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临床试验/NCT02573259
NCT02573259已完成1 期

A PHASE 1, OPEN-LABEL, DOSE ESCALATION AND EXPANSION STUDY OF PF-06801591 IN PATIENTS WITH LOCALLY ADVANCED OR METASTATIC MELANOMA, SQUAMOUS CELL HEAD AND NECK CANCER, OVARIAN CANCER, SARCOMA, NON-SMALL CELL LUNG CANCER, UROTHELIAL CARCINOMA OR OTHER SOLID TUMORS.

Pfizer55 个研究点 分布在 7 个国家目标入组 147 人开始时间: 2016年2月10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
已完成
发起方
Pfizer
入组人数
147
试验地点
55
主要终点
Number of Participants With Treatment-Related Treatment-Emergent Adverse Events (AEs) - Part 1 and Part 2

研究概览

简要总结

Protocol B8011001 is a Phase 1, open-label, multi-center, multiple-dose, dose escalation and expansion, safety, pharmacokinetics (PK), and pharmacodynamics (PD) study of PF-06801591 in previously treated adult patients with locally advanced or metastatic melanoma, SCCHN, ovarian carcinoma, sarcoma, NSCLC, urothelial carcinoma or other solid tumors. This is a 2 Part study whereby the safety and tolerability of increasing dose levels of intravenous (IV) or subcutaneous (SC) PF-06801591 was assessed in Part 1. Part 2 expansion is designed to further evaluate the safety and efficacy of SC PF-06801591 in patients with NSCLC or urothelial carcinoma as well as confirm the recommended Phase 2 dose.

详细描述

Protocol B8011001 is a Phase 1, two part, open-label, multi center, multiple-dose, safety, efficacy, PK, and PD study of PF-06801591 administered intravenously (IV) or subcutaneous (SC) in previously treated adult patients with locally advanced or metastatic melanoma, squamous cell carcinoma head and neck (SCCHN), ovarian carcinoma, sarcoma, non-small cell lung carcinoma (NSCLC), urothelial carcinoma or other solid tumors.

The first part of the study, Part 1 dose escalation, was designed to assess the safety and tolerability of increasing dose levels of IV or SC administered PF-06801591 to establish the maximum tolerated dose (MTD) using a modified Toxicity Probability Interval (mTPI) design. Part 2 expansion is designed to further evaluate the safety and efficacy of 300 mg of PF-06801591 administered SC once every 4 weeks in patients with NSCLC or urothelial carcinoma as well as confirm the recommended Phase 2 dose (RP2D). Part 1 enrollment has completed, enrollment will only be allowed for Part 2.

研究设计

研究类型
Interventional
分配方式
Non Randomized
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

  • 未提供

排除标准

  • 未提供

研究组 & 干预措施

Arm 1 PF-06801591

Experimental

0.5 mg/kg IV every 21 days (Part 1)

干预措施: PF-06801591 (Drug)

Arm 2 PF-06801591

Experimental

1.0 mg/kg IV every 21 days (Part 1)

干预措施: PF-06801591 (Drug)

Arm 3 PF-06801591

Experimental

3.0 mg/kg IV every 21 days (Part 1)

干预措施: PF-06801591 (Drug)

Arm 4 PF-06801591

Experimental

10 mg/kg IV every 21 days (Part 1)

干预措施: PF-06801591 (Drug)

Arm 5 PF-06801591

Experimental

300 mg SC every 28 days (Part 1 and 2)

干预措施: PF-06801591 (Drug)

结局指标

主要结局

Number of Participants With Treatment-Related Treatment-Emergent Adverse Events (AEs) - Part 1 and Part 2

时间窗: Baseline up to 28 days after last dose of study treatment (maximum of 1634 days)

Treatment-related AE was any untoward medical occurrence attributed to study treatment in a participant who received study treatment. Treatment-emergent events = between first dose of study treatment and up to 28 days after last dose that were absent before treatment or that worsened relative to pretreatment state. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-related AEs and SAEs were determined by the investigator. Grades of severity were defined by CTCAE v4.03. Grades of severity were defined by CTCAE v4.03. Grade 3 = severe AE. Grade 4 = life-threatening consequences; urgent intervention indicated. Grade 5 = death related to AE.

