Study of Immunotherapy (Sasanlimab) in Combination With Targeted Therapies in People With Advanced Non-small Cell Lung Cancer (NSCLC) (Landscape 1011 Study)

Sponsor
Pfizer (Industry)
Overall Status
Recruiting
CT.gov ID
NCT04585815
Collaborator
(none)
375
110
2
61.3
3.4
0.1

Study Details

Study Description

Brief Summary

Phase 1b/Phase 2 Umbrella Study; open-label, multi-center, parallel group study.

Sasanlimab (a PD-1 antagonist monoclonal antibody) will be combined with a different targeted therapy in each sub-study. Phase1b of each sub-study will evaluate the safety of the combination and select the dose for the Phase 2 portion. Phase 2 of each sub-study will evaluate the anti-tumor activity of the combination.

Sub-Study A is active, not recruiting, ongoing participants are still receiving treatment in Phase 1, Phase 2 will not be initiated.

Sub-study B remains active, enrolment is ongoing.

Condition or Disease Intervention/Treatment Phase
Phase 1/Phase 2

Detailed Description

Landscape 1011 is a clinical research study for people with advanced (stage 3b or 4) non-small cell lung cancer (NSCLC). The purpose of this study is to learn if the study medicine (sasanlimab, a type of immunotherapy) along with other study medicines is safe and effective in people with non-small cell lung cancer that has spread outside of the lungs. There are currently two sub-studies using different types of medicines. People in the first sub-study will receive sasanlimab as a subcutaneous (under the skin) injection at the study clinic every 4 weeks. Additionally, they will take targeted cancer therapies encorafenib by mouth once a day and binimetinib by mouth twice a day at home.

People in the second sub-study will receive the study medicine sasanlimab as a subcutaneous (under the skin) injection at the study clinic every 3 weeks and will also receive SEA-TGT (an immunotherapy) by infusion every three weeks.

Additionally, they will take axitinib (a targeted therapy) by mouth twice a day at home.

In addition to taking the study drugs, participants in the sub-studies will be asked to visit the clinic for health checks. These include health questions, physical examinations, blood and urine samples, and imaging scans. These assessments help the study doctor and team to monitor the participants' safety and well-being, and to see how their cancer is responding to the treatment. Participants will continue in the study until the cancer is no longer responding to the study medicine.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
375 participants
Allocation:
Non-Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Phase 1b/2 Open Label Umbrella Study of Sasanlimab Combined With Anti-Cancer Therapies Targeting Multiple Molecular Mechanisms in Participants With Non-Small Cell Lung Cancer (NSCLC)
Actual Study Start Date :
Nov 10, 2020
Anticipated Primary Completion Date :
Nov 27, 2024
Anticipated Study Completion Date :
Dec 20, 2025

Arms and Interventions

Arm Intervention/Treatment
Experimental: Sub-Study A

Sasanlimab will be administered subcutaneously. Encorafenib & binimetinib will be administered orally. Treatments will be administered until progressive disease, unacceptable AE, participant withdraws, or study is terminated.

Drug: Sasanlimab Prefilled syringe
prefilled syringe

Drug: Encorafenib
capsules

Drug: Binimetinib
tablets

Experimental: Sub-Study B

Sasanlimab will be administered subcutaneously. Axitinib will be administered orally. SEA-TGT will be administered intravenously. Treatments will be administered until progressive disease, unacceptable AE, patient withdraws, or study is terminated.

Drug: Sasanlimab
solution supplied in vials

Drug: Axitinib
tablets

Drug: SEA-TGT
solution in vials

Outcome Measures

Primary Outcome Measures

  1. Percentage of participants with Dose-limiting toxicities (DLT) [First dose (Cycle 1 Day 1) to end of first treatment cycle (about 21-28 days)]

    Phase 1 Primary Outcome: DLTs are a predefined set of observed adverse events that are at least possibly related to at least 1 of the investigational agents.

