Phase I/II Study of PDR001 in Patients With Advanced Malignancies



Status:Active, not recruiting
Conditions:Breast Cancer, Lung Cancer, Colorectal Cancer, Colorectal Cancer, Colorectal Cancer, Skin Cancer, Cancer, Cancer, Cancer, Cancer, Cancer, Thyroid Cancer
Therapuetic Areas:Oncology
Healthy:No
Age Range:18 - Any
Updated:12/13/2018
Start Date:April 27, 2015
End Date:May 20, 2020

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Open Label Multicenter Phase I/II Study of the Safety and Efficacy of PDR001 Administered to Patients With Advanced Malignancies

The purpose of this "first-in-human" study of PDR001 is to characterize the safety,
tolerability, pharmacokinetics (PK), pharmacodynamics (PD) and antitumor activity of PDR001
administered i.v. as a single agent to adult patients with solid tumors.

By blocking the interaction between PD-1 and its ligands, PD-L1 and PD-L2, PDR001 inhibits
the PD-1 immune checkpoint, resulting in activation of an antitumor immune response by
activating effector T-cells and inhibiting regulatory T-cells.

This study has been designed as a phase I/II, multi-center, open-label study starting with a
phase I dose escalation part followed by a phase II part.

PDR001 will be administered every 2 weeks until patient experiences unacceptable toxicity,
progressive disease per immune related Response Criteria (irRC) and/or treatment is
discontinued at the discretion of the investigator or the patient.


Inclusion Criteria:

- Written informed consent must be obtained prior to any screening procedures

- Phase I part: Patients with advanced/metastatic solid tumors, with measurable or
non-measurable disease as determined by RECIST version 1.1 (refer to Appendix 1), who
have progressed despite standard therapy or are intolerant of standard therapy, or for
whom no standard therapy exists.

- Phase II part: Patients with advanced/metastatic solid tumors, with at least one
measurable lesion as determined by RECIST version 1.1, who have progressed following
their last prior therapy, and fit into one of the following groups:

- Group 1a and 1b: NSCLC:

Patients with NSCLC must have had disease recurrence or progression during or after no more
than one prior systemic chemotherapy regimen (platinum doublet-based) for advanced or
metastatic disease. Prior maintenance therapy is allowed (e.g. pemetrexed, erlotinib,
bevacizumab).

Only patients with EGFR mutation-negative tumor are eligible (defined as negative for exon
19 deletions and for the L858R mutation in EGFR at a minimum; however, if more extensive
EGFR mutation testing has been performed, the tumor must not harbor any known activating
EGFR mutations in Exons 18-21 in order to be considered EGFR mutation-negative). All
patients must be tested for EGFR mutational status and, for ALK translocation status if no
mutation is detected in EGFR. Patients with ALK translocation-positive NSCLC must have had
disease progression following treatment with a corresponding inhibitor and no more than one
systemic chemotherapy regimen (platinum doublet-based), in any sequence.

- Group 2: Melanoma:

All patients must have been tested for BRAF mutations. Patients with V600 mutation positive
melanoma must have clinical or radiological evidence of disease progression during or after
treatment with a BRAF inhibitor alone or in combination with other agents.

- Group 3: Triple negatice breast cancer.

- Group 4: Anaplastic thyroid cancer

- Patients are not required to have received or progressed on a prior therapy.

- Patients must not be at short term risk for life threatening complications (such as
airway compromise or bleeding from locoregional or metastatic disease,).

- Chemoradiation and/or surgery should be considered prior to study entry for those
patients with locally advanced disease if those therapies are considered to be in the
best interest of the patient.

- ECOG Performance Status ≤ 1.

- Patients must have a site of disease amenable to biopsy, and be a candidate for
tumor biopsy. Patient must be willing to undergo a new tumor biopsy at baseline
or at molecular pre-screening if applicable, and during therapy on this study.
For patients in the phase II part of the study, exceptions may be granted after
documented discussion with Novartis. After a sufficient number of paired biopsies
are collected, the decision may be taken to stop the collection of biopsies.

Exclusion Criteria:

- History of severe hypersensitivity reactions to other mAbs

- Subjects with active, known or suspected autoimmune disease. Subjects with vitiligo,
type I diabetes mellitus, residual hypothyroidism due to autoimmune condition only
requiring hormone replacement, psoriasis not requiring systemic treatment, or
conditions not expected to recur in the absence of an external trigger are permitted
to enroll.

- Active infection requiring systemic antibiotic therapy.

- HIV infection.

- Active HBV or HCV infection.

- Patients with ocular melanoma.

- Systemic anti-cancer therapy within 2 weeks of the first dose of study treatment. For
cytotoxic agents that have major delayed toxicity, e.g. mitomycin C and nitrosoureas,
4 weeks washout period. For patients receiving anticancer immunotherapies such as
CTLA-4 antagonists, 6 weeks is indicated as the washout period.

- Prior PD-1- or PD-L1-directed therapy.

- Patients requiring chronic treatment with systemic steroid therapy, other than
replacement-dose steroids in the setting of adrenal insufficiency. Topical, inhaled,
nasal and ophthalmic steroids are not prohibited.

- Patients receiving systemic treatment with any immunosuppressive medication (other
than steroids as described above).

- Use of any vaccines against infectious diseases (e.g. influenza, varicella,
pneumococcus) within 4 weeks of initiation of study treatment.

- Presence of ≥ CTCAE grade 2 toxicity (except alopecia, peripheral neuropathy and
ototoxicity, which are excluded if ≥ CTCAE grade 3) due to prior cancer therapy

Other protocol defined Inclusion/Exclusion may apply.
We found this trial at
7
sites
Nashville, Tennessee 37205
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185 Cambridge Street
Boston, Massachusetts 02114
617-724-5200
Principal Investigator: Justin Gainor, MD
Phone: 617-724-8228
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Boston, MA
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Baltimore, Maryland 21231
Principal Investigator: Patrick Forde
Phone: 410-502-5140
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Baltimore, MD
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Houston, Texas 77030
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Houston, TX
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Portland, Oregon 97228
Novartis Novartis, which was created in 1996 by the merger of the Swiss companies Ciba-Geigy...
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Portland, OR
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Salt Lake City, Utah 84112
Principal Investigator: Sunil Sharma
Phone: 801-587-4779
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Salt Lake City, UT
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Toronto, Ontario
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Toronto,
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