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Study of Efficacy and Safety of PDR001 in Patients With Advanced or Metastatic, Well-differentiated, Non-functional Neuroendocrine Tumors of Pancreatic, Gastrointestinal (GI), or Thoracic Origin or Poorly-differentiated Gastroenteropancreatic Neuroendocrine Carcinoma (GEP-NEC)

An Open Label Phase II Study to Evaluate the Efficacy and Safety of PDR001 in Patients With Advanced or Metastatic, Well-differentiated, Non-functional Neuroendocrine Tumors of Pancreatic, Gastrointestinal (GI), or Thoracic Origin or Poorly-differentiated Gastroenteropancreatic Neuroendocrine Carcinoma (GEP-NEC), That Have Progressed on Prior Treatment.

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02955069
Enrollment
116
Registered
2016-11-04
Start date
2017-02-14
Completion date
2020-05-13
Last updated
2021-04-12

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

Conditions

Poorly-differentiated Gastroenteropancreatic Neuroendocrine Carcinoma, Well-differentiated Non-functional NET of Gastrointestinal Origin, Well-differentiated Non-functional NET of Pancreatic Origin, Well-differentiated Non-functional NET of Thoracic Origin

Keywords

Advanced or metastatic, NET, pNET, GI NET, thoracic NET, GEP-NEC

Brief summary

This study aimed to investigate the efficacy and safety of PDR001 in patients with advanced or metastatic, well-differentiated, non-functional neuroendocrine tumors of pancreatic, gastrointestinal (GI), or thoracic origin or poorly-differentiated gastroenteropancreatic neuroendocrine carcinoma (GEP-NEC) that progressed on prior treatment.

Detailed description

Two groups of adult patients with advanced (unresectable or metastatic) were included in this study: * Well-differentiated (G1/2), non-functional, neuroendocrine tumor of GI, pancreatic or thoracic (lung/thymus) origin who have progressed on prior treatment * Poorly-differentiated GEP-NEC who have progressed on or after one prior chemotherapy regimen. The study was comprised of the following periods: screening, treatment, end of treatment (EOT), safety follow-up (30-Days, 60-Days, 90-Days, 120-Days, and 150-Days after the last dose of PDR001) and post-treatment efficacy follow-up. Subjects were treated with PDR001 as an infusion at a flat dose of 400 mg every 4 weeks (Q4W). Subjects were to continue study treatment beyond disease progression by RECIST 1.1 until disease progression as per irRECIST, as per BIRC, unacceptable toxicity, start of new antineoplastic therapy, withdrawal of consent, physician's decision, lost to follow-up, death, or study termination by the Sponsor.

Interventions

DRUGPDR001

PDR001 was administered at a dose of 400 mg via intravenous infusion once every 4 weeks (Q4W). PDR001 was administered on Day 1 of every cycle. Each cycle was 28 days.

Sponsors

Novartis Pharmaceuticals
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

* Pathologically confirmed, advanced (unresectable or metastatic): * Well-differentiated (G1 or G2) based on local pathology report, non-functional neuroendocrine tumor of GI, pancreatic or thoracic (including lung and thymus) origin. * Poorly-differentiated GEP-NEC based on local pathology report * No active symptoms related to carcinoid syndrome during the last 3 months prior to start of study treatment. * Patients must have been pretreated for advanced disease - the number of prior systemic therapy/regimen depended on which origin for NET and for GEP-NEC * Tumor biopsy material must be provided for all patients for the purpose of biomarker analysis * Radiological documentation of disease progression: * Well-differentiated NET group: Disease progression while on/or after the last treatment, and this progression must have been observed within 6 months prior to start of study treatment (i.e. maximum of 24 weeks from documentation of progression until study entry). Disease must show evidence of radiological disease progression based on scans performed not more than 12 months apart. * Poorly-differentiated GEP-NEC group: Disease progression while on or after prior treatment.

Exclusion criteria

* Well-differentiated grade 3 neuroendocrine tumors; poorly-differentiated neuroendocrine carcinoma of any origin (other than GEP-NEC); including NEC of unknown origin, adenocarcinoid, and goblet cell carcinoid * Pretreatment with interferon as last treatment prior to start of study treatment. * Prior treatment for study indication with: * Antibodies or immunotherapy within 6 weeks before the first dose of study treatment. * Peptide Radionuclide Receptor Therapy (PRRT) administered within 6 months of the first dose. * Systemic antineoplastic therapy * Tyrosine kinase inhibitors within 14 days or 5 half-lives, whichever is longer, before the first dose of study treatment. * Prior Programmed Death-1 (PD-1) or Programmed Death-Ligand 1 (PD-L1) directed therapy. * Cryoablation, radiofrequency ablation, or trans-arterial embolization of hepatic metastases * History of severe hypersensitivity reactions to other monoclonal antibodies which in the opinion of the investigator may pose an increased risk of a serious infusion reaction. Other inclusion/

Design outcomes

Primary

MeasureTime frameDescription
Overall Response Rate (ORR) by RECIST 1.1 and as Per Blinded Independent Central Review (BIRC).From baseline up to approximately 1.5 yearsORR is defined as the proportion of patients with best overall response (BOR) of complete response (CR) or partial response (PR), according to BIRC radiological assessment by RECIST 1.1. CR: disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to \< 10 mm. PR: at least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters.

