Study of MK-3475 (Lambrolizumab) in Participants With Progressive Locally Advanced or Metastatic Carcinoma, Melanoma, or Non-small Cell Lung Carcinoma (P07990/MK-3475-001 AM7)
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Purpose
This study will be done in 5 parts. In Part A the dose of intravenous (IV) lambrolizumab will be escalated to find the maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D) for participants with a histologically or cytologically confirmed diagnosis of any type of carcinoma or melanoma (MEL). Part B of the study will explore the safety, tolerability, and efficacy of the drug in participants with advanced or metastatic MEL and compare every 2 week to every 3 week dosing. Part C of the study will explore the safety, tolerability, and efficacy of the drug in participants with non-small cell lung carcinoma (NSCLC) that is locally advanced or metastatic. Part D of the study will explore the low and high doses of study drug identified in Parts A and B in participants with advanced or metastatic MEL. Part E (closed with Amendment 7) will explore low, medium, and high doses of study drug in combination with standard chemotherapy in participants with locally advanced or metastatic NSCLC. Part F will explore low and high doses of study drug in treatment-naive and previously-treated participants with NSCLC with programmed cell death 1 ligand (PD-L1) gene expression. In Parts D and F and some of Part B participants will be randomized to one dose level.
| Condition | Intervention | Phase |
|---|---|---|
|
Cancer, Solid Tumor |
Drug: lambrolizumab 1 mg/kg Drug: lambrolizumab 3 mg/kg Drug: lambrolizumab 10 mg/kg Drug: lambrolizumab MEL Drug: lambrolizumab NSCLC Drug: lambrolizumab MEL Low Dose Drug: lambrolizumab MEL High Dose Drug: lambrolizumab NSCLC Low Dose Drug: lambrolizumab NSCLC High Dose Drug: lambrolizumab NSCLC Medium Dose |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Phase I Study of Single Agent MK-3475 in Patients With Progressive Locally Advanced or Metastatic Carcinoma, Melanoma, and Non-Small Cell Lung Carcinoma |
- Number of participants experiencing dose-limiting toxicities (DLTs) [ Time Frame: Cycle 1 (28 days) ] [ Designated as safety issue: Yes ]
- Number of participants experiencing clinical and laboratory adverse events (AEs) [ Time Frame: First dose to 30 days post last dose ] [ Designated as safety issue: Yes ]
- Number of all study participants who demonstrate a response rate (RR) [ Time Frame: Weeks 12 & 24 ] [ Designated as safety issue: No ]
- Number of MEL participants who demonstrated a response rate (RR) and/or disease control rate (DCR) [ Time Frame: Weeks 12 & 24 ] [ Designated as safety issue: No ]
- Number of NSCLC participants who demonstrated a response rate (RR) [ Time Frame: Week 9 and Week 18 ] [ Designated as safety issue: No ]
- Change from Baseline in candidate biomarker expression levels in MELS and NSCLC participants [ Time Frame: Week 12 and Week 24 (MEL), Week 9 and Week 18 (NSCLC) ] [ Designated as safety issue: No ]
- The area under the curve (AUC) of plasma concentration of drug against time after administration of lambrolizumab (Part A) [ Time Frame: Pre-dose, 30 minutes, 6, 24, and 48 hours post-dose, and on Days 8, 15, 22, and 29 of Cycle 1; pre- and post-dose on Day 1 of every other subsequent 14-day cycle up to 12 months ] [ Designated as safety issue: No ]
- Maximum concentration (Cmax) after first dose interval of lambrolizumab [ Time Frame: Part A: over 48 hours in Cycle 1 and on Day 1 of every other subsequent 14-day cycle for up to 12 months. Parts B, C, D, E, and F: Cycles 1, 3, and 7 and then every 12 weeks for the first 12 months and every 6 months after that for up to 2 years. ] [ Designated as safety issue: No ]
- Time at which maximum concentration (Tmax) occurs for lambrolizumab (Part A) [ Time Frame: Pre-dose, 30 minutes, 6, 24, and 48 hours post-dose, and on Days 8, 15, 22, and 29 of Cycle 1; pre- and post-dose on Day 1 of every other subsequent 14-day cycle up to 12 months ] [ Designated as safety issue: No ]
- Lowest plasma concentration (C[trough]) of lambrolizumab [ Time Frame: Part A: over 48 hours in Cycle 1 and on Day 1 of every other subsequent 14-day cycle for up to 12 months. Parts B, C, D, E, and F: Cycles 1, 3, and 7 and then every 12 weeks for the first 12 months and every 6 months after that for up to 2 years. ] [ Designated as safety issue: No ]
