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
Conditions
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
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
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| Overall Response Rate (ORR) by RECIST 1.1 and as Per Blinded Independent Central Review (BIRC). | From baseline up to approximately 1.5 years | 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Disease Control Rate by RECIST 1.1 and as Per BIRC | From baseline up to approximately 1.5 years | 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 to Response (TTR) by RECIST 1.1 and as Per BIRC | From baseline to the first documented response, assessed up to approximately 1.5 years | 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. |
| Progression-free Survival (PFS) by RECIST 1.1 and as Per BIRC | 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 | 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. |
| Immune Related Overall Response Rate (irORR) by irRECIST and as Per BIRC | From baseline up to approximately 1.5 years | 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). |
| 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 years | 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 |
| Immune Related Time to Response (irTTR) by irRECIST and as Per BIRC | From baseline to the first documented response, assessed up to approximately 1.5 years | 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. |
| Immune Related Disease Control Rate (irDCR) by irRECIST and as Per BIRC | From baseline up to approximately 1.5 years | 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. |
| Immune Related Progression Free Survival (irPFS) by irRECIST and as Per BIRC | 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 | 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. |
| Duration of Response (DOR) by RECIST 1.1 and as Per BIRC | 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 | 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. |
| Changes From Baseline in Chromogranin A (CgA) Levels | Baseline, 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) Levels | Baseline, day 1 of each cycle from Cycle 2 to end of treatment, assessed up to approx. 1.5 years. Cycle= 28days | 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. |
| PDR001 Plasma Concentration | 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 | Blood 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 Score | 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 | 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. |
| Change From Baseline in EQ-5D-5L Index Score | 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 | 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. |
| PDR001 Anti-drug Antibodies (ADA) Prevalence at Baseline | Baseline | ADA prevalence at baseline was calculated as the proportion of participants who had an ADA positive result at baseline |
| PDR001 ADA Incidence On-treatment | 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 | 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) |
| Overall Survival (OS) | From baseline until death due to any cause, assessed up to approx. 3 years | 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. |
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
| Arm | Count |
|---|---|
| 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 |
| Total | 116 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Adverse Event | 7 | 2 |
| Overall Study | Death | 7 | 3 |
| Overall Study | Physician Decision | 10 | 2 |
| Overall Study | Progressive disease | 64 | 13 |
| Overall Study | Study terminated by sponsor | 4 | 0 |
| Overall Study | Subject/Guardian decision | 3 | 1 |
Baseline characteristics
| Characteristic | Well-differentiated NET | Poorly-differentiated GEP-NEC | Total |
|---|---|---|---|
| Age, Continuous | 59.4 Years STANDARD_DEVIATION 11.21 | 57.4 Years STANDARD_DEVIATION 8.56 | 59.0 Years STANDARD_DEVIATION 10.77 |
| Race/Ethnicity, Customized Asian | 7 Participants | 3 Participants | 10 Participants |
| Race/Ethnicity, Customized Black | 4 Participants | 0 Participants | 4 Participants |
| Race/Ethnicity, Customized Black or African American | 2 Participants | 0 Participants | 2 Participants |
| Race/Ethnicity, Customized Caucasian | 59 Participants | 16 Participants | 75 Participants |
| Race/Ethnicity, Customized Missing | 1 Participants | 0 Participants | 1 Participants |
| Race/Ethnicity, Customized Native American | 1 Participants | 0 Participants | 1 Participants |
| Race/Ethnicity, Customized Other | 3 Participants | 0 Participants | 3 Participants |
| Race/Ethnicity, Customized Unknown | 3 Participants | 1 Participants | 4 Participants |
| Race/Ethnicity, Customized White | 15 Participants | 1 Participants | 16 Participants |
| Sex: Female, Male Female | 43 Participants | 4 Participants | 47 Participants |
| Sex: Female, Male Male | 52 Participants | 17 Participants | 69 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk |
|---|---|---|---|
| deaths Total, all-cause mortality | 1 / 95 | 1 / 21 | 2 / 116 |
| other Total, other adverse events | 86 / 95 | 18 / 21 | 104 / 116 |
| serious Total, serious adverse events | 29 / 95 | 6 / 21 | 35 / 116 |
Outcome results
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).
