Cancer, Non Small Cell Lung Cancer Metastatic, Metastatic Melanoma, Neoplasm of Lung, Melanoma
Conditions
Keywords
CD40, Immunotherapy, Nivolumab, APX005M, PD-1
Brief summary
This study is a Phase 1-2 open-label dose escalation study of the immuno-activating monoclonal antibody APX005M administered in combination with nivolumab to adult subjects with non-small cell lung cancer or metastatic melanoma. The Phase 1 portion is intended to establish the maximum tolerated dose and the recommended phase 2 dose of APX005M when administered in combination with nivolumab. The Phase 2 portion of the study will evaluate safety and efficacy of the combination.
Detailed description
APX005M-002 is an open-label Phase 1-2 study and comprises a dose-escalation portion (Phase 1) followed by a Phase 2 tumor specific portion. Eligible subjects with non-small cell lung cancer or metastatic melanoma will receive intravenous APX005M in combination with nivolumab until disease progression, unacceptable toxicity or death, whichever occurs first. Study objectives include: * Determine the maximum tolerated dose and the recommended phase 2 dose of APX005M when given in combination with nivolumab * Evaluate safety of the APX005M and nivolumab combination * Evaluate the objective response rate, duration of response and median PFS by RECIST 1.1 in subjects with non-small cell lung cancer or metastatic melanoma receiving APX005M in combination with nivolumab * Determine the PK of APX005M
Interventions
APX005M is a CD40 agonistic monoclonal antibody
Nivolumab is an immune checkpoint (PD-1) blocking antibody
Sponsors
Study design
Intervention model description
Phase 1b dose escalation with up to 4 sequential dose levels. Followed by Phase 2 dose expansion at Recommended Phase 2 Dose in 3 parallel disease cohorts.
Eligibility
Inclusion criteria
* Histologically or cytologically confirmed, immunotherapy naïve or PD-1/PD-L1 pre-treated, metastatic or locally advanced non-small cell lung cancer not amenable to curative treatment. Subjects may be treatment naive or could have received one prior platinum based chemotherapy for non-small cell lung cancer and subjects with a documented activating mutation (e.g., EGFR, ALK, ROS) must also have received the appropriate therapy and progressed * Histologically or cytologically confirmed unresectable or metastatic melanoma that progressed during treatment with an anti-PD-1/PD-L1 therapy and had confirmation of PD\>=4 weeks later. Subjects with BRAF activating mutation could have also received a BRAF inhibitor and/or MEK inhibitor regimen prior to anti-PD-1/PD-L1 therapy. * Measurable disease by RECIST 1.1 * ECOG performance status of 0 or 1 * Adequate bone marrow, liver and kidney function * Negative pregnancy test for women of child bearing potential * Agreement to use effective methods of contraception per the protocol requirements
Exclusion criteria
* Previous exposure to any immunomodulatory agents (e.g., anti- CD40, anti-PD-1/PD-L1, anti-CTLA-4, IDO inhibitors) except PD-1/PD-L1 targeting agents in the subsets of patients that must have previous treatment with anti-PD-1/PD-L1 therapy * Second malignancy (solid or hematologic) within the past 3 years except locally curable cancers that have been apparently cured * Active, known, clinically serious infections within the 14 days prior to first dose of investigational product * Use of systemic corticosteroids or other systemic immunosuppressive drugs * Active, known or suspected autoimmune disease * History of (non-infectious) pneumonitis that required corticosteroids or current pneumonitis * History of interstitial lung disease * History of life-threatening toxicity related to prior anti-PD-1/PD-L1 treatment for subjects with metastatic melanoma or NSCLC.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants Experiencing Dose-limiting Toxicities (DLTs) | Up to 21 days following first dose of APX005M and nivolumab | All toxicities were graded according to the NCI-CTCAE version 4.03. DLT was defined as any of the following events attributed to APX005M and nivolumab combination: * Grade 4 hematologic toxicity lasting ≥ 7 days (except asymptomatic lymphopenia) * Grade 3 or 4 neutropenia with a single temperature of \>38.3◦ C (101◦ F) or a sustained temperature of ≥38◦ C (100.4◦ F) for more than one hour * Grade 4 thrombocytopenia or Grade ≥3 thrombocytopenia with signs or symptoms of bleeding or requiring platelet transfusion * Grade 4 non-hematologic toxicity * Grade 3 non-hematologic toxicity lasting \>3 days despite optimal supportive care * Any Grade ≥ 3 non-hematologic laboratory value if: medical intervention is required to treat the subject, abnormality leads to hospitalization, or abnormality persists for \>1 week * Failure to recover from a treatment-related AE to baseline or ≤ Grade 1 within 12 weeks of last dose of investigational product * Grade 5 toxicity. |
