Clinical trial

A Phase Ib/II, Open-Label Study of M7824 in Combination With Chemotherapy in Participants With Stage IV Non-small Cell Lung Cancer

Name
MS200647_0024
Description
The main purpose of the study was to evaluate the safety and tolerability of M7824 in combination with chemotherapy.
Trial arms
Trial start
2019-04-02
Estimated PCD
2022-07-29
Trial end
2022-07-29
Status
Completed
Phase
Early phase I
Treatment
Cisplatin
Cisplatin was administered intravenously at a dose of 75 milligrams per meter square (mg/m\^2) over 60 minutes every 21 days for 4 cycles (each cycle is 21 days).
Arms:
Cohort A: Cisplatin or Carboplatin + Pemetrexed + Bintrafusp alfa, Cohort C: Cisplatin or Carboplatin + Gemcitabine + Bintrafusp alfa
Carboplatin
Carboplatin was administered at area under the concentration-time Curve (AUC) 5 when combined with pemetrexed over 30 to 60 minutes every 21 days for 4 cycles (each cycle is 21 days).
Arms:
Cohort A: Cisplatin or Carboplatin + Pemetrexed + Bintrafusp alfa
Pemetrexed
Pemetrexed was administered intravenously at a dose of 500 mg/ m\^2 over 10 minutes every 21 days.
Arms:
Cohort A: Cisplatin or Carboplatin + Pemetrexed + Bintrafusp alfa
Nab-paclitaxel
Nab-paclitaxel was administered intravenously at as dose of 100 mg/m\^2 over 30 minutes in a 21 days cycle on Day 1, 8, and 15 in each cycle for 4 cycles (each cycle is 21 days).
Arms:
Cohort B: Carboplatin + Paclitaxel or Nab-paclitaxel + Bintrafusp alfa
Gemcitabine
Gemcitabine was administered intravenously at a dose of 1250 mg/m\^2 over 30 minutes in a 21 days cycle on Day 1, and 8, in each cycle for 4 cycles (each cycle is 21 days).
Arms:
Cohort C: Cisplatin or Carboplatin + Gemcitabine + Bintrafusp alfa
Docetaxel
Docetaxel was administered intravenously at a dose of 75 mg/m\^2 over 60 minutes every 21 days for 4 cycles (each cycle is 21 days).
Arms:
Cohort D: Docetaxel + Bintrafusp alfa
M7824
M7824 was administered intravenously at a dose of 2400 mg every 21 days in combination with chemotherapy for 4 cycles (each cycle is 21 days) followed by up to 31 cycles in maintenance with M7824 and pemetrexed.
Arms:
Cohort A: Cisplatin or Carboplatin + Pemetrexed + Bintrafusp alfa
Carboplatin
Carboplatin was administered at area under the concentration-time Curve (AUC) 6 when combined with nab-paclitaxel over 30 to 60 minutes every 21 days for 4 cycles (each cycle is 21 days).
Arms:
Cohort B: Carboplatin + Paclitaxel or Nab-paclitaxel + Bintrafusp alfa
Carboplatin
Carboplatin was administered at area under the concentration-time Curve (AUC) 5 when combined with gemcitabine over 30 to 60 minutes every 21 days for 4 cycles (each cycle is 21 days).
Arms:
Cohort C: Cisplatin or Carboplatin + Gemcitabine + Bintrafusp alfa
Bintrafusp alfa
M7824 was administered intravenously at a dose of 2400 mg every 21 days in combination with chemotherapy for 4 cycles (each cycle is 21 days) followed by up to 31 cycles in maintenance with M7824 alone.
Arms:
Cohort B: Carboplatin + Paclitaxel or Nab-paclitaxel + Bintrafusp alfa, Cohort C: Cisplatin or Carboplatin + Gemcitabine + Bintrafusp alfa, Cohort D: Docetaxel + Bintrafusp alfa
Paclitaxel
Paclitaxel was administered intravenously at a dose of 200 mg/m2 over 3 hours every 3 weeks for 4 cycles (each cycle is 21 days).
Arms:
Cohort B: Carboplatin + Paclitaxel or Nab-paclitaxel + Bintrafusp alfa
Size
70
Primary endpoint
Number of Participants With Dose-Limiting Toxicities (DLTs)
Day 1 Week 1 up to Week 3
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious TEAEs
Time from first treatment assessed up to approximately 26 months
Eligibility criteria
Inclusion Criteria: * Participants greater than or equals to (\>=) 18 years of age inclusive at the time of signing the informed consent * Participants who have histologically confirmed diagnosis of Stage IV NSCLC: 1. Participants in Cohort A, B, and C must not have received prior systemic therapy treatment for their Stage IV NSCLC 2. Participants who had disease progression on previous treatment with Programmed death-ligand 1 (PD- L1) inhibitors in combination with platinum-based chemotherapy are enrolled in Cohort D, as long as therapy was completed at least 28 days of the first study intervention. * Have measurable disease based on Response evaluation criteria in solid tumors (RECIST) 1.1 * Have a life expectancy of at least 3 months * Availability of archived tumor material (less than \[\<\] 6 months old) adequate for biomarker analysis is mandatory at Screening, central laboratory confirmation is required. Fresh biopsies should be collected if archived tumor material is not available * Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0 to 1 at study entry and date of first dose Exclusion Criteria: * The participant's tumor harbors an epidermal growth factor receptor (EGFR) sensitizing (activating) mutation,ROS1 rearrangement, or BRAF V600E mutation or anaplastic lymphoma kinase (ALK) positive, if targeted therapy is locally approved * Mixed small cell with NSCLC cancer histology * Has received major surgery within 4 weeks prior to the first dose of study intervention; received thoracic radiation therapy (RT) of \> 30 gray (Gy) within 6 months prior to the first dose of study intervention * Previous malignant disease (other than the target malignancy to be investigated in this study) within the last 3 years * Has known active central nervous system (CNS) metastases and/or carcinomatous meningitis. Participants with previously treated brain metastases may participate provided they are clinically stable for at least 2 weeks after the end of the RT and, have no evidence of new or enlarging brain metastases evaluated by imaging, preferably brain magnetic resonance imaging (MRI) * Known severe hypersensitivity to study intervention or any components in their formulations * For participants in Cohort A, B and C: Has received prior systemic therapy for Stage IV NSCLC, including anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CD137, or anti-Cytotoxic T-lymphocyte-associated antigen-4 (CTLA-4) antibody (including ipilimumab or any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways) * Unable to tolerate computed tomography (CT) or MRI in the opinion of the Investigator and/or allergy to contrast material.
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE1', 'PHASE2'], 'designInfo': {'allocation': 'NON_RANDOMIZED', 'interventionModel': 'PARALLEL', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 70, 'type': 'ACTUAL'}}
Updated at
2023-08-21

1 organization

9 products

2 indications

Indication
cancer
Product
Docetaxel
Product
Cisplatin
Product
Pemetrexed
Product
M7824
Product
Paclitaxel