A Dose Escalation and Cohort Expansion Study of NKTR-214 in Combination With Nivolumab and Other Anti-Cancer Therapies in Patients With Select Advanced Solid Tumors (PIVOT-02)
Melanoma, Renal Cell Carcinoma, Non Small Cell Lung Cancer
About this trial
This is an interventional treatment trial for Melanoma focused on measuring NKTR-214, Bempegaldesleukin, Nivolumab, Paclitaxel, Carboplatin, Cisplatin, Pemetrexed, Melanoma, Renal Cell Carcinoma, Non Small Cell Lung Cancer, Urothelial Carcinoma, Triple Negative Breast Cancer, HR+/HER2- Breast Cancer, Gastric Cancer, Colorectal Cancer, Metastatic, Advanced, Immunotherapy, Anti-PD-1, anti-CTLA-4
Eligibility Criteria
INCLUSION CRITERIA - For Parts 1-4:
- Histologically confirmed diagnosis of a locally advanced (not amenable to curative therapy such as surgical resection) or metastatic solid tumors
- Life expectancy > 12 weeks
- Patients must not have received prior interleukin-2 (IL-2) therapy
- Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
- Measurable disease per RECIST 1.1
- Patients with stable brain metastases under certain criteria
- Fresh and archival tumor tissue available Tumor specific inclusion criteria may apply.
EXCLUSION CRITERIA - For Parts 1-4:
- Use of an investigational agent or an investigational device within 28 days before administration of first dose of NKTR--214
- Females who are pregnant or breastfeeding
- Participants who have an active autoimmune disease requiring systemic treatment within the past 3 months or have a documented history of clinically severe autoimmune disease that requires systemic steroids or immunosuppressive agents
- History of organ transplant that requires use of immune suppressive agents
- Active malignancy not related to the current diagnosed malignancy
- Evidence of clinically significant interstitial lung disease or active, noninfectious pneumonitis
- Participants who have had < 28 days since the last chemotherapy, biological therapy, or < 14 days from approved tyrosine kinase inhibitor (TKI) therapy, or systemic or inhaled steroid therapy at doses greater than 10mg of prednisone Tumor specific exclusion criteria may apply.
Other protocol defined inclusion/exclusion criteria may apply
Sites / Locations
- UCSD, Moores Cancer Center
- UCLA
- Stanford Cancer Institute
- University of Colorado, Denver
- Yale School of Medicine
- University of Florida
- Orlando Health Inc.
- Emory University Hospital
- Loyola University Medical Center, Chicago
- Indiana University Health Melvin & Bren Simon Cancer Center
- University of Kansas Cancer Center
- Dana-Farber Cancer Institute
- Henry Ford Hospital
- Washington University School of Medicine in St. Louis
- Roswell Park Cancer Institute
- New York University Langone Medical Center - NYU Cancer Institute
- Memorial Sloan-Kettering Cancer Center
- Providence Portland Medical Center
- The University of Texas MD Anderson Cancer Center
- Inova Fairfax Hospital
- Virginia Cancer Specialists, PC
- Seattle Cancer Care Alliance
- Antwerp University Hospital
- Vzw Az Groeninge
- UZ Leuven
- CHU de Liège
- GZA Ziekenhuizen Campus Sint-Augustinus
- BC Cancer Agency Vancouver Centre
- Sunnybrook Health Sciences Centre
- Princess Margaret Cancer Centre
- Jewish General Hospital
- L'Institut Paoli - Calmettes
- Institut de Cancerologie de l'Ouest
- Centre Léon Bérard
- Assistance Publique Hopitaux de Marseille - Hopital Nord
- Gustave Roussy
- Fondazione IRCCS Istituto Nazionale dei Tumori
- Istituto Europeo di Oncologia
- Istituto Nazionale Tumori IRCCS "Fondazione G. Pascale"
- Azienda Ospedaliera San Camillo-Forlanini
- Azienda Ospedaliera Universitaria Senese
- Institute for Cancer Research and Treatment (IRCC)
- Szpital Specjalistyczny w Brzozowie Podkarpacki Ośrodek Onkologiczny im. Ks. B. Markiewicza
- Szpitale Pomorskie Sp. z o.o.
- Mazowieckie Centrum Leczenia Chorób Płuc i Gruźlicy
- Wielkopolskie Centrum Pulmonologii i Torakochirurgii
- Med-Polonia Sp. z o.o.
- Instytut Medyczny Santa Familia Sp. z o. o. w Łodzi
- Hospital Quirón Barcelona
- Hospital Clínic de Barcelona
- Hospital Universitario Ramón y Cajal
- Hospital Universitario 12 de Octubre
- Centro Integral Oncológico Clara Campal (CIOCC)
- Clínica Universidad de Navarra
- Campus Hospital Universitario Virgen del Rocío - Instituto de Biomedicina de Sevilla (IBIS)
- The Royal Marsden NHS Trust
- Mount Vernon Cancer Centre
- The Christie NHS Foundation Trust
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
Experimental
Experimental
Dose Escalation: Combination of NKTR-214 + nivolumab
Dose Expansion: Combination of NKTR-214 + nivolumab
Experimental: Combination of NKTR-214 + nivolumab + ipilimumab
Experimental: Dose Expansion of Part 3
NKTR 214 + nivolumab at 5 dosage levels to determine the RP2D Part 1 of RP2D in patients with advanced or metastatic melanoma, RCC, NSCLC, urothelial carcinoma, or TNBC.
NKTR-214+nivolumab in patients with advanced or metastatic solid tumor malignancies to assess the efficacy of the RP2D.
To assess the safety and tolerability of NKTR 214 + nivolumab + ipilimumab triplet therapy and establish RP2D dosing schedules for Part 4 in patients with advanced or metastatic melanoma, RCC, NSCLC, or UCC in a first-line setting (1L).
To further assess the RP2D triplet combination dosing schedules from Part 3 in 1L NSCLC and 1L RCC patients.