A Safety Study of Oral Venetoclax in Combination With Intravenous Pembrolizumab in Adult Participants With Previously Untreated Non-Small Cell Lung Cancer (NSCLC) With High Programmed Cell Death Ligand-1 (PD-L1) Expression

NCT ID: NCT04274907

Last Updated: 2021-02-11

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

2 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-06-30

Study Completion Date

2021-02-02

Brief Summary

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Non-Small Cell Lung Cancer (NSCLC) is a solid tumor, a disease in which cancer cells form in the tissues of the lung. It is the most common form of lung cancer, accounting for around 85% of lung cancers. The purpose of this study is to evaluate the safety and efficacy (how well the study drug works against the disease) of venetoclax in combination with pembrolizumab in participants with NSCLC.

Venetoclax is a drug that kills cancer cells by blocking a protein (part of a cell) that allows cancer cells to stay alive. Pembrolizumab is approved drug for the treatment of NSCLC. It works with your immune system to help fight certain cancers. The study is split into two portions - dose escalation and randomization. Participants are assigned one of the three treatment groups to receive pembrolizumab alone or in combination with venetoclax. Each group receives a different treatment. Participants who are at least 18 years of age with a diagnosis of NSCLC will be enrolled. Around 100 participants will be enrolled in the study in approximately 44 sites across United States.

Participants will receive intravenous (IV) infusion of pembrolizumab alone or in combination with oral venetoclax tablets.

There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the course of the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, checking for side effects and completing questionnaires.

Detailed Description

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Conditions

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Non Small Cell Lung Cancer Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Dose Escalation Phase: Venetoclax + Pembrolizumab

Participants will receive escalating doses of venetoclax in combination with pembrolizumab Dose A.

Group Type EXPERIMENTAL

Venetoclax

Intervention Type DRUG

Tablet: Oral

Pembrolizumab

Intervention Type DRUG

Intravenous (IV) Infusion

Randomization Phase: Venetoclax + Pembrolizumab

Participants will receive venetoclax at dose levels determined in the dose escalation phase in combination with pembrolizumab Dose A.

Group Type EXPERIMENTAL

Venetoclax

Intervention Type DRUG

Tablet: Oral

Pembrolizumab

Intervention Type DRUG

Intravenous (IV) Infusion

Randomization Phase: Pembrolizumab Monotherapy

Participants will receive pembrolizumab Dose A

Group Type ACTIVE_COMPARATOR

Pembrolizumab

Intervention Type DRUG

Intravenous (IV) Infusion

Interventions

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Venetoclax

Tablet: Oral

Intervention Type DRUG

Pembrolizumab

Intravenous (IV) Infusion

Intervention Type DRUG

Other Intervention Names

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Venclexta ABT-199 Keytruda

Eligibility Criteria

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Inclusion Criteria

* Histologically documented advanced or metastatic NSCLC with no known epidermal growth factor receptor (EGFR) sensitizing (activating) mutation or anaplastic lymphoma kinase (ALK) translocation.
* At least one measurable lesion as defined by Response Evaluation Criteria in Solid Tumours (RECIST) 1.1.
* High PD-L1 tumor expression (tumor proportion score \>= 50%) as determined by a Food and Drug Administration (FDA)-approved test.
* Willing to provide tissue biopsy sample prior to start of study.
* Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1.

Exclusion Criteria

* Received prior systemic treatment for their advanced or metastatic NSCLC. Participants who received adjuvant or neoadjuvant therapy are eligible if the adjuvant/neoadjuvant therapy was completed at least 6 months prior to the diagnosis of metastatic disease.
* History of or ongoing interstitial lung disease or pneumonitis that required oral or intravenous (IV) steroids.
* Active autoimmune disease that has required systemic treatment in past 2 years (i.e., with use of disease modifying agents, corticosteroids or immunosuppressive drugs). Replacement therapy (e.g., thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency, etc.) is not considered a form of systemic treatment.
* Active severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. If a participant has signs/symptoms suggestive of SARS-CoV-2 infection, they should undergo molecular (e.g., polymerase chain reaction \[PCR\]) testing to rule out SARS-CoV-2 infection.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AbbVie

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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AbbVie Inc.

