CD40 Agonistic Antibody APX005M (Sotigalimab) in Combination With Nivolumab
Official Title
A Study to Evaluate the Safety and Efficacy of the CD40 Agonistic Antibody APX005M Administered in Combination With Nivolumab in Subjects With Non-small Cell Lung Cancer and Subjects With Metastatic Melanoma
Acronym
Not provided
Organization
Apexigen America, Inc.INDUSTRY
Status Module
Record Verification Date
Dec 2023
Overall Recruitment Status or Expanded Access Status
Completed
Last Known Status
Not provided
Delayed Posting
Not provided
Why Stopped
Not provided
Expanded Access Info
No
Start Date
Jul 10, 2017Actual
Primary Completion Date
Nov 16, 2020Actual
Completion Date
Nov 16, 2020Actual
First Submitted Date
Apr 17, 2017
First Submission Date that Met QC Criteria
Apr 18, 2017
First Posted Date
Apr 21, 2017Actual
Results Waived
Not provided
Results First Submitted Date
Nov 15, 2022
Results First Submitted that Met QC Criteria
Nov 13, 2023
Results First Posted Date
Dec 5, 2023Actual
Certification/Extension (aka Delayed Results) First Submitted Date
Nov 1, 2021
Certification/Extension First Submitted that Passed QC Review
Not provided
Certification/Extension First Posted Date
Dec 5, 2023Actual
Last Update Submitted Date
Dec 21, 2023
Last Update Posted Date
Dec 26, 2023Actual
Sponsor/Collaborators Module
Responsible Party, by Official Title
Sponsor
Lead Sponsor
Apexigen America, Inc.INDUSTRY
Collaborators
Name
Class
Bristol-Myers Squibb
INDUSTRY
Oversight Module
Has Data Monitoring Committee (DMC)
No
Is FDA Regulated Drug
Yes
Is FDA Regulated Device
No
Is Unapproved Device
Not provided
Pediatric Postmarket Surveillance of a Device Product
Not provided
Product Exported from US
Not provided
FDAAA801 Violation
Not provided
Description Module
Brief Summary
This study is a Phase 1-2 open-label dose escalation study of the immuno-activating monoclonal antibody APX005M administered in combination with nivolumab to adult subjects with non-small cell lung cancer or metastatic melanoma. The Phase 1 portion is intended to establish the maximum tolerated dose and the recommended phase 2 dose of APX005M when administered in combination with nivolumab. The Phase 2 portion of the study will evaluate safety and efficacy of the combination.
Detailed Description
APX005M-002 is an open-label Phase 1-2 study and comprises a dose-escalation portion (Phase 1) followed by a Phase 2 tumor specific portion.
Eligible subjects with non-small cell lung cancer or metastatic melanoma will receive intravenous APX005M in combination with nivolumab until disease progression, unacceptable toxicity or death, whichever occurs first.
Study objectives include:
Determine the maximum tolerated dose and the recommended phase 2 dose of APX005M when given in combination with nivolumab
Evaluate safety of the APX005M and nivolumab combination
Evaluate the objective response rate, duration of response and median PFS by RECIST 1.1 in subjects with non-small cell lung cancer or metastatic melanoma receiving APX005M in combination with nivolumab
Determine the PK of APX005M
Conditions Module
Conditions
Cancer
Non Small Cell Lung Cancer Metastatic
Metastatic Melanoma
Neoplasm of Lung
Melanoma
Keywords
CD40
Immunotherapy
Nivolumab
APX005M
PD-1
Design Module
Study Type
Interventional
Number of References to an Expanded Access Study
Not provided
Expanded Access Types
Not provided
Patient Registry
Not provided
Target Follow-Up Duration
Not provided
Phases
Phase 1Phase 2
Interventional Study Design
Allocation
Biospecimen
No data available
No data is available for this block.
