search
Back to results

Phase Ib/II Study of MCS110 in Combination With PDR001 in Patients With Advanced Malignancies

Primary Purpose

Triple Negative Breast Cancer, Pancreatic Carcinoma, Melanoma

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
MCS110
PDR001
Sponsored by
Novartis Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Triple Negative Breast Cancer focused on measuring Triple negative breast cancer, Pancreatic carcinoma, Melanoma, Endometrial Carcinoma, Immuno oncology, Monoclonal antibody, PDR001, MCS110, Advanced malignancies, metasteses, advanced cancer, malignant

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Main Inclusion Criteria:

  • Signed informed consent prior to any procedures
  • Phase Ib part: Adult patients with advanced melanoma, endometrial carcinoma, pancreatic or TNBC, with measurable or non-measurable disease who have progressed despite standard therapy or are intolerant of standard therapy, or for whom no standard therapy exists.
  • Phase II part: Adult patients with advanced solid tumors who have received standard therapy (no more than 3 prior lines of treatment) or are intolerant of standard therapy, have progressed following their last prior therapy, and fit into one of the following groups:

    • Group 1: TNBC who did not receive prior anti-PD-1/PD-L1 treatment
    • Group 2: Pancreatic adenocarcinoma who did not receive prior anti-PD-1/PD-L1 treatment
    • Group 3: Endometrial carcinoma who did not receive prior anti-PD-1/PD-L1 treatment
    • Group 4: Melanoma who progressed on prior anti-PD-1/PD-L1 treatment.

Main Exclusion Criteria:

  • Patients with the following:

    • Symptomatic central nervous system (CNS) metastases or those requiring local CNS-directed therapy.
    • Abnormal liver, renal, or blood lab values.
    • Impaired cardiac function or clinically significant cardiac disease.
    • Active autoimmune disease or documented autoimmune disease within 3 years of screening.
    • Active infection requiring antibiotic therapy.
    • Known HIV, active hepatitis B or C virus.
    • Concurrent malignant disease.
  • Patients who received systemic anticancer therapy, major surgery, or radiotherapy within 2 weeks of study treatment, or live vaccines within 4 weeks of study treatment.
  • Patients requiring chronic treatment with systemic steroid therapy or any immunosuppressive therapy.
  • Patients who used hematopoietic colony-stimulating growth factors within 2 weeks of study treatment.

Sites / Locations

  • Dana Farber Cancer Center
  • Washington University School of Medicine
  • The West Clinic
  • MD Anderson Cancer Center
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm 9

Arm 10

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Ph Ib: MCS110 1 mg/kg Q3W + PDR001 100 mg Q3W

Ph Ib: MCS110 3 mg/kg Q3W + PDR001 100 mg Q3W

Ph Ib: MCS110 3 mg/kg Q3W + PDR001 300 mg Q3W

Ph Ib: MCS110 5 mg/kg Q3W + PDR001 300 mg Q3W

Ph Ib: MCS110 7.5 mg/kg Q3W + PDR001 300 mg Q3W

Ph Ib: MCS110 10 mg/kg Q3W + PDR001 300 mg Q3W

Ph II: MCS110 7.5 mg/kg Q3W + PDR001 300 mg Q3W - TNBC

Ph II: MCS110 7.5 mg/kg Q3W + PDR001 300 mg Q3W - PC

Ph II: MCS110 7.5 mg/kg Q3W + PDR001 300 mg Q3W - EC

Ph II: MCS110 7.5 mg/kg Q3W + PDR001 300 mg Q3W - ME

Arm Description

Phase Ib: MCS110 1 mg/kg every 3 weeks (Q3W) + PDR001 100 mg Q3W

Phase Ib: MCS110 3 mg/kg Q3W + PDR001 100 mg Q3W

Phase Ib: MCS110 3 mg/kg Q3W + PDR001 300 mg Q3W

Phase Ib: MCS110 5 mg/kg Q3W + PDR001 300 mg Q3W

Phase Ib: MCS110 7.5 mg/kg Q3W + PDR001 300 mg Q3W

Phase Ib: MCS110 10 mg/kg Q3W + PDR001 300 mg Q3W

Phase II: MCS110 7.5 mg/kg Q3W + PDR001 300 mg Q3W - Triple negative breast cancer (TNBC)

Phase II: MCS110 7.5 mg/kg Q3W + PDR001 300 mg Q3W - Pancreatic cancer (PC)

Phase II: MCS110 7.5 mg/kg Q3W + PDR001 300 mg Q3W - Endometrial cancer (EC)

Phase II: MCS110 7.5 mg/kg Q3W + PDR001 300 mg Q3W - Melanoma (ME)

