Study of Sacituzumab Govitecan in Participants With Metastatic Solid Tumors
- Conditions
- Metastatic Solid Tumor
- Interventions
- Registration Number
- NCT03964727
- Lead Sponsor
- Gilead Sciences
- Brief Summary
The goal of this clinical study is to learn more about the study drug, sacituzumab govitecan-hziy, in participants with metastatic (cancer that has spread) solid tumors.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ACTIVE_NOT_RECRUITING
- Sex
- All
- Target Recruitment
- 227
-
Individuals with the following histologically documented metastatic (M1, Stage IV) or locally advanced solid tumors
- NSCLC (adenocarcinoma or SCC) that has progressed after prior platinum-based chemotherapy and programmed death-(ligand) 1 (PD-(L)1) directed therapy
- HNSCC that has progressed after prior platinum-based chemotherapy and anti-PD-(L)1 directed therapy No more than 3 prior lines of systemic treatment is allowed
- Endometrial carcinoma that has progressed after prior platinum-based chemotherapy and anti-PD-(L)1 directed therapy No more than 3 prior lines of systemic treatment is allowed.
- Extensive stage SCLC that has progressed after prior platinum-based chemotherapy and PD-(L)1 directed therapy. No more than one prior line of systemic treatment is allowed (re-challenge with the same initial regimen is not allowed)
-
Eastern Cooperative Oncology Group (ECOG) Performance status score of 0 or 1
-
Adequate hematologic counts without transfusional or growth factor support within 2 weeks of study drug initiation
-
Adequate hepatic and renal function (CrCl ≥30mL/min)
-
Individual must have at least a 3-month life expectancy
-
Have measurable disease by Computed Tomography (CT) or Magnetic Resonance Imaging (MRI) as per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 criteria
Key
- Have had a prior anti-cancer biologic agent within 4 weeks prior to study Day 1 or have had prior chemotherapy, targeted small molecule therapy, radiation therapy within 2 weeks prior to Study Day 1
- Have not recovered (i.e., ≤ Grade 1) from adverse events due to a previously administered agent
- Have previously received topoisomerase I inhibitors
- Have an active second malignancy
- Have known active central nervous system (CNS) metastases and/or carcinomatous meningitis. Individuals with previously treated brain metastases may participate provided they have stable CNS disease for at least 4 weeks prior to the first dose of study drug and all neurologic symptoms have returned to baseline, have no evidence of new or enlarging brain metastases and are taking ≤20 mg/day of prednisone or its equivalent. All individuals with carcinomatous meningitis are excluded regardless of clinical stability
- Additional cohort specific exclusion criteria
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Sacituzumab Govitecan-hziy Sacituzumab Govitecan-hziy Participants with non-small cell lung cancer (NSCLC), head and neck squamous cell carcinoma (HNSCC), endometrial cancer, or metastatic small cell lung cancer (mSCLC) will receive sacituzumab govitecan-hziy 10 mg/kg intravenously on Days 1 and 8 of a 21-day cycle until disease progression (PD), toxicity or withdrawal of consent.
- Primary Outcome Measures
Name Time Method Objective Response Rate (ORR) According to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 by Investigator's Assessment Up to 3 years ORR, is defined as the proportion of participants who achieve the best overall response, confirmed complete response (CR) or partial response (PR). Responses are based on the investigator-assessed tumor response using RECIST 1.1 criteria.
- Secondary Outcome Measures
Name Time Method Duration of Response (DOR) According to RECIST 1.1 by BICR Up to 3 years DOR, is calculated as the date of the first evaluation showing documented response, either PR or CR, to the date of the first progression of disease (PD) or death from any cause, whichever comes first. Response are according to RECIST 1.1 by BICR
Progression-free Survival (PFS) According to RECIST 1.1 by BICR Up to 3 years PFS, is defined as the time from first dose until objective tumor progression or death from any cause, whichever comes first. Responses are according to RECIST 1.1 by BICR
Clinical Benefit Rate (CBR) According to RECIST 1.1 by BICR Up to 3 years CBR is defined as the proportion of participants who achieve the best overall response, CR + PR + stable disease (SD). Responses are according to RECIST 1.1 by BICR.
Percentage of Participants Experiencing Treatment-Emergent Adverse Events (AEs) Up to 3 years DOR According to RECIST 1.1 by Investigator's Assessment Up to 3 years DOR, is calculated as the date of the first evaluation showing documented response, either PR or CR, to the date of the first PD or death from any cause, whichever comes first. Responses are based on the investigator-assessed tumor response using RECIST 1.1 criteria.
Objective Response Rate (ORR) According to RECIST 1.1 by Blinded Independent Central Review (BICR) Assessment Up to 3 years ORR, is defined as the proportion of participants who achieve the best overall response, confirmed CR or PR. Responses are based on BICR assessment using RECIST 1.1 criteria.
Progression-free Survival (PFS) According to RECIST 1.1 by Investigator's Assessment Up to 3 years PFS, is defined as the time from first dose until objective tumor progression or death from any cause, whichever comes first. Responses are based on the investigator-assessed tumor response using RECIST 1.1 criteria.
Overall Survival (OS) Up to 3 years Overall survival is defined as the interval from the first dose date of drug to death from any cause.
Percentage of Participants Experiencing Clinically Significant Laboratory Abnormalities Up to 3 years Clinical Benefit Rate (CBR) According to RECIST 1.1 by Investigator's Assessment Up to 3 years CBR, is defined as the proportion of participants who achieve the best overall response, CR + PR + SD. Responses are based on the investigator-assessed tumor response using RECIST 1.1 criteria.
Pharmacokinetic (PK) Parameter: Serum Concentration of Sacituzumab Govitecan-hziy First dose date up to last dose date plus 30 days (up to 3 years) Immunogenicity Assessment First dose date up to last dose date plus 30 days (up to 3 years) Number of participants who test positive for anti-drug antibodies to sacituzumab govitecan-hziy will be reported.
Trial Locations
- Locations (65)
University Hospitals Cleveland Medical Center
🇺🇸Cleveland, Ohio, United States
Arizona Oncology Associates PC-HAL
🇺🇸Goodyear, Arizona, United States
Lyell McEwin Hospital
🇦🇺Elizabeth Vale, South Australia, Australia
Alaska Oncology & Hematology, LLC
🇺🇸Anchorage, Alaska, United States
Highlands Oncology Group
🇺🇸Springdale, Arkansas, United States
USOR - Arizona Oncology - Glendale - Saguaro Cancer Center
🇺🇸Glendale, Arizona, United States
Willamette Valley Cancer Institute and Research Center - Eugene
🇺🇸Eugene, Oregon, United States
Christus Highland Cancer Treatment Center
🇺🇸Shreveport, Louisiana, United States
North Mississippi Medical Center - Hematology and Oncology - Tupelo
🇺🇸Tupelo, Mississippi, United States
Monash Medical Centre, Monash Health
🇦🇺Clayton, Victoria, Australia
Centre George Francois Leclerc
🇫🇷Dijon, France
Department of Clinical Oncology, The Chinese University of Hong Kong, Prince of Wales Hospital
🇭🇰Shatin, Hong Kong
Taipei TzuChi Hospital
🇨🇳New Taipei City, Taiwan
The Andrew Love Cancer Centre, Geelong Hospital
🇦🇺Geelong, Victoria, Australia
The Ottawa Hospital
🇨🇦Ottawa, Canada
Jewish General Hospital
🇨🇦Montreal, Canada
Institut Bergonie