| Maximum Tolerated Dose (MTD) of APX005M + Nivolumab (Phase 1b) | Up to 21 days following first dose of APX005M and nivolumab | Establish the MTD dose of APX005M combined with 360 mg of nivolumab for which for which \< 33% of DLT- evaluable participants experience a DLT. In Phase 1b, the RP2D was based on the overall safety and tolerability of the combination of APX005M and nivolumab by testing increasing doses up to 0.3 mg/kg APX005M + nivolumab. |
| Phase 2 Evaluate the Objective Response Rate (ORR) by RECIST 1.1 and iRECIST in Each Cohort / Group | From start of the treatment (Day 1) until disease progression, withdrawal of consent, death, initiation of any anticancer therapy, lost to follow-up, or termination by the Sponsor, whichever comes first (for Phase 2: maximum up to 27 months) | ORR defined as the rate of patients who show as best overall response; either a complete response (CR) or a partial response (PR). The ORR can be evaluated by Response Evaluation Criteria In Solid Tumors (RECIST) v1.1. using computed tomography (CT) scans/magnetic resonance imaging (MRI). Per RECIST v1.1, for target lesions and assessed by imaging: Complete Response, (CR), Disappearance of all target lesions and nontarget (NT) lesions; Partial Response (PR), \>30% decrease in the sum of the longest diameter of target lesions and no PD in NT lesions or new lesions; Objective Response Rate (ORR)=CR + PR. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Safety of the APX005M and Nivolumab Combination (Phase 2) | Day 1 up to 30 days (or 100 days for SAEs and AEs with potential immunologic etiology) following the after the last dose of APX005M and/or nivolumab (from start of treatment up to 27 months) | Number of participants with TEAEs are reported. |
| 6-month PFS Rate (Phase 2) | * Outcome Measure Time Frame From start of treatment (Day 1) to 6 months | PFS rate in each cohort, measured from first dose to the earlier of PD (by RECIST 1.1) or death due to any cause, whichever occurs first. |
| Duration of Response (DOR) as Per RECIST 1.1(Phase 2) | Maximum up to 25 months | Duration of Response is defined as the time from the first evidence of confirmed partial response (PR) or better by Per RECIST v1.1 to disease progression or death due to any cause; in subjects alive without progressive disease (PD), DOR was censored on the date of the last tumor assessment. PD is defined using RECIST v1.1, as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. |
| Median Progression-free Survival (PFS) (Phase 2) | From start of treatment (Day 1) up to 27 months | Progression-free Survival (PFS) in each cohort, measured from first dose to the earlier of PD (by RECIST 1.1) or death due to any cause, whichever occurs first. |
Countries
Spain, United States
Participant flow
Recruitment details
In Phase 1b dose-escalation portion of the study, a total of 10 participants were enrolled at 3 dose levels. Nine participants received at least one dose of both study drugs. 0.3 mg/kg was determined as the recommended phase 2 (RP2D) dose. Note: The 3 participants treated in DL3 of Phase 1b are at the RP2D and are also included in Phase 2 results. One participant was rolled over to Cohort 1 (Phase 2) and 2 participants were rolled over into Cohort 2 (Phase 2) to continue treatment.
Pre-assignment details
For the phase 2 cohorts 1,2,3A,3B, a total of 133 participants were enrolled in 4 cohorts to receive APX005M at 0.3 mg/kg (RP2D) plus nivolumab at 360 mg IV. Three subjects who were treated at the RP2D in the Phase 1b dose-escalation portion of the study were included in Phase 2 of the relevant disease-specific cohort. The study enrollment was completed as planned and all primary and secondary outcome measures and adverse events were collected even though the study was ended by the sponsor.