Outcomes

Primary Outcome Measures

Phase Ib: Percentage of Participants With Adverse Events, as a Measure of Safety
Phase Ib: To characterize the safety and tolerability of MCS110 in combination with PDR001 in patients with advanced solid malignancies and to identify a recommended dose combination for Phase II.
Phase II : Overall Response Rate (ORR) - Per RECIST v1.1
Overall Response Rate (ORR) is defined as the proportion of patients with a best overall response assessed by CT scan or MRI of complete response (CR), disappearance of all measurable and non-measurable lesions or partial response (PR), at least a 30% decrease in the sum of diameter of all measurable lesions, taking as reference the baseline sum of diameters,. based on local Investigator assessment, as per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1)
Phase II : Bayesian Inference of Overall Response Rate (ORR) - Per RECIST v1.1 - Mean
Overall Response Rate (ORR) is defined as the proportion of patients with a best overall response assessed by CT scan or MRI of complete response (CR), disappearance of all measurable and non-measurable lesions or partial response (PR), at least a 30% decrease in the sum of diameter of all measurable lesions, taking as reference the baseline sum of diameters,. based on local Investigator assessment, as per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) - mean (FAS)
Phase II: Clinical Benefit Rate (Complete Response (CR) or Partial Response (PR) or Stable Disease (SD) > 4 Month)) - Per RECIST v1.1
Phase II: Clinical Benefit Rate (Complete response (CR) or Partial response (PR) or Stable disease (SD) > 4 month)) per investigator based on Response evaluation criteria in solid tumors (RECIST) v1.1
Phase II: Bayesian Inference of Clinical Benefit Rate - Per RECIST v1.1- Mean
Phase II: Clinical Benefit Rate (Complete response (CR) or Partial response (PR) or Stable disease (SD) > 4 month)) per investigator based on Response evaluation criteria in solid tumors (RECIST) v1.1
Phase Ib: Planned Dose Intensity - MCS110
To characterize the tolerability of MCS110 given in combination with PDR001 and to identify a recommended dose combination for Phase II. Planned dose intensity for MCS110 is cumulative planned dose (mg/kg)/ number of doses scheduled per protocol during treatment period (i.e., this is equivalent to planned dose level).
Phase Ib: Relative Dose Intensity - MCS110
To characterize the tolerability of MCS110 given in combination with PDR001 and to identify a recommended dose combination for Phase II. Relative dose intensity (%) is 100 × dose intensity (mg/kg/3wks)/planned dose intensity (mg/kg/3wks).
Phase Ib: Planned Dose Intensity - PDR001
To characterize the tolerability of MCS110 given in combination with PDR001 and to identify a recommended dose combination for Phase II. Planned dose intensity for PDR001 (mg/3wks) is planned cumulative dose (mg)/ number of doses scheduled per protocol during treatment period (i.e., this is equivalent to planned dose level).
Phase Ib: Relative Dose Intensity - PDR001
To characterize the tolerability of MCS110 given in combination with PDR001 and to identify a recommended dose combination for Phase II. Relative dose intensity (%) is 100 × dose intensity (mg/3wks)/planned dose intensity (mg/3wks).
Phase Ib: Number of Participants With Dose Reductions
To characterize the tolerability of MCS110 given in combination with PDR001 and to identify a recommended dose combination for Phase II.
Phase Ib: Number of Dose Interruptions Per Participant
To characterize the tolerability of MCS110 given in combination with PDR001 and to identify a recommended dose combination for Phase II.
Phase Ib: Number of Subjects With at Least One Dose Interruption
To characterize the tolerability of MCS110 given in combination with PDR001 and to identify a recommended dose combination for Phase II.
Phase Ib: Number of Participants With Dose Limiting Toxicities (DLTs) During the First 2 Cycles of Study Treatment
Phase Ib: Dose limiting toxicities occurring during the first 2 cycles by system organ class, preferred term and maximum grade for Phase Ib. The National Cancer Institute Common Terminology Criteria for Adverse events (NCI CTCAE) version 4.03 was used for all grading.

