Gemcitabine Plus Cisplatin With or Without Bintrafusp Alfa (M7824) in Participants With 1L BTC
Primary Purpose
Biliary Tract Cancer, Cholangiocarcinoma, Gallbladder Cancer
Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
M7824
Placebo
Gemcitabine
Cisplatin
Sponsored by
About this trial
This is an interventional treatment trial for Biliary Tract Cancer focused on measuring Metastatic Biliary Tract Cancer, Cholangiocarcinoma, Gallbladder Cancer, Ampullary cancer, M7824, Bintrafusp alfa, Transforming growth factor-beta, Programmed death-ligand 1, INTR@PID
Eligibility Criteria
Inclusion Criteria:
- Are participants with histologically or cytologically confirmed locally advanced or metastatic BTC
- Participants must have available tumor tissue (primary or metastatic) (archival or fresh biopsies) before the first administration of study treatment
- At least 1 measurable lesion according to RECIST 1.1
- Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0 or 1 at study entry and at Week 1, Day 1 prior to dosing
- Life expectancy of >= 12 weeks, as judged by the Investigator
- Adequate hematological function, hepatic function, renal function, coagulation function as defined in the protocol
- Hepatitis B virus (HBV) deoxyribonucleic acid (DNA) positive participants must be treated and on a stable dose of antivirals
- Other protocol defined inclusion criteria could apply
Exclusion Criteria:
- Previous and/or intercurrent cancers
- Receipt of any organ transplantation, including allogeneic stem-cell transplantation, but with the exception of transplants that do not require immunosuppression
- Participants with symptomatic central nervous system (CNS) metastases
- Significant acute or chronic infection including known history of positive test for human immunodeficiency virus (HIV), active tuberculosis, uncontrolled biliary infection and active bacterial or fungal infection requiring systemic therapy (with the exception of hepatitis B and hepatitis C) requiring systemic therapy at study entry and at Week 1 Day 1 prior to dosing.
- Active autoimmune disease that might deteriorate when receiving an immunostimulatory agent
- History of or concurrent interstitial lung disease
- History of hypersensitivity reactions to bintrafusp alfa, anaphylaxis, or recent (within 5 months) uncontrolled asthma, cardiovascular/cerebrovascular disease
- Chronic obstructive pulmonary disease exacerbation or other respiratory illness requiring hospitalization or precluding study therapy within 30 days before randomization
- Prior therapy with any antibody/drug targeting T-cell coregulatory proteins (immune checkpoints)
- Other protocol defined exclusion criteria could apply
Sites / Locations
- Ironwood Cancer & Research Centers - Chandler II
- Banner MD Anderson Cancer Center
- Mayo Clinic Arizona
- Beverly Hills Cancer Center
- Mayo Clinic in Florida - Department of Neurology
- Mount Sinai Medical Center
- University of Kansas Medical Center Research Institute, Inc. - University of Kansas Cancer Center/Bloch Pavilion
- Sidney Kimmel Comprehensive Cancer Center at John Hopkins
- Mayo Clinic - Rochester
- Methodist Transplant Physicians
- MD Anderson Cancer Center - Unit 429
- Renovatio Clinical - CENTRAL SITE
- Hospital de Gastroenterologia Dr. Carlos Bonorino Udaondo
- Instituto de Investigaciones Metabolicas (IDIM)
- Instituto Medico Especializado Alexander Fleming
- Centro Oncologico Riojano Integral (CORI)
- CEDIT
- Centro Medico San Roque S.R.L.
