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Due to the rapid shifting of liver cancer disease landscape and the company's adjustment of development strategy.
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This study consists of two parts: Phase I is a dose escalation study to determine the Recommended Phase II Dose (RP2D) of MGD013 monotherapy and that of MGD013 when in combination with Brivanib Alaninate (ZL-2301) in subjects with advanced liver cancer (including hepatocellular carcinoma and intrahepatic cholangiocarcinoma). Phase II is a dose expansion study and consists of two parts: Part 1 is to assess the safety and efficacy of MGD013 monotherapy and MGD013 in combination with ZL-2301 in subjects with advanced hepatocellular carcinoma (HCC); in Part 2, a therapeutic method (MGD013 monotherapy or MGD013 in combination with ZL-2301, determined by the sponsor according to the obtained data) will be selected for dose expansion study in HCC subjects who have previously failed immune checkpoint inhibitor treatment, to further evaluate the safety and efficacy of the study treatments in the specific group of subjects.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| MGD013 | Experimental | MGD013 monotherapy dose escalation and expansion |
|
| MGD013+Brivanib Alaninate | Experimental | MGD013+Brivanib Alaninate dose escalation and expansion |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| MGD013 monotherapy | Drug | MGD013 monotherapy will start from Phase I dose escalation first, starting dose will be 120mg Q2W, the dose level may escalate sequentially following traditional 3+3 dose escalation scheme (120mg, 240mg, 400mg, 600mg) to determine the RP2D(recommended phase II dose) of MGD013 monotherapy. Then Phase II dose expansion study will initiate, patients will receive the fixed dose of MGD013 monotherapy with RP2D determined in Phase I study. |
| Measure | Description | Time Frame |
|---|---|---|
| Phase 1: Number of Participants With Dose-Limiting Toxicities (DLTs) | DLT was defined as the adverse events (AEs) listed in the protocol occurring within 4 weeks (the first 2 cycles, 28 days) after the investigational drugs which were at least possibly related to the study drugs. AE severity was graded from 1 to 5 according to the National Cancer Institute Common Terminology Criteria for Adverse Events, version 5.0. | The first two cycles (Cycle 1 and Cycle 2) of the study treatment(s). A cycle lasted for two weeks (14 days) in the study. |
| Phase 1 and Phase 2: Safety | All adverse events (AEs) occurring on or after the first study treatment were listed and summarized. Treatment-Emergent Adverse Event (TEAE) was defined as an AE that had an onset date or a worsening in severity from baseline on or after the first dose of study treatment (any component of combination treatment whichever is first) up to 30 days following study treatment (any component of combination treatment whichever was last) discontinuation. All adverse events were graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events, version 5.0. | AEs would be collected throughout the clinical trial, from the signing of the informed consent form (ICF) to the end of the trial (until 30 days after the last dose of investigational drugs). Up to approximately 24 months. |
| Phase 2: Objective Response Rate (ORR) Assessed by Blinded Independent Central Review (BICR) According to RECIST 1.1 | ORR was defined as the proportion of participants with a confirmed objective response, either complete response (CR) or partial response (PR), before progression based on RECIST v1.1. Participants who had no measurable disease at baseline and/or no post-baseline tumor assessment due to any reason will be considered nonresponders. An estimate of ORR was calculated for each treatment arm, and its 95% CI was calculated using the Clopper-Pearson method. | Radiologic examinations were conducted at baseline within 28 days prior to the start of study medication and every 8 weeks (±7 days) dated from the first day of the first cycle until disease progression. Up to approximately 24 months. |
| Measure | Description | Time Frame |
|---|---|---|
| Phase 2: Objective Response Rate (ORR) by Investigator Assessment According to RECIST 1.1 | ORR was defined as the proportion of participants with a confirmed objective response, either complete response (CR) or partial response (PR), before progression based on RECIST v1.1. Participants who had no measurable disease at baseline and/or no post-baseline tumor assessment due to any reason will be considered nonresponders. An estimate of ORR was calculated for each treatment arm, and its 95% CI was calculated using the Clopper-Pearson method. |
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Inclusion Criteria:
(1) Blood system function (subjects must have not received blood transfusion or stimulating growth factors within 14 days prior to screening test): neutrophil count ≥1.5×109/L, platelet count ≥ 75×109/L, hemoglobin ≥ 90 g/L; (2) Liver and kidney function (no albumin transfusion within 14 days prior to screening test): serum total bilirubin ≤ 2.5×ULN, serum albumin ≥ 29 g/L, ALT and AST ≤ 5×ULN; serum creatinine <1.5×ULN or eGFR (Cockcroft-Gault formula) ≥ 60 ml/min; (3) Coagulation function: international normalized ratio (INR)≤2.3 or prothrombin time (PT) of ≤ 6 seconds above control; (4) Left ventricular ejection fraction (LVEF) ≥50% by two-dimensional echocardiography.
