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Bintrafusp Alfa Monotherapy in Platinum-Experienced Cervical Cancer

Primary Purpose

Uterine Cervical Neoplasms

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Bintrafusp alfa
Sponsored by
EMD Serono Research & Development Institute, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Uterine Cervical Neoplasms focused on measuring M7824, INTR@PID, Bintrafusp alfa, programmed death-ligand 1, Cervical Cancer, Transforming growth factor-β (TGF-β)

Eligibility Criteria

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

Inclusion Criteria:

  • Participants have advanced unresectable and/or metastatic cervical cancer (squamous cell carcinoma, adenocarcinoma, adenosquamous cell carcinoma) with disease progression during or after the prior platinum-containing chemotherapy:

    1. The prior platinum-containing chemotherapy may be a systemic treatment for advanced unresectable, recurrent, persistent or metastatic disease or treatment in the adjuvant or neo-adjuvant setting with disease progression or recurrence within 6 months of completion of platinum-containing chemotherapy
    2. Participants who previously only received platinum as a radiosensitizer are not eligible
    3. Participants must be naïve to checkpoint inhibitors
  • Participants must have measurable disease
  • Participants must provide a tumor tissue sample, either from archival tissue or newly obtained core or excisional biopsy. If the participant received local therapy (For example: radiation therapy or chemoradiotherapy) after the archival tissue was taken, a new biopsy will be required
  • Participants who have Eastern Cooperative Oncology Group (ECOG) PS of 0 to 1
  • Life expectancy greater than or equals to (>=) 12 weeks as judged by the Investigator
  • Adequate hematological, hepatic and renal function as defined in the protocol
  • Participants with known Human Immunodeficiency Virus (HIV) infections are in general eligible if the following criteria are met:

    1. Clinically indicated participants must be stable on antiretroviral therapy (ART) for at least 4 weeks and agree to adhere to ART
    2. have no evidence of documented multi-drug resistance that would prevent effective ART
    3. Have an HIV viral load of < 400 copies per milliliter (/mL) at Screening
    4. Have CD4+ T-cell (CD4+) counts >= 350 cells/microliter
    5. For participants with a history of an Acquired immunodeficiency syndrome (AIDS)-defining opportunistic infection within the last 12 months, participants may be eligible only after consultation and agreement with the study Medical Monitor
    6. If prophylactic antimicrobial drugs are indicated, participants may still be considered eligible upon agreement with the study Medical Monitor
  • Participants with hepatitis B virus (HBV) and/or hepatitis C virus (HCV) infections are in general eligible if the following criteria are met:

    1. HBV viral load below the limit of quantification. If medically indicated, participants infected with HBV must be treated and on a stable dose of antivirals at study entry and with planned monitoring and management according to appropriate labeling guidance
    2. Participants with a history of HCV infection should have completed curative antiviral treatment and require HCV viral load below the limit of quantification
    3. Participants on concurrent HCV treatment should have HCV below the limit of quantification
  • Other protocol defined inclusion criteria could apply

Exclusion Criteria:

  • Participants with active central nervous system (CNS) metastases causing clinical symptoms or require therapeutic intervention are excluded. Participants with a history of treated CNS metastases (by surgery or radiation therapy) are not eligible unless they have fully recovered from treatment, demonstrated no progression for at least 4 weeks, and are not using steroids for at least 7 days prior to the start of study treatment
  • Participants with interstitial lung disease or has had a history of pneumonitis that has required oral or intravenous (IV) steroids
  • Participants with significant acute or chronic infections
  • Participants with active autoimmune disease that might deteriorate when receiving an immunostimulatory agent
  • Participants with clinically significant cardiovascular/cerebrovascular disease including: cerebral vascular accident/stroke, myocardial infarction, unstable angina, congestive heart failure, or serious cardiac arrhythmia
  • Other protocol defined exclusion criteria could apply

