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SNCTP000003442 | NCT02947165 | BASEC2019-01157

Studie zur Untersuchung von NIS793 in Kombination mit PDR001 bei erwachsenen Patienten mit fortgeschrittenen Tumoren

Base di dati: BASEC (Importata da 03.05.2024), WHO (Importata da 03.05.2024)
Cambiato: 23 dic 2023, 17:05
Categoria di malattie: Altro cancro, Cancro del pancreas, Cancro del colon-retto, Cancro del rene, Cancro del seno, Cancro del polmone

Descrizione riassuntiva della sperimentazione (Fonte di dati: BASEC)

In dieser klinischen Studie soll untersucht werden, ob die Kombinationstherapie mit NIS793 und PDR001 bei Patienten mit fortgeschrittenem bzw. metastatischem Krebs wirksam und sicher ist. NIS793 und PDR001 sind Medikamente, die das Immunsystem zur Bekämpfung des Tumors aktivieren. Sie werden als eine intravenöse Infusion verabreicht. Sie sind noch von keiner Gesundheitsbehörde der Welt zugelassen. Die Studie besteht aus zwei Teilen: Dosissteigerung und Dosisexpansion. • Dosissteigerung: Zu Beginn erhält eine kleine Gruppe von Patienten ausschliesslich die Studienbehandlung NIS793. Nachdem bekannt ist, welche Dosisstärken von NIS793 bei alleiniger Verabreichung verträglich sind, erhalten nachfolgende Patienten NIS793 in Kombination mit PDR001. Dieser schrittweise Ablauf wird fortgesetzt, bis die optimale Dosis von NIS793 in Kombination mit PDR001 basierend auf Nebenwirkungen und dem Anteil von NIS793 in Ihrem Blut (Pharmakokinetik) ermittelt worden ist. • Dosisexpansion: Im zweiten Teil der Studie erhalten die Patienten die NIS793-Dosis in Kombination mit PDR001, die basierend auf dem Dosissteigerungsteil als sicher befunden worden ist. Patienten in der Schweiz werden in der Dosisexpansion teilnehmen. Es werden weltweit etwa 220 Patienten in die Studie eingeschlossen, davon ungefähr 15 in der Schweiz.

Malattie studiate(Fonte di dati: BASEC)

Fortgeschrittene Tumore wie nichtkleinzelliger Lungenkrebs, Brustkrebs, Leberzellkarzinom, Kolorektalkarzinom, Bauchspeicheldrüsenkrebs oder Nierenzellkarzinom

Health conditions (Fonte di dati: WHO)

Breast Cancer;Lung Cancer;Hepatocellular Cancer;Colorectal Cancer;Pancreatic Cancer;Renal Cancer

Malattia rara (Fonte di dati: BASEC)

No

Interventi esaminati (p. es. medicamento, terapia, campagna) (Fonte di dati: BASEC)

NIS793 und PDR001 werden alle drei Wochen als intravenöse Infusion verabreicht (21-Tage-Zyklus). Alternativ kann NIS793 alle zwei Wochen und PDR001 alle 4 Wochen verabreicht werden («28-Tage-Zyklus).

Interventions (Fonte di dati: WHO)

Drug: NIS793;Drug: PDR001

Criteri per la partecipazione alla sperimentazione (Fonte di dati: BASEC)

- Männliche oder weibliche Patienten ab 18 Jahre
- Patienten mit fortgeschrittenen Tumoren wie nichtkleinzelliger Lungenkrebs, Brustkrebs, Leberzellkarzinom, Kolorektalkarzinom, Bauchspeicheldrüsenkrebs oder Nierenzellkarzinom

Criteri di esclusione (Fonte di dati: BASEC)

- Patienten, die Hirnmetastasen haben
- Patienten mit einer Autoimmunerkrankung

Inclusion/Exclusion Criteria (Fonte di dati: WHO)


Inclusion Criteria:

1. Written informed consent must be obtained prior to any screening procedures.

2. Patient (male or female) = 18 years of age.

3. Escalation: Patients with advanced/metastatic solid tumors, with measurable or
non-measurable disease as determined by RECIST version 1.1 who have progressed despite
standard therapy or are intolerant of standard therapy, or for whom no standard
therapy exists.

4. Expansion: Patients with advanced/metastatic solid tumors, with at least one
measurable lesion as determined by RECIST version 1.1, who have progressed despite
standard therapy following their last prior therapy or are intolerant to standard
therapy and fit into one of the following groups: Group 1: NSCLC resistant to
anti-PD-1/PD-L1; Group 2: TNBC; Group 3: HCC; Group 4: MSS-CRC; Group 5: pancreatic;
Group 6 ccRCC resistant to anti-PD-1/PD-L1.