Enrollment
140Actual
Arms/Interventions Module
Arm Groups
Label
Type
Description
Intervention Names
Phase 1b escalation 0.03 mg/kg
Experimental
Non-small cell lung cancer (NSCLC) or metastatic melanoma
APX005M 0.03 mg/kg and nivolumab 360 mg every 3 weeks
Drug: APX005M
Drug: Nivolumab
Phase 1b escalation 0.1 mg/kg
Experimental
Non-small cell lung cancer (NSCLC) or metastatic melanoma
APX005M 0.1 mg/kg and nivolumab 360 mg every 3 weeks
Drug: APX005M
Drug: Nivolumab
Phase 1b escalation 0.3 mg/kg
Experimental
Non-small cell lung cancer (NSCLC) or metastatic melanoma
APX005M 0.3 mg/kg and nivolumab 360 mg every 3 weeks
Drug: APX005M
Drug: Nivolumab
Phase 2 expansion Cohort 1
Experimental
Immunotherapy naïve, metastatic or locally advanced NSCLC
APX005M 0.3 mg/kg and nivolumab 360 mg every 3 weeks
Drug: APX005M
Drug: Nivolumab
Phase 2 expansion Cohort 2
Experimental
Metastatic melanoma progressing during treatment with anti-PD-1/PD-L1 therapy
APX005M 0.3 mg/kg and nivolumab 360 mg every 3 weeks
Interventions
Name
Type
Description
Arm Group Labels
Other Names
APX005M
Drug
APX005M is a CD40 agonistic monoclonal antibody
Phase 1b escalation 0.03 mg/kg
Phase 1b escalation 0.1 mg/kg
Phase 1b escalation 0.3 mg/kg
Outcomes Module
Primary Outcomes
Measure
Description
Time Frame
Number of Participants Experiencing Dose-limiting Toxicities (DLTs)
All toxicities were graded according to the NCI-CTCAE version 4.03. DLT was defined as any of the following events attributed to APX005M and nivolumab combination:
Grade 3 or 4 neutropenia with a single temperature of >38.3◦ C (101◦ F) or a sustained temperature of ≥38◦ C (100.4◦ F) for more than one hour
Grade 4 thrombocytopenia or Grade ≥3 thrombocytopenia with signs or symptoms of bleeding or requiring platelet transfusion
Grade 4 non-hematologic toxicity
Grade 3 non-hematologic toxicity lasting >3 days despite optimal supportive care
Any Grade ≥ 3 non-hematologic laboratory value if: medical intervention is required to treat the subject, abnormality leads to hospitalization, or abnormality persists for >1 week
Failure to recover from a treatment-related AE to baseline or ≤ Grade 1 within 12 weeks of last dose of investigational product
Grade 5 toxicity.
Up to 21 days following first dose of APX005M and nivolumab
Maximum Tolerated Dose (MTD) of APX005M + Nivolumab (Phase 1b)
Establish the MTD dose of APX005M combined with 360 mg of nivolumab for which for which < 33% of DLT- evaluable participants experience a DLT. In Phase 1b, the RP2D was based on the overall safety and tolerability of the combination of APX005M and nivolumab by testing increasing doses up to 0.3 mg/kg APX005M + nivolumab.
Up to 21 days following first dose of APX005M and nivolumab
Phase 2 Evaluate the Objective Response Rate (ORR) by RECIST 1.1 and iRECIST in Each Cohort / Group
ORR defined as the rate of patients who show as best overall response; either a complete response (CR) or a partial response (PR). The ORR can be evaluated by Response Evaluation Criteria In Solid Tumors (RECIST) v1.1. using computed tomography (CT) scans/magnetic resonance imaging (MRI). Per RECIST v1.1, for target lesions and assessed by imaging: Complete Response, (CR), Disappearance of all target lesions and nontarget (NT) lesions; Partial Response (PR), >30% decrease in the sum of the longest diameter of target lesions and no PD in NT lesions or new lesions; Objective Response Rate (ORR)=CR + PR.
Secondary Outcomes
Measure
Description
Time Frame
Safety of the APX005M and Nivolumab Combination (Phase 2)
Number of participants with TEAEs are reported.
Day 1 up to 30 days (or 100 days for SAEs and AEs with potential immunologic etiology) following the after the last dose of APX005M and/or nivolumab (from start of treatment up to 27 months)
Duration of Response (DOR) as Per RECIST 1.1(Phase 2)
Other Outcomes
Not provided
Eligibility Module
Eligibility Criteria
Inclusion Criteria:
Histologically or cytologically confirmed, immunotherapy naïve or PD-1/PD-L1 pre-treated, metastatic or locally advanced non-small cell lung cancer not amenable to curative treatment. Subjects may be treatment naive or could have received one prior platinum based chemotherapy for non-small cell lung cancer and subjects with a documented activating mutation (e.g., EGFR, ALK, ROS) must also have received the appropriate therapy and progressed
Histologically or cytologically confirmed unresectable or metastatic melanoma that progressed during treatment with an anti-PD-1/PD-L1 therapy and had confirmation of PD>=4 weeks later. Subjects with BRAF activating mutation could have also received a BRAF inhibitor and/or MEK inhibitor regimen prior to anti-PD-1/PD-L1 therapy.