12. Female subjects (except for females who have underwent surgical sterilization and those have been menopausal for more than one year) who are of childbearing potential are required to adopt a medically proven method for contraception (e.g. intrauterine contraception device, contraceptive pill or condom) throughout the study and up to 120 days after the last dose of investigational products; females who are of childbearing age and who do not underwent surgical sterilization must have negative serum or urine HCG tests within 7 days prior to enrollment; female subjects must not be breastfeeding; male subjects whose partners are of childbearing potential should use effective contraceptive methods throughout the study and up to 120 days after the last dose of investigational product.
13. Subjects who are willing to provide oncological tissues (if applicable) for biomarker test.
Exclusion Criteria:
(1) Clinically significant bleeding within 3 months prior to screening or clear bleeding tendency; (2) Gastrointestinal hemorrhage within 6 months prior to screening or clear tendency of gastrointestinal hemorrhage; (3) Arterial/venous thromboembolic events within 6 months prior to screening, such as cerebrovascular accident (including transient ischemic attack), pulmonary embolism, etc.; (4) Require anticoagulation therapy with an agent such as warfarin or heparin; (5) Require chronic anti-platelet therapy (such as aspirin≥100 mg/day, clopidogrel, etc.); 10. Subjects who have clinically significant cardiovascular diseases:
(1) Hyponatremia, hypokalemia or hypophosphatemia that have occurred before the first administration, and failed to restore to normal level after electrolyte supplementation therapy; (2) Confirmed diagnosis of thyroid dysfunction, which cannot be maintained within normal range following thyroid hormone replacement therapy; (3) Positive Human immunodeficiency virus (HIV) test; 17. QTc interval >480 ms on two consecutive ECGs; 18. Female subjects during pregnancy or lactation; female subjects of childbearing potential or male subjects who are not willing to use contraception or contraceptive measures during the study; 19. Subjects who have previously received two lines and above tumor immune checkpiont inhibitor treatment, mainly including anti-PD-1, anti-PD-L1 and anti-CTLA-4 antibodies, etc, or bispecific antibodies including the above targets, or received anti-LAG-3 antibody; whether subjects who have previously received other tumor immunotherapy can be enrolled should be determined by the sponsor; 20. Known or suspected history of severe allergy to investigational drugs; 21. Subjects who have received live attenuated vaccines or any investigational drugs that have not been marketed in China within 4 weeks prior to first administration; 22. If subjects who have previously used immune checkpoint inhibitors (such as anti-PD-1, anti-PD-L1, anti-CTLA-4 antibodies) have the following drug-related adverse events, they will be not suitable for inclusion regardless of recovered or not:
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| Name | Affiliation | Role |
|---|---|---|
| ZhengGang Ren, PhD | Fudan University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Prince of Wales Hospital | Hong Kong | Hong Kong | China |
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The study consists of two phases: Phase I dose escalation and Phase II dose expansion. A total of 89 participants were enrolled in the study across 16 centers in China, including 82 participants who received at least one dose of MGD013 and 7 participants who received at least one dose of MGD013 in combination with Brivanib alaninate.
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| ID | Title | Description |
|---|---|---|
| FG000 | Phase 1: MGD013 120mg | Participants received 120 mg MGD013 intravenously once every 2 weeks (Q2W). |
| FG001 | Phase 1: MGD013 240mg | Participants received 240 mg MGD013 intravenously once every 2 weeks (Q2W). |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Jun 30, 2020 |
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| MGD013 in combination with Brivanib Alaninate | Drug | After determining the RP2D of MGD013 monotherapy, MGD013 at the fixed dose will be combined with Brivanib Alaninate. Dose escalation study of the combination therapy in Phase I will adopt traditional 3+3 dose escalation scheme; the dosage of Brivanib will start from 200 mg QD, and may escalate to 400 mg QD, 600 mg QD and a maximum of 800 mg QD to to determine the RP2D of MGD013 in combination with Brivanib Alaninate. Then Phase II dose expansion study will initiate, patients will receive the fixed dose of MGD013 and Brivanib Alaninate combination therapy with RP2D determined in Phase I study. |
|
| Radiologic examinations were conducted at baseline within 28 days prior to the start of study medication and every 8 weeks (±7 days) dated from the first day of the first cycle until disease progression. Up to approximately 24 months. |
| Phase 2: Disease Control Rate (DCR) by BICR / Investigator Assessment According to RECIST 1.1 | DCR was defined as the percentage of participants who attained a best overall response status of CR, PR, and SD. If best overall response is SD, the SD should be stable SD, that is the date of SD should be at least 6 weeks after first dose. DCR was analyzed using the same methodology as specified for ORR. | Radiologic examinations were conducted at basline within 28 days prior to the start of study medication and every 8 weeks (±7 days) dated from the first day of the first cycle until disease progression. Up to approximately 24 months. |