Participants by arm
| Arm | Count |
|---|---|
| DL1 - APX005M 0.03 mg/kg + Nivolumab (Phase 1b) Participants received 0.03 mg/kg of APX005M administered every 21 days in combination with nivolumab 360 mg IV | 3 |
| DL2 - APX005M 0.1 mg/kg + Nivolumab (Phase 1b) Participants received 0.1 mg/kg of APX005M administered every 21 days in combination with nivolumab 360 mg IV | 4 |
| DL3 - APX005M 0.3 mg/kg + Nivolumab (Phase 1b) Participants received 0.3 mg/kg of APX005M administered every 21 days in combination with nivolumab 360 mg IV | 3 |
| Cohort 1(Arm)/ inNSCLC (Phase 2) Participants received 0.3 mg/kg of APX005M administered every 21 days in combination with nivolumab 360 mg IV | 52 |
| Cohort 2(Arm)/ PD1-MM (Phase 2) Participants received 0.3 mg/kg of APX005M administered every 21 days in combination with nivolumab 360 mg IV | 36 |
| Cohort 3A(Arm)/ PD1-NSCLC (Phase 2) Participants received 0.3 mg/kg of APX005M administered every 21 days in combination with nivolumab 360 mg IV | 14 |
| Cohort 3B(Arm)/ PD1-NSCLC (Phase 2) Participants received 0.3 mg/kg of APX005M administered every 21 days in combination with nivolumab 360 mg IV | 28 |
| Total | 140 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 | FG004 | FG005 | FG006 |
|---|---|---|---|---|---|---|---|---|
| Phase 1b | Participants rolled over to Phase 2 | 0 | 0 | 3 | 0 | 0 | 0 | 0 |
| Phase 1b | Removed from treatment prior to APX005M administration | 0 | 1 | 0 | 0 | 0 | 0 | 0 |
| Phase 2 | No post baseline tumor assesment on treatment period | 0 | 0 | 0 | 5 | 2 | 2 | 3 |
| Phase 2 | Prior systemic therapy not allowed (1 patient did not complete post baseline tumor assessment) | 0 | 0 | 0 | 0 | 3 | 0 | 0 |
Baseline characteristics
| Characteristic | DL2 - APX005M 0.1 mg/kg + Nivolumab (Phase 1b) | Total | Cohort 3B(Arm)/ PD1-NSCLC (Phase 2) | Cohort 3A(Arm)/ PD1-NSCLC (Phase 2) | Cohort 2(Arm)/ PD1-MM (Phase 2) | Cohort 1(Arm)/ inNSCLC (Phase 2) | DL3 - APX005M 0.3 mg/kg + Nivolumab (Phase 1b) | DL1 - APX005M 0.03 mg/kg + Nivolumab (Phase 1b) |
|---|---|---|---|---|---|---|---|---|
| Age, Categorical Phase 1b Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical Phase 1b Age, Categorical >=65 years | 1 Participants | 4 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 2 Participants |
| Age, Categorical Phase 1b Age, Categorical Between 18 and 65 years | 3 Participants | 6 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 2 Participants | 1 Participants |
| Age, Categorical Phase 2 Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical Phase 2 Age, Categorical >=65 years | 0 Participants | 74 Participants | 13 Participants | 9 Participants | 17 Participants | 35 Participants | 0 Participants | 0 Participants |
| Age, Categorical Phase 2 Age, Categorical Between 18 and 65 years | 0 Participants | 56 Participants | 15 Participants | 5 Participants | 19 Participants | 17 Participants | 0 Participants | 0 Participants |
| ECOG Performance Status Phase 1b ECOG Score 0 | 1 Participants | 5 Participants | — | — | — | — | 3 Participants | 1 Participants |
| ECOG Performance Status Phase 1b ECOG Score 1 | 3 Participants | 5 Participants | — | — | — | — | 0 Participants | 2 Participants |
| ECOG Performance Status Phase 2 ECOG Score 0 | 0 Participants | 56 Participants | 8 Participants | 7 Participants | 28 Participants | 13 Participants | 0 Participants | 0 Participants |
| ECOG Performance Status Phase 2 ECOG Score 1 | 0 Participants | 74 Participants | 20 Participants | 7 Participants | 8 Participants | 39 Participants | 0 Participants | 0 Participants |
| Ethnicity (NIH/OMB) Phase 1b Hispanic or Latino | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Ethnicity (NIH/OMB) Phase 1b Not Hispanic or Latino | 4 Participants | 10 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 3 Participants | 3 Participants |