  2. Durable Objective Response Rate - Percentage of Participants With Objective Response [First dose (Cycle 1 Day 1) to End of Study Treatment (up to about 24 months); each cycle is about 28 days]

    Sub-Study A only, Phase 2 only: Percentage of participants with objective response based assessment of confirmed complete response (CR) or confirmed partial response (PR) lasting for at lease 10 months, according to Response Evaluation Criteria in Solid Tumors (RECIST v1.1).

  3. Objective Response Rate-Percentage of Participants with Objective Response [First dose (Cycle 1 Day 1) to End of Treatment (up to about 24 months); each cycle is about 21 days]

    Sub-Study B only, Phase 2 only: Percentage of participants with CR or PR, according to RECIST v1.1.

Secondary Outcome Measures

  1. Number of participants with Treatment-Emergent Adverse Events [First dose (Cycle 1 Day 1) to 30 days after last dose (up to about 24 months); each cycle is about 28 days in Sub-Study A and 21 days in Sub-Study B]

    Phase 1b and Phase 2

  2. Percentage of participants with Treatment-Emergent Adverse Events [First dose (Cycle 1 Day 1) to 30 days after last dose (up to about 24 months); each cycle is about 28 days in Sub-Study A and 21 days in Sub-Study B]

    Phase 1b and Phase 2

  3. Number of Participants with Treatment-Emergent Laboratory Abnormalities [First dose (Cycle 1 Day 1) to 30 days after last dose (up to about 24 months); each cycle is about 28 days in Sub-Study A and 21 days in Sub-Study B]

    Phase 1b and Phase 2

  4. Percentage of Participants with Treatment-Emergent Laboratory Abnormalities [First dose (Cycle 1 Day 1) to 30 days after last dose (up to about 24 months); each cycle is about 28 days in Sub-Study A and 21 days in Sub-Study B]

    Phase 1b and Phase 2

  5. Durable Objective Response Rate - Percentage of Participants With Objective Response [First dose (Cycle 1 Day 1) to End of Study Treatment (up to about 24 months); each cycle is about 28 days in Sub-Study A and 21 days in Sub-Study B]

    Sub-Study A only, Phase 1b only: Percentage of participants with confirmed CR or PR lasting for at lease 10 months, according to RECIST v1.1

  6. Objective Response Rate-Percentage of Participants with Objective Response [First dose (Cycle 1 Day 1) to End of Treatment (up to about 24 months); each cycle is about 28 days in Sub-Study A and 21 days in Sub-Study B]

    Sub-study A Phase 1 and Phase 2, Sub-Study B, Phase 1 only: Percentage of participants with CR or PR, according to RECIST v1.1.

  7. Duration of Response (DR) [First objective response to progressive disease or death (up to about 24 months); each cycle is about 28 days in Sub-Study A and 21 days in Sub-Study B]

    Phase 2 only

  8. Time to Tumor Response (TTR) [First dose (Cycle 1 Day 1) up to first objective response. Each cycle is about 28 days in Sub-Study A and 21 days in Sub-Study B]

    Phase 2 only: The time from first dose to first documentation of objective tumor response of CR or PR.

  9. Progression-Free Survival (PFS) [First dose (Cycle 1 Day 1) to progressive disease or death (up to about 24 months). Each cycle is about 28 days in Sub-Study A and 21 days in Sub-Study B]

    Phase 2 only

  10. Overall Survival [First dose (Cycle 1 Day 1) to death (up to about 40 months); each cycle is about 28 days in Sub-Study A and 21 days in Sub-Study B]

    Phase 2 only

  11. Incidence of Anti-Drug Antibody (ADA) for the study drugs [First dose (Cycle 1 Day 1) to End of Treatment (up to about 24 months); each cycle is about 28 days in Sub-Study A and 21 days in Sub-Study B]

    Phase 1b and Phase 2

  12. Neutralizing antibody (NAb) titers for sasanlimab [First dose (Cycle 1 Day 1) to End of Treatment (up to about 24 months); each cycle is about 28 days]

    Sub-Study A only, Phase 1b and Phase 2

  13. Association between Objective Response and PD-L1 expression at baseline [First dose (Cycle 1 Day 1) to End of Study Treatment (up to about 24 months); each cycle is about 28 days in Sub-Study A and 21 days in Sub-Study B.]