- Fundacion ARS Medica
- Blacktown Hospital - PARENT
- Monash Health
- Epworth Freemasons
- Icon Cancer Care South Brisbane
- INCA - Instituto Nacional de Câncer
- CEPHO - Centro de Estudos e Pesquisas de Hematologia e Oncologia
- Fundação Faculdade Regional de Medicina de São José do Rio Preto
- A. C. Camargo Cancer Center
- ICESP - Instituto do Câncer do Estado de São Paulo Octavio Frias de Oliveira
- IC la serena Research
- Centro de Investigación Clínica Bradford Hill
- Hospital Clínico Universidad de Chile
- Prosalud
- Instituto Clinico Oncologico del Sur (ICOS)
- Beijing Cancer Hospital
- Beijing Friendship Hospital, Capital Medical University
- West China Hospital, Sichuan University
- Sir Run Run Shaw Hospital, Zhejiang University, School of Medicine
- The Affiliated Hospital of Qingdao University
- Fudan University Shanghai Cancer Hospital
- The Second Affiliated Hospital of Soochow University
- Tianjin Medical University Cancer Institute & Hospital
- Union Hospital Tongji Medical College Huazhong University of Science and Technology
- ICO - Site Paul Papin - service d'oncologie medicale
- Centre Georges François Leclerc - Oncologie Médicale
- CHU Lille - Hôpital Claude Huriez
- ICO - Site René Gauducheau
- CHU de Toulouse - Hôpital Ranguei
- Vivantes Klinikum Neukoelln - Haematologie und Onkologie
- Universitaetsklinikum Bonn AoeR - Medizinische Klinik I Gastroenterologie
- Universitaetsklinikum Carl Gustav Carus TU Dresden - Medizinische Klinik I
- Klinikum der Johann Wolfgang Goethe-Universitaet
- Universitaetsmedizin der Johannes Gutenberg-Universitaet Mainz - Medizinische Klinik I - HCC Ambulanz
- Azienda Ospedaliera Universitaria Integrata Verona (Ospedale Borgo Roma) - UOC Oncologia
- Chiba Cancer Center
- National Cancer Center Hospital - Dept of Hepatobiliary and Pancreatic Oncology
- NHO Kyushu Cancer Center - Dept of Gastroenterology/Hepatology/Pancreatology
- National Cancer Center Hospital East
- Cancer Institute Hospital of JFCR - Dept of Hepato,Biliary and Pancreatic Medicine
- Kyorin University Hospital
- Aichi Cancer Center Hospital
- Osaka City University Hospital
- Kindai University Hospital
- Kanagawa Cancer Center
- Chungnam National University Hospital - Department of Internal Medicine (Rheumatology)
- Seoul National University Bundang Hospital
- Asan Medical Center
- Korea University Anam Hospital
- Korea University Guro Hospital
- Samsung Medical Center
- Seoul National University Hospital
- Severance Hospital, Yonsei University Health System
- The Catholic University of Korea, Seoul St. Mary's Hospital
- Centrum Onkologii-Instytut im.M.Sklodowskiej Curie
- Pratia
- Narodowy Instytut Onkologii im. Marii Skłodowskiej-Curie - Państwowy Instytut Badawczy
- ETG Zamosc
- Hospital Clinic i Provincial de Barcelona - Servicio de Oncologia
- Hospital Universitari Vall d'Hebron - Dept of Oncology
- Hospital San Pedro de Alcantara - Servicio de Oncologia
- Hospital Universitario Reina Sofia - Dept of Oncology
- ICO l´Hospitalet - Hospital Duran i Reynals
- Hospital General Universitario Gregorio Marañon - Servicio de Oncologia Medica
- Hospital Universitario Clinico San Carlos - Servicio de Oncologia
- Hospital Universitario HM Madrid Sanchinarro - Servicio de Oncologia
- Hospital Clinico Universitario de Valencia - Servicio de Hematologia y Oncologia Medica
- Hospital Universitari i Politecnic La Fe - Servicio de Oncologia Medica
- Kaohsiung Chang Gung Memorial Hospital
- China Medical University Hospital
- Taichung Veterans General Hospital
- National Cheng Kung University Hospital
- National Taiwan University Hospital
- Taipei Veterans General Hospital
- Chang Gung Memorial Hospital, Linkou
- The Christie - Dept of Oncology
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Experimental
Placebo Comparator
Arm Label
Safety Run-In Part: M7824 + Gemcitabine + Cisplatin
Double-blinded Part: M7824 + Gemcitabine + Cisplatin
Double-blinded Part: Placebo + Gemcitabine + Cisplatin
Arm Description
Outcomes
Primary Outcome Measures
Safety Run-in Part: Number of Participants Who Experienced Dose Limiting Toxicities (DLTs)
A DLT is a toxicity related to the study intervention that meets the following criteria as evaluated in the open-label, safety run-in: Grade 3 or 4 Immune-related adverse event (irAE) that needs permanent discontinuation of M7824 treatment; a malignant skin lesion induced by M7824 that is local and can be resected with a negative resection margin is not a DLT; Grade 3 or 4 nonhematologic toxicity other than irAE, A life threatening hematological toxicity (unless clearly attributable to chemotherapy alone), which is hardly medically manageable, including a bleeding event resulting in urgent intervention and admission to an intensive care unit and Grade 5 toxicity.
