Javelin BRCA/ATM: Avelumab Plus Talazoparib in Patients With BRCA or ATM Mutant Solid Tumors

NCT ID: NCT03565991

Last Updated: 2023-09-25

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

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

202 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-06-18

Study Completion Date

2023-02-03

Brief Summary

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Avelumab in combination with talazoparib will be investigated in patients with locally advanced or metastatic solid tumors with a BRCA or ATM defect.

Detailed Description

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Avelumab is a human immunoglobulin (Ig)G1 monoclonal antibody (mAb) directed against programmed death ligand 1 (PD-L1). Avelumab selectively binds to PD-L1 and competitively blocks its interaction with programmed death receptor 1 (PD-1), thereby interfering with this key immune checkpoint inhibition pathway. Avelumab is currently being investigated as single agent and in combination with other anti cancer therapies in patients with locally advanced or metastatic solid tumors and various hematological malignancies.

Talazoparib is a potent, orally bioavailable poly (adenosine diphosphate \[ADP\] ribose) polymerase (PARP) inhibitor, which is cytotoxic to human cancer cell lines harboring gene mutations that compromise deoxyribonucleic acid (DNA) repair, an effect referred to as synthetic lethality, and by trapping PARP protein on DNA thereby preventing DNA repair, replication, and transcription.

Avelumab in combination with talazoparib will be investigated in patients with locally advanced (primary or recurrent) or metastatic solid tumors with a BReast CAncer susceptibility gene (BRCA)1, or BRCA2, or ataxia telangiectasia mutated (ATM) gene defect.

Conditions

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Locally Advanced or Metastatic Solid Tumors Genes, BRCA 1

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Single arm study with two cohorts enrolled in parallel.

* Cohort 1 will enroll patients with locally advanced or metastatic solid tumors with one or more defects in the BRCA1 or BRCA2 genes
* Cohort 2 will enroll patients with locally advanced or metastatic solid tumors with one or more defects in the ATM gene
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Open label

Study Groups

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Combination of avelumab and talazoparib

Single arm open label

Group Type EXPERIMENTAL

Avelumab

Intervention Type DRUG

IV treatment

Talazoparib

Intervention Type DRUG

Oral treatment

Interventions

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Avelumab

IV treatment

Intervention Type DRUG

Talazoparib

Oral treatment

Intervention Type DRUG

Other Intervention Names

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Bavencio MDV3800, BMN 673

Eligibility Criteria

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Inclusion Criteria

* BRCA1, BRCA2 and/or ATM gene defect.
* Histological diagnosis of locally advanced (primary or recurrent) or metastatic solid tumors that are not amenable for treatment with curative intent
* Availability a tumor tissue sample from a diagnostic biopsy/surgery or a metastatic tumor biopsy.
* Progressive disease at study enrollment.
* Minimum age 18 years (in Japan, minimum age 20 years).
* ECOG performance status 0 or 1.
* Adequate bone marrow, renal and liver function.
* For childbearing female patients, negative serum or urine pregnancy test at screening
* Signed and dated informed consent document.

Exclusion Criteria

* Prior anti-cancer therapy or radiation therapy within 2 weeks prior to enrolment. Palliative radiotherapy to metastatic lesion(s) permitted providing that it has been completed at least 2 days prior to enrolment and no significant toxicity are expected.
* Major surgery within 4 weeks prior to study enrollment.
* Current use of immunosuppressive medication at the time of study enrollment.
* Known prior severe hypersensitivity to investigational products or any component in their formulations
* Known history of immune-mediated colitis, inflammatory bowel disease, pneumonitis, pulmonary fibrosis.
* Active or prior autoimmune disease that might deteriorate when receiving an immunostimulatory agent.
* Prior organ transplantation including allogenic stem-cell transplantation.
* Administration of live attenuated vaccines within 4 weeks of study enrollment.
* Diagnosis of myelodysplastic syndrome.
* Known symptomatic brain metastases requiring steroids.
* Persisting toxicity related to prior therapy Grade \>1.
* Known history of HIV or AIDS.
* Positive HBV or HCV test indicating acute or chronic infection.
* Active infection requiring systemic therapy.
* Clinically significant (active) cardiovascular disease: cerebral vascular accident/stroke or myocardial infarction within 6 months prior to study enrollment; unstable angina, congestive heart failure or a serious cardiac arrhythmia requiring medication.
* Diagnosis of any other malignancy within 2 years prior to study enrollment, except for adequately treated basal cell or squamous cell skin cancer, or carcinoma in situ of the breast, bladder, or cervix, or low-grade prostate cancer or other early-stage low-risk cancers.
* Pregnant or breastfeeding female patients; female or male patients who are able to have children who are unable or unwilling to use contraception as outlined in the protocol.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Pfizer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pfizer CT.gov Call Center