| Ethnicity (NIH/OMB) Phase 1b Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Ethnicity (NIH/OMB) Phase 2 Hispanic or Latino | 0 Participants | 21 Participants | 4 Participants | 3 Participants | 4 Participants | 10 Participants | 0 Participants | 0 Participants |
| Ethnicity (NIH/OMB) Phase 2 Not Hispanic or Latino | 0 Participants | 109 Participants | 24 Participants | 11 Participants | 32 Participants | 42 Participants | 0 Participants | 0 Participants |
| Ethnicity (NIH/OMB) Phase 2 Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Phase 1b American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Phase 1b Asian | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Phase 1b Black or African American | 1 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Phase 1b More than one race | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Phase 1b Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Phase 1b Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Phase 1b White | 3 Participants | 9 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 3 Participants | 3 Participants |
| Race (NIH/OMB) Phase 2 American Indian or Alaska Native | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Phase 2 Asian | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Phase 2 Black or African American | 0 Participants | 4 Participants | 1 Participants | 0 Participants | 0 Participants | 3 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Phase 2 More than one race | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Phase 2 Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Phase 2 Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Phase 2 White | 0 Participants | 124 Participants | 27 Participants | 14 Participants | 35 Participants | 48 Participants | 0 Participants | 0 Participants |
| Region of Enrollment Spain | 0 participants | 64 participants | 22 participants | 8 participants | 16 participants | 18 participants | 0 participants | 0 participants |
| Region of Enrollment United States | 4 participants | 76 participants | 6 participants | 6 participants | 20 participants | 34 participants | 3 participants | 3 participants |
| Sex: Female, Male Phase 1b Female | 1 Participants | 2 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 0 Participants |
| Sex: Female, Male Phase 1b Male | 3 Participants | 8 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 2 Participants | 3 Participants |
| Sex: Female, Male Phase 2 Female | 0 Participants | 50 Participants | 9 Participants | 5 Participants | 15 Participants | 21 Participants | 0 Participants | 0 Participants |
| Sex: Female, Male Phase 2 Male | 0 Participants | 80 Participants | 19 Participants | 9 Participants | 21 Participants | 31 Participants | 0 Participants | 0 Participants |
| Weight Phase 1b | 84.33 kg | 90.63 kg | — | — | — | — | 104.3 kg | 85.3 kg |
| Weight Phase 2 | — | 76.29 kg | 71.80 kg | 74.42 kg | 80.15 kg | 76.53 kg | — | — |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk | EG004 affected / at risk | EG005 affected / at risk | EG006 affected / at risk |
|---|---|---|---|---|---|---|---|
| deaths Total, all-cause mortality | 1 / 3 | 1 / 3 | 0 / 3 | 18 / 53 | 4 / 38 | 4 / 14 | 9 / 28 |
| other Total, other adverse events | 3 / 3 | 3 / 3 | 3 / 3 | 52 / 53 | 36 / 38 | 14 / 14 | 28 / 28 |
| serious Total, serious adverse events | 1 / 3 | 1 / 3 | 0 / 3 | 25 / 53 | 6 / 38 | 6 / 14 | 13 / 28 |
Outcome results
Maximum Tolerated Dose (MTD) of APX005M + Nivolumab (Phase 1b)
Establish the MTD dose of APX005M combined with 360 mg of nivolumab for which for which \< 33% of DLT- evaluable participants experience a DLT. In Phase 1b, the RP2D was based on the overall safety and tolerability of the combination of APX005M and nivolumab by testing increasing doses up to 0.3 mg/kg APX005M + nivolumab.