Double-blind Part: Overall Survival
Overall Survival was defined as the time from study day 1 to the date of death due to any cause. The overall survival was analyzed by using the Kaplan-Meier method.
Secondary Outcome Measures
Safety Run-in Part: Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Serious TEAEs (SAEs) and Treatment Related TEAEs According to National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 5.0
Adverse Event (AE) was defined any untoward medical occurrence in a participant administered with a study drug, which does not necessarily had a causal relationship with this treatment. Serious AE was defined AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial/prolonged inpatient hospitalization; congenital anomaly/birth defect. TEAE was defined as events with onset date or worsening during the on treatment period. TEAEs included serious TEAEs and non-serious TEAEs.
Safety Run-in Part: Number of Participants With Grade Greater Than or Equal (>=) 3 Laboratory Abnormalities
Laboratory investigation included hematology and biochemistry. The number of participants with Grade >=3 laboratory abnormalities were reported. Severity of grade 3 or higher TEAEs were graded using NCI-CTCAE v5.0 toxicity grades, as follows: Grade 3 = Severe; Grade 4 = Life-threatening and Grade 5 = Death.
Double-blind Part: Progression-Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors (RECIST Version 1.1) Assessed by Independent Review Committee (IRC)
Progression free survival was defined as the time from randomization of study intervention until the first documentation of disease progression (PD) or death due to any cause in the absence of documented PD, whichever occurred first. PD: At least a 20 percent (%) increase in the sum of the longest diameter (SLD) taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions.
Double-blind Part: Percentage of Participants With Confirmed Objective Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Independent Review Committee (IRC)
Percentage of participants with confirmed objective response that is at least one overall assessment of complete response (CR) or partial response (PR) reported here. CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30% reduction from baseline in the sum of the longest diameter (SLD) of all lesions. Confirmed CR = at least 2 determinations of CR at least 4 weeks apart and before progression. Confirmed PR = at least 2 determinations of PR at least 4 weeks apart and before progression (and not qualifying for a CR). Confirmed objective response was determined according to RECIST v1.1 and as adjudicated by IRC.
Double-blind Part: Duration of Response (DOR) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Independent Review Committee (IRC)
DOR was defined for participants with objective response, as the time from first documentation of objective response (confirmed Complete Response [CR] or Partial Response [PR]) to the date of first documentation of progression disease (PD) or death due to any cause, whichever occurred first. CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30% reduction from baseline in the SLD of all lesions. PD: At least a 20 percent (%) increase in the SLD, taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. DOR was determined according to RECIST v1.1 and assessed by IRC. Results were calculated based on Kaplan-Meier estimates.
Durable Response of at Least 6 Months According to Response Evaluation Criteria In Solid Tumors (RECIST) Version 1.1
Double-blind Part: Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Serious TEAEs (SAEs), Treatment Related TEAEs and Adverse Events of Special Interest (AESIs) According to NCI-CTCAE Version 5.0
AE was defined any untoward medical occurrence in a participant administered with a study drug, which does not necessarily had a causal relationship with this treatment. Serious AE was defined AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial/prolonged inpatient hospitalization; congenital anomaly/birth defect. TEAE was defined as events with onset date or worsening during the on treatment period. TEAEs included serious TEAEs and non-serious TEAEs. Adverse events of special interest (AESI) are serious or non-serious AEs that are of clinical interest and should be closely followed. For this study, AESIs include the following: Infusion-related reactions including immediate hypersensitivity; Immune-related AEs; Transforming growth factor beta (TGFβ) inhibition mediated skin reactions; Anemia; Bleeding AEs.
Full Information
NCT ID
NCT04066491
First Posted
August 22, 2019
Last Updated
November 14, 2022
Sponsor
EMD Serono Research & Development Institute, Inc.
Collaborators
Merck KGaA, Darmstadt, Germany
1. Study Identification
Unique Protocol Identification Number
NCT04066491
Brief Title
Gemcitabine Plus Cisplatin With or Without Bintrafusp Alfa (M7824) in Participants With 1L BTC
Official Title
A Phase II/III, Multicenter, Randomized, Placebo-controlled Study of Gemcitabine Plus Cisplatin With or Without Bintrafusp Alfa (M7824) as First-line Treatment of Biliary Tract Cancer
Study Type
Interventional
2. Study Status
Record Verification Date
November 2022
Overall Recruitment Status
Completed
Study Start Date
September 20, 2019 (Actual)
Primary Completion Date
May 20, 2021 (Actual)
Study Completion Date
November 10, 2022 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
EMD Serono Research & Development Institute, Inc.