Role: STUDY_DIRECTOR

Pfizer

Locations

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Stanford Cancer Center

Palo Alto, California, United States

Site Status

Stanford Women's Cancer Center

Palo Alto, California, United States

Site Status

Stanford Healthcare

Stanford, California, United States

Site Status

Stanford University School of Medicine

Stanford, California, United States

Site Status

Atlanta Cancer Care -Alpharetta

Alpharetta, Georgia, United States

Site Status

Northside Hospital, Inc. - GCS/Athens

Athens, Georgia, United States

Site Status

Northside Hospital, Inc. - GCS/Annex

Atlanta, Georgia, United States

Site Status

Atlanta Cancer Care - Atlanta

Atlanta, Georgia, United States

Site Status

Northside Hospital, Inc. - Central Research Department

Atlanta, Georgia, United States

Site Status

Northside Hospital, Inc. - GCS/Northside

Atlanta, Georgia, United States

Site Status

Northside Hospital, Inc. - GCS/Canton

Canton, Georgia, United States

Site Status

Atlanta Cancer Care - Cumming

Cumming, Georgia, United States

Site Status

Atlanta Cancer Care - Decatur

Decatur, Georgia, United States

Site Status

Northside Hospital, Inc.-GCS/Stemmer

Decatur, Georgia, United States

Site Status

Atlanta Cancer Care - Stockbridge

Jonesboro, Georgia, United States

Site Status

Northside Hospital, Inc.-GCS/Macon

Macon, Georgia, United States

Site Status

Northside Hospital, Inc.-GCS/Kennestone

Marietta, Georgia, United States

Site Status

Ochsner Clinic Foundation

New Orleans, Louisiana, United States

Site Status

Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status

Dana Farber Cancer institute

Boston, Massachusetts, United States

Site Status

Siteman Cancer Center - St.Peters

City of Saint Peters, Missouri, United States

Site Status

Siteman Cancer Center - West County

Creve Coeur, Missouri, United States

Site Status

Barnes-Jewish Hospital

St Louis, Missouri, United States

Site Status

Washington University Infusion Center Pharmacy

St Louis, Missouri, United States

Site Status

Washington University School of Medicine

St Louis, Missouri, United States

Site Status

Siteman Cancer Center - South County

St Louis, Missouri, United States

Site Status

Siteman Cancer Center - North County

St Louis, Missouri, United States

Site Status

Memorial Sloan Kettering Cancer Center- Monmouth

Middletown, New Jersey, United States

Site Status

Memorial Sloan Kettering Cancer Center- Westchester

Harrison, New York, United States

Site Status

Memorial Sloan Kettering Cancer Center - Investigational Drug Service Pharmacy

Long Island City, New York, United States

Site Status

Laura and Isaac Perlmutter Cancer Center at NYU Langone

New York, New York, United States

Site Status

Laura and Isaac Perlmutter Cancer Center

New York, New York, United States

Site Status

NY Investigational Pharmacy

New York, New York, United States

Site Status

NYU Langone Medical Center

New York, New York, United States

Site Status

NYU Langone Radiology - 32nd Street

New York, New York, United States

Site Status

NYU Langone Radiology Ambulatory Care Center East 41st Street

New York, New York, United States

Site Status

Memorial Sloan Kettering Cancer Center - David H. Koch Center for Cancer Care (74th Street).

New York, New York, United States

Site Status

Rockefeller Outpatient Center

New York, New York, United States

Site Status

Rockefeller Outpatient Pavilion (53rd Street)

New York, New York, United States

Site Status

Evelyn H. Lauder Breast and Imaging Center

New York, New York, United States

Site Status

Memorial Hospital

New York, New York, United States

Site Status

Memorial Sloan Kettering Cancer Center

New York, New York, United States

Site Status

White Plains Hospital

White Plains, New York, United States

Site Status

The Ohio State University Wexner Medical Center

Columbus, Ohio, United States

Site Status

The Ohio State University

Columbus, Ohio, United States

Site Status

Stephanie Spielman Comprehensive Breast Cancer

Columbus, Ohio, United States

Site Status

Martha Morehouse Medical Plaza

Columbus, Ohio, United States

Site Status

OSU Gynecologic Oncology at Mill Run

Hilliard, Ohio, United States

Site Status

Stephenson Cancer Center

Oklahoma City, Oklahoma, United States

Site Status

Hospital of the University of Pennsylvania/Penn Investigational Drug Services

Philadelphia, Pennsylvania, United States

Site Status

Hospital of the University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

Penn IDS Central

Philadelphia, Pennsylvania, United States

Site Status

Magee-Women's Hospital Women's Cancer Center

Pittsburgh, Pennsylvania, United States

Site Status

UPMC Hillman Cancer Center Investigational Drug Service

Pittsburgh, Pennsylvania, United States

Site Status

UPMC Hillman Cancer Center

Pittsburgh, Pennsylvania, United States

Site Status

Tennessee Oncology, PLLC

Chattanooga, Tennessee, United States

Site Status

The Sarah Cannon Research Institute

Chattanooga, Tennessee, United States

Site Status

Tennessee Oncology, PLLC

Cleveland, Tennessee, United States

Site Status

Tennessee Oncology, PLLC

Dickson, Tennessee, United States

Site Status

Tennessee Oncology, PLLC

Franklin, Tennessee, United States

Site Status

Tennessee Oncology, PLLC

Gallatin, Tennessee, United States

Site Status

Tennessee Oncology, PLLC

Hermitage, Tennessee, United States

Site Status

Tennessee Oncology, PLLC

Lebanon, Tennessee, United States

Site Status

Tennessee Oncology, PLLC

Murfreesboro, Tennessee, United States

Site Status

Tennessee Oncology, PLLC

Nashville, Tennessee, United States

Site Status

The Sarah Cannon Research Institute

Nashville, Tennessee, United States

Site Status

Tennessee Oncology, PLLC

Nashville, Tennessee, United States

Site Status

Tennessee Oncology, PLLC

Nashville, Tennessee, United States

Site Status

Tennessee Oncology, PLLC

Nashville, Tennessee, United States

Site Status

Tennessee Oncology, PLLC

Shelbyville, Tennessee, United States

Site Status

Tennessee Oncology, PLLC

Smyrna, Tennessee, United States

Site Status

The University of Texas

Houston, Texas, United States

Site Status

Institut Jules Bordet

Brussels, , Belgium

Site Status

UZ Brussel

Brussels, , Belgium

Site Status

Universitair Ziekenhuis Antwerpen

Edegem, , Belgium

Site Status

Rigshospitalet

Copenhagen, , Denmark

Site Status

Odense University Hospital

Odense C, , Denmark

Site Status

Centre Jean Perrin

Clermont-Ferrand, , France

Site Status

Groupe Hospitalier La Rochelle-Ré-Aunis

La Rochelle, , France

Site Status

Institut Regional du Cancer de Montpellier - ICM Val d'Aurelle

Montpellier, , France

Site Status

Presidio AO-U, Ospedali Riuniti Umberto I - G.M. Lancisi - G. Salesi

Torette Di Ancona, AN, Italy

Site Status

IRCCS-Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST)

Meldola, FC, Italy

Site Status

Azienda Socio-Sanitaria Territoriale Monza, Ospedale San Gerardo

Monza, MB, Italy

Site Status

Fondazione IRCCS, Istituto Nazionale dei Tumori

Milan, MI, Italy

Site Status

Istituto Europeo di Oncologia, Istituto di Ricovero e Cura a Carattere Scientifico

Milan, MI, Italy

Site Status

Fondazione Pascale, IRCCS, Istituto Nazionale dei Tumori

Napoli, , Italy

Site Status

Azienda Policlinico Umberto I, Universita La Sapienza, Oncologia B

Roma, , Italy

Site Status

Fondazione Policlinico Universitario Agostino Gemelli Unità di Farmacologia Clinica

Roma, , Italy

Site Status

National Cancer Center Hospital East

Kashiwa, Chiba, Japan

Site Status

Osaka International Cancer Institute

Osaka, Osaka, Japan

Site Status

National Cancer Center Hospital

Chuo-ku, Tokyo, Japan

Site Status

Amsterdam University Medical Centre, location VUmc

Amsterdam, North Holland, Netherlands

Site Status

Erasmus Universitair Medisch Centrum

Rotterdam, South Holland, Netherlands

Site Status

Hospital Universitario Vall d'Hebron

Barcelona, , Spain

Site Status

H.G.U. Gregorio Maranon

Madrid, , Spain

Site Status

Clinica Universidad de Navarra

Madrid, , Spain

Site Status

H.U. Fundación Jiménez Díaz

Madrid, , Spain

Site Status

Hospital Universitario Virgen de Valme

Seville, , Spain

Site Status

Barts Health NHS Trust, St Bartholomew's Hospital

London, , United Kingdom

Site Status

Sarah Cannon Research Institute UK

London, , United Kingdom

Site Status

Countries

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United States Belgium Denmark France Italy Japan Netherlands Spain United Kingdom

References

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Schram AM, Colombo N, Arrowsmith E, Narayan V, Yonemori K, Scambia G, Zelnak A, Bauer TM, Jin N, Ulahannan SV, Colleoni M, Aftimos P, Donoghue MTA, Rosen E, Rudneva VA, Telli ML, Domchek SM, Galsky MD, Hoyle M, Chappey C, Stewart R, Blake-Haskins JA, Yap TA. Avelumab Plus Talazoparib in Patients With BRCA1/2- or ATM-Altered Advanced Solid Tumors: Results From JAVELIN BRCA/ATM, an Open-Label, Multicenter, Phase 2b, Tumor-Agnostic Trial. JAMA Oncol. 2023 Jan 1;9(1):29-39. doi: 10.1001/jamaoncol.2022.5218.

Reference Type DERIVED
PMID: 36394867 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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https://pmiform.com/clinical-trial-info-request?StudyID=B9991032

To obtain contact information for a study center near you, click here.

Other Identifiers

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2018-000345-39

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

B9991032

Identifier Type: -

Identifier Source: org_study_id

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