First-in-human, Dose Titration and Expansion Trial to Evaluate Safety, Immunogenicity and Preliminary Efficacy of W_pro1 (BNT112) Monotherapy and in Combination With Cemiplimab in Patients With Prostate Cancer
试验速览
- 阶段
- 1 期
- 状态
- 终止
- 发起方
- BioNTech SE
- 入组人数
- 75
- 试验地点
- 22
- 主要终点
- Part 1: Number of Participants With Dose Limiting Toxicities (DLTs)
研究概览
简要总结
Open-label, multicenter, dose titration and four-arm expansion trial to evaluate the safety, tolerability, immunogenicity, and preliminary efficacy of BNT112 cancer vaccine (BNT112) monotherapy or in combination with cemiplimab in patients with metastatic castration resistant prostate cancer (mCRPC: Part 1 and Part 2 Arms 1A and 1B) and in patients with high-risk, localized prostate cancer (LPC).
As of February 2023, the trial only recruited LPC patients and no longer mCRPC patients.
详细描述
- BNT112 consisted of messenger ribonucleic acid (mRNA [or RNA]) targeting 5 antigens expressed in de novo and metastatic prostate cancer that were separately complexed with liposomes to form serum-stable RNA lipoplexes (RNA-LPX).
- The RNA molecules were immune-pharmacologically optimized for high stability, translational efficiency and presentation on major histocompatibility complex (MHC) class I and II molecules. The vaccine was intended for intravenous (IV) bolus injection.
- The RNA-LPX cancer vaccine induced activation of both the adaptive immune system (vaccine antigen-specific CD8+/CD4+ T cell) as well as the innate immune system (TLR7 agonism of single-stranded RNA). The physiology of efficient induction, expansion and differentiation of antigen-specific T cells was associated with programmed death receptor-1 (PD-1) upregulation on these T cells. Thus, the cancer vaccine was expected to have a synergistic mechanism of action with anti-PD-1.
- The step-up dose titration approach allowed for optimal dose management on an individual basis and accounted for inter- and intra-individual variability of the immune system.
- In summary, the mechanism of action of BNT112 both in monotherapy and in combination with anti-PD-1 immune checkpoint inhibitor cemiplimab, together with carefully selected and refined clinical setting presented a unique opportunity for patients with different stages of prostate cancer.
研究设计
- 研究类型
- Interventional
- 分配方式
- 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
- Male
- 接受健康志愿者
- 否
入选标准
- 未提供
排除标准
- 未提供
研究组 & 干预措施
Part 1 (mCRPC) - dose titration
BNT112 monotherapy
Enrollment into this arm is completed.
干预措施: BNT112 (Biological)
Part 2 Arm 1A (mCRPC) - expansion cohort
BNT112 in combination with cemiplimab
Enrollment into this arm is completed.
干预措施: BNT112 (Biological)
Part 2 Arm 1A (mCRPC) - expansion cohort
BNT112 in combination with cemiplimab
Enrollment into this arm is completed.
干预措施: Cemiplimab (Drug)
Part 2 Arm 1B [1] (mCRPC) - expansion cohort
BNT112 monotherapy
Enrollment into this arm is completed.
干预措施: BNT112 (Biological)
Part 2 Arm 2 (LPC) - expansion cohort
BNT112 in combination with cemiplimab
干预措施: BNT112 (Biological)
Part 2 Arm 2 (LPC) - expansion cohort
BNT112 in combination with cemiplimab
干预措施: Cemiplimab (Drug)
Part 2 Arm 3 (LPC) - expansion cohort
BNT112 monotherapy
干预措施: BNT112 (Biological)
Part 2 Arm 1B [2] (mCRPC) - expansion cohort
Following progression after BNT112 monotherapy, patients in Arm 1b have the option to be treated with cemiplimab monotherapy
Enrollment into this arm is completed.
