Avelumab With Bempegaldesleukin With or Without Talazoparib or Enzalutamide in Advanced or Metastatic Solid Tumors

NCT ID: NCT04052204

Last Updated: 2021-10-14

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

3 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-12-30

Study Completion Date

2020-09-29

Brief Summary

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Evaluation of the combination of avelumab + bempegaldesleukin (NKTR-214 ) in locally advanced squamous cell carcinoma of the head and neck ( metastatic SCCHN) and avelumab + bempegaldesleukin (NKTR-214) + talazoparib or enzalutamide in metastatic castration resistant prostate cancer (mCRPC).

Detailed Description

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Phase 1b/ Phase 2 Design

Phase 1b will be the sequential dose-finding study.

Once the Phase 1b component is completed, Phase 2 will be initiated to further evaluate the safety and anti-tumor activity across combinations of therapy.

Combination A will enroll participants with SCCHN.

Combination B and C will enroll participants with mCRPC

Conditions

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Squamous Cell Carcinoma of the Head and Neck (SCCHN) Metastatic Castration Resistant Prostate Cancer (mCRPC)

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Combination A: Avelumab + Bempegaldesleukin (NKTR-214) for treatment of locally recurrent (not amendable for treatment with curative intent) or metastatic squamous cell carcinoma of the head and neck

Combination B: Avelumab + Bempegaldesleukin (NKTR-214) + Talazoparib for treatment of metastatic castration-resistant prostate cancer (mCRPC). Phase 2 will enroll participants with DDR defect positive mCRPC.

Combination C: Avelumab + Bempegaldesleukin (NKTR-214) + Enzalutamide for Treatment of mCRPC
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Combination A

Avelumab + Bempegaldesleukin (NKTR-214) for treatment of locally recurrent (not amendable for treatment with curative intent) or metastatic squamous cell carcinoma of the head and neck

Group Type EXPERIMENTAL

avelumab

Intervention Type DRUG

Investigational fully human anti-PD-L1 monoclonal antibody

Bempegaldesleukin

Intervention Type DRUG

Investigational CD122-biased cytokine agonist

Combination B

Avelumab + Bempegaldesleukin (NKTR-214) + Talazoparib for treatment of metastatic castration-resistant prostate cancer (mCRPC). Phase 2 will focus on enrolling participants with DDR defect positive mCRPC.

Group Type EXPERIMENTAL

avelumab

Intervention Type DRUG

Investigational fully human anti-PD-L1 monoclonal antibody

Bempegaldesleukin

Intervention Type DRUG

Investigational CD122-biased cytokine agonist

talazoparib

Intervention Type DRUG

poly (adenosine diphosphate \[ADP\] ribose) polymerase (PARP) inhibitor

Combination C

Combination C: Avelumab + Bempegaldesleukin (NKTR-214) + Enzalutamide for Treatment of mCRPC

Group Type EXPERIMENTAL

avelumab

Intervention Type DRUG

Investigational fully human anti-PD-L1 monoclonal antibody

Bempegaldesleukin

Intervention Type DRUG

Investigational CD122-biased cytokine agonist

enzalutamide

Intervention Type DRUG

androgen receptor inhibitor

Interventions

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avelumab

Investigational fully human anti-PD-L1 monoclonal antibody

Intervention Type DRUG

Bempegaldesleukin

Investigational CD122-biased cytokine agonist

Intervention Type DRUG

talazoparib

poly (adenosine diphosphate \[ADP\] ribose) polymerase (PARP) inhibitor

Intervention Type DRUG

enzalutamide

androgen receptor inhibitor

Intervention Type DRUG

Other Intervention Names

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Bavencio MSB0010718C NKTR-214 Talzenna Xtandi

Eligibility Criteria

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Inclusion Criteria

* Participants must be ≥ 18 years old.
* Participants with SCCHN or mCRCP.
* Participants must have histological diagnosis of solid tumors and provide tumor tissue.
* Measurable disease by RECIST v1.1 with at least 1 measurable lesion.
* Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) 0 or 1.
* Adequate bone marrow, renal and liver function
* Highly effective contraceptive use by men with the ability to father a child or women of childbearing potential.
* A WOCBP must have a negative highly sensitive pregnancy test (\[urine or serum\] as required by local regulations) at C1D1.
* Signed and dated informed consent.

Exclusion Criteria

* Known prior severe hypersensitivity to investigational products or any component in their formulations, including known severe hypersensitivity reactions to monocolonal antibodies.
* Known history of: immune-mediated colitis, inflammatory bowel disease, pneumonitis, or pulmonary fibrosis.
* Active or prior autoimmune disease that might deteriorate when receiving an immunostimulatory agent.
* Prior organ transplantation including allogenic stem cell transplantation.
* Vaccination within 4 weeks prior to C1D1 and while on trial is prohibited except for administration of inactivated vaccines.
* Known symptomatic brain lesions requiring steroids.
* Known history of testing positive for human immunodeficiency virus (HIV or known acquired immunodeficiency syndrome (AIDS).
* Positive HBV surface antigen or HCV test indicating acute or chronic infection..
* Active infection requiring systemic therapy
* Clinically significant (i.e., active) cardiovascular disease including the following: documented left ventricular ejection fraction (LVEF) \<50% by ECHO/MUGA; cerebral vascular accident/stroke or transient ischemic attack; myocardial infarction; unstable angina; congestive heart failure or serious cardiac arrhythmia (uncontrolled, clinically significant) requiring medication.
* Diagnosis of any other malignancy within 2 years prior to C1D1, except for adequately treated basal cell or squamous cell skin cancer, carcinoma in situ of the breast, bladder or of the cervix and for Combination A only, low-grade (Gleason 6 or below) prostate cancer on surveillance with no plans for treatment intervention (e.g., surgery, radiation, or castration) or adequately treated prostate cancer.
* Current use of immunosuppressive medication at the time of study enrollment.
* Major surgery within 4 weeks prior to study enrollment.
* Conditions that may impair intake or absorption such as inability to swallow capsules or tablets; known malabsorption syndrome; or baseline diarrhea ≤ Grade 1.
* Participation in other studies involving investigational drug(s) within 2 weeks prior to C1D1.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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EMD Serono

INDUSTRY

Sponsor Role collaborator

Nektar Therapeutics

INDUSTRY

Sponsor Role collaborator

Astellas Pharma Inc

INDUSTRY

Sponsor Role collaborator

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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University of Rochester Medical Center

Rochester, New York, United States

Site Status

GZA Ziekenhuizen campus Sint-Augustinus

Wilrijk, Antwerpen, Belgium

Site Status

Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - Panstwowy Instytut Badawczy

Warsaw, Masovian Voivodeship, Poland

Site Status

Hospital Quirón Barceloma

Barcelona, , Spain

Site Status

Hospital Universitari Vall d'Hebron

Barcelona, , Spain

Site Status

Countries

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United States Belgium Poland Spain

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=B9991040

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

Other Identifiers

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2019-001358-24

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

B9991040

Identifier Type: -

Identifier Source: org_study_id