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Clinical Study of the Efficacy and Safety of BCD-201 and Keytruda in Subjects With Advanced Melanoma

Primary Purpose

Melanoma (Skin)

Status
Active
Phase
Phase 3
Locations
Russian Federation
Study Type
Interventional
Intervention
BCD-201
Keytruda
Sponsored by
Biocad
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Melanoma (Skin)

Eligibility Criteria

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

Inclusion Criteria: Signed informed consent; Histologically confirmed melanoma; Tumor first detected at the stage of advanced unresectable or metastatic disease, or disease progressing during or recurring after previous radical therapy; ECOG score 0-1; At least one measurable lesion according to RECIST 1.1; Laboratory test results consistent with adequate functioning of systems and organs; Willingness of men and women of childbearing potential to use highly effective contraceptive methods from the signing of the informed consent form, throughout the study and for 6 months after the administration of the last product dose. Exclusion Criteria: Indications for radical therapy (surgery, radiation therapy); Uveal, ocular or mucosal melanoma; Active CNS metastases and/or carcinomatous meningitis; Subjects with severe concomitant disorders, life-threatening acute complications of the primary disease; Concomitant diseases and/or conditions that significantly increase the risk of AEs during the study; Active, known or suspected autoimmune disorders (subjects with type 1 diabetes mellitus or hypothyroidism requiring only hormone-replacement therapy and those with skin disorders [vitiligo, alopecia, or psoriasis] not requiring systemic therapy are eligible to participate); The need for therapy with glucocorticoids or any other drugs with immunosuppressive effects within 14 days prior to randomization; History of (non-infectious) pneumonitis requiring glucocorticoid therapy or pneumonitis at the time of screening; Hypersensitivity or allergy to any of the pembrolizumab product components; Pregnancy or breastfeeding, as well as intention to become pregnant or father a child during the study period.

Sites / Locations

  • Budgetary healthcare institution of the Omsk region "Clinical oncological dispensary"
  • "Saint Petersburg Clinical Research and Practice Center for Specialized Medical Care (Oncology)"
  • Federal State Budgetary Educational Institution of Higher Education "Saint Petersburg State University"

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

BCD-201 group

Keytruda

Arm Description

BCD-201 200 mg as a 30-minute intravenous infusion once every 3 weeks

Keytruda 200 mg as a 30-minute intravenous infusion once every 3 weeks

Outcomes

Primary Outcome Measures

To compare the overall response rate (ORR) in the BCD-201 group and the Keytruda group
ORR according to RECIST 1.1

Secondary Outcome Measures

To compare the ORR according to iRECIST in the BCD-201 group and the Keytruda group
ORR according to iRECIST
To compare the duration of response in the BCD-201 group and the Keytruda group
Duration of response will be calculated from the moment of registration of response till event (progression or death)
To compare the time to response according to RECIST 1.1 and iRECIST in the BCD-201 group and the Keytruda group
time to response will be calculated from the randomization date
To compare the disease control rate in the BCD-201 group and the Keytruda group
The percentage of the participants who have a Complete Response, a Partial Response or a Stable DIsease
To compare the progression-free survival (PFS) per RECIST 1.1 and iRECIST in the BCD-201 group and the Keytruda group
The time from the date of randomization until progression of disease according to RECIST 1.1 / iRECIST criteria or death
To compare the overall survival in the BCD-201 group and the Keytruda group
The time from the date of randomization until death
To compare the incidence of Treatment-Emergent Adverse Events (Safety profiles of BCD-201 and Keytruda)
Presence of any adverse events (AEs), presence of adverse reactions (ARs), presence of serious adverse reactions (SARs), presence of severe ARs (grade 3 or higher severity according to CTCAE v.5.0), presence of ARs leading to discontinuation of study therapy, presence of immune-mediated AEs
Area under the concentration-time curve (AUC(0-504))
Area under the plasma concentration versus time curve in the time interval from 0 to 504 hours
AUC(0-∞)
Area under the plasma concentration versus time curve in the time interval from 0 to time infinity
Peak Plasma Concentration (Cmax)
maximum concentration of pembrolizumab
Time to maximum concentration (Tmax)
time to maximum concentration of pembrolizumab
Elimination rate constant (kel)
kel of pembrolizumab
Total clearance (Cl)
Cl of pembrolizumab
Steady-state volume of distribution of the drug substance (Vd)
Vd of pembrolizumab
Half-life period (T1/2)
T1/2 of pembrolizumab
Concentrations at the end of each infusion (CEOI)
concentrations at the end of each infusion of pembrolizumab
To compare the immunogenicity of BCD-201 and Keytruda.
Development of binding and neutralizing antibodies to pembrolizumab