| Phase 2: Time to Response (TTR) by Investigator Assessment According to RECIST 1.1 | TTR was defined as the time from the first dose date to the date of the earliest confirmed response assessed using RECIST V1.1. Only responders were included in the analysis. | Radiologic examinations were conducted at baseline within 28 days prior to the start of study medication and every 8 weeks (±7 days) dated from the first day of the first cycle until disease progression. Up to approximately 24 months. |
| Phase 2: Duration of Response (DoR) by Investigator Assessment According to RECIST 1.1 | DoR was defined for subjects with a confirmed objective response as the time from the first occurrence of response (CR or PR) to disease progression or death, whichever occurred first. Participants who had no progression or death would be censored. | Radiologic examinations were conducted at baseline within 28 days prior to the start of study medication and every 8 weeks (±7 days) dated from the first day of the first cycle until disease progression. Up to approximately 24 months. |
| Phase 2: Progression-Free Survival (PFS) by Investigator Assessment According to RECIST 1.1 | PFS was defined as the time from the date of first dose of study treatment (any component of combination treatment whichever is first) to the first documented disease progression as determined by the investigator or BICR with the use of RECIST v1.1, or death from any cause, whichever occurred first. Kaplan-Meier methodology was used to estimate the median PFS for each treatment arm and to construct survival curves for each treatment arm. The Brookmeyer-Crowley methodology was used to construct the 95% CI for the median PFS for each treatment arm (Brookmeyer and Crowley 1982). | Radiologic examinations were conducted at baseline within 28 days prior to the start of study medication and every 8 weeks (±7 days) dated from the first day of the first cycle until disease progression. Up to approximately 24 months. |
| Phase 2: Overall Survival (OS) | OS was defined as the time from the date of the first dose of study treatment (any component of combination treatment whichever was first) to the date of death from any cause. Participants who were alive at the time of the analysis data cutoff would be censored at the last date they were known to be alive. Participants with no post-baseline information were censored at the date of the first dose of study treatment (any study treatment component for combo therapy). | From the date of the first dose of study treatment to the date of death from any cause. Up to approximately 24 months. |
| Phase 1: Objective Response Rate (ORR) by Investigator Assessment According to RECIST 1.1 | ORR was defined as the proportion of participants with a confirmed objective response, either complete response (CR) or partial response (PR), before progression based on RECIST v1.1. Participants who had no measurable disease at baseline and/or no post-baseline tumor assessment due to any reason will be considered nonresponders. An estimate of ORR was calculated for each treatment arm, and its 95% CI was calculated using the Clopper-Pearson method. | Radiologic examinations were conducted at baseline within 28 days prior to the start of study medication and every 8 weeks (±7 days) dated from the first day of the first cycle until disease progression. Up to approximately 24 months. |
| Phase 1: Disease Control Rate (DCR) by Investigator Assessment According to RECIST 1.1 | DCR was defined as the percentage of participants who attained a best overall response status of CR, PR, and SD. If best overall response is SD, the SD should be stable SD, that is the date of SD should be at least 6 weeks after first dose. DCR was analyzed using the same methodology as specified for ORR. | Radiologic examinations were conducted at basline within 28 days prior to the start of study medication and every 8 weeks (±7 days) dated from the first day of the first cycle until disease progression. Up to approximately 24 months. |
| FG002 | Phase 1: MGD013 400mg | Participants received 400 mg MGD013 intravenously once every 2 weeks (Q2W). |
| FG003 | Phase 1: MGD013 600mg | Participants received 600 mg MGD013 intravenously once every 2 weeks (Q2W). |
| FG004 | Phase 1: MGD013 400mg + Brivanib 400mg | Participants received 400 mg MGD013 intravenously once every 2 weeks (Q2W), in combination with 400 mg Brivanib alaninate orally once daily (QD). |
| FG005 | Phase 1: MGD013 600mg + Brivanib 400mg | Participants received 600 mg MGD013 intravenously once every 2 weeks (Q2W), in combination with 400 mg Brivanib alaninate orally once daily (QD). |
| FG006 | Phase 2: MGD013 600mg Post-CPI Cohort | Participants who had received at least one prior line of systemic therapy including prior immune checkpoint inhibitor (CPI) treatment received 600 mg MGD013 intravenously once every 2 weeks (Q2W). |
| FG007 | Phase 2: MGD013 600mg CPI-naive Cohort | Participants who had received at least one prior line of systemic therapy without prior immune checkpoint inhibitor (CPI) treatment received 600 mg MGD013 intravenously once every 2 weeks (Q2W). |
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| NOT COMPLETED |
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All patients who received at least one dose of study treatment (any component of combination treatment whichever is first).