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Well-differentiated NET | Overall Response Rate (ORR) by RECIST 1.1 and as Per Blinded Independent Central Review (BIRC). | 7.4 Percentage of participants |
| Poorly-differentiated GEP-NEC | Overall Response Rate (ORR) by RECIST 1.1 and as Per Blinded Independent Central Review (BIRC). | 4.8 Percentage of participants |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Well-differentiated NET | Change From Baseline in EQ-5D-5L Index Score | Cycle 16 Day 1 | -0.17 score on a scale | Standard Deviation 0.085 |
| Well-differentiated NET | Change From Baseline in EQ-5D-5L Index Score | End of treatment | -0.10 score on a scale | Standard Deviation 0.209 |
| Well-differentiated NET | Change From Baseline in EQ-5D-5L Index Score | Cycle 11 Day 1 | 0.02 score on a scale | Standard Deviation 0.262 |
| Well-differentiated NET | Change From Baseline in EQ-5D-5L Index Score | Cycle 3 Day 1 | 0.03 score on a scale | Standard Deviation 0.169 |
| Well-differentiated NET | Change From Baseline in EQ-5D-5L Index Score | Cycle 7 Day 1 | -0.04 score on a scale | Standard Deviation 0.241 |
| Well-differentiated NET | Change From Baseline in EQ-5D-5L Index Score | Cycle 5 Day 1 | -0.02 score on a scale | Standard Deviation 0.247 |
| Well-differentiated NET | Change From Baseline in EQ-5D-5L Index Score | Cycle 13 Day 1 | -0.03 score on a scale | Standard Deviation 0.299 |
| Well-differentiated NET | Change From Baseline in EQ-5D-5L Index Score | Cycle 9 Day 1 | 0.02 score on a scale | Standard Deviation 0.247 |
| Poorly-differentiated GEP-NEC | Change From Baseline in EQ-5D-5L Index Score | Cycle 13 Day 1 | 0.03 score on a scale | — |
| Poorly-differentiated GEP-NEC | Change From Baseline in EQ-5D-5L Index Score | Cycle 9 Day 1 | 0.02 score on a scale | — |
| Poorly-differentiated GEP-NEC | Change From Baseline in EQ-5D-5L Index Score | Cycle 5 Day 1 | 0.02 score on a scale | Standard Deviation 0.111 |
| Poorly-differentiated GEP-NEC | Change From Baseline in EQ-5D-5L Index Score | Cycle 7 Day 1 | 0.16 score on a scale | Standard Deviation 0.135 |
| Poorly-differentiated GEP-NEC | Change From Baseline in EQ-5D-5L Index Score | End of treatment | -0.30 score on a scale | Standard Deviation 0.263 |
| Poorly-differentiated GEP-NEC | Change From Baseline in EQ-5D-5L Index Score | Cycle 3 Day 1 | -0.09 score on a scale | Standard Deviation 0.157 |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Well-differentiated NET | 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 | Cycle 11 Day 1 | -1.19 score on a scale | Standard Deviation 28.048 |
| Well-differentiated NET | 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 | Cycle 13 Day 1 | 1.96 score on a scale | Standard Deviation 27.088 |
| Well-differentiated NET | 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 | Cycle 5 Day 1 | -1.91 score on a scale | Standard Deviation 27.838 |
| Well-differentiated NET | 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 | Cycle 16 Day 1 | -16.67 score on a scale | Standard Deviation 16.667 |
| Well-differentiated NET | 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 | End of Treatment | -6.46 score on a scale | Standard Deviation 23.607 |
