Phase Ib/II Study to Evaluate the Safety and Efficacy of Nivolumab in Combination With Paclitaxel in Epstein-Barr Virus(EBV)-Related, or Microsatellite Instability-High (MSI-H), or Programmed Cell Death Ligand 1 (PD-L1) Positive Advanced Gastric Cancer
Overview
- Phase
- Phase 1
- Intervention
- Nivolumab, Paclitaxel
- Conditions
- Recurrent/Metastatic Gastric Cancer
- Sponsor
- Yonsei University
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- (Phase II) PFS
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
This is a Phase Ib/II study to identify the recommended dose of paclitaxel and nivolumab for further study, and to assess the safety and clinical efficacy of this combined treatment in EBV-related, MSI-high, or PD-L1 positive advanced gastric cancer after first line treatment.
Detailed Description
This is a Phase Ib/II study to identify the recommended dose of paclitaxel and nivolumab for further study, and to assess the safety and clinical efficacy of this combined treatment in EBV-related, MSI-high, or PD-L1 positive advanced gastric cancer after first line treatment. Patients who are EBV-related, MSI-high, or PD-L1 positive will be confirmed by immunohistochemistry (IHC) in a central laboratory (Yonsei Cancer Center), and who meet all eligibility criteria will be enrolled to this study and receive treatment with nivolumab and paclitaxel until progressive disease is confirmed or at least 1 discontinuation criterion is met. It was assumed that about 15% of screened patients will be categorized EBV-related, MSI-high, or PD-L1 positive gastric cancer based on previously reported study results. Part 1\>\> Phase Ib Phase Ib: 6-12 (The actual number of subjects will be determined by the number of dose escalations to identify MTD and RP2D) Part 2\>\> Phase II - At the RP2D dose level in phase I part, we will expand phase 2 study for a total of 50 patients. Patients will be treated until the time of disease progression, intolerable toxicities, patient's refusal or consent withdrawal. Tumor assessment will be done every 6 weeks.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Has provided digned written informed Consent
- •Is male or female ≥19 years of age
- •Has a histologically or cytologically confirmed diagnosis of advanced gastric adenocarcinoma
- •Has documented EBV-related, MSI-high, or PD-L1 positive tumor in primary or metastatic tumor tissue
- •Has a life expectancy of at least 3 months
- •Has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
- •Has measurable or evaluable disease as determined by RECIST 1.
- •Is able to swallow and retain orally administered medication
- •Has an adequate baseline organ function defined as:
- •White blood cells ≥3000/mm3 and neutrophils ≥1500/mm3
Exclusion Criteria
- •Has HER2-positive or indeterminate gastric cancer
- •Have multiple cancers
- •Have a current or past history of severe hypersensitivity to any other antibody products
- •Have concurrent autoimmune disease or a history of chronic or recurrent autoimmune disease
- •Have a current or past history of interstitial lung disease or pulmonary fibrosis diagnosed based on imaging (preferably CT) or clinical findings
- •Have brain or meninx metastases. Patients may be randomized for the study if they are asymptomatic and require no treatment.
- •Have pericardial fluid, pleural effusion, or ascites requiring treatment
- •Have a history of uncontrollable or significant cardiovascular disease
- •Have systemic infection requiring treatment
- •Are contraindicated for paclitaxel
Arms & Interventions
Experimental
Intervention: Nivolumab, Paclitaxel
Outcomes
Primary Outcomes
(Phase II) PFS
Time Frame: 424 weeks
Progression-free survival (PFS): Defined as the time from start of study treatment until the date of objective disease progression or death (by any cause in the absence of disease progression) Progression is defined in accordance with the RECIST v1.1 criteria. PFS is defined as the interval between the date of first dose and the earliest date of disease progression or death due to any cause.
(Phase Ib) Maximum Tolerated dose (MTD)
Time Frame: 424 weeks
Maximum Tolerated dose (MTD) as determined by Dose limiting Toxicity (DLT).
(Phase Ib) Recommended phase 2 dose
Time Frame: 424 weeks
Recommended phase 2 dose as determined by Dose limiting Toxicity (DLT).
Secondary Outcomes
- DCR(24 weeks)
- OS(24 weeks)
- PFS(24 weeks)
- ORR(24 weeks)