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| ID | Title | Description |
|---|---|---|
| BG000 | Phase 1: MGD013 120mg | Participants received 120 mg MGD013 intravenously once every 2 weeks (Q2W). |
| BG001 | Phase 1: MGD013 240mg | Participants received 240 mg MGD013 intravenously once every 2 weeks (Q2W). |
| BG002 | Phase 1: MGD013 400mg | Participants received 400 mg MGD013 intravenously once every 2 weeks (Q2W). |
| BG003 | Phase 1: MGD013 600mg | Participants received 600 mg MGD013 intravenously once every 2 weeks (Q2W). |
| BG004 | Phase 1: MGD013 400mg + Brivanib 400mg | Participants received 400 mg MGD013 intravenously once every 2 weeks (Q2W), in combination with 400 mg Brivanib alaninate orally once daily (QD). |
| BG005 | Phase 1: MGD013 600mg + Brivanib 400mg | Participants received 600 mg MGD013 intravenously once every 2 weeks (Q2W), in combination with 400 mg Brivanib alaninate orally once daily (QD). |
| BG006 | Phase 2: MGD013 600mg Post-CPI Cohort | Participants who had received at least one prior line of systemic therapy including prior immune checkpoint inhibitor (CPI) treatment received 600 mg MGD013 intravenously once every 2 weeks (Q2W). |
| BG007 | Phase 2: MGD013 600mg CPI-naive Cohort | Participants who had received at least one prior line of systemic therapy without prior immune checkpoint inhibitor (CPI) treatment received 600 mg MGD013 intravenously once every 2 weeks (Q2W). |
| BG008 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Customized | Count of Participants | Participants |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| 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 | |||||||||||||||||||||||||||||||||||
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| Primary | Phase 1: Number of Participants With Dose-Limiting Toxicities (DLTs) | DLT was defined as the adverse events (AEs) listed in the protocol occurring within 4 weeks (the first 2 cycles, 28 days) after the investigational drugs which were at least possibly related to the study drugs. AE severity was graded from 1 to 5 according to the National Cancer Institute Common Terminology Criteria for Adverse Events, version 5.0. | All patients who received at least one dose of study treatment (any component of combination treatment whichever is first). | Posted | Count of Participants | Participants | The first two cycles (Cycle 1 and Cycle 2) of the study treatment(s). A cycle lasted for two weeks (14 days) in the study. |
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| Primary | Phase 1 and Phase 2: Safety | All adverse events (AEs) occurring on or after the first study treatment were listed and summarized. Treatment-Emergent Adverse Event (TEAE) was defined as an AE that had an onset date or a worsening in severity from baseline on or after the first dose of study treatment (any component of combination treatment whichever is first) up to 30 days following study treatment (any component of combination treatment whichever was last) discontinuation. All adverse events were graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events, version 5.0. | All patients who received at least one dose of study treatment (any component of combination treatment whichever is first). | Posted | Count of Participants | Participants | AEs would be collected throughout the clinical trial, from the signing of the informed consent form (ICF) to the end of the trial (until 30 days after the last dose of investigational drugs). Up to approximately 24 months. |
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| Primary | Phase 2: Objective Response Rate (ORR) Assessed by Blinded Independent Central Review (BICR) According to RECIST 1.1 | ORR was defined as the proportion of participants with a confirmed objective response, either complete response (CR) or partial response (PR), before progression based on RECIST v1.1. Participants who had no measurable disease at baseline and/or no post-baseline tumor assessment due to any reason will be considered nonresponders. An estimate of ORR was calculated for each treatment arm, and its 95% CI was calculated using the Clopper-Pearson method. | All patients who received at least one dose of study treatment (any component of combination treatment whichever is first) in phase 2. | Posted | Number | 95% Confidence Interval | percentage of participants | Radiologic examinations were conducted at baseline within 28 days prior to the start of study medication and every 8 weeks (±7 days) dated from the first day of the first cycle until disease progression. Up to approximately 24 months. |
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| Secondary | Phase 2: Objective Response Rate (ORR) by Investigator Assessment According to RECIST 1.1 | ORR was defined as the proportion of participants with a confirmed objective response, either complete response (CR) or partial response (PR), before progression based on RECIST v1.1. Participants who had no measurable disease at baseline and/or no post-baseline tumor assessment due to any reason will be considered nonresponders. An estimate of ORR was calculated for each treatment arm, and its 95% CI was calculated using the Clopper-Pearson method. | All patients who received at least one dose of study treatment (any component of combination treatment whichever is first). | Posted | Number | 95% Confidence Interval | percentage of participants | Radiologic examinations were conducted at baseline within 28 days prior to the start of study medication and every 8 weeks (±7 days) dated from the first day of the first cycle until disease progression. Up to approximately 24 months. |