| Well-differentiated NET | 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 | Cycle 3 Day 1 | -1.00 score on a scale | Standard Deviation 19.491 |
| Well-differentiated NET | 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 | Cycle 9 Day 1 | 1.67 score on a scale | Standard Deviation 31.823 |
| Well-differentiated NET | 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 | Cycle 7 Day 1 | 1.96 score on a scale | Standard Deviation 29.945 |
| Poorly-differentiated GEP-NEC | 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 | End of Treatment | -22.92 score on a scale | Standard Deviation 23.465 |
| Poorly-differentiated GEP-NEC | 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 | Cycle 3 Day 1 | -11.11 score on a scale | Standard Deviation 27.003 |
| Poorly-differentiated GEP-NEC | 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 | Cycle 5 Day 1 | -4.17 score on a scale | Standard Deviation 17.347 |
| Poorly-differentiated GEP-NEC | 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 | Cycle 7 Day 1 | 25.00 score on a scale | Standard Deviation 35.355 |
| Poorly-differentiated GEP-NEC | 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 | Cycle 9 Day 1 | 33.33 score on a scale | — |
| Poorly-differentiated GEP-NEC | 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 | Cycle 13 Day 1 | 41.67 score on a scale | — |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Well-differentiated NET | Change From Baseline in Neuron Specific Enolase (NSE) Levels | Cycle 11 Day 1 | 2.3 microgram/liter (ug/L) | Standard Deviation 8.89 |
| Well-differentiated NET | Change From Baseline in Neuron Specific Enolase (NSE) Levels | Cycle 12 Day 1 | -2.4 microgram/liter (ug/L) | Standard Deviation 23.04 |
| Well-differentiated NET | Change From Baseline in Neuron Specific Enolase (NSE) Levels | Cycle 7 Day 1 | 7.6 microgram/liter (ug/L) | Standard Deviation 39.44 |
| Well-differentiated NET | Change From Baseline in Neuron Specific Enolase (NSE) Levels | Cycle 13 Day 1 | -3.9 microgram/liter (ug/L) | Standard Deviation 24.22 |
| Well-differentiated NET | Change From Baseline in Neuron Specific Enolase (NSE) Levels | Cycle 5 Day 1 | 4.8 microgram/liter (ug/L) | Standard Deviation 30.34 |
| Well-differentiated NET | Change From Baseline in Neuron Specific Enolase (NSE) Levels | Cycle 14 Day 1 | -4.5 microgram/liter (ug/L) | Standard Deviation 22.71 |
| Well-differentiated NET | Change From Baseline in Neuron Specific Enolase (NSE) Levels | Cycle 15 Day 1 | -3.4 microgram/liter (ug/L) | Standard Deviation 29.73 |
| Well-differentiated NET | Change From Baseline in Neuron Specific Enolase (NSE) Levels | Cycle 16 Day 1 | 26.5 microgram/liter (ug/L) | Standard Deviation 35.38 |
| Well-differentiated NET | Change From Baseline in Neuron Specific Enolase (NSE) Levels | Cycle 17 Day 1 | 15.1 microgram/liter (ug/L) | — |
| Well-differentiated NET | Change From Baseline in Neuron Specific Enolase (NSE) Levels | Cycle 18 Day 1 | 13.8 microgram/liter (ug/L) | — |
| Well-differentiated NET | Change From Baseline in Neuron Specific Enolase (NSE) Levels | End of treatment | 47.7 microgram/liter (ug/L) | Standard Deviation 136.78 |
