Basket Study to Evaluate the Therapeutic Activity of Simlukafusp Alfa as a Combination Therapy in Participants With Advanced and/or Metastatic Solid Tumors
NCT ID: NCT03386721
Last Updated: 2023-02-21
Study Results
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View full resultsBasic Information
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TERMINATED
PHASE2
256 participants
INTERVENTIONAL
2018-02-19
2021-12-30
Brief Summary
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Detailed Description
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Conditions
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Study Design
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NON_RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Cohort A (Part I)
Checkpoint Inhibitor (CPI)-Naïve Participants with non-small-cell lung cancer (NSCLC) who have not received CPI therapy previously will receive simlukafusp alfa intravenous (IV) infusion once in a week (QW) for first 5 doses, and once in 2 weeks (Q2W) for remaining doses up to maximum 36 months. Simlukafusp alfa will be administered at a 10 mg flat dose. Atezolizumab IV infusion will be administered in combination Q2W at a dose of 840 mg. Tumor biopsies: collection of fresh tumor biopsies (at baseline and on-treatment) will be optional.
simlukafusp alfa
simlukafusp alfa will be administered as per the dosage regimen mentioned in arm descriptions.
Atezolizumab (MPDL3280A), an Engineered Anti-PD-L1 Antibody
Atezolizumab will be administered as per the dosage regimen mentioned in arm descriptions.
Cohort B (Part I)
CPI-Experienced Participants (NSCLC) who have received CPI therapy previously will receive simlukafusp alfa intravenous (IV) infusion once in a week (QW) for first 5 doses, and once in 2 weeks (Q2W) for remaining doses up to maximum 36 months. Simlukafusp alfa will be administered at a 10 mg flat dose. Atezolizumab IV infusion will be administered in combination Q2W at a dose of 840 mg. Tumor biopsies: 2 mandatory fresh tumor biopsies, one at baseline and one on-treatment, will be collected. Additional on-treatment biopsies will be optional.
simlukafusp alfa
simlukafusp alfa will be administered as per the dosage regimen mentioned in arm descriptions.
Atezolizumab (MPDL3280A), an Engineered Anti-PD-L1 Antibody
Atezolizumab will be administered as per the dosage regimen mentioned in arm descriptions.
Cohort C (Part I)
This is a mandatory biopsy cohort based on the treatment's safety and preliminary activity analysis to enroll CPI-Naive Participants. Participants (NSCLC) will receive simlukafusp alfa intravenous (IV) infusion once in a week (QW) for first 5 doses, and once in 2 weeks (Q2W) for remaining doses up to maximum 36 months. Simlukafusp alfa will be administered at a 10 mg flat dose. Atezolizumab IV infusion will be administered in combination Q2W at a dose of 840 mg.
Tumor biopsies: 2 mandatory fresh tumor biopsies, one at baseline and one on-treatment, will be collected. Additional on-treatment biopsies will be optional.
simlukafusp alfa
simlukafusp alfa will be administered as per the dosage regimen mentioned in arm descriptions.
Atezolizumab (MPDL3280A), an Engineered Anti-PD-L1 Antibody
Atezolizumab will be administered as per the dosage regimen mentioned in arm descriptions.
Cohort D Arm I (Part I)
CPI Experienced Participants (NSCLC) who were previously treated with platinum and docetaxel.
Participants will receive simlukafusp alfa intravenous (IV) infusion once in a week (QW) for first 5 doses, and once in 2 weeks (Q2W) for remaining doses up to maximum 36 months. Simlukafusp alfa will be administered at a 10 mg flat dose. Atezolizumab IV infusion will be administered in combination Q2W at a dose of 840 mg.
Tumor biopsies: 2 mandatory fresh tumor biopsies, one at baseline and one on-treatment, will be collected. Additional on-treatment biopsies will be optional.
simlukafusp alfa
simlukafusp alfa will be administered as per the dosage regimen mentioned in arm descriptions.
Atezolizumab (MPDL3280A), an Engineered Anti-PD-L1 Antibody
Atezolizumab will be administered as per the dosage regimen mentioned in arm descriptions.
Cohort D Arm 2 (Part I)
CPI Experienced Participants (NSCLC) who were previously treated with platinum and docetaxel.
