Colorectal Cancer, Non-small Cell Lung Carcinoma (Adenocarcinoma), Triple Negative Breast Cancer, Renal Cell Carcinoma
Conditions
Keywords
PDR001, CRC, TNBC, NSCLC, RCC, Immunomodulation, Biomarkers, Bayesian logistic regression model
Brief summary
The purpose of this study was to combine the PDR001 checkpoint inhibitor with several agents with immunomodulatory activity to identify the doses and schedule for combination therapy and to preliminarily assess the safety, tolerability, pharmacological and clinical activity of these combinations.
Interventions
Sponsors
Novartis Pharmaceuticals
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Written informed consent prior to any procedure * Patients with advanced/metastatic cancer, with measurable disease as determined by RECIST version 1.1, who have progressed despite standard therapy or are intolerant to SOC, or for whom no standard therapy exists. Patients must fit into one of the following groups: • CRC •NSCLC • TNBC• RCC * ECOG ≤ 2 * Patient must have a site of disease for biopsy, and be a candidate for tumor biopsy according to the institution's guidelines. Patient must be willing to undergo a new tumor biopsy at screening, and again during therapy on this study. * Prior therapy with PD-1/PDL-1 inhibitors is allowed provided any toxicity attributed to prior PD-1- or PD-L1-directed therapy did not lead to discontinuation of therapy.
Exclusion criteria
* Presence of symptomatic central nervous system (CNS) metastases, or CNS metastases that require local CNS-directed therapy within prior 2 weeks. * Patients with known hypersensitivity to any of the components of an investigational treatment will be excluded from participation in the corresponding arm but are eligible for participation in other study arm; Patients that have a history of hypersensitivity to rapamycin derivatives will be excluded from participation in the everolimus arm * History of or current drug-induced interstitial lung disease or pneumonitis grade ≥2 * Out of range lab values as defined in protocol * Impaired cardiac function or clinically significant cardiac disease * Active, known or suspected autoimmune disease * Human Immunodeficiency Virus (HIV), or active Hepatitis C (HCV) virus. Escalation: active Hepatitis B (HBV); Expansion: Patients with Chronic HBV currently on medication will not be excluded. * Impairment of gastrointestinal (GI) function * Malignant disease, other than that being treated in this study * Systemic anti-cancer therapy within 2 weeks of the first dose of study treatment. For cytotoxic agents that have major delayed toxicity and washout period is 6 weeks; prior immunotherapy - washout is 4 weeks * Active infection requiring systemic antibiotic therapy. * Patients requiring chronic treatment with systemic steroid therapy, other than replacement dose steroids or treatment with low, stable dose of steroid (\<10 mg/day prednisone or equivalent) for stable CNS metastatic disease. * Patients receiving systemic treatment with any immunosuppressive medication. * Major surgery within 2 weeks of the first dose of study treatment * Radiotherapy within 2 weeks of the first dose of study drug * Participation in an interventional, investigational study within 2 weeks of the first dose of study treatment. * Presence of ≥ CTCAE grade 2 toxicity (except alopecia, peripheral neuropathy and ototoxicity, which are excluded if ≥ CTCAE grade 3) due to prior therapy. * Use of hematopoietic colony stimulating growth factors \</= 3 weeks prior to first dose Additional
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Phase 1: Incidence of dose limiting toxicities (DLTs) | 5.5 years | During the first two cycles Cycle = 28 days |
| Frequency of dose interruptions and reductions | 5.5 years | Through study completion, an average of 6 months |
| Frequency and severity of treatment-emergent adverse events (AEs) and serious adverse events (SAEs) | 6 years | Through study completion, an average of 6 months |
| Changes between baseline and post-baseline laboratory parameters and vital signs | 6 years | Through study completion, an average of 6 months |
| Dose intensities | 6 years | Through study completion, an average of 6 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Treatment Free Survival (TFS) | 6 years | — |
| Maximum and minimum plasma concentrations of LCL161 (Cmax and Cmin) | 6 years | Cycle 1 through cycle 6 in treatment period 1, an average of 6 months |
| Maximum and minimum Plasma concentrations of everolimus (Cmax and Cmin) | 6 years | Cycle 1 through cycle 6 in treatment period 1, an average of 6 months |
| Maximum and minimum plasma concentrations of panobinostat (Cmax and Cmin) | 6 years | Cycle 1 through cycle 6 in treatment period 1, an average of 6 months |
| Concentration of anti-PDR001 antibodies | 6 years | Cycle 1 through cycle 6 in treatment period 1 and 2, an average of 6 months |
| Maximum and minimum serum concentration of PDR001 (Cmax and Cmin) | 6 years | Cycle 1 through cycle 6 in treatment period 1 and 2, an average of 6 months |
| Area under the concentration-time curve calculated to the last concentration point (AUClast) for PDR001, as applicable | 6 years | Cycle 1 through cycle 6 in treatment period 1 and 2, an average of 6 months |
| Progression free survival (PFS) per irRC | 6 years | — |
| Area under the concentration-time curve calculated to the last concentration point (AUClast) for LCL161, as applicable | 6 years | Cycle 1 through cycle 6 in treatment period 1, an average of 6 months |
| Time to reach max concentration (Tmax) for LCL161 | 6 years | Cycle 1 through cycle 6 in treatment period 1, an average of 6 months |
| Changes from baseline in ECG parameters in patients recieving PDR001 in combination with Panobinostat | 6 years | Baseline and end of treatment, an average of 6 months |
| Time to reach max concentration (Tmax) for Panobinostat | 6 years | Cycle 1 through cycle 6 in treatment period 1, an average of 6 months |
| Area under the concentration-time curve calculated to the last concentration point (AUClast) for Everolimus, as applicable | 6 years | Cycle 1 through cycle 6 in treatment period 1, an average of 6 months |
| Area under the concentration-time curve calculated to the last concentration point (AUClast) for Panobinostat, as applicable | 6 years | Cycle 1 through cycle 6 in treatment period 1, an average of 6 months |
| Maximum and minimum Plasma concentrations of QBM076 (Cmax and Cmin) | 6 years | Cycle 1 through cycle 6 in treatment period 1, an average of 6 months |
| Maximum and minimum Plasma concentrations of HDM201 (Cmax and Cmin) | 6 years | Cycle 1 through cycle 6 in treatment period 1, an average of 6 months |
| Time to reach max concentration (Tmax) for QBM076 | 6 years | Cycle 1 through cycle 6 in treatment period 1, an average of 6 months |
| Time to reach max concentration (Tmax) for HDM201 | 6 years | Cycle 1 through cycle 6 in treatment period 1, an average of 6 months |
| Area under the concentration-time curve calculated to the last concentration point (AUClast) for QBM076, as applicable | 6 years | Cycle 1 through cycle 6 in treatment period 1, an average of 6 months |
| Area under the concentration-time curve calculated to the last concentration point (AUClast) for HDM201, as applicable | 6 years | Cycle 1 through cycle 6 in treatment period 1, an average of 6 months |
| Time to reach max concentration (Tmax) for Everolimus | 6 years | Cycle 1 through cycle 6 in treatment period 1, an average of 6 months |
| Best overall response (BOR) | 6 years | per RECIST v1.1 |
| Time to reach max concentration (Tmax) for PDR001 | 6 years | — |
| Presence of anti-PDR001 antibodies | 6 years | — |
| Progression free survival (PFS) | 6 years | per RECIST v1.1 |
Countries
Germany, Netherlands, South Korea, Spain, Taiwan, United Kingdom, United States
Outcome results
None listed