A PHASE 1 DOSE ESCALATION AND EXPANSION STUDY EVALUATING THE SAFETY, TOLERABILITY, PHARMACOKINETICS, PHARMACODYNAMICS AND ANTI TUMOR ACTIVITY OF PF-07062119 IN PATIENTS WITH ADVANCED GASTROINTESTINAL TUMORS
试验速览
- 阶段
- 1 期
- 状态
- 终止
- 发起方
- Pfizer
- 入组人数
- 79
- 试验地点
- 19
- 主要终点
- Number of Participants With Dose Limiting Toxicities (DLTs) Assessed Through Cycle 1
研究概览
简要总结
A phase 1, open-label, dose escalation and expansion study of PF-07062119 in patients with selected advanced or metastatic gastrointestinal tumors
详细描述
This is a Phase 1, open-label, multi-center, non-randomized, multiple dose, safety, tolerability, pharmacokinetic, and pharmacodynamic study of PF-07062119 administered as a single agent in sequential dose levels and then in combination with anti-programmed cell death -1 protein (anti-PD-1) and in combination with an anti-vascular endothelial growth factor (anti-VEGF). In Part 1A, successive cohorts of patients will receive escalating doses of PF-007062119 and then in dose finding (Part 1B) with PF-07062119 in combination with anti-PD-1 and in combination with anti-VEGF. This study contains 2 parts, dose escalation with single agent (Part 1A) and then dose finding with PF-007062119 in combination with ant-PD-1 and in combination with anti-VEGF (Part 1B) followed by dose expansion arms as a single agent and PF-07062119 in combination with anti-PD 1 and in combination with anti-VEGF (Part 2).
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Sequential
- 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
- 否
入选标准
- •For Part 1 and Part 2, diagnosis of advanced/metastatic colorectal, gastric or esophageal adenocarcinoma that is resistant to standard therapy or for which no local regulatory approved standard therapy is available that would confer significant benefit.
- •For Part 2, diagnosis of colorectal adenocarcinoma that is resistant to standard therapy or for which no standard therapy is available
- •Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) 0 or 1
- •Measurable disease or non-measurable disease and refractory to or intolerant of existing therapies (Part 1)
- •Measurable disease as defined by RECIST 1.1 is required (Part 2)
排除标准
- •Known active uncontrolled or symptomatic Central Nervous System (CNS) metastases
- •Other active malignancy within 3 years prior to randomization, except for adequately treated basal cell or squamous cell skin cancer, or carcinoma in situ
- •Major surgery or radiation within 3 weeks prior to study entry
- •Last anti-cancer treatment within 4 weeks prior to study entry
- •Active or history of clinically significant autoimmune disease that required systemic immunosuppressive medication
- •Active or history of clinically significant gastrointestinal disease
- •Participation in other studies involving investigational drug(s) within 2 weeks prior to study entry
- •Pregnant or breastfeeding female patients
研究组 & 干预措施
Dose Expansion Arm A
PF-07062119 as a Single Agent in CRC
干预措施: PF-07062119 (Drug)
Dose Expansion Arm B
PF-07062119 in Combination with anti-PD-1 in CRC
干预措施: PF-07062119 (Drug)
Dose Expansion Arm C
PF-07062119 in Combination with anti-VEGF in CRC
干预措施: PF-07062119 (Drug)
Dose Escalation
Single Agent Dose Escalation
干预措施: PF-07062119 (Drug)
Dose Finding Anti-PD-1 Combination
Part 1B PF-07062119 plus anti-PD-1
干预措施: PF-07062119 (Drug)
Dose Finding Anti-PD-1 Combination
Part 1B PF-07062119 plus anti-PD-1
干预措施: Anti-PD1 (Drug)
Dose Finding anti-VEGF Combination
Part 1B PF-07062119 plus anti-VEGF
干预措施: PF-07062119 (Drug)
Dose Finding anti-VEGF Combination
Part 1B PF-07062119 plus anti-VEGF