- Terminal half-life (t1/2) of lambrolizumab (Parts B, C, D, E and F) [ Time Frame: Pre-dose, 30 minutes, 6, 24, and 48 hours post-dose, and on Days 8, 15, 22, and 29 of Cycle 1; pre- and post-dose on Day 1 of every other subsequent 14-day cycle up to 12 months ] [ Designated as safety issue: No ]
- Progression free survival (PFS) in MEL and NSCLC participants [ Time Frame: From first documented response up to 2 years ] [ Designated as safety issue: No ]
- Overall survival (OS) in MEL and NSCLC participants [ Time Frame: From first dose of study drug until death or lost to follow-up (up to 2 years) ] [ Designated as safety issue: No ]
- Duration of response (DR) in MEL and NSCLC participants [ Time Frame: From first documented response up to 2 years ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 1047 |
| Study Start Date: | March 2011 |
| Estimated Study Completion Date: | March 2015 |
| Estimated Primary Completion Date: | January 2015 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Part A: lambrolizumab 1 mg/kg |
Drug: lambrolizumab 1 mg/kg
IV infusion over 30 minutes on Day 1 of each cycle, at dose of 1 mg/kg
Other Names:
|
| Experimental: Part A: lambrolizumab 3 mg/kg |
Drug: lambrolizumab 3 mg/kg
IV infusion over 30 minutes on Day 1 of each cycle, at dose of 3 mg/kg
Other Names:
|
| Experimental: Part A: lambrolizumab 10 mg/kg |
Drug: lambrolizumab 10 mg/kg
IV infusion over 30 minutes on Day 1 of each cycle (every 2 or 3 weeks depending on study arm) at a dose of 10 mg/kg.
Other Names:
|
| Experimental: Part B: lambrolizumab MEL |
Drug: lambrolizumab MEL
IV infusion over 30 minutes on Day 1 of each cycle
Other Names:
|
| Experimental: Part C: lambrolizumab NSCLC |
Drug: lambrolizumab NSCLC
IV infusion over 30 minutes on Day 1 of each cycle
Other Names:
|
| Experimental: Part D: lambrolizumab MEL Low Dose |
Drug: lambrolizumab MEL Low Dose
IV infusion over 30 minutes every 3 weeks at dose determined during dose escalation
Other Names:
|
| Experimental: Part D: lambrolizumab MEL High Dose |
Drug: lambrolizumab MEL High Dose
IV infusion over 30 minutes every 3 weeks at dose determined during dose escalation
Other Names:
|
|
Experimental: Part E: lambrolizumab NSCLC Low Dose
Arm closed with Amendment 7
|
Drug: lambrolizumab NSCLC Low Dose
IV infusion over 30 minutes every 3 weeks at dose determined during dose escalation
Other Names:
|
|
Experimental: Part E: lambrolizumab NSCLC Medium Dose
Arm closed with Amendment 7
|
Drug: lambrolizumab NSCLC High Dose
IV infusion over 30 minutes every 3 weeks at dose determined during dose escalation
Other Names:
Drug: lambrolizumab NSCLC Medium Dose
IV infusion over 30 minutes every 3 weeks at dose determined during dose escalation
Other Names:
|
|
Experimental: Part E: lambrolizumab NSCLC High Dose
Arm closed with Amendment 7
|
Drug: lambrolizumab NSCLC Low Dose
IV infusion over 30 minutes every 3 weeks at dose determined during dose escalation
Other Names:
|
| Experimental: Part F: lambrolizumab NSCLC PD-L1 Low Dose |
Drug: lambrolizumab NSCLC High Dose
IV infusion over 30 minutes every 3 weeks at dose determined during dose escalation
Other Names:
|
| Experimental: Part F: lambrolizumab NSCLC PD-L1 High Dose |
Drug: lambrolizumab NSCLC Medium Dose
IV infusion over 30 minutes every 3 weeks at dose determined during dose escalation
Other Names:
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion criteria
- In Part A: Histological or cytological diagnosis of MEL or any type of carcinoma, progressive metastatic disease, or progressive locally advanced disease not amenable to local therapy. In Parts B and D of the study, histological or cytological diagnoses of metastatic MEL with progressive locally advanced or metastatic disease. In Parts C and F, histological or cytological diagnosis of NSCLC.
- Failure of established standard medical anti-cancer therapies for a given tumor type or intolerance to such therapy.
- In Parts B, C, D, or F of the study, MEL or NSCLC must be measurable by imaging.
- In Part F of the study, NSCLC with PD-L1 gene expression.
- Performance status of 0 or 1 on the Eastern Cooperative Oncology Group (ECOG) Performance Scale.
- Adequate organ function.
Exclusion criteria
- Chemotherapy, radioactive, or biological cancer therapy within 4 weeks prior to the first dose of study therapy, or not recovered to Common Terminology Criteria for Adverse Events (CTCAE) Grade 1 or better from the adverse events caused by therapy administered more than 4 weeks prior to first dose.
- Participation in a study of an investigational agent or using an investigational device within 30 days of administration of lambrolizumab.
