A Study of RO7121661 and RO7247669 Compared With Nivolumab in Participants With Advanced or Metastatic Squamous Cell Carcinoma of the Esophagus

Название протокола
Клинические исследование Advanced or Metastatic Esophageal Squamous Cell Carcinoma: RO7121661, RO7247669, Nivolumab - Реестр клинических исследований
Платное
Нет
Дата начала и окончания КИ
2022-02-06 - 2022-02-06
Спонсоры

Ведущий спонсор: Hoffmann-La Roche

Источник Hoffmann-La Roche
Краткое содержание

This is a Phase II, randomized, blinded, active-controlled, global, multicenter study designed to evaluate the safety and efficacy of RO7121661 and RO7247669, compared with nivolumab, in patients with advanced or metastatic esophageal squamous-cell carcinoma (ESCC) refractory or intolerant to fluoropyrimidine- or taxane- and platinum-based regimen.

Общий статус Recruiting
Дата начала 2021-06-25
Дата завершения 2024-10-15
Дата первичного завершения 2024-10-15
Фаза Phase 2
Тип исследования Interventional
Первичный результат
Мера Временное ограничение
Overall Survival, Defined as the Time from Randomization to Death from Any Cause Up to 3 years, 4 months
Вторичный результат
Мера Временное ограничение
Number of Participants with Adverse Events, Severity Graded According to the National Cancer Institute Common Terminology Criteria for Adverse Events, version 5.0 (NCI-CTCAE v5.0) Up to 3 years, 4 months
Objective Response Rate (ORR), Defined as the Percentage of Participants with a Complete or Partial Response According to Response Evaluation Criteria in Solid Tumors, version 1.1 (RECIST v1.1) Up to 3 years, 4 months
Disease Control Rate (DCR), Defined as the Percentage of Participants with an Objective Response or Stable Disease According to RECIST v1.1 Up to 3 years, 4 months
Duration of Response for Participants with ORR, Defined as the Time from the First Occurrence of a Documented Objective Response to Disease Progression According to RECIST v1.1 or Death from any Cause, Whichever Occurs First Up to 3 years, 4 months
Progression-Free Survival (PFS), Defined as the Time from Randomization to the First Occurrence of Progression as Determined According to RECIST v1.1 or Death from any Cause, Whichever Occurs First Up to 3 years, 4 months
Percentage of Participants Reporting Clinically Meaningful Improvement in Global Health Status/Quality of Life (GHS/QoL), and Emotional and Social Functioning, Defined as a ≥10-Point Increase from Baseline as Measured by the EORTC QLQ-C30 Baseline (Day 1 of Cycle 1) and Day 1 of Cycles 4, 7, 10, and then every 6 cycles thereafter (each cycle is 14 days) until treatment discontinuation; and every 3 months during the first year of post-treatment follow-up (up to 3 years)
Percentage of Participants Reporting a Clinically Meaningful Improvement in GHS/QoL, and Emotional and Social Functioning, Defined as a ≥10-Point Increase from Baseline as Measured by the EORTC IL97 Questionnaire Baseline (Cycle 1 Day 1) and Day 1 of Cycles 2, 3, 5, 6, 8, and 9 (each cycle is 14 days)
Percentage of Participants Reporting a Clinically Meaningful Improvement in Dysphagia, Defined as a ≥10-Point Increase from Baseline as Measured by the EORTC QLQ-OES18 Baseline (Cycle 1 Day 1) and Day 1 of each subsequent treatment cycle (each cycle is 14 days) until treatment discontinuation; and every 3 months during the first year of post-treatment follow-up (up to 3 years)
Serum Concentrations of RO7121661, RO7247669, and Nivolumab Predose and at end of infusion on Day 1 of every treatment cycle and on Day 8 of Cycles 1 and 5 (each cycle is 14 days); and at treatment discontinuation (up to 2 years)
Area Under the Time-Serum Concentration Curve (AUC) of RO7121661, RO7247669, and Nivolumab Predose and at end of infusion on Day 1 of every treatment cycle and on Day 8 of Cycles 1 and 5 (each cycle is 14 days); and at treatment discontinuation (up to 2 years)
Maximum Serum Concentrations of RO7121661, RO7247669, and Nivolumab Predose and at end of infusion on Day 1 of every treatment cycle and on Day 8 of Cycles 1 and 5 (each cycle is 14 days); and at treatment discontinuation (up to 2 years)
Total Clearance of RO7121661, RO7247669, and Nivolumab Predose and at end of infusion on Day 1 of every treatment cycle and on Day 8 of Cycles 1 and 5 (each cycle is 14 days); and at treatment discontinuation (up to 2 years)
Volume of Distribution at Steady State of RO7121661, RO7247669, and Nivolumab Predose and at end of infusion on Day 1 of every treatment cycle and on Day 8 of Cycles 1 and 5 (each cycle is 14 days); and at treatment discontinuation (up to 2 years)
Terminal Half-Life of RO7121661, RO7247669, and Nivolumab Predose and at end of infusion on Day 1 of every treatment cycle and on Day 8 of Cycles 1 and 5 (each cycle is 14 days); and at treatment discontinuation (up to 2 years)
Number of Participants with Anti-Drug Antibodies (ADAs) to RO7121661, RO7247669, or Nivolumab at Baseline and During the Study Predose at Baseline (Day 1 of Cycle 1) and on Day 1 of Cycles 2, 3, 4, 5, and 7, and then every 3 cycles thereafter (each cycle is 14 days); and at treatment discontinuation (up to 2 years)
Change from Baseline in the Number of T-cell Subsets by Phenotype and Activation Status (CD4/CD8 HLA-DR+Ki67+) in the Peripheral Blood Predose at Baseline (Day 1 of Cycle 1) and on Day 1 of Cycles 2, 3, 5, and 7, and then every 3 cycles thereafter (each cycle is 14 days); and at treatment discontinuation (up to 2 years)
Change from Baseline in the Number of CD8+ T-cells Infiltrating the Tumor Microenvironment Baseline and Day 1 of Cycle 3 (each cycle is 14 days)
Change from Baseline in the Number of CD8+ T-cells Proliferating (CD8+Ki67+) in the Tumor Microenvironment Baseline and Day 1 of Cycle 3 (each cycle is 14 days)
Baseline PDL1, CD8+PD1+, CD8+TIM3+, and CD8+LAG3+ Expression in the Tumor Microenvironment At Baseline
Регистрация 255
Состояние
  • Advanced or Metastatic Esophageal Squamous Cell Carcinoma
Вмешательство