Resistance to anti-PD-1/PD-L1 therapy is defined as: Documented progressive disease
occurring while on/or within 6 months after anti-PD-1 and/or anti-PD-L1 agent (single
or combination) received as the last therapy prior to enrollment.

5. ECOG Performance Status = 2.

6. Patients must have a site of disease amenable to biopsy, and be a candidate for tumor
biopsy. Patient must be willing to undergo a new tumor biopsy at screening, and during
therapy on this study. Exceptions may be made on a case by case basis after documented
discussion with Novartis.

Exclusion Criteria:

1. History of severe hypersensitivity reactions to study treatment ingredients or other
monoclonal antibodies and components of study drug.

2. Patients with active, known or suspected autoimmune disease. Note: Patients with
vitiligo, type I diabetes mellitus, residual hypothyroidism 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.

3. HIV infection.

4. Active HBV or HCV infection.

Other protocol-defined inclusion/exclusion criteria may apply.

Altri dati sulla sperimentazione nel registro primario dell’OMS

https://clinicaltrials.gov/show/NCT02947165

Altri dati sulla sperimentazione dalla banca dati dell’OMS (ICTRP)

https://trialsearch.who.int/Trial2.aspx?TrialID=NCT02947165
Altre informazioni sulla sperimentazione

Data di registrazione della sperimentazione

18 ott 2016

Inserimento del primo partecipante

25 apr 2017

Stato di reclutamento

Completed

Titolo scientifico (Fonte di dati: WHO)

A Phase I/Ib, Open-label, Multi-center Dose Escalation Study of NIS793 in Combination With PDR001 in Adult Patients With Advanced Malignancies

Tipo di sperimentazione (Fonte di dati: WHO)

Interventional

Disegno della sperimentazione (Fonte di dati: WHO)

Allocation: Non-Randomized. Intervention model: Parallel Assignment. Primary purpose: Treatment. Masking: None (Open Label).

Fase (Fonte di dati: WHO)

Phase 1

Punti finali primari (Fonte di dati: WHO)

Incidence of DLTs, AEs, SAEs and dose reductions / interruptions for NIS793;Incidence of DLTs, AEs, SAEs and dose reductions/interruptions for NIS793 in combination with PDR001

Punti finali secondari (Fonte di dati: WHO)

Best overall response (BOR);Disease control rate (DCR);Overall response rate (ORR);Progression free survival (PFS);Duration of response (DOR);Serum concentration-time profiles of NIS793 single agent and NIS793 in combination with PDR001;Presence of anti-NIS793 and anti-PDR001 antibodies;Concentration of anti-NIS793 and anti-PDR001 antibodies;Area under the curve (AUC) for NIS793 single agent and NIS793 in combination with PDR001.;Cmax for NIS793 single agent and NIS793 in combination with PDR001.;Tmax for NIS793 single agent and NIS793 in combination with PDR001.;Half life of NIS793 as single agent and in combination with PDR001.;Characterization of tumor infiltrating lymphocytes (TILs) by H&E;Characterization of tumor infiltrating lymphocytes by immunohistochemistry using markers such as CD8 and PD-L1

Contatto per informazioni (Fonte di dati: WHO)

Please refer to primary and secondary sponsors

Risultati della sperimentazione (Fonte di dati: WHO)

Sintesi dei risultati

ancora nessuna informazione disponibile

Collegamento ai risultati nel registro primario

ancora nessuna informazione disponibile

Informazioni sulla disponibilità dei dati dei singoli partecipanti

ancora nessuna informazione disponibile

Siti di esecuzione della sperimentazione

Siti di esecuzione in Svizzera (Fonte di dati: BASEC)

San Gallo

Paesi di esecuzione (Fonte di dati: WHO)

Austria, Canada, Germany, Hong Kong, Italy, Japan, Switzerland, Taiwan, United States

Contatto per maggiori informazioni sulla sperimentazione

Dati della persona di contatto in Svizzera (Fonte di dati: BASEC)

Patrick Grabher
+41 79 330 70 18
patrick.grabher@novartis.com

Contatto per informazioni generali (Fonte di dati: WHO)

Novartis Pharmaceuticals
Novartis Pharmaceuticals

Contatto per informazioni scientifiche (Fonte di dati: WHO)

Novartis Pharmaceuticals
Novartis Pharmaceuticals

Autorizzazione da parte della commissione d’etica (Fonte di dati: BASEC)

Nome della commissione d’etica che rilascia l’autorizzazione (nel caso di studi multicentrici solo la commissione direttiva)

Ethikkommission Ostschweiz (EKOS)

Data di autorizzazione da parte della commissione d’etica

09.08.2019

Altri numeri di identificazione delle sperimentazioni

Numero di identificazione della sperimentazione della commissione d’etica (BASEC-ID) (Fonte di dati: BASEC)

2019-01157

Secondary ID (Fonte di dati: WHO)

2016-003044-36
CNIS793X2101
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