Number of Participants With Laboratory Test Abnormalities - Part 1 and Part 2

时间窗: Baseline up to 28 days after last dose of study treatment (maximum of 1634 days)

Following parameters were analyzed for laboratory examination: hematology (anemia, hemoglobin increased, lymphocyte count decreased, lymphocyte count increased, neutrophil count decreased, platelet count decreased, white blood cell decreased); chemistries (increase of alanine aminotransferase, alkaline phosphatase, aspartate aminotransferase, blood bilirubin, CPK, creatinine, gamma-glutamyl transferase \[GGT\], lipase, and serum amylase); urinalysis (proteinuria); coagulation (activated partial thromboplastin time prolonged, international normalized ratio \[INR\] increased). Grades of severity were defined by CTCAE v4.03. Grade 0 = No Change from normal or reference range (this grade is not included in the CTCAE v4.03 document but may used in certain circumstances). Grade 1 = mild adverse event (AE). Grade 2 = moderate AE; Grade 3 = severe AE. Grade 4 = life-threatening consequences; urgent intervention indicated. Grade 5 = death related to AE.

Objective Response Rate (ORR) Based on Immune Related RECIST (irRECIST) - Part 2

时间窗: Baseline up to end of treatment in Part 2 (maximum of 851 days)

ORR was defined as percentage of participants with objective response (OR) of complete response (CR) and partial response (PR) based on irRECIST. CR was defined as complete disappearance of all target lesions with the exception of nodal disease. All target nodes must decrease to normal size (short axis \< 10 mm). All target lesions must be assessed. PR was defined as \>= 30% decrease under baseline of the sum of diameters of all target measurable lesions. The short diameter was used in the sum for target nodes, while the longest diameter was used in the sum for all other target lesions. All target lesions must be assessed.

Objective Response Rate (ORR) Based on RECIST Version 1.1 - Part 2

时间窗: Baseline up to end of treatment in Part 2 (maximum of 851 days)

ORR was defined as percentage of participants with confirmed objective response (OR) of complete response (CR) and partial response (PR) based on RECIST version 1.1. CR was defined as complete disappearance of all target lesions with the exception of nodal disease. All target nodes must decrease to normal size (short axis \< 10 mm). All target lesions must be assessed. PR was defined as \>= 30% decrease under baseline of the sum of diameters of all target measurable lesions. The short diameter was used in the sum for target nodes, while the longest diameter was used in the sum for all other target lesions. All target lesions must be assessed.

Percentage of Participants With Dose-Limiting Toxicities (DLT) - Part 1

时间窗: Cycle 1 in Part 1 (21 days for IV administration of PF-06801591; 28 days for SC administration of PF-06801591)

DLT was defined as any of the following drug-related adverse events (AEs) occurring during the first cycle (21 days for IV dosing, 28 days for SC dosing) in Part 1: Grade 5 AE; Grade 4 neutropenia lasting \>5 days from initiation of granulocyte colony stimulating factor; Grade 4 thrombocytopenia with bleeding; Platelet transfusion requirement or a platelet count \<10,000/uL; Grade 4 non-hematologic AE; Grade 3 AE lasting \>7 days despite optimal supportive care; Grade 3 central nervous system AE regardless of duration; met criteria for drug induced liver injury. Severity of AEs were graded according to Common Terminology Criteria for Adverse Events (CTCAE) v4.03. Grade 3 = severe AE. Grade 4 = life-threatening consequences; urgent intervention indicated. Grade 5 = death related to AE.

Number of Participants With All-Causality Treatment-Emergent Adverse Events (AEs) - Part 1 and Part 2

时间窗: Baseline up to 28 days after last dose of study treatment (maximum of 1634 days)

AE = any untoward medical occurrence in participant who received study treatment without regard to possibility of causal relationship. Treatment-emergent events = between first dose of study treatment and up to 28 days after last dose that were absent before treatment or that worsened relative to pretreatment state. A serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Grades of severity were defined by CTCAE v4.03. Grades of severity were defined by CTCAE v4.03. Grade 3 = severe AE. Grade 4 = life-threatening consequences; urgent intervention indicated. Grade 5 = death related to AE.