Secondary Outcome Measures

Phase II : Overall Response Rate (ORR) - Per irRC
Phase II: Overall Response Rate (Complete response (CR) or Partial response (PR)) (with confirmation) as per investigator based on immune related Response criteria (irRC) (FAS)
Phase Ib: Overall Response Rate (ORR)
Phase Ib: Overall Response Rate (Complete response (CR) or Partial response (PR)), per RECIST v1.1 and per immune related Response criteria (irRC)
Phase II : Bayesian Inference of Overall Response Rate (ORR) - Per irRC - Mean
Phase II: Overall Response Rate (Complete response (CR) or Partial response (PR)) (with confirmation) as per investigator based on immune related Response criteria (irRC)- mean (FAS)
Phase 1b: Clinical Benefit Rate (CBR)
Phase 1b: Clinical Benefit Rate (Complete response (CR) or Partial response (PR) or Stable disease (SD) > 4 month)) per RECIST v1.1 and per immune related Response criteria (irRC)
Phase II: Clinical Benefit Rate (Complete Response (CR) or Partial Response (PR) or Stable Disease (SD) > 4 Month)) - Per irRC
Phase II: Clinical Benefit Rate (Complete response (CR) or Partial response (PR) or Stable disease (SD) > 4 month)) per immune related Response criteria (irRC)
Phase II: Bayesian Inference of Clinical Benefit Rate - Per irRC - Mean
Phase II: Clinical Benefit Rate (Complete response (CR) or Partial response (PR) or Stable disease (SD) > 4 month)) per investigator based on immune related Response criteria (irRC)- mean (FAS)
Phase 1b and Phase II: Progression Free Survival Based on Investigator Assessment as Per RECIST v1.1 and Per Immune Related Response Criteria (irRC) - Using Kaplan-Meier Method - Median
Phase 1b and Phase II: Progression Free Survival. Progression is defined as a 20% increase in the sum of diameter of measurable lesions taking as reference the smallest sum of diameter recorded at or after baseline, or worsening of non-measurable lesions or the appearance of new lesions, using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) or Per Immune Related Response Criteria (irRC). Unlike RECIST 1.1, PD per irRC requires confirmation at a new assessment after at least 4 weeks - using Kaplan-Meier method - Median.
Phase 1b and Phase II: Overall Survival - Using Kaplan-Meier Method - Median
Phase 1b and Phase II: Overall Survival - using Kaplan-Meier method - Median
Phase 1b and Phase II: Duration of Response (DOR)
Phase 1b and Phase II: Duration of Response (DOR) per RECIST v1.1 and per immune related Response criteria (irRC)
Phase 1b and Phase II: Disease Control Rate (DCR)
Phase 1b and Phase II: Disease Control Rate (Complete response (CR) or Partial response (PR) or Stable disease (SD) > 4 month)) per RECIST v1.1 and per immune related Response criteria (irRC)
Phase II: Percentage of Participants With Adverse Events, as a Measure of Safety
Phase II: To further characterize the safety and tolerability of MCS110 given in combination with PDR001
Phase Ib and Phase II: Immunogenicity MCS110
Phase Ib and Phase II: Presence of anti-MCS110 antibodies
Phase Ib and Phase II: Immunogenicity PDR001
Phase Ib and Phase II: Presence of anti-PDR001 antibodies
Phase Ib and Phase II: Pharmacokinetics of MCS110 - AUClast and AUCinf
Phase Ib and Phase II: PK Parameters - AUClast, which is the AUC from time zero to the last measurable concentration sampling time (tlast) (mass × time × volume-1); and AUCinf, which is the AUC from time zero to infinity (mass × time × volume-1) - MCS110
Phase Ib and Phase II: Pharmacokinetics of PDR001 - AUClast and AUCinf
Phase Ib and Phase II: Pharmacokinetics (PK) Parameters - AUClast, which is the AUC from time zero to the last measurable concentration sampling time (tlast) (mass × time × volume-1); and AUCinf, which is the AUC from time zero to infinity (mass × time × volume-1) and AUCinf - PDR001
Phase Ib and Phase II: Pharmacokinetics of MCS110 - Cmax and Clast
Phase Ib and Phase II: PK Parameters - Cmax, which is the maximum (peak) observed plasma, blood, serum, or other body fluid drug concentration after single dose administration (mass × volume-1); and Clast - MCS110
Phase Ib and Phase II: Pharmacokinetics of PDR001 - Cmax and Clast
Phase Ib and Phase II: PK Parameters - Cmax, which is the maximum (peak) observed plasma, blood, serum, or other body fluid drug concentration after single dose administration (mass × volume-1); and Clast - PDR001
Phase Ib and Phase II: Pharmacokinetics of MCS110 - Tmax
Phase Ib and Phase II: PK Parameters - Tmax, which is the time to reach maximum (peak) plasma, blood, serum, or other body fluid drug concentration after single dose administration (time) - MCS110
Phase Ib and Phase II: Pharmacokinetics of PDR001 - Tmax
Phase Ib and Phase II: PK Parameters - Tmax, which is the time to reach maximum (peak) plasma, blood, serum, or other body fluid drug concentration after single dose administration (time) - PDR001
Phase Ib and Phase II: Pharmacokinetics of MCS110 - T1/2
Phase Ib and Phase II: PK Parameters - T1/2, which is the terminal half-life associated with the terminal slope of a semi logarithmic concentration time curve (time) - MCS110
Phase Ib and Phase II: Pharmacokinetics of PDR001 - T1/2
Phase Ib and Phase II: PK Parameters - T1/2, which is the terminal half-life associated with the terminal slope of a semi logarithmic concentration time curve (time) - PDR001
Phase Ib and Phase II: Pharmacokinetics of MCS110 - CL
Phase Ib and Phase II: PK Parameters - CL, which is the total body clearance of drug from the plasma (volume × time-1) - MCS110
Phase Ib and Phase II: Pharmacokinetics of PDR001 - CL
Phase Ib and Phase II: PK Parameters - CL, which is the total body clearance of drug from the plasma (volume × time-1) - PDR001
Phase Ib and Phase II: Pharmacokinetics of MCS110 - Vz
Phase Ib and Phase II: PK Parameters - Vz, which is the apparent volume of distribution during terminal phase (volume) - MCS110
Phase Ib and Phase II: Pharmacokinetics of PDR001 - Vz
Phase Ib and Phase II: PK Parameters - Vz, which is the apparent volume of distribution during terminal phase (volume) - PDR001
Phase Ib and Phase II: Pharmacokinetics of MCS110 - Accumulation Ratio (AR)
Phase Ib and Phase II: PK Parameters - Accumulation ratio (AR), which is the AUClast (multiple Dose)/AUClast (single dose) (for cycle 4 only) - MCS110
Phase Ib and Phase II: Pharmacokinetics of PDR001 - Accumulation Ratio (AR)
Phase Ib and Phase II: PK Parameters - Accumulation ratio (AR), which is the AUClast (multiple Dose)/AUClast (single dose) (for cycle 4 only) - PDR001
Phase Ib and Phase II: All Collected Deaths
On treatment deaths are reported from the start of treatment until end of study treatment plus 30 days, up to maximum duration of 116.4 weeks for phase Ib and 92.4 weeks for phase II. Deaths post treatment survival follow up are reported after the on-treatment period, up to a maximum timeframe of 46 months (3.8 years).