| Well-differentiated NET | Change From Baseline in Neuron Specific Enolase (NSE) Levels | Cycle 2 Day 1 | 0.8 microgram/liter (ug/L) | Standard Deviation 29.71 |
| Well-differentiated NET | Change From Baseline in Neuron Specific Enolase (NSE) Levels | Cycle 8 Day 1 | 1.0 microgram/liter (ug/L) | Standard Deviation 22.19 |
| Well-differentiated NET | Change From Baseline in Neuron Specific Enolase (NSE) Levels | Cycle 4 Day 1 | -0.1 microgram/liter (ug/L) | Standard Deviation 14.98 |
| Well-differentiated NET | Change From Baseline in Neuron Specific Enolase (NSE) Levels | Cycle 9 Day 1 | 2.6 microgram/liter (ug/L) | Standard Deviation 8.64 |
| Well-differentiated NET | Change From Baseline in Neuron Specific Enolase (NSE) Levels | Cycle 6 Day 1 | -3.6 microgram/liter (ug/L) | Standard Deviation 19.18 |
| Well-differentiated NET | Change From Baseline in Neuron Specific Enolase (NSE) Levels | Cycle 10 Day 1 | 10.3 microgram/liter (ug/L) | Standard Deviation 33.74 |
| Well-differentiated NET | Change From Baseline in Neuron Specific Enolase (NSE) Levels | Cycle 3 Day 1 | 2.5 microgram/liter (ug/L) | Standard Deviation 29.33 |
| Poorly-differentiated GEP-NEC | Change From Baseline in Neuron Specific Enolase (NSE) Levels | End of treatment | 44.3 microgram/liter (ug/L) | Standard Deviation 66.73 |
| Poorly-differentiated GEP-NEC | Change From Baseline in Neuron Specific Enolase (NSE) Levels | Cycle 2 Day 1 | 27.9 microgram/liter (ug/L) | Standard Deviation 40.77 |
| Poorly-differentiated GEP-NEC | Change From Baseline in Neuron Specific Enolase (NSE) Levels | Cycle 3 Day 1 | 32.6 microgram/liter (ug/L) | Standard Deviation 56.87 |
| Poorly-differentiated GEP-NEC | Change From Baseline in Neuron Specific Enolase (NSE) Levels | Cycle 4 Day 1 | 21.9 microgram/liter (ug/L) | Standard Deviation 21.64 |
| Poorly-differentiated GEP-NEC | Change From Baseline in Neuron Specific Enolase (NSE) Levels | Cycle 5 Day 1 | 31.8 microgram/liter (ug/L) | Standard Deviation 56.39 |
| Poorly-differentiated GEP-NEC | Change From Baseline in Neuron Specific Enolase (NSE) Levels | Cycle 6 Day 1 | 151.6 microgram/liter (ug/L) | Standard Deviation 204.21 |
| Poorly-differentiated GEP-NEC | Change From Baseline in Neuron Specific Enolase (NSE) Levels | Cycle 7 Day 1 | -3.0 microgram/liter (ug/L) | Standard Deviation 17.75 |
| Poorly-differentiated GEP-NEC | Change From Baseline in Neuron Specific Enolase (NSE) Levels | Cycle 8 Day 1 | 40.4 microgram/liter (ug/L) | — |
| Poorly-differentiated GEP-NEC | Change From Baseline in Neuron Specific Enolase (NSE) Levels | Cycle 9 Day 1 | -12.7 microgram/liter (ug/L) | — |
| Poorly-differentiated GEP-NEC | Change From Baseline in Neuron Specific Enolase (NSE) Levels | Cycle 10 Day 1 | -15.0 microgram/liter (ug/L) | — |
| Poorly-differentiated GEP-NEC | Change From Baseline in Neuron Specific Enolase (NSE) Levels | Cycle 12 Day 1 | -12.3 microgram/liter (ug/L) | — |
| Poorly-differentiated GEP-NEC | Change From Baseline in Neuron Specific Enolase (NSE) Levels | Cycle 13 Day 1 | -17.8 microgram/liter (ug/L) | — |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Well-differentiated NET | Changes From Baseline in Chromogranin A (CgA) Levels | Cycle 11 Day 1 | 84634.7 microgram/liter (ug/L) | Standard Deviation 344244.6 |
