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The purpose of the dose escalation part of this study is to determine the feasibility of using the combination of copanlisib and nivolumab in subjects with advanced solid tumors, and to determine the maximum tolerated dose of copanlisib in combination with nivolumab. The maximum tolerated dose will then be used in Phase 2 (dose expansion) of the study.
Study was originally designed with both Phase I and Phase II part, but sponsor decided not to conduct Phase 2 part due to strategic portfolio re-prioritization.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dose escalation | Experimental | Copanlisib: 45 mg (dose level -1) or 60 mg (dose level 1) on Day 1, Day 8 and Day 15 (28 day cycle) Nivolumab: 240 mg on Day 15 of Cycle 1 and on Day 1 and Day 15 of subsequent cycles (28 day cycle). |
|
| Dose expansion | Experimental | Copanlisib: Recommended phase 2 dose established in the phase 1b part on Day 1, Day 8 and Day 15 (28 day cycle) Nivolumab: 240 mg on Day 15 of Cycle 1 and on Day 1 and Day 15 of subsequent cycles (28 day cycle). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Copanlisib | Drug | Copanlisib: lyophilisate for reconstitution and further dilution for infusion |
|
| Measure | Description | Time Frame |
|---|---|---|
| Phase 1b: Frequency of dose limiting toxicities (DLT) at each dose level associated with administration of copanlisib and nivolumab | At the end of Cycle 2 of a 28-day cycle | |
| Phase 2: Overall response rate (ORR) as per RECIST v 1.1 (Response evaluation criteria in solid tumors, v 1.1) (by local investigator | Up to 26 months |
| Measure | Description | Time Frame |
|---|---|---|
| Phase 1b: Overall response rate (ORR) as per RECIST v 1.1 (by local investigator assessment) | Up to 26 months | |
| Phase 1b and 2:Maximum drug concentration in plasma (Cmax) of copanlisib | At cycle1 day15, cycle2 day15, cycle 6 day15 |
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Inclusion Criteria:
Phase 1b:
Phase 2:
Exclusion Criteria:
Active, known or suspected autoimmune disease. Participants with vitiligo, type I diabetes mellitus, residual hypothyroidism due to autoimmune condition only requiring hormone replacement, psoriasis not requiring systemic treatment, or conditions not expected to recur in the absence of an external trigger are permitted to enroll.
Major surgery, open biopsy or significant traumatic injury ≤ 28 days prior to first administration of study intervention. Central line surgery is not considered major surgery
Symptomatic metastatic brain or meningeal carcinomatosis or tumors unless the participant is > 6 months from definitive therapy (surgery or radiotherapy), has no evidence of tumor growth on an imaging study and is clinically stable with respect to the tumor at the start of study intervention.
Other malignancy within the last 5 years except for the following, which are permitted:
Other protocol inclusion/exclusion criteria may apply
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tower Hematology/Oncology Medical Group | Beverly Hills | California | 90211-1850 | United States | ||
| Orthopaedic Institute for Children |
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| Nivolumab | Drug | Nivolumab: concentrate for solution for infusion |
|
| Phase 1b and 2:Area under the curve (AUC) of copanlisib | At cycle1 day15, cycle2 day15,cycle 6 day15 |
| Phase 1b and 2: Cmax for nivolumab | At cycle1 day15, cycle2 day15,cycle 6 day15 |
| Phase 1b and 2: Minimum plasma drug concentration (Cmin) for nivolumab | At cycle1 day15, cycle2 day15,cycle 6 day15 |
| Phase 1b and 2: Overall survival (OS) | Up to 26 months |
| Phase 1b and 2: Progression-free survival (PFS) | Up to 26 months |
| Phase 1b and 2: Disease control rate (DCR) | Up to 26 months |
| Phase 1b and 2: Duration of stable disease (DSD) | Up to 26 months |
| Phase 1b and 2: Time to response (TTR) | Up to 26 months |
| Phase 1b and 2: Time to progression (TTP) | Up to 26 months |
| Phase 1b and 2: Duration of response (DOR) | Up to 26 months |
| Phase 1b and 2:Number of participants with Adverse events (AE) and Serious AEs (SAE) | Up to 26 months |
| Phase 1b and 2:Number of participants with clinically significantly abnormal changes in electrocardiograms (ECG) including heart rate and measures PR, QRS, QT, and QTc intervals | Up to 26 months |
| Phase 1b and 2:Number of participants with changes in dose including interruptions, reductions and dose intensity | Up to 26 months |
| Los Angeles |
| California |
| 90001 |
| United States |
| Rocky Mountain Cancer Centers / Denver, CO | Denver | Colorado | 80218 | United States |
| Gabrail Cancer Center | Canton | Ohio | 44718 | United States |
| Rhode Island Hospital | Providence | Rhode Island | 20903 | United States |
| Princess Margaret Cancer Centre | Toronto | Ontario | M5G 1Z5 | Canada |
| ID | Term |
|---|---|
| D002289 | Carcinoma, Non-Small-Cell Lung |
| D000077195 | Squamous Cell Carcinoma of Head and Neck |
| D006528 | Carcinoma, Hepatocellular |
| 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 |
| D002294 | Carcinoma, Squamous Cell |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
| D006258 | Head and Neck Neoplasms |
| D000230 | Adenocarcinoma |
| D008113 | Liver Neoplasms |
| D004067 | Digestive System Neoplasms |
| D004066 | Digestive System Diseases |
| D008107 | Liver Diseases |
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| ID | Term |
|---|---|
| C000589253 | copanlisib |
| D000077594 | Nivolumab |
| ID | Term |
|---|---|
| D061067 | Antibodies, Monoclonal, Humanized |
| D000911 | Antibodies, Monoclonal |
| D000906 | Antibodies |
| D007136 | Immunoglobulins |
| D007162 | Immunoproteins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D012712 | Serum Globulins |
| D005916 | Globulins |
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