Full Information

First Posted
June 17, 2016
Last Updated
July 12, 2021
Sponsor
Novartis Pharmaceuticals
search

1. Study Identification

Unique Protocol Identification Number
NCT02807844
Brief Title
Phase Ib/II Study of MCS110 in Combination With PDR001 in Patients With Advanced Malignancies
Official Title
A Phase Ib/II, Open Label, Multicenter Study of MCS110 in Combination With PDR001 in Patients With Advanced Malignancies
Study Type
Interventional

2. Study Status

Record Verification Date
July 2021
Overall Recruitment Status
Completed
Study Start Date
June 29, 2016 (Actual)
Primary Completion Date
June 4, 2020 (Actual)
Study Completion Date
June 4, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Novartis Pharmaceuticals

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study of MCS110 with PDR001 was to characterize the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and antitumor activity of the combination of MCS110 with PDR001 in adult patients with solid tumors.
Detailed Description
Combined treatment with MCS110 and PDR001 was expected to result in Tumor-associated macrophages (TAM) depletion, enhanced T-cell activation and synergistic antitumor activity in the clinical setting. This study was a Phase Ib/II, multi-center, open label study starting with a Phase Ib dose escalation part followed by a Phase II part. MCS110 and PDR001 were administered i.v. Q3W until the patient experienced unacceptable toxicity, progressive disease as per irRC and/or treatment was discontinued at the discretion of the investigator or the patient. Patients were not to discontinue treatment based on progressive disease per Response evaluation criteria in solid tumors (RECIST) v1.1. During the Phase Ib part of the study, cohorts of patients were treated with increasing doses of MCS110 and PDR001 every 3 weeks until a Recommended Phase 2 Dose (RP2D) was determined for this treatment combination. To assure that the combination RP2D did not exceed the Maximum tolerated dose (MTD), the combination MCS110 and PDR001 dose escalation was guided by a Bayesian logistic regression model (BLRM) with overdose control (EWOC) principle based on dose limiting toxicity data in the context of available safety, Pharmacokinetics (PK) and Pharmacodynamics (PD) information. Once the MTD and/or RP2D was declared, additional patients were enrolled in the Phase II part in order to assess the preliminary anti-tumor activity of MCS110 in combination with PDR001 in anti-PD1/PD-L1-naive triple negative breast cancer (TNBC), pancreatic (PC), endometrial carcinoma (EC) and anti PD1/PD-L1-resistance melanoma (ME).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Triple Negative Breast Cancer, Pancreatic Carcinoma, Melanoma, Endometrial Carcinoma
Keywords
Triple negative breast cancer, Pancreatic carcinoma, Melanoma, Endometrial Carcinoma, Immuno oncology, Monoclonal antibody, PDR001, MCS110, Advanced malignancies, metasteses, advanced cancer, malignant

