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A Study of FAZ053 Single Agent and in Combination With PDR001 in Patients With Advanced Malignancies.

Primary Purpose

Advanced Solid Tumors, Triple Negative Breast Cancer, Chordoma and Alveolar Soft Part Sarcoma

Status
Active
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
FAZ053
PDR001
Sponsored by
Novartis Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Advanced Solid Tumors focused on measuring Phase I, FAZ053, PDR001, Checkpoint inhibitor, PD-L1, PD-1

Eligibility Criteria

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

Inclusion Criteria:

  • Written informed consent prior to any procedure.
  • Dose escalation cohorts of FAZ053 single agent and FAZ053 in combination with PDR001: Patients with advanced/metastatic solid tumors with measurable or non-measurable disease as determined by Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 who may or may not have received prior treatment with an immune checkpoint inhibitor, who have progressed despite standard therapy, or for whom no standard therapy is available.
  • Dose expansion groups of FAZ053 single agent: Patients with advanced/metastatic solid tumors with at least one measurable lesion as determined by RECIST version 1.1 who may or may not have received prior treatment with an immune checkpoint inhibitor (for FAZ053 single agent no treatment with an anti-PD-L1 inhibitor is permitted), who have progressed despite standard therapy, or for whom no standard therapy is available and fit into one of the following groups:
  • FAZ053 single agent: TNBC/ Chordoma/ ASPS
  • Performance Status (PS) ≤ 2:
  • Patient must have a site of disease amenable to biopsy and be a candidate for tumor biopsy according to the treating institution's guidelines. Patient must be willing to undergo a new tumor biopsy at screening/ baseline and during therapy on this study.

Exclusion Criteria:

  • Presence of symptomatic central nervous system (CNS) metastases or CNS metastases that require local CNS-directed therapy (e.g. radiotherapy or surgery) or increasing doses of corticosteroids within the prior 2 weeks. Patients with treated brain metastases should be neurologically stable (for 4 weeks post-treatment and prior to study enrollment) and off of steroids for at least 2 weeks before administration of any study treatment.
  • History of severe hypersensitivity to study treatment excipients and additives or other monoclonal antibodies (mAbs) and/or their excipients.
  • Active, known or suspected autoimmune disease. Patients with vitiligo, residual hypothyroidism only requiring hormone replacement, psoriasis not requiring systemic treatment or conditions not expected to recur in the absence of an external trigger should not be excluded. Patients previously exposed to anti-PD-1/PD-L1 treatment who are adequately treated for skin rash or with replacement therapy for endocrinopathies should not be excluded.
  • Treatment with cytotoxic or targeted antineoplastics within 3 weeks of initiation of study treatment. For cytotoxic agents that have major delayed toxicity a washout period of one cycle is indicated (examples are nitrosoureas and mitomycin C which typically require a 6 week washout). Prior antibodies or immunotherapies require a 6 week washout.
  • Patients receiving systemic chronic steroid therapy or any immunosuppressive therapy (≥ 10mg/day prednisone or equivalent). Topical, inhaled, nasal and ophthalmic steroids are allowed.
  • Active infection requiring systemic antibiotic therapy.

Other protocol-defined inclusion/exclusion criteria may apply.

Sites / Locations

  • Memorial Sloan Kettering Cancer Center .
  • UT 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

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

FAZ053 single agent

FAZ053 + PDR001

Arm Description

Outcomes

Primary Outcome Measures

Number of participants with Adverse Events (AEs) as a measure of safety and tolerability

Secondary Outcome Measures

Serum concentration-time profiles of FAZ053 as single agent and FAZ053 in combination with PDR001.
Presence of anti-FAZ053 and anti-PDR001.
Concentration of anti-FAZ053 and anti-PDR001.
Receptor Occupancy (RO) profiles when FAZ053 is given as single agent.
Total soluble/shed PD-L1 concentration-time profiles when FAZ053 is given as single agent and for FAZ053 in combination with PDR001.
Histopathology of tumor infiltrating lymphocytes (TILs) by hematoxylin.
Histopathology of tumor infiltrating lymphocytes (TILs) by eosin (H&E) stain.
Overall response rate (ORR) per RECIST v1.1
Best overall response per RECIST v1.1
Disease control rate per RECIST 1.1
Progression free survival (PFS) per RECIST 1.1
Duration of response per RECIST 1.1
Overall response rate (ORR) per immune related Response Criteria (irRC).
Progression free survival (PFS) per immune related Response Criteria (irRC).
Characterization of Tumor Infiltrating Lymphocytes (TILs) by Immunohistochemistry (IHC)
Characterization of myeloid cell infiltrate by IHC.
Area under the curve (AUC) for FAZ053 as single agent and FAZ053 in combination with PDR001.
Cmax for FAZ053 as single agent and FAZ053 in combination with PDR001.
Tmax for FAZ053 as single agent and FAZ053 in combination with PDR001.
Half-life for FAZ053 as single agent and FAZ053 in combination with PDR001.
Clast for FAZ053 as single agent and FAZ053 in combination with PDR001.
Tlast for FAZ053 as single agent and FAZ053 in combination with PDR001.