Measurable disease by RECIST 1.1
ECOG performance status of 0 or 1
Adequate bone marrow, liver and kidney function
Negative pregnancy test for women of child bearing potential
Agreement to use effective methods of contraception per the protocol requirements
Exclusion Criteria:
Previous exposure to any immunomodulatory agents (e.g., anti- CD40, anti-PD-1/PD-L1, anti-CTLA-4, IDO inhibitors) except PD-1/PD-L1 targeting agents in the subsets of patients that must have previous treatment with anti-PD-1/PD-L1 therapy
Second malignancy (solid or hematologic) within the past 3 years except locally curable cancers that have been apparently cured
Active, known, clinically serious infections within the 14 days prior to first dose of investigational product
Use of systemic corticosteroids or other systemic immunosuppressive drugs
Active, known or suspected autoimmune disease
History of (non-infectious) pneumonitis that required corticosteroids or current pneumonitis
History of interstitial lung disease
History of life-threatening toxicity related to prior anti-PD-1/PD-L1 treatment for subjects with metastatic melanoma or NSCLC.
Accepts Healthy Volunteers
No
Sex
All
Sex/Gender Based
Not provided
Sex/Gender Description
Not provided
Minimum Age
18 Years
Maximum Age
Not provided
Standard Ages
AdultOlder Adult
Study Population
Not provided
Sampling Method
Not provided
Contacts/Locations Module
Central Contacts
Not provided
Overall Officials
Name
Affiliation
Role
Medical Director
Pyxis Oncology, Inc
Study Director
Locations
Facility
Status
City
State
ZIP
Country
Contacts
University of Arizona Cancer Center
Tucson
Arizona
85724
United States
City of Hope
References Module
No data available
No data is available for this block.
IPD Sharing Statement Module
Plan to Share IPD
No
Description
Not provided
Types
Not provided
Time Frame
Not provided
Access Criteria
Not provided
URL
Not provided
Results Section
Participant Flow Module
Pre-assignment Details
For the phase 2 cohorts 1,2,3A,3B, a total of 133 participants were enrolled in 4 cohorts to receive APX005M at 0.3 mg/kg (RP2D) plus nivolumab at 360 mg IV. Three subjects who were treated at the RP2D in the Phase 1b dose-escalation portion of the study were included in Phase 2 of the relevant disease-specific cohort. The study enrollment was completed as planned and all primary and secondary outcome measures and adverse events were collected even though the study was ended by the sponsor.
Recruitment Details
In Phase 1b dose-escalation portion of the study, a total of 10 participants were enrolled at 3 dose levels. Nine participants received at least one dose of both study drugs. 0.3 mg/kg was determined as the recommended phase 2 (RP2D) dose.
Note: The 3 participants treated in DL3 of Phase 1b are at the RP2D and are also included in Phase 2 results. One participant was rolled over to Cohort 1 (Phase 2) and 2 participants were rolled over into Cohort 2 (Phase 2) to continue treatment.
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
FG000
DL1 - APX005M 0.03 mg/kg + Nivolumab (Phase 1b)
Participants received 0.03mg/kg of APX005M administered every 21 days in combination with nivolumab 360 mg
FG001
DL2 - APX005M 0.1 mg/kg + Nivolumab (Phase 1b)
Periods
Title
Milestones
Reasons Not Completed
Phase 1b
Type
Comment
Milestone Data
STARTED
Baseline Characteristics Module
Baseline Analysis Population Description
Outcome Measures Module
Outcome Measures
Adverse Events Module
Frequency Threshold
5
More Info Module
Limitations and Caveats
Annotation Section
No data available
No data is available for this block.