- Other form(s) of antineoplastic therapy anticipated during the period of the study.
- History of pneumonitis or interstitial lung disease.
- Medical condition that requires chronic systemic steroid therapy, or on any other form of immunosuppressive medication.
- History of acute diverticulitis, intra-abdominal abscess, GI obstruction, abdominal carcinomatosis.
- History of a hematologic malignancy, primary brain tumor, sarcoma, or another primary solid tumor, unless no evidence of that disease for 5 years.
- Active central nervous system (CNS) metastases and/or carcinomatous meningitis.
- Previous severe hypersensitivity reaction to another monoclonal antibody (mAb).
- Active autoimmune disease or a documented history of autoimmune disease or syndrome that requires systemic steroids or immunosuppressive agents, except vitiligo or resolved childhood asthma/atopy.
- Prior therapy with another anti-programmed cell death (PD)-1 agent or previously enrolled in any lambrolizumab trial.
- Active infection requiring therapy.
- Positive for Human Immunodeficiency Virus (HIV), Hepatitis B (Hepatitis B Surface Antigen [HBsAg] reactive), or Hepatitis C virus (Hepatitis C Virus Ribonucleic Acid [HCV RNA] (qualitative) is detected).
- Regular use of illicit drugs or a recent history (within the last year) of substance abuse (including alcohol).
- Symptomatic ascites or pleural effusion.
- Participant is pregnant or breastfeeding, or expecting to conceive or father children within the projected duration of the study.
Contacts and Locations| Contact: Toll Free Number | 1-888-577-8839 |
| United States, Arizona | |
| Call for Information (Investigational Site 0004) | Recruiting |
| Scottsdale, Arizona, United States, 85259 | |
| United States, California | |
| Call for Information (Investigational Site 0027) | Recruiting |
| Beverly Hills, California, United States, 90211 | |
| Call for Information (Investigational Site 0010) | Recruiting |
| Los Angeles, California, United States, 90025 | |
| Call for Information (Investigational Site 0015) | Recruiting |
| Los Angeles, California, United States, 90095 | |
| Call for Information (Investigational Site 0008) | Recruiting |
| San Francisco, California, United States, 94115 | |
| United States, Florida | |
| Call for Information (Investigational Site 0003) | Recruiting |
| Jacksonville, Florida, United States, 32224 | |
| Call for Information (Investigational Site 0018) | Recruiting |
| Tampa, Florida, United States, 33612 | |
| United States, Massachusetts | |
| Call for Information (Investigational Site 0011) | Recruiting |
| Boston, Massachusetts, United States, 02215 | |
| United States, Minnesota | |
| Call for Information (Investigational Site 0002) | Recruiting |
| Rochester, Minnesota, United States, 55905 | |
| United States, Pennsylvania | |
| Call for Information (Investigational Site 0016) | Recruiting |
| Philadelphia, Pennsylvania, United States, 19104 | |
| Call for Information (Investigational Site 0013) | Recruiting |
| Pittsburgh, Pennsylvania, United States, 15232 | |
| United States, Texas | |
| Call for Information (Investigational Site 0012) | Recruiting |
| Houston, Texas, United States, 77030 | |
| Call for Information (Investigational Site 0001) | Recruiting |
| San Antonio, Texas, United States, 78229 | |
| Australia | |
| Merck Sharp & Dohme | Recruiting |
| North Ryde, Australia | |
| Contact: Gary Jankelowitz 61 2 8988 8246 | |
| Canada, Quebec | |
| Merck Frosst Canada | Recruiting |
| Kirkland, Quebec, Canada, H9H 3L1 | |
| Contact: Mauricio Ede 1-514-428-3044 | |
| France | |
| MSD France | Recruiting |
| Paris, France | |
| Contact: Dominique Blazy 33 147548990 | |
More Information
No publications provided
| Responsible Party: | Merck |
| ClinicalTrials.gov Identifier: | NCT01295827 History of Changes |
| Other Study ID Numbers: | P07990, MK-3475-001 |
| Study First Received: | February 10, 2011 |
| Last Updated: | May 16, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Merck:
|
Melanoma Carcinoma Cancer Advanced cancer |
Metastatic cancer Metastatic melanoma PD-1 PD1 |
Additional relevant MeSH terms:
|
Carcinoma Carcinoma, Non-Small-Cell Lung Lung Neoplasms Melanoma Neoplasms, Glandular and Epithelial Neoplasms by Histologic Type Neoplasms Carcinoma, Bronchogenic Bronchial Neoplasms Respiratory Tract Neoplasms |
Thoracic Neoplasms Neoplasms by Site Lung Diseases Respiratory Tract Diseases Neuroendocrine Tumors Neuroectodermal Tumors Neoplasms, Germ Cell and Embryonal Neoplasms, Nerve Tissue Nevi and Melanomas |
ClinicalTrials.gov processed this record on May 23, 2013