| Well-differentiated NET | Changes From Baseline in Chromogranin A (CgA) Levels | Cycle 7 Day 1 | -564.5 microgram/liter (ug/L) | Standard Deviation 12643.71 |
| Well-differentiated NET | Changes From Baseline in Chromogranin A (CgA) Levels | Cycle 12 Day 1 | 8177.6 microgram/liter (ug/L) | Standard Deviation 36820.47 |
| Well-differentiated NET | Changes From Baseline in Chromogranin A (CgA) Levels | Cycle 4 Day 1 | 579.9 microgram/liter (ug/L) | Standard Deviation 13437.06 |
| Well-differentiated NET | Changes From Baseline in Chromogranin A (CgA) Levels | Cycle 13 Day 1 | -379.8 microgram/liter (ug/L) | Standard Deviation 1509.95 |
| Well-differentiated NET | Changes From Baseline in Chromogranin A (CgA) Levels | Cycle 8 Day 1 | 3726.0 microgram/liter (ug/L) | Standard Deviation 18813.63 |
| Well-differentiated NET | Changes From Baseline in Chromogranin A (CgA) Levels | Cycle 14 Day 1 | 398.3 microgram/liter (ug/L) | Standard Deviation 1866.56 |
| Well-differentiated NET | Changes From Baseline in Chromogranin A (CgA) Levels | Cycle 15 Day 1 | 13.1 microgram/liter (ug/L) | Standard Deviation 1120.6 |
| Well-differentiated NET | Changes From Baseline in Chromogranin A (CgA) Levels | Cycle 16 Day 1 | -81.0 microgram/liter (ug/L) | Standard Deviation 1583.99 |
| Well-differentiated NET | Changes From Baseline in Chromogranin A (CgA) Levels | Cycle 17 Day 1 | -176.0 microgram/liter (ug/L) | — |
| Well-differentiated NET | Changes From Baseline in Chromogranin A (CgA) Levels | Cycle 18 Day 1 | 42.0 microgram/liter (ug/L) | — |
| Well-differentiated NET | Changes From Baseline in Chromogranin A (CgA) Levels | End of treatment | 30115.3 microgram/liter (ug/L) | Standard Deviation 131958.16 |
| Well-differentiated NET | Changes From Baseline in Chromogranin A (CgA) Levels | Cycle 5 Day 1 | 598.2 microgram/liter (ug/L) | Standard Deviation 11724.93 |
| Well-differentiated NET | Changes From Baseline in Chromogranin A (CgA) Levels | Cycle 3 Day 1 | -1811.7 microgram/liter (ug/L) | Standard Deviation 21413.11 |
| Well-differentiated NET | Changes From Baseline in Chromogranin A (CgA) Levels | Cycle 9 Day 1 | 22522.2 microgram/liter (ug/L) | Standard Deviation 94054.85 |
| Well-differentiated NET | Changes From Baseline in Chromogranin A (CgA) Levels | Cycle 6 Day 1 | 1337.6 microgram/liter (ug/L) | Standard Deviation 7106.32 |
| Well-differentiated NET | Changes From Baseline in Chromogranin A (CgA) Levels | Cycle 10 Day 1 | 54301.5 microgram/liter (ug/L) | Standard Deviation 250229.27 |
| Well-differentiated NET | Changes From Baseline in Chromogranin A (CgA) Levels | Cycle 2 Day 1 | 874.6 microgram/liter (ug/L) | Standard Deviation 6694.64 |
| Poorly-differentiated GEP-NEC | Changes From Baseline in Chromogranin A (CgA) Levels | End of treatment | 3899.6 microgram/liter (ug/L) | Standard Deviation 7991.4 |
| Poorly-differentiated GEP-NEC | Changes From Baseline in Chromogranin A (CgA) Levels | Cycle 5 Day 1 | 1306.6 microgram/liter (ug/L) | Standard Deviation 3125.84 |
| Poorly-differentiated GEP-NEC | Changes From Baseline in Chromogranin A (CgA) Levels | Cycle 2 Day 1 | 6466.9 microgram/liter (ug/L) | Standard Deviation 23760.13 |
| Poorly-differentiated GEP-NEC | Changes From Baseline in Chromogranin A (CgA) Levels | Cycle 3 Day 1 | 706.5 microgram/liter (ug/L) | Standard Deviation 2294.87 |
