An open label phase II study to find out if the drug PDR001 is safe and hasbeneficial effects in patient who have advanced or metastatic nonfunctionalneuroendocrine tumors of pancreatic, gastrointestinal, thoracicorigins or poorly-differentiated gastroenteropancreatic neuroendocrinecarcinoma (GEP-NEC) and have progressed on prior treatment
- Conditions
- Advanced neuroendocrine tumor (NET) of pancreatic, GI lung origin orpoorly-differentiated gastroenteropancreatic neuroendocrine carcinoma(GEP-NEC), that have progressed on prior treatmentMedDRA version: 20.0Level: PTClassification code 10052399Term: Neuroendocrine tumourSystem Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)Therapeutic area: Diseases [C] - Cancer [C04]
- Registration Number
- EUCTR2016-002522-36-DE
- Lead Sponsor
- ovartis Pharma AG
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Recruiting
- Sex
- All
- Target Recruitment
- 110
1. Written informed consent must be obtained prior to any screening
procedures
2. Adult males or females = 18 years at screening.
3. Pathologically confirmed, advanced (unresectable or metastatic):
? Well-differentiated (G1 or G2) based on local pathology report, , nonfunctional
neuroendocrine tumor of GI, pancreatic or thoracic (including lung and
thymus)
origin.
? Poorly-differentiated GEP-NEC based on local pathology report
4. No active symptoms related to carcinoid syndrome during the last 3
months prior to start
of study treatment.
5. Patients must have received prior treatment for advanced disease:
? Well-differentiated NET group:
a. Thoracic (lung and thymus origin) cohort:
? Thymus origin: at least one prior systemic therapy according to
investigator's
choice
? Lung origin: at least one prior systemic therapy is required, which
must include
everolimus.
b. GI cohort: at least two prior systemic regimens, which must include
everolimus. Prior
systemic therapies may include: somatostatin analogs, PRRT, and/or
chemotherapy.
c. pNET cohort: at least two prior systemic regimens, which must include
everolimus
and/or sunitinib. Prior systemic therapies may include: somatostatin
analogs, PRRT
and/or chemotherapy.
Note: For well-differentiated NET, Prior treatment with interferon alpha
is allowed
provided that it is not the last treatment received prior to study entry.
? Poorly-differentiated GEP-NEC group: at least one prior chemotherapy
regimen
according to Investigator's choice.
6. Radiological documentation of disease progression:
? Well-differentiated NET group: Disease progression while on/or after
the last
treatment, and this progression must have been observed within 6
months prior to
start of study treatment (i.e. maximum of 24 weeks from documentation
of
progression until study entry). Disease must show evidence of
radiological disease
progression based on scans performed not more than 12 months apart.
? Poorly-differentiated GEP-NEC group: Disease progression while on or
after prior
treatment.
7. At least one measurable lesion assessed by CT and/or MRI according
to RECIST 1.1.
Note: Any lesions which have been subjected to percutaneous therapies
or radiotherapy
should not be considered measurable, unless the lesion has clearly
progressed since the
procedure.
8. Patient must have an Eastern Cooperative Oncology Group (ECOG)
performance status 0-
2.
9. Tumor biopsy material must be provided for all patients for the purpose of biomarker
analysis:
? Well-differentiated (G1/2) NET: Biopsy material must be provided
following the
diagnosis of metastatic disease. The tumor sample must be collected
from a metastatic
site not previously irradiated and should preferably be taken within 6
months but
not more than 24 months prior to start of study treatment.
? Poorly-differentiated GEP-NEC: Biopsy material must be collected from
the primary
tumor or from a metastatic site not previously irradiated, taken not more
than 24
months prior to start of study treatment.
10. Women of childbearing potential must have had a negative serum
pregnancy test within
72 hours prior to the start of study treatment. Highly effective
contraception must be used
while on study.
11. Patient is deemed by the investigator to have the ability and means
to be compliant with
the protocol (treatment and follow-up).
12. Patient must meet the following laboratory values at the screening
vi
1. Well-differentiated, grade 3 neuroendocrine tumors; poorlydifferentiated
neuroendocrine carcinoma of any origin (other than GEPNEC);
including NEC of unknown origin, adenocarcinoid, and goblet cell
carcinoid.
2. Pretreatment with interferon as last treatment prior to start of study
treatment
3. Prior treatment for study indication
4. Systemic chronic steroid therapy (= 10mg/day prednisone or
equivalent) or any
immunosuppressive therapy 7 days prior to planned date for first dose of
study treatment.
5. Any untreated central nervous system (CNS) lesion.
7. Malignant disease, other than that being treated in this study.
8. Major surgery, open biopsy, or significant traumatic injury within 2
weeks prior to start of study treatment.
9. Anticipation of the need for major surgical procedure during the
course of the study
10. Radiation therapy within 4 weeks prior to start of study treatment
12. History of severe hypersensitivity reactions to other monoclonal
antibodies .
13. Impaired cardiac function or clinically significant cardiac disease,
14. Autoimmune disease that has required systemic treatment. Stable
and adequate controlled endocrinopathies requiring replacement therapy
are not considered as systemic treatment and therefore are allowed.
15. Active infection requiring systemic antibiotic therapy.
16. Known history of testing positive for Human Immunodeficiency Virus
(HIV) infection.
17. Patients with active Hepatitis B infection (HBsAg positive) will be
excluded.
18. Patients with positive test for hepatitis C ribonucleic acid (HCV RNA).
19. Any medical condition that would, in the investigator's judgment,
prevent the patient's participation in the clinical study due to safety
concerns, compliance with clinical study procedures or interpretation of
study results.
20. Use of any live vaccines against infectious diseases within 4 weeks of
initiation of study treatment.
21. Presence of = CTCAE grade 2 toxicity (except alopecia, peripheral
neuropathy, and
ototoxicity, which are exclusion criteria if = CTCAE grade 3) due to prior
cancer therapy.
22. Not able to understand and to comply with study instructions and
requirements.
23. Pregnant or nursing (lactating) women confirmed by a positive hCG
laboratory test within 72 hours prior to initiating study treatment. Note:
Low levels of hCG may also be considered a tumor marker, therefore if
low hCG levels are detected, another blood sample at least 4 days later
must be taken to assess the kinetics of the increase and transvaginal
ultrasound must be performed to rule out pregnancy.
24. Women of child-bearing potential, defined as all women
physiologically capable of becoming pregnant, unless they are using
highly effective methods of contraception during dosing and for 150 days
after stopping treatment with PDR001. Highly effective
contraception methods include:
a. Total abstinence (when this is in line with the preferred and usual
lifestyle of the patient). Periodic abstinence (e.g., calendar, ovulation,
symptothermal, post-ovulation
methods) and withdrawal are not acceptable methods of contraception
b. Female sterilization (have had surgical bilateral oophorectomy with or
without hysterectomy), total hysterectomy, or tubal ligation at least six
weeks before taking study treatment. In case of oophorectomy alone,
only when the reproductive status of the woman has been confirmed by
follow up hormone level assessment
c. Male steril
Study & Design
- Study Type
- Interventional clinical trial of medicinal product
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method
- Secondary Outcome Measures
Name Time Method