Full Information

First Posted
February 13, 2023
Last Updated
September 18, 2023
Sponsor
Biocad
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1. Study Identification

Unique Protocol Identification Number
NCT05986331
Brief Title
Clinical Study of the Efficacy and Safety of BCD-201 and Keytruda in Subjects With Advanced Melanoma
Official Title
A Randomized, Double-Blind Clinical Study of the Efficacy and Safety of BCD-201 (JSC BIOCAD) and Keytruda® in Patients With Unresectable or Metastatic Melanoma
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
July 18, 2022 (Actual)
Primary Completion Date
December 31, 2023 (Anticipated)
Study Completion Date
December 31, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Biocad

4. Oversight

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

5. Study Description

Brief Summary
This clinical study is designed as a randomized, double-blind trial. Subjects with unresectable, metastatic, or recurrent skin melanoma will be randomized to one of the two study groups (BCD-201 group and Keytruda group) at a 1:1 ratio. The goal of this study is to compare the efficacy and safety of BCD-201 and Keytruda as first-line therapy in subjects with unresectable, metastatic, or recurrent skin melanoma.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Melanoma (Skin)

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
366 (Actual)

8. Arms, Groups, and Interventions

Arm Title
BCD-201 group
Arm Type
Experimental
Arm Description
BCD-201 200 mg as a 30-minute intravenous infusion once every 3 weeks
Arm Title
Keytruda
Arm Type
Active Comparator
Arm Description
Keytruda 200 mg as a 30-minute intravenous infusion once every 3 weeks
Intervention Type
Drug
Intervention Name(s)
BCD-201
Other Intervention Name(s)
Pembrolizumab
Intervention Description
up to 8 treatment cycles
Intervention Type
Drug
Intervention Name(s)
Keytruda
Other Intervention Name(s)
pembrolizumab
Intervention Description
up to 8 treatment cycles
Primary Outcome Measure Information:
Title
To compare the overall response rate (ORR) in the BCD-201 group and the Keytruda group
Description
ORR according to RECIST 1.1
Time Frame
24 weeks of treatment
Secondary Outcome Measure Information:
Title
To compare the ORR according to iRECIST in the BCD-201 group and the Keytruda group
Description
ORR according to iRECIST
Time Frame
every 12 weeks up to 2 years
Title
To compare the duration of response in the BCD-201 group and the Keytruda group
Description
Duration of response will be calculated from the moment of registration of response till event (progression or death)
Time Frame
up to 2 years
Title
To compare the time to response according to RECIST 1.1 and iRECIST in the BCD-201 group and the Keytruda group
Description
time to response will be calculated from the randomization date
Time Frame
every 12 weeks up to 2 years
Title
To compare the disease control rate in the BCD-201 group and the Keytruda group
Description
The percentage of the participants who have a Complete Response, a Partial Response or a Stable DIsease
Time Frame
up to 2 years
Title
To compare the progression-free survival (PFS) per RECIST 1.1 and iRECIST in the BCD-201 group and the Keytruda group
Description
The time from the date of randomization until progression of disease according to RECIST 1.1 / iRECIST criteria or death
Time Frame
up to 2 years
Title
To compare the overall survival in the BCD-201 group and the Keytruda group
Description
The time from the date of randomization until death
Time Frame
up to 2 years
Title
To compare the incidence of Treatment-Emergent Adverse Events (Safety profiles of BCD-201 and Keytruda)
Description
Presence of any adverse events (AEs), presence of adverse reactions (ARs), presence of serious adverse reactions (SARs), presence of severe ARs (grade 3 or higher severity according to CTCAE v.5.0), presence of ARs leading to discontinuation of study therapy, presence of immune-mediated AEs
Time Frame
through study completion, an average of 2 years.
Title
Area under the concentration-time curve (AUC(0-504))
Description
Area under the plasma concentration versus time curve in the time interval from 0 to 504 hours
Time Frame
up to 24 weeks of the double-blind treatment period
Title
AUC(0-∞)
Description
Area under the plasma concentration versus time curve in the time interval from 0 to time infinity
Time Frame
up to 24 weeks of the double-blind treatment period
Title
Peak Plasma Concentration (Cmax)
Description
maximum concentration of pembrolizumab
Time Frame
up to 24 weeks of the double-blind treatment period
Title
Time to maximum concentration (Tmax)
Description
time to maximum concentration of pembrolizumab
Time Frame
up to 24 weeks of the double-blind treatment period
Title
Elimination rate constant (kel)
Description
kel of pembrolizumab
Time Frame
up to 24 weeks of the double-blind treatment period
Title
Total clearance (Cl)
Description
Cl of pembrolizumab
Time Frame
up to 24 weeks of the double-blind treatment period
Title
Steady-state volume of distribution of the drug substance (Vd)
Description
Vd of pembrolizumab
Time Frame
up to 24 weeks of the double-blind treatment period
Title
Half-life period (T1/2)
Description
T1/2 of pembrolizumab
Time Frame
up to 24 weeks of the double-blind treatment period
Title
Concentrations at the end of each infusion (CEOI)
Description
concentrations at the end of each infusion of pembrolizumab
Time Frame
up to 24 weeks of the double-blind treatment period
Title
To compare the immunogenicity of BCD-201 and Keytruda.
Description
Development of binding and neutralizing antibodies to pembrolizumab
Time Frame
pre-dose to day169 of the double-blind treatment period, 8 timepoints