Document Section
Large Document Module
Document Has No Statistical Analysis Plan (SAP)
Not provided
Uploaded Document Information
Type
Includes Protocol
Includes SAP
Includes ICF
Document Label
Document Date
Document Uploaded Date
Document File Name
Prot
Yes
No
No
Study Protocol
Oct 10, 2019
Nov 9, 2022
Derived Section
Miscellaneous Info Module
Version Holder
Jul 10, 2026
Removed Countries
Not provided
Submission Tracking
Estimated Results First Submitted Date
Not provided
Condition Browse Module
MeSH Terms
Intervention Browse Module
MeSH Terms
Non-Randomized
Intervention Model
Sequential Assignment
Intervention Model Description
Phase 1b dose escalation with up to 4 sequential dose levels. Followed by Phase 2 dose expansion at Recommended Phase 2 Dose in 3 parallel disease cohorts.
Primary Purpose
Treatment
Observational Model
Not provided
Time Perspective
Not provided
Masking Info
Masking
None (Open Label)
Masking Description
Not provided
Who Masked
Not provided
Drug: APX005M
Drug: Nivolumab
Phase 2 expansion Cohort 3
Experimental
Metastatic or locally advanced NSCLC progressing during treatment with anti-PD-1/PD-L1:
Group A: best response of progressive disease or with stable disease < 16 weeks
Group B: tumor response or with stable disease ≥ 16 weeks
Drug: APX005M
Drug: Nivolumab
Phase 2 expansion Cohort 1
Phase 2 expansion Cohort 2
Phase 2 expansion Cohort 3
Nivolumab
Drug
Nivolumab is an immune checkpoint (PD-1) blocking antibody
Phase 1b escalation 0.03 mg/kg
Phase 1b escalation 0.1 mg/kg
Phase 1b escalation 0.3 mg/kg
Phase 2 expansion Cohort 1
Phase 2 expansion Cohort 2
Phase 2 expansion Cohort 3
Opdivo
From start of the treatment (Day 1) until disease progression, withdrawal of consent, death, initiation of any anticancer therapy, lost to follow-up, or termination by the Sponsor, whichever comes first (for Phase 2: maximum up to 27 months)
Duration of Response is defined as the time from the first evidence of confirmed partial response (PR) or better by Per RECIST v1.1 to disease progression or death due to any cause; in subjects alive without progressive disease (PD), DOR was censored on the date of the last tumor assessment. PD is defined using RECIST v1.1, as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.
Maximum up to 25 months
Median Progression-free Survival (PFS) (Phase 2)
Progression-free Survival (PFS) in each cohort, measured from first dose to the earlier of PD (by RECIST 1.1) or death due to any cause, whichever occurs first.
From start of treatment (Day 1) up to 27 months
6-month PFS Rate (Phase 2)
PFS rate in each cohort, measured from first dose to the earlier of PD (by RECIST 1.1) or death due to any cause, whichever occurs first.
* Outcome Measure Time Frame From start of treatment (Day 1) to 6 months
Duarte
California
91010
United States
Yale University
New Haven
Connecticut
06520
United States
Hem-Onc Associates of the Treasure Coast
Port Saint Lucie
Florida
32952
United States
University of Maryland Marlene and Stewart Greenebaum Comprehensive Cancer Center (UMGCCC)
Baltimore
Maryland
21201
United States
Nebraska Cancer Specialists
Omaha
Nebraska
68130
United States
University of Nebraska Medical Center
Omaha
Nebraska
68198
United States
SUNY Upstate Medical Hospital
Syracuse
New York
13210
United States
University Hospitals Seidman Cancer Center
Cleveland
Ohio
44106
United States
Abramson Cancer Center of The University of Pennsylvania
Philadelphia
Pennsylvania
19104
United States
Fox Chase Cancer Center
Philadelphia
Pennsylvania
19111
United States
Fox Chase Center
Rockledge
Pennsylvania
19046
United States
Tennessee Oncology
Nashville
Tennessee
37203
United States
Hospital Quirón Dexeus
Barcelona
08028
Spain
H. Vall d'Hebron
Barcelona
08035
Spain
H. Clinic i Provincial
Barcelona
08036
Spain
H. Insular de Gran Canaria
Las Palmas de Gran Canaria
Spain
H. Lucus Augusti
Lugo
27003
Spain
H. Doce de Octubre
Madrid
28041
Spain
H. HM Sanchinnarro
Madrid
28050
Spain
H. de Málaga
Málaga
29010
Spain
H. La Fe
Valencia
46014
Spain
H. General de Valencia
Valencia de Alcántara
46014
Spain
Participants received 0.1mg/kg of APX005M administered every 21 days in combination with nivolumab 360 mg
FG002
DL3 - APX005M 0.3 mg/kg + Nivolumab (Phase 1b)
Participants received 0.3 mg/kg of APX005M administered every 21 days in combination with nivolumab 360 mg
FG003
Cohort 1(Arm)/ inNSCLC (Phase 2)