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
141 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Ph Ib: MCS110 1 mg/kg Q3W + PDR001 100 mg Q3W
Arm Type
Experimental
Arm Description
Phase Ib: MCS110 1 mg/kg every 3 weeks (Q3W) + PDR001 100 mg Q3W
Arm Title
Ph Ib: MCS110 3 mg/kg Q3W + PDR001 100 mg Q3W
Arm Type
Experimental
Arm Description
Phase Ib: MCS110 3 mg/kg Q3W + PDR001 100 mg Q3W
Arm Title
Ph Ib: MCS110 3 mg/kg Q3W + PDR001 300 mg Q3W
Arm Type
Experimental
Arm Description
Phase Ib: MCS110 3 mg/kg Q3W + PDR001 300 mg Q3W
Arm Title
Ph Ib: MCS110 5 mg/kg Q3W + PDR001 300 mg Q3W
Arm Type
Experimental
Arm Description
Phase Ib: MCS110 5 mg/kg Q3W + PDR001 300 mg Q3W
Arm Title
Ph Ib: MCS110 7.5 mg/kg Q3W + PDR001 300 mg Q3W
Arm Type
Experimental
Arm Description
Phase Ib: MCS110 7.5 mg/kg Q3W + PDR001 300 mg Q3W
Arm Title
Ph Ib: MCS110 10 mg/kg Q3W + PDR001 300 mg Q3W
Arm Type
Experimental
Arm Description
Phase Ib: MCS110 10 mg/kg Q3W + PDR001 300 mg Q3W
Arm Title
Ph II: MCS110 7.5 mg/kg Q3W + PDR001 300 mg Q3W - TNBC
Arm Type
Experimental
Arm Description
Phase II: MCS110 7.5 mg/kg Q3W + PDR001 300 mg Q3W - Triple negative breast cancer (TNBC)
Arm Title
Ph II: MCS110 7.5 mg/kg Q3W + PDR001 300 mg Q3W - PC
Arm Type
Experimental
Arm Description
Phase II: MCS110 7.5 mg/kg Q3W + PDR001 300 mg Q3W - Pancreatic cancer (PC)
Arm Title
Ph II: MCS110 7.5 mg/kg Q3W + PDR001 300 mg Q3W - EC
Arm Type
Experimental
Arm Description
Phase II: MCS110 7.5 mg/kg Q3W + PDR001 300 mg Q3W - Endometrial cancer (EC)
Arm Title
Ph II: MCS110 7.5 mg/kg Q3W + PDR001 300 mg Q3W - ME
Arm Type
Experimental
Arm Description
Phase II: MCS110 7.5 mg/kg Q3W + PDR001 300 mg Q3W - Melanoma (ME)
Intervention Type
Drug
Intervention Name(s)
MCS110
Other Intervention Name(s)
colony-stimulating factor-1 [CSF-1])
Intervention Description
MCS110 and PDR001 - for administration once every 3 weeks via i.v. infusion.
Intervention Type
Drug
Intervention Name(s)
PDR001
Intervention Description
MCS110 and PDR001 - for administration once every 3 weeks via i.v. infusion.
Primary Outcome Measure Information:
Title
Phase Ib: Percentage of Participants With Adverse Events, as a Measure of Safety
Description
Phase Ib: To characterize the safety and tolerability of MCS110 in combination with PDR001 in patients with advanced solid malignancies and to identify a recommended dose combination for Phase II.
Time Frame
From start of treatment to a maximum timeframe of 116.4 weeks for phase Ib
Title
Phase II : Overall Response Rate (ORR) - Per RECIST v1.1
Description
Overall Response Rate (ORR) is defined as the proportion of patients with a best overall response assessed by CT scan or MRI of complete response (CR), disappearance of all measurable and non-measurable lesions or partial response (PR), at least a 30% decrease in the sum of diameter of all measurable lesions, taking as reference the baseline sum of diameters,. based on local Investigator assessment, as per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1)
Time Frame
4 years
Title
Phase II : Bayesian Inference of Overall Response Rate (ORR) - Per RECIST v1.1 - Mean
Description
Overall Response Rate (ORR) is defined as the proportion of patients with a best overall response assessed by CT scan or MRI of complete response (CR), disappearance of all measurable and non-measurable lesions or partial response (PR), at least a 30% decrease in the sum of diameter of all measurable lesions, taking as reference the baseline sum of diameters,. based on local Investigator assessment, as per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) - mean (FAS)
Time Frame
4 years
Title
Phase II: Clinical Benefit Rate (Complete Response (CR) or Partial Response (PR) or Stable Disease (SD) > 4 Month)) - Per RECIST v1.1
Description
Phase II: Clinical Benefit Rate (Complete response (CR) or Partial response (PR) or Stable disease (SD) > 4 month)) per investigator based on Response evaluation criteria in solid tumors (RECIST) v1.1
Time Frame
4 years
Title
Phase II: Bayesian Inference of Clinical Benefit Rate - Per RECIST v1.1- Mean
Description
Phase II: Clinical Benefit Rate (Complete response (CR) or Partial response (PR) or Stable disease (SD) > 4 month)) per investigator based on Response evaluation criteria in solid tumors (RECIST) v1.1
Time Frame
4 years
Title
Phase Ib: Planned Dose Intensity - MCS110
Description
To characterize the tolerability of MCS110 given in combination with PDR001 and to identify a recommended dose combination for Phase II. Planned dose intensity for MCS110 is cumulative planned dose (mg/kg)/ number of doses scheduled per protocol during treatment period (i.e., this is equivalent to planned dose level).
Time Frame
Measured up to a max of 112.4 weeks
Title
Phase Ib: Relative Dose Intensity - MCS110
Description
To characterize the tolerability of MCS110 given in combination with PDR001 and to identify a recommended dose combination for Phase II. Relative dose intensity (%) is 100 × dose intensity (mg/kg/3wks)/planned dose intensity (mg/kg/3wks).
