclusion criteria

* The presence of any of the following will exclude a subject from enrollment: * Subject has received more than 2 previous systemic therapies for Hepatocellular carcinoma (HCC). * Subject has received previous treatment with any anti-PD-1 (Programmed death 1) or anti-PD-L1 (PD-1 ligand receptor) antibody

Design outcomes

Primary

MeasureTime frameDescription
Incidence of Dose Limiting Toxicities (DLTs)28 daysDuring dose escalation, the DLT assessment period is defined as Days 1 to 28 of Cycle 1 including the predose assessments specified for Day 1 of Cycle 2. A DLT is defined as any of the following toxicities occurring within the DLT assessment window unless the event can clearly be determined to be unrelated to the drug.
Incidence and Severity of Treatment-Emergent Adverse Events (TEAEs)From first dose up to 28 days (CC-122) or 90 days (nivolumab) post-last dose (up to 2 years)During dose escalation, the TEAE phase 1 assessment period is defined as Days 1 to 28 of Cycle 1 including the predose assessments specified for Day 1 of Cycle 2. Number of participants who experienced a TEAE during the course of the study.
Objective Response Rate (ORR) by Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1)up to 2 yearsORR is is defined as the number and percentage of participants with a best overall response (BOR) of confirmed complete response (CR) or partial response (PR).

Secondary

MeasureTime frameDescription
Overall Survival (OS) by RECIST 1.1up to 2 yearsOverall Survival (OS) is measured as the time from the first dose of study drug to death from any cause. Participants who have no death reported are censored at the last contact date the participant is known to be alive. Median and the 2-sided 95% confidence interval (CI) are based on Kaplan-Meier estimate of progression-free survival and time to progression using both observed and censored data.
Time to Progression (TTP) by RECIST 1.1up to 2 yearsTime to Progression (TTP) is defined as the time from the first dose date of study drug until tumor progression; TTP does not include death. The censoring rules are the same as PFS except that deaths without progression are censored at last adequate tumor assessment. Median and the 2-sided 95% confidence interval (CI) are based on Kaplan-Meier estimate of progression-free survival and time to progression using both observed and censored data.
Maximum Observed Concentration (Cmax)28 daysBlood was collected according to intensive and sparse sampling strategies to estimate the population pharmacokinetic (PK) of CC-122 when administered in combination with nivolumab.
Disease Control Rate (DCR) by RECIST 1.1up to 2 yearsDCR is is defined as the number and percentage of participants with a best overall response (BOR) of confirmed complete response (CR) or partial response (PR) or stable disease (SD).
Time to Maximum Concentration (Tmax)28 daysBlood was collected according to intensive and sparse sampling strategies to estimate the population pharmacokinetic (PK) of CC-122 when administered in combination with nivolumab.
Terminal Half-life (T-HALF)28 daysBlood was collected according to intensive and sparse sampling strategies to estimate the population pharmacokinetic (PK) of CC-122 when administered in combination with nivolumab.
Apparent Volume of Distribution (Vz/F)28 daysBlood was collected according to intensive and sparse sampling strategies to estimate the population pharmacokinetic (PK) of CC-122 when administered in combination with nivolumab.
Area Under the Concentration Time Curve (AUC)28 daysBlood was collected according to intensive and sparse sampling strategies to estimate the population pharmacokinetic (PK) of CC-122 when administered in combination with nivolumab.
Duration of Response (DoR) by RECIST 1.1up to 2 yearsDuration of response is measured from the date the criterion is first met for CR/PR using RECIST 1.1 rules (whichever is first recorded) until the first date when progressive disease using RECIST 1.1 is documented or death occurred.
Progression-Free Survival (PFS) by RECIST 1.1up to 2 yearsProgression-Free Survival (PFS) is defined as the time from the first dose date of study drug until tumor progression or death, whichever occurs first. A subject who has neither progressed nor died or who progresses or dies after an extended lost-to-follow up time (two or more missed assessments) is censored on the date of last adequate tumor assessment. Subjects without valid baseline or post-baseline tumor assessments are censored on their first dose date. Median and the 2-sided 95% confidence interval (CI) are based on Kaplan-Meier estimate of progression-free survival and time to progression using both observed and censored data.