Participants will receive simlukafusp alfa intravenous (IV) infusion once in 3 weeks (Q3W) up to maximum 36 months. Simlukafusp alfa will be administered at a 10 mg flat dose. Atezolizumab IV infusion will be administered in combination Q3W at a dose of 1200 mg.
Tumor biopsies: 2 mandatory fresh tumor biopsies, one at baseline and one on-treatment, will be collected. Additional on-treatment biopsies will be optional.
simlukafusp alfa
simlukafusp alfa will be administered as per the dosage regimen mentioned in arm descriptions.
Atezolizumab (MPDL3280A), an Engineered Anti-PD-L1 Antibody
Atezolizumab will be administered as per the dosage regimen mentioned in arm descriptions.
Cohort D Arm 3 (Part I)
CPI Experienced Participants (NSCLC) who were previously treated with platinum and docetaxel will receive a single-agent gemcitabine or vinorelbine as per approved protocol.
Tumor biopsies: 2 mandatory fresh tumor biopsies, one at baseline and one on-treatment, will be collected. Additional on-treatment biopsies will be optional.
Gemcitabine
Single-agent treatment administered as per approved protocol.
Vinorelbine
Single-agent treatment administered as per approved protocol.
Cohort E Arm I (Part II)
This cohort will enroll participants (NSCLC) with High-Tumor PD-L1 Expression who have not received any prior systemic therapy. Participants will receive simlukafusp alfa intravenous (IV) infusion once in a week (QW) for first 5 doses, and once in 2 weeks (Q2W) for remaining doses up to maximum 36 months. Simlukafusp alfa will be administered at a 10 mg flat dose. Atezolizumab IV infusion will be administered in combination Q2W at a dose of 840 mg.
Tumor biopsies: 2 mandatory fresh tumor biopsies, one at baseline and one on-treatment, will be collected. Additional on-treatment biopsies will be optional.
simlukafusp alfa
simlukafusp alfa will be administered as per the dosage regimen mentioned in arm descriptions.
Atezolizumab (MPDL3280A), an Engineered Anti-PD-L1 Antibody
Atezolizumab will be administered as per the dosage regimen mentioned in arm descriptions.
Cohort E Arm 2 (Part II)
This cohort will enroll participants (NSCLC) with High-Tumor PD-L1 Expression who have not received any prior systemic therapy. Participants will receive simlukafusp alfa IV infusion in combination with atezolizumab Q3W. Simlukafusp alfa will be administered at a 10 mg flat dose. Atezolizumab IV infusion will be administered at a dose of 1200 mg.
Tumor biopsies: 2 mandatory fresh tumor biopsies, one at baseline and one on-treatment, will be collected. Additional on-treatment biopsies will be optional.
simlukafusp alfa
simlukafusp alfa will be administered as per the dosage regimen mentioned in arm descriptions.
Atezolizumab (MPDL3280A), an Engineered Anti-PD-L1 Antibody
Atezolizumab will be administered as per the dosage regimen mentioned in arm descriptions.
Cohort F (Part I)
CPI-experienced, docetaxel naive participants (NSCLC) who experienced disease progression during or following treatment with a platinum - containing regimen. Participants will receive combination of simlukafusp alfa and atezolizumab in a Q3W schedule. Simlukafusp alfa will be administered at a 10 mg flat dose. Atezolizumab IV infusion will be administered at a dose of 1200 mg.
Tumor biopsies: one mandatory fresh tumor biopsy will be collected at baseline. Additional on-treatment biopsies will be optional.
simlukafusp alfa
simlukafusp alfa will be administered as per the dosage regimen mentioned in arm descriptions.
Atezolizumab (MPDL3280A), an Engineered Anti-PD-L1 Antibody
Atezolizumab will be administered as per the dosage regimen mentioned in arm descriptions.
Cohort G (Part III)
CPI-naïve SCC of the head and neck (SCCHN) (20 response-evaluable participants), mandatory biopsies. Participants in cohort G Part III will receive simlukafusp alfa Q3W in combination with atezolizumab Q3W. Simlukafusp alfa will be administered at a 10 mg flat dose. Atezolizumab IV infusion will be administered at a dose of 1200 mg. Tumor biopsies: one mandatory fresh tumor biopsy will be collected at baseline. Additional on-treatment biopsies will be optional. Biopsies are not applicable to participants presenting with a single target lesion and absence of any non-target lesion.
simlukafusp alfa
simlukafusp alfa will be administered as per the dosage regimen mentioned in arm descriptions.