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| Secondary | Phase 2: Disease Control Rate (DCR) by BICR / Investigator Assessment According to RECIST 1.1 | DCR was defined as the percentage of participants who attained a best overall response status of CR, PR, and SD. If best overall response is SD, the SD should be stable SD, that is the date of SD should be at least 6 weeks after first dose. DCR was analyzed using the same methodology as specified for ORR. | All patients who received at least one dose of study treatment (any component of combination treatment whichever is first). | Posted | Number | 95% Confidence Interval | percentage of participants | Radiologic examinations were conducted at basline within 28 days prior to the start of study medication and every 8 weeks (±7 days) dated from the first day of the first cycle until disease progression. Up to approximately 24 months. |
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| Secondary | Phase 2: Time to Response (TTR) by Investigator Assessment According to RECIST 1.1 | TTR was defined as the time from the first dose date to the date of the earliest confirmed response assessed using RECIST V1.1. Only responders were included in the analysis. | All patients who received at least one dose of study treatment (any component of combination treatment whichever is first). | Posted | Median | Full Range | months | Radiologic examinations were conducted at baseline within 28 days prior to the start of study medication and every 8 weeks (±7 days) dated from the first day of the first cycle until disease progression. Up to approximately 24 months. |
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| Secondary | Phase 2: Duration of Response (DoR) by Investigator Assessment According to RECIST 1.1 | DoR was defined for subjects with a confirmed objective response as the time from the first occurrence of response (CR or PR) to disease progression or death, whichever occurred first. Participants who had no progression or death would be censored. | All patients who received at least one dose of study treatment (any component of combination treatment whichever is first). | Posted | Median | Full Range | months | Radiologic examinations were conducted at baseline within 28 days prior to the start of study medication and every 8 weeks (±7 days) dated from the first day of the first cycle until disease progression. Up to approximately 24 months. |
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| Secondary | Phase 2: Progression-Free Survival (PFS) by Investigator Assessment According to RECIST 1.1 | PFS was defined as the time from the date of first dose of study treatment (any component of combination treatment whichever is first) to the first documented disease progression as determined by the investigator or BICR with the use of RECIST v1.1, or death from any cause, whichever occurred first. Kaplan-Meier methodology was used to estimate the median PFS for each treatment arm and to construct survival curves for each treatment arm. The Brookmeyer-Crowley methodology was used to construct the 95% CI for the median PFS for each treatment arm (Brookmeyer and Crowley 1982). | All patients who received at least one dose of study treatment (any component of combination treatment whichever is first). | Posted | Median | 95% Confidence Interval | months | Radiologic examinations were conducted at baseline within 28 days prior to the start of study medication and every 8 weeks (±7 days) dated from the first day of the first cycle until disease progression. Up to approximately 24 months. |
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| Secondary | Phase 2: Overall Survival (OS) | OS was defined as the time from the date of the first dose of study treatment (any component of combination treatment whichever was first) to the date of death from any cause. Participants who were alive at the time of the analysis data cutoff would be censored at the last date they were known to be alive. Participants with no post-baseline information were censored at the date of the first dose of study treatment (any study treatment component for combo therapy). | All patients who received at least one dose of study treatment (any component of combination treatment whichever is first). | Posted | Median | 95% Confidence Interval | months | From the date of the first dose of study treatment to the date of death from any cause. Up to approximately 24 months. |
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| Secondary | Phase 1: Objective Response Rate (ORR) by Investigator Assessment According to RECIST 1.1 | ORR was defined as the proportion of participants with a confirmed objective response, either complete response (CR) or partial response (PR), before progression based on RECIST v1.1. Participants who had no measurable disease at baseline and/or no post-baseline tumor assessment due to any reason will be considered nonresponders. An estimate of ORR was calculated for each treatment arm, and its 95% CI was calculated using the Clopper-Pearson method. | All patients who received at least one dose of study treatment (any component of combination treatment whichever is first). | Posted | Number | 95% Confidence Interval | percentage of participants | Radiologic examinations were conducted at baseline within 28 days prior to the start of study medication and every 8 weeks (±7 days) dated from the first day of the first cycle until disease progression. Up to approximately 24 months. |