Countries

France, Italy, Spain, United States

Participant flow

Pre-assignment details

21 participants treated

Participants by arm

ArmCount
CC-122 2mg + Nivolumab
CC-122 2.0 mg orally 5 consecutive days out of 7 (5 days on/2 days off weekly) on Days 1 to 5, 8 to 12, 15 to 19 and 22 to 26 of each 28-day cycle, and nivolumab 3.0 mg/kg intravenously (IV) every 2 weeks.
7
CC-122 3mg + Nivolumab
CC-122 3.0 mg orally 5 consecutive days out of 7 (5 days on/2 days off weekly) on Days 1 to 5, 8 to 12, 15 to 19 and 22 to 26 of each 28-day cycle, and nivolumab 3.0 mg/kg intravenously (IV) every 2 weeks.
9
CC-122 4mg + Nivolumab
CC-122 4.0 mg orally 5 consecutive days out of 7 (5 days on/2 days off weekly) on Days 1 to 5, 8 to 12, 15 to 19 and 22 to 26 of each 28-day cycle, and nivolumab 3.0 mg/kg intravenously (IV) every 2 weeks.
5
Total21

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyDeath465
Overall StudyOther reasons330

Baseline characteristics

CharacteristicTotalCC-122 4mg + NivolumabCC-122 3mg + NivolumabCC-122 2mg + Nivolumab
Age, Continuous63.0 Years
STANDARD_DEVIATION 10.65
66.4 Years
STANDARD_DEVIATION 10.06
60.4 Years
STANDARD_DEVIATION 11.75
63.9 Years
STANDARD_DEVIATION 10.32
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
12 Participants5 Participants3 Participants4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
9 Participants0 Participants6 Participants3 Participants
Race/Ethnicity, Customized
Black or African American
1 Participants0 Participants1 Participants0 Participants
Race/Ethnicity, Customized
Not collected or reported
9 Participants0 Participants6 Participants3 Participants
Race/Ethnicity, Customized
White
11 Participants5 Participants2 Participants4 Participants
Sex: Female, Male
Female
2 Participants1 Participants1 Participants0 Participants
Sex: Female, Male
Male
19 Participants4 Participants8 Participants7 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
4 / 76 / 95 / 5
other
Total, other adverse events
7 / 79 / 95 / 5
serious
Total, serious adverse events
6 / 75 / 94 / 5

Outcome results

Primary

Incidence and Severity of Treatment-Emergent Adverse Events (TEAEs)

During dose escalation, the TEAE phase 1 assessment period is defined as Days 1 to 28 of Cycle 1 including the predose assessments specified for Day 1 of Cycle 2. Number of participants who experienced a TEAE during the course of the study.

Time frame: From first dose up to 28 days (CC-122) or 90 days (nivolumab) post-last dose (up to 2 years)

