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A Platform Study of Novel Immunotherapy Products in Participants With Previously Treated Unresectable or Metastatic Cutaneous Melanoma

Primary Purpose

Unresectable Cutaneous Melanoma, Metastatic Cutaneous Melanoma

Status
Withdrawn
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
Sintilimab + IBI110
Sponsored by
Innovent Biologics (Suzhou) Co. Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Unresectable Cutaneous Melanoma focused on measuring Neoplasms, Melanoma, Malignant Melanoma

Eligibility Criteria

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

Inclusion Criteria:

  1. Adults, age 18 years or older
  2. Histologically confirmed unresectable or metastatic cutaneous melanoma
  3. Documented radiological progression on prior treatment(s) that included an anti-PD-1/L1 agent
  4. Available tumor tissue OR be willing to provide a fresh tumor biopsy
  5. Presence of at least one measurable lesion as assessed by CT and/or MRI according to RECIST 1.1
  6. Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0-1
  7. Adequate organ and bone marrow function

Exclusion Criteria:

  1. Known hypersensitivity to monoclonal antibodies, any of the IPs, or excipients contained in these products
  2. Current anti-cancer therapy, other investigational treatment, or any participation in other interventional trials
  3. Prior exposure to any therapy that targets the same target as the product under investigation, except for PD-1/L1
  4. Known symptomatic/active untreated central nervous system (CNS) metastasis
  5. Inadequate recovery from toxicity and/or complications attributable to any previous anti-cancer therapy
  6. Inadequate recovery from all recent surgeries
  7. At least 1-week from the time of minor surgery and at least 4 weeks from a major surgery
  8. Received a live vaccine within 30 days prior to randomization (or planned to receive a live attenuated vaccine during the study)
  9. History of HIV infection (positive HIV test, not on antiretroviral therapy, detectable viral load)
  10. Active hepatitis B (positive hepatitis B surface antigen test) or hepatitis C infection (positive hepatitis C antibody)
  11. Documented history or current diagnosis of clinically significant cardiac disease
  12. History of or present CNS disease unrelated to cancer, unless adequately treated with standard medical therapy
  13. Received solid organ or bone marrow transplantation
  14. History of non-infectious pneumonitis requiring corticosteroid therapy within 1 year prior to enrollment, or current presence of interstitial lung disease
  15. Active or previously documented autoimmune disease including but not limited to inflammatory bowel disease, diverticulitis, celiac disease, systemic lupus erythematosus, Wegener syndrome, multiple sclerosis, and vasculitis
  16. Requiring long term systemic corticosteroids, except topical cortical steroids for intranasal inhalation or physiological dose
  17. Active gastrointestinal (GI) bleeding or GI perforation or fistula
  18. Serious active infection requiring intravenous (IV) antibiotics and/or hospitalization at study entry
  19. Pregnant or lactating women or women who intend to get pregnant or lactate during the study and up to 120 days after the end of treatment

Sites / Locations

  • University of California San Francisco Medical Center
  • Henry Ford Hospital
  • Hackensack University Medical Center
  • Princess Victoria Hospital
  • Hospices Civil De Lyon Nord - Centre Hospitalier Lyon Sud - Dermatologie
  • Hospital Saint Louis
  • Universitatsklinikum Carl Gustav Carus
  • Universitatsklinikum Essen
  • Institut Catala d'Oncologia Hospital Universitari Germans Trials I Pujol, Barcelona
  • Hospital Universitario Reina Sofia, Cordoba
  • Universitaets Spital Zurich
  • Cambridge University Hospitals NHS Foundation Trust (Oxford)
  • Lancashire Teaching Hospitals (Preston)

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Treatment Arm 1

Arm Description

Sintilimab is a recombinant fully human anti-programmed cell death protein 1 (PD-1) monoclonal antibody, and IBI110 is a recombinant fully human anti-lymphocyte activation gene 3 (LAG3) monoclonal antibody. Sintilimab (IBI308) will be administered intravenously (IV) in combination with IBI110 administered intravenously (IV) every 3-weeks (Q3W).

