AzTrials
AzTrials

NeoplasmsPhase 1NCT02817633

A Study of TSR-022 in Participants With Advanced Solid Tumors (AMBER)

A Phase 1 study testing TSR-022, Nivolumab and TSR-042 in people with Neoplasms, run by Tesaro, Inc. at 89 sites in 3 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

This is a first-in-human study evaluating the anti-T cell immunoglobulin and mucin containing protein-3 (TIM-3) antibody TSR-022. The study will be conducted in 2 parts with Part 1 consisting of dose escalation and Part 2 dose expansion. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Neoplasms
What is being tested?
TSR-022, Nivolumab and TSR-042
Could I receive a placebo?
No, everyone receives an active treatment
How many people
463 participants
Where
89 sitesin 3 countries
Study dates
8 Jul 2016to 1 Mar 2027
Phase
Phase 1
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Participant is at least 18 years of age.
  • Female participants of childbearing potential must have a negative serum or urine pregnancy test within 72 hours prior to the date of the first dose of study medication or be of non-childbearing potential.
  • Participant has an ECOG performance status of less than or equal to (<=)1.
  • Participant has adequate organ function.
  • Inclusion Criteria for Participants in Part 1 and Part 2 Cohorts A, B, and C:
  • Participant with advanced or metastatic solid tumor who meets the requirements for the part of the study/cohort he/she will participate in, as follows:
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  • Part 2: Histologically proven advanced (unresectable) or metastatic solid tumor that is measurable by computed tomography (CT) or magnetic resonance imaging (MRI) per RECIST version 1.1 criteria Inclusion Criteria for Participants in Part 2 Cohort D
  • Participants with advanced or metastatic non-small cell lung carcinoma (NSCLC) that is measurable by CT or MRI per RECIST version 1.1 criteria and meet the following criteria:
  • NSCLC histology includes squamous or non-squamous cell carcinoma.
  • Participants have received no more than 2 prior lines of therapy, which must include a platinum-based chemotherapy (for example [e.g.], cisplatin, carboplatin) and an anti- programmed death-ligand 1 (PD-L1) antibody.
  • Participants must have documented radiographic progression by RECIST version 1.1 criteria on prior anti-programmed cell death protein (PD-1) or anti-PD-L1 therapy.
  • Biopsies -All participants enrolled must undergo a biopsy prior to study entry, and the biopsy tissue must be submitted to the central laboratory for all participants in order to determine T-cell immunoglobulin and mucin-domain containing-3 (TIM-3) expression level prior to first dose. If a participant has had a biopsy prior to entering the 35-day screening period and within approximately 12 weeks of study treatment, that biopsy may be accepted as the Baseline fresh biopsy.
  • Participant is greater than or equal to (>=)18 years old, is able to understand the study procedures, and agrees to participate in the study by providing written informed consent which includes compliance with the requirements and restrictions listed in the Informed consent form (ICF) and protocol.
  • Participant has histologically or cytologically proven advanced or metastatic NSCLC, and only squamous or non-squamous cell carcinoma.
  • Participant has received no more than 2 prior lines of therapy for advanced or metastatic disease, which must only include a platinum-based (eg, cisplatin, carboplatin) doublet chemotherapy regimen and an anti-PD-1 or anti-PD-L1 antibody (no other biologic agents alone or in combination; novel combinations are not allowed). Participants previously treated with targeted therapies, including angiogenesis inhibitors (eg, bevacizumab, ramucirumab, lenvatinib), are not eligible.
  • Participant has measurable disease, that is, presenting with at least 1 measurable lesion per RECIST v1.1 as determined by the local site Investigator/radiology assessment. Target lesions situated in a previously irradiated area are considered measurable if disease progression has been demonstrated in such lesions and if there are other target lesions. If there is only 1 target lesion that was previously irradiated, the participant is not eligible.
  • Participant has documented radiological disease progression on prior platinum-based chemotherapy and on prior anti-PD-1 or anti-PD-L1 therapy according to RECIST v1.1.
  • Participant agrees to submit an archival formalin fixed paraffin embedded (FFPE) tumor tissue specimen that was collected on or after diagnosis of metastatic disease from location(s) not irradiated prior to biopsy. Both tissue block and freshly cut slides are acceptable. If archival tissue is not available, the participant must undergo biopsy prior to study entry.
  • Participant has an ECOG performance status score of 0 or 1.
  • Participant has a life expectancy of at least 3 months and is anticipated to be able to complete 4 cycles of docetaxel treatment.
  • Participant has adequate organ function as defined in the protocol
  • Contraceptive use by male and female participants should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
  • Histologically confirmed locally advanced or metastatic and/or unresectable Hepatocellcular Carcinoma (HCC)
  • Barcelona Clinic Liver Cancer Stage B or C
  • Cirrhosis grade of Child-Pugh Class A
  • No prior systemic therapy for HCC
  • Documented HBV testing at screening, including hepatitis B surface antigen (HBsAg), hepatitis B surface antibody (HBsAB) and hepatitis B core antibody (HBcAb). Participants with a positive HBsAg will require negative hepatitis B virus (HBV) DNA testing at screening.
  • Participants with chronic HBV infection (HBsAg +) are required to be receiving effective antiviral therapy (i.e., with Tenofovir or Entecavir) for at least 14 days with willingness to continue for the length of the study and have HBV deoxyribonucleic acid (DNA) less than 100 International Units Per Milliliter (IU/mL) within 28 days prior to initiation of study treatment.
  • Participants with chronic HBV infection (HBsAg+) require documented Hepatitis D virus (HDV) antibody testing conducted at screening. If HDV antibody is positive, then HDV ribonucleic acid (RNA) must be negative to participate.
  • Participants with a negative HBsAg and positive HBcAb result are eligible only if HBV DNA is negative (Past HBV participants).
  • Documented hepatitis C virus (HCV) antibody testing conducted at screening. If HCV antibody is positive, then HCV RNA must be negative. Participants with recently treated HCV prior to study start must be greater than (>)12 weeks from final HCV treatment.
  • Must have measurable disease, defined as at least one tumor lesion that can be accurately measured according to RECIST v1.1
  • Participant agrees to submit an archival FFPE tumor tissue specimen that was collected on or after diagnosis of metastatic disease from location(s) not irradiated prior to biopsy. Both tissue block and freshly cut slides are acceptable. If archival tissue is not available, the participant must undergo biopsy prior to study entry.
  • Participants are also encouraged, but not required, to have a fresh tumor tissue biopsy of a primary or metastatic tumor prior to dosing (samples will be used to enable biomarker analysis).
  • International normalized ratio (INR) or prothrombin time (PT) <= 2× upper limit of normal (ULN) unless participant is receiving anticoagulant therapy as long as PT or partial thromboplastin (PTT) is within therapeutic range of intended use of anticoagulants. Activated partial thromboplastin time (aPTT) <=2×ULN unless participant is receiving anticoagulant therapy as long as PT or PTT is within therapeutic range of intended use of anticoagulants
  • Negative human immunodeficiency virus (HIV) test at screening The Investigator is responsible for review of medical history, menstrual history, and recent sexual activity to decrease the risk for inclusion of a woman with an early undetected pregnancy.