Population: All treated participants

ArmMeasureGroupValue (NUMBER)
CC-122 2mg + NivolumabIncidence and Severity of Treatment-Emergent Adverse Events (TEAEs)Participants with Grade 3-4 TEAEs7 Number of participants
CC-122 2mg + NivolumabIncidence and Severity of Treatment-Emergent Adverse Events (TEAEs)Participants with TEAE leading to discontinuation of CC-1222 Number of participants
CC-122 2mg + NivolumabIncidence and Severity of Treatment-Emergent Adverse Events (TEAEs)Participants with serious TEAEs6 Number of participants
CC-122 2mg + NivolumabIncidence and Severity of Treatment-Emergent Adverse Events (TEAEs)TEAEs7 Number of participants
CC-122 2mg + NivolumabIncidence and Severity of Treatment-Emergent Adverse Events (TEAEs)Participants with TEAE leading to discontinuation of both study drugs1 Number of participants
CC-122 2mg + NivolumabIncidence and Severity of Treatment-Emergent Adverse Events (TEAEs)Participants with TEAE leading to discontinuation of nivolumab1 Number of participants
CC-122 2mg + NivolumabIncidence and Severity of Treatment-Emergent Adverse Events (TEAEs)Participants with Grade 5 TEAEs2 Number of participants
CC-122 3mg + NivolumabIncidence and Severity of Treatment-Emergent Adverse Events (TEAEs)Participants with serious TEAEs5 Number of participants
CC-122 3mg + NivolumabIncidence and Severity of Treatment-Emergent Adverse Events (TEAEs)TEAEs9 Number of participants
CC-122 3mg + NivolumabIncidence and Severity of Treatment-Emergent Adverse Events (TEAEs)Participants with Grade 3-4 TEAEs6 Number of participants
CC-122 3mg + NivolumabIncidence and Severity of Treatment-Emergent Adverse Events (TEAEs)Participants with Grade 5 TEAEs0 Number of participants
CC-122 3mg + NivolumabIncidence and Severity of Treatment-Emergent Adverse Events (TEAEs)Participants with TEAE leading to discontinuation of CC-1221 Number of participants
CC-122 3mg + NivolumabIncidence and Severity of Treatment-Emergent Adverse Events (TEAEs)Participants with TEAE leading to discontinuation of nivolumab1 Number of participants
CC-122 3mg + NivolumabIncidence and Severity of Treatment-Emergent Adverse Events (TEAEs)Participants with TEAE leading to discontinuation of both study drugs1 Number of participants
CC-122 4mg + NivolumabIncidence and Severity of Treatment-Emergent Adverse Events (TEAEs)Participants with TEAE leading to discontinuation of CC-1223 Number of participants
CC-122 4mg + NivolumabIncidence and Severity of Treatment-Emergent Adverse Events (TEAEs)Participants with Grade 3-4 TEAEs4 Number of participants
CC-122 4mg + NivolumabIncidence and Severity of Treatment-Emergent Adverse Events (TEAEs)Participants with TEAE leading to discontinuation of both study drugs2 Number of participants
CC-122 4mg + NivolumabIncidence and Severity of Treatment-Emergent Adverse Events (TEAEs)Participants with TEAE leading to discontinuation of nivolumab3 Number of participants
CC-122 4mg + NivolumabIncidence and Severity of Treatment-Emergent Adverse Events (TEAEs)Participants with serious TEAEs4 Number of participants
CC-122 4mg + NivolumabIncidence and Severity of Treatment-Emergent Adverse Events (TEAEs)Participants with Grade 5 TEAEs3 Number of participants
CC-122 4mg + NivolumabIncidence and Severity of Treatment-Emergent Adverse Events (TEAEs)TEAEs5 Number of participants
Primary

Incidence of Dose Limiting Toxicities (DLTs)

During dose escalation, the DLT assessment period is defined as Days 1 to 28 of Cycle 1 including the predose assessments specified for Day 1 of Cycle 2. A DLT is defined as any of the following toxicities occurring within the DLT assessment window unless the event can clearly be determined to be unrelated to the drug.

Time frame: 28 days

Population: All treated participants

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
CC-122 2mg + NivolumabIncidence of Dose Limiting Toxicities (DLTs)1 Participants
CC-122 3mg + NivolumabIncidence of Dose Limiting Toxicities (DLTs)1 Participants
CC-122 4mg + NivolumabIncidence of Dose Limiting Toxicities (DLTs)2 Participants
Primary

Objective Response Rate (ORR) by Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1)

ORR is is defined as the number and percentage of participants with a best overall response (BOR) of confirmed complete response (CR) or partial response (PR).

Time frame: up to 2 years

Population: All treated participants

ArmMeasureValue (NUMBER)
CC-122 2mg + NivolumabObjective Response Rate (ORR) by Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1)42.9 Percentage of participants
CC-122 3mg + NivolumabObjective Response Rate (ORR) by Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1)0 Percentage of participants
CC-122 4mg + NivolumabObjective Response Rate (ORR) by Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1)0 Percentage of participants
Secondary

Apparent Volume of Distribution (Vz/F)

Blood was collected according to intensive and sparse sampling strategies to estimate the population pharmacokinetic (PK) of CC-122 when administered in combination with nivolumab.