Collaborators
Merck KGaA, Darmstadt, Germany
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
Study consisted of an open-label, safety run-in part and a randomized, double-blind, placebo-controlled Phase 2/3 part. In the Phase 2/3 part, the study was evaluated whether bintrafusp alfa in combination with the current standard of care (SoC) (gemcitabine plus cisplatin) improves overall survival (OS) in chemotherapy and immunotherapy-naïve participants with locally advanced or metastatic Biliary Tract Cancer (BTC) compared to placebo, gemcitabine and cisplatin.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Biliary Tract Cancer, Cholangiocarcinoma, Gallbladder Cancer
Keywords
Metastatic Biliary Tract Cancer, Cholangiocarcinoma, Gallbladder Cancer, Ampullary cancer, M7824, Bintrafusp alfa, Transforming growth factor-beta, Programmed death-ligand 1, INTR@PID
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2, Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
309 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Safety Run-In Part: M7824 + Gemcitabine + Cisplatin
Arm Type
Experimental
Arm Title
Double-blinded Part: M7824 + Gemcitabine + Cisplatin
Arm Type
Experimental
Arm Title
Double-blinded Part: Placebo + Gemcitabine + Cisplatin
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
M7824
Intervention Description
Participants received intravenous infusion of M7824 at a dose of 2400 milligrams (mg), once every 3 weeks (Q3W) 2 years (in case of Complete Response), otherwise until criterion pre-sepcified in protocol for discontinuation is met, in combination with intravenous infusion of Gemcitabine and Cisplatin at a dose of 1000 milligram per meter square (mg/m^2) and 25 mg/m^2 respectively on Day 1 and Day 8 of 21- day cycle, for 8 cycles every 3 weeks.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Participants received intravenous infusion of M7824 matched placebo, once every 3 weeks (Q3W) until 2 years (in case of CR), otherwise until crtiterion pre-sepcified in protocol for discontinuation is met.
Intervention Type
Drug
Intervention Name(s)
Gemcitabine
Intervention Description
Gemcitabine was received intravenously at a dose of 1000 milligram per meter square (mg/m^2) on Day 1 and Day 8 of 21- day cycle, for 8 cycles every 3 weeks (Q3W).
Intervention Type
Drug
Intervention Name(s)
Cisplatin
Intervention Description
Cisplatin was received intravenously at a dose of 25 mg/m^2 on Day 1 and Day 8 of 21-day cycle, for 8 cycles every 3 weeks (Q3W).
Primary Outcome Measure Information:
Title
Safety Run-in Part: Number of Participants Who Experienced Dose Limiting Toxicities (DLTs)
Description
A DLT is a toxicity related to the study intervention that meets the following criteria as evaluated in the open-label, safety run-in: Grade 3 or 4 Immune-related adverse event (irAE) that needs permanent discontinuation of M7824 treatment; a malignant skin lesion induced by M7824 that is local and can be resected with a negative resection margin is not a DLT; Grade 3 or 4 nonhematologic toxicity other than irAE, A life threatening hematological toxicity (unless clearly attributable to chemotherapy alone), which is hardly medically manageable, including a bleeding event resulting in urgent intervention and admission to an intensive care unit and Grade 5 toxicity.
Time Frame
Day 1 up to Day 21 of Cycle 1 (each Cycle is of 21 days)
Title
Double-blind Part: Overall Survival
Description
Overall Survival was defined as the time from study day 1 to the date of death due to any cause. The overall survival was analyzed by using the Kaplan-Meier method.
Time Frame
Time from study day 1 up to data cutoff (assessed up to 609 days)
Secondary Outcome Measure Information:
Title
Safety Run-in Part: Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Serious TEAEs (SAEs) and Treatment Related TEAEs According to National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 5.0
Description
Adverse Event (AE) was defined any untoward medical occurrence in a participant administered with a study drug, which does not necessarily had a causal relationship with this treatment. Serious AE was defined AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial/prolonged inpatient hospitalization; congenital anomaly/birth defect. TEAE was defined as events with onset date or worsening during the on treatment period. TEAEs included serious TEAEs and non-serious TEAEs.