Time frame: Up to 21 days following first dose of APX005M and nivolumab
Population: All participants in the safety population who received at least 1 dose of study drug in the escalation cohorts (APX005M 0.03 mg/kg + nivolumab; APX005M 0.1 mg/kg + nivolumab; APX005M 0.3 mg/kg + nivolumab)
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Phase 1b Escalation | Maximum Tolerated Dose (MTD) of APX005M + Nivolumab (Phase 1b) | NA mg/kg |
Number of Participants Experiencing Dose-limiting Toxicities (DLTs)
All toxicities were graded according to the NCI-CTCAE version 4.03. DLT was defined as any of the following events attributed to APX005M and nivolumab combination: * Grade 4 hematologic toxicity lasting ≥ 7 days (except asymptomatic lymphopenia) * Grade 3 or 4 neutropenia with a single temperature of \>38.3◦ C (101◦ F) or a sustained temperature of ≥38◦ C (100.4◦ F) for more than one hour * Grade 4 thrombocytopenia or Grade ≥3 thrombocytopenia with signs or symptoms of bleeding or requiring platelet transfusion * Grade 4 non-hematologic toxicity * Grade 3 non-hematologic toxicity lasting \>3 days despite optimal supportive care * Any Grade ≥ 3 non-hematologic laboratory value if: medical intervention is required to treat the subject, abnormality leads to hospitalization, or abnormality persists for \>1 week * Failure to recover from a treatment-related AE to baseline or ≤ Grade 1 within 12 weeks of last dose of investigational product * Grade 5 toxicity.
Time frame: Up to 21 days following first dose of APX005M and nivolumab
Population: All participants in the safety population who received at least 1 dose of study drug in the escalation cohorts (APX005M 0.03 mg/kg + nivolumab; APX005M 0.1 mg/kg + nivolumab; APX005M 0.3 mg/kg + nivolumab)
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Phase 1b Escalation | Number of Participants Experiencing Dose-limiting Toxicities (DLTs) | 0 Participants |
Phase 2 Evaluate the Objective Response Rate (ORR) by RECIST 1.1 and iRECIST in Each Cohort / Group
ORR defined as the rate of patients who show as best overall response; either a complete response (CR) or a partial response (PR). The ORR can be evaluated by Response Evaluation Criteria In Solid Tumors (RECIST) v1.1. using computed tomography (CT) scans/magnetic resonance imaging (MRI). Per RECIST v1.1, for target lesions and assessed by imaging: Complete Response, (CR), Disappearance of all target lesions and nontarget (NT) lesions; Partial Response (PR), \>30% decrease in the sum of the longest diameter of target lesions and no PD in NT lesions or new lesions; Objective Response Rate (ORR)=CR + PR.
Time frame: From start of the treatment (Day 1) until disease progression, withdrawal of consent, death, initiation of any anticancer therapy, lost to follow-up, or termination by the Sponsor, whichever comes first (for Phase 2: maximum up to 27 months)
Population: Cohort 1: immunotherapy naïve metastatic or locally advanced NSCLC, Cohort 2: unresectable or metastatic melanoma that progressed during treatment with anti-PD-1/PD-L1 therapy and had confirmation of PD ≥4 weeks, Cohort 3: PD1-NSCLC metastatic or locally advanced NSCLC not amenable to curative treatment that progressed during prior treatment with anti-PD-1/PD-L1 therapy. Cohort 3A: best response of PD or with SD \<16 weeks, Cohort 3B includes PD1-NSCLC with tumor response or with SD ≥ 16 weeks
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Phase 1b Escalation | Phase 2 Evaluate the Objective Response Rate (ORR) by RECIST 1.1 and iRECIST in Each Cohort / Group | 16.67 Percentage of participants |
| Cohort 2(Arm)/PD1-MM (Phase 2) | Phase 2 Evaluate the Objective Response Rate (ORR) by RECIST 1.1 and iRECIST in Each Cohort / Group | 15.15 Percentage of participants |
| Cohort 3A(Arm)/PD1-NSCLC (Phase 2) | Phase 2 Evaluate the Objective Response Rate (ORR) by RECIST 1.1 and iRECIST in Each Cohort / Group | 0.00 Percentage of participants |
| Cohort 3B(Arm)/PD1-NSCLC (Phase 2) | Phase 2 Evaluate the Objective Response Rate (ORR) by RECIST 1.1 and iRECIST in Each Cohort / Group | 0.00 Percentage of participants |
6-month PFS Rate (Phase 2)
PFS rate in each cohort, measured from first dose to the earlier of PD (by RECIST 1.1) or death due to any cause, whichever occurs first.