    Phase 2 only

  14. PK Parameter Ctrough [First dose (Cycle 1 Day 1) to End of Treatment (up to about 24 months). About 1-3 draws per Cycle for the first year, and then every 6 cycles until EOT. Each cycle is about 28 days in Sub-Study A and 21 days in Sub-Study B.]

    Phase 1b and Phase 2: Ctrough of the study drugs when administered in combination, as data permit.

  15. European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (EORTC QLQ-C30) Score [First dose (Cycle 1 Day 1) to End of Study Treatment (up to about 24 months); each cycle is about 28 days]

    Sub-Study A only, Phase 2 only; EORTC QLQ-C30: included functional scales (physical, role, cognitive, emotional, and social), global health status, symptom scales (fatigue, pain, nausea/vomiting) and single items (dyspnoea, appetite loss, insomnia, constipation/diarrhea and financial difficulties). Most questions used 4 point scale (1 'Not at all' to 4 'Very much'; 2 questions used 7-point scale (1 'very poor' to 7 'Excellent'). Scores averaged, transformed to 0-100 scale; higher score=better level of functioning or greater degree of symptoms.

  16. European Organization for Research and Treatment of Cancer (EORTC), Quality of Life Questionnaire-Lung Cancer 13 (QLQ- LC13) Score [First dose (Cycle 1 Day 1) to End of Study Treatment (up to about 24 months); each cycle is about 28 days]

    Sub-Study A only, Phase 2 only; QLQ-LC13 consisted of 13 questions relating to disease symptoms specific to lung cancer and treatment side effects typical of treatment with chemotherapy and radiotherapy. The 13 questions comprised 1 multi-item scale for dyspnea and 10 single-item symptoms and side effects (coughing, hemoptysis, sore mouth, dysphagia, peripheral neuropathy, alopecia, chest pain, arm pain, other pain, and medicine for pain). Recall period: past week; response range: not at all to very much. Scale score range: 0 to 100. Higher symptom score = greater degree of symptoms.

  17. Change From Baseline in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (EORTC QLQ-C30) Score [First dose (Cycle 1 Day 1) to End of Study Treatment (up to about 24 months); each cycle is about 28 days]

    Sub-Study A only, Phase 2 only; EORTC QLQ-C30: included functional scales (physical, role, cognitive, emotional, and social), global health status, symptom scales (fatigue, pain, nausea/vomiting) and single items (dyspnoea, appetite loss, insomnia, constipation/diarrhea and financial difficulties). Most questions used 4 point scale (1 'Not at all' to 4 'Very much'; 2 questions used 7-point scale (1 'very poor' to 7 'Excellent'). Scores averaged, transformed to 0-100 scale; higher score=better level of functioning or greater degree of symptoms.

  18. Change From Baseline in European Organization for Research and Treatment of Cancer (EORTC), Quality of Life Questionnaire-Lung Cancer 13 (QLQ- LC13) Score [First dose (Cycle 1 Day 1) to End of Study Treatment (up to about 24 months); each cycle is about 28 days]

    Sub-Study A only, Phase 2 only; QLQ-LC13 consisted of 13 questions relating to disease symptoms specific to lung cancer and treatment side effects typical of treatment with chemotherapy and radiotherapy. The 13 questions comprised 1 multi-item scale for dyspnea and 10 single-item symptoms and side effects (coughing, hemoptysis, sore mouth, dysphagia, peripheral neuropathy, alopecia, chest pain, arm pain, other pain, and medicine for pain). Recall period: past week; response range: not at all to very much. Scale score range: 0 to 100. Higher symptom score = greater degree of symptoms.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria Umbrella Phase 1b & 2:
  • Histologically or cytologically confirmed locally advanced/metastatic (Stage IIIB-IV) NSCLC.

  • At least one measurable lesion per RECIST v1.1 at Screening.

  • ECOG Performance Status 0 or 1.