Participants received 0.3 mg/kg of APX005M administered every 21 days in combination with nivolumab 360 mg IV
FG004
Cohort 2(Arm)/ PD1-MM (Phase 2) -
Participants received 0.3 mg/kg of APX005M administered every 21 days in combination with nivolumab 360 mg IV
FG005
Cohort 3A(Arm)/ PD1-NSCLC (Phase 2)
Participants received 0.3 mg/kg of APX005M administered every 21 days in combination with nivolumab 360 mg IV
FG006
Cohort 3B(Arm)/ PD1-NSCLC (Phase 2)
Participants received 0.3 mg/kg of APX005M administered every 21 days in combination with nivolumab 360 mg IV
FG0003 subjects
FG0014 subjects
FG0023 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
FG0060 subjects
Participants in the Safety Population
FG0003 subjects
FG0013 subjects
FG0023 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
FG0060 subjects
Participants in the Efficacy Population
FG0003 subjects
FG0013 subjects
FG0023 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
FG0060 subjects
COMPLETED
Participants completed Ph1b who did not receive RP2D did not roll over to Phase 2
FG0003 subjects
FG0013 subjects
FG0020 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
FG0060 subjects
NOT COMPLETED
FG0000 subjects
FG0011 subjects
FG0023 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
FG0060 subjects
Type
Comment
Reasons
Removed from treatment prior to APX005M administration
FG0000 subjects
FG0011 subjects
FG0020 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
FG0060 subjects
Participants rolled over to Phase 2
FG0000 subjects
FG0010 subjects
FG0023 subjects
FG0030 subjects
FG004
Phase 2
Type
Comment
Milestone Data
STARTED
Only 3 participants in Phase 1b rolled over to Phase 2 study
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG00353 subjects
FG00438 subjects
FG00514 subjects
FG00628 subjects
Phase 2 Participants in Safety Population
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG00353 subjects
Phase 2 Participants in the Efficacy (EE) Population
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG00348 subjects
COMPLETED
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG00348 subjects
FG004
NOT COMPLETED
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0035 subjects
FG004
Type
Comment
Reasons
No post baseline tumor assesment on treatment period
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG003
Phase 1b: immunotherapy naïve metastatic or locally advanced NSCLC (inNSCLC) or unresectable or metastatic melanoma (MM) Phase 2: Cohort 1/inNSCLC, Cohort 2/unresec or MM that progressed during treatment with anti-PD-1/PD-L1, Cohort 3/PD1-NSCLC metastatic or locally advanced NSCLC not amenable to curative treatment that progressed during prior treatment with anti-PD-1/PD-L1. Cohort 3A: best response of PD or with SD <16 wks, Cohort 3B includes PD1-NSCLC with tumor response or with SD ≥ 16 wks.
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
BG000
DL1 - APX005M 0.03 mg/kg + Nivolumab (Phase 1b)
Participants received 0.03 mg/kg of APX005M administered every 21 days in combination with nivolumab 360 mg IV
BG001
DL2 - APX005M 0.1 mg/kg + Nivolumab (Phase 1b)
Participants received 0.1 mg/kg of APX005M administered every 21 days in combination with nivolumab 360 mg IV
BG002
DL3 - APX005M 0.3 mg/kg + Nivolumab (Phase 1b)
Participants received 0.3 mg/kg of APX005M administered every 21 days in combination with nivolumab 360 mg IV
BG003
Cohort 1(Arm)/ inNSCLC (Phase 2)
Participants received 0.3 mg/kg of APX005M administered every 21 days in combination with nivolumab 360 mg IV
BG004
Cohort 2(Arm)/ PD1-MM (Phase 2)
Participants received 0.3 mg/kg of APX005M administered every 21 days in combination with nivolumab 360 mg IV
BG005
Cohort 3A(Arm)/ PD1-NSCLC (Phase 2)
Participants received 0.3 mg/kg of APX005M administered every 21 days in combination with nivolumab 360 mg IV
BG006
Cohort 3B(Arm)/ PD1-NSCLC (Phase 2)
Participants received 0.3 mg/kg of APX005M administered every 21 days in combination with nivolumab 360 mg IV
BG007
Total
Total of all reporting groups
Denominators
Units
Counts
Participants
BG0003
BG0014
BG0023
BG00352
BG00436
BG00514
BG00628
BG007140
Baseline Measures
Title
Description
Population Description
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Denominator Units Selected
Denominators
Classes
Age, Categorical
The participants were enrolled into multiple Arms/Groups and are reported in the Arm/Group they were originally assigned.
