PDR001 in Combination With Platinum-doublet Chemotherapy and Other Immunology Agents in PD-L1 Unselected, Metastatic NSCLC Patients

NCT ID: NCT03064854

Last Updated: 2022-08-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE1

Total Enrollment

111 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-05-24

Study Completion Date

2021-07-28

Brief Summary

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The primary purpose of this study is to establish the maximum tolerated dose (MTD) and/or recommended dose for expansion (RDE) of PDR001 when administered in combination with platinum-doublet chemotherapy and other immunooncology agent(s) in treatment naive patients with PD-L1 unselected, advanced NSCLC, and to estimate the preliminary anti-tumor activity in this patient population.

Detailed Description

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Conditions

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Non-small Cell Lung Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Group A: squamous, gem/cis+PDR001

Group Type EXPERIMENTAL

PDR001

Intervention Type DRUG

Powder for solution for infusion

Cisplatin

Intervention Type DRUG

Intravenous infusion

Gemcitabine

Intervention Type DRUG

Intravenous infusion

Group B: non-squamous, pem/cis+PDR001

Group Type EXPERIMENTAL

PDR001

Intervention Type DRUG

Powder for solution for infusion

Cisplatin

Intervention Type DRUG

Intravenous infusion

Pemetrexed

Intervention Type DRUG

Intravenous infusion

Group C: paclitaxel/carbo+PDR001

Group Type EXPERIMENTAL

PDR001

Intervention Type DRUG

Powder for solution for infusion

Carboplatin

Intervention Type DRUG

Intravenous infusion

Paclitaxel

Intervention Type DRUG

Intravenous infusion

Group E: non-squamous, pem/cis (or carbo)+PDR001+canakinumab

Group Type EXPERIMENTAL

PDR001

Intervention Type DRUG

Powder for solution for infusion

Cisplatin

Intervention Type DRUG

Intravenous infusion

Pemetrexed

Intervention Type DRUG

Intravenous infusion

Carboplatin

Intervention Type DRUG

Intravenous infusion

Canakinumab

Intervention Type DRUG

Subcutaneous injection

Interventions

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PDR001

Powder for solution for infusion

Intervention Type DRUG

Cisplatin

Intravenous infusion

Intervention Type DRUG

Gemcitabine

Intravenous infusion

Intervention Type DRUG

Pemetrexed

Intravenous infusion

Intervention Type DRUG

Carboplatin

Intravenous infusion

Intervention Type DRUG

Paclitaxel

Intravenous infusion

Intervention Type DRUG

Canakinumab

Subcutaneous injection

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Patient has stage IIIB (and is not a candidate for definitive multimodality therapy) or has stage IV NSCLC or relapsed locally advanced or metastatic NSCLC as follows:

1. Group A, group B and group C only: Patients not previously treated with any systemic anti-cancer therapy (e.g. cytotoxic drugs, targeted therapy, monoclonal antibody therapy including immunotherapy (e.g. PD-1/PD-L1 inhibitors) or targeted therapies, either experimental or not), with exception of neo-adjuvant or adjuvant therapy as depicted in inclusion criterion 4.
2. Group D only: Patients who have received only one prior systemic therapy treatment consisting of a PD-1 and/or PD-L1 inhibitor with or without a CTLA4 inhibitor for NSCLC, with exception of neo-adjuvant or adjuvant therapy as depicted in inclusion criterion 4. The last dose of prior immunotherapy must have been administered at least 6 weeks prior to the start of study treatment (cycle 1 day 1).
2. Histologically or cytologically confirmed diagnosis of NSCLC that is EGFR Wild-type, ALK-negative rearrangement and ROS1-negative rearrangement
3. Eastern Cooperative Oncology Group (ECOG) performance status of 0-1
4. Patients with at least 1 measurable tumor lesion as assessed by Computed Tomography (CT) Scan or Magnetic Resonance Imaging (MRI) according to RECIST 1.1.