Atezolizumab (MPDL3280A), an Engineered Anti-PD-L1 Antibody
Atezolizumab will be administered as per the dosage regimen mentioned in arm descriptions.
Cohort H (Part III)
Previously treated, CPI-experienced squamous cell carcinoma head and heck cancer (20 response evaluable participants), mandatory biopsies. Participants in cohort H Part III will receive simlukafusp alfa Q3W in combination with atezolizumab Q3W. Simlukafusp alfa will be administered at a 10 mg flat dose. Atezolizumab IV infusion will be administered at a dose of 1200 mg. Tumor biopsies: one mandatory fresh tumor biopsy will be collected at baseline. Additional on-treatment biopsies will be optional. Biopsies are not applicable to participants presenting with a single target lesion and absence of any non-target lesion.
simlukafusp alfa
simlukafusp alfa will be administered as per the dosage regimen mentioned in arm descriptions.
Atezolizumab (MPDL3280A), an Engineered Anti-PD-L1 Antibody
Atezolizumab will be administered as per the dosage regimen mentioned in arm descriptions.
Cohort I (Part III)
Previously treated, CPI-naïve squamous esophageal cancer (20 response evaluable participants), mandatory biopsies. Participants in cohort I Part III will receive simlukafusp alfa Q3W in combination with atezolizumab Q3W. Simlukafusp alfa will be administered at a 10 mg flat dose. Atezolizumab IV infusion will be administered at a dose of 1200 mg. Tumor biopsies: one mandatory fresh tumor biopsy will be collected at baseline. Additional on-treatment biopsies will be optional.
simlukafusp alfa
simlukafusp alfa will be administered as per the dosage regimen mentioned in arm descriptions.
Atezolizumab (MPDL3280A), an Engineered Anti-PD-L1 Antibody
Atezolizumab will be administered as per the dosage regimen mentioned in arm descriptions.
Cohort J (Part III)
Previously treated, CPI-naïve squamous cervical cancer (20 response evaluable participants): mandatory biopsy. Participants in cohort J Part III will receive simlukafusp alfa Q3W in combination with atezolizumab Q3W. Simlukafusp alfa will be administered at a 10 mg flat dose. Atezolizumab IV infusion will be administered at a dose of 1200 mg. Tumor biopsies: one mandatory fresh tumor biopsy will be collected at baseline. Additional on-treatment biopsies will be optional.
simlukafusp alfa
simlukafusp alfa will be administered as per the dosage regimen mentioned in arm descriptions.
Atezolizumab (MPDL3280A), an Engineered Anti-PD-L1 Antibody
Atezolizumab will be administered as per the dosage regimen mentioned in arm descriptions.
Cohort K (Part III)
CPI-naïve SCC of the head and neck (SCCHN) (20 response-evaluable participants), mandatory biopsies. Participants in cohort K Part III will receive simlukafusp alfa QW in combination with atezolizumab Q2W for 4 weeks followed by simlukafusp alfa in combination with atezolizumab Q2W. Simlukafusp alfa will be administered at a 10 mg flat dose. Atezolizumab IV infusion will be administered at a dose of 840 mg. Tumor biopsies: one mandatory fresh tumor biopsy will be collected at baseline. Additional on-treatment biopsies will be optional. Biopsies are not applicable to participants presenting with a single target lesion and absence of any non-target lesion.
simlukafusp alfa
simlukafusp alfa will be administered as per the dosage regimen mentioned in arm descriptions.
Atezolizumab (MPDL3280A), an Engineered Anti-PD-L1 Antibody
Atezolizumab will be administered as per the dosage regimen mentioned in arm descriptions.