Secondary

MeasureTime frameDescription
Disease Control Rate by RECIST 1.1 and as Per BIRCFrom baseline up to approximately 1.5 yearsDisease control rate is defined as the proportion of patients with best overall response of CR, PR or stable disease (SD) according to RECIST 1.1 criteria and as per BIRC. CR: disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to \< 10 mm. PR: at least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters. SD: neither sufficient shrinkage to qualify for PR or CR nor an increase in lesions which would qualify for progressive disease.
Time to Response (TTR) by RECIST 1.1 and as Per BIRCFrom baseline to the first documented response, assessed up to approximately 1.5 yearsTTR is defined as the time from the date of start of treatment to the first documented response of either CR or PR, which must be subsequently confirmed. TTR was evaluated according to RECIST 1.1 and as per BIRC. CR: disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to \< 10 mm. PR: at least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters.
Progression-free Survival (PFS) by RECIST 1.1 and as Per BIRCFrom baseline until the date of the first documented radiological progression or death due to any cause, whichever comes first, assessed up to approximately 1.5 yearsPFS is defined as the time from the date of first dose to the date of the first documented radiological progression or death due to any cause. PFS was evaluated according to RECIST 1.1 and as per BIRC. For participants who had not progressed or died at the analysis cut-off date, PFS was censored at the date of the last adequate tumor evaluation date. An adequate tumour assessment is a tumour assessment with an overall response other than unknown.
Immune Related Overall Response Rate (irORR) by irRECIST and as Per BIRCFrom baseline up to approximately 1.5 yearsirORR is the proportion of patients with a best overall response of immune related Complete Response (irCR) or immune related partial response (irPR), according to BIRC assessment by irRECIST. irCR: Complete disappearance of all measurable and non-measurable lesions. In addition, any pathological lymph nodes must have a reduction in short axis to \< 10 mm. irPR: At least 30% decrease in the total measurable tumor burden (TMTB) compared to baseline and not qualifying for irCR or immune related progressive disease (irPD).
Immune Related Duration of Response (irDoR) by irRECIST and as Per BIRC.From the date of first documented confirmed response (irCR or irPR) until the first documented progression, assessed up to approximately 1.5 yearsirDOR is defined as the time from first documentation of irCR or irPR until the time of first documentation of progression per irRECIST based on BIRC assessment. Participants continuing without progression or death due to underlying cancer were censored at the date of their last adequate tumor assessment. An adequate tumour assessment is a tumour assessment with an overall response other than unknown for irRECIST. irCR: Complete disappearance of all measurable and non-measurable lesions. In addition, any pathological lymph nodes must have a reduction in short axis to \< 10 mm. irPR: At least 30% decrease in the TMTB compared to baseline and not qualifying for irPD or irCR
Immune Related Time to Response (irTTR) by irRECIST and as Per BIRCFrom baseline to the first documented response, assessed up to approximately 1.5 yearsirTTR is defined as the time between date of start of treatment until first documented response (confirmed irCR or irPR) by irRECIST and as per BIRC. irCR: Complete disappearance of all measurable and non-measurable lesions. In addition, any pathological lymph nodes must have a reduction in short axis to \< 10 mm. irPR: At least 30% decrease in the TMTB compared to baseline and not qualifying for irPD or irCR.
Immune Related Disease Control Rate (irDCR) by irRECIST and as Per BIRCFrom baseline up to approximately 1.5 yearsirDCR is defined as the proportion of patients with a best overall response of irCR or irPR or immune related stable disease (irSD) according to irRECIST and as per BIRC. irCR: Complete disappearance of all measurable and non-measurable lesions. In addition, any pathological lymph nodes must have a reduction in short axis to \< 10 mm. irPR: At least 30% decrease in the TMTB compared to baseline and not qualifying for irPD or irCR. irSD: Neither a sufficient shrinkage to qualify for irPR or irCR, nor an increase in lesions, or a clear and unequivocal progression of existing nontarget or new non-measurable lesions that would qualify for irPD.
Immune Related Progression Free Survival (irPFS) by irRECIST and as Per BIRCFrom baseline until the date of the first documented immune related progression or death due to any cause, whichever comes first, assessed up to approximately 1.5 yearsirPFS is defined as the time from date of start of treatment to the date of event defined as the first documented assessment of immune related progression that is confirmed or death due to any cause. If a patient has not had an event, immune related progression-free survival was censored at the date of last adequate tumor assessment. An adequate tumor assessment is a tumor assessment with overall response other than unknown for irRECIST.
Duration of Response (DOR) by RECIST 1.1 and as Per BIRCFrom the date of first documented response (CR or PR) until the first documented disease progression or death, whichever comes first, assessed up to approximately 1.5 yearsDOR is defined as the time between the date of first documented response (CR or PR) and the date of first documented disease progression by RECIST 1.1 and as per BIRC or death due to underlying cancer. For DOR analysis, participants continuing without progression or death due to underlying cancer were censored at the date of their last adequate tumor assessment. An adequate tumour assessment is a tumour assessment with an overall response other than unknown. CR: disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to \< 10 mm. PR: at least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters.
Changes From Baseline in Chromogranin A (CgA) LevelsBaseline, day 1 of each cycle from Cycle 2 to end of treatment, assessed up to approx. 1.5 years. Cycle=28 days.Blood samples were collected for assessment of CgA level. Change from Baseline at a particular visit was calculated as the CgA level at that visit minus Baseline.
Change From Baseline in Neuron Specific Enolase (NSE) LevelsBaseline, day 1 of each cycle from Cycle 2 to end of treatment, assessed up to approx. 1.5 years. Cycle= 28daysBlood samples were collected for assessment of NSE level. Change from Baseline at a particular visit was calculated as the NSE level at that visit minus Baseline.
PDR001 Plasma ConcentrationCycle(C)1 Day(D)1 pre-dose and 30min post-infusion,C2D1 Pre-dose,C3D1 Pre-dose and 30min post-infusion,D1 pre-dose from C4 to C13, assessed up to approx. 1.5 years.Cycle=28 daysBlood samples will be taken to evaluate the pharmacokinetics by assessing plasma concentration of PDR001 at selected time points
Change From Baseline in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 (QLQ-C30) Global Health Status/Quality of Life ScoreBaseline, every 8 weeks from Cycle 3 Day 1 for the first 13 cycles and every 12 weeks from Cycle 13 Day 1 thereafter and end of treatment, assessed up to approx. 1.5 years. Cycle=28 daysThe EORTC QLQ-C30 is a patient completed 30 item questionnaire that is composed of both multi-item scales and single-item measures. These include five functional scales, three symptom scales, six single items and a global health status/QoL scale. Global health status/QoL response options are 1 to 4. Scores were averaged and transformed to 0 to 100. Higher scores indicate better functioning. Change from Baseline was calculated by subtracting Baseline value from the selected visit value. A positive change from Baseline indicates improvement.
Change From Baseline in EQ-5D-5L Index ScoreBaseline, every 8 weeks from Cycle 3 Day 1 for the first 13 cycles and every 12 weeks from Cycle 13 Day 1 thereafter, and end of treatment, assessed up to approx.1.5 year. Cycle=28 daysThe EQ-5D-5L descriptive system provides a profile of the participant's health state in 5 dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression). For each of these dimensions, the participant self-assigned a score: from 1 (no problems) to 5 (extreme problems). The 5 digit health states obtained for each dimension was converted into a single mean index value based on the EQ-5D crosswalk value set for the UK using the time trade-off method. This index ranges from -0.594 (worst health) to 1.0 (best health). Change from Baseline was calculated by subtracting Baseline value from the selected visit value. A positive change from baseline indicates improvement.
PDR001 Anti-drug Antibodies (ADA) Prevalence at BaselineBaselineADA prevalence at baseline was calculated as the proportion of participants who had an ADA positive result at baseline
PDR001 ADA Incidence On-treatmentCycle(C)1 Day(D)1 pre-dose and 30min post-infusion,C2D1 Pre-dose,C3D1 Pre-dose and 30min post-infusion,D1 pre-dose from C4 to C13 and every 6 cycles until C25, and end of treatment, assessed up to approx. 1.5 years. Cycle=28 daysADA incidence on treatment was calculated as the proportion of participants who were treatment-induced ADA positive (post-baseline ADA positive with ADA-negative sample at baseline) and treatment-boosted ADA positive (post-baseline ADA positive with titer that is at least the fold titer change greater than the ADA-positive baseline titer)
Overall Survival (OS)From baseline until death due to any cause, assessed up to approx. 3 yearsOS is defined as the time from the start of treatment date to the date of death, due to any cause. If a patient was not known to have died, then OS was censored at the latest date the patient was known to be alive.