Time Frame
Time from first treatment to up to data cutoff (assessed up to 609 days)
Title
Safety Run-in Part: Number of Participants With Grade Greater Than or Equal (>=) 3 Laboratory Abnormalities
Description
Laboratory investigation included hematology and biochemistry. The number of participants with Grade >=3 laboratory abnormalities were reported. Severity of grade 3 or higher TEAEs were graded using NCI-CTCAE v5.0 toxicity grades, as follows: Grade 3 = Severe; Grade 4 = Life-threatening and Grade 5 = Death.
Time Frame
Time from first treatment to up to data cutoff (assessed up to 609 days)
Title
Double-blind Part: Progression-Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors (RECIST Version 1.1) Assessed by Independent Review Committee (IRC)
Description
Progression free survival was defined as the time from randomization of study intervention until the first documentation of disease progression (PD) or death due to any cause in the absence of documented PD, whichever occurred first. PD: At least a 20 percent (%) increase in the sum of the longest diameter (SLD) taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions.
Time Frame
Time from randomization of study drug until the first documentation of PD or death, assessed approximately up to 609 days
Title
Double-blind Part: Percentage of Participants With Confirmed Objective Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Independent Review Committee (IRC)
Description
Percentage of participants with confirmed objective response that is at least one overall assessment of complete response (CR) or partial response (PR) reported here. CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30% reduction from baseline in the sum of the longest diameter (SLD) of all lesions. Confirmed CR = at least 2 determinations of CR at least 4 weeks apart and before progression. Confirmed PR = at least 2 determinations of PR at least 4 weeks apart and before progression (and not qualifying for a CR). Confirmed objective response was determined according to RECIST v1.1 and as adjudicated by IRC.
Time Frame
Time from randomization of study drug up to data cut off (assessed up to 609 days)
Title
Double-blind Part: Duration of Response (DOR) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Independent Review Committee (IRC)
Description
DOR was defined for participants with objective response, as the time from first documentation of objective response (confirmed Complete Response [CR] or Partial Response [PR]) to the date of first documentation of progression disease (PD) or death due to any cause, whichever occurred first. CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30% reduction from baseline in the SLD of all lesions. PD: At least a 20 percent (%) increase in the SLD, taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. DOR was determined according to RECIST v1.1 and assessed by IRC. Results were calculated based on Kaplan-Meier estimates.
Time Frame
From first documented objective response to PD or death due to any cause, assessed approximately up to 609 days
Title
Durable Response of at Least 6 Months According to Response Evaluation Criteria In Solid Tumors (RECIST) Version 1.1
Time Frame
Time from first treatment assessed up to 1199 days
Title
Double-blind Part: Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Serious TEAEs (SAEs), Treatment Related TEAEs and Adverse Events of Special Interest (AESIs) According to NCI-CTCAE Version 5.0
Description
AE was defined any untoward medical occurrence in a participant administered with a study drug, which does not necessarily had a causal relationship with this treatment. Serious AE was defined AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial/prolonged inpatient hospitalization; congenital anomaly/birth defect. TEAE was defined as events with onset date or worsening during the on treatment period. TEAEs included serious TEAEs and non-serious TEAEs. Adverse events of special interest (AESI) are serious or non-serious AEs that are of clinical interest and should be closely followed. For this study, AESIs include the following: Infusion-related reactions including immediate hypersensitivity; Immune-related AEs; Transforming growth factor beta (TGFβ) inhibition mediated skin reactions; Anemia; Bleeding AEs.
Time Frame
Time from first treatment to up to data cutoff (assessed up to 609 days)
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Are participants with histologically or cytologically confirmed locally advanced or metastatic BTC
Participants must have available tumor tissue (primary or metastatic) (archival or fresh biopsies) before the first administration of study treatment
At least 1 measurable lesion according to RECIST 1.1
Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0 or 1 at study entry and at Week 1, Day 1 prior to dosing
Life expectancy of >= 12 weeks, as judged by the Investigator
Adequate hematological function, hepatic function, renal function, coagulation function as defined in the protocol
Hepatitis B virus (HBV) deoxyribonucleic acid (DNA) positive participants must be treated and on a stable dose of antivirals
Other protocol defined inclusion criteria could apply
Exclusion Criteria:
Previous and/or intercurrent cancers
Receipt of any organ transplantation, including allogeneic stem-cell transplantation, but with the exception of transplants that do not require immunosuppression
Participants with symptomatic central nervous system (CNS) metastases
Significant acute or chronic infection including known history of positive test for human immunodeficiency virus (HIV), active tuberculosis, uncontrolled biliary infection and active bacterial or fungal infection requiring systemic therapy (with the exception of hepatitis B and hepatitis C) requiring systemic therapy at study entry and at Week 1 Day 1 prior to dosing.