Тип вмешательства: Drug

Название вмешательства: RO7121661

Описание: 2100 milligrams (mg) administered by intravenous (IV) infusion once every 2 weeks on Day 1 of each 14-day cycle.

Этикетка Arm Group: RO7121661

Тип вмешательства: Drug

Название вмешательства: RO7247669

Описание: 2100 mg administered by IV infusion once every 2 weeks on Day 1 of each 14-day cycle.

Этикетка Arm Group: RO7247669

Тип вмешательства: Drug

Название вмешательства: Nivolumab

Описание: 240 mg administered by IV infusion once every 2 weeks on Day 1 of each 14-day cycle.

Этикетка Arm Group: Nivolumab

Другое имя: Opdivo®

Приемлемость

Критерии:

Inclusion Criteria: - Advanced or metastatic, histologically confirmed esophageal squamous-cell carcinoma (ESCC) - Patients who have previously received 1 line of treatment with either a fluoropyrimidine- and platinum- or a taxane- and platinum-based regimen in non-curative intention prior to randomization; or patients who received treatment with a fluoropyrimidine-/taxane- and platinum-based regimen in curative intention and had recurrence within 24 weeks after the last dose of the treatment - Radiologically measurable disease according to RECIST v1.1. Previously irradiated lesions should not be counted as target lesions unless clearly progressed after the radiotherapy - Eastern Cooperative Oncology Group (ECOG) Performance Status 0-1 - A life expectancy of at least (≥)12 weeks - Tissue samples must be provided for analysis of anti-programmed death ligand-1 (PD-L1) tumor positivity - Adverse events from any prior radiotherapy, chemotherapy, or surgical procedure must have resolved to Grade ≤1, except alopecia (any grade), vitiligo, endocrinopathy managed with replacement therapy, and Grade 2 peripheral neuropathy - Adequate cardiovascular, hematological, liver, and renal function - Serum albumin ≥25 grams per liter (g/L), - For participants not receiving therapeutic anticoagulation: prothrombin time (PT) and activated partial thromboplastin time ≤1.5 times (×) the upper limit of normal (ULN); for participants receiving therapeutic anticoagulation: stable anticoagulant regimen - A female participant is eligible to participate if she is not pregnant, not breastfeeding, not a woman of childbearing potential (WOCBP), or a WOCBP who agrees to remain abstinent (refrain from heterosexual intercourse) or use contraceptive methods during the treatment period and for at least 5 months after the final dose of study drug and have a negative pregnancy test (blood) within the 7 days prior to randomization. - A male participant must remain abstinent (refrain from heterosexual intercourse) or use contraceptive measures such as a condom plus an additional contraceptive method and refrain from donating sperm during the treatment period and for at least 5 months after the final dose of study drug Exclusion Criteria: - Pregnancy, lactation, or breastfeeding - Known hypersensitivity to any of the components of RO7121661, RO7247669, or nivolumab, including but not limited to, hypersensitivity to Chinese hamster ovary cell products or other recombinant human or humanized antibodies - Patients with significant malnutrition. Patients whose nutrition has been well controlled for ≥28 days prior to randomization may be enrolled - Evidence of complete esophageal obstruction not amenable to treatment - Higher risk of bleeding or fistula caused by esophageal lesions invading adjacent organs (aorta or tracheobronchial tree) - Symptomatic central nervous system (CNS) metastases - Spinal cord compression not definitively treated with surgery and/or radiation or without evidence that disease has been clinically stable for ≥14 days prior to randomization - Active or history of carcinomatous meningitis/leptomeningeal disease - Asymptomatic CNS primary tumors or metastases if they have requirement for steroids or enzyme inducing anticonvulsants in the last 28 days prior to randomization - Uncontrolled tumor-related pain. Participants requiring pain medication must be on a stable regimen at study entry - Active second malignancy (with some exceptions) - Evidence of significant, uncontrolled concomitant diseases that could affect compliance with the protocol or interpretation of results, including diabetes mellitus, history of relevant pulmonary disorders, known autoimmune diseases or immune deficiency, or other diseases with ongoing fibrosis (such as scleroderma, pulmonary fibrosis, emphysema, neurofibromatosis, palmar/plantar fibromatosis, etc.). - Encephalitis, meningitis, or uncontrolled seizures in the year prior to informed consent - Significant cardiovascular/cerebrovascular disease within 6 months prior to randomization - Known active or uncontrolled bacterial, viral, fungal, mycobacterial (including but not limited to tuberculosis [TB] and typical mycobacterial disease), parasitic, or other infection (excluding fungal infections of nail beds) or any major episode of infection requiring treatment with intravenous (IV) antibiotics or hospitalization (relating to the completion of the course of antibiotics, except if for tumor fever) within 28 days prior to randomization - Known clinically significant liver disease, including alcoholic hepatitis, cirrhosis, and inherited liver disease. - Major surgical procedure or significant traumatic injury (excluding biopsies) within 28 days prior to randomization, or anticipation of the need for major surgery during the course of the study - Any other diseases, metabolic dysfunction, physical examination finding, or clinical laboratory finding giving reasonable suspicion of a disease or condition that contraindicates the use of an investigational drug or that may affect the interpretation of the results or render the participant at high risk from treatment complications - Dementia or altered mental status that would prohibit informed consent - Uncontrolled pleural effusion, pericardial effusion, or ascites requiring recurrent drainage procedures (expected to occur once monthly or more frequently) - Active or history of autoimmune disease or immune deficiency - Positive human immunodeficiency virus (HIV) test at screening - Positive hepatitis B surface antigen (HBsAg) or positive total hepatitis B core antibody (HBcAb) test at screening - Positive hepatitis C virus (HCV) antibody test at screening - Prior cancer therapy with any immunomodulatory agents including checkpoint inhibitors (CPIs; such as anti-PDL1/PD1, anti-CTLA-4, anti-LAG3, anti-TIM3) - Vaccination with live vaccines within 28 days prior to randomization, or anticipation that a live attenuated vaccine will be required during the study - Treatment with therapeutic oral or IV antibiotics within 14 days prior to randomization - Concurrent therapy with any other investigational drug (defined as treatment for which there is currently no regulatory authority approved indication) 28 days or 5 half-lives of the drug (whichever is shorter) prior to randomization - Treatment with immune-modulating and immune suppressive agents/medication 5 half-lives or 28 days (whichever is shorter) prior to randomization - Regular immunosuppressive therapy (i.e., for organ transplantation, chronic rheumatologic disease) - Radiotherapy within the last 28 days before start of study drug treatment is not allowed, with the exception of limited palliative radiotherapy - Prior treatment with adoptive cell therapies, such as chimeric antigen receptor T cells (CAR-T) therapies

Пол:

All

Минимальный возраст:

18 Years

Максимальный возраст:

N/A

Здоровые волонтеры:

No

Общий Официальный
Фамилия Роль Присоединение
Clinical Trials Study Director Hoffmann-La Roche
Общий контакт

Фамилия: Reference Study ID Number: BP42772 https://forpatients.roche.com/

Телефон: 888-662-6728 (U.S. Only)

Расположение
Объект: Положение дел:
Inst. Alexander Fleming; Oncologia | Buenos Aires, C1426ANZ, Argentina Recruiting
UZ Antwerpen | Edegem, 2650, Belgium Recruiting
UZ Leuven Gasthuisberg | Leuven, 3000, Belgium Recruiting
Oncosite - Centro de Pesquisa Clinica Em Oncologia Ltda | Ijui, RS, 98700-000, Brazil Recruiting
Hospital das Clinicas - UFRGS | Porto Alegre, RS, 90035-903, Brazil Recruiting
Beneficencia Portuguesa de Sao Paulo | Sao Paulo, SP, 01323-900, Brazil Recruiting
Masarykův onkologický ústav; Klinika komplexní onkologické péče | Brno, 656 53, Czechia Recruiting
Fakultni nemocnice Olomouc; Onkologicka klinika | Olomouc, 779 00, Czechia Recruiting
Rigshospitalet; Onkologisk Klinik | København Ø, 2100, Denmark Recruiting
Odense Universitetshospital, Onkologisk Afdeling R | Odense C, 5000, Denmark Recruiting
Institut Bergonie; Oncologie | Bordeaux, 33076, France Recruiting
Hopital Claude Huriez; Medecine Interne Oncologie | Lille, 59037, France Recruiting
Institut régional du Cancer Montpellier | Montpellier, 34298, France Recruiting
APHP - Hopital Saint Antoine | Paris, 75571, France Recruiting
Universitaetsklinikum Leipzig | Leipzig, 04103, Germany Recruiting
Klinikum Mannheim III. Medizinische Klinik | Mannheim, 68167, Germany Recruiting
Klinikum Bogenhausen; Klinik für Gastroenterologie, Hepatologie und Gastroenterologische Onkologie | München, 81925, Germany Recruiting
Gemeinschaftspraxis für Hämatologie und Onkologie | Münster, 48153, Germany Withdrawn
Jasz-Nagykun-Szolnok Megyei Hetenyi Geza Korhaz-Rendelointezet; Megyei Onkologiai Kozpont | Szolnok, 5004, Hungary Recruiting
Università degli Studi della Campania Luigi Vanvitelli; Divsione Di Oncologia Medica | Napoli, Campania, 80131, Italy Recruiting
Istituto Scientifico Romagnolo Per Lo Studio E La Cura Dei Tumori IRST - PPDS | Meldola, Emilia-Romagna, 47014, Italy Recruiting
Azienda Sanitaria Universitaria Integrata di Udine - PO Universitario Santa Maria della | Udine, Friuli-Venezia Giulia, 33100, Italy Recruiting
Policlinico Universitario "Agostino Gemelli"; U.O.C. Oncologia Medica | Roma, Lazio, 00168, Italy Recruiting
IRCCS Istituto Oncologico Veneto (IOV); Oncologia Medica Seconda | Padova, Veneto, 35128, Italy Recruiting
Azienda Ospedaliera Universitaria Integrata Verona - Ospedale Borgo Roma | Verona, Veneto, 37134, Italy Recruiting
International Cancer Institute (ICI) | Eldoret, 30100, Kenya Recruiting
Aga Khan University Hospital | Nairobi, 00100, Kenya Recruiting
Chonnam National University Hwasun Hospital | Jeollanam-do, 58128, Korea, Republic of Recruiting
Seoul National University Bundang Hospital | Seongnam-si, 13605, Korea, Republic of Recruiting
Severance Hospital, Yonsei University Health System | Seoul, 03722, Korea, Republic of Recruiting
Asan Medical Center | Seoul, 05505, Korea, Republic of Recruiting
Korea University Guro Hospital | Seoul, 08308, Korea, Republic of Recruiting
Szpital Specjalistyczny Podkarpacki Ośrodek Onkologiczny | Brzozów, 36-200, Poland Recruiting
Centrum Onkologii w Bydgoszczy | Bydgoszcz, 85-796, Poland Recruiting
Szpital Morski im. PCK; Poradnia Onkologiczna | Gdynia, 81-519, Poland Recruiting
Krakowski Szpital Specjalistyczny im. Jana Pawła II; Oddz. Klin. Chir. Klatki Piersiowej i Onkol. | Kraków, 31-202, Poland Recruiting
NIO im Marii Sklodowskiej-Curie; Klinika Onkologii i Radioterapii | Warszawa, 02-034, Poland Recruiting