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| Secondary | Phase 1: Disease Control Rate (DCR) by Investigator Assessment According to RECIST 1.1 | DCR was defined as the percentage of participants who attained a best overall response status of CR, PR, and SD. If best overall response is SD, the SD should be stable SD, that is the date of SD should be at least 6 weeks after first dose. DCR was analyzed using the same methodology as specified for ORR. | All patients who received at least one dose of study treatment (any component of combination treatment whichever is first). | Posted | Number | 95% Confidence Interval | percentage of participants | Radiologic examinations were conducted at basline within 28 days prior to the start of study medication and every 8 weeks (±7 days) dated from the first day of the first cycle until disease progression. Up to approximately 24 months. |
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From the date of administration of the first dose of study treatment (any component of combination treatment whichever is first) up to 30 days following study treatment discontinuation (any component of combination treatment whichever is last). Adverse event reporting for all-cause mortality considers all deaths that occurred during the study. Up to approximately 24 months.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Phase 1: MGD013 120mg | Participants received 120 mg MGD013 intravenously once every 2 weeks (Q2W). | 0 | 1 | 0 | 1 | 1 | 1 |
| EG001 | Phase 1: MGD013 240mg | Participants received 240 mg MGD013 intravenously once every 2 weeks (Q2W). | 0 | 3 | 1 | 3 | 3 | 3 |
| EG002 | Phase 1: MGD013 400mg | Participants received 400 mg MGD013 intravenously once every 2 weeks (Q2W). | 0 | 3 | 0 | 3 | 3 | 3 |
| EG003 | Phase 1: MGD013 600mg | Participants received 600 mg MGD013 intravenously once every 2 weeks (Q2W). | 1 | 6 | 1 | 6 | 6 | 6 |
| EG004 | Phase 1: MGD013 400mg + Brivanib 400mg | Participants received 400 mg MGD013 intravenously once every 2 weeks (Q2W), in combination with 400 mg Brivanib alaninate orally once daily (QD). | 2 | 3 | 0 | 3 | 3 | 3 |
| EG005 | Phase 1: MGD013 600mg + Brivanib 400mg | Participants received 600 mg MGD013 intravenously once every 2 weeks (Q2W), in combination with 400 mg Brivanib alaninate orally once daily (QD). | 1 | 4 | 1 | 4 | 4 | 4 |
| EG006 | Phase 2: MGD013 600mg Post-CPI Cohort | Participants who had received at least one prior line of systemic therapy including prior immune checkpoint inhibitor (CPI) treatment received 600 mg MGD013 intravenously once every 2 weeks (Q2W). | 10 | 33 | 10 | 33 | 30 | 33 |
| EG007 | Phase 2: MGD013 600mg CPI-naive Cohort | Participants who had received at least one prior line of systemic therapy without prior immune checkpoint inhibitor (CPI) treatment received 600 mg MGD013 intravenously once every 2 weeks (Q2W). | 11 | 36 | 8 | 36 | 34 | 36 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Atrial fibrillation | Cardiac disorders | MedDRA 25.0 | Systematic Assessment |
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| Adrenal insufficiency | Endocrine disorders | MedDRA 25.0 | Systematic Assessment |
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| Abdominal pain upper | Gastrointestinal disorders | MedDRA 25.0 | Systematic Assessment |
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| Intestinal obstruction | Gastrointestinal disorders | MedDRA 25.0 | Systematic Assessment |
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| Upper gastrointestinal haemorrhage | Gastrointestinal disorders | MedDRA 25.0 | Systematic Assessment |
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| Pyrexia | General disorders | MedDRA 25.0 | Systematic Assessment |
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| Autoimmune hepatitis | Hepatobiliary disorders | MedDRA 25.0 | Systematic Assessment |
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| Hepatic function abnormal | Hepatobiliary disorders | MedDRA 25.0 | Systematic Assessment |
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| Liver injury | Hepatobiliary disorders | MedDRA 25.0 | Systematic Assessment |
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| Biliary tract infection | Infections and infestations | MedDRA 25.0 | Systematic Assessment |
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| Upper respiratory tract infection | Infections and infestations | MedDRA 25.0 | Systematic Assessment |
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| Infusion related reaction | Injury, poisoning and procedural complications | MedDRA 25.0 | Systematic Assessment |
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| Aspartate aminotransferase increased | Investigations | MedDRA 25.0 | Systematic Assessment |
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| Platelet count decreased | Investigations | MedDRA 25.0 | Systematic Assessment |
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| White blood cell count decreased | Investigations | MedDRA 25.0 | Systematic Assessment |
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| Electrolyte imbalance | Metabolism and nutrition disorders | MedDRA 25.0 | Systematic Assessment |
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| Hypoglycaemia | Metabolism and nutrition disorders | MedDRA 25.0 | Systematic Assessment |
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| Hyponatraemia | Metabolism and nutrition disorders | MedDRA 25.0 | Systematic Assessment |