Countries

Australia, Austria, Belgium, Canada, France, Germany, Italy, Japan, Netherlands, Spain, United Kingdom, United States

Participant flow

Recruitment details

Recruitment took place in 35 investigative sites in 12 countries from 14 Feb 2017 to 04 Apr 2018

Pre-assignment details

A total of 149 participants were screened. Those participants who met the eligibility criteria entered the treatment period.

Participants by arm

ArmCount
Well-differentiated NET
Subjects with advanced or metastatic, well-differentiated non-functional NET of GI, pancreatic or thoracic origin that progressed on or after prior available treatments.
95
Poorly-differentiated GEP-NEC
Subjects with advanced or metastatic poorly-differentiated GEP-NEC that progressed on or after prior available treatments.
21
Total116

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event72
Overall StudyDeath73
Overall StudyPhysician Decision102
Overall StudyProgressive disease6413
Overall StudyStudy terminated by sponsor40
Overall StudySubject/Guardian decision31

Baseline characteristics

CharacteristicWell-differentiated NETPoorly-differentiated GEP-NECTotal
Age, Continuous59.4 Years
STANDARD_DEVIATION 11.21
57.4 Years
STANDARD_DEVIATION 8.56
59.0 Years
STANDARD_DEVIATION 10.77
Race/Ethnicity, Customized
Asian
7 Participants3 Participants10 Participants
Race/Ethnicity, Customized
Black
4 Participants0 Participants4 Participants
Race/Ethnicity, Customized
Black or African American
2 Participants0 Participants2 Participants
Race/Ethnicity, Customized
Caucasian
59 Participants16 Participants75 Participants
Race/Ethnicity, Customized
Missing
1 Participants0 Participants1 Participants
Race/Ethnicity, Customized
Native American
1 Participants0 Participants1 Participants
Race/Ethnicity, Customized
Other
3 Participants0 Participants3 Participants
Race/Ethnicity, Customized
Unknown
3 Participants1 Participants4 Participants
Race/Ethnicity, Customized
White
15 Participants1 Participants16 Participants
Sex: Female, Male
Female
43 Participants4 Participants47 Participants
Sex: Female, Male
Male
52 Participants17 Participants69 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
1 / 951 / 212 / 116
other
Total, other adverse events
86 / 9518 / 21104 / 116
serious
Total, serious adverse events
29 / 956 / 2135 / 116

Outcome results

Primary

Overall Response Rate (ORR) by RECIST 1.1 and as Per Blinded Independent Central Review (BIRC).

ORR is defined as the proportion of patients with best overall response (BOR) of complete response (CR) or partial response (PR), according to BIRC radiological assessment by RECIST 1.1. CR: disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to \< 10 mm. PR: at least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters.

Time frame: From baseline up to approximately 1.5 years

Population: The FAS comprised of all subjects to whom study treatment had been assigned and who received at least one dose of PDR001 (including incomplete infusion).

ArmMeasureValue (NUMBER)
Well-differentiated NETOverall Response Rate (ORR) by RECIST 1.1 and as Per Blinded Independent Central Review (BIRC).7.4 Percentage of participants
Poorly-differentiated GEP-NECOverall Response Rate (ORR) by RECIST 1.1 and as Per Blinded Independent Central Review (BIRC).4.8 Percentage of participants
Secondary

Change From Baseline in EQ-5D-5L Index Score

The EQ-5D-5L descriptive system provides a profile of the participant's health state in 5 dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression). For each of these dimensions, the participant self-assigned a score: from 1 (no problems) to 5 (extreme problems). The 5 digit health states obtained for each dimension was converted into a single mean index value based on the EQ-5D crosswalk value set for the UK using the time trade-off method. This index ranges from -0.594 (worst health) to 1.0 (best health). Change from Baseline was calculated by subtracting Baseline value from the selected visit value. A positive change from baseline indicates improvement.

Time frame: Baseline, every 8 weeks from Cycle 3 Day 1 for the first 13 cycles and every 12 weeks from Cycle 13 Day 1 thereafter, and end of treatment, assessed up to approx.1.5 year. Cycle=28 days

Population: The FAS comprised of all subjects to whom study treatment had been assigned and who received at least one dose of PDR001 (including incomplete infusion). Number analyzed signified number of participants with available data for this outcome measure at specified timepoints.

ArmMeasureGroupValue (MEAN)Dispersion
Well-differentiated NETChange From Baseline in EQ-5D-5L Index ScoreCycle 16 Day 1-0.17 score on a scaleStandard Deviation 0.085
Well-differentiated NETChange From Baseline in EQ-5D-5L Index ScoreEnd of treatment-0.10 score on a scaleStandard Deviation 0.209
Well-differentiated NETChange From Baseline in EQ-5D-5L Index ScoreCycle 11 Day 10.02 score on a scaleStandard Deviation 0.262
Well-differentiated NETChange From Baseline in EQ-5D-5L Index ScoreCycle 3 Day 10.03 score on a scaleStandard Deviation 0.169
Well-differentiated NETChange From Baseline in EQ-5D-5L Index ScoreCycle 7 Day 1-0.04 score on a scaleStandard Deviation 0.241
Well-differentiated NETChange From Baseline in EQ-5D-5L Index ScoreCycle 5 Day 1-0.02 score on a scaleStandard Deviation 0.247
Well-differentiated NETChange From Baseline in EQ-5D-5L Index ScoreCycle 13 Day 1-0.03 score on a scaleStandard Deviation 0.299
Well-differentiated NETChange From Baseline in EQ-5D-5L Index ScoreCycle 9 Day 10.02 score on a scaleStandard Deviation 0.247
Poorly-differentiated GEP-NECChange From Baseline in EQ-5D-5L Index ScoreCycle 13 Day 10.03 score on a scale
Poorly-differentiated GEP-NECChange From Baseline in EQ-5D-5L Index ScoreCycle 9 Day 10.02 score on a scale
Poorly-differentiated GEP-NECChange From Baseline in EQ-5D-5L Index ScoreCycle 5 Day 10.02 score on a scaleStandard Deviation 0.111
Poorly-differentiated GEP-NECChange From Baseline in EQ-5D-5L Index ScoreCycle 7 Day 10.16 score on a scaleStandard Deviation 0.135
Poorly-differentiated GEP-NECChange From Baseline in EQ-5D-5L Index ScoreEnd of treatment-0.30 score on a scaleStandard Deviation 0.263
Poorly-differentiated GEP-NECChange From Baseline in EQ-5D-5L Index ScoreCycle 3 Day 1-0.09 score on a scaleStandard Deviation 0.157
Secondary

Change From Baseline in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 (QLQ-C30) Global Health Status/Quality of Life Score

The EORTC QLQ-C30 is a patient completed 30 item questionnaire that is composed of both multi-item scales and single-item measures. These include five functional scales, three symptom scales, six single items and a global health status/QoL scale. Global health status/QoL response options are 1 to 4. Scores were averaged and transformed to 0 to 100. Higher scores indicate better functioning. Change from Baseline was calculated by subtracting Baseline value from the selected visit value. A positive change from Baseline indicates improvement.