干预措施: Anti-VEGF (Drug)
Dose Expansion Arm C
PF-07062119 in Combination with anti-VEGF in CRC
干预措施: Anti-PD1 (Drug)
Dose Expansion Arm C
PF-07062119 in Combination with anti-VEGF in CRC
干预措施: Anti-VEGF (Drug)
Dose Expansion Arm D
PF-07062119 in Combination with either anti-PD-1 or anti-VEGF in various Tumor Types
干预措施: PF-07062119 (Drug)
Dose Expansion Arm D
PF-07062119 in Combination with either anti-PD-1 or anti-VEGF in various Tumor Types
干预措施: Anti-PD1 (Drug)
Dose Expansion Arm D
PF-07062119 in Combination with either anti-PD-1 or anti-VEGF in various Tumor Types
干预措施: Anti-VEGF (Drug)
结局指标
主要结局
Number of Participants With Dose Limiting Toxicities (DLTs) Assessed Through Cycle 1
时间窗: 28 Days
Hematological DLTs: * Grade 3 neutropenia lasting \>5 days * Febrile neutropenia defined as an ANC \<1.0 x 10 ̂9/L with a single temperature of \>38.3°C, or a sustained temperature of ≥38°C, for more than 1 hour * Grade ≥3 Neutropenia with infection * Grade 3 Thrombocytopenia with Grade ≥2 (clinically significant) bleeding * any Grade 4 Thrombocytopenia * Anemia or Thrombocytopenia requiring transfusion Non Hematological DLTs: * Grade ≥3 fatigue lasting ≥7 days * for participants with liver, bone, or lung metastasis, an AST or ALT increase \>8 x ULN or ALP \>10 x ULN; * confirmed DILI meeting Hy's law criteria * Grade 3 Vomiting or Diarrhea lasting ≥3 days despite adequate treatment/other supportive care * Grade 4 Vomiting or Diarrhea * Grade ≥3 CRS regardless of duration * Grade ≥3 QTcF prolongation irrespective of duration * any death not clearly due to underlying disease or extraneous causes Clinically important/persistent toxicities were DLTs reviewed by investigators and sponsor.
Number of Participants With All-Causality Treatment-Emergent Adverse Events (TEAEs),Treatment-Emergent Serious Adverse Events (TESAEs), Maximum Grade 3 or 4 and 5 TEAEs
时间窗: 4 Years
An AE was any untoward medical occurrence in a participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An SAE was defined as 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 disability/incapacity; was a congenital anomaly/birth defect, etc. Treatment-emergent events were with onset date occurring during the on-treatment period. AEs were documented and recorded at each visit using the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 5.0.
Number of Participants With Treatment-Related TEAEs, TESAEs, Maximum Grade 3 or 4 and 5 TEAEs
时间窗: 4 Years
An AE was any untoward medical occurrence in a participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An SAE was defined as 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 disability/incapacity; was a congenital anomaly/birth defect, etc. Treatment-emergent events were with onset date occurring during the on-treatment period. Relatedness to study treatment was determined by the investigator. AEs were documented and recorded at each visit using the NCI CTCAE version 5.0. Severe AEs were classified as Grade 3; life-threatening consequences and urgent intervention indicated were classified as Grade 4; deaths related to AEs were classified as Grade 5.
Number of Participants With CTCAE Grade 3 or 4 Hematology Laboratory Abnormalities
时间窗: 4 Years
The investigator reviewed the laboratory report, documented this review, and recorded any clinically relevant changes occurring during the study in the AE section of the CRF. Clinically significant abnormal laboratory findings were those which were not associated with the underlying disease, unless judged by the investigator to be more severe than expected for the participant's condition. CTCAE version 5.0 was applied.