Who cannot join

  • History of Grade greater than or equal to (>=)3 immune-related AE with prior immunotherapy, with the exception of non-clinically significant lab abnormalities.
  • Participant has known uncontrolled central nervous system (CNS) metastases and/or carcinomatous meningitis.
  • Participant has a known additional malignancy that progressed or required active treatment within the last 2 years. Participants with a prior or concurrent malignancy whose natural history or treatment does not have the potential to interfere with the safety or efficacy assessment of the investigational regimen may be included only after discussion with the Medical Monitor.
  • Participant is considered a poor medical risk due to a serious, uncontrolled medical disorder, non-malignant systemic disease or active infection requiring systemic therapy.
  • Participant is pregnant or breastfeeding or expecting to conceive children within the projected duration of the study, starting with the Screening Visit through 150 days after the last dose of study treatment.
  • Participant has a diagnosis of immunodeficiency or is receiving systemic steroid therapy or any other form of immunosuppressive therapy within 7 days prior to the first dose of study treatment.
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  • A participant with negative (as determined by Central Testing Lab) or unevaluable TIM-3 expression from tissue obtained prior to study entry will not be eligible for the study.
  • Participant has received prior therapy as defined below:
  • Prior treatment with anti-PD-1, anti-PD-L1, or anti-PD-L2 agent that resulted in permanent discontinuation due to an AE.
  • Prior treatment with an anti-lymphocyte activation gene (LAG)-3 or anti-TIM-3.
  • Radiologic or clinical progression <= 8 weeks after initiation of prior anti-PD-1 or anti-PD-L1 antibody.
  • Participants with known epidermal growth factor receptor (EGFR) mutation, anaplastic lymphoma kinase (ALK) translocation, or receptor tyrosine kinase (ROS1) mutation.
  • Participant has received a vaccine other than a vaccine against severe acute respiratory syndrome (SARS)-coronavirus 2 (CoV-2) infection ("Coronavirus Disease 2019" [COVID-19]) within 7 days of planned start of study therapy. The use of all COVID-19 vaccines is allowed, with the exception of COVID-19 vaccines using the recombinant adenoviral vector platform within 30 days of planned start of study therapy. If a COVID-19 vaccine using this platform is to be administered within 30 days of planned start of study therapy, this must first be discussed with and approved by the Sponsor's Medical Monitor.
  • Participant has been previously treated with an anti PD 1, anti PD L1, or anti PD L2 agent that resulted in permanent discontinuation due to an AE
  • Participant has been previously treated with an anti TIM-3 or anti cytotoxic T lymphocyte-associated protein 4 (CTLA 4) agent or docetaxel.
  • Participant has a documented sensitizing EGFR, ALK, or ROS-1 mutation. Participants whose tumors have not been tested for these driver mutations and therefore who have unknown driver mutation status are not eligible. Participants with squamous histology do not need to be tested for these driver mutations.
  • Participant had radiological or clinical disease progression (that is [ie,] worsening performance status, clinical symptoms, and laboratory data) <=8 weeks after initiation of prior anti PD 1 or anti-PD-L1 antibody. The clinical disease progression should have been confirmed by a subsequent radiological scan.
  • Participant has received radiation to the lung that is >30 Gray (Gy) within 6 months prior to the first dose of study treatment.
  • Participant has completed palliative radiotherapy within 7 days prior to the first dose of study treatment.
  • Participant has an additional malignancy or a history of prior malignancy, with the exception of adequately treated basal or squamous skin cancer, cervical carcinoma in situ, or bladder carcinoma in situ without evidence of disease, or had a malignancy treated with curative intent and with no evidence of disease recurrence for 5 years since the initiation of that therapy.
  • Participant has known new or progressive brain metastases and/or leptomeningeal metastases. Participants who have received prior therapy for their brain metastases and have radiologically stable central nervous system disease may participate, provided they are neurologically stable for at least 4 weeks before study entry and