Time frame: Baseline, every 8 weeks from Cycle 3 Day 1 for the first 13 cycles and every 12 weeks from Cycle 13 Day 1 thereafter and end of treatment, assessed up to approx. 1.5 years. Cycle=28 days

Population: The FAS comprised of all subjects to whom study treatment had been assigned and who received at least one dose of PDR001 (including incomplete infusion). Number analyzed signified number of participants with available data for this outcome measure at specified timepoints.

ArmMeasureGroupValue (MEAN)Dispersion
Well-differentiated NETChange From Baseline in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 (QLQ-C30) Global Health Status/Quality of Life ScoreCycle 11 Day 1-1.19 score on a scaleStandard Deviation 28.048
Well-differentiated NETChange From Baseline in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 (QLQ-C30) Global Health Status/Quality of Life ScoreCycle 13 Day 11.96 score on a scaleStandard Deviation 27.088
Well-differentiated NETChange From Baseline in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 (QLQ-C30) Global Health Status/Quality of Life ScoreCycle 5 Day 1-1.91 score on a scaleStandard Deviation 27.838
Well-differentiated NETChange From Baseline in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 (QLQ-C30) Global Health Status/Quality of Life ScoreCycle 16 Day 1-16.67 score on a scaleStandard Deviation 16.667
Well-differentiated NETChange From Baseline in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 (QLQ-C30) Global Health Status/Quality of Life ScoreEnd of Treatment-6.46 score on a scaleStandard Deviation 23.607
Well-differentiated NETChange From Baseline in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 (QLQ-C30) Global Health Status/Quality of Life ScoreCycle 3 Day 1-1.00 score on a scaleStandard Deviation 19.491
Well-differentiated NETChange From Baseline in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 (QLQ-C30) Global Health Status/Quality of Life ScoreCycle 9 Day 11.67 score on a scaleStandard Deviation 31.823
Well-differentiated NETChange From Baseline in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 (QLQ-C30) Global Health Status/Quality of Life ScoreCycle 7 Day 11.96 score on a scaleStandard Deviation 29.945
Poorly-differentiated GEP-NECChange From Baseline in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 (QLQ-C30) Global Health Status/Quality of Life ScoreEnd of Treatment-22.92 score on a scaleStandard Deviation 23.465
Poorly-differentiated GEP-NECChange From Baseline in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 (QLQ-C30) Global Health Status/Quality of Life ScoreCycle 3 Day 1-11.11 score on a scaleStandard Deviation 27.003
Poorly-differentiated GEP-NECChange From Baseline in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 (QLQ-C30) Global Health Status/Quality of Life ScoreCycle 5 Day 1-4.17 score on a scaleStandard Deviation 17.347
Poorly-differentiated GEP-NECChange From Baseline in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 (QLQ-C30) Global Health Status/Quality of Life ScoreCycle 7 Day 125.00 score on a scaleStandard Deviation 35.355
Poorly-differentiated GEP-NECChange From Baseline in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 (QLQ-C30) Global Health Status/Quality of Life ScoreCycle 9 Day 133.33 score on a scale
Poorly-differentiated GEP-NECChange From Baseline in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 (QLQ-C30) Global Health Status/Quality of Life ScoreCycle 13 Day 141.67 score on a scale
Secondary

Change From Baseline in Neuron Specific Enolase (NSE) Levels

Blood samples were collected for assessment of NSE level. Change from Baseline at a particular visit was calculated as the NSE level at that visit minus Baseline.

Time frame: Baseline, day 1 of each cycle from Cycle 2 to end of treatment, assessed up to approx. 1.5 years. Cycle= 28days

Population: The FAS comprised of all subjects to whom study treatment had been assigned and who received at least one dose of PDR001 (including incomplete infusion). Number analyzed signified number of participants with available data for this outcome measure at specified timepoints.