  • Resolved acute effects of any prior therapy to baseline severity or CTCAE Grade ≤1.

  • Adequate hepatic, renal, and bone marrow function.

Additional Inclusion Criteria for Sub-Study A Phase 1b &2:

-BRAFV600E mutation in tumor tissue or plasma as determined by a local laboratory PCR or NGS assay and documented in a local pathology report.

Additional Inclusion Criteria for Sub-Study A Phase 1b only:

-Any line of therapy for locally advanced/metastatic NSCLC.

Additional Inclusion Criteria for Sub-Study A Phase 2 only:

-Previously untreated for locally advanced/metastatic NSCLC

Additional Inclusion Criteria for Sub-Study B Phase 1b only::

-Any line of therapy for locally advanced/metastatic NSCLC.

Additional Inclusion Criteria for Sub-Study B Phase 2 only:
  • Previously untreated for locally advanced/metastatic NSCLC (Arms B1 & B2), or

  • One or 2 prior lines of therapy for advanced/metastatic NSCLC (Arm B3), including immune checkpoint inhibitor treatment + chemotherapy, and have progressed during or after that therapy.

  • PD-L1 TPS ≥1%

Exclusion Criteria Umbrella Phase 1b &2:
  • Active or prior autoimmune disease that might deteriorate when receiving an immunostimulatory agent.

  • Active non-infectious pneumonitis, pulmonary fibrosis, or known history of immune-mediated pneumonitis.

  • Active infection requiring systemic therapy.

  • Clinically significant cardiovascular disease.

  • Other malignancy within 2 years of first dose, with exceptions.

  • Symptomatic brain metastasis, with exceptions.

Additional Exclusion Criteria for Sub-Study A Phase 1b&2:
  • EGFR mutation, ALK fusion oncogene, or ROS1 rearrangement.

  • Prior treatment with any BRAF inhibitor or MEK inhibitor.

Additional Exclusion Criteria for Sub-Study A Phase 2 only:

-Prior therapy with anti-PD-1, anti-PD-L1, or anti-PD-L2 agents.

Additional Exclusion Criteria for Sub-Study B Phase 1b&2:

-Documentation of any tumor-driving molecular alteration (eg, BRAF, EGFR, ALK)

Additional Exclusion Criteria for Sub-Study B Phase 2 only:
  • Prior therapy with anti-PD-1, anti-PD-L1, or anti-PD-L2 agents.(Arms B1 & B2)

  • Confirmed progressive disease on 1st or 2nd imaging tumor assessment after initiation of therapy for advanced/metastatic NSCLC.

