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| ID | Type | Description | Link |
|---|---|---|---|
| 2016-002815-17 | EudraCT Number |
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Recruitment halted prematurely due to competitive landscape for lung cancer therapies
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The primary purpose of this study is to establish the maximum tolerated dose (MTD) and/or recommended dose for expansion (RDE) of PDR001 when administered in combination with platinum-doublet chemotherapy and other immunooncology agent(s) in treatment naive patients with PD-L1 unselected, advanced NSCLC, and to estimate the preliminary anti-tumor activity in this patient population.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A: squamous, gem/cis+PDR001 | Experimental |
| |
| Group B: non-squamous, pem/cis+PDR001 | Experimental |
| |
| Group C: paclitaxel/carbo+PDR001 | Experimental |
| |
| Group E: non-squamous, pem/cis (or carbo)+PDR001+canakinumab | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PDR001 | Drug | Powder for solution for infusion |
|
| Measure | Description | Time Frame |
|---|---|---|
| Dose Limiting Toxicities (DLTs) during the first 6 weeks of therapy | A dose-limiting toxicity (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 first 42 days | 42 days |
| Overall response rate (ORR) per local investigator assessment for groups A, B and C | ORR is defined as the proportion of patients with best overall response (BOR) of complete response (CR) or partial response (PR), as per RECIST 1.1 and local investigator assessment for groups A, B and C | From baseline up to approximately 28 months |
| Measure | Description | Time Frame |
|---|---|---|
| Overall Response Rate (ORR) per local investigator assessment for group E | ORR is defined as the proportion of patients with BOR of CR or PR, as per RECIST 1.1 and local investigator assessment for group E | Up to approximately 28 months |
| Progression Free Survival (PFS) per Investigator |
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Main Inclusion Criteria:
Patient has stage IIIB (and is not a candidate for definitive multimodality therapy) or has stage IV NSCLC or relapsed locally advanced or metastatic NSCLC as follows:
Histologically or cytologically confirmed diagnosis of NSCLC that is EGFR Wild-type, ALK-negative rearrangement and ROS1-negative rearrangement
Eastern Cooperative Oncology Group (ECOG) performance status of 0-1
Patients with at least 1 measurable tumor lesion as assessed by Computed Tomography (CT) Scan or Magnetic Resonance Imaging (MRI) according to RECIST 1.1.
Main Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Novartis Pharmaceuticals | Novartis Pharmaceuticals | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Highlands Oncology Group | Fayetteville | Arkansas | 72703 | United States | ||
| UCLA Santa Monica Hematology / Oncology SC-2 |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39448966 | Derived | Santoro A, Pilar G, Tan DSW, Zugazagoitia J, Shepherd FA, Bearz A, Barlesi F, Kim TM, Overbeck TR, Felip E, Cai C, Eddy S, McCulloch T, Schaefer ES. Spartalizumab in combination with platinum-doublet chemotherapy with or without canakinumab in patients with PD-L1-unselected, metastatic NSCLC. BMC Cancer. 2024 Oct 24;24(1):1307. doi: 10.1186/s12885-024-12841-2. |
| Label | URL |
|---|---|
| Results for CPDR001C2101 from the Novartis Clinical Trial Website | View source |
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| Cisplatin | Drug | Intravenous infusion |
|
| Gemcitabine | Drug | Intravenous infusion |
|
| Pemetrexed | Drug | Intravenous infusion |
|
| Carboplatin | Drug | Intravenous infusion |
|
| Paclitaxel | Drug | Intravenous infusion |
|
| Canakinumab | Drug | Subcutaneous injection |
|
PFS is defined as the time from the date of start of treatment to the date of the first documented progression or death due to any cause, as per RECIST 1.1 and local investigator assessment |
| From start of treatment to the date of the first documented progression or death due to any cause, whichever comes first, assessed up to approximately 28 months |
| Disease Control Rate (DCR) per Investigator | DCR is the proportion of patients with a BOR of CR or PR or stable disease (SD), as per RECIST 1.1 and local investigator assessment. | Up to approximately 28 months |
| Duration of Response (DOR) per Investigator | DOR is defined by responders as the time between the date of first documented response (CR or PR) and the date of first documented progression (RECIST 1.1 and local investigator assessment) or death due any cause | From date of first documented response to the first documented progression or death due to any cause, whichever comes first, assessed up to approximately 28 months |
| Time to Response (TTR) per Investigator | TTR is defined as the time from the date of start of treatment to the first documented response of either CR or PR as per RECIST 1.1 and local investigator assessment | From start of treatment to the date of the first documented reponse (CR or PR), assessed up to approximately 28 months |