Outcomes

Primary Outcome Measures

To evaluate the safety, tolerability, and preliminary efficacy of novel immunotherapy IPs in participants with unresectable or metastatic melanoma that progressed while on prior treatment that included an anti-PD-1/L1 agent. (Selection Part)
Incidence and severity of Adverse Events (AEs) and laboratory abnormalities
To evaluate the safety, tolerability, and preliminary efficacy of novel immunotherapy IPs in participants with unresectable or metastatic melanoma that progressed while on prior treatment that included an anti-PD-1/L1 agent. (Selection Part)
Incidence of dose-limiting toxicities (DLTs) [only applicable for safety run-in portion]
To identify novel immunotherapy IPs to progress into the expansion part (Selection Part)
Overall response rate (ORR) by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1
To evaluate the antitumor efficacy of immunotherapy in partcipants with unresectable or metastatic melanoma that progressed while on prior treatment(s) that included an anti-PD-1/L1 agent. (Expansion Part)
ORR by RECIST 1.1

Secondary Outcome Measures

To evaluate the preliminary anti-tumor efficacy by assessing additional endpoints of novel immunotherapy IPs (Selection Part)
Duration of response (DOR) by RECIST 1.1
To evaluate the preliminary anti-tumor efficacy by assessing additional endpoints of novel immunotherapy IPs (Selection Part)
Time to Response (TTR) by RECIST 1.1
To evaluate the preliminary anti-tumor efficacy by assessing additional endpoints of novel immunotherapy IPs (Selection Part)
Disease control rate (DCR) by RECIST 1.1
To evaluate the preliminary anti-tumor efficacy by assessing additional endpoints of novel immunotherapy IPs (Selection Part)
Progression-free survival (PFS) by RECIST 1.1
To evaluate the preliminary anti-tumor efficacy by assessing additional endpoints of novel immunotherapy IPs (Selection Part)
Overall survival (OS)
To characterize the pharmacokinetic (PK) profile and immunogenicity (Selection, Expansion Part)
Pharmacokinetic parameters including, but not limited to area under the concentration -time curve over dosing interval (AUCtau), Maximum observed plasma concentration at steady state (Cmax,ss), and trough plasma concentration at steady state (Ctrough,ss)
To characterize the pharmacokinetic (PK) profile and immunogenicity (Selection, Expansion Part)
Prevalence and incidence of anti-product antibodies (ADA, Nab)
To evaluate anti-tumor efficacy by assessing additional endpoints by RECIST 1.1 (Expansion Part)
Duration of response (DOR) by RECIST 1.1
To evaluate anti-tumor efficacy by assessing additional endpoints by RECIST 1.1 (Expansion Part)
Time to Response (TTR) by RECIST 1.1
To evaluate anti-tumor efficacy by assessing additional endpoints by RECIST 1.1 (Expansion Part)
Disease control rate (DCR) by RECIST 1.1
To evaluate anti-tumor efficacy by assessing additional endpoints by RECIST 1.1 (Expansion Part)
Progression-free survival (PFS) by RECIST 1.1
To evaluate anti-tumor efficacy by assessing additional endpoints by RECIST 1.1 (Expansion Part)
Overall survival (OS)
To further evaluate the safety and tolerability of novel immunotherapy IPs (Expansion Part)
Incidence and severity of AEs and laboratory abnormalities

Full Information

First Posted
October 5, 2022
Last Updated
November 16, 2022
Sponsor
Innovent Biologics (Suzhou) Co. Ltd.
Collaborators
Innovent Biologics (USA), Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05572463
Brief Title
A Platform Study of Novel Immunotherapy Products in Participants With Previously Treated Unresectable or Metastatic Cutaneous Melanoma
Official Title
A Randomized, Open-label, Multicenter, Multi-arm, Phase 1b/2 Platform Study to Evaluate Safety and Efficacy of Investigational Immunotherapies in Participants With Previously Treated Unresectable or Metastatic Melanoma
Study Type
Interventional

2. Study Status

Record Verification Date
November 2022
Overall Recruitment Status
Withdrawn
Why Stopped
Sponsor Strategy
Study Start Date
November 1, 2022 (Anticipated)
Primary Completion Date
June 30, 2027 (Anticipated)
Study Completion Date
December 31, 2027 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Innovent Biologics (Suzhou) Co. Ltd.
Collaborators
Innovent Biologics (USA), Inc.