Cohort L (Part III)
Previously treated, CPI-experienced squamous cell carcinoma head and neck cancer (20 response evaluable participants), mandatory biopsies. Participants in cohort L Part III will receive simlukafusp alfa QW in combination with atezolizumab Q2W for 4 weeks followed by simlukafusp alfa in combination with atezolizumab Q2W. Simlukafusp alfa will be administered at a 10 mg flat dose. Atezolizumab IV infusion will be administered at a dose of 840 mg. Tumor biopsies: one mandatory fresh tumor biopsy will be collected at baseline. Additional on-treatment biopsies will be optional. Biopsies are not applicable to participants presenting with a single target lesion and absence of any non-target lesion.
simlukafusp alfa
simlukafusp alfa will be administered as per the dosage regimen mentioned in arm descriptions.
Atezolizumab (MPDL3280A), an Engineered Anti-PD-L1 Antibody
Atezolizumab will be administered as per the dosage regimen mentioned in arm descriptions.
Cohort M (Part III)
Esophageal SCC participants will receive simlukafusp alfa QW in combination with atezolizumab Q2W for 4 weeks followed by simlukafusp alfa in combination with atezolizumab Q2W. Simlukafusp alfa will be administered at a 10 mg flat dose. Atezolizumab IV infusion will be administered at a dose of 840 mg. Tumor biopsies: one mandatory fresh tumor biopsy will be collected at baseline. Additional on-treatment biopsies will be optional.
simlukafusp alfa
simlukafusp alfa will be administered as per the dosage regimen mentioned in arm descriptions.
Atezolizumab (MPDL3280A), an Engineered Anti-PD-L1 Antibody
Atezolizumab will be administered as per the dosage regimen mentioned in arm descriptions.
Cohort N (Part III)
Cervical SCC participants will receive simlukafusp alfa QW in combination with atezolizumab Q2W for 4 weeks followed by simlukafusp alfa in combination with atezolizumab Q2W. Simlukafusp alfa will be administered at a 10 mg flat dose. Atezolizumab IV infusion will be administered at a dose of 840 mg. Tumor biopsies: one mandatory fresh tumor biopsy will be collected at baseline. Additional on-treatment biopsies will be optional.
simlukafusp alfa
simlukafusp alfa will be administered as per the dosage regimen mentioned in arm descriptions.
Atezolizumab (MPDL3280A), an Engineered Anti-PD-L1 Antibody
Atezolizumab will be administered as per the dosage regimen mentioned in arm descriptions.
Interventions
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simlukafusp alfa
simlukafusp alfa will be administered as per the dosage regimen mentioned in arm descriptions.
Atezolizumab (MPDL3280A), an Engineered Anti-PD-L1 Antibody
Atezolizumab will be administered as per the dosage regimen mentioned in arm descriptions.
Gemcitabine
Single-agent treatment administered as per approved protocol.
Vinorelbine
Single-agent treatment administered as per approved protocol.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Measurable disease, as defined by RECIST Version 1.1
* Eastern Cooperative Oncology Group (ECOG) Performance Status 0 or 1 or Karnofsky Performance Score greater than or equal to (\>=) 70
* Life expectancy of \>=12 weeks
* Confirmed at least one tumor lesion with location accessible to safely biopsy per clinical judgment of the treating physician.
Biopsies are not applicable to participants in Cohorts G, H, K, and L presenting with a single target lesion and absence of any non-target lesion.
* Consent to provide an archival tumor tissue sample (if available, applicable to all participants)
* Willingness to undergo baseline and on-treatment tumor biopsies for pharmacodynamics (PD) biomarker analysis (biopsies are optional for Cohort A)
* Adequate cardiovascular function as defined in the study protocol
* AEs related to any previous radiotherapy, chemotherapy, or surgical procedure must have resolved to Grade less than or equal to (\<=) 1, except alopecia (any grade) and Grade 2 peripheral neuropathy
* Adequate haematological, liver, and renal functions.
* Participants with unilateral pleural effusion (indications other than NSCLC) are eligible if they fulfill both of the following:
1. NYHA Class 1
2. Forced expiratory volume 1 (FEV1) and forced vital capacity (FVC) \>70% of predicted value; participants with lung metastases should present with DLCO \>60% of predicted value.
* Participants with Gilbert's syndrome will be eligible for the study
* Participants must have had confirmed diagnosis of recurrent or metastatic squamous cell carcinoma head and neck, or esophageal cancer or metastatic, persistent or recurrent squamous cervical cancer.