| Overall survival (OS) | OS is defined as the time from date of start of treatment to date of death due to any cause. | from date of start of treatment to date of death due to any cause (assessed up to approximately 3.5 years) |
| Trough plasma Concentration (Ctrough) of PDR001 | Blood samples will be collected at indicated time points for pharmacokinetic analysis. | Pre-infusion on Day 1 of Cycle 1 to 4 of induction phase; pre-infusion on Day 1 of Cycle 1 to 4, 6, 8 and every 6 cycle afterwards of maintenance phase; Cycle = 21 Days |
| Trough plasma Concentration (Ctrough) of chemotherapy | Blood samples will be collected at indicated time points for pharmacokinetic analysis. Ctrough will be assessed for all chemotherapy agents: cysplatin, pemetrexed, carboplatin and gemcitabine | Pre-infusion on Day 1 of Cycle 1, 3 and 4 of induction phase; Cycle = 21 Days |
| Trough plasma Concentration (Ctrough) of canakinumab | Blood samples will be collected at indicated time points for pharmacokinetic analysis. | Pre-infusion on Day 1 of Cycle 1, 3 and 4 of induction phase; Cycle = 21 Days |
| PDR001 Antidrug antibodies (ADA) prevalence at baseline | Blood samples will be collected at indicated time points for immunogenicity analysis. | Baseline |
| Canakinumab ADA prevalence at baseline | Blood samples will be collected at indicated time points for immunogenicity analysis. | Baseline |
| PDR001 ADA incidence during treatment | Blood samples will be collected at indicated time points for immunogenicity analysis. | Pre-infusion on Day 1 of Cycle 1 to 4 of induction phase, pre-infusion on Day 1 of Cycle 1, 2, 3, 4, 6, 8 and every 6 cycle afterwards of maintenance phase, end of treatment and 30 and 150-day post-treatment |
| Canakinumab ADA incidence during treatment | Blood samples will be collected at indicated time points for immunogenicity analysis. | Pre-infusion on Day 1 of Cycle 1 and 4 of induction phase, pre-infusion on Day 1 of Cycle 6, 14 and 20 of maintenance phase, end of treatment and 30 and 150-day post-treatment |
| Incidence of Adverse Events (AEs) | Incidence of AEs (CTCAE v4.03) | through study completion, up to approximately 3.5 years |
| Santa Monica |
| California |
| 90404 |
| United States |
| Stanford Cancer Center SC | Stanford | California | 94305 | United States |
| Henry Ford Health System SC | Detroit | Michigan | 48202 | United States |
| Washington University School of Medicine SC | St Louis | Missouri | 63110 | United States |
| Novartis Investigative Site | Leuven | 3000 | Belgium |
| Novartis Investigative Site | Roeselare | 8800 | Belgium |
| Novartis Investigative Site | Toronto | Ontario | M5G 2M9 | Canada |
| Novartis Investigative Site | Prague | 140 59 | Czechia |
| Novartis Investigative Site | Lyon | 69373 | France |
| Novartis Investigative Site | Marseille | 13885 | France |
| Novartis Investigative Site | Cologne | 51109 | Germany |
| Novartis Investigative Site | Göttingen | 37075 | Germany |
| Novartis Investigative Site | Pokfulam | Hong Kong | Hong Kong |
| Novartis Investigative Site | Meldola | FC | 47014 | Italy |
| Novartis Investigative Site | Rozzano | MI | 20089 | Italy |
| Novartis Investigative Site | Aviano | PN | 33081 | Italy |
| Novartis Investigative Site | Amsterdam | 1066 CX | Netherlands |
| Novartis Investigative Site | Singapore | 169610 | Singapore |
| Novartis Investigative Site | Seoul | 03080 | South Korea |
| Novartis Investigative Site | Barcelona | Catalonia | 08035 | Spain |
| Novartis Investigative Site | Madrid | 28034 | Spain |
| Novartis Investigative Site | Madrid | 28041 | Spain |
| A Plain Language Trial Summary is available on novctrd.com | View source |
| ID | Term |
|---|---|
| D002289 | Carcinoma, Non-Small-Cell Lung |
| ID | Term |
|---|---|
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D008175 | Lung Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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| ID | Term |
|---|---|
| C000711728 | spartalizumab |
| D002945 | Cisplatin |
| D000093542 | Gemcitabine |
| D000068437 | Pemetrexed |
| D016190 | Carboplatin |
| D017239 | Paclitaxel |
| C541220 | canakinumab |
| ID | Term |
|---|---|
| D017606 | Chlorine Compounds |
| D007287 | Inorganic Chemicals |
| D017672 | Nitrogen Compounds |
| D017671 | Platinum Compounds |
| D006571 | Heterocyclic Compounds |
| D003841 | Deoxycytidine |
| D003562 | Cytidine |
| D011741 | Pyrimidine Nucleosides |
| D011743 | Pyrimidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006147 | Guanine |
| D007042 | Hypoxanthines |
| D011688 | Purinones |
| D011687 | Purines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D005971 | Glutamates |
| D024342 | Amino Acids, Acidic |
| D000596 | Amino Acids |
| D000602 | Amino Acids, Peptides, and Proteins |
| D000600 | Amino Acids, Dicarboxylic |
| D056831 | Coordination Complexes |
| D009930 | Organic Chemicals |
| D043823 | Taxoids |
| D043822 | Cyclodecanes |
| D003516 | Cycloparaffins |
| D006840 | Hydrocarbons, Alicyclic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D004224 | Diterpenes |
| D013729 | Terpenes |
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