Full Information

First Posted
September 15, 2016
Last Updated
June 19, 2023
Sponsor
Novartis Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT02936102
Brief Title
A Study of FAZ053 Single Agent and in Combination With PDR001 in Patients With Advanced Malignancies.
Official Title
A Phase I, Open-label, Multi-center Dose Escalation Study of FAZ053 as Single Agent and in Combination With PDR001 in Adult Patients With Advanced Malignancies
Study Type
Interventional

2. Study Status

Record Verification Date
June 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
October 20, 2016 (Actual)
Primary Completion Date
June 14, 2024 (Anticipated)
Study Completion Date
June 14, 2024 (Anticipated)

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 "first-in-human" study of FAZ053 is to characterize the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD) and antitumor activity of FAZ053 administered Intravenously (i.v.)as a single agent or in combination with PDR001 in adult patients with advanced solid tumors. By blocking the interaction between Programmed Death Ligand-1 (PD-L1) and its receptors, Programmed Death-1 (PD-1) and B7.1, FAZ053 inhibits the PD-L1 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, open-label, multi-center study with a dose escalation part of FAZ053 as single agent and in combination with PDR001, followed by a dose expansion part of FAZ053 as single agent. FAZ053 will initially be dosed every three weeks. A less frequent dosing regimen such as every 6 weeks may be evaluated in parallel. A patient may continue treatment with FAZ053 single agent or in combination with PDR001 until the patient experiences unacceptable toxicity, confirmed disease progression per immune related Response Criteria and/or treatment is discontinued at the discretion of the investigator or the patient.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Advanced Solid Tumors, Triple Negative Breast Cancer, Chordoma and Alveolar Soft Part Sarcoma
Keywords
Phase I, FAZ053, PDR001, Checkpoint inhibitor, PD-L1, PD-1