Exclusion Criteria
* History of treated asymptomatic CNS metastases as described in the protocol
* Spinal cord compression not definitively treated with surgery and/or radiation or previously diagnosed and treated spinal cord compression without evidence that disease has been clinically stable for \>=2 weeks before enrollment
* Leptomeningeal disease
* An active second malignancy
* Penetrating tumor infiltration
* Evidence of significant, uncontrolled concomitant diseases that could affect compliance with the protocol or interpretation of results
* Episode of significant cardiovascular/cerebrovascular acute disease within 6 months before study treatment administration
* History of significant vascular disease (for example, aortic aneurysm, aortic dissection)
* Active or uncontrolled infections
* Human immunodeficiency virus (HIV) or Active Hepatitis A, B, C, D or E infection (HAV/HBV/HCV/HDV/HEV).
* Severe infection within 4 weeks before study treatment administration including, but not limited to, hospitalization for complications of infection, bacteremia, or severe pneumonia.
* History of chronic liver disease or evidence of hepatic cirrhosis
* Dementia or altered mental status that would prohibit informed consent
* History of, active or suspicion of autoimmune disease
* History of idiopathic pulmonary fibrosis, pneumonitis (including drug-induced), organizing pneumonia (bronchiolitis obliterans, cryptogenic organizing pneumonia, etc.), or evidence of active pneumonitis on screening chest computed tomography (CT) scan. History of radiation pneumonitis in the radiation field (fibrosis) is permitted
* Bilateral pleural effusion confirmed by X-ray
* Any other diseases, metabolic dysfunction, physical examination finding, or clinical laboratory finding that give reasonable suspicion of a disease or condition that would contraindicate the use of an investigational drug
* Concurrent therapy with any other investigational drug
* Immunomodulating agents as described in study protocol
* Chronic use of steroids
* Last dose with any cytostatic treatments \< 28 days before study treatment administration
* Radiotherapy within the last 4 weeks before start of study treatment administration, with the exception of limited field palliative radiotherapy
* Administration of a live, attenuated vaccine within 4 weeks before Cycle 1 Day 1 or at any time during the study and 5 months after the last dose of atezolizumab
* Major surgery or significant traumatic injury \<28 days before study treatment administration (excluding fine needle biopsies) or if wound healing has not completed after surgery or anticipation of the need for major surgery during study treatment
* Known hypersensitivity to any of the components of the simlukafusp alfa drug product or atezolizumab drug product
* Severe dyspnea at rest or requiring supplementary oxygen therapy Locally curative options are available for participant's disease.
18 Years
ALL
No
Sponsors
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Hoffmann-La Roche
INDUSTRY
Responsible Party
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Principal Investigators
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Clinical Trials
Role: STUDY_DIRECTOR
Hoffmann-La Roche
Locations
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University of California, San Francisco, Helen Diller Family Comprehensive Cancer Center
San Francisco, California, United States
Cancer Treatment Centers of America
Newnan, Georgia, United States
UZ Antwerpen
Edegem, , Belgium
UZ Gent
Ghent, , Belgium
UZ Leuven Gasthuisberg
Leuven, , Belgium
Institut Bergonie
Bordeaux, , France
Hopital Timone Adultes; Oncologie Medicale Et Usp
Marseille, , France
ICM; Medecine B3
Montpellier, , France
Gustave Roussy Cancer Campus
Villejuif, , France
Universitätsklinikum Essen; Innere Klinik (Tumorforschung)
Essen, , Germany
Rambam Medical Center; Oncology
Haifa, , Israel
Auckland City Hospital; Clinical Oncology
Auckland, , New Zealand
Uniwersyteckie Centrum Kliniczne; Osrodek Badan Wczesnych Faz