Exclusion Criteria

1. Patient with a history of severe hypersensitivity reaction to the planned study treatment including gemcitabine, paclitaxel, cisplatin, carboplatin, pemetrexed or any known excipients of these drugs
2. History of severe hypersensitivity reactions to other monoclonal antibodies, which in the opinion of the investigator may pose an increased risk of serious infusion reaction.
3. Patient has history of interstitial lung disease or interstitial pneumonitis, including clinically significant radiation pneumonitis (i.e., affecting activities of daily living or requiring therapeutic intervention).
4. History of leptomeningeal metastases
5. Active, known or suspected autoimmune disease or a documented history of autoimmune disease, including ulcerative colitis and Crohn's disease (Patients with vitiligo, type I diabetes mellitus, residual hypothyroidism due to autoimmune condition only requiring hormone replacement, psoriasis not requiring systemic treatment, or conditions not expected to recur in the absence of an external trigger are permitted to enroll).
6. Use of any live vaccines against infectious diseases within 4 weeks of initiation of study treatment
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novartis Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Novartis Pharmaceuticals

Role: STUDY_DIRECTOR

Novartis Pharmaceuticals

Locations

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Highlands Oncology Group

Fayetteville, Arkansas, United States

Site Status

UCLA Santa Monica Hematology / Oncology SC-2

Santa Monica, California, United States

Site Status

Stanford Cancer Center SC

Stanford, California, United States

Site Status

Henry Ford Health System SC

Detroit, Michigan, United States

Site Status

Washington University School of Medicine SC

St Louis, Missouri, United States

Site Status

Novartis Investigative Site

Leuven, , Belgium

Site Status

Novartis Investigative Site

Roeselare, , Belgium

Site Status

Novartis Investigative Site

Toronto, Ontario, Canada

Site Status

Novartis Investigative Site

Prague, , Czechia

Site Status

Novartis Investigative Site

Lyon, , France

Site Status

Novartis Investigative Site

Marseille, , France

Site Status

Novartis Investigative Site

Cologne, , Germany

Site Status

Novartis Investigative Site

Göttingen, , Germany

Site Status

Novartis Investigative Site

Pokfulam, Hong Kong, Hong Kong

Site Status

Novartis Investigative Site

Meldola, FC, Italy

Site Status

Novartis Investigative Site

Rozzano, MI, Italy

Site Status

Novartis Investigative Site

Aviano, PN, Italy

Site Status

Novartis Investigative Site

Amsterdam, , Netherlands

Site Status

Novartis Investigative Site

Singapore, , Singapore

Site Status

Novartis Investigative Site

Seoul, , South Korea

Site Status

Novartis Investigative Site

Barcelona, Catalonia, Spain

Site Status

Novartis Investigative Site

Madrid, , Spain

Site Status

Novartis Investigative Site

Madrid, , Spain

Site Status

Countries

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United States Belgium Canada Czechia France Germany Hong Kong Italy Netherlands Singapore South Korea Spain

References

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Santoro A, Pilar G, Tan DSW, Zugazagoitia J, Shepherd FA, Bearz A, Barlesi F, Kim TM, Overbeck TR, Felip E, Cai C, Eddy S, McCulloch T, Schaefer ES. Spartalizumab in combination with platinum-doublet chemotherapy with or without canakinumab in patients with PD-L1-unselected, metastatic NSCLC. BMC Cancer. 2024 Oct 24;24(1):1307. doi: 10.1186/s12885-024-12841-2.

Reference Type DERIVED
PMID: 39448966 (View on PubMed)

Related Links

Access external resources that provide additional context or updates about the study.

https://www.novctrd.com/ctrdweb/trialresult/trialresults/pdf?trialResultId=17963

Results for CPDR001C2101 from the Novartis Clinical Trial Website

https://www.novctrd.com/ctrdweb/patientsummary/patientsummaries?patientSummaryId=1108

A Plain Language Trial Summary is available on novctrd.com

Other Identifiers

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2016-002815-17

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CPDR001C2101

Identifier Type: -

Identifier Source: org_study_id

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