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JOURNAL ONKOLOGIE – STUDIE

A Study to Investigate the Safety and Tolerability of Intravenous QEQ278 in Patients With Advanced Solid Tumors

Rekrutierend

NCT-Nummer:
NCT05462873

Studienbeginn:
April 2023

Letztes Update:
15.04.2024

Wirkstoff:
QEQ278

Indikation (Clinical Trials):
Carcinoma, Carcinoma, Squamous Cell, Esophageal Squamous Cell Carcinoma, Carcinoma, Non-Small-Cell Lung, Carcinoma, Renal Cell, Squamous Cell Carcinoma of Head and Neck

Geschlecht:
Alle

Altersgruppe:
Erwachsene (18+)

Phase:
Phase 1

Sponsor:
Novartis Pharmaceuticals

Collaborator:
-

Kontakt

Studienlocations
(3 von 11)

Novartis Investigative Site
45147 Essen
(Nordrhein-Westfalen)
GermanyRekrutierend» Google-Maps
Massachusetts General Hospital Dept. of Mass General Hospital
02114 Boston
United StatesRekrutierend» Google-Maps
Ansprechpartner:
Justin Gainor
Phone: 617-724-4000
E-Mail: jgainor@partners.org
» Ansprechpartner anzeigen
Novartis Investigative Site
1200 Bruxelles
BelgiumRekrutierend» Google-Maps
Novartis Investigative Site
277 8577 Kashiwa
JapanRekrutierend» Google-Maps
Novartis Investigative Site
168583 Singapore
SingaporeRekrutierend» Google-Maps
Alle anzeigen

Studien-Informationen

Detailed Description:

This study is an open-label, phase I/Ib, multi-center study of QEQ278 as a single agent,

consisting of a dose escalation part followed by a dose expansion part.

In the dose escalation part of the study, patients with non-small cell lung cancer (NSCLC),

esophageal squamous cell carcinoma (ESCC), renal cell carcinoma (RCC), or human papilloma

virus (HPV)-associated head and neck squamous cell carcinoma (HNSCC) will be treated with

QEQ278 single agent until the maximum tolerated dose (MTD) is reached or a lower recommended

dose (RD) is established.

The study may enter the dose expansion, after an MTD(s) and/or RD(s) is declared in the dose

escalation.

Ein-/Ausschlusskriterien

Inclusion Criteria:

- Signed informed consent must be obtained prior to participation in the study.

- Adult men and women ≥ 18 years of age.

- Histologically confirmed and documented advanced malignancies (locally advanced

malignancies, non-curable by surgery or radiotherapy and metastatic disease). Disease

must be measurable, including presence of at least one measurable lesion, as

determined by RECIST v1.1.

- In the opinion of the treating investigator, patients must have received, but are not

benefitting from standard therapies, be intolerant or ineligible to receive such

therapy, or have no standard therapy option for the respective disease types (diseases

listed below), as well as any other therapies deemed to be standard by

local/institutional standard.

- Non-small cell lung cancer

- Esophageal squamous cell carcinoma

- Renal cell carcinoma

- HPV-associated head and neck squamous cell carcinoma

- Must have a site of disease amenable to biopsy and be a candidate for tumor biopsy

according to the treating institution's guidelines. The patient must be willing to

undergo a new tumor biopsy at screening and during treatment.

Exclusion Criteria:

- Active previously documented or suspected autoimmune disease. Patients with vitiligo,

type I diabetes, residual hypothyroidism only requiring hormone replacement, psoriasis

not requiring systemic treatment, or conditions not expected to recur should not be

excluded. Patients previously exposed to anti-PD-1/PD-L1 treatment who are adequately

treated for skin rash or with replacement therapy for endocrinopathies should not be

excluded.

- Patients with a history of or current interstitial lung disease or pneumonitis ≥ Grade

2.

- Patients who discontinued prior anti-PD-1 therapy due to an anti-PD-1-related toxicity

- Clinically significant cardiac disease or risk factors at screening

- Insufficient bone marrow function at screening:

- Infections:

- Known history of testing positive for Human Immunodeficiency Virus infection.

- Active Hepatitis B and / or Hepatitis C.