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Signed informed consent; Histologically confirmed melanoma; Tumor first detected at the stage of advanced unresectable or metastatic disease, or disease progressing during or recurring after previous radical therapy; ECOG score 0-1; At least one measurable lesion according to RECIST 1.1; Laboratory test results consistent with adequate functioning of systems and organs; Willingness of men and women of childbearing potential to use highly effective contraceptive methods from the signing of the informed consent form, throughout the study and for 6 months after the administration of the last product dose. Exclusion Criteria: Indications for radical therapy (surgery, radiation therapy); Uveal, ocular or mucosal melanoma; Active CNS metastases and/or carcinomatous meningitis; Subjects with severe concomitant disorders, life-threatening acute complications of the primary disease; Concomitant diseases and/or conditions that significantly increase the risk of AEs during the study; Active, known or suspected autoimmune disorders (subjects with type 1 diabetes mellitus or hypothyroidism requiring only hormone-replacement therapy and those with skin disorders [vitiligo, alopecia, or psoriasis] not requiring systemic therapy are eligible to participate); The need for therapy with glucocorticoids or any other drugs with immunosuppressive effects within 14 days prior to randomization; History of (non-infectious) pneumonitis requiring glucocorticoid therapy or pneumonitis at the time of screening; Hypersensitivity or allergy to any of the pembrolizumab product components; Pregnancy or breastfeeding, as well as intention to become pregnant or father a child during the study period.
Facility Information:
Facility Name
Budgetary healthcare institution of the Omsk region "Clinical oncological dispensary"
City
Omsk
Country
Russian Federation
Facility Name
"Saint Petersburg Clinical Research and Practice Center for Specialized Medical Care (Oncology)"
City
Saint Petersburg
Country
Russian Federation
Facility Name
Federal State Budgetary Educational Institution of Higher Education "Saint Petersburg State University"
City
Saint Petersburg
Country
Russian Federation

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Clinical Study of the Efficacy and Safety of BCD-201 and Keytruda in Subjects With Advanced Melanoma

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