Count of Participants
Participants
Title
Denominators
Categories
Phase 1b Age, Categorical
ParticipantsBG0003
ParticipantsBG0014
ParticipantsBG0023
ParticipantsBG003
Sex: Female, Male
The participants were enrolled into multiple Arms/Groups and are reported in the Arm/Group they were originally assigned
Count of Participants
Participants
Title
Denominators
Categories
Phase 1b
ParticipantsBG0003
ParticipantsBG0014
ParticipantsBG002
Ethnicity (NIH/OMB)
The participants were enrolled into multiple Arms/Groups and are reported in the Arm/Group they were originally assigned
Count of Participants
Participants
Title
Denominators
Categories
Phase 1b
ParticipantsBG0003
ParticipantsBG0014
ParticipantsBG002
Race (NIH/OMB)
The participants were enrolled into multiple Arms/Groups and are reported in the Arm/Group they were originally assigned
The participants were enrolled into multiple Arms/Groups and are reported in the Arm/Group they were originally assigned
Count of Participants
Participants
Title
Denominators
Categories
Phase 1b
ParticipantsBG0003
ParticipantsBG0014
ParticipantsBG002
Region of Enrollment
Number
participants
Title
Denominators
Categories
United States
ParticipantsBG0003
ParticipantsBG0014
ParticipantsBG002
Weight
The participants were enrolled into multiple Arms/Groups and are reported in the Arm/Group they were originally assigned
Mean
Full Range
kg
Title
Denominators
Categories
Phase 1b
ParticipantsBG0003
ParticipantsBG0014
ParticipantsBG002
ECOG Performance Status
Grade 0 - Normal activity, fully active, able to carry on all pre-disease performance without restriction Grade 1 - Symptoms, but fully ambulatory, restricted in physically strenuous but ambulatory and able to carry out work of a light or sedentary nature (e.g., light housework, office work)
Grade 0 is better than Grade 1.
The participants were enrolled into multiple Arms/Groups and are reported in the Arm/Group they were originally assigned
Count of Participants
Participants
Title
Denominators
Categories
Phase 1b
ParticipantsBG0003
ParticipantsBG001
Type
Title
Description
Population Description
Reporting Status
Anticipated Posting Date
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Time Frame
Units Analyzed
Denominator Units Selected
Arm/Group Information
Denominators
Classes
Analyses
Primary
Number of Participants Experiencing Dose-limiting Toxicities (DLTs)
All toxicities were graded according to the NCI-CTCAE version 4.03. DLT was defined as any of the following events attributed to APX005M and nivolumab combination:
Grade 3 or 4 neutropenia with a single temperature of >38.3◦ C (101◦ F) or a sustained temperature of ≥38◦ C (100.4◦ F) for more than one hour
Grade 4 thrombocytopenia or Grade ≥3 thrombocytopenia with signs or symptoms of bleeding or requiring platelet transfusion
Grade 4 non-hematologic toxicity
Grade 3 non-hematologic toxicity lasting >3 days despite optimal supportive care
Any Grade ≥ 3 non-hematologic laboratory value if: medical intervention is required to treat the subject, abnormality leads to hospitalization, or abnormality persists for >1 week
Failure to recover from a treatment-related AE to baseline or ≤ Grade 1 within 12 weeks of last dose of investigational product
Grade 5 toxicity.
