Bintrafusp Alfa Combination Therapy in Participants With Cervical Cancer (INTR@PID 046)
- Conditions
- Cervical Cancer
- Interventions
- Registration Number
- NCT04551950
- Brief Summary
This study was to evaluate the safety and tolerability of bintrafusp alfa in combination with other anti-cancer therapies in participants with locally advanced or advanced cervical cancer.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Female
- Target Recruitment
- 25
- Inclusion Criteria for participants enrolling into Cohort 1:
- Study participants had documented persistent, recurrent, or metastatic squamous cell carcinoma, adenosquamous carcinoma, or adenocarcinoma of the cervix
- Study participants had not been treated with systemic chemotherapy and were not amenable to curative treatment
- Prior radiation with or without radio-sensitizing chemotherapy was allowed
- Inclusion Criteria for participants enrolling into Cohort 2:
- Participants had documented evidence of cervical adenocarcinoma, squamous cell carcinoma, or adenosquamous carcinoma International Federation of Gynecology and Obstetrics (FIGO) 2018 Stages 1B2 to 4A
- Participants had not received prior chemotherapy or radiotherapy for cervical cancer
- Inclusion Criteria for all participants:
- Archival tumor tissue sample or newly obtained core or excisional biopsy was required
- Participants who had Eastern Cooperative Oncology Group (ECOG) Performance status (PS) of 0 to 1 were eligible
- Participants had a life expectancy greater than or equal to 12 weeks
- Participants had adequate hematological, hepatic, renal, and coagulation function as defined in the protocol
- Participants with known Human immunodeficiency virus (HIV) infections were eligible if the criteria described in the protocol were met
- Participants with Hepatitis B virus (HBV) and/or Hepatitis C virus (HCV) infections were eligible if the criteria described in the protocol were met
- Other protocol defined inclusion criteria could apply
- Exclusion Criteria for All Participants were:
- Participants with active central nervous system (CNS) metastases causing clinical symptoms or metastases that required therapeutic intervention were excluded. Participants with a history of treated CNS metastases (by surgery or radiation therapy) were not eligible unless they had fully recovered from treatment, demonstrated no progression for at least 4 weeks, and were not using steroids for at least 7 days prior to the start of study intervention
- Participants that received any organ transplantation, including allogeneic stem-cell transplantation, but with the exception of transplants that did not require immuno-suppression
- Participants with significant acute or chronic infections
- Participants with active autoimmune disease that might have deteriorated when receiving an immuno-stimulatory agent
- Participants with clinically significant cardiovascular/cerebrovascular disease including: a cerebral vascular accident/stroke, myocardial infarction, unstable angina, congestive heart failure, or serious cardiac arrhythmia
- Participants with a history of bleeding diathesis or recent major bleeding events
- Participant that had received prior cancer treatment with any other immunotherapy or checkpoint inhibitors or any other immune-modulating monoclonal antibody (mAb)
- Exclusion Criteria for Participants in Cohort 1A related to use of bevacizumab were:
- Participants with inadequately controlled hypertension
- Prior history of hypertensive crisis or hypertensive encephalopathy
- Participants with significant vascular disease within 6 months prior to Screening
- Participants with a history of hemoptysis within 1 month prior to Screening
- Current use of full-dose oral or parenteral anticoagulants or thrombolytic agents for therapeutic purposes
- Core biopsy or other minor surgical procedure, excluding placement of a vascular access device, within 7 days prior to the first dose of bevacizumab
- Participants with a history of abdominal or trache-oesophageal fistula or gastrointestinal (GI) perforation within 6 months prior to Screening
- Participants with clinical signs of GI obstruction or requirement for routine parenteral hydration, parenteral nutrition, or tube feeding
- Participants with evidence of abdominal free air not explained by paracentesis or recent surgical procedure
- Participants with serious, non-healing wound, active ulcer, or untreated bone fracture
- Participants with proteinuria
- Other protocol defined exclusion criteria could apply