次要结局

  • Maximum Plasma Concentration (Cmax) of PF-06801591 - Part 1(Pre-dose, 1 and 24 hours post dose on Cycle 1 Day 1, and pre-dose and 1 hour post dose on Cycle 4 Day 1 in Part 1)
  • AUClast of PF-06801591 in Part 1.(Pre-dose, 1 and 24 hours post dose on Cycle 1 Day 1 in Part 1)
  • Median Time to Death - Part 2(Baseline up to end of treatment in Part 2 (maximum of 851 days))
  • Trough PF-06801591 Concentrations (Ctrough) - Part 2(Pre-dose on Day 1 of Cycles 2-6, 9, 12, 15, 18, 21, 24, and Follow-up Day 28 in Part 2)
  • Terminal Elimination Half-Life (t1/2) of PF-06801591 - Part 1(Pre-dose and 1 hour post dose on Day 1 of Cycles 1 and 4 in Part 1)
  • Number of Participants With Anti-Drug Antibody (ADA) Against PF-06801591 - Part 1 and Part 2(Baseline up to end of treatment (maximum of 851 days))
  • Percentage of Baseline PD-1 Receptor Occupancy (RO) by PF-06801591 - Part 1(Baseline, Days 1, 8, 15, 21 of Cycle 1, Day 1 of Cycles 2, 3, 5, Days 1, 15, 21 of Cycle 4, and end of treatment (EOT) in Part 1 (cycle = 21 days for IV dosing; cycle = 28 days for SC dosing))
  • Clearance (CL) of PF-06801591 - Part 1(Pre-dose, 1 and 24 hours post dose on Cycle 1 Day 1, and pre-dose and 1 hour post dose on Cycle 4 Day 1 in Part 1)
  • Number of Participants With Neutralizing Antibodies (NAb) Positive Against PF-06801591 - Part 1 and Part 2(Baseline up to end of treatment (maximum of 851 days))
  • Number of Participants Achieving Objective Response (OR) Based on RECIST Version 1.1 - Part 1(Baseline up to end of treatment in Part 1 (maximum of 1606 days))
  • Number of Participants Achieving Objective Response (OR) Based on irRECIST - Part 1(Baseline up to end of treatment in Part 1 (maximum of 1606 days))
  • Progression-Free Survival (PFS) Based on RECIST Version 1.1 and irRECIST - Part 1 and Part 2(Baseline up to end of treatment (maximum of 1606 days))
  • Volume of Distribution at Steady State (Vss) of PF-06801591 - Part 1(Pre-dose, 1 and 24 hours post dose on Cycle 1 Day 1, and pre-dose and 1 hour post dose on Cycle 4 Day 1 in Part 1)
  • Accumulation Ratio (Rac) of PF-06801591 - Part 1(Pre-dose and 1 hour post dose on Day 1 of Cycles 1 and 4 in Part 1)
  • Duration of Stable Disease (DOSD) Based on RECIST Version 1.1 and irRECIST - Part 1 and Part 2(Baseline up to end of treatment (maximum of 1606 days))
  • Time to Response (TTR) Based on RECIST Version 1.1 - Part 2(Baseline up to end of treatment in Part 2 (maximum of 851 days))
  • Time to Progression (TTP) Based on RECIST Version 1.1 and irRECIST - Part 2(Baseline up to end of treatment in Part 2 (maximum of 851 days))
  • Duration of Response (DOR) Based on RECIST Version 1.1 and irRECIST - Part 1 and Part 2(Baseline up to end of treatment (maximum of 1606 days))
  • Probability of Survival at 6 Months, 1 Year, and 2 Years - Part 2(Baseline up to end of treatment in Part 2 (maximum of 851 days))

研究者

发起方
Pfizer
申办方类型
Industry
责任方
Sponsor

研究点 (55)

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