Active autoimmune disease that might deteriorate when receiving an immunostimulatory agent
History of or concurrent interstitial lung disease
History of hypersensitivity reactions to bintrafusp alfa, anaphylaxis, or recent (within 5 months) uncontrolled asthma, cardiovascular/cerebrovascular disease
Chronic obstructive pulmonary disease exacerbation or other respiratory illness requiring hospitalization or precluding study therapy within 30 days before randomization
Prior therapy with any antibody/drug targeting T-cell coregulatory proteins (immune checkpoints)
Other protocol defined exclusion criteria could apply
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Responsible
Organizational Affiliation
Merck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, Germany
Official's Role
Study Director
Facility Information:
Facility Name
Ironwood Cancer & Research Centers - Chandler II
City
Chandler
State/Province
Arizona
ZIP/Postal Code
85224
Country
United States
Facility Name
Banner MD Anderson Cancer Center
City
Gilbert
State/Province
Arizona
ZIP/Postal Code
85234
Country
United States
Facility Name
Mayo Clinic Arizona
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85054
Country
United States
Facility Name
Beverly Hills Cancer Center
City
Beverly Hills
State/Province
California
ZIP/Postal Code
90211
Country
United States
Facility Name
Mayo Clinic in Florida - Department of Neurology
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32224
Country
United States
Facility Name
Mount Sinai Medical Center
City
Miami Beach
State/Province
Florida
ZIP/Postal Code
33140
Country
United States
Facility Name
University of Kansas Medical Center Research Institute, Inc. - University of Kansas Cancer Center/Bloch Pavilion
City
Westwood
State/Province
Kansas
ZIP/Postal Code
66216
Country
United States
Facility Name
Sidney Kimmel Comprehensive Cancer Center at John Hopkins
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21287
Country
United States
Facility Name
Mayo Clinic - Rochester
City
Rochester
State/Province
Minnesota
ZIP/Postal Code
55905
Country
United States
Facility Name
Methodist Transplant Physicians
City
Dallas
State/Province
Texas
ZIP/Postal Code
75203
Country
United States
Facility Name
MD Anderson Cancer Center - Unit 429
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
Renovatio Clinical - CENTRAL SITE
City
The Woodlands
State/Province
Texas
ZIP/Postal Code
77380
Country
United States
Facility Name
Hospital de Gastroenterologia Dr. Carlos Bonorino Udaondo
City
Ciudad Autonoma Buenos Aires
Country
Argentina
Facility Name
Instituto de Investigaciones Metabolicas (IDIM)
City
Ciudad Autonoma Buenos Aires
Country
Argentina
Facility Name
Instituto Medico Especializado Alexander Fleming
City
Ciudad Autonoma Buenos Aires
Country
Argentina
Facility Name
Centro Oncologico Riojano Integral (CORI)
City
La Rioja
Country
Argentina
Facility Name
CEDIT
City
Salta
Country
Argentina
Facility Name
Centro Medico San Roque S.R.L.
City
San Miguel de Tucuman
Country
Argentina
Facility Name
Fundacion ARS Medica
City
San Salvador de Jujuy
Country
Argentina
Facility Name
Blacktown Hospital - PARENT
City
Blacktown
Country
Australia
Facility Name
Monash Health
City
Clayton
Country
Australia
Facility Name
Epworth Freemasons
City
Melbourne
Country
Australia
Facility Name
Icon Cancer Care South Brisbane
City
South Brisbane
Country
Australia
Facility Name
INCA - Instituto Nacional de Câncer
City
Rio de Janeiro
Country
Brazil
Facility Name
CEPHO - Centro de Estudos e Pesquisas de Hematologia e Oncologia
City
Santo André
Country
Brazil
Facility Name
Fundação Faculdade Regional de Medicina de São José do Rio Preto
City
Sao Jose Rio Preto
Country
Brazil
Facility Name
A. C. Camargo Cancer Center
City
São Paulo
Country
Brazil
Facility Name
ICESP - Instituto do Câncer do Estado de São Paulo Octavio Frias de Oliveira
City
São Paulo
Country
Brazil
Facility Name
IC la serena Research
City
La Serena
Country
Chile
Facility Name
