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)

This study is currently recruiting participants.
Verified May 2013 by Merck
Sponsor:
Information provided by (Responsible Party):
Merck
ClinicalTrials.gov Identifier:
NCT01295827
First received: February 10, 2011
Last updated: May 16, 2013
Last verified: May 2013
  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

Resource links provided by NLM:


Further study details as provided by Merck:

Primary Outcome Measures:
  • 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 ]

Secondary Outcome Measures:
  • 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:
  • SCH 900475
  • MK-3475
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:
  • SCH 900475
  • MK-3475
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:
  • SCH 900475
  • MK-3475
Experimental: Part B: lambrolizumab MEL Drug: lambrolizumab MEL
IV infusion over 30 minutes on Day 1 of each cycle
Other Names:
  • SCH 900475
  • MK-3475
Experimental: Part C: lambrolizumab NSCLC Drug: lambrolizumab NSCLC
IV infusion over 30 minutes on Day 1 of each cycle
Other Names:
  • SCH 900475
  • MK-3475
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:
  • SCH 900475
  • MK-3475
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:
  • SCH 900475
  • MK-3475
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:
  • SCH 900475
  • MK-3475
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:
  • SCH 900475
  • MK-3475
Drug: lambrolizumab NSCLC Medium Dose
IV infusion over 30 minutes every 3 weeks at dose determined during dose escalation
Other Names:
  • SCH 900475
  • MK-3475
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:
  • SCH 900475
  • MK-3475
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:
  • SCH 900475
  • MK-3475
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:
  • SCH 900475
  • MK-3475

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

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
Please refer to this study by its ClinicalTrials.gov identifier: NCT01295827

Contacts
Contact: Toll Free Number 1-888-577-8839

Locations
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        
Sponsors and Collaborators
Merck
  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