Contacts and Locations

Locations

Site City State Country Postal Code
1 City of Hope Investigational Drug Services (IDS) Duarte California United States 91010
2 City of Hope Duarte California United States 91010
3 UCSD Medical Center - Encinitas Encinitas California United States 92024
4 California Cancer Associates for Research and Excellence, Inc (cCARE) Fresno California United States 93720
5 The Oncology Institute of Hope and Innovation Glendale California United States 91204
6 UC San Diego Moores Cancer Center - Investigational Drug Services La Jolla California United States 92037-0845
7 Koman Family Outpatient Pavilion La Jolla California United States 92037
8 Sulpizio Cardiovascular Center at UC San Diego Health La Jolla California United States 92037
9 UC San Diego Medical Center - La Jolla (Jacobs Medical Center / Thornton Pavilion) La Jolla California United States 92037
10 UCSD Perlman Medical Offices La Jolla California United States 92037
11 UC San Diego Moores Cancer Center La Jolla California United States 92093
12 The Oncology Institute of Hope and Innovation Long Beach California United States 90805
13 The Oncology Institute of Hope and Innovation Los Angeles California United States 90015
14 Keck Hospital of USC Los Angeles California United States 90033
15 Keck Medicine of USC - USC Roski Eye Institute Los Angeles California United States 90033
16 LAC + USC Medical Center Los Angeles California United States 90033
17 USC/Norris Comprehensive Cancer Center Los Angeles California United States 90033
18 Keck Medical Center of USC Pasadena Pasadena California United States 91105
19 UC San Diego Medical Center - Hillcrest San Diego California United States 92103
20 The Oncology Institute of Hope and Innovation Santa Ana California United States 92705
21 UCSD Medical Center - Vista Vista California United States 92081
22 The Oncology Institute of Hope and Innovation Whittier California United States 90602
23 UCHealth Sue Anschutz-Rodgers Eye Center Aurora Colorado United States 80045
24 University of Colorado Cancer Center Aurora Colorado United States 80045
25 University of Colorado Denver CTO/CTRC Aurora Colorado United States 80045
26 University of Colorado Hospital - Anschutz Cancer Pavilion (ACP) Aurora Colorado United States 80045
27 University of Colorado Hospital - Anschutz Inpatient Pavilion (AIP) Aurora Colorado United States 80045
28 University of Colorado Hospital - Anschutz Outpatient Pavilion (AOP) Aurora Colorado United States 80045
29 UCHealth Memorial Hospital Central Colorado Springs Colorado United States 80909
30 UCHealth Memorial Hospital North Colorado Springs Colorado United States 80920
31 Florida Cancer Specialists Altamonte Springs Florida United States 32701
32 Florida Cancer Specialists Bonita Springs Florida United States 34135
33 Florida Cancer Specialists Bradenton Florida United States 34211
34 Florida Cancer Specialists Brandon Florida United States 33511
35 Florida Cancer Specialists Cape Coral Florida United States 33909
36 AdventHealth Celebration Infusion Center Celebration Florida United States 34747
37 AdventHealth Medical Group Oncology Research at Celebration Celebration Florida United States 34747
38 Florida Cancer Specialists Clearwater Florida United States 33761
39 Florida Cancer Specialists Fort Myers Florida United States 33901
40 Florida Cancer Specialists Fort Myers Florida United States 33905
41 Florida Cancer Specialists Fort Myers Florida United States 33908
42 Florida Cancer Specialists Gainesville Florida United States 32605
43 Florida Cancer Specialists Largo Florida United States 33770
44 Florida Cancer Specialists Lecanto Florida United States 34461
45 Florida Cancer Specialists Naples Florida United States 34102
46 Florida Cancer Specialists Ocala Florida United States 34474
47 Florida Cancer Specialists Orange City Florida United States 32763
48 Advent Health Orlando - Investigational Drug Services Orlando Florida United States 32804
49 AdventHealth Hematology and Oncology Orlando Florida United States 32804
50 AdventHealth Orlando Infusion Center Orlando Florida United States 32804
51 Florida Cancer Specialists Orlando Florida United States 32806
52 Florida Cancer Specialists Port Charlotte Florida United States 33980
53 Florida Cancer Specialists Saint Petersburg Florida United States 33705
54 Florida Cancer Specialists Sarasota Florida United States 34232
55 Florida Cancer Specialists Sarasota Florida United States 34236
56 Florida Cancer Specialists Spring Hill Florida United States 34608