| Poorly-differentiated GEP-NEC | Changes From Baseline in Chromogranin A (CgA) Levels | Cycle 4 Day 1 | 1544.5 microgram/liter (ug/L) | Standard Deviation 2712.23 |
| Poorly-differentiated GEP-NEC | Changes From Baseline in Chromogranin A (CgA) Levels | Cycle 6 Day 1 | 4531.7 microgram/liter (ug/L) | Standard Deviation 8694.65 |
| Poorly-differentiated GEP-NEC | Changes From Baseline in Chromogranin A (CgA) Levels | Cycle 7 Day 1 | 11089.5 microgram/liter (ug/L) | Standard Deviation 17551.1 |
| Poorly-differentiated GEP-NEC | Changes From Baseline in Chromogranin A (CgA) Levels | Cycle 8 Day 1 | 9103.5 microgram/liter (ug/L) | Standard Deviation 14759.44 |
| Poorly-differentiated GEP-NEC | Changes From Baseline in Chromogranin A (CgA) Levels | Cycle 9 Day 1 | -1342.0 microgram/liter (ug/L) | — |
| Poorly-differentiated GEP-NEC | Changes From Baseline in Chromogranin A (CgA) Levels | Cycle 10 Day 1 | -1376.0 microgram/liter (ug/L) | — |
| Poorly-differentiated GEP-NEC | Changes From Baseline in Chromogranin A (CgA) Levels | Cycle 11 Day 1 | -1393.0 microgram/liter (ug/L) | — |
| Poorly-differentiated GEP-NEC | Changes From Baseline in Chromogranin A (CgA) Levels | Cycle 12 Day 1 | -1362.0 microgram/liter (ug/L) | — |
| Poorly-differentiated GEP-NEC | Changes From Baseline in Chromogranin A (CgA) Levels | Cycle 13 Day 1 | -1377.0 microgram/liter (ug/L) | — |
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).
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Well-differentiated NET | Disease Control Rate by RECIST 1.1 and as Per BIRC | 64.2 Percentage of participants |
| Poorly-differentiated GEP-NEC | Disease Control Rate by RECIST 1.1 and as Per BIRC | 19.0 Percentage of participants |
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
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Well-differentiated NET | Duration of Response (DOR) by RECIST 1.1 and as Per BIRC | 250 Days |
| Poorly-differentiated GEP-NEC | Duration of Response (DOR) by RECIST 1.1 and as Per BIRC | 270 Days |
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).
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Well-differentiated NET | Immune Related Disease Control Rate (irDCR) by irRECIST and as Per BIRC | 66.3 Percentage of participants |
| Poorly-differentiated GEP-NEC | Immune Related Disease Control Rate (irDCR) by irRECIST and as Per BIRC | 19.0 Percentage of participants |
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
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Well-differentiated NET | Immune Related Duration of Response (irDoR) by irRECIST and as Per BIRC. | 228 Days |
| Poorly-differentiated GEP-NEC | Immune Related Duration of Response (irDoR) by irRECIST and as Per BIRC. | 270 Days |
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).
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Well-differentiated NET | Immune Related Overall Response Rate (irORR) by irRECIST and as Per BIRC | 7.4 Percentage of participants |
| Poorly-differentiated GEP-NEC | Immune Related Overall Response Rate (irORR) by irRECIST and as Per BIRC | 4.8 Percentage of participants |
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).
