Study of Cabiralizumab in Combination With Nivolumab in Patients With Selected Advanced Cancers

NCT ID: NCT02526017

Last Updated: 2022-03-09

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

313 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-09-08

Study Completion Date

2019-11-18

Brief Summary

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Phase 1a/1b does-escalation study of cabiralizumab alone and with nivolumab in advanced solid tumors.

Detailed Description

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This is a phase 1a/b single-arm, open-label study to evaluate safety, tolerability, pharmacokinetics (PK), and clinical benefit of cabiralizumab in combination with nivolumab in patients with selected advanced cancers.

Conditions

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Advanced Solid Tumors Head and Neck Cancer Pancreatic Cancer Ovarian Cancer Renal Cell Carcinoma Malignant Glioma Non-small Cell Lung Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Phase 1a Monotherapy Dose Escalation

Cabiralizumab administered at 2 mg/kg every 2 weeks (Q2W), 4 mg/kg Q2W and 6 mg/kg Q2W in participants with any solid tumor.

Group Type EXPERIMENTAL

Cabiralizumab

Intervention Type BIOLOGICAL

Solution for IV administration

Phase 1a Combination Therapy Dose Escalation

Nivolumab 3 mg/kg Q2W + cabiralizumab at the following doses: 1 mg/kg, 2 mg/kg, 4 mg/kg, and 6 mg/kg Q2W. Also nivolumab 3 mg/kg + cabiralizumab 4 mg/kg every 3 weeks (Q3W). Participants with any solid tumor.

Group Type EXPERIMENTAL

Cabiralizumab

Intervention Type BIOLOGICAL

Solution for IV administration

Nivolumab

Intervention Type BIOLOGICAL

Solution for IV administration

Phase 1b Combination Therapy Dose Expansion

The expansion phase would use the recommended dose determined in Phase 1a: cabiralizumab 4 mg/kg + nivolumab 3 mg/kg Q2W. Participants are enrolled for the following advanced cancer types: non-small cell lung cancer (anti-programmed cell death 1 \[PD1\] targeted drug naïve), non-small cell lung cancer (prior treatment with anti-PD-1), pancreatic cancer, ovarian cancer, renal cell cancer, glioblastoma, and melanoma.

Group Type EXPERIMENTAL

Cabiralizumab

Intervention Type BIOLOGICAL

Solution for IV administration

Nivolumab

Intervention Type BIOLOGICAL

Solution for IV administration

Interventions

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Cabiralizumab

Solution for IV administration

Intervention Type BIOLOGICAL

Nivolumab

Solution for IV administration

Intervention Type BIOLOGICAL

Other Intervention Names

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Anti-colony stimulating factor-1 receptor (Anti-CSF-1R) FPA008 OPDIVO® MDX-1106 BMS-936558

Eligibility Criteria

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Inclusion Criteria

* Patients must have at least one measurable lesion at baseline by computed tomography (CT) or magnetic resonance imaging (MRI) as per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 criteria.
* Patients must have had progressive disease on, after, or refused, appropriate approved therapy for their tumor type.
* Patients must have histologically or cytologically confirmed solid tumor that is locally recurrent or metastatic and has progressed following standard treatment or is not appropriate for standard treatment
* Understand and sign an Institutional review board/Independent ethics committee (IRB/IEC)-approved informed consent form (ICF) prior to any study-specific evaluation
* Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
* Willing and able to comply with all study procedures

Exclusion Criteria

* Current or history of clinically significant muscle disorders (e.g., myositis), recent unresolved muscle injury, or any condition known to elevate serum creatine kinase (CK) levels
* Decreased cardiac function with New York Heart Association (NYHA) \> Class 2
* Uncontrolled or significant heart disorder such as unstable angina
* Significant abnormalities on electrocardiogram (ECG) at screening. Fridericia's correction formula for QT interval (QTcF) \> 450 msec for males or \> 470 msec for females at screening
* History of anti-drug antibodies, severe allergic, anaphylactic, or other infusion-related reaction to a previous biologic agent
* Positive test for latent tuberculosis (TB) at screening (Quantiferon test) or evidence of active TB
* Patients with abnormal serum chemistry values, which in the opinion of the Investigator is considered to be clinically significant, will be excluded from the study
* Lack of peripheral venous or central venous access or any condition that would interfere with drug administration or collection of study samples
* Any uncontrolled medical condition or psychiatric disorder which, in the opinion of the Investigator, would pose a risk to patient safety or interfere with study participation or interpretation of individual patient results
* Pregnant or breastfeeding
* Current unresolved infection or history of chronic, active, clinically significant infection (viral, bacterial, fungal, or other) which, in the opinion of the Investigator, would preclude the patient from exposure to a biologic agent or pose a risk to patient safety
* Prior exposure to any colony stimulating factor 1 receptor (CSF1R) pathway inhibitors
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bristol-Myers Squibb