All participants in the safety population who received at least 1 dose of study drug in the escalation cohorts (APX005M 0.03 mg/kg + nivolumab; APX005M 0.1 mg/kg + nivolumab; APX005M 0.3 mg/kg + nivolumab)
Posted
Count of Participants
Participants
Up to 21 days following first dose of APX005M and nivolumab
ID
Title
Description
OG000
Phase 1b Escalation
Participants received intravenous infusions of APX005M starting at DL 0.03, .1 or .3 mg/kg administered every 21 days in combination with nivolumab 360 mg IV
Units
Counts
Participants
OG0009
Title
Denominators
Categories
Title
Measurements
OG0000
Primary
Maximum Tolerated Dose (MTD) of APX005M + Nivolumab (Phase 1b)
Establish the MTD dose of APX005M combined with 360 mg of nivolumab for which for which < 33% of DLT- evaluable participants experience a DLT. In Phase 1b, the RP2D was based on the overall safety and tolerability of the combination of APX005M and nivolumab by testing increasing doses up to 0.3 mg/kg APX005M + nivolumab.
All participants in the safety population who received at least 1 dose of study drug in the escalation cohorts (APX005M 0.03 mg/kg + nivolumab; APX005M 0.1 mg/kg + nivolumab; APX005M 0.3 mg/kg + nivolumab)
Posted
Number
mg/kg
Up to 21 days following first dose of APX005M and nivolumab
ID
Title
Description
OG000
Phase 1b Escalation
Participants received intravenous infusions of APX005M starting at DL 0.03, .1 or .3 mg/kg administered every 21 days in combination with nivolumab 360 mg IV
Units
Counts
Participants
OG000
Primary
Phase 2 Evaluate the Objective Response Rate (ORR) by RECIST 1.1 and iRECIST in Each Cohort / Group
ORR defined as the rate of patients who show as best overall response; either a complete response (CR) or a partial response (PR). The ORR can be evaluated by Response Evaluation Criteria In Solid Tumors (RECIST) v1.1. using computed tomography (CT) scans/magnetic resonance imaging (MRI). Per RECIST v1.1, for target lesions and assessed by imaging: Complete Response, (CR), Disappearance of all target lesions and nontarget (NT) lesions; Partial Response (PR), >30% decrease in the sum of the longest diameter of target lesions and no PD in NT lesions or new lesions; Objective Response Rate (ORR)=CR + PR.
Cohort 1: immunotherapy naïve metastatic or locally advanced NSCLC, Cohort 2: unresectable or metastatic melanoma that progressed during treatment with anti-PD-1/PD-L1 therapy and had confirmation of PD ≥4 weeks, Cohort 3: PD1-NSCLC metastatic or locally advanced NSCLC not amenable to curative treatment that progressed during prior treatment with anti-PD-1/PD-L1 therapy. Cohort 3A: best response of PD or with SD <16 weeks, Cohort 3B includes PD1-NSCLC with tumor response or with SD ≥ 16 weeks
Posted
Number
90% Confidence Interval
Percentage of participants
From start of the treatment (Day 1) until disease progression, withdrawal of consent, death, initiation of any anticancer therapy, lost to follow-up, or termination by the Sponsor, whichever comes first (for Phase 2: maximum up to 27 months)
ID
Title
Description
OG000
Cohort 1 (Arm)/inNSCLC (Phase 2)
Participants received 0.3 mg/kg of APX005M administered every 21 days in combination with nivolumab 360 mg IV
Secondary
Safety of the APX005M and Nivolumab Combination (Phase 2)
Number of participants with TEAEs are reported.
Any Adverse Event a participant has with two or more events in that category is counted only once
Posted
Count of Participants
Participants
Day 1 up to 30 days (or 100 days for SAEs and AEs with potential immunologic etiology) following the after the last dose of APX005M and/or nivolumab (from start of treatment up to 27 months)
ID
Title
Description
OG000
Cohort 1 (Arm)/inNSCLC (Phase 2)
Participants received 0.3 mg/kg of APX005M administered every 21 days in combination with nivolumab 360 mg IV
OG001
Cohort 2(Arm)/PD1-MM (Phase 2)
Participants received 0.3 mg/kg of APX005M administered every 21 days in combination with nivolumab 360 mg IV
OG002
Cohort 3A(Arm)/PD1-NSCLC (Phase 2)
Participants received 0.3 mg/kg of APX005M administered every 21 days in combination with nivolumab 360 mg IV
OG003
Cohort 3B(Arm)/PD1-NSCLC (Phase 2)
Secondary
Duration of Response (DOR) as Per RECIST 1.1(Phase 2)
Duration of Response is defined as the time from the first evidence of confirmed partial response (PR) or better by Per RECIST v1.1 to disease progression or death due to any cause; in subjects alive without progressive disease (PD), DOR was censored on the date of the last tumor assessment. PD is defined using RECIST v1.1, as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.
Cohort 1: immunotherapy naïve metastatic or locally advanced NSCLC, Cohort 2: unresectable or metastatic melanoma that progressed during treatment with anti-PD-1/PD-L1 therapy and had confirmation of PD ≥4 week. Cohort 3A/PD1-NSCLC and Cohort 3B/PD1 NSCLC had no objective response and therefore DOR could not be assessed.
Posted
Median
Full Range
Months
Maximum up to 25 months
ID
Title
Description
OG000
Cohort 1(Arm)/inNSCLC (Phase 2)
Participants received 0.3 mg/kg of APX005M administered every 21 days in combination with nivolumab 360 mg IV
OG001
Cohort 2(Arm)/PD1-MM (Phase 2)
Participants received 0.3 mg/kg of APX005M administered every 21 days in combination with nivolumab 360 mg IV
Secondary
Median Progression-free Survival (PFS) (Phase 2)
Progression-free Survival (PFS) in each cohort, measured from first dose to the earlier of PD (by RECIST 1.1) or death due to any cause, whichever occurs first.
Cohort 1: immunotherapy naïve metastatic or locally advanced NSCLC, Cohort 2: unresectable or metastatic melanoma that progressed during treatment with anti-PD-1/PD-L1 therapy and had confirmation of PD ≥4 weeks, Cohort 3: PD1-NSCLC metastatic or locally advanced NSCLC not amenable to curative treatment that progressed during prior treatment with anti-PD-1/PD-L1 therapy. Cohort 3A: best response of PD or with SD <16 weeks, Cohort 3B includes PD1-NSCLC with tumor response or with SD ≥ 16 weeks.
Posted
Median
90% Confidence Interval
Months
From start of treatment (Day 1) up to 27 months
ID
Title
Description
OG000
Cohort 1(Arm)/inNSCLC (Phase 2)
Participants received 0.3 mg/kg of APX005M administered every 21 days in combination with nivolumab 360 mg IV
OG001
Cohort 2(Arm)/PD1-MM (Phase 2)
Participants received 0.3 mg/kg of APX005M administered every 21 days in combination with nivolumab 360 mg IV
OG002
Cohort 3A(Arm)/PD1-NSCLC (Phase 2)
Participants received 0.3 mg/kg of APX005M administered every 21 days in combination with nivolumab 360 mg IV
Secondary
6-month PFS Rate (Phase 2)
PFS rate in each cohort, measured from first dose to the earlier of PD (by RECIST 1.1) or death due to any cause, whichever occurs first.
Cohort 1: immunotherapy naïve metastatic or locally advanced NSCLC, Cohort 2: unresectable or metastatic melanoma that progressed during treatment with anti-PD-1/PD-L1 therapy and had confirmation of PD ≥4 weeks, Cohort 3: PD1-NSCLC metastatic or locally advanced NSCLC not amenable to curative treatment that progressed during prior treatment with anti-PD-1/PD-L1 therapy. Cohort 3A: best response of PD or with SD <16 weeks, Cohort 3B includes PD1-NSCLC with tumor response or with SD ≥ 16 weeks.
Posted
Number
90% Confidence Interval
Percentage of participants
* Outcome Measure Time Frame From start of treatment (Day 1) to 6 months
ID
Title
Description
OG000
Cohort 1(Arm)/inNSCLC (Phase 2)
Participants received 0.3 mg/kg of APX005M administered every 21 days in combination with nivolumab 360 mg IV
OG001
Cohort 2(Arm)/PD1-MM (Phase 2)
Participants received 0.3 mg/kg of APX005M administered every 21 days in combination with nivolumab 360 mg IV
OG002
Cohort 3A(Arm)/PD1-NSCLC (Phase 2)
Participants received 0.3 mg/kg of APX005M administered every 21 days in combination with nivolumab 360 mg IV
Time Frame
Day 1 through 30 days (or 100 days for SAEs and AEs with potential immunologic etiology) after the last dose of study drug (up to 27 months)
Description
An AE considered "serious" (SAE) if, in the view of either the Investigator or sponsor, it results in any of the following outcomes:
Death
A life-threatening AE
Inpatient hospitalization or prolongation of existing hospitalization
A persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions