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临床试验/NCT03367819
NCT03367819终止1 期

A Phase 1/2 Open-label, Multi-center, Safety, Preliminary Efficacy and Pharmacokinetic (PK) Study of Isatuximab (SAR650984) in Combination With REGN2810, or Isatuximab Alone, in Patients With Advanced Malignancies

Sanofi16 个研究点 分布在 5 个国家目标入组 44 人开始时间: 2018年1月4日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
1 期
状态
终止
发起方
Sanofi
入组人数
44
试验地点
16
主要终点
Number of Participants With Laboratory Abnormalities: Hematological Parameters

研究概览

简要总结

Primary Objectives:

  • To characterize the safety and tolerability of isatuximab in combination with REGN2810 in participants with metastatic, castration-resistant prostate cancer (mCRPC) who were naïve to anti-programmed cell death-1 (PD-1)/programmed cell death-ligand 1 (PD-L1)-containing therapy, or non-small cell lung cancer (NSCLC) who progressed on anti-PD-1/PD-L1-containing therapy, and to confirm the recommended Phase 2 dose (RP2D).
  • To assess the response rate of isatuximab in combination with REGN2810 in participants with either mCRPC who were anti-PD-1/PD-L1 therapy naive, or NSCLC who progressed on anti-PD-1/PD-L1 therapy, or of isatuximab as single agent in participants with mCRPC.

Secondary Objectives:

  • To evaluate the safety of the combination of isatuximab with REGN2810 or isatuximab monotherapy.
  • To evaluate the immunogenicity of isatuximab and REGN2810.
  • To characterize the pharmacokinetic (PK) profile of isatuximab single agent or in combination with REGN2810, and to characterize the PK of REGN2810 in combination with isatuximab.
  • To assess overall efficacy of isatuximab in combination with REGN2810 or as a single agent.

详细描述

The total study duration per participant was up to 28 months including an up to 28 days screening period, an up to 24 months treatment period, and a 3 months safety follow up period.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Participants must had a known diagnosis of either metastatic castration-resistant prostate cancer (mCRPC) or non-small cell lung cancer (NSCLC) with evidence of measurable disease.
  • Failure of, inability to, or refusal to receive standard of care.
  • Greater than or equal to (>=) 18 years of age.

排除标准

  • Prior exposure to isatuximab or participation in clinical studies with isatuximab.
  • For participants with mCRPC, prior exposure to any agent (approved or investigational) that blocks the PD-1/PD-L1 pathway.
  • Evidence of other immune related disease /conditions.
  • History of non-infectious pneumonitis requiring steroids or current pneumonitis; history of the thoracic radiation.
  • Had received a live-virus vaccination within 28 days of planned treatment start. Seasonal flu vaccines that do not contain live virus were permitted.
  • Prior solid organ or hematologic transplant.
  • Eastern Cooperative Oncology Group performance status (PS) >=
  • Poor bone marrow reserve.
  • Poor organ function.
  • The above information was not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.

研究组 & 干预措施

Phase 1: mCRPC/NSCLC

Experimental

Isatuximab dose 1 and REGN2810 predefined dose

干预措施: Isatuximab SAR650984 (Drug)

Phase 1: mCRPC/NSCLC

Experimental

Isatuximab dose 1 and REGN2810 predefined dose

干预措施: Cemiplimab REGN2810 (Drug)

Cohort A-1: mCRPC, isatuximab and REGN2810 combination

Experimental

Participants with mCRPC will be given isatuximab dose determined in Phase 1 arm of study and REGN2810 predefined dose

干预措施: Isatuximab SAR650984 (Drug)

Cohort A-1: mCRPC, isatuximab and REGN2810 combination

Experimental

Participants with mCRPC will be given isatuximab dose determined in Phase 1 arm of study and REGN2810 predefined dose

干预措施: Cemiplimab REGN2810 (Drug)

Cohort A-2: mCRPC, isatuximab monotherapy

Experimental

Participants with mCRPC will be given isatuximab dose 2

干预措施: Isatuximab SAR650984 (Drug)

Phase 2 Cohort B: NSCLC

Experimental

Participants with NSCLC will be given isatuximab dose determined in Phase 1 arm of study and REGN2810 predefined dose

干预措施: Isatuximab SAR650984 (Drug)

Phase 2 Cohort B: NSCLC

Experimental

Participants with NSCLC will be given isatuximab dose determined in Phase 1 arm of study and REGN2810 predefined dose

干预措施: Cemiplimab REGN2810 (Drug)

Possibly Phase 2 Cohort C: mCRPC

Experimental

Isatuximab dose 3 will be given in combination with REGN2810 predefined dose or isatuximab dose 3 will be given as monotherapy in participants with mCRPC

干预措施: Isatuximab SAR650984 (Drug)

Possibly Phase 2 Cohort C: mCRPC

Experimental

Isatuximab dose 3 will be given in combination with REGN2810 predefined dose or isatuximab dose 3 will be given as monotherapy in participants with mCRPC

干预措施: Cemiplimab REGN2810 (Drug)

Possibly Phase 2 Cohort D: NSCLC

Experimental

Isatuximab dose 3 will be given in combination with REGN2810 predefined dose

干预措施: Isatuximab SAR650984 (Drug)

Possibly Phase 2 Cohort D: NSCLC

Experimental

Isatuximab dose 3 will be given in combination with REGN2810 predefined dose

干预措施: Cemiplimab REGN2810 (Drug)

结局指标

主要结局

Number of Participants With Laboratory Abnormalities: Hematological Parameters

时间窗: From Baseline up to 30 days after the last dose of study treatments (maximum duration: up to 2 years)

Hematological parameters assessed were anemia, white blood cell (WBC) decreased, platelet count decreased, lymphocyte count decreased and neutrophil count decreased. Abnormality criteria was based on National Cancer Institute Common Terminology Criteria for Adverse Event version 4.03 (NCI-CTCAE v 4.03), where Grade 1 = Mild; Grade 2 = Moderate; Grade 3 = Severe; Grade 4 = Potentially Life Threatening. Only those categories in which at least 1 participant had data were reported.

Number of Participants With Laboratory Abnormalities: Electrolytes

时间窗: From Baseline up to 30 days after the last dose of study treatments (maximum duration: up to 2 years)

Abnormal electrolytes parameters assessed were hyponatremia, hypokalemia, hyperkalemia, hypocalcemia, hypercalcemia, hypoalbuminemia and hyperglycemia. Abnormality criteria was based on NCI-CTCAE v 4.03, where Grade 1 = Mild; Grade 2 = Moderate; Grade 3 = Severe; Grade 4 = Potentially Life Threatening. Only those categories in which at least 1 participant had data were reported.

Number of Participants With Dose Limiting Toxicities (DLTs)

时间窗: Cycle 1 (21 days)

DLTs: adverse events occurring during 1st treatment cycle, unless due to disease progression/to cause obviously unrelated to investigational medicinal product (IMP) which included:hematological abnormalities: Grade(G) 4 neutropenia(N) for 7/more consecutive days, G3 to G4 N with fever (temperature greater than or equal to \[\>=\] 38.5 degree Celsius on more than 1 occasion) or microbiologically/radiographically documented infection, G3 to G4 thrombocytopenia with clinically significant bleeding. Non-hematological abnormalities: G4 non-hematologic AE, G\>=2 uveitis, G3 non-hematological AE lasting greater than (\>)3 days (except G3 fatigue, allergic reaction/hypersensitivity attributed to isatuximab or REGN2810 and G3 or G4 clinically non-significant laboratory abnormality), delay in initiation of Cycle 2 \>14 days due to treatment related laboratory abnormalities/AE. Any other toxicity that Investigator and Sponsor deemed to be dose-limiting, regardless of grade, was also considered as DLT.

Number of Participants With Laboratory Abnormalities: Liver Function Parameters

时间窗: From Baseline up to 30 days after the last dose of study treatments (maximum duration: up to 2 years)

Abnormal liver function parameters assessed were aspartate aminotransferase (AST) increased, alanine aminotransferase (ALT) increased, alkaline phosphatase (ALP) increased, blood bilirubin (BB) increased. Abnormality criteria was based on NCI-CTCAE v 4.03, where Grade 1 = Mild; Grade 2 = Moderate; Grade 3 = Severe; Grade 4 = Potentially Life Threatening. Only those categories in which at least 1 participant had data were reported.

Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)

时间窗: From Baseline up to 30 days after the last dose of study treatments (maximum duration: up to 2 years)

An AE was defined as any untoward medical occurrence in a participant who received study drug and did not necessarily have to have a causal relationship with the treatment. Serious adverse events (SAEs) was any untoward medical occurrence that at any dose: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a medically important event. TEAEs were defined as AEs that developed, worsened or became serious during the TEAE period (defined as the time from the first dose of study treatment up to 30 days after the last dose of study treatment). TEAEs included both SAEs and non-SAEs.

Number of Participants With Laboratory Abnormalities: Renal Parameters

时间窗: From Baseline up to 30 days after the last dose of study treatments (maximum duration: up to 2 years)

Abnormal renal parameters assessed were creatinine clearance (CrCl), creatinine increased and hyperuricemia. Creatinine clearance was assessed in categories: \>=60 - less than (\<) 90 milliliters per minute per 1.73 square meter (mL/min/1.73m\^2), \>=30 - \<60 mL/min/1.73m\^2, \>=15 - \<30 mL/min/1.73m\^2 and \<15 mL/min/1.73m\^2. Creatinine increased and hyperuricemia abnormality criteria was based on NCI-CTCAE v 4.03, where Grade 1 = Mild; Grade 2 = Moderate; Grade 3 = Severe; Grade 4 = Potentially Life Threatening. For all these 3 parameters, only those categories in which at least 1 participant had data were reported.

Overall Response Rate (ORR): Percentage of Participants With Overall Response

时间窗: From the date of randomization to the date of first documentation of progression or death due to any cause, whichever occurred first (maximum duration: up to 2 years)

For participants with mCRPC, response was defined as achieving complete response (CR) or partial response (PR) as best overall response (BOR) for soft tissue assessed and confirmed by the Investigators and/or a prostate-specific antigen (PSA) decline of \>=50 percent (%) from Baseline that was subsequently confirmed per Prostate Cancer Clinical Trials Working Group 3 (PCWG3) criteria. For participants with NSCLC, ORR was defined as the percentage of participants with CR or PR as BOR according to RECIST 1.1. criteria. Per RECIST 1.1. criteria, CR: disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must had reduction in short axis to \<10 millimeters (mm) and PR: at least a 30% decrease in the sum of diameters of target lesions, taking as reference the Baseline sum diameters.

次要结局

  • Pharmacokinetics: Area Under the Plasma Concentration Versus Time Curve From Time 0 to 168 Hours (AUC0-168 hr) After the First Administration of Isatuximab(At SOI, before actual EOI, EOI+4 hours, 72 hours and 168 hours post-dose on Day 1 of Cycle 1)
  • Duration of Response (DOR)(From the date of first response until disease progression or death, whichever occurred first (maximum duration: up to 2 years))
  • Pharmacokinetics: Area Under the Plasma Concentration Versus Time Curve From Time 0 to 504 Hours (AUC0-504 hr) After the First Administration of REGN2810(At SOI, before actual EOI, EOI+4 hours, 72 hours, 168 hours, 336 hours and 504 hours post-dose on Day 1 of Cycle 1)
  • Best Percent-change From Baseline in Tumor Burden(Up to 2 years)
  • Number of Participants With Anti-drug Antibodies (ADA) Response Against Isatuximab, Post Treatment(From Baseline up to 2 years)
  • Number of Participants With Anti-drug Antibodies (ADA) Response Against REGN2810, Post Treatment(From Baseline up to 2 years)
  • Pharmacokinetics (PK): Maximum Observed Plasma Concentration (Cmax) After the First Infusion of Isatuximab(At start of infusion (SOI), before actual end of infusion (EOI), EOI+4 hours, 72 hours and 168 hours post-dose on Day 1 of Cycle 1)
  • Pharmacokinetics (PK): Maximum Observed Plasma Concentration (Cmax) After the First Infusion of REGN2810(At SOI, before actual EOI, EOI+4 hours, 72 hours, 168 hours, and 336 hours post-dose on Day 1 of Cycle 1)
  • Progression-free Survival (PFS)(From the date of the first study treatment administration to the date of first documented disease progression or death of any cause, whichever occurred first (maximum duration: up to 2 years))
  • Percentage of Participants With Disease Control (DC) >=6 Months(From the date of first response to the date of first documented disease progression or death (due to any cause) (maximum duration: up to 2 years))

研究者

发起方
Sanofi
申办方类型
Industry
责任方
Sponsor

研究点 (16)

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