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
FAZ053 single agent
Arm Type
Experimental
Arm Title
FAZ053 + PDR001
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
FAZ053
Intervention Description
Anti-PD-L1 Antibody
Intervention Type
Drug
Intervention Name(s)
PDR001
Intervention Description
Anti-PD-1 Antibody
Primary Outcome Measure Information:
Title
Number of participants with Adverse Events (AEs) as a measure of safety and tolerability
Time Frame
throughout the study up to 150 days after end of treatment
Secondary Outcome Measure Information:
Title
Serum concentration-time profiles of FAZ053 as single agent and FAZ053 in combination with PDR001.
Time Frame
41 months
Title
Presence of anti-FAZ053 and anti-PDR001.
Time Frame
41 months
Title
Concentration of anti-FAZ053 and anti-PDR001.
Time Frame
41 months
Title
Receptor Occupancy (RO) profiles when FAZ053 is given as single agent.
Time Frame
41 months
Title
Total soluble/shed PD-L1 concentration-time profiles when FAZ053 is given as single agent and for FAZ053 in combination with PDR001.
Time Frame
41 months
Title
Histopathology of tumor infiltrating lymphocytes (TILs) by hematoxylin.
Time Frame
41 months
Title
Histopathology of tumor infiltrating lymphocytes (TILs) by eosin (H&E) stain.
Time Frame
41 months
Title
Overall response rate (ORR) per RECIST v1.1
Time Frame
41 months
Title
Best overall response per RECIST v1.1
Time Frame
41 months
Title
Disease control rate per RECIST 1.1
Time Frame
41 months
Title
Progression free survival (PFS) per RECIST 1.1
Time Frame
41 months
Title
Duration of response per RECIST 1.1
Time Frame
41 months
Title
Overall response rate (ORR) per immune related Response Criteria (irRC).
Time Frame
41 months
Title
Progression free survival (PFS) per immune related Response Criteria (irRC).
Time Frame
41 months
Title
Characterization of Tumor Infiltrating Lymphocytes (TILs) by Immunohistochemistry (IHC)
Time Frame
41 months
Title
Characterization of myeloid cell infiltrate by IHC.
Time Frame
41 months
Title
Area under the curve (AUC) for FAZ053 as single agent and FAZ053 in combination with PDR001.
Time Frame
41 months
Title
Cmax for FAZ053 as single agent and FAZ053 in combination with PDR001.
Time Frame
41 months
Title
Tmax for FAZ053 as single agent and FAZ053 in combination with PDR001.
Time Frame
41 months
Title
Half-life for FAZ053 as single agent and FAZ053 in combination with PDR001.
Time Frame
41 months
Title
Clast for FAZ053 as single agent and FAZ053 in combination with PDR001.
Time Frame
41 months
Title
Tlast for FAZ053 as single agent and FAZ053 in combination with PDR001.
Time Frame
41 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Written informed consent prior to any procedure. Dose escalation cohorts of FAZ053 single agent and FAZ053 in combination with PDR001: Patients with advanced/metastatic solid tumors with measurable or non-measurable disease as determined by Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 who may or may not have received prior treatment with an immune checkpoint inhibitor, who have progressed despite standard therapy, or for whom no standard therapy is available. Dose expansion groups of FAZ053 single agent: Patients with advanced/metastatic solid tumors with at least one measurable lesion as determined by RECIST version 1.1 who may or may not have received prior treatment with an immune checkpoint inhibitor (for FAZ053 single agent no treatment with an anti-PD-L1 inhibitor is permitted), who have progressed despite standard therapy, or for whom no standard therapy is available and fit into one of the following groups: FAZ053 single agent: TNBC/ Chordoma/ ASPS Performance Status (PS) ≤ 2: Patient must have a site of disease amenable to biopsy and be a candidate for tumor biopsy according to the treating institution's guidelines. Patient must be willing to undergo a new tumor biopsy at screening/ baseline and during therapy on this study. Exclusion Criteria: Presence of symptomatic central nervous system (CNS) metastases or CNS metastases that require local CNS-directed therapy (e.g. radiotherapy or surgery) or increasing doses of corticosteroids within the prior 2 weeks. Patients with treated brain metastases should be neurologically stable (for 4 weeks post-treatment and prior to study enrollment) and off of steroids for at least 2 weeks before administration of any study treatment. History of severe hypersensitivity to study treatment excipients and additives or other monoclonal antibodies (mAbs) and/or their excipients. Active, known or suspected autoimmune disease. Patients with vitiligo, residual hypothyroidism only requiring hormone replacement, psoriasis not requiring systemic treatment or conditions not expected to recur in the absence of an external trigger should not be excluded. Patients previously exposed to anti-PD-1/PD-L1 treatment who are adequately treated for skin rash or with replacement therapy for endocrinopathies should not be excluded. Treatment with cytotoxic or targeted antineoplastics within 3 weeks of initiation of study treatment. For cytotoxic agents that have major delayed toxicity a washout period of one cycle is indicated (examples are nitrosoureas and mitomycin C which typically require a 6 week washout). Prior antibodies or immunotherapies require a 6 week washout. Patients receiving systemic chronic steroid therapy or any immunosuppressive therapy (≥ 10mg/day prednisone or equivalent). Topical, inhaled, nasal and ophthalmic steroids are allowed. Active infection requiring systemic antibiotic therapy. Other protocol-defined inclusion/exclusion criteria may apply.
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
Memorial Sloan Kettering Cancer Center .
City
New York
State/Province
New York
ZIP/Postal Code
10065
Country
United States
Facility Name
UT MD Anderson Cancer Center
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
Novartis Investigative Site
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5G 2M9
Country
Canada
Facility Name
Novartis Investigative Site
City
Toulouse
ZIP/Postal Code
31059
Country
France
Facility Name
Novartis Investigative Site
City
Tel Aviv
ZIP/Postal Code
6423906
Country
Israel
Facility Name
Novartis Investigative Site
City
Milano
State/Province
MI
ZIP/Postal Code
20133
Country
Italy
Facility Name
Novartis Investigative Site
City
Modena
State/Province
MO
ZIP/Postal Code
41124
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
Singapore
ZIP/Postal Code
119228
Country
Singapore
Facility Name
Novartis Investigative Site
City
Sevilla
State/Province
Andalucia
ZIP/Postal Code
41013
Country
Spain
Facility Name
Novartis Investigative Site
City
Barcelona
State/Province
Catalunya
ZIP/Postal Code
08035
Country
Spain
Facility Name
Novartis Investigative Site
City
Taipei
ZIP/Postal Code
10002
Country
Taiwan

12. IPD Sharing Statement

Plan to Share IPD
No

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A Study of FAZ053 Single Agent and in Combination With PDR001 in Patients With Advanced Malignancies.

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