- Active, documented COVID-19 infection

- Known history of tuberculosis

- Any serious uncontrolled infection (acute or chronic).

- Systemic chronic steroid therapy (>10 mg/day prednisone or equivalent) or any

immunosuppressive therapy, other than replacement-dose steroids in the setting of

adrenal insufficiency, within 7 days of the first dose of study treatment. Topical,

inhaled, and ophthalmic steroids are allowed.

Other protocol-defined inclusion/exclusion criteria may apply.

Studien-Rationale

Primary outcome:

1. Incidence and nature of Dose Limiting Toxicities (DLTs) during the DLT evaluation period for single agent QEQ278 (Time Frame - 28 days):
A DLT is defined as an adverse event or abnormal laboratory value assessed as unrelated to disease, disease progression, inter-current illness, or concomitant medications that occurs within the DLT evaluation period and meets the criteria defined in the study protocol.

2. Incidence and severity of adverse events (AEs) and serious adverse events (SAEs) (Time Frame - Up to 31 months):
Incidence and severity of adverse events (AEs) and serious adverse events (SAEs), including changes in laboratory values, vital signs, and electrocardiograms (ECGs) qualifying and reported as AEs.

3. Frequency of dose interruptions, reductions (Time Frame - Up to 30 months):
Number of dose interruptions of QEQ278 and number of dose reductions of QEQ278

4. Dose intensity (Time Frame - Up to 30 months):
Dose intensity of QEQ278 is defined as the ratio of actual cumulative dose received and actual duration of exposure.

Secondary outcome:

1. Overall response rate (ORR) per RECIST v1.1 (Time Frame - Up to 30 months):
ORR is defined as the proportion of patients with a confirmed BOR of complete response (CR) or partial response (PR) by local investigator review as per RECIST v1.1.

2. Disease control rate (DCR) per RECIST v1.1 (Time Frame - Up to 30 months):
DCR is defined as the proportion of patients with a confirmed best overall response (BOR) of CR or PR or stable disease (SD) by local investigator review as per RECIST v1.1.

3. Duration of Response (DOR) per RECIST v1.1 (Time Frame - Up to 30 months):
DOR is defined as the time form the date of the first documented response (CR or PR) to the date of the first documented progression by local investigator review as per RECIST v1.1 or death due to underlying cancer.

4. Progression-free survival (PFS) per RECIST v 1.1 (Time Frame - Up to 30 months):
PFS is defined as the time from the date of start of treatment to the date of the first documented progression by local investigator review as per RECIST v1.1, or death due to any cause.

5. Peak serum concentration (Cmax) of QEQ278 (Time Frame - During first 168 days of treatment):
The maximum (peak) serum drug concentration after single dose administration

6. Area under the concentration time curve (AUC) last of QEQ278 (Time Frame - During first 168 days of treatment):
The AUC from time zero to the last measurable concentration sampling time

7. Area under the concentration time curve (AUC) infinity of QEQ278 (Time Frame - During first 168 days of treatment):
The AUC from time zero to infinity

8. Time to reach peak serum concentration (Tmax) of QEQ278 (Time Frame - During first 168 days of treatment):
The time to reach maximum (peak) serum drug concentration after single dose administration

9. Elimination half-life (T1/2) of QEQ278 (Time Frame - During first 168 days of treatment):
The elimination half-life associated with the terminal slope of a semi logarithmic concentration-time curve

10. Total body clearance (CL) of QEQ278 (Time Frame - During first 168 days of treatment):
The total body clearance of drug from the serum

11. Volume of distribution (Vz) of QEQ278 (Time Frame - During first 168 days of treatment):
The apparent volume of distribution during terminal phase

12. Incidence of anti-drug antibody (ADA) (Time Frame - Day 1 and 15):
Immunogenicity of QEQ278

Studien-Arme

  • Experimental: Part 1: Dose escalation
    Dose escalation with QEQ278 single agent
  • Experimental: Part 2: Dose expansion
    Dose expansion with QEQ278 single agent

Geprüfte Regime

  • QEQ278:
    Intravenous dosing of QEQ278

Quelle: ClinicalTrials.gov


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