INDUSTRY

Sponsor Role collaborator

Five Prime Therapeutics, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Lead

Role: STUDY_DIRECTOR

Five Prime Therapeutics, Inc.

Locations

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Scottsdale Healthcare Hospitals DBA Honor Health

Scottsdale, Arizona, United States

Site Status

Moores UC San Diego Cancer Center

La Jolla, California, United States

Site Status

Norris Comprehensive Cancer Center, University of Southern California

Los Angeles, California, United States

Site Status

Cedars-Sinai Medical Center, Samuel Oschin Comprehensive Cancer Center

Los Angeles, California, United States

Site Status

UC Davis Comprehensive Cancer Center

Sacramento, California, United States

Site Status

University of California, San Francisco

San Francisco, California, United States

Site Status

Sarcoma Oncology Research Center

Santa Monica, California, United States

Site Status

UCLA Hematology/Oncology- Santa Monica

Santa Monica, California, United States

Site Status

Mount Sinai Comprehensive Cancer Center

Miami Beach, Florida, United States

Site Status

H. Lee Moffitt Cancer Center and Research Institute

Tampa, Florida, United States

Site Status

Emory University Hospital

Atlanta, Georgia, United States

Site Status

Rush University Medical Center

Chicago, Illinois, United States

Site Status

University of Chicago Medical Center

Chicago, Illinois, United States

Site Status

Indiana University Health Hospital

Indianapolis, Indiana, United States

Site Status

University of Iowa Hospitals and Clinics

Iowa City, Iowa, United States

Site Status

Norton Cancer Institute, Norton Healthcare Pavilion

Louisville, Kentucky, United States

Site Status

Johns Hopkins Sidney Kimmel Comprehensive Cancer Center

Baltimore, Maryland, United States

Site Status

Dana Farber Cancer Institute

Boston, Massachusetts, United States

Site Status

Karmanos Cancer Institute

Detroit, Michigan, United States

Site Status

Henry Ford Hospital

Detroit, Michigan, United States

Site Status

Allina Health, Virginia Piper Cancer Institute

Minneapolis, Minnesota, United States

Site Status

Roswell Park Cancer Institute

Buffalo, New York, United States

Site Status

Memorial Sloan Kettering

New York, New York, United States

Site Status

The Christ Hospital

Cincinnati, Ohio, United States

Site Status

Providence Portland Medical Center

Portland, Oregon, United States

Site Status

Oregon Health and Science University

Portland, Oregon, United States

Site Status

Hospital of the University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

Thomas Jefferson University Hospital

Philadelphia, Pennsylvania, United States

Site Status

University of Pittsburgh Cancer Institute, William M. Cooper Ambulatory Pavilion of the Hillman Cancer Center

Pittsburgh, Pennsylvania, United States

Site Status

Hollings Cancer Center, Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

Henry-Joyce Cancer Clinic, Vanderbilt-Ingram Cancer Center,

Nashville, Tennessee, United States

Site Status

Baylor Charles A. Sammons Cancer Center, Baylor University Medical Center

Dallas, Texas, United States

Site Status

University of Texas Southwestern Medical Center

Dallas, Texas, United States

Site Status

Mischer Neuroscience Associates, The University of Texas Health Science Center at Houston

Houston, Texas, United States

Site Status

The University of Texas MD Anderson Cancer Center

Houston, Texas, United States

Site Status

Cancer Therapy & Research Center, University of Texas Health Science Center at San Antonio

San Antonio, Texas, United States

Site Status

South Texas Accelerated Research Therapeutics, LLC

San Antonio, Texas, United States

Site Status

Huntsman Cancer Institute

Salt Lake City, Utah, United States

Site Status

Seattle Cancer Care Alliance

Seattle, Washington, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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FPA008-003

Identifier Type: -

Identifier Source: org_study_id

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