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Cohort 1A:M7824+Cisplatin/Carboplatin+Paclitaxel+Bevacizumab M7824 - Cohort 1A:M7824+Cisplatin/Carboplatin+Paclitaxel+Bevacizumab Carboplatin - Cohort 1A:M7824+Cisplatin/Carboplatin+Paclitaxel+Bevacizumab Paclitaxel - Cohort 1A:M7824+Cisplatin/Carboplatin+Paclitaxel+Bevacizumab Bevacizumab - Cohort1B:M7824+Cisplatin or Carboplatin+Paclitaxel M7824 - Cohort 2: M7824+Cisplatin+ Radiotherapy M7824 - Cohort 2: M7824+Cisplatin+ Radiotherapy Radiotherapy - Cohort1B:M7824+Cisplatin or Carboplatin+Paclitaxel Carboplatin - Cohort 1A:M7824+Cisplatin/Carboplatin+Paclitaxel+Bevacizumab Cisplatin - Cohort1B:M7824+Cisplatin or Carboplatin+Paclitaxel Paclitaxel - Cohort1B:M7824+Cisplatin or Carboplatin+Paclitaxel Cisplatin - Cohort 2: M7824+Cisplatin+ Radiotherapy Cisplatin -
- Primary Outcome Measures
Name Time Method Number of Participants With Dose-Limiting Toxicities (DLTs) Up to 4 weeks after first administration of study intervention DLT was defined as Adverse Events (AEs) with any of following toxicities: Grade 4 nonhematologic toxicity or hematologic toxicity lasting more than equal to (\>=) 7 days despite medical intervention; Grade 3 nausea, vomiting, and diarrhea lasting \>= 3 days despite supportive care; Any Grade 3 or Grade 4 nonhematologic lab value leading to hospitalization or persisting for \>= 7 days; Grade 3 or Grade 4: grade 3 is defined as absolute neutrophil count (ANC) less than (\<) 1,000/mm3 with a temperature of \> 38.3 degree Celsius (°C); grade 4 is defined as ANC \< 1,000/mm3 with a temperature of \> 38.3°C, with life-threatening consequences; Thrombocytopenia \< 25,000/mm3 associated with bleeding not resulting in hemodynamic instability or a life-threatening bleeding resulting in urgent intervention; Bleeding events \>= Grade 3 occurring within 5 days of bintrafusp alfa treatment; Prolonged delay (\> 3 weeks) in initiating Cycle 2 due to treatment-related toxicity; Grade 5 toxicity.
Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) Time from first treatment assessed up to approximately 20 months Adverse Event (AE) was defined any untoward medical occurrence in a participant administered with a study drug, which does not necessarily had a causal relationship with this treatment. Treatment-Emergent Adverse Events (TEAEs) were defined as events with onset date or worsening during the on-treatment period. A serious adverse event (SAE) was an AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged inpatient hospitalization; congenital anomaly/birth defect or was otherwise considered medically important. TEAEs included serious TEAEs and non-serious TEAEs.
- Secondary Outcome Measures
Name Time Method Area Under the Serum Concentration-Time Curve From Time Zero to Last Measurable Concentration (AUC0-t) of Bintrafusp Alfa Pre-dose Up to 20 months The area under the concentration-time curve (AUC) from time zero (= dosing time) to the last sampling time (tlast) at which the concentration is at or above the lower limit of quantification. Calculated using the mixed log-linear trapezoidal rule (linear up, log down).
Number of Participants With Positive Anti-Drug Antibody (ADA) of Bintrafusp Alfa Pre-dose Up to 20 months A validated method was applied to detect ADAs in the presence of drug in human serum. The ADA titers of positive samples were determined.
Number of Japanese Participants With Dose-Limiting Toxicities (DLTs) Up to 4 weeks after first administration of study intervention DLT was defined as Adverse Events (AEs) with any of following toxicities: Grade 4 nonhematologic toxicity or hematologic toxicity lasting more than equal to (\>=) 7 days despite medical intervention; Grade 3 nausea, vomiting, and diarrhea lasting \>= 3 days despite supportive care; Any Grade 3 or Grade 4 nonhematologic lab value leading to hospitalization or persisting for \>= 7 days; Grade 3 or Grade 4: grade 3 is defined as absolute neutrophil count (ANC) less than (\<) 1,000/mm3 with a temperature of \> 38.3 degree Celsius (°C); grade 4 is defined as ANC \< 1,000/mm3 with a temperature of \> 38.3°C, with life-threatening consequences; Thrombocytopenia \< 25,000/mm3 associated with bleeding not resulting in hemodynamic instability or a life-threatening bleeding resulting in urgent intervention; Bleeding events \>= Grade 3 occurring within 5 days of bintrafusp alfa treatment; Prolonged delay (\> 3 weeks) in initiating Cycle 2 due to treatment-related toxicity; Grade 5 toxicity.