干预措施: Cemiplimab (Drug)
结局指标
主要结局
Part 1: Number of Participants With Dose Limiting Toxicities (DLTs)
时间窗: Cycle 1 (21 days)
DLT criteria were defined as following: any treatment-emergent adverse events (TEAE) of Grade 5 intensity; hematological toxicities (Grade 3 and 4 febrile neutropenia, Grade 4 thrombocytopenia, Grade 3 and 4 hemorrhage associated with thrombocytopenia of Grade greater than or equal to \[\>=\] 3, Grade 4 anemia); and non-hematological toxicities (Grade 4 cytokine release syndrome \[CRS\], Grade 3 CRS which has not improved to Grade 1 or resolved within 48 hours; any Grade \>=3 non-hematological TEAE at least possibly related which occurs during the first BNT112 cancer vaccine treatment cycle).
Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Serious TEAEs and TEAEs Related to Trial Procedure
时间窗: From Baseline up to 30 days after the last dose of BNT112 (for Part 1 and Part 2 Arms 1b and 3) or up to 90 days after the last dose of cemiplimab (for Part 2, Arm 1a and Arm 2) (up to 4 years and 1 month)
TEAE: any adverse event (AE) with an onset date on or after the first administration of investigational medicinal product (IMP) or worsened after first administration of IMP. AEs with an onset date more than 30 days after last dose of BNT112 or 90 days after last dose of cemiplimab (for Part 2, Arm 1a and Arm 2) were only considered as TEAEs if assessed as related to IMP by the investigator. Serious adverse event (SAE): 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 or was another medically important condition. AEs were graded for severity using National Cancer Institute Common Terminology Criteria for Adverse Events, version 5.0 (NCI-CTCAE v5.0), where Grade 1: Mild; Grade 2: Moderate; Grade 3: Severe; Grade 4 - Life-threatening consequences; Grade 5: Death related to AE.
Part 2 Arm 1a: Objective Response Rate (ORR)
时间窗: From start of treatment up to 46 weeks
ORR was defined as the percentage of participants with a complete response (CR) or partial response (PR) as per Prostate Cancer Working Group 3 (PCWG3) criteria as determined by the investigator. Participants not meeting the criteria for CR or PR, including those without any post-baseline tumor assessments, were considered as non-responders. CR was defined as the disappearance of all target lesions, with a reduction in short axis to \<10 mm in any pathological lymph nodes and no new lesions. PR was defined as 30% decrease in the sum of the longest diameter of target lesions.
Part 2 Arm 1b: Objective Response Rate (ORR)
时间窗: From start of treatment up to 104 weeks
ORR was defined as the percentage of participants with a CR or PR as per PCWG3 criteria as determined by the investigator. Participants not meeting the criteria for CR or PR, including those without any post-baseline tumor assessments, were considered as non-responders. CR was defined as the disappearance of all target lesions, with a reduction in short axis to \<10 mm in any pathological lymph nodes and no new lesions. PR was defined as 30% decrease in the sum of the longest diameter of target lesions.
次要结局
- Number of Participants Reporting Change From Baseline in Prostate-specific Antigen (PSA) Levels(Day8 (Cycles1&2 only), Day1 Cycle 2 & Day 15 (Cycles1,2 & 8 only) (each cycle of 21-days), & EOT (30 days after last dose of BNT112 [Part 1 & Part 2 Arms 1b & 3] or 90 days after last dose of cemiplimab [Part 2, Arm 1a & Arm 2] [up to 4 years & 1 months]))
- Number of Participants Reporting Change From Baseline in PSA Doubling Time (PSADT)(Cycle 4 Day 1, Cycle 8 Day 1, Cycle 12 Day 1 (each cycle duration=21 days))
- Number of Participants With PSA Decline of >=50%(Day8 (Cycles1&2 only), Day1 Cycle 2 & Day 15 (Cycles1,2 & 8 only) (each cycle of 21-days), & EOT (30 days after last dose of BNT112 [Part 1 & Part 2 Arms 1b & 3] or 90 days after last dose of cemiplimab [Part 2, Arm 1a & Arm 2] [up to 4 years & 1 months]))
- Part 1: Objective Response Rate (ORR)(From start of treatment up to 27 weeks)
- Part 2: Arms 2 and 3: Number of Participants With Tumor Response Post-Treatment(From start of treatment up to 25 weeks (Arm 2) and up to 26 weeks (Arm 3))