Sites / Locations

  • Highlands Oncology Group
  • University of Arkansas Medical Sciences
  • Stanford University Hospital and Clinics - Stanford Cancer Center
  • The Stamford Hospital
  • Karmanos Cancer Institute
  • Washington University in St. Louis
  • Comprehensive Cancer Centers of Nevada
  • UC Health Clinical Trials Office
  • Oregon Health &amp; Science University
  • The West Clinic
  • SCRI - Tennessee Oncology
  • Centro Oncologico Riojano Integral (CORI)
  • Sanatorio El Parque
  • Centro Medico San Roque S.R.L.
  • Peter MacCallum Cancer Centre-East Melbourne
  • Linear Clinical Research Limited
  • Calvary Mater Newcastle
  • Cliniques Universitaires Saint-Luc
  • Institut Jules Bordet
  • Universitair Ziekenhuis Gent - Pneumology
  • AZ Groeninge - Campus Kennedylaan - account 2
  • CHU de Liège - PARENT
  • CHU Sart Tilman
  • UZ Leuven
  • GZA Ziekenhuizen - Campus Sint-Augustinus
  • HGB - Hospital Giovanni Battista - Mãe de Deus Center - Centro de Pesquisa Clínica - Instituto do Câncer
  • Clínica de Pesquisas e Centro de Estudos em Oncologia Ginecológica e Mamária Ltda.
  • IBCC - Instituto Brasileiro de Controle do Câncer
  • Chongqing Cancer Hospital
  • Sun Yat-sen University, Cancer Center
  • Zhejiang Cancer Hospital
  • Anhui Provincial Hospital
  • Shanghai Cancer Hospital, Fudan University
  • Union Hospital Tongji Medical College Huazhong University of Science and Technology
  • Henan Cancer Hospital
  • Institut Bergonié
  • Centre Oscar lambret - Service d'Oncologie medicale
  • Centre Léon Bérard
  • Centre Antoine Lacassagne
  • Hôpital Cochin - Hematologie et Oncologie Médicale
  • Centre Hospitalier Lyon Sud - service d'oncologie medicale
  • CARIO - Centre Armoricain de Radiothérapie, Imagerie médicale et Oncologie
  • Institut Jean Godinot - Service d'hématologie et Oncologie Médicale
  • ICO - Site René Gauducheau
  • Institut de Cancérologie de Strasbourg Europe - ICANS - Service d'oncologie médicale
  • Orszagos Onkologiai Intezet - Nogyogyaszati Osztaly
  • SzSzB Megyei Korhazak es Egyetemi Oktatokorhaz - Onkoradiologia
  • National Cancer Center Hospital - Dept of Mammary Gland/Oncology
  • NHO Kyushu Cancer Center - Dept of Gynecology
  • Saitama Medical University International Medical Center - Dept of Gynecology/Oncology
  • Cancer Institute Hospital of JFCR - Dept of Gynecology
  • Kurume University Hospital - Dept of Gynecology
  • Jikei University Hospital - Dept of Gynecology
  • University Hospital, University of the Ryukyus - Dept of Obstetrics/Gynecology
  • Osaka International Cancer Institute - Dept of Gynecology
  • NHO Hokkaido Cancer Center - Dept of Gynecology
  • Kanagawa Cancer Center - Dept of Gynecology
  • National Cancer Center
  • Asan Medical Center
  • Samsung Medical Center
  • Seoul National University Hospital
  • Severance Hospital, Yonsei University Health System
  • Ajou University Hospital
  • BHI of Omsk region "Clinical Oncology Dispensary"
  • LLC "ClinicaUZI4D"
  • Hospital Clinic i Provincial de Barcelona - Servicio de Oncologia
  • Hospital Universitari Vall d'Hebron - Dept of Oncology
  • ICO Girona - Hospital Doctor Josep Trueta - Servicio de Oncologia Medica
  • Clinica Universidad de Navarra (MAD) - Oncology Service
  • Hospital Universitario 12 de Octubre - Servicio de Oncologia
  • Hospital Universitario Ramon y Cajal - Servicio de Oncologia
  • Hospital Regional Universitario de Malaga
  • Hospital Clinico Universitario de Valencia - Servicio de Hematologia y Oncologia Medica

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Bintrafusp alfa

Arm Description

Outcomes

Primary Outcome Measures

Number 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)
Confirmed objective response was defined as the number of participants with a confirmed objective response of complete response (CR) or partial response (PR). 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.