57 Florida Cancer Specialists Tampa Florida United States 33607
58 Moffitt Cancer Center Tampa Florida United States 33612
59 Florida Cancer Specialists Tavares Florida United States 32778
60 Florida Cancer Specialists The Villages Florida United States 32159
61 Florida Cancer Specialists Trinity Florida United States 34655
62 Florida Cancer Specialists Venice Florida United States 34285
63 Florida Cancer Specialists Venice Florida United States 34292
64 Florida Cancer Specialists Winter Park Florida United States 32792
65 University of Maryland Greenebaum Comprehensive Cancer Center Baltimore Maryland United States 21201
66 University of Maryland Medical Center -IDS Pharmacy Baltimore Maryland United States 21201
67 Massachusetts General Hospital Boston Massachusetts United States 02114
68 Ophthalmic Consultants of Boston Inc (OCB) Boston Massachusetts United States 02114
69 Brigham and Women's Hospital (BWH) Boston Massachusetts United States 02215
70 Dana-Farber Cancer Institute Boston Massachusetts United States 02215
71 Dana-Farber Cancer Institute - Chestnut Hill Newton Massachusetts United States 02459
72 Henry Ford Medical Center - Fairlane Dearborn Michigan United States 48126
73 Henry Ford Hospital Detroit Michigan United States 48202
74 Henry Ford Medical Center - Columbus Novi Michigan United States 48377
75 Atlantic Health System / Morristown Medical Center Morristown New Jersey United States 07962
76 Morristown Medical Center Morristown New Jersey United States 07962
77 Medical Diagnostic Associates Summit New Jersey United States 07901
78 Overlook Medical Center Summit New Jersey United States 07901
79 Icahn School of Medicine at Mount Sinai New York New York United States 10029
80 Mount Sinai Hospital Pharmacy New York New York United States 10029
81 Tennessee Oncology PLLC Dickson Tennessee United States 37055
82 Tennessee Oncology PLLC Franklin Tennessee United States 37067
83 Tennessee Oncology PLLC Gallatin Tennessee United States 37066
84 Tennessee Oncology PLLC Hendersonville Tennessee United States 37075
85 Tennessee Oncology PLLC Hermitage Tennessee United States 37076
86 Tennessee Oncology PLLC Lebanon Tennessee United States 37090
87 Tennessee Oncology PLLC Murfreesboro Tennessee United States 37129
88 Sarah Cannon Research Institute - Pharmacy Nashville Tennessee United States 37203
89 Tennessee Oncology PLLC Nashville Tennessee United States 37203
90 Tennessee Oncology PLLC Nashville Tennessee United States 37205
91 Tennessee Oncology PLLC Nashville Tennessee United States 37207
92 Tennessee Oncology PLLC Nashville Tennessee United States 37211
93 Tennessee Oncology PLLC Shelbyville Tennessee United States 37160
94 Tennessee Oncology PLLC Smyrna Tennessee United States 37167
95 Chris O'Brien Lifehouse Camperdown New South Wales Australia 2050
96 Concord Hospital Concord New South Wales Australia 2139
97 GenesisCare North Shore St Leonards New South Wales Australia 2065
98 North Shore Radiology and Nuclear Medicine St Leonards New South Wales Australia 2065
99 Austin Health Heidelberg Victoria Australia 3084
100 Antwerp University Hospital Edegem Antwerpen Belgium 2650
101 UZ Gent Gent Belgium 9000
102 Princess Margaret Cancer Centre - University Health Network Toronto Ontario Canada M5G 2M9
103 Chung Shan Medical University Hospital Taichung Taiwan 40201
104 National Taiwan University Hospital Taipei City Taiwan 100
105 Koo Foundation Sun Yat -Sen Cancer Center Taipei City Taiwan 112
106 National Taiwan University Hospital Taipei Taiwan 10002
107 Koo Foundation Sun Yat-Sen Cancer Center Taipei Taiwan 112
108 Sarah Cannon Research Institute UK London United Kingdom W1G 6AD
109 Royal Victoria Infirmary Newcastle upon Tyne United Kingdom NE1 4LP
110 Sir Bobby Robson Cancer Trials Research Centre Newcastle upon Tyne United Kingdom NE7 7DN

Sponsors and Collaborators

  • Pfizer

Investigators

  • Study Director: Pfizer CT.gov Call Center, Pfizer

Study Documents (Full-Text)

None provided.

More Information

Additional Information:

Publications

None provided.
Responsible Party:
Pfizer
ClinicalTrials.gov Identifier:
NCT04585815
Other Study ID Numbers:
  • B8011011
  • 2020-002829-28
First Posted:
Oct 14, 2020
Last Update Posted:
Aug 22, 2022
Last Verified:
Aug 1, 2022
Individual Participant Data (IPD) Sharing Statement:
Yes
Plan to Share IPD:
Yes
Studies a U.S. FDA-regulated Drug Product:
Yes
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by Pfizer
Additional relevant MeSH terms:

Study Results

No Results Posted as of Aug 22, 2022