Gda?sk, , Poland
Narodowy Instytut Onkologii im. M. Sklodowskiej-Curie; Oddzial Badan Wczesnych Faz
Warsaw, , Poland
N.N.Burdenko Main Military Clinical Hospital; Oncology Dept
Moscow, , Russia
S-Pb clinical scientific practical center of specialized kinds of medical care (oncological)
Saint Petersburg, , Russia
National University Hospital; National University Cancer Institute, Singapore (NCIS)
Singapore, , Singapore
National Cancer Centre; Medical Oncology
Singapore, , Singapore
Seoul National University Bundang Hospital
Seongnam-si, , South Korea
Severance Hospital, Yonsei University Health System
Seoul, , South Korea
Seoul National University Hospital
Seoul, , South Korea
Asan Medical Center
Seoul, , South Korea
Samsung Medical Center
Seoul, , South Korea
Clinica Universitaria de Navarra
Pamplona, Navarre, Spain
Hospital del Mar; Servicio de Oncologia
Barcelona, , Spain
Hospital Univ Vall d'Hebron; Servicio de Oncologia
Barcelona, , Spain
Clinica Universidad de Navarra Madrid; Servicio de Oncología
Madrid, , Spain
Hospital Ramon y Cajal; Servicio de Oncologia
Madrid, , Spain
START Madrid-FJD, Hospital Fundacion Jimenez Diaz
Madrid, , Spain
START Madrid. Centro Integral Oncologico Clara Campal; CIOCC
Madrid, , Spain
Hospital Clinico Universitario de Valencia; Servicio de Onco-hematologia
Valencia, , Spain
Hôpitaux Universit. de Genève Médecine Oncologie; Oncologie
Geneva, , Switzerland
National Cheng Kung Uni Hospital; Dept of Hematology and Oncology
Tainan City, , Taiwan
National Taiwan Uni Hospital; Dept of Oncology
Taipei, , Taiwan
Adana Baskent University Hospital; Medical Oncology
Adana, , Turkey (Türkiye)
Akdeniz University Medical Faculty; Medical Oncology Department
Antalya, , Turkey (Türkiye)
Trakya Universitesi Tip Fakultesi, Medikal Onkoloji Bilim Dali, Balkan Yerleskesi
Edirne, , Turkey (Türkiye)
Istanbul University Cerrahpa?a-Cerrahpa?a Medical Faculty; Medikal Onkoloji Departmani
Istanbul, , Turkey (Türkiye)
?zmir Medical Park; Onkoloji
Izmir, , Turkey (Türkiye)
Goztepe Prof.Dr. Suleyman Yalcin City Hospital; Clinical Oncology
Kadiköy, , Turkey (Türkiye)
Barts
London, , United Kingdom
University College London Hospital
London, , United Kingdom
Christie Hospital Nhs Trust; Medical Oncology
Manchester, , United Kingdom
Royal Marsden Hospital; Institute of Cancer Research
Sutton, , United Kingdom
Countries
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References
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Verlingue L, Italiano A, Prenen H, Guerra Alia EM, Tosi D, Perets R, Lugowska I, Moiseyenko V, Gumus M, Arslan C, Lindsay CR, Deva S, Taus A, Oaknin A, Rottey S, Cicin I, Goksu SS, Smolin A, Rosello-Keranen S, Habigt C, Marbach D, Boetsch C, Dejardin D, Sleiman N, Evers S, Richard M, Ardeshir C, Charo J, Kraxner A, Teichgraber V, Keshelava N, Dziadziuszko R. Phase 2 study of the antitumour activity and safety of simlukafusp alfa (FAP-IL2v) combined with atezolizumab in patients with recurrent and/or metastatic cervical squamous cell carcinoma. EBioMedicine. 2024 Nov;109:105374. doi: 10.1016/j.ebiom.2024.105374. Epub 2024 Oct 11.
Prenen H, Deva S, Keam B, Lindsay CR, Lugowska I, Yang JC, Longo F, de Miguel M, Ponz-Sarvise M, Ahn MJ, Gumus M, Champiat S, Italiano A, Salas S, Perets R, Arslan C, Cho BC, Evers S, Boetsch C, Marbach D, Dejardin D, Sleiman N, Ardeshir C, Richard M, Charo J, Kraxner A, Keshelava N, Teichgraber V, Moreno V. Phase II Study to Determine the Antitumor Activity and Safety of Simlukafusp Alfa (FAP-IL2v) Combined with Atezolizumab in Esophageal Cancer. Clin Cancer Res. 2024 Jul 15;30(14):2945-2953. doi: 10.1158/1078-0432.CCR-23-2677.
Provided Documents
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Document Type: Study Protocol and Statistical Analysis Plan
Other Identifiers
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2017-003182-94
Identifier Type: EUDRACT_NUMBER
Identifier Source: secondary_id
BP40234
Identifier Type: -
Identifier Source: org_study_id
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