Secondary Outcome Measures

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 confirmed response, as the time from first documentation of confirmed objective response (Complete Response [CR] or Partial Response [PR]) according to RECIST 1.1 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 According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Independent Review Committee (IRC)
Durable Response was defined as the number of participants with confirmed objective response (CR or PR) according to RECIST 1.1, determined by IRC with duration of at least 6 months. 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.
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Treatment-Related TEAEs, Including Adverse Event of Special Interests (AESIs)
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. TEAEs: TEAEs was defined as events with onset date or worsening during the on-treatment period. TEAEs included serious AEs and non-serious AEs. Treatment-related TEAEs: reasonably related to the study intervention. AESIs included Infusion-related reactions, Immune-related AEs, Transforming growth factor- beta (TGF-ß) inhibition mediated skin AE, bleeding and anemia.
Progression-Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors (RECIST Version 1.1) Assessed by Independent Review Committee (IRC)
PFS was defined as the time from first administration of study intervention until date of the first documentation of disease progression (PD) or death due to any cause, whichever occurred first. 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. Kaplan-Meier estimates was used to calculate PFS.
Number of Participants With Confirmed Objective Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by the Investigator
Confirmed objective response was defined as the number of participants with a confirmed objective response of complete response (CR) or partial response (PR). 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 Investigator.
Overall Survival (OS)
OS was defined as the time from first administration of study intervention to the date of death due to any cause. The OS was analyzed by using the Kaplan-Meier method.
Serum Pre-Dose Concentrations (Ctrough) of Bintrafusp Alfa
Ctrough was defined as the concentration observed immediately before next dosing (corresponding to pre-dose or trough concentration for multiple dosing).
Serum Concentration at End of Infusion (CEOI) of Bintrafusp Alfa
Serum Concentration at End of Infusion (CEOI) of bintrafusp alfa is reported.
Number of Participants With Positive Antidrug Antibodies (ADA)
Serum samples were analyzed by a validated assay method to detect the presence of antidrug antibodies (ADA). Number of participants with positive ADA were reported.
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) According to Programmed Death Ligand 1 (PD-L1) Expression
Confirmed objective response was defined as the percentage of participants with a confirmed objective response of complete response (CR) or partial response (PR). 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 through PD-L1 Subgroup. Participants with PD-L1 positive tumors (Combined positive score (CPS) >=1) and PD-L1 negative tumors (CPS<1).
PFS According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Independent Review Committee (IRC) According to Programmed Death Ligand 1 (PD-L1) Expression
PFS was defined as the time from first administration of study intervention until the first documentation of disease progression (PD) or death due to any cause, whichever occurred first. 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. PFS was determined according to RECIST v1.1 and as adjudicated by IRC through PD-L1 Subgroup. Participants with PD-L1 positive tumors (Combined positive score (CPS) >=1) and PD-L1 negative tumors (CPS<1).
Overall Survival (OS) as Assessed According to Programmed Death Ligand 1 (PD-L1) Expression
OS was defined as the time from first administration of study intervention to the date of death due to any cause. The OS was analyzed by using the Kaplan-Meier method. Participants with PD-L1 positive tumors (Combined positive score (CPS) >=1) and PD-L1 negative tumors (CPS<1).

Full Information

First Posted
January 28, 2020
Last Updated
October 18, 2023
Sponsor
EMD Serono Research & Development Institute, Inc.
Collaborators
Merck KGaA, Darmstadt, Germany
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1. Study Identification

Unique Protocol Identification Number
NCT04246489
Brief Title
Bintrafusp Alfa Monotherapy in Platinum-Experienced Cervical Cancer
Official Title
A Phase II, Multicenter, Open Label Study of Bintrafusp Alfa (M7824) Monotherapy in Participants With Advanced, Unresectable Cervical Cancer With Disease Progression During or After Platinum-Containing Chemotherapy
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Completed
Study Start Date
March 30, 2020 (Actual)
Primary Completion Date
April 5, 2022 (Actual)
Study Completion Date
December 14, 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
No

5. Study Description

Brief Summary
The main purpose of this study was to evaluate clinical efficacy and safety of bintrafusp alfa in participants with advanced, unresectable cervical cancer with disease progression during or after platinum-containing chemotherapy.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Uterine Cervical Neoplasms
Keywords
M7824, INTR@PID, Bintrafusp alfa, programmed death-ligand 1, Cervical Cancer, Transforming growth factor-β (TGF-β)