ArmMeasureGroupValue (MEAN)Dispersion
Well-differentiated NETChange From Baseline in Neuron Specific Enolase (NSE) LevelsCycle 11 Day 12.3 microgram/liter (ug/L)Standard Deviation 8.89
Well-differentiated NETChange From Baseline in Neuron Specific Enolase (NSE) LevelsCycle 12 Day 1-2.4 microgram/liter (ug/L)Standard Deviation 23.04
Well-differentiated NETChange From Baseline in Neuron Specific Enolase (NSE) LevelsCycle 7 Day 17.6 microgram/liter (ug/L)Standard Deviation 39.44
Well-differentiated NETChange From Baseline in Neuron Specific Enolase (NSE) LevelsCycle 13 Day 1-3.9 microgram/liter (ug/L)Standard Deviation 24.22
Well-differentiated NETChange From Baseline in Neuron Specific Enolase (NSE) LevelsCycle 5 Day 14.8 microgram/liter (ug/L)Standard Deviation 30.34
Well-differentiated NETChange From Baseline in Neuron Specific Enolase (NSE) LevelsCycle 14 Day 1-4.5 microgram/liter (ug/L)Standard Deviation 22.71
Well-differentiated NETChange From Baseline in Neuron Specific Enolase (NSE) LevelsCycle 15 Day 1-3.4 microgram/liter (ug/L)Standard Deviation 29.73
Well-differentiated NETChange From Baseline in Neuron Specific Enolase (NSE) LevelsCycle 16 Day 126.5 microgram/liter (ug/L)Standard Deviation 35.38
Well-differentiated NETChange From Baseline in Neuron Specific Enolase (NSE) LevelsCycle 17 Day 115.1 microgram/liter (ug/L)
Well-differentiated NETChange From Baseline in Neuron Specific Enolase (NSE) LevelsCycle 18 Day 113.8 microgram/liter (ug/L)
Well-differentiated NETChange From Baseline in Neuron Specific Enolase (NSE) LevelsEnd of treatment47.7 microgram/liter (ug/L)Standard Deviation 136.78
Well-differentiated NETChange From Baseline in Neuron Specific Enolase (NSE) LevelsCycle 2 Day 10.8 microgram/liter (ug/L)Standard Deviation 29.71
Well-differentiated NETChange From Baseline in Neuron Specific Enolase (NSE) LevelsCycle 8 Day 11.0 microgram/liter (ug/L)Standard Deviation 22.19
Well-differentiated NETChange From Baseline in Neuron Specific Enolase (NSE) LevelsCycle 4 Day 1-0.1 microgram/liter (ug/L)Standard Deviation 14.98
Well-differentiated NETChange From Baseline in Neuron Specific Enolase (NSE) LevelsCycle 9 Day 12.6 microgram/liter (ug/L)Standard Deviation 8.64
Well-differentiated NETChange From Baseline in Neuron Specific Enolase (NSE) LevelsCycle 6 Day 1-3.6 microgram/liter (ug/L)Standard Deviation 19.18
Well-differentiated NETChange From Baseline in Neuron Specific Enolase (NSE) LevelsCycle 10 Day 110.3 microgram/liter (ug/L)Standard Deviation 33.74
Well-differentiated NETChange From Baseline in Neuron Specific Enolase (NSE) LevelsCycle 3 Day 12.5 microgram/liter (ug/L)Standard Deviation 29.33
Poorly-differentiated GEP-NECChange From Baseline in Neuron Specific Enolase (NSE) LevelsEnd of treatment44.3 microgram/liter (ug/L)Standard Deviation 66.73
Poorly-differentiated GEP-NECChange From Baseline in Neuron Specific Enolase (NSE) LevelsCycle 2 Day 127.9 microgram/liter (ug/L)Standard Deviation 40.77
Poorly-differentiated GEP-NECChange From Baseline in Neuron Specific Enolase (NSE) LevelsCycle 3 Day 132.6 microgram/liter (ug/L)Standard Deviation 56.87
Poorly-differentiated GEP-NECChange From Baseline in Neuron Specific Enolase (NSE) LevelsCycle 4 Day 121.9 microgram/liter (ug/L)Standard Deviation 21.64
Poorly-differentiated GEP-NECChange From Baseline in Neuron Specific Enolase (NSE) LevelsCycle 5 Day 131.8 microgram/liter (ug/L)Standard Deviation 56.39
Poorly-differentiated GEP-NECChange From Baseline in Neuron Specific Enolase (NSE) LevelsCycle 6 Day 1151.6 microgram/liter (ug/L)Standard Deviation 204.21
Poorly-differentiated GEP-NECChange From Baseline in Neuron Specific Enolase (NSE) LevelsCycle 7 Day 1-3.0 microgram/liter (ug/L)Standard Deviation 17.75
Poorly-differentiated GEP-NECChange From Baseline in Neuron Specific Enolase (NSE) LevelsCycle 8 Day 140.4 microgram/liter (ug/L)
Poorly-differentiated GEP-NECChange From Baseline in Neuron Specific Enolase (NSE) LevelsCycle 9 Day 1-12.7 microgram/liter (ug/L)
Poorly-differentiated GEP-NECChange From Baseline in Neuron Specific Enolase (NSE) LevelsCycle 10 Day 1-15.0 microgram/liter (ug/L)
Poorly-differentiated GEP-NECChange From Baseline in Neuron Specific Enolase (NSE) LevelsCycle 12 Day 1-12.3 microgram/liter (ug/L)
Poorly-differentiated GEP-NECChange From Baseline in Neuron Specific Enolase (NSE) LevelsCycle 13 Day 1-17.8 microgram/liter (ug/L)
Secondary

Changes From Baseline in Chromogranin A (CgA) Levels

Blood samples were collected for assessment of CgA level. Change from Baseline at a particular visit was calculated as the CgA level at that visit minus Baseline.

Time frame: Baseline, day 1 of each cycle from Cycle 2 to end of treatment, assessed up to approx. 1.5 years. Cycle=28 days.

Population: The FAS comprised of all subjects to whom study treatment had been assigned and who received at least one dose of PDR001 (including incomplete infusion). Number analyzed signified number of participants with available data for this outcome measure at specified timepoints.

ArmMeasureGroupValue (MEAN)Dispersion
Well-differentiated NETChanges From Baseline in Chromogranin A (CgA) LevelsCycle 11 Day 184634.7 microgram/liter (ug/L)Standard Deviation 344244.6
Well-differentiated NETChanges From Baseline in Chromogranin A (CgA) LevelsCycle 7 Day 1-564.5 microgram/liter (ug/L)Standard Deviation 12643.71
Well-differentiated NETChanges From Baseline in Chromogranin A (CgA) LevelsCycle 12 Day 18177.6 microgram/liter (ug/L)Standard Deviation 36820.47
Well-differentiated NETChanges From Baseline in Chromogranin A (CgA) LevelsCycle 4 Day 1579.9 microgram/liter (ug/L)Standard Deviation 13437.06
Well-differentiated NETChanges From Baseline in Chromogranin A (CgA) LevelsCycle 13 Day 1-379.8 microgram/liter (ug/L)Standard Deviation 1509.95
Well-differentiated NETChanges From Baseline in Chromogranin A (CgA) LevelsCycle 8 Day 13726.0 microgram/liter (ug/L)Standard Deviation 18813.63
Well-differentiated NETChanges From Baseline in Chromogranin A (CgA) LevelsCycle 14 Day 1398.3 microgram/liter (ug/L)Standard Deviation 1866.56
Well-differentiated NETChanges From Baseline in Chromogranin A (CgA) LevelsCycle 15 Day 113.1 microgram/liter (ug/L)Standard Deviation 1120.6
Well-differentiated NETChanges From Baseline in Chromogranin A (CgA) LevelsCycle 16 Day 1-81.0 microgram/liter (ug/L)Standard Deviation 1583.99
Well-differentiated NETChanges From Baseline in Chromogranin A (CgA) LevelsCycle 17 Day 1-176.0 microgram/liter (ug/L)
Well-differentiated NETChanges From Baseline in Chromogranin A (CgA) LevelsCycle 18 Day 142.0 microgram/liter (ug/L)
Well-differentiated NETChanges From Baseline in Chromogranin A (CgA) LevelsEnd of treatment30115.3 microgram/liter (ug/L)Standard Deviation 131958.16
Well-differentiated NETChanges From Baseline in Chromogranin A (CgA) LevelsCycle 5 Day 1598.2 microgram/liter (ug/L)Standard Deviation 11724.93
Well-differentiated NETChanges From Baseline in Chromogranin A (CgA) LevelsCycle 3 Day 1-1811.7 microgram/liter (ug/L)Standard Deviation 21413.11
Well-differentiated NETChanges From Baseline in Chromogranin A (CgA) LevelsCycle 9 Day 122522.2 microgram/liter (ug/L)Standard Deviation 94054.85
Well-differentiated NETChanges From Baseline in Chromogranin A (CgA) LevelsCycle 6 Day 11337.6 microgram/liter (ug/L)Standard Deviation 7106.32
Well-differentiated NETChanges From Baseline in Chromogranin A (CgA) LevelsCycle 10 Day 154301.5 microgram/liter (ug/L)Standard Deviation 250229.27
Well-differentiated NETChanges From Baseline in Chromogranin A (CgA) LevelsCycle 2 Day 1874.6 microgram/liter (ug/L)Standard Deviation 6694.64
Poorly-differentiated GEP-NECChanges From Baseline in Chromogranin A (CgA) LevelsEnd of treatment3899.6 microgram/liter (ug/L)Standard Deviation 7991.4
Poorly-differentiated GEP-NECChanges From Baseline in Chromogranin A (CgA) LevelsCycle 5 Day 11306.6 microgram/liter (ug/L)Standard Deviation 3125.84
Poorly-differentiated GEP-NECChanges From Baseline in Chromogranin A (CgA) LevelsCycle 2 Day 16466.9 microgram/liter (ug/L)Standard Deviation 23760.13
Poorly-differentiated GEP-NECChanges From Baseline in Chromogranin A (CgA) LevelsCycle 3 Day 1706.5 microgram/liter (ug/L)Standard Deviation 2294.87
Poorly-differentiated GEP-NECChanges From Baseline in Chromogranin A (CgA) LevelsCycle 4 Day 11544.5 microgram/liter (ug/L)Standard Deviation 2712.23
Poorly-differentiated GEP-NECChanges From Baseline in Chromogranin A (CgA) LevelsCycle 6 Day 14531.7 microgram/liter (ug/L)Standard Deviation 8694.65
Poorly-differentiated GEP-NECChanges From Baseline in Chromogranin A (CgA) LevelsCycle 7 Day 111089.5 microgram/liter (ug/L)Standard Deviation 17551.1
Poorly-differentiated GEP-NECChanges From Baseline in Chromogranin A (CgA) LevelsCycle 8 Day 19103.5 microgram/liter (ug/L)Standard Deviation 14759.44
Poorly-differentiated GEP-NECChanges From Baseline in Chromogranin A (CgA) LevelsCycle 9 Day 1-1342.0 microgram/liter (ug/L)
Poorly-differentiated GEP-NECChanges From Baseline in Chromogranin A (CgA) LevelsCycle 10 Day 1-1376.0 microgram/liter (ug/L)
Poorly-differentiated GEP-NECChanges From Baseline in Chromogranin A (CgA) LevelsCycle 11 Day 1-1393.0 microgram/liter (ug/L)
Poorly-differentiated GEP-NECChanges From Baseline in Chromogranin A (CgA) LevelsCycle 12 Day 1-1362.0 microgram/liter (ug/L)
Poorly-differentiated GEP-NECChanges From Baseline in Chromogranin A (CgA) LevelsCycle 13 Day 1-1377.0 microgram/liter (ug/L)
Secondary