🇫🇷Bordeaux, France
Hong Kong United Oncology Center
🇭🇰Kowloon, Hong Kong
Changhua Christian Hospital
🇨🇳Changhua City, Taiwan
Mater Cancer Centre, Mater Misericordiae Limited
🇦🇺South Brisbane, Queensland, Australia
Institut Claudius Régaud - IUCT Oncopole
🇫🇷Toulouse, France
Weill Cornell Medicine - Upper East Side
🇺🇸New York, New York, United States
Providence Regional Cancer Partnership
🇺🇸Everett, Washington, United States
Southern Highlands Cancer Center
🇦🇺Bowral, New South Wales, Australia
London Health Sciences Centre- Victoria Hospital
🇨🇦London, Canada
National Cheng Kung University Hospital
🇨🇳Tainan City, Taiwan
Chang Gung Medical Foundation, Linkou Chang Gung Memorial Hospital
🇨🇳Taoyuan City, Taiwan
UCLA Hematology/Oncology
🇺🇸Los Angeles, California, United States
TRIO-US Central Administration
🇺🇸Whittier, California, United States
PathGroup Labs, LLC
🇺🇸Fort Wayne, Indiana, United States
SIU School of Medicine, Simmons Cancer Institute at SIU
🇺🇸Springfield, Illinois, United States
Parkview Research Center
🇺🇸Fort Wayne, Indiana, United States
David C. Pratt Center
🇺🇸Saint Louis, Missouri, United States
Washington University School of Medicine - Siteman Cancer Center
🇺🇸Saint Louis, Missouri, United States
New York Oncology Hematology - Albany Medical Center
🇺🇸Albany, New York, United States
Memorial Sloan Kettering Cancer Center
🇺🇸New York, New York, United States
The University of Texas MD Anderson Cancer Center
🇺🇸Houston, Texas, United States
Virginia Cancer Specialists, PC
🇺🇸Fairfax, Virginia, United States
Texas Oncology - Tyler
🇺🇸Tyler, Texas, United States
Blue Ridge Cancer Care - Wytheville
🇺🇸Blacksburg, Virginia, United States
Pindara Private Hospital
🇦🇺Benowa, Queensland, Australia
Macquarie University
🇦🇺North Ryde, New South Wales, Australia
Calvary Mater Newcastle Hospital
🇦🇺Waratah, New South Wales, Australia
Blacktown Hospital
🇦🇺Westmead, New South Wales, Australia
Cliniques Universitaires UCL Saint-Luc
🇧🇪Brussels, Belgium
Grand Hopital de Charleroi asbl (GHdC)
🇧🇪Charleroi, Belgium
Cross Cancer Institute
🇨🇦Edmonton, Canada
Hong Kong Integrated Oncology Centre
🇭🇰Central, Hong Kong
Institut Gustave Roussy
🇫🇷Villejuif, France
Queen Mary Hospital
🇭🇰Hong Kong, Hong Kong
Hong Kong Sanatorium & Hospital
🇭🇰Happy Valley, Hong Kong
Hospital de la Santa Creu i Sant Pau
🇪🇸Barcelona, Spain
Institut Català d'Oncologia
🇪🇸Barcelona, Spain
Hospital Clínico Universitario de Valencia
🇪🇸Valencia, Spain
Hospital Universitario 12 de Octubre
🇪🇸Madrid, Spain
Hospital Universitari Vall d'Hebron
🇪🇸Barcelona, Spain
Chi Mei Medical Center
🇨🇳Tainan City, Taiwan
University of Colorado Hospital - Anschutz Cancer Pavilion
🇺🇸Aurora, Colorado, United States
Smilow Cancer Hospital at Yale
🇺🇸New Haven, Connecticut, United States
Comprehensive Cancer of Nevada
🇺🇸Las Vegas, Nevada, United States
Tennessee Oncology, PLLC
🇺🇸Nashville, Tennessee, United States
University of Michigan Rogel Cancer Center
🇺🇸Ann Arbor, Michigan, United States
Karmanos Cancer Institute
🇺🇸Detroit, Michigan, United States
University of Kentucky Medical Center
🇺🇸Lexington, Kentucky, United States
Montefiore Medical Center
🇺🇸Bronx, New York, United States