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
This is a platform study evaluating the safety and efficacy of multiple novel investigational products (IPs) that target unresectable or metastatic cutaneous melanoma in participants who have failed standard treatment.
Detailed Description
This is a Phase 1b/2, randomized, open label, multicenter, platform study evaluating the safety and efficacy of multiple novel investigational products (IPs) that target mechanisms implicated in resistance to immunotherapy in participants with unresectable or metastatic cutaneous melanoma who have resistance to anti-PD-1/L1 agents. This study will include multiple treatment arms that can be added sequentially or in parallel. Each arm consists of a selection and expansion part. The selection part is used for evaluation of safety and preliminary efficacy in each arm. The selection part may also include a safety run-in portion for preliminary safety evaluation and dose confirmation prior to proceeding. If the criteria for safety and preliminary efficacy are met, the arm will open for additional enrollment in an expansion phase.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Unresectable Cutaneous Melanoma, Metastatic Cutaneous Melanoma
Keywords
Neoplasms, Melanoma, Malignant Melanoma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Sequential Assignment
Model Description
An open-label platform study that will allow evaluation of multiple novel IPs. The study will include multiple treatment arms that can be added sequentially or in parallel. There will be a master protocol describing study design elements common to all treatment arms with treatment arms described in the appendices, added through amendments.
Masking
None (Open Label)
Allocation
Randomized
Enrollment
0 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Treatment Arm 1
Arm Type
Experimental
Arm Description
Sintilimab is a recombinant fully human anti-programmed cell death protein 1 (PD-1) monoclonal antibody, and IBI110 is a recombinant fully human anti-lymphocyte activation gene 3 (LAG3) monoclonal antibody. Sintilimab (IBI308) will be administered intravenously (IV) in combination with IBI110 administered intravenously (IV) every 3-weeks (Q3W).
Intervention Type
Combination Product
Intervention Name(s)
Sintilimab + IBI110
Other Intervention Name(s)
Sintilimab (IBI308)
Intervention Description
IBI110 infusion in combination with Sintilimab (IBI308) infusion will be given on a Q3W schedule
Primary Outcome Measure Information:
Title
To evaluate the safety, tolerability, and preliminary efficacy of novel immunotherapy IPs in participants with unresectable or metastatic melanoma that progressed while on prior treatment that included an anti-PD-1/L1 agent. (Selection Part)
Description
Incidence and severity of Adverse Events (AEs) and laboratory abnormalities
Time Frame
Up to 28 months
Title
To evaluate the safety, tolerability, and preliminary efficacy of novel immunotherapy IPs in participants with unresectable or metastatic melanoma that progressed while on prior treatment that included an anti-PD-1/L1 agent. (Selection Part)
Description
Incidence of dose-limiting toxicities (DLTs) [only applicable for safety run-in portion]
Time Frame
Day 1 to Day 42
Title
To identify novel immunotherapy IPs to progress into the expansion part (Selection Part)
Description
Overall response rate (ORR) by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1
Time Frame
Up to 2 years
Title
To evaluate the antitumor efficacy of immunotherapy in partcipants with unresectable or metastatic melanoma that progressed while on prior treatment(s) that included an anti-PD-1/L1 agent. (Expansion Part)
Description
ORR by RECIST 1.1
Time Frame
Up to 2 years
Secondary Outcome Measure Information:
Title
To evaluate the preliminary anti-tumor efficacy by assessing additional endpoints of novel immunotherapy IPs (Selection Part)
Description
Duration of response (DOR) by RECIST 1.1
Time Frame
Up to 4 years
Title
To evaluate the preliminary anti-tumor efficacy by assessing additional endpoints of novel immunotherapy IPs (Selection Part)
Description
Time to Response (TTR) by RECIST 1.1
Time Frame
Up to 2 years
Title
To evaluate the preliminary anti-tumor efficacy by assessing additional endpoints of novel immunotherapy IPs (Selection Part)
Description
Disease control rate (DCR) by RECIST 1.1
Time Frame
Up to 2 years
Title
To evaluate the preliminary anti-tumor efficacy by assessing additional endpoints of novel immunotherapy IPs (Selection Part)
Description
Progression-free survival (PFS) by RECIST 1.1
Time Frame
Up to 4 years
Title
To evaluate the preliminary anti-tumor efficacy by assessing additional endpoints of novel immunotherapy IPs (Selection Part)
Description
Overall survival (OS)
Time Frame
Up to 4 years
Title
To characterize the pharmacokinetic (PK) profile and immunogenicity (Selection, Expansion Part)
Description
Pharmacokinetic parameters including, but not limited to area under the concentration -time curve over dosing interval (AUCtau), Maximum observed plasma concentration at steady state (Cmax,ss), and trough plasma concentration at steady state (Ctrough,ss)
Time Frame
Up to 25 months
Title
To characterize the pharmacokinetic (PK) profile and immunogenicity (Selection, Expansion Part)
Description
Prevalence and incidence of anti-product antibodies (ADA, Nab)
Time Frame
Up to 25 months
Title