Time frame: 28 days

Population: Pharmacokinetic (PK) Evaluable Population -All participants who enrolled and received at least one dose of either investigational product (IP) and had at least one measurable concentration of CC-122 or nivolumab.~Note: Nivolumab participants did not qualify for data analysis.

ArmMeasureValue (GEOMETRIC_MEAN)
CC-122 3mg + NivolumabApparent Volume of Distribution (Vz/F)40.1 liter
Secondary

Area Under the Concentration Time Curve (AUC)

Blood was collected according to intensive and sparse sampling strategies to estimate the population pharmacokinetic (PK) of CC-122 when administered in combination with nivolumab.

Time frame: 28 days

Population: Pharmacokinetic (PK) Evaluable Population -All participants who enrolled and received at least one dose of either investigational product (IP) and had at least one measurable concentration of CC-122 or nivolumab.~Note: Nivolumab participants did not qualify for data analysis.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
CC-122 2mg + NivolumabArea Under the Concentration Time Curve (AUC)235.3 h*ng/mLGeometric Coefficient of Variation 17.3
CC-122 3mg + NivolumabArea Under the Concentration Time Curve (AUC)399.8 h*ng/mLGeometric Coefficient of Variation 29.7
CC-122 4mg + NivolumabArea Under the Concentration Time Curve (AUC)257.9 h*ng/mL
Secondary

Disease Control Rate (DCR) by RECIST 1.1

DCR is is defined as the number and percentage of participants with a best overall response (BOR) of confirmed complete response (CR) or partial response (PR) or stable disease (SD).

Time frame: up to 2 years

Population: All treated participants

ArmMeasureValue (NUMBER)
CC-122 2mg + NivolumabDisease Control Rate (DCR) by RECIST 1.171.4 Percentage of participants
CC-122 3mg + NivolumabDisease Control Rate (DCR) by RECIST 1.144.4 Percentage of participants
CC-122 4mg + NivolumabDisease Control Rate (DCR) by RECIST 1.180.0 Percentage of participants
Secondary

Duration of Response (DoR) by RECIST 1.1

Duration of response is measured from the date the criterion is first met for CR/PR using RECIST 1.1 rules (whichever is first recorded) until the first date when progressive disease using RECIST 1.1 is documented or death occurred.

Time frame: up to 2 years

Population: All treated participants

ArmMeasureValue (MEDIAN)
CC-122 2mg + NivolumabDuration of Response (DoR) by RECIST 1.1NA Days
CC-122 3mg + NivolumabDuration of Response (DoR) by RECIST 1.1NA Days
CC-122 4mg + NivolumabDuration of Response (DoR) by RECIST 1.1NA Days
Secondary

Maximum Observed Concentration (Cmax)

Blood was collected according to intensive and sparse sampling strategies to estimate the population pharmacokinetic (PK) of CC-122 when administered in combination with nivolumab.

Time frame: 28 days

Population: Pharmacokinetic (PK) Evaluable Population -All participants who enrolled and received at least one dose of either investigational product (IP) and had at least one measurable concentration of CC-122 or nivolumab.~Note: Nivolumab participants did not qualify for data analysis.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
CC-122 2mg + NivolumabMaximum Observed Concentration (Cmax)56.3 ng/mLGeometric Coefficient of Variation 48.4
CC-122 3mg + NivolumabMaximum Observed Concentration (Cmax)81.0 ng/mLGeometric Coefficient of Variation 32.8
CC-122 4mg + NivolumabMaximum Observed Concentration (Cmax)82.6 ng/mL
Secondary

Overall Survival (OS) by RECIST 1.1

Overall Survival (OS) is measured as the time from the first dose of study drug to death from any cause. Participants who have no death reported are censored at the last contact date the participant is known to be alive. Median and the 2-sided 95% confidence interval (CI) are based on Kaplan-Meier estimate of progression-free survival and time to progression using both observed and censored data.