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Well-differentiated NET | Immune Related Progression Free Survival (irPFS) by irRECIST and as Per BIRC | 3.8 Months |
| Poorly-differentiated GEP-NEC | Immune Related Progression Free Survival (irPFS) by irRECIST and as Per BIRC | 1.8 Months |
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
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Well-differentiated NET | Immune Related Time to Response (irTTR) by irRECIST and as Per BIRC | 110 Days |
| Poorly-differentiated GEP-NEC | Immune Related Time to Response (irTTR) by irRECIST and as Per BIRC | 53 Days |
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).
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Well-differentiated NET | Overall Survival (OS) | 23.4 Months |
| Poorly-differentiated GEP-NEC | Overall Survival (OS) | 6.8 Months |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Well-differentiated NET | PDR001 ADA Incidence On-treatment | 10 Participants |
| Poorly-differentiated GEP-NEC | PDR001 ADA Incidence On-treatment | 2 Participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Well-differentiated NET | PDR001 Anti-drug Antibodies (ADA) Prevalence at Baseline | 1 Participants |
| Poorly-differentiated GEP-NEC | PDR001 Anti-drug Antibodies (ADA) Prevalence at Baseline | 0 Participants |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Well-differentiated NET | PDR001 Plasma Concentration | Cycle 13 Day 1 pre-dose | 91.8 nanogram/mililiter (ng/mL) | Standard Deviation 46 |
| Well-differentiated NET | PDR001 Plasma Concentration | Cycle 1 Day 1 30 min post-dose | 106 nanogram/mililiter (ng/mL) | Standard Deviation 32.9 |
| Well-differentiated NET | PDR001 Plasma Concentration | Cycle 2 Day 1 Pre-dose | 26.8 nanogram/mililiter (ng/mL) | Standard Deviation 9.76 |
| Well-differentiated NET | PDR001 Plasma Concentration | Cycle 3 Day 1 pre-dose | 43.7 nanogram/mililiter (ng/mL) | Standard Deviation 18.9 |
| Well-differentiated NET | PDR001 Plasma Concentration | Cycle 3 Day 1 30 min post-dose | 140 nanogram/mililiter (ng/mL) | Standard Deviation 46.7 |
| Well-differentiated NET | PDR001 Plasma Concentration | Cycle 4 Day 1 pre-dose | 52.8 nanogram/mililiter (ng/mL) | Standard Deviation 25.1 |
| Well-differentiated NET | PDR001 Plasma Concentration | Cycle 5 Day 1 pre-dose | 52.0 nanogram/mililiter (ng/mL) | Standard Deviation 32.3 |
| Well-differentiated NET | PDR001 Plasma Concentration | Cycle 6 Day 1 pre-dose | 58.2 nanogram/mililiter (ng/mL) | Standard Deviation 31.6 |
| Well-differentiated NET | PDR001 Plasma Concentration | Cycle 7 Day 1 pre-dose | 64.3 nanogram/mililiter (ng/mL) | Standard Deviation 37.6 |
| Well-differentiated NET | PDR001 Plasma Concentration | Cycle 8 Day 1 pre-dose | 59.6 nanogram/mililiter (ng/mL) | Standard Deviation 38.2 |
| Well-differentiated NET | PDR001 Plasma Concentration | Cycle 9 Day 1 pre-dose | 65.1 nanogram/mililiter (ng/mL) | Standard Deviation 38.1 |
| Well-differentiated NET | PDR001 Plasma Concentration | Cycle 10 Day 1 pre-dose | 70.2 nanogram/mililiter (ng/mL) | Standard Deviation 40.2 |
| Well-differentiated NET | PDR001 Plasma Concentration | Cycle 11 Day 1 pre-dose | 69.2 nanogram/mililiter (ng/mL) | Standard Deviation 39.1 |