MEDSI Clinical Hospital on Pyatnitsky Highway; Department of antitumor drug therapy | Moscow, Moskovskaja Oblast, 143422, Russian Federation Recruiting
Group of companies "Medci" | Moskva, Moskovskaja Oblast, 105229, Russian Federation Recruiting
First Moscow State Medical University n.a. I.M. Sechenov | Moscow, 119991, Russian Federation Recruiting
Bashkirian Republican Clinical Oncology Dispensary | UFA, 450054, Russian Federation Active, not recruiting
National Cancer Centre; Medical Oncology | Singapore, 169610, Singapore Recruiting
Curie Oncology | Singapore, 329563, Singapore Recruiting
Limpopo Oncology Clinic | Polokwane, 0700, South Africa Recruiting
Complejo Hospitalario de Navarra; Servicio de Oncologia | Pamplona, Navarra, 31008, Spain Recruiting
Hospital Clínic i Provincial; Servicio de Oncología | Barcelona, 08036, Spain Recruiting
Hospital Ramon y Cajal; Servicio de Oncologia | Madrid, 28034, Spain Recruiting
Hospital Clinico Universitario de Valencia; Servicio de Onco-hematologia | Valencia, 46010, Spain Recruiting
Changhua Christian Hospital | Chang Hua, 500, Taiwan Recruiting
Taipei Veterans General Hospital; Department of Oncology | Taipei City, 112201, Taiwan Recruiting
National Taiwan University Hospital; Oncology | Zhongzheng Dist., 10048, Taiwan Recruiting
Ramathibodi Hospital; Dept of Med.-Div. of Med. Onc | Bangkok, 10400, Thailand Recruiting
Siriraj Hospital; Medical Oncology Unit | Bangkok, 10700, Thailand Recruiting
Songklanagarind Hospital; Department of Oncology | Songkhla, 90110, Thailand Active, not recruiting
Memorial Ankara Hastanesi | Ankara, 06520, Turkey Recruiting
Dicle Uni Medical Faculty; Internal Medicine | Diyarbakir, 10000, Turkey Recruiting
Ataturk University Medical Faculty Yakutiye Research Hospital Medical Oncology Department | Erzurum, 25240, Turkey Recruiting
Inonu University Medical Faculty Turgut Ozal Medical Center Medical Oncology Department | Malatya, 44280, Turkey Recruiting
Van Yuzuncu Yil University Hospital; Medical Oncology | Van, 65000, Turkey Recruiting
Acıbadem Altunizade Hastanesi; Oncology | Üsküdar, 34662, Turkey Recruiting
Communal Non profit Enterprise Regional Center of Oncology; Oncosurgical dept of thoracic organs | Kharkiv, Kharkiv Governorate, 61070, Ukraine Recruiting
CI of Kherson Regional Council Kherson Regional Oncology Dispensary | Kherson, Kherson Governorate, 73000, Ukraine Recruiting
Regional Municipal Institution Sumy Regional Clinical Oncology Dispensary | Sumy, 40005, Ukraine Recruiting
MI Zaporizhzhia Regional Clinical Oncological Dispensary Zaporizhzhia SMU Ch of Oncology | Zaporizhzhya, 69040, Ukraine Recruiting
Nottingham City Hospital; Oncology | Nottingham, NG5 1PB, United Kingdom Recruiting
Расположение Страны

Argentina

Belgium

Brazil

Czechia

Denmark

France

Germany

Hungary

Italy

Kenya

Korea, Republic of

Poland

Russian Federation

Singapore

South Africa

Spain

Taiwan

Thailand

Turkey

Ukraine

United Kingdom

Дата проверки

2022-01-01

Ответственная сторона

Тип: Sponsor

Имеет расширенный доступ No
Состояние Просмотр
  • Carcinoma
  • Carcinoma, Squamous Cell
  • Esophageal Squamous Cell Carcinoma
  • Esophageal Neoplasms
Количество рук 3
Группа вооружений

Метка: RO7121661

Тип: Experimental

Метка: RO7247669

Тип: Experimental

Метка: Nivolumab

Тип: Active Comparator

Данные пациента Yes
Информация о дизайне исследования

Распределение: Randomized

Модель вмешательства: Parallel Assignment

Первичное назначение: Treatment

Маскировка: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)