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
146 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Bintrafusp alfa
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
Bintrafusp alfa
Other Intervention Name(s)
M7824
Intervention Description
Participants received an intravenous infusion of 1200 milligrams (mg) bintrafusp alfa once every 2 weeks until confirmed disease progression, death, unacceptable toxicity and study withdrawal.
Primary Outcome Measure Information:
Title
Number 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
Confirmed objective response was defined as the number of participants with a confirmed objective response of complete response (CR) or partial response (PR). 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 first treatment up to 688 days
Secondary Outcome Measure Information:
Title
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 confirmed response, as the time from first documentation of confirmed objective response (Complete Response [CR] or Partial Response [PR]) according to RECIST 1.1 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
Time from first treatment up to 688 days
Title
Durable Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Independent Review Committee (IRC)
Description
Durable Response was defined as the number of participants with confirmed objective response (CR or PR) according to RECIST 1.1, determined by IRC with duration of at least 6 months. 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.
Time Frame
Time from first treatment up to 688 days
Title
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Treatment-Related TEAEs, Including Adverse Event of Special Interests (AESIs)
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. TEAEs: TEAEs was defined as events with onset date or worsening during the on-treatment period. TEAEs included serious AEs and non-serious AEs. Treatment-related TEAEs: reasonably related to the study intervention. AESIs included Infusion-related reactions, Immune-related AEs, Transforming growth factor- beta (TGF-ß) inhibition mediated skin AE, bleeding and anemia.
Time Frame
Time from first treatment up to 688 days
Title
Progression-Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors (RECIST Version 1.1) Assessed by Independent Review Committee (IRC)
Description
PFS was defined as the time from first administration of study intervention until date of the first documentation of disease progression (PD) or death due to any cause, whichever occurred first. 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. Kaplan-Meier estimates was used to calculate PFS.
Time Frame
Time from first administration of study drug until the first documentation of PD or death, assessed up to 688 days
Title
Number of Participants With Confirmed Objective Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by the Investigator
Description
Confirmed objective response was defined as the number of participants with a confirmed objective response of complete response (CR) or partial response (PR). 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 Investigator.
Time Frame
Time from first treatment up to 688 days
Title
Overall Survival (OS)
Description
OS was defined as the time from first administration of study intervention to the date of death due to any cause. The OS was analyzed by using the Kaplan-Meier method.
Time Frame
Time from first administration of study drug up to data cutoff (assessed up to 688 days)
Title
Serum Pre-Dose Concentrations (Ctrough) of Bintrafusp Alfa
Description
Ctrough was defined as the concentration observed immediately before next dosing (corresponding to pre-dose or trough concentration for multiple dosing).
Time Frame
At Day 15, Day 29, Day 43, Day 85, Day 127, Day 169, Day 253, Day 337, Day 421, Day 505 and Day 589
Title
Serum Concentration at End of Infusion (CEOI) of Bintrafusp Alfa
Description
Serum Concentration at End of Infusion (CEOI) of bintrafusp alfa is reported.
Time Frame
At Day 1 and Day 29
Title
Number of Participants With Positive Antidrug Antibodies (ADA)
Description
Serum samples were analyzed by a validated assay method to detect the presence of antidrug antibodies (ADA). Number of participants with positive ADA were reported.
Time Frame
Time from first treatment up to 688 days
Title
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) According to Programmed Death Ligand 1 (PD-L1) Expression
Description
Confirmed objective response was defined as the percentage of participants with a confirmed objective response of complete response (CR) or partial response (PR). 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 through PD-L1 Subgroup. Participants with PD-L1 positive tumors (Combined positive score (CPS) >=1) and PD-L1 negative tumors (CPS<1).
Time Frame
Time from first treatment up to 688 days
Title
PFS According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Independent Review Committee (IRC) According to Programmed Death Ligand 1 (PD-L1) Expression
Description
PFS was defined as the time from first administration of study intervention until the first documentation of disease progression (PD) or death due to any cause, whichever occurred first. 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. PFS was determined according to RECIST v1.1 and as adjudicated by IRC through PD-L1 Subgroup. Participants with PD-L1 positive tumors (Combined positive score (CPS) >=1) and PD-L1 negative tumors (CPS<1).
Time Frame
Time from first administration of study drug until the first documentation of PD or death, assessed up to 688 days
Title
Overall Survival (OS) as Assessed According to Programmed Death Ligand 1 (PD-L1) Expression
Description
OS was defined as the time from first administration of study intervention to the date of death due to any cause. The OS was analyzed by using the Kaplan-Meier method. Participants with PD-L1 positive tumors (Combined positive score (CPS) >=1) and PD-L1 negative tumors (CPS<1).
Time Frame
Time from first administration of study drug up to 688 days