Number of Participants With CTCAE Grade 3 or 4 Chemistry Laboratory Abnormalities
时间窗: 4 Years
The investigator reviewed the laboratory report, documented this review, and recorded any clinically relevant changes occurring during the study in the AE section of the case report form (CRF). Clinically significant abnormal laboratory findings were those which were not associated with the underlying disease, unless judged by the investigator to be more severe than expected for the participant's condition. CTCAE version 5.0 was applied.
次要结局
- Cycle 1 and Cycle 4 PF-07062119 PK Parameters: Maximum Concentration (Cmax) - Priming Cohorts(Cycle 1 Day 1, Cycle 1 Day 15 and Cycle 4 Day 1)
- Cycle 1 and Cycle 4 PF-07062119 PK Parameters: Cmax - Non-Priming Cohorts(Cycle 1 Day 1 and Cycle 4 Day 1)
- Cycle 1 and Cycle 4 PF-07062119 PK Parameters: Time to Achieve Cmax (Tmax) - Priming Cohorts(Cycle 1 Day 1, Cycle 1 Day 15 and Cycle 4 Day 1)
- Cycle 1 and Cycle 4 PF-07062119 PK Parameters: Tmax - Non-Priming Cohorts(Cycle 1 Day 1 and Cycle 4 Day 1)
- Cycle 1 and Cycle 4 PF-07062119 PK Parameters: Area Under the Serum Concentration-Time Profile From Time 0 to Time Tau, the Dosing Interval (AUCtau) - Priming Cohorts(Cycle 1 Day 1 and Cycle 4 Day 1)
- Cycle 1 and Cycle 4 PF-07062119 PK Parameters: AUCtau - Non-Priming Cohorts(Cycle 1 Day 1 and Cycle 4 Day 1)
- Cycle 1 and Cycle 4 PF-07062119 PK Parameters: Area Under the Serum Concentration-Time Profile From Day 1 to Day 7 (168 Hours) (AUC168) - Priming Cohorts(Cycle 1 Day 1, Cycle 1 Day 15 and Cycle 4 Day 1)
- Cycle 1 and Cycle 4 PF-07062119 PK Parameters: AUC168 - Non-Priming Cohorts(Cycle 1 Day 1 and Cycle 4 Day 1)
- Pre-dose Trough Concentrations After Multiple Doses of PF-07062119(Cycle 1 Day 15, Cycle 2 Days 1 and 15, Cycle 3 Days 1 and 15, Cycle 4 Days 1 and 15, Cycle 5 Day 1, Cycle 8 Day 1 and Cycle 11 Day 1)
- Incidence of Anti-Drug Antibody (ADA) Positive Against PF-07062119(Pre-dose on Cycle 1 Day 1 and Day 15; Day 1 of Cycles 2 to 4; Day 1 of every 3rd cycle since Cycle 5)
- Titers of ADA Against PF-07062119(Cycle 1 Day 1, Cycle 1 Day 15, Cycle 2 Day 1 and End of Treatment)
- Incidence of Neutralizing Antibody (NAb) Positive Against PF-07062119(Pre-dose on Cycle 1 Day 1 and Day 15; Day 1 of Cycles 2 to 4; Day 1 of every 3rd cycle since Cycle 5)
- Incidence of ADA Positive Against PF-06801591(Cycle 1 Day 1 and Day 15, Cycle 2 Day 1 and Day 15, Cycle 3 Day 1 and Day 15, Cycle 4 Day 15, Cycle 5 Day 15 and End of Treatment)
- Percent Change From Baseline in Immune Biomarkers (CD3+ and CD8+ Cells/mm2 CT+, PD-L1 Tumor Cell Membrane Staining and PD-L1 Positive Immune Cells Per Tumor Area) in Pre-treatment and On-Treatment Paired Tumor Biopsies(Baseline (Baseline was defined as the time closest to, but prior to, the start of study drug administration in the first cycle), Cycle 3 Day 1)
- Number of Participants With Confirmed Objective Response(Baseline up to maximum of 4 years)