Time Frame
Measured up to a max of 112.4 weeks
Title
Phase Ib: Planned Dose Intensity - PDR001
Description
To characterize the tolerability of MCS110 given in combination with PDR001 and to identify a recommended dose combination for Phase II. Planned dose intensity for PDR001 (mg/3wks) is planned cumulative dose (mg)/ number of doses scheduled per protocol during treatment period (i.e., this is equivalent to planned dose level).
Time Frame
Measured up to a max of 112.4 weeks
Title
Phase Ib: Relative Dose Intensity - PDR001
Description
To characterize the tolerability of MCS110 given in combination with PDR001 and to identify a recommended dose combination for Phase II. Relative dose intensity (%) is 100 × dose intensity (mg/3wks)/planned dose intensity (mg/3wks).
Time Frame
Measured up to a max of 112.4 weeks
Title
Phase Ib: Number of Participants With Dose Reductions
Description
To characterize the tolerability of MCS110 given in combination with PDR001 and to identify a recommended dose combination for Phase II.
Time Frame
Measured up to a max of 112.4 weeks
Title
Phase Ib: Number of Dose Interruptions Per Participant
Description
To characterize the tolerability of MCS110 given in combination with PDR001 and to identify a recommended dose combination for Phase II.
Time Frame
Measured up to a max of 112.4 weeks
Title
Phase Ib: Number of Subjects With at Least One Dose Interruption
Description
To characterize the tolerability of MCS110 given in combination with PDR001 and to identify a recommended dose combination for Phase II.
Time Frame
Measured up to a max of 112.4 weeks
Title
Phase Ib: Number of Participants With Dose Limiting Toxicities (DLTs) During the First 2 Cycles of Study Treatment
Description
Phase Ib: Dose limiting toxicities occurring during the first 2 cycles by system organ class, preferred term and maximum grade for Phase Ib. The National Cancer Institute Common Terminology Criteria for Adverse events (NCI CTCAE) version 4.03 was used for all grading.
Time Frame
the first 2 cycles of study treatment; cycle = 21 days (i.e., at day 42)
Secondary Outcome Measure Information:
Title
Phase II : Overall Response Rate (ORR) - Per irRC
Description
Phase II: Overall Response Rate (Complete response (CR) or Partial response (PR)) (with confirmation) as per investigator based on immune related Response criteria (irRC) (FAS)
Time Frame
4 years
Title
Phase Ib: Overall Response Rate (ORR)
Description
Phase Ib: Overall Response Rate (Complete response (CR) or Partial response (PR)), per RECIST v1.1 and per immune related Response criteria (irRC)
Time Frame
4 years
Title
Phase II : Bayesian Inference of Overall Response Rate (ORR) - Per irRC - Mean
Description
Phase II: Overall Response Rate (Complete response (CR) or Partial response (PR)) (with confirmation) as per investigator based on immune related Response criteria (irRC)- mean (FAS)
Time Frame
4 years
Title
Phase 1b: Clinical Benefit Rate (CBR)
Description
Phase 1b: Clinical Benefit Rate (Complete response (CR) or Partial response (PR) or Stable disease (SD) > 4 month)) per RECIST v1.1 and per immune related Response criteria (irRC)
Time Frame
4 years
Title
Phase II: Clinical Benefit Rate (Complete Response (CR) or Partial Response (PR) or Stable Disease (SD) > 4 Month)) - Per irRC
Description
Phase II: Clinical Benefit Rate (Complete response (CR) or Partial response (PR) or Stable disease (SD) > 4 month)) per immune related Response criteria (irRC)
Time Frame
4 years
Title
Phase II: Bayesian Inference of Clinical Benefit Rate - Per irRC - Mean
Description
Phase II: Clinical Benefit Rate (Complete response (CR) or Partial response (PR) or Stable disease (SD) > 4 month)) per investigator based on immune related Response criteria (irRC)- mean (FAS)
Time Frame
4 years
Title
Phase 1b and Phase II: Progression Free Survival Based on Investigator Assessment as Per RECIST v1.1 and Per Immune Related Response Criteria (irRC) - Using Kaplan-Meier Method - Median
Description
Phase 1b and Phase II: Progression Free Survival. Progression is defined as a 20% increase in the sum of diameter of measurable lesions taking as reference the smallest sum of diameter recorded at or after baseline, or worsening of non-measurable lesions or the appearance of new lesions, using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) or Per Immune Related Response Criteria (irRC). Unlike RECIST 1.1, PD per irRC requires confirmation at a new assessment after at least 4 weeks - using Kaplan-Meier method - Median.
Time Frame
Up to year 4
Title
Phase 1b and Phase II: Overall Survival - Using Kaplan-Meier Method - Median
Description
Phase 1b and Phase II: Overall Survival - using Kaplan-Meier method - Median
Time Frame
Up to year 4
Title
Phase 1b and Phase II: Duration of Response (DOR)
Description
Phase 1b and Phase II: Duration of Response (DOR) per RECIST v1.1 and per immune related Response criteria (irRC)
Time Frame