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Participants who had advanced unresectable and/or metastatic cervical cancer (squamous cell carcinoma, adenocarcinoma, adenosquamous cell carcinoma) with disease progression during or after the prior platinum-containing chemotherapy: The prior platinum-containing chemotherapy may be a systemic treatment for advanced unresectable, recurrent, persistent or metastatic disease or treatment in the adjuvant or neo-adjuvant setting with disease progression or recurrence within 6 months of completion of platinum-containing chemotherapy Participants who previously only received platinum as a radiosensitizer are not eligible Participants must be naïve to checkpoint inhibitors Participants who had measurable disease Participants who provide a tumor tissue sample, either from archival tissue or newly obtained core or excisional biopsy. If the participant received local therapy (For example: radiation therapy or chemoradiotherapy) after the archival tissue was taken, a new biopsy was required Participants who had Eastern Cooperative Oncology Group (ECOG) PS of 0 to 1 Life expectancy greater than or equals to (>=) 12 weeks as judged by the Investigator Adequate hematological, hepatic and renal function as defined in the protocol Participants with known Human Immunodeficiency Virus (HIV) infections were in general eligible if the following criteria are met: Clinically indicated participants must be stable on antiretroviral therapy (ART) for at least 4 weeks and agree to adhere to ART had no evidence of documented multi-drug resistance that would prevent effective ART had an HIV viral load of < 400 copies per milliliter (/mL) at Screening had CD4+ T-cell (CD4+) counts >= 350 cells/microliter For participants with a history of an Acquired immunodeficiency syndrome (AIDS)-defining opportunistic infection within the last 12 months, participants may be eligible only after consultation and agreement with the study Medical Monitor If prophylactic antimicrobial drugs were indicated, participants would still be considered eligible upon agreement with the study Medical Monitor Participants with hepatitis B virus (HBV) and/or hepatitis C virus (HCV) infections were in general eligible if the following criteria are met: HBV viral load below the limit of quantification. If medically indicated, participants infected with HBV must be treated and on a stable dose of antivirals at study entry and with planned monitoring and management according to appropriate labeling guidance Participants with a history of HCV infection should have completed curative antiviral treatment and require HCV viral load below the limit of quantification Participants on concurrent HCV treatment should have HCV below the limit of quantification Other protocol defined inclusion criteria could apply Exclusion Criteria: Participants with active central nervous system (CNS) metastases causing clinical symptoms or require therapeutic intervention are excluded. Participants with a history of treated CNS metastases (by surgery or radiation therapy) are not eligible unless they have fully recovered from treatment, demonstrated no progression for at least 4 weeks, and are not using steroids for at least 7 days prior to the start of study treatment Participants with interstitial lung disease or has had a history of pneumonitis that has required oral or intravenous (IV) steroids Participants with significant acute or chronic infections Participants with active autoimmune disease that might deteriorate when receiving an immunostimulatory agent Participants with clinically significant cardiovascular/cerebrovascular disease including: cerebral vascular accident/stroke, myocardial infarction, unstable angina, congestive heart failure, or serious cardiac arrhythmia 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
Highlands Oncology Group
City
Fayetteville
State/Province
Arkansas
ZIP/Postal Code
72703
Country
United States
Facility Name
University of Arkansas Medical Sciences
City
Little Rock
State/Province
Arkansas
ZIP/Postal Code
72202-3500
Country
United States
Facility Name
Stanford University Hospital and Clinics - Stanford Cancer Center
City
Stanford
State/Province
California
ZIP/Postal Code
94305
Country
United States
Facility Name
The Stamford Hospital
City
Stamford
State/Province
Connecticut
ZIP/Postal Code
06902
Country
United States
Facility Name
Karmanos Cancer Institute
City
Farmington Hills
State/Province
Michigan
ZIP/Postal Code
48334
Country
United States
Facility Name
Washington University in St. Louis
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63110
Country
United States
Facility Name
Comprehensive Cancer Centers of Nevada
City
Henderson
State/Province
Nevada
ZIP/Postal Code
89074
Country
United States
Facility Name
UC Health Clinical Trials Office
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45229
Country
United States
Facility Name
Oregon Health &amp; Science University
City
Portland
State/Province
Oregon
ZIP/Postal Code
97229
Country
United States
Facility Name
The West Clinic
City
Germantown
State/Province
Tennessee
ZIP/Postal Code
38138
Country
United States
Facility Name
SCRI - Tennessee Oncology