Time frame: up to 2 years

Population: All treated participants

ArmMeasureValue (MEDIAN)
CC-122 2mg + NivolumabOverall Survival (OS) by RECIST 1.1320.0 Days
CC-122 3mg + NivolumabOverall Survival (OS) by RECIST 1.1303.0 Days
CC-122 4mg + NivolumabOverall Survival (OS) by RECIST 1.1135.0 Days
Secondary

Progression-Free Survival (PFS) by RECIST 1.1

Progression-Free Survival (PFS) is defined as the time from the first dose date of study drug until tumor progression or death, whichever occurs first. A subject who has neither progressed nor died or who progresses or dies after an extended lost-to-follow up time (two or more missed assessments) is censored on the date of last adequate tumor assessment. Subjects without valid baseline or post-baseline tumor assessments are censored on their first dose date. Median and the 2-sided 95% confidence interval (CI) are based on Kaplan-Meier estimate of progression-free survival and time to progression using both observed and censored data.

Time frame: up to 2 years

Population: All treated participants

ArmMeasureValue (MEDIAN)
CC-122 2mg + NivolumabProgression-Free Survival (PFS) by RECIST 1.1130.0 Days
CC-122 3mg + NivolumabProgression-Free Survival (PFS) by RECIST 1.195.0 Days
CC-122 4mg + NivolumabProgression-Free Survival (PFS) by RECIST 1.1122.0 Days
Secondary

Terminal Half-life (T-HALF)

Blood was collected according to intensive and sparse sampling strategies to estimate the population pharmacokinetic (PK) of CC-122 when administered in combination with nivolumab.

Time frame: 28 days

Population: Pharmacokinetic (PK) Evaluable Population -All participants who enrolled and received at least one dose of either investigational product (IP) and had at least one measurable concentration of CC-122 or nivolumab.~Note: Nivolumab participants did not qualify for data analysis.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
CC-122 2mg + NivolumabTerminal Half-life (T-HALF)8.4 hourGeometric Coefficient of Variation 61.4
CC-122 3mg + NivolumabTerminal Half-life (T-HALF)6.4 hourGeometric Coefficient of Variation 42.1
Secondary

Time to Maximum Concentration (Tmax)

Blood was collected according to intensive and sparse sampling strategies to estimate the population pharmacokinetic (PK) of CC-122 when administered in combination with nivolumab.

Time frame: 28 days

Population: Pharmacokinetic (PK) Evaluable Population -All participants who enrolled and received at least one dose of either investigational product (IP) and had at least one measurable concentration of CC-122 or nivolumab.~Note: Nivolumab participants did not qualify for data analysis.

ArmMeasureValue (MEDIAN)
CC-122 2mg + NivolumabTime to Maximum Concentration (Tmax)0.5 hour
CC-122 3mg + NivolumabTime to Maximum Concentration (Tmax)1.0 hour
CC-122 4mg + NivolumabTime to Maximum Concentration (Tmax)1.0 hour
Secondary

Time to Progression (TTP) by RECIST 1.1

Time to Progression (TTP) is defined as the time from the first dose date of study drug until tumor progression; TTP does not include death. The censoring rules are the same as PFS except that deaths without progression are censored at last adequate tumor assessment. Median and the 2-sided 95% confidence interval (CI) are based on Kaplan-Meier estimate of progression-free survival and time to progression using both observed and censored data.

Time frame: up to 2 years

Population: All treated participants

ArmMeasureValue (MEDIAN)
CC-122 2mg + NivolumabTime to Progression (TTP) by RECIST 1.1NA Days
CC-122 3mg + NivolumabTime to Progression (TTP) by RECIST 1.195.0 Days
CC-122 4mg + NivolumabTime to Progression (TTP) by RECIST 1.1166.0 Days

Source: ClinicalTrials.gov · Data processed: Feb 23, 2026