Centro de Investigación Clínica Bradford Hill
City
Santiago
Country
Chile
Facility Name
Hospital Clínico Universidad de Chile
City
Santiago
Country
Chile
Facility Name
Prosalud
City
Santiago
Country
Chile
Facility Name
Instituto Clinico Oncologico del Sur (ICOS)
City
Temuco
Country
Chile
Facility Name
Beijing Cancer Hospital
City
Beijing
Country
China
Facility Name
Beijing Friendship Hospital, Capital Medical University
City
Beijing
Country
China
Facility Name
West China Hospital, Sichuan University
City
Chengdu
Country
China
Facility Name
Sir Run Run Shaw Hospital, Zhejiang University, School of Medicine
City
Hangzhou
Country
China
Facility Name
The Affiliated Hospital of Qingdao University
City
Qingdao
Country
China
Facility Name
Fudan University Shanghai Cancer Hospital
City
Shanghai
Country
China
Facility Name
The Second Affiliated Hospital of Soochow University
City
Suzhou
Country
China
Facility Name
Tianjin Medical University Cancer Institute & Hospital
City
Tianjin
Country
China
Facility Name
Union Hospital Tongji Medical College Huazhong University of Science and Technology
City
Wuhan
Country
China
Facility Name
ICO - Site Paul Papin - service d'oncologie medicale
City
Angers Cedex 2
Country
France
Facility Name
Centre Georges François Leclerc - Oncologie Médicale
City
Dijon cedex
Country
France
Facility Name
CHU Lille - Hôpital Claude Huriez
City
Lille cedex
Country
France
Facility Name
ICO - Site René Gauducheau
City
Saint Herblain
Country
France
Facility Name
CHU de Toulouse - Hôpital Ranguei
City
Toulouse Cedex 9
Country
France
Facility Name
Vivantes Klinikum Neukoelln - Haematologie und Onkologie
City
Berlin
Country
Germany
Facility Name
Universitaetsklinikum Bonn AoeR - Medizinische Klinik I Gastroenterologie
City
Bonn
Country
Germany
Facility Name
Universitaetsklinikum Carl Gustav Carus TU Dresden - Medizinische Klinik I
City
Dresden
Country
Germany
Facility Name
Klinikum der Johann Wolfgang Goethe-Universitaet
City
Frankfurt
Country
Germany
Facility Name
Universitaetsmedizin der Johannes Gutenberg-Universitaet Mainz - Medizinische Klinik I - HCC Ambulanz
City
Mainz
Country
Germany
Facility Name
Azienda Ospedaliera Universitaria Integrata Verona (Ospedale Borgo Roma) - UOC Oncologia
City
Verona
Country
Italy
Facility Name
Chiba Cancer Center
City
Chiba-shi
Country
Japan
Facility Name
National Cancer Center Hospital - Dept of Hepatobiliary and Pancreatic Oncology
City
Chuo-ku
Country
Japan
Facility Name
NHO Kyushu Cancer Center - Dept of Gastroenterology/Hepatology/Pancreatology
City
Fukuoka-shi
Country
Japan
Facility Name
National Cancer Center Hospital East
City
Kashiwa-shi
Country
Japan
Facility Name
Cancer Institute Hospital of JFCR - Dept of Hepato,Biliary and Pancreatic Medicine
City
Koto-ku
Country
Japan
Facility Name
Kyorin University Hospital
City
Mitaka-shi
Country
Japan
Facility Name
Aichi Cancer Center Hospital
City
Nagoya-shi
Country
Japan
Facility Name
Osaka City University Hospital
City
Osaka-shi
Country
Japan
Facility Name
Kindai University Hospital
City
Osakasayama-shi
Country
Japan
Facility Name
Kanagawa Cancer Center
City
Yokohama-shi
Country
Japan
Facility Name
Chungnam National University Hospital - Department of Internal Medicine (Rheumatology)
City
Daejeon
Country
Korea, Republic of
Facility Name
Seoul National University Bundang Hospital
City
Seongnam-si
Country
Korea, Republic of
Facility Name
Asan Medical Center
City
Seoul
Country
Korea, Republic of
Facility Name
Korea University Anam Hospital
City
Seoul
Country
Korea, Republic of
Facility Name
Korea University Guro Hospital
City
Seoul
Country
Korea, Republic of
Facility Name
Samsung Medical Center
City
Seoul
Country
Korea, Republic of
Facility Name
Seoul National University Hospital
City
Seoul
Country
Korea, Republic of
Facility Name
Severance Hospital, Yonsei University Health System
City
Seoul
Country
Korea, Republic of
Facility Name
The Catholic University of Korea, Seoul St. Mary's Hospital
City
Seoul
Country
Korea, Republic of
Facility Name
Centrum Onkologii-Instytut im.M.Sklodowskiej Curie
City
Gliwice
Country
Poland
Facility Name
Pratia
City
Krakow
Country
Poland
Facility Name
Narodowy Instytut Onkologii im. Marii Skłodowskiej-Curie - Państwowy Instytut Badawczy
City
Warszawa
Country
Poland
Facility Name
ETG Zamosc
City
Zamosc
Country
Poland
Facility Name
Hospital Clinic i Provincial de Barcelona - Servicio de Oncologia
City
Barcelona
Country
Spain
Facility Name
Hospital Universitari Vall d'Hebron - Dept of Oncology
City
Barcelona
Country
Spain
Facility Name
Hospital San Pedro de Alcantara - Servicio de Oncologia
City
Caceres
Country
Spain
Facility Name
Hospital Universitario Reina Sofia - Dept of Oncology
City
Cordoba
Country
Spain
Facility Name
ICO l´Hospitalet - Hospital Duran i Reynals
City
L'Hospitalet de Llobregat
Country
Spain
Facility Name
Hospital General Universitario Gregorio Marañon - Servicio de Oncologia Medica
City
Madrid
Country
Spain
Facility Name
Hospital Universitario Clinico San Carlos - Servicio de Oncologia
City
Madrid
Country
Spain
Facility Name
Hospital Universitario HM Madrid Sanchinarro - Servicio de Oncologia
City
Madrid
Country
Spain
Facility Name
Hospital Clinico Universitario de Valencia - Servicio de Hematologia y Oncologia Medica
City
Valencia
Country
Spain
Facility Name
Hospital Universitari i Politecnic La Fe - Servicio de Oncologia Medica
City
Valencia
Country
Spain
Facility Name
Kaohsiung Chang Gung Memorial Hospital
City
Kaohsiung
Country
Taiwan
Facility Name
China Medical University Hospital
City
Taichung
Country
Taiwan
Facility Name
Taichung Veterans General Hospital
City
Taichung
Country
Taiwan
Facility Name
National Cheng Kung University Hospital
City
Tainan
Country
Taiwan
Facility Name
National Taiwan University Hospital
City
Taipei
Country
Taiwan
Facility Name
Taipei Veterans General Hospital
City
Taipei
Country
Taiwan
Facility Name
Chang Gung Memorial Hospital, Linkou
City
Taoyuan
Country
Taiwan
Facility Name
The Christie - Dept of Oncology
City
Manchester
Country
United Kingdom
12. IPD Sharing Statement
Plan to Share IPD
Yes
IPD Sharing Plan Description
We are committed to enhancing public health through responsible sharing of clinical trial data. Following approval of a new product or a new indication for an approved product in both the US and European Union, the study sponsor and/or its affiliated companies will share study protocols, anonymized patient data and study level data, and redacted clinical study reports with qualified scientific and medical researchers, upon request, as necessary for conducting legitimate research. Further information on how to request data can be found on our website bit.ly/IPD21
IPD Sharing Time Frame
Within six months after the approval of a new product or a new indication for an approved product in both the United States and the European Union.
IPD Sharing Access Criteria
Qualified scientific and medical researchers can request the data. Such requests must be submitted in writing to the company's portal and will be internally reviewed regarding criteria for researchers' qualification and legitimacy of the research proposal.
IPD Sharing URL
http://bit.ly/IPD21
Citations:
PubMed Identifier
32461347
Citation
Yoo C, Oh DY, Choi HJ, Kudo M, Ueno M, Kondo S, Chen LT, Osada M, Helwig C, Dussault I, Ikeda M. Phase I study of bintrafusp alfa, a bifunctional fusion protein targeting TGF-beta and PD-L1, in patients with pretreated biliary tract cancer. J Immunother Cancer. 2020 May;8(1):e000564. doi: 10.1136/jitc-2020-000564.
Results Reference
result
Links:
URL
https://clinicaltrials.emdgroup.com/en/trial-details/?id=MS200647_0055
Description
Trial Awareness and Transparency website
URL
https://medical.emdserono.com/en_US/home.html
Description
US Medical Information website, Medical Resources
Learn more about this trial
Gemcitabine Plus Cisplatin With or Without Bintrafusp Alfa (M7824) in Participants With 1L BTC
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