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
Facility Name
Centro Oncologico Riojano Integral (CORI)
City
La Rioja
Country
Argentina
Facility Name
Sanatorio El Parque
City
Salta
Country
Argentina
Facility Name
Centro Medico San Roque S.R.L.
City
San Miguel de Tucuman
Country
Argentina
Facility Name
Peter MacCallum Cancer Centre-East Melbourne
City
Melbourne
Country
Australia
Facility Name
Linear Clinical Research Limited
City
Nedlands
Country
Australia
Facility Name
Calvary Mater Newcastle
City
Waratah
Country
Australia
Facility Name
Cliniques Universitaires Saint-Luc
City
Bruxelles
Country
Belgium
Facility Name
Institut Jules Bordet
City
Bruxelles
Country
Belgium
Facility Name
Universitair Ziekenhuis Gent - Pneumology
City
Gent
Country
Belgium
Facility Name
AZ Groeninge - Campus Kennedylaan - account 2
City
Kortrijk
Country
Belgium
Facility Name
CHU de Liège - PARENT
City
Liège
Country
Belgium
Facility Name
CHU Sart Tilman
City
Liège
Country
Belgium
Facility Name
UZ Leuven
City
Pellenberg
Country
Belgium
Facility Name
GZA Ziekenhuizen - Campus Sint-Augustinus
City
Wilrijk
Country
Belgium
Facility Name
HGB - Hospital Giovanni Battista - Mãe de Deus Center - Centro de Pesquisa Clínica - Instituto do Câncer
City
Porto Alegre
Country
Brazil
Facility Name
Clínica de Pesquisas e Centro de Estudos em Oncologia Ginecológica e Mamária Ltda.
City
São Paulo
Country
Brazil
Facility Name
IBCC - Instituto Brasileiro de Controle do Câncer
City
São Paulo
Country
Brazil
Facility Name
Chongqing Cancer Hospital
City
Chongqing
Country
China
Facility Name
Sun Yat-sen University, Cancer Center
City
Guangzhou
Country
China
Facility Name
Zhejiang Cancer Hospital
City
Hangzhou
Country
China
Facility Name
Anhui Provincial Hospital
City
Hefei
Country
China
Facility Name
Shanghai Cancer Hospital, Fudan University
City
Shanghai
Country
China
Facility Name
Union Hospital Tongji Medical College Huazhong University of Science and Technology
City
Wuhan
Country
China
Facility Name
Henan Cancer Hospital
City
Zhengzhou
Country
China
Facility Name
Institut Bergonié
City
Bordeaux cedex
Country
France
Facility Name
Centre Oscar lambret - Service d'Oncologie medicale
City
Lille cedex
Country
France
Facility Name
Centre Léon Bérard
City
Lyon
Country
France
Facility Name
Centre Antoine Lacassagne
City
Nice
Country
France
Facility Name
Hôpital Cochin - Hematologie et Oncologie Médicale
City
Paris
Country
France
Facility Name
Centre Hospitalier Lyon Sud - service d'oncologie medicale
City
Pierre Benite cedex
Country
France
Facility Name
CARIO - Centre Armoricain de Radiothérapie, Imagerie médicale et Oncologie
City
Plérin
Country
France
Facility Name
Institut Jean Godinot - Service d'hématologie et Oncologie Médicale
City
Reims cedex
Country
France
Facility Name
ICO - Site René Gauducheau
City
Saint Herblain
Country
France
Facility Name
Institut de Cancérologie de Strasbourg Europe - ICANS - Service d'oncologie médicale
City
Strasbourg
Country
France
Facility Name
Orszagos Onkologiai Intezet - Nogyogyaszati Osztaly
City
Budapest
Country
Hungary
Facility Name
SzSzB Megyei Korhazak es Egyetemi Oktatokorhaz - Onkoradiologia
City
Nyiregyhaza
Country
Hungary
Facility Name
National Cancer Center Hospital - Dept of Mammary Gland/Oncology
City
Chuo-ku
Country
Japan
Facility Name
NHO Kyushu Cancer Center - Dept of Gynecology
City
Fukuoka-shi
Country
Japan
Facility Name
Saitama Medical University International Medical Center - Dept of Gynecology/Oncology
City
Hidaka-shi
Country
Japan
Facility Name
Cancer Institute Hospital of JFCR - Dept of Gynecology
City
Koto-ku
Country
Japan
Facility Name
Kurume University Hospital - Dept of Gynecology
City
Kurume-shi
Country
Japan
Facility Name
Jikei University Hospital - Dept of Gynecology
City
Minato-ku
Country
Japan
Facility Name
University Hospital, University of the Ryukyus - Dept of Obstetrics/Gynecology
City
Nakagami-gun
Country
Japan
Facility Name
Osaka International Cancer Institute - Dept of Gynecology
City
Osaka-shi
Country
Japan
Facility Name
NHO Hokkaido Cancer Center - Dept of Gynecology
City
Sapporo-shi
Country
Japan
Facility Name
Kanagawa Cancer Center - Dept of Gynecology
City
Yokohama-shi
Country
Japan
Facility Name
National Cancer Center
City
Goyang-si
Country
Korea, Republic of
Facility Name
Asan Medical Center
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
Ajou University Hospital
City
Suwon
Country
Korea, Republic of
Facility Name
BHI of Omsk region "Clinical Oncology Dispensary"
City
Omsk
Country
Russian Federation
Facility Name
LLC "ClinicaUZI4D"
City
Pyatigorsk
Country
Russian Federation
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
ICO Girona - Hospital Doctor Josep Trueta - Servicio de Oncologia Medica
City
Girona
Country
Spain
Facility Name
Clinica Universidad de Navarra (MAD) - Oncology Service
City
Madrid
Country
Spain
Facility Name
Hospital Universitario 12 de Octubre - Servicio de Oncologia
City
Madrid
Country
Spain
Facility Name
Hospital Universitario Ramon y Cajal - Servicio de Oncologia
City
Madrid
Country
Spain
Facility Name
Hospital Regional Universitario de Malaga
City
Málaga
Country
Spain
Facility Name
Hospital Clinico Universitario de Valencia - Servicio de Hematologia y Oncologia Medica
City
Valencia
Country
Spain