4 years
Title
Phase 1b and Phase II: Disease Control Rate (DCR)
Description
Phase 1b and Phase II: Disease Control Rate (Complete response (CR) or Partial response (PR) or Stable disease (SD) > 4 month)) per RECIST v1.1 and per immune related Response criteria (irRC)
Time Frame
4 years
Title
Phase II: Percentage of Participants With Adverse Events, as a Measure of Safety
Description
Phase II: To further characterize the safety and tolerability of MCS110 given in combination with PDR001
Time Frame
From start of treatment to a maximum timeframe of 92.4 weeks for phase II.
Title
Phase Ib and Phase II: Immunogenicity MCS110
Description
Phase Ib and Phase II: Presence of anti-MCS110 antibodies
Time Frame
4 years
Title
Phase Ib and Phase II: Immunogenicity PDR001
Description
Phase Ib and Phase II: Presence of anti-PDR001 antibodies
Time Frame
4 years
Title
Phase Ib and Phase II: Pharmacokinetics of MCS110 - AUClast and AUCinf
Description
Phase Ib and Phase II: PK Parameters - AUClast, which is the AUC from time zero to the last measurable concentration sampling time (tlast) (mass × time × volume-1); and AUCinf, which is the AUC from time zero to infinity (mass × time × volume-1) - MCS110
Time Frame
cycle 1 (day 21) and cycle 4 (day 84)
Title
Phase Ib and Phase II: Pharmacokinetics of PDR001 - AUClast and AUCinf
Description
Phase Ib and Phase II: Pharmacokinetics (PK) Parameters - AUClast, which is the AUC from time zero to the last measurable concentration sampling time (tlast) (mass × time × volume-1); and AUCinf, which is the AUC from time zero to infinity (mass × time × volume-1) and AUCinf - PDR001
Time Frame
cycle 1 (day 21) and cycle 4 (day 84)
Title
Phase Ib and Phase II: Pharmacokinetics of MCS110 - Cmax and Clast
Description
Phase Ib and Phase II: PK Parameters - Cmax, which is the maximum (peak) observed plasma, blood, serum, or other body fluid drug concentration after single dose administration (mass × volume-1); and Clast - MCS110
Time Frame
cycle 1 (day 21) and cycle 4 (day 84)
Title
Phase Ib and Phase II: Pharmacokinetics of PDR001 - Cmax and Clast
Description
Phase Ib and Phase II: PK Parameters - Cmax, which is the maximum (peak) observed plasma, blood, serum, or other body fluid drug concentration after single dose administration (mass × volume-1); and Clast - PDR001
Time Frame
cycle 1 (day 21) and cycle 4 (day 84)
Title
Phase Ib and Phase II: Pharmacokinetics of MCS110 - Tmax
Description
Phase Ib and Phase II: PK Parameters - Tmax, which is the time to reach maximum (peak) plasma, blood, serum, or other body fluid drug concentration after single dose administration (time) - MCS110
Time Frame
cycle 1 (day 21) and cycle 4 (day 84)
Title
Phase Ib and Phase II: Pharmacokinetics of PDR001 - Tmax
Description
Phase Ib and Phase II: PK Parameters - Tmax, which is the time to reach maximum (peak) plasma, blood, serum, or other body fluid drug concentration after single dose administration (time) - PDR001
Time Frame
cycle 1 (day 21) and cycle 4 (day 84)
Title
Phase Ib and Phase II: Pharmacokinetics of MCS110 - T1/2
Description
Phase Ib and Phase II: PK Parameters - T1/2, which is the terminal half-life associated with the terminal slope of a semi logarithmic concentration time curve (time) - MCS110
Time Frame
cycle 1 (day 21) and cycle 4 (day 84)
Title
Phase Ib and Phase II: Pharmacokinetics of PDR001 - T1/2
Description
Phase Ib and Phase II: PK Parameters - T1/2, which is the terminal half-life associated with the terminal slope of a semi logarithmic concentration time curve (time) - PDR001
Time Frame
cycle 1 (day 21) and cycle 4 (day 84)
Title
Phase Ib and Phase II: Pharmacokinetics of MCS110 - CL
Description
Phase Ib and Phase II: PK Parameters - CL, which is the total body clearance of drug from the plasma (volume × time-1) - MCS110
Time Frame
cycle 1 (day 21) and cycle 4 (day 84)
Title
Phase Ib and Phase II: Pharmacokinetics of PDR001 - CL
Description
Phase Ib and Phase II: PK Parameters - CL, which is the total body clearance of drug from the plasma (volume × time-1) - PDR001
Time Frame
cycle 1 (day 21) and cycle 4 (day 84)
Title
Phase Ib and Phase II: Pharmacokinetics of MCS110 - Vz
Description
Phase Ib and Phase II: PK Parameters - Vz, which is the apparent volume of distribution during terminal phase (volume) - MCS110
Time Frame
cycle 1 (day 21) and cycle 4 (day 84)
Title
Phase Ib and Phase II: Pharmacokinetics of PDR001 - Vz
Description
Phase Ib and Phase II: PK Parameters - Vz, which is the apparent volume of distribution during terminal phase (volume) - PDR001
Time Frame
cycle 1 (day 21) and cycle 4 (day 84)
Title
Phase Ib and Phase II: Pharmacokinetics of MCS110 - Accumulation Ratio (AR)
Description
Phase Ib and Phase II: PK Parameters - Accumulation ratio (AR), which is the AUClast (multiple Dose)/AUClast (single dose) (for cycle 4 only) - MCS110
Time Frame
cycle 4 (day 84)
Title
Phase Ib and Phase II: Pharmacokinetics of PDR001 - Accumulation Ratio (AR)
Description