To evaluate anti-tumor efficacy by assessing additional endpoints by RECIST 1.1 (Expansion Part)
Description
Duration of response (DOR) by RECIST 1.1
Time Frame
Up to 4 years
Title
To evaluate anti-tumor efficacy by assessing additional endpoints by RECIST 1.1 (Expansion Part)
Description
Time to Response (TTR) by RECIST 1.1
Time Frame
Up to 2 years
Title
To evaluate anti-tumor efficacy by assessing additional endpoints by RECIST 1.1 (Expansion Part)
Description
Disease control rate (DCR) by RECIST 1.1
Time Frame
Up to 2 years
Title
To evaluate anti-tumor efficacy by assessing additional endpoints by RECIST 1.1 (Expansion Part)
Description
Progression-free survival (PFS) by RECIST 1.1
Time Frame
Up to 4 years
Title
To evaluate anti-tumor efficacy by assessing additional endpoints by RECIST 1.1 (Expansion Part)
Description
Overall survival (OS)
Time Frame
Up to 4 years
Title
To further evaluate the safety and tolerability of novel immunotherapy IPs (Expansion Part)
Description
Incidence and severity of AEs and laboratory abnormalities
Time Frame
Up to 28 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Adults, age 18 years or older Histologically confirmed unresectable or metastatic cutaneous melanoma Documented radiological progression on prior treatment(s) that included an anti-PD-1/L1 agent Available tumor tissue OR be willing to provide a fresh tumor biopsy Presence of at least one measurable lesion as assessed by CT and/or MRI according to RECIST 1.1 Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0-1 Adequate organ and bone marrow function Exclusion Criteria: Known hypersensitivity to monoclonal antibodies, any of the IPs, or excipients contained in these products Current anti-cancer therapy, other investigational treatment, or any participation in other interventional trials Prior exposure to any therapy that targets the same target as the product under investigation, except for PD-1/L1 Known symptomatic/active untreated central nervous system (CNS) metastasis Inadequate recovery from toxicity and/or complications attributable to any previous anti-cancer therapy Inadequate recovery from all recent surgeries At least 1-week from the time of minor surgery and at least 4 weeks from a major surgery Received a live vaccine within 30 days prior to randomization (or planned to receive a live attenuated vaccine during the study) History of HIV infection (positive HIV test, not on antiretroviral therapy, detectable viral load) Active hepatitis B (positive hepatitis B surface antigen test) or hepatitis C infection (positive hepatitis C antibody) Documented history or current diagnosis of clinically significant cardiac disease History of or present CNS disease unrelated to cancer, unless adequately treated with standard medical therapy Received solid organ or bone marrow transplantation History of non-infectious pneumonitis requiring corticosteroid therapy within 1 year prior to enrollment, or current presence of interstitial lung disease Active or previously documented autoimmune disease including but not limited to inflammatory bowel disease, diverticulitis, celiac disease, systemic lupus erythematosus, Wegener syndrome, multiple sclerosis, and vasculitis Requiring long term systemic corticosteroids, except topical cortical steroids for intranasal inhalation or physiological dose Active gastrointestinal (GI) bleeding or GI perforation or fistula Serious active infection requiring intravenous (IV) antibiotics and/or hospitalization at study entry Pregnant or lactating women or women who intend to get pregnant or lactate during the study and up to 120 days after the end of treatment
Facility Information:
Facility Name
University of California San Francisco Medical Center
City
San Francisco
State/Province
California
ZIP/Postal Code
94143
Country
United States
Facility Name
Henry Ford Hospital
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48202
Country
United States
Facility Name
Hackensack University Medical Center
City
Hackensack
State/Province
New Jersey
ZIP/Postal Code
07601
Country
United States
Facility Name
Princess Victoria Hospital
City
Woolloongabba
State/Province
Queensland
ZIP/Postal Code
4102
Country
Australia
Facility Name
Hospices Civil De Lyon Nord - Centre Hospitalier Lyon Sud - Dermatologie
City
Lyon
ZIP/Postal Code
69002
Country
France
Facility Name
Hospital Saint Louis
City
Paris
ZIP/Postal Code
75010
Country
France
Facility Name
Universitatsklinikum Carl Gustav Carus
City
Dresden
ZIP/Postal Code
01307
Country
Germany
Facility Name
Universitatsklinikum Essen
City
Essen
ZIP/Postal Code
45147
Country
Germany
Facility Name
Institut Catala d'Oncologia Hospital Universitari Germans Trials I Pujol, Barcelona
City
Barcelona
ZIP/Postal Code
8916
Country
Spain
Facility Name
Hospital Universitario Reina Sofia, Cordoba
City
Córdoba
ZIP/Postal Code
14004
Country
Spain
Facility Name
Universitaets Spital Zurich
City
Zürich
ZIP/Postal Code
8091
Country
Switzerland
Facility Name
Cambridge University Hospitals NHS Foundation Trust (Oxford)
City
Cambridge
ZIP/Postal Code
CB2 0QQ
Country
United Kingdom
Facility Name
Lancashire Teaching Hospitals (Preston)
City
Preston
ZIP/Postal Code
PR2 9HT
Country
United Kingdom

12. IPD Sharing Statement

Learn more about this trial

A Platform Study of Novel Immunotherapy Products in Participants With Previously Treated Unresectable or Metastatic Cutaneous Melanoma

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