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| Tumour haemorrhage | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 25.0 | Systematic Assessment |
| |
| Loss of consciousness | Nervous system disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Rash | Skin and subcutaneous tissue disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Hypotension | Vascular disorders | MedDRA 25.0 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Leukopenia | Blood and lymphatic system disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Cardiac failure | Cardiac disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Sinus bradycardia | Cardiac disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Sinus tachycardia | Cardiac disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Deafness neurosensory | Ear and labyrinth disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Hyperthyroidism | Endocrine disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Hypothyroidism | Endocrine disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Abdominal distension | Gastrointestinal disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Abdominal pain | Gastrointestinal disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Abdominal pain upper | Gastrointestinal disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Ascites | Gastrointestinal disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Constipation | Gastrointestinal disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Diarrhoea | Gastrointestinal disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Dry mouth | Gastrointestinal disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Gastrooesophageal reflux disease | Gastrointestinal disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Stomatitis | Gastrointestinal disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Asthenia | General disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Fatigue | General disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Influenza like illness | General disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Malaise | General disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Oedema peripheral | General disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Pain | General disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Pyrexia | General disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA 25.0 | Systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA 25.0 | Systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA 25.0 | Systematic Assessment |
| |
| Infusion related reaction | Injury, poisoning and procedural complications | MedDRA 25.0 | Systematic Assessment |
| |
| Tongue injury | Investigations | MedDRA 25.0 | Systematic Assessment |
| |
| Alanine aminotransferase increased | Investigations | MedDRA 25.0 | Systematic Assessment |
| |
| Alpha hydroxybutyrate dehydrogenase increased | Investigations | MedDRA 25.0 | Systematic Assessment |
| |
| Amylase increased | Investigations | MedDRA 25.0 | Systematic Assessment |
| |
| Aspartate aminotransferase increased | Investigations | MedDRA 25.0 | Systematic Assessment |
| |
| Bilirubin conjugated increased | Investigations | MedDRA 25.0 | Systematic Assessment |
| |
| Blood alkaline phosphatase increased | Investigations | MedDRA 25.0 | Systematic Assessment |
| |
| Blood bilirubin increased | Investigations | MedDRA 25.0 | Systematic Assessment |
| |
| Blood bilirubin unconjugated increased | Investigations | MedDRA 25.0 | Systematic Assessment |
| |
| Blood creatinine increased | Investigations | MedDRA 25.0 | Systematic Assessment |
| |
| Blood lactate dehydrogenase increased | Investigations | MedDRA 25.0 | Systematic Assessment |
| |
| Blood thyroid stimulating hormone increased | Investigations | MedDRA 25.0 | Systematic Assessment |
| |
| Blood urea increased | Investigations | MedDRA 25.0 | Systematic Assessment |
| |
| C-reactive protein increased | Investigations | MedDRA 25.0 | Systematic Assessment |
| |
| Electrocardiogram QT prolonged | Investigations | MedDRA 25.0 | Systematic Assessment |
| |
| Free fatty acids increased | Investigations | MedDRA 25.0 | Systematic Assessment |
| |
| Gamma-glutamyltransferase increased | Investigations | MedDRA 25.0 | Systematic Assessment |
| |
| Hepatitis B DNA increased | Investigations | MedDRA 25.0 | Systematic Assessment |
| |
| International normalised ratio increased | Investigations | MedDRA 25.0 | Systematic Assessment |
| |
| Lipase increased | Investigations | MedDRA 25.0 | Systematic Assessment |
| |
| Neutrophil count decreased | Investigations | MedDRA 25.0 | Systematic Assessment |
| |
| Platelet count decreased | Investigations | MedDRA 25.0 | Systematic Assessment |
| |
| Protein urine present | Investigations | MedDRA 25.0 | Systematic Assessment |
| |
| Prothrombin level decreased | Investigations | MedDRA 25.0 | Systematic Assessment |
| |
| Prothrombin time prolonged | Investigations | MedDRA 25.0 | Systematic Assessment |
| |
| Total bile acids increased | Investigations | MedDRA 25.0 | Systematic Assessment |
| |
| Tri-iodothyronine decreased | Investigations | MedDRA 25.0 | Systematic Assessment |
| |
| Tri-iodothyronine free decreased | Investigations | MedDRA 25.0 | Systematic Assessment |
| |
| Urine ketone body present | Investigations | MedDRA 25.0 | Systematic Assessment |
| |
| White blood cell count decreased | Investigations | MedDRA 25.0 | Systematic Assessment |
| |