Role: STUDY_DIRECTOR

AbbVie

Locations

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Univ of Alabama at Birmingham /ID# 214180

Birmingham, Alabama, United States

Site Status

Arizona Oncology Associates, PC-HOPE (Rudasill) /ID# 216984

Tucson, Arizona, United States

Site Status

St Jude Hospital dba St Joseph /ID# 212360

Santa Rosa, California, United States

Site Status

Icri /Id# 217071

Whittier, California, United States

Site Status

AdventHealth Cancer Institute - Orlando /ID# 214444

Orlando, Florida, United States

Site Status

Georgia Regents University /ID# 217109

Augusta, Georgia, United States

Site Status

Rush University Medical Center /ID# 212448

Chicago, Illinois, United States

Site Status

University of Chicago DCAM /ID# 214319

Chicago, Illinois, United States

Site Status

Ingalls Memorial Hosp /ID# 214952

Harvey, Illinois, United States

Site Status

Fort Wayne Medical Oncology /ID# 214954

Fort Wayne, Indiana, United States

Site Status

Ashland-Bellefonte Cancer Ctr /ID# 218511

Ashland, Kentucky, United States

Site Status

University of Louisville /ID# 215195

Louisville, Kentucky, United States

Site Status

Central Maine Medical Center /ID# 216107

Lewiston, Maine, United States

Site Status

Maryland Oncology Hematology /ID# 214131

Columbia, Maryland, United States

Site Status

University of Massachusetts Ca /ID# 218744

Worcester, Massachusetts, United States

Site Status

Karmanos Cancer Institute /ID# 216986

Detroit, Michigan, United States

Site Status

Henry Ford Health System /ID# 216385

Detroit, Michigan, United States

Site Status

Univ of Mississippi Med Ctr /ID# 216429

Jackson, Mississippi, United States

Site Status

Washington University-School of Medicine /ID# 212355

St Louis, Missouri, United States

Site Status

Methodist Estabrook Cancer Center /ID# 216910

Omaha, Nebraska, United States

Site Status

University of Nebraska Medical Center /ID# 216754

Omaha, Nebraska, United States

Site Status

Hackensack Univ Med Ctr /ID# 216484

Hackensack, New Jersey, United States

Site Status

Atlantic Health System /ID# 217067

Morristown, New Jersey, United States

Site Status

Overlook Medical Center /ID# 219108

Summit, New Jersey, United States

Site Status

NYU Langone - Laura and Isaac Perlmutter Cancer Center /ID# 218077

New York, New York, United States

Site Status

Weill Cornell Medical Center /ID# 216911

New York, New York, United States

Site Status

University of Cincinnati Cancer Institute /ID# 216800

Cincinnati, Ohio, United States

Site Status

University Hospitals Cleveland /ID# 212241

Cleveland, Ohio, United States

Site Status

The Ohio State University - The James /ID# 212298

Columbus, Ohio, United States

Site Status

Providence Cancer Center Oncology and Hematology Care - Westside Portland /ID# 215497

Portland, Oregon, United States

Site Status

Allegheny General Hospital /ID# 214363

Pittsburgh, Pennsylvania, United States

Site Status

Prisma Health Cancer Institute - Faris /ID# 217946

Greenville, South Carolina, United States

Site Status

Thompson Cancer Survival Ctr /ID# 217076

Knoxville, Tennessee, United States

Site Status

Houston Methodist Hospital - Scurlock Tower /ID# 215481

Houston, Texas, United States

Site Status

Utah Cancer Specialists /ID# 215496

Salt Lake City, Utah, United States

Site Status

Virginia Cancer Specialists /ID# 214328

Fairfax, Virginia, United States

Site Status

Massey Cancer Centre /ID# 212527

Richmond, Virginia, United States

Site Status

Multicare Institute for Research and Innovation /ID# 217913

Tacoma, Washington, United States

Site Status

Northwest Medical Specialties /ID# 218484

Tacoma, Washington, United States

Site Status

Countries

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United States

Related Links

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https://www.rxabbvie.com/

This clinical study may be evaluating a usage that is not currently FDA approved. Please see US Prescribing Information for approved uses.

Other Identifiers

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M19-700

Identifier Type: -

Identifier Source: org_study_id

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