Disease Control Rate by RECIST 1.1 and as Per BIRC

Disease control rate is defined as the proportion of patients with best overall response of CR, PR or stable disease (SD) according to RECIST 1.1 criteria and as per BIRC. CR: disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to \< 10 mm. PR: at least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters. SD: neither sufficient shrinkage to qualify for PR or CR nor an increase in lesions which would qualify for progressive disease.

Time frame: From baseline up to approximately 1.5 years

Population: The FAS comprised of all subjects to whom study treatment had been assigned and who received at least one dose of PDR001 (including incomplete infusion).

ArmMeasureValue (NUMBER)
Well-differentiated NETDisease Control Rate by RECIST 1.1 and as Per BIRC64.2 Percentage of participants
Poorly-differentiated GEP-NECDisease Control Rate by RECIST 1.1 and as Per BIRC19.0 Percentage of participants
Secondary

Duration of Response (DOR) by RECIST 1.1 and as Per BIRC

DOR is defined as the time between the date of first documented response (CR or PR) and the date of first documented disease progression by RECIST 1.1 and as per BIRC or death due to underlying cancer. For DOR analysis, participants continuing without progression or death due to underlying cancer were censored at the date of their last adequate tumor assessment. An adequate tumour assessment is a tumour assessment with an overall response other than unknown. CR: disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to \< 10 mm. PR: at least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters.

Time frame: From the date of first documented response (CR or PR) until the first documented disease progression or death, whichever comes first, assessed up to approximately 1.5 years

Population: Participants in the FAS with confirmed CR or PR

ArmMeasureValue (MEDIAN)
Well-differentiated NETDuration of Response (DOR) by RECIST 1.1 and as Per BIRC250 Days
Poorly-differentiated GEP-NECDuration of Response (DOR) by RECIST 1.1 and as Per BIRC270 Days
Secondary

Immune Related Disease Control Rate (irDCR) by irRECIST and as Per BIRC

irDCR is defined as the proportion of patients with a best overall response of irCR or irPR or immune related stable disease (irSD) according to irRECIST and as per BIRC. irCR: Complete disappearance of all measurable and non-measurable lesions. In addition, any pathological lymph nodes must have a reduction in short axis to \< 10 mm. irPR: At least 30% decrease in the TMTB compared to baseline and not qualifying for irPD or irCR. irSD: Neither a sufficient shrinkage to qualify for irPR or irCR, nor an increase in lesions, or a clear and unequivocal progression of existing nontarget or new non-measurable lesions that would qualify for irPD.

Time frame: From baseline up to approximately 1.5 years

Population: The FAS comprised of all subjects to whom study treatment had been assigned and who received at least one dose of PDR001 (including incomplete infusion).

ArmMeasureValue (NUMBER)
Well-differentiated NETImmune Related Disease Control Rate (irDCR) by irRECIST and as Per BIRC66.3 Percentage of participants
Poorly-differentiated GEP-NECImmune Related Disease Control Rate (irDCR) by irRECIST and as Per BIRC19.0 Percentage of participants
Secondary

Immune Related Duration of Response (irDoR) by irRECIST and as Per BIRC.

irDOR is defined as the time from first documentation of irCR or irPR until the time of first documentation of progression per irRECIST based on BIRC assessment. Participants continuing without progression or death due to underlying cancer were censored at the date of their last adequate tumor assessment. An adequate tumour assessment is a tumour assessment with an overall response other than unknown for irRECIST. irCR: Complete disappearance of all measurable and non-measurable lesions. In addition, any pathological lymph nodes must have a reduction in short axis to \< 10 mm. irPR: At least 30% decrease in the TMTB compared to baseline and not qualifying for irPD or irCR

Time frame: From the date of first documented confirmed response (irCR or irPR) until the first documented progression, assessed up to approximately 1.5 years

Population: Participants in the FAS with confirmed irCR or irPR

ArmMeasureValue (MEDIAN)
Well-differentiated NETImmune Related Duration of Response (irDoR) by irRECIST and as Per BIRC.228 Days
Poorly-differentiated GEP-NECImmune Related Duration of Response (irDoR) by irRECIST and as Per BIRC.270 Days
Secondary

Immune Related Overall Response Rate (irORR) by irRECIST and as Per BIRC

irORR is the proportion of patients with a best overall response of immune related Complete Response (irCR) or immune related partial response (irPR), according to BIRC assessment by irRECIST. irCR: Complete disappearance of all measurable and non-measurable lesions. In addition, any pathological lymph nodes must have a reduction in short axis to \< 10 mm. irPR: At least 30% decrease in the total measurable tumor burden (TMTB) compared to baseline and not qualifying for irCR or immune related progressive disease (irPD).