Time frame: * Outcome Measure Time Frame From start of treatment (Day 1) to 6 months
Population: Cohort 1: immunotherapy naïve metastatic or locally advanced NSCLC, Cohort 2: unresectable or metastatic melanoma that progressed during treatment with anti-PD-1/PD-L1 therapy and had confirmation of PD ≥4 weeks, Cohort 3: PD1-NSCLC metastatic or locally advanced NSCLC not amenable to curative treatment that progressed during prior treatment with anti-PD-1/PD-L1 therapy. Cohort 3A: best response of PD or with SD \<16 weeks, Cohort 3B includes PD1-NSCLC with tumor response or with SD ≥ 16 weeks.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Phase 1b Escalation | 6-month PFS Rate (Phase 2) | 33.10 Percentage of participants |
| Cohort 2(Arm)/PD1-MM (Phase 2) | 6-month PFS Rate (Phase 2) | 21.21 Percentage of participants |
| Cohort 3A(Arm)/PD1-NSCLC (Phase 2) | 6-month PFS Rate (Phase 2) | 25.00 Percentage of participants |
| Cohort 3B(Arm)/PD1-NSCLC (Phase 2) | 6-month PFS Rate (Phase 2) | 12.92 Percentage of participants |
Duration of Response (DOR) as Per RECIST 1.1(Phase 2)
Duration of Response is defined as the time from the first evidence of confirmed partial response (PR) or better by Per RECIST v1.1 to disease progression or death due to any cause; in subjects alive without progressive disease (PD), DOR was censored on the date of the last tumor assessment. PD is defined using RECIST v1.1, as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.
Time frame: Maximum up to 25 months
Population: Cohort 1: immunotherapy naïve metastatic or locally advanced NSCLC, Cohort 2: unresectable or metastatic melanoma that progressed during treatment with anti-PD-1/PD-L1 therapy and had confirmation of PD ≥4 week. Cohort 3A/PD1-NSCLC and Cohort 3B/PD1 NSCLC had no objective response and therefore DOR could not be assessed.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Phase 1b Escalation | Duration of Response (DOR) as Per RECIST 1.1(Phase 2) | NA Months |
| Cohort 2(Arm)/PD1-MM (Phase 2) | Duration of Response (DOR) as Per RECIST 1.1(Phase 2) | NA Months |
Median Progression-free Survival (PFS) (Phase 2)
Progression-free Survival (PFS) in each cohort, measured from first dose to the earlier of PD (by RECIST 1.1) or death due to any cause, whichever occurs first.
Time frame: From start of treatment (Day 1) up to 27 months
Population: Cohort 1: immunotherapy naïve metastatic or locally advanced NSCLC, Cohort 2: unresectable or metastatic melanoma that progressed during treatment with anti-PD-1/PD-L1 therapy and had confirmation of PD ≥4 weeks, Cohort 3: PD1-NSCLC metastatic or locally advanced NSCLC not amenable to curative treatment that progressed during prior treatment with anti-PD-1/PD-L1 therapy. Cohort 3A: best response of PD or with SD \<16 weeks, Cohort 3B includes PD1-NSCLC with tumor response or with SD ≥ 16 weeks.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Phase 1b Escalation | Median Progression-free Survival (PFS) (Phase 2) | 4.11 Months |
| Cohort 2(Arm)/PD1-MM (Phase 2) | Median Progression-free Survival (PFS) (Phase 2) | 1.97 Months |
| Cohort 3A(Arm)/PD1-NSCLC (Phase 2) | Median Progression-free Survival (PFS) (Phase 2) | 3.43 Months |
| Cohort 3B(Arm)/PD1-NSCLC (Phase 2) | Median Progression-free Survival (PFS) (Phase 2) | 3.65 Months |
Safety of the APX005M and Nivolumab Combination (Phase 2)
Number of participants with TEAEs are reported.
Time frame: Day 1 up to 30 days (or 100 days for SAEs and AEs with potential immunologic etiology) following the after the last dose of APX005M and/or nivolumab (from start of treatment up to 27 months)
Population: Any Adverse Event a participant has with two or more events in that category is counted only once
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Phase 1b Escalation | Safety of the APX005M and Nivolumab Combination (Phase 2) | 52 Participants |
| Cohort 2(Arm)/PD1-MM (Phase 2) | Safety of the APX005M and Nivolumab Combination (Phase 2) | 36 Participants |
| Cohort 3A(Arm)/PD1-NSCLC (Phase 2) | Safety of the APX005M and Nivolumab Combination (Phase 2) | 14 Participants |
| Cohort 3B(Arm)/PD1-NSCLC (Phase 2) | Safety of the APX005M and Nivolumab Combination (Phase 2) | 28 Participants |