Phase Ib and Phase II: PK Parameters - Accumulation ratio (AR), which is the AUClast (multiple Dose)/AUClast (single dose) (for cycle 4 only) - PDR001
Time Frame
cycle 4 (day 84)
Title
Phase Ib and Phase II: All Collected Deaths
Description
On treatment deaths are reported from the start of treatment until end of study treatment plus 30 days, up to maximum duration of 116.4 weeks for phase Ib and 92.4 weeks for phase II. Deaths post treatment survival follow up are reported after the on-treatment period, up to a maximum timeframe of 46 months (3.8 years).
Time Frame
For ontreatment deaths: up to maximum timeframe of 116.4 weeks for phase Ib and 92.4 weeks for phase II. For total deaths: up to 3.8 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Main Inclusion Criteria: Signed informed consent prior to any procedures Phase Ib part: Adult patients with advanced melanoma, endometrial carcinoma, pancreatic or TNBC, with measurable or non-measurable disease who have progressed despite standard therapy or are intolerant of standard therapy, or for whom no standard therapy exists. Phase II part: Adult patients with advanced solid tumors who have received standard therapy (no more than 3 prior lines of treatment) or are intolerant of standard therapy, have progressed following their last prior therapy, and fit into one of the following groups: Group 1: TNBC who did not receive prior anti-PD-1/PD-L1 treatment Group 2: Pancreatic adenocarcinoma who did not receive prior anti-PD-1/PD-L1 treatment Group 3: Endometrial carcinoma who did not receive prior anti-PD-1/PD-L1 treatment Group 4: Melanoma who progressed on prior anti-PD-1/PD-L1 treatment. Main Exclusion Criteria: Patients with the following: Symptomatic central nervous system (CNS) metastases or those requiring local CNS-directed therapy. Abnormal liver, renal, or blood lab values. Impaired cardiac function or clinically significant cardiac disease. Active autoimmune disease or documented autoimmune disease within 3 years of screening. Active infection requiring antibiotic therapy. Known HIV, active hepatitis B or C virus. Concurrent malignant disease. Patients who received systemic anticancer therapy, major surgery, or radiotherapy within 2 weeks of study treatment, or live vaccines within 4 weeks of study treatment. Patients requiring chronic treatment with systemic steroid therapy or any immunosuppressive therapy. Patients who used hematopoietic colony-stimulating growth factors within 2 weeks of study treatment.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Novartis Pharmaceuticals
Organizational Affiliation
Novartis Pharmaceuticals
Official's Role
Study Director
Facility Information:
Facility Name
Dana Farber Cancer Center
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02215
Country
United States
Facility Name
Washington University School of Medicine
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63123
Country
United States
Facility Name
The West Clinic
City
Germantown
State/Province
Tennessee
ZIP/Postal Code
38138
Country
United States
Facility Name
MD Anderson Cancer Center
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
Novartis Investigative Site
City
Wilrijk
ZIP/Postal Code
2610
Country
Belgium
Facility Name
Novartis Investigative Site
City
HUS
ZIP/Postal Code
FIN-00029
Country
Finland
Facility Name
Novartis Investigative Site
City
Saint Herblain cedex
ZIP/Postal Code
44805
Country
France
Facility Name
Novartis Investigative Site
City
Frankfurt
ZIP/Postal Code
60590
Country
Germany
Facility Name
Novartis Investigative Site
City
Ulm
ZIP/Postal Code
89081
Country
Germany
Facility Name
Novartis Investigative Site
City
Hong Kong
Country
Hong Kong
Facility Name
Novartis Investigative Site
City
Milano
State/Province
MI
ZIP/Postal Code
20133
Country
Italy
Facility Name
Novartis Investigative Site
City
Milano
State/Province
MI
ZIP/Postal Code
20141
Country
Italy
Facility Name
Novartis Investigative Site
City
Koto ku
State/Province
Tokyo
ZIP/Postal Code
135 8550
Country
Japan
Facility Name
Novartis Investigative Site
City
Seoul
ZIP/Postal Code
03080
Country
Korea, Republic of
Facility Name
Novartis Investigative Site
City
Seoul
ZIP/Postal Code
05505
Country
Korea, Republic of
Facility Name
Novartis Investigative Site
City
Valencia
State/Province
Comunidad Valenciana
ZIP/Postal Code
46010
Country
Spain
Facility Name
Novartis Investigative Site
City
Madrid
ZIP/Postal Code
28009
Country
Spain
Facility Name
Novartis Investigative Site
City
Chur
ZIP/Postal Code
7000
Country
Switzerland
Facility Name
Novartis Investigative Site
City
Geneve 14
ZIP/Postal Code
CH 1211
Country
Switzerland
Facility Name
Novartis Investigative Site
City
Zuerich
ZIP/Postal Code
8091
Country
Switzerland

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com.
IPD Sharing URL
https://www.clinicalstudydatarequest.com/

Learn more about this trial

Phase Ib/II Study of MCS110 in Combination With PDR001 in Patients With Advanced Malignancies

We'll reach out to this number within 24 hrs