Time frame: From baseline up to approximately 1.5 years

Population: The FAS comprised of all subjects to whom study treatment had been assigned and who received at least one dose of PDR001 (including incomplete infusion).

ArmMeasureValue (NUMBER)
Well-differentiated NETImmune Related Overall Response Rate (irORR) by irRECIST and as Per BIRC7.4 Percentage of participants
Poorly-differentiated GEP-NECImmune Related Overall Response Rate (irORR) by irRECIST and as Per BIRC4.8 Percentage of participants
Secondary

Immune Related Progression Free Survival (irPFS) by irRECIST and as Per BIRC

irPFS is defined as the time from date of start of treatment to the date of event defined as the first documented assessment of immune related progression that is confirmed or death due to any cause. If a patient has not had an event, immune related progression-free survival was censored at the date of last adequate tumor assessment. An adequate tumor assessment is a tumor assessment with overall response other than unknown for irRECIST.

Time frame: From baseline until the date of the first documented immune related progression or death due to any cause, whichever comes first, assessed up to approximately 1.5 years

Population: The FAS comprised of all subjects to whom study treatment had been assigned and who received at least one dose of PDR001 (including incomplete infusion).

ArmMeasureValue (MEDIAN)
Well-differentiated NETImmune Related Progression Free Survival (irPFS) by irRECIST and as Per BIRC3.8 Months
Poorly-differentiated GEP-NECImmune Related Progression Free Survival (irPFS) by irRECIST and as Per BIRC1.8 Months
Secondary

Immune Related Time to Response (irTTR) by irRECIST and as Per BIRC

irTTR is defined as the time between date of start of treatment until first documented response (confirmed irCR or irPR) by irRECIST and as per BIRC. irCR: Complete disappearance of all measurable and non-measurable lesions. In addition, any pathological lymph nodes must have a reduction in short axis to \< 10 mm. irPR: At least 30% decrease in the TMTB compared to baseline and not qualifying for irPD or irCR.

Time frame: From baseline to the first documented response, assessed up to approximately 1.5 years

Population: Participants in the FAS with confirmed irCR or irPR

ArmMeasureValue (MEDIAN)
Well-differentiated NETImmune Related Time to Response (irTTR) by irRECIST and as Per BIRC110 Days
Poorly-differentiated GEP-NECImmune Related Time to Response (irTTR) by irRECIST and as Per BIRC53 Days
Secondary

Overall Survival (OS)

OS is defined as the time from the start of treatment date to the date of death, due to any cause. If a patient was not known to have died, then OS was censored at the latest date the patient was known to be alive.

Time frame: From baseline until death due to any cause, assessed up to approx. 3 years

Population: The FAS comprised of all subjects to whom study treatment had been assigned and who received at least one dose of PDR001 (including incomplete infusion).

ArmMeasureValue (MEDIAN)
Well-differentiated NETOverall Survival (OS)23.4 Months
Poorly-differentiated GEP-NECOverall Survival (OS)6.8 Months
Secondary

PDR001 ADA Incidence On-treatment

ADA incidence on treatment was calculated as the proportion of participants who were treatment-induced ADA positive (post-baseline ADA positive with ADA-negative sample at baseline) and treatment-boosted ADA positive (post-baseline ADA positive with titer that is at least the fold titer change greater than the ADA-positive baseline titer)

Time frame: Cycle(C)1 Day(D)1 pre-dose and 30min post-infusion,C2D1 Pre-dose,C3D1 Pre-dose and 30min post-infusion,D1 pre-dose from C4 to C13 and every 6 cycles until C25, and end of treatment, assessed up to approx. 1.5 years. Cycle=28 days

Population: The IG incidence set comprised of all subjects in the IG prevalence set with a determinant baseline IG sample and at least one determinant post-baseline IG sample. Determinant sample: sample that is neither ADA-inconclusive nor unevaluable.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Well-differentiated NETPDR001 ADA Incidence On-treatment10 Participants
Poorly-differentiated GEP-NECPDR001 ADA Incidence On-treatment2 Participants
Secondary

PDR001 Anti-drug Antibodies (ADA) Prevalence at Baseline

ADA prevalence at baseline was calculated as the proportion of participants who had an ADA positive result at baseline

Time frame: Baseline

Population: Participants in the Immunogenicity (IG) set with at least one determinant sample (sample that is neither ADA-inconclusive nor unevaluable) at baseline.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Well-differentiated NETPDR001 Anti-drug Antibodies (ADA) Prevalence at Baseline1 Participants
Poorly-differentiated GEP-NECPDR001 Anti-drug Antibodies (ADA) Prevalence at Baseline0 Participants
Secondary

PDR001 Plasma Concentration

Blood samples will be taken to evaluate the pharmacokinetics by assessing plasma concentration of PDR001 at selected time points

Time frame: Cycle(C)1 Day(D)1 pre-dose and 30min post-infusion,C2D1 Pre-dose,C3D1 Pre-dose and 30min post-infusion,D1 pre-dose from C4 to C13, assessed up to approx. 1.5 years.Cycle=28 days

Population: The PAS comprised of all subjects who provide at least one evaluable PDR001 PK concentration. Number analyzed signified number of participants with available data for this outcome measure at specified timepoints.