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Per company policy, following approval of a new product or a new indication for an approved product in both the EU and the US, EMD Serono will share study protocols, anonymized patient level and study level data and redacted clinical study reports from clinical trials in patients 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 https://www.emdgroup.com/en/research/our-approach-to-research-and-development/healthcare/clinical-trials/commitment-responsible-data-sharing.html
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
29298798
Citation
Strauss J, Heery CR, Schlom J, Madan RA, Cao L, Kang Z, Lamping E, Marte JL, Donahue RN, Grenga I, Cordes L, Christensen O, Mahnke L, Helwig C, Gulley JL. Phase I Trial of M7824 (MSB0011359C), a Bifunctional Fusion Protein Targeting PD-L1 and TGFbeta, in Advanced Solid Tumors. Clin Cancer Res. 2018 Mar 15;24(6):1287-1295. doi: 10.1158/1078-0432.CCR-17-2653. Epub 2018 Jan 3.
Results Reference
background
PubMed Identifier
29343622
Citation
Lan Y, Zhang D, Xu C, Hance KW, Marelli B, Qi J, Yu H, Qin G, Sircar A, Hernandez VM, Jenkins MH, Fontana RE, Deshpande A, Locke G, Sabzevari H, Radvanyi L, Lo KM. Enhanced preclinical antitumor activity of M7824, a bifunctional fusion protein simultaneously targeting PD-L1 and TGF-beta. Sci Transl Med. 2018 Jan 17;10(424):eaan5488. doi: 10.1126/scitranslmed.aan5488.
Results Reference
background
PubMed Identifier
36066618
Citation
Vugmeyster Y, Grisic AM, Wilkins JJ, Loos AH, Hallwachs R, Osada M, Venkatakrishnan K, Khandelwal A. Model-informed approach for risk management of bleeding toxicities for bintrafusp alfa, a bifunctional fusion protein targeting TGF-beta and PD-L1. Cancer Chemother Pharmacol. 2022 Oct;90(4):369-379. doi: 10.1007/s00280-022-04468-6. Epub 2022 Sep 6.
Results Reference
background
Links:
URL
https://clinicaltrials.emdgroup.com/en/trial-details/?id=MS200647_0017
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

Bintrafusp Alfa Monotherapy in Platinum-Experienced Cervical Cancer

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