| Well-differentiated NET | PDR001 Plasma Concentration | Cycle 12 Day 1 pre-dose | 71.7 nanogram/mililiter (ng/mL) | Standard Deviation 38.1 |
| Well-differentiated NET | PDR001 Plasma Concentration | Cycle 1 Day 1 pre-dose | 0 nanogram/mililiter (ng/mL) | Standard Deviation 0 |
| Poorly-differentiated GEP-NEC | PDR001 Plasma Concentration | Cycle 6 Day 1 pre-dose | 49.9 nanogram/mililiter (ng/mL) | — |
| Poorly-differentiated GEP-NEC | PDR001 Plasma Concentration | Cycle 8 Day 1 pre-dose | 64.7 nanogram/mililiter (ng/mL) | Standard Deviation 31.4 |
| Poorly-differentiated GEP-NEC | PDR001 Plasma Concentration | Cycle 1 Day 1 pre-dose | 0 nanogram/mililiter (ng/mL) | Standard Deviation 0 |
| Poorly-differentiated GEP-NEC | PDR001 Plasma Concentration | Cycle 5 Day 1 pre-dose | 41.8 nanogram/mililiter (ng/mL) | Standard Deviation 8.88 |
| Poorly-differentiated GEP-NEC | PDR001 Plasma Concentration | Cycle 1 Day 1 30 min post-dose | 100 nanogram/mililiter (ng/mL) | Standard Deviation 52.2 |
| Poorly-differentiated GEP-NEC | PDR001 Plasma Concentration | Cycle 12 Day 1 pre-dose | 111 nanogram/mililiter (ng/mL) | — |
| Poorly-differentiated GEP-NEC | PDR001 Plasma Concentration | Cycle 2 Day 1 Pre-dose | 25.8 nanogram/mililiter (ng/mL) | Standard Deviation 9.3 |
| Poorly-differentiated GEP-NEC | PDR001 Plasma Concentration | Cycle 9 Day 1 pre-dose | 93.7 nanogram/mililiter (ng/mL) | — |
| Poorly-differentiated GEP-NEC | PDR001 Plasma Concentration | Cycle 3 Day 1 pre-dose | 42.3 nanogram/mililiter (ng/mL) | Standard Deviation 19.6 |
| Poorly-differentiated GEP-NEC | PDR001 Plasma Concentration | Cycle 7 Day 1 pre-dose | 66.9 nanogram/mililiter (ng/mL) | Standard Deviation 30.1 |
| Poorly-differentiated GEP-NEC | PDR001 Plasma Concentration | Cycle 3 Day 1 30 min post-dose | 142 nanogram/mililiter (ng/mL) | Standard Deviation 44.3 |
| Poorly-differentiated GEP-NEC | PDR001 Plasma Concentration | Cycle 11 Day 1 pre-dose | 99.0 nanogram/mililiter (ng/mL) | — |
| Poorly-differentiated GEP-NEC | PDR001 Plasma Concentration | Cycle 4 Day 1 pre-dose | 40.7 nanogram/mililiter (ng/mL) | Standard Deviation 17.2 |
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).
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Well-differentiated NET | Progression-free Survival (PFS) by RECIST 1.1 and as Per BIRC | 3.8 Months |
| Poorly-differentiated GEP-NEC | Progression-free Survival (PFS) by RECIST 1.1 and as Per BIRC | 1.8 Months |
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.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Well-differentiated NET | Time to Response (TTR) by RECIST 1.1 and as Per BIRC | 110 Days |
| Poorly-differentiated GEP-NEC | Time to Response (TTR) by RECIST 1.1 and as Per BIRC | 53 Days |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Well-differentiated NET | All Collected Deaths | Deaths on-treatment | 1 Participants |
| Well-differentiated NET | All Collected Deaths | Total Deaths | 47 Participants |
| Poorly-differentiated GEP-NEC | All Collected Deaths | Deaths on-treatment | 1 Participants |
| Poorly-differentiated GEP-NEC | All Collected Deaths | Total Deaths | 16 Participants |