ArmMeasureGroupValue (MEAN)Dispersion
Well-differentiated NETPDR001 Plasma ConcentrationCycle 13 Day 1 pre-dose91.8 nanogram/mililiter (ng/mL)Standard Deviation 46
Well-differentiated NETPDR001 Plasma ConcentrationCycle 1 Day 1 30 min post-dose106 nanogram/mililiter (ng/mL)Standard Deviation 32.9
Well-differentiated NETPDR001 Plasma ConcentrationCycle 2 Day 1 Pre-dose26.8 nanogram/mililiter (ng/mL)Standard Deviation 9.76
Well-differentiated NETPDR001 Plasma ConcentrationCycle 3 Day 1 pre-dose43.7 nanogram/mililiter (ng/mL)Standard Deviation 18.9
Well-differentiated NETPDR001 Plasma ConcentrationCycle 3 Day 1 30 min post-dose140 nanogram/mililiter (ng/mL)Standard Deviation 46.7
Well-differentiated NETPDR001 Plasma ConcentrationCycle 4 Day 1 pre-dose52.8 nanogram/mililiter (ng/mL)Standard Deviation 25.1
Well-differentiated NETPDR001 Plasma ConcentrationCycle 5 Day 1 pre-dose52.0 nanogram/mililiter (ng/mL)Standard Deviation 32.3
Well-differentiated NETPDR001 Plasma ConcentrationCycle 6 Day 1 pre-dose58.2 nanogram/mililiter (ng/mL)Standard Deviation 31.6
Well-differentiated NETPDR001 Plasma ConcentrationCycle 7 Day 1 pre-dose64.3 nanogram/mililiter (ng/mL)Standard Deviation 37.6
Well-differentiated NETPDR001 Plasma ConcentrationCycle 8 Day 1 pre-dose59.6 nanogram/mililiter (ng/mL)Standard Deviation 38.2
Well-differentiated NETPDR001 Plasma ConcentrationCycle 9 Day 1 pre-dose65.1 nanogram/mililiter (ng/mL)Standard Deviation 38.1
Well-differentiated NETPDR001 Plasma ConcentrationCycle 10 Day 1 pre-dose70.2 nanogram/mililiter (ng/mL)Standard Deviation 40.2
Well-differentiated NETPDR001 Plasma ConcentrationCycle 11 Day 1 pre-dose69.2 nanogram/mililiter (ng/mL)Standard Deviation 39.1
Well-differentiated NETPDR001 Plasma ConcentrationCycle 12 Day 1 pre-dose71.7 nanogram/mililiter (ng/mL)Standard Deviation 38.1
Well-differentiated NETPDR001 Plasma ConcentrationCycle 1 Day 1 pre-dose0 nanogram/mililiter (ng/mL)Standard Deviation 0
Poorly-differentiated GEP-NECPDR001 Plasma ConcentrationCycle 6 Day 1 pre-dose49.9 nanogram/mililiter (ng/mL)
Poorly-differentiated GEP-NECPDR001 Plasma ConcentrationCycle 8 Day 1 pre-dose64.7 nanogram/mililiter (ng/mL)Standard Deviation 31.4
Poorly-differentiated GEP-NECPDR001 Plasma ConcentrationCycle 1 Day 1 pre-dose0 nanogram/mililiter (ng/mL)Standard Deviation 0
Poorly-differentiated GEP-NECPDR001 Plasma ConcentrationCycle 5 Day 1 pre-dose41.8 nanogram/mililiter (ng/mL)Standard Deviation 8.88
Poorly-differentiated GEP-NECPDR001 Plasma ConcentrationCycle 1 Day 1 30 min post-dose100 nanogram/mililiter (ng/mL)Standard Deviation 52.2
Poorly-differentiated GEP-NECPDR001 Plasma ConcentrationCycle 12 Day 1 pre-dose111 nanogram/mililiter (ng/mL)
Poorly-differentiated GEP-NECPDR001 Plasma ConcentrationCycle 2 Day 1 Pre-dose25.8 nanogram/mililiter (ng/mL)Standard Deviation 9.3
Poorly-differentiated GEP-NECPDR001 Plasma ConcentrationCycle 9 Day 1 pre-dose93.7 nanogram/mililiter (ng/mL)
Poorly-differentiated GEP-NECPDR001 Plasma ConcentrationCycle 3 Day 1 pre-dose42.3 nanogram/mililiter (ng/mL)Standard Deviation 19.6
Poorly-differentiated GEP-NECPDR001 Plasma ConcentrationCycle 7 Day 1 pre-dose66.9 nanogram/mililiter (ng/mL)Standard Deviation 30.1
Poorly-differentiated GEP-NECPDR001 Plasma ConcentrationCycle 3 Day 1 30 min post-dose142 nanogram/mililiter (ng/mL)Standard Deviation 44.3
Poorly-differentiated GEP-NECPDR001 Plasma ConcentrationCycle 11 Day 1 pre-dose99.0 nanogram/mililiter (ng/mL)
Poorly-differentiated GEP-NECPDR001 Plasma ConcentrationCycle 4 Day 1 pre-dose40.7 nanogram/mililiter (ng/mL)Standard Deviation 17.2
Secondary

Progression-free Survival (PFS) by RECIST 1.1 and as Per BIRC

PFS is defined as the time from the date of first dose to the date of the first documented radiological progression or death due to any cause. PFS was evaluated according to RECIST 1.1 and as per BIRC. For participants who had not progressed or died at the analysis cut-off date, PFS was censored at the date of the last adequate tumor evaluation date. An adequate tumour assessment is a tumour assessment with an overall response other than unknown.

Time frame: From baseline until the date of the first documented radiological progression or death due to any cause, whichever comes first, assessed up to approximately 1.5 years

Population: The FAS comprised of all subjects to whom study treatment had been assigned and who received at least one dose of PDR001 (including incomplete infusion).

ArmMeasureValue (MEDIAN)
Well-differentiated NETProgression-free Survival (PFS) by RECIST 1.1 and as Per BIRC3.8 Months
Poorly-differentiated GEP-NECProgression-free Survival (PFS) by RECIST 1.1 and as Per BIRC1.8 Months
Secondary

Time to Response (TTR) by RECIST 1.1 and as Per BIRC

TTR is defined as the time from the date of start of treatment to the first documented response of either CR or PR, which must be subsequently confirmed. TTR was evaluated according to RECIST 1.1 and as per BIRC. CR: disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to \< 10 mm. PR: at least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters.

Time frame: From baseline to the first documented response, assessed up to approximately 1.5 years

Population: Participants in the FAS with confirmed CR or PR.

ArmMeasureValue (MEDIAN)
Well-differentiated NETTime to Response (TTR) by RECIST 1.1 and as Per BIRC110 Days
Poorly-differentiated GEP-NECTime to Response (TTR) by RECIST 1.1 and as Per BIRC53 Days
Post Hoc

All Collected Deaths

Deaths on-treatment are collected from first dose of study treatment until end of study treatment plus 30 days post treatment, up to maximum duration of approximately 3 years. Total Deaths are collected from first dose of study treatment until end of post-treatment efficacy or survival follow, up to maximum duration of approximately 3 years.

Time frame: up to 3 years

Population: The Safety Set comprised all subjects who received at least one dose of PDR001

ArmMeasureGroupValue (NUMBER)
Well-differentiated NETAll Collected DeathsDeaths on-treatment1 Participants
Well-differentiated NETAll Collected DeathsTotal Deaths47 Participants
Poorly-differentiated GEP-NECAll Collected DeathsDeaths on-treatment1 Participants
Poorly-differentiated GEP-NECAll Collected DeathsTotal Deaths16 Participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026