A Phase 1b/3 Study of Bemarituzumab Plus Chemotherapy and Nivolumab Versus Chemotherapy and Nivolumab Alone in Subjects With Previously Untreated Advanced Gastric and Gastroesophageal Junction Cancer With FGFR2b Overexpression (FORTITUDE-102)
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 发起方
- 入组人数
- 186
- 试验地点
- 123
- 主要终点
- Phase 1b: Dose limiting toxicities (DLTs), treatment-emergent adverse events, treatment-related adverse events, and clinically significant changes in vital signs, visual acuity, physical examinations, and clinical laboratory tests
研究概览
简要总结
Phase 1b: To evaluate the safety and tolerability of bemarituzumab plus mFOLFOX6 and nivolumab Phase 3: To compare efficacy of bemarituzumab plus chemotherapy and nivolumab to placebo plus chemotherapy and nivolumab as assessed by overall survival (OS) in subjects with FGFR2b ≥ 10% 2+/3+ tumor cell staining (FGFR2b ≥ 10% 2+/3+ TC)
研究设计
- 分配方式
- Randomized
- 主要目的
- Treatment
- 盲法
- Double (Monitor, Analyst, Subject, Investigator)
入排标准
- 年龄范围
- 18 years 至 65+ years(65+ Years, 18-64 Years)
- 接受健康志愿者
- 否
入选标准
- •Adult with unresectable, locally advanced or metastatic (not amenable to curative therapy) histologically documented gastric or gastroesophageal junction adenocarcinoma
- •Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1
- •Measurable disease or non-measurable, but evaluable disease, according to Response Evaluation Criteria in Solid Tumours version 1.1 (RECIST v1.1)
- •Subject has no contraindications to nivolumab and either mFOLFOX6 or CAPOX chemotherapy as per local prescribing information. Subjects in Part 1 must have no contraindications to mFOLFOX
- •Subjects in Part 2 with contraindications to mFOLFOX6 are permitted and may be administered the CAPOX regimen, if no contraindications for this regimen exist. Subjects in Part 2 with contraindications to CAPOX are permitted and may be administered the mFOLFOX6 regimen, if no contraindications for this regimen exist
- •Adequate organ function as follows: - Absolute neutrophil count . 1.5 x 10^9/L - Platelet count . 100 x 10^9/L - Hemoglobin . 9 g/dL without red blood cell (RBC) transfusion within 7 days prior to the first dose of study treatment - Aspartate aminotransaminase (AST) and Alanine aminotransaminase (ALT) <3 x upper limit of normal (ULN) (or < 5 x ULN if liver involvement). Total bilirubin <1.5 x ULN (or < 2 x ULN if liver involvement; or Gilbert's disease) - Calculated or measured creatinine clearance (CrCl) of . 50 mL/minute calculated using the formula of Cockcroft and Gault International Normalized Ratio (INR) or prothrombin time (PT) < 1.5 ~ ULN except for participants receiving anticoagulation, who must be on a stable dose of anticoagulant therapy for 6 weeks prior to enrollment.
- •Additional Inclusion criteria Phase 3:
- •No prior treatment for metastatic or unresectable disease except for a maximum of 1 dose of chemotherapy with or without nivolumab. Prior adjuvant, neo-adjuvant, and peri-operative therapy is allowed, provided it has been completed more than 6 months prior to the first dose of study treatment.
- •Confirmed FGFR2b ≥ 10% 2+/3+ TC by centrally performed immunohistochemistry (IHC) testing based on tumor sample either archival or a fresh biopsy.