Number of Japanese Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) Time from first treatment assessed up to approximately 20 months Adverse Event (AE) was defined any untoward medical occurrence in a participant administered with a study drug, which does not necessarily had a causal relationship with this treatment. Treatment-Emergent Adverse Events (TEAEs) were defined as events with onset date or worsening during the on-treatment period. A serious adverse event (SAE) was an AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged inpatient hospitalization; congenital anomaly/birth defect or was otherwise considered medically important.
Immediate Observed Serum Concentration at End of Infusion (Ceoi) of Bintrafusp Alfa Pre-dose Up to 20 months Ceoi was the observed concentration at the end of the infusion period. This was taken directly from the observed Bintrafusp Alfa concentration-time data.
Serum Trough Concentration Levels (Ctrough) of Bintrafusp Alfa Pre-dose Up to 20 months Ctrough was the serum concentration observed immediately before next dosing.
Area Under the Serum Concentration-time Curve From Time Zero Extrapolated to Infinity (AUC0-inf) of Bintrafusp Alfa Pre-dose Up to 20 months AUC0-inf was calculated by combining AUC0-t and AUCextra. AUCextra represents an extrapolated value obtained by Clast pred/Lambda z, where Clast pred was the calculated serum concentration at the last sampling time point at which the measured serum concentration is at or above the Lower Limit of quantification (LLQ) and Lambda z was the apparent terminal rate constant determined by log-linear regression analysis of the measured serum concentrations of the terminal log-linear phase.
Time to Reach Maximum Serum Concentration (Tmax) of Bintrafusp Alfa Pre-dose Up to 20 months The time to reach the maximum observed concentration collected during a dosing interval. Tmax was obtained directly from the concentration versus time curve.
Maximum Observed Serum Concentration (Cmax) of Bintrafusp Alfa Pre-dose Up to 20 months Cmax was obtained directly from the concentration versus time curve.
Terminal Elimination Half-Life (T1/2) of Bintrafusp Alfa Pre-dose Up to 20 months Elimination Half Life (T1/2) was defined as the time required for the concentration or amount of drug in the body to be reduced by one-half. Elimination half-life determined as 0.693/ Lamda z(λz), λz=terminal first order (elimination) rate constant.
Trial Locations
- Locations (13)
Stanford Health Care Hospital & Clinics
🇺🇸Stanford, California, United States
Hospital Clinic i Provincial de Barcelona - Servicio de Oncologia
🇪🇸Barcelona, Spain
Osaka International Cancer Institute
🇯🇵Osaka-shi, Japan
Shizuoka Cancer Center
🇯🇵Sunto-gun, Japan
UT Southwestern Medical Center
🇺🇸Dallas, Texas, United States
University of Cincinnati Physicians Group, LLC - Pharmatech Oncology, Inc
🇺🇸Cincinnati, Ohio, United States
Hospital Universitari Vall d'Hebron - Dept of Oncology
🇪🇸Barcelona, Spain
Comprehensive Cancer Centers of Nevada
🇺🇸Henderson, Nevada, United States
Saitama Medical University International Medical Center
🇯🇵Hidaka-shi, Japan
ICO l´Hospitalet - Hospital Duran i Reynals - Servicio de Oncologia
🇪🇸Barcelona, Spain
National Cancer Center Hospital
🇯🇵Chuo-ku, Japan
Augusta University - formerly Georgia Regents University
🇺🇸Augusta, Georgia, United States
Cancer Institute Hospital of JFCR
🇯🇵Koto-ku, Japan