Study of the Safety and Efficacy of MIW815 With PDR001 in Patients With Advanced/Metastatic Solid Tumors or Lymphomas
Study Details
Study Description
Brief Summary
The purpose of this study was to characterize the safety, tolerability, pharmacokinetics, pharmacodynamics and antitumor activity of MIW815 (ADU-S100) in combination with PDR001.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 1 |
Detailed Description
This was a Phase Ib, multi-center, open-label study to characterize the safety, tolerability, pharmacokinetics, pharmacodynamics and preliminary antitumor activity of MIW815(ADU-S100) in combination with the PD-1 checkpoint inhibitor PDR001. Two different schedules were explored in two dose escalation groups in accessible cutaneous or subcutaneous lesions. The optional dose confirmation group exploring intratumoral injection of viscerally located lesions was not opened due to the program's early termination.
Group A included patients with accessible solid tumors and lymphomas. This group received a fixed dose of PDR001 i.v. on day 1 of every 28 day cycle and intratumoral injections of MIW815 (ADU-S100) on days 1, 8 and 15 of every 28 day cycle. Group B included patients with accessible solid tumors and lymphomas. This group received a fixed dose of PDR001 i.v. on day 1 of every 28 day cycle and an intratumoral injection of MIW815 (ADU-S100) on day 1 of every 28 day cycle.
Once the dose and dose schedule had been confirmed, the plan was to open the dose expansion part of the study. However, the expansion phase of the study was not opened to enrollment due to the program's early termination.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Dosing Schedule A Patients were treated with MIW815 (ADU-S100) via intratumoral injection for 3 weeks followed by one week off in combination with a fixed intravenous dose of PDR001 given once per month |
Drug: MIW815
MIW 815 (ADU-S100) is a STING agonist
Biological: PDR001
PDR001 is an anti-PD-1 antibody
|
Experimental: Dosing Schedule B Patients were treated with MIW815 (ADU-S100) via intratumoral injection given once a month in combination with a fixed intravenous dose of PDR001 given once per month |
Drug: MIW815
MIW 815 (ADU-S100) is a STING agonist
Biological: PDR001
PDR001 is an anti-PD-1 antibody
|
Outcome Measures
Primary Outcome Measures
- Incidence of dose limiting toxicities (DLTs) [24 months]
A dose-limiting toxicity (DLT) is defined as an adverse event or abnormal laboratory value assessed as having a suspected relationship to study drug, and unrelated to disease, disease progression, inter-current illness, or concomitant medications that occurs within the first cycle of treatment with the combination of MIW815 (ADU-S100) and PDR001
Secondary Outcome Measures
- AUC inf [36 months]
The area under the concentration-time curve extrapolated to infinity (mass*time/volume)
- AUC last [36 months]
The area under the concentration (AUC) -time curve calculated to the last quantifiable concentration point (mass* time/volume)
- AUC tau [36 months]
Area under the concentration-time curve calculated to the end of the dosing interval (tau) (mass* time/volume)
- Tmax [36 months]
The time to reach the maximum observed concentration (time)
- Cmax [36 months]
The maximum observed concentration (Cmax) following dose administration (mass/volume)
- Lambda_z [36 months]
Terminal elimination rate constant (1/time)
- CL/F [36 months]
Apparent systemic clearance of drug from the plasma (volume x time -1)
- T1/2 [36 months]
Elimination half-life, determined as 0.693/Lambda_z (time)
- Vz/F [36 months]
Apparent volume of distribution during the terminal elimination phase (volume)
- Best overall response (BOR) [36 months]
Best overall response will be summarized
- Overall response rate (ORR) [36 months]
Overall response rate will be summarized with accompanying 90% exact binomial confidence interval (CI).
- Progression free survival (PFS) [36 months]
The survival function will be estimated using the Kaplan-Meier product limit method. Median duration, with a two-sided Brookmeyer-Crowley 90% confidence interval and Kaplan-Meier estimates of survival proportions will be provided at specified time points.
- Disease control rate (DCR) [36 months]
The disease control rate is calculated as the percentage of patients with advanced or metastatic cancer who have achieved complete response, partial response and stable disease
- Time to response (TTR) [36 months]
Time To Response is the time from first dose to first documented response (CR or PR). TTR will be summarized
- Duration of Response (DOR) [36 months]
Duration of response is defined as the time from the date of the first documented response (CR or PR), to the date of first documented progression, or death due to study indication. Estimates will use Kaplan-Meier method
- Tumor infiltrating lymphocytes (TIL) [36 months]
Induction of TILs in the injected lesion (local PD effect) and in a non-injected lesion (distal PD effect) will be assessed using paired tumor samples at screening and on-treatment.
Eligibility Criteria
Criteria
Inclusion Criteria:
ECOG ≤ 1 Willing to undergo tumor biopsies from injected and distal lesions
Must have two biopsy accessible lesions:
Exclusion Criteria:
Symptomatic or untreated leptomeningeal disease. Presence of symptomatic central nervous system metastases Impaired cardiac function or clinically significant cardiac disease Active autoimmune disease or a documented history of autoimmune disease, except vitiligo or resolved childhood asthma/atopy.
Active infection requiring systemic antibiotic therapy. Known history of human immunodeficiency virus infection. Active Epstein-Barr virus, hepatitis B virus or hepatitis C virus Malignant disease, other than that being treated in this study
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | The Angeles Clinic and Research Institute | Los Angeles | California | United States | 90025 |
2 | Novartis Investigative Site | Chicago | Illinois | United States | 60637 |
3 | MD Anderson Cancer Center | Houston | Texas | United States | 77030 |
4 | Seattle Cancer Care Alliance | Seattle | Washington | United States | 98105 |
5 | Novartis Investigative Site | North Sydney | New South Wales | Australia | 2060 |
6 | Novartis Investigative Site | Melbourne | Victoria | Australia | 3000 |
7 | Novartis Investigative Site | Toronto | Ontario | Canada | M5G 2M9 |
8 | Novartis Investigative Site | Essen | Germany | 45147 | |
9 | Novartis Investigative Site | Chuo ku | Tokyo | Japan | 104 0045 |
10 | Novartis Investigative Site | Amsterdam | Netherlands | 1066 CX | |
11 | Novartis Investigative Site | Hospitalet de LLobregat | Catalunya | Spain | 08907 |
12 | Novartis Investigative Site | Zurich | Switzerland | 8091 |
Sponsors and Collaborators
- Novartis Pharmaceuticals
Investigators
- Study Director: Nancy Lewis, MD, Novartis
Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
None provided.- CMIW815X2102J
- 2017-000707-25