- •For subjects receiving CAPOX only, the ability to take oral medication
排除标准
- •Prior treatment with any selective inhibitor of the fibroblast growth factor (FGF)-FGFR pathway
- •Evidence of, or recent (within 6 months) history of, corneal defects, corneal ulcerations, keratitis, or keratoconus, history of corneal transplant, or other known abnormalities of the cornea that may pose an increased risk of developing a corneal ulcer. Recent (within 6 months) corneal surgery or ophthalmic laser treatment
- •Active autoimmune disease that has required systemic treatment (except replacement therapy) within the past 2 years or any other diseases requiring immunosuppressive therapy while on study
- •For subjects receiving CAPOX only, GI tract disease causing the inability to take oral medication, malabsorption syndrome, or requirement for IV alimentation, or uncontrolled inflammatory GI disease (eg, Crohn's disease, ulcerative colitis)
- •Known positive human epidermal growth factor receptor 2 (HER2) status
- •Untreated or symptomatic central nervous system disease metastases and leptomeningeal disease
- •Peripheral sensory neuropathy grade 2 or higher
- •Clinically significant cardiac disease
- •Other malignancy within the last 2 years (exceptions for definitively treated disease)
- •Chronic or systemic ophthalmologic disorders
- •Major surgery or other investigational study within 28 days prior to randomization
- •Palliative radiotherapy within 14 days prior to randomization
研究组 & 干预措施
CAPECITABINE
干预措施: CAPECITABINE (Drug)
Placebo for AMG 552
干预措施: Placebo for AMG 552 (Drug)
Bemarituzumab
干预措施: Bemarituzumab (Drug)
FLUOROURACIL
干预措施: FLUOROURACIL (Drug)
FOLINIC ACID
干预措施: FOLINIC ACID (Drug)
NIVOLUMAB
干预措施: NIVOLUMAB (Drug)
OXALIPLATIN
干预措施: OXALIPLATIN (Drug)
结局指标
主要结局
Phase 1b: Dose limiting toxicities (DLTs), treatment-emergent adverse events, treatment-related adverse events, and clinically significant changes in vital signs, visual acuity, physical examinations, and clinical laboratory tests
Phase 1b: Dose limiting toxicities (DLTs), treatment-emergent adverse events, treatment-related adverse events, and clinically significant changes in vital signs, visual acuity, physical examinations, and clinical laboratory tests
Phase 3: OS, defined as time from randomization until death from any cause. Subjects still alive will be censored at the date last known to be alive
Phase 3: OS, defined as time from randomization until death from any cause. Subjects still alive will be censored at the date last known to be alive
次要结局
- Phase 1b: - Objective response [defined as complete response (CR) + partial response (PR)] (as determined by investigator per Response Evaluation Criteria in Solid Tumors version 1.1 [RECIST v1.1]).
- Phase 1b: - Duration of response (DOR) defined as the time from first response to disease progression (as determined by investigator per RECIST v1.1) or death from any cause, whichever comes first. Only subjects who have achieved objective response will b
- Phase 1b: - Disease control rate (DCR) defined as CR + PR + stable disease (SD)
- Phase 1b: -(PFS) defined as time from first dose of investigational product until the first documentation of radiologic disease progression (by investigator per RECIST v1.1) or death from any cause, whichever occurs first in the
- Phase 1b: - Overall survival (OS), defined as time from first dose of investigational product until death from any cause. Subjects still alive will be censored at the date last known to be alive
- Phase 1b: PK parameters for bemarituzumab, including, but not limited to, area under the concentration time curve (AUC), maximum observed concentration (Cmax), observed concentration at the end of a dose interval (Ctrough)
- Phase 1b: Anti-bemarituzumab antibody formation
- Phase 3: Progression-free survival, defined as time from randomization until the first documentation of radiologic disease progression or death from any cause, whichever occurs first in the absence of subsequent anticancer therapy. Progression-free surviv
- Phase 3: - OS in all randomized subjects. - PFS in all randomized subjects
- Phase 3: - Treatment-emergent adverse events (including all adverse events, grade ≥ 3, serious adverse events, fatal adverse events, and adverse events requiring permanent discontinuation of investigational product) - Clinically significant changes in vital signs, visual acuity, and clinical laboratory tests
- Phase 3: -Objective response, defined as best overall response (BOR) of CR or PR (as determined by investigator per RECIST v1.1).
- - Disease control defined as CR + PR + stable disease (SD).
- Phase 3: - Subjective score and change from baseline in following assessments: - EORTC Quality of Life Questionnaire Version 3.0 (QLQ-C30) individual scores (raw and transformed) for the 5 functional scales, 9 symptom scales, global health status/quality
- - Summary scores at each assessment and changes from baseline of visual analogue scale (VAS) scores as measured by EuroQol 5-dimensional (EQ-5D-5L) - Time to deterioration in stomach-cancer related symptoms scores - Time to deterioration in health-related
- Phase 3: PK parameters for bemarituzumab, including, but not limited to, area under the concentration time curve (AUC), maximum observed concentration (Cmax), observed concentration at the end of a dose interval (Ctrough)
- Phase 3: Anti-bemarituzumab antibody formation
- Phase 3: - Duration of response DOR is defined as the time from the first documentation of objective response (as determined by investigator per RECIST v1.1) until the first documentation of disease progression or death due to any cause, whichever occurs
研究者
Medical Information
Scientific
Amgen Inc.
