Study of Immunotherapy (Sasanlimab) in Combination With Targeted Therapies in People With Advanced Non-small Cell Lung Cancer (NSCLC) (Landscape 1011 Study)
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
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
- 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.
- 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).
- 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
- 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
- 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
- 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
- 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
- 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
- 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.
- 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
- 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.
- 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
- 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
- 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
- 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
- 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
- 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.
- 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.
- 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.
- 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.
- 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
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.- B8011011
- 2020-002829-28