| Decreased appetite | Metabolism and nutrition disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Dehydration | Metabolism and nutrition disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Hyperglycaemia | Metabolism and nutrition disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Hyperkalaemia | Metabolism and nutrition disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Hypoalbuminaemia | Metabolism and nutrition disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Hypocalcaemia | Metabolism and nutrition disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Hypochloraemia | Metabolism and nutrition disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Hypokalaemia | Metabolism and nutrition disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Hyponatraemia | Metabolism and nutrition disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Hypophosphataemia | Metabolism and nutrition disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Hypoproteinaemia | Metabolism and nutrition disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Tumour associated fever | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 25.0 | Systematic Assessment |
| |
| Dizziness | Nervous system disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Insomnia | Psychiatric disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Haematuria | Renal and urinary disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Proteinuria | Renal and urinary disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Haemoptysis | Respiratory, thoracic and mediastinal disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Hiccups | Respiratory, thoracic and mediastinal disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Pleural effusion | Respiratory, thoracic and mediastinal disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Pneumonitis | Respiratory, thoracic and mediastinal disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Pulmonary embolism | Respiratory, thoracic and mediastinal disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Dry skin | Skin and subcutaneous tissue disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Palmar-plantar erythrodysaesthesia syndrome | Skin and subcutaneous tissue disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Rash | Skin and subcutaneous tissue disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Skin reaction | Skin and subcutaneous tissue disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Urticaria | Skin and subcutaneous tissue disorders | MedDRA 25.0 | Systematic Assessment |
| |
| Inadequate diet | Social circumstances | MedDRA 25.0 | Systematic Assessment |
| |
| Hypertension | Vascular disorders | MedDRA 25.0 | Systematic Assessment |
|
Not provided
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Medical Director | Zai Lab (Shanghai) Co.,Ltd. | +86 4008201022 | medinfo@zailaboratory.com |
| May 16, 2024 |
| Prot_SAP_000.pdf |
Not provided
| ID | Term |
|---|---|
| C509922 | brivanib |
Not provided
Not provided
Not provided
| ≥ 65 Years |
|
| Male |
|
| Asian |
|
| Native Hawaiian or Other Pacific Islander |
|
| Black or African American |
|
| White |
|
| More than one race |
|
| Unknown or Not Reported |
|
Participants received 400 mg MGD013 intravenously once every 2 weeks (Q2W). |
| OG003 | Phase 1: MGD013 600mg | Participants received 600 mg MGD013 intravenously once every 2 weeks (Q2W). |
| OG004 | Phase 1: MGD013 400mg + Brivanib 400mg | Participants received 400 mg MGD013 intravenously once every 2 weeks (Q2W), in combination with 400 mg Brivanib alaninate orally once daily (QD). |
| OG005 | Phase 1: MGD013 600mg + Brivanib 400mg | Participants received 600 mg MGD013 intravenously once every 2 weeks (Q2W), in combination with 400 mg Brivanib alaninate orally once daily (QD). |
| OG006 | Phase 2: MGD013 600mg Post-CPI Cohort | Participants who had received at least one prior line of systemic therapy including prior immune checkpoint inhibitor (CPI) treatment received 600 mg MGD013 intravenously once every 2 weeks (Q2W). |
| OG007 | Phase 2: MGD013 600mg CPI-naive Cohort | Participants who had received at least one prior line of systemic therapy without prior immune checkpoint inhibitor (CPI) treatment received 600 mg MGD013 intravenously once every 2 weeks (Q2W). |
|
|
|
|
|
|
| Units | Counts |
|---|---|
| Participants |
|
|
| Participants |
|
|
| Units |
|---|
| Counts |
|---|
| Participants |
|
|
|
|
| Units | Counts |
|---|---|
| Participants |
|
|
Participants received 400 mg MGD013 intravenously once every 2 weeks (Q2W).
| OG003 | Phase 1: MGD013 600mg | Participants received 600 mg MGD013 intravenously once every 2 weeks (Q2W). |
| OG004 | Phase 1: MGD013 400mg + Brivanib 400mg | Participants received 400 mg MGD013 intravenously once every 2 weeks (Q2W), in combination with 400 mg Brivanib alaninate orally once daily (QD). |
| OG005 | Phase 1: MGD013 600mg + Brivanib 400mg | Participants received 600 mg MGD013 intravenously once every 2 weeks (Q2W), in combination with 400 mg Brivanib alaninate orally once daily (QD). |
|
|
| OG003 | Phase 1: MGD013 600mg | Participants received 600 mg MGD013 intravenously once every 2 weeks (Q2W). |
| OG004 | Phase 1: MGD013 400mg + Brivanib 400mg | Participants received 400 mg MGD013 intravenously once every 2 weeks (Q2W), in combination with 400 mg Brivanib alaninate orally once daily (QD). |
| OG005 | Phase 1: MGD013 600mg + Brivanib 400mg | Participants received 600 mg MGD013 intravenously once every 2 weeks (Q2W), in combination with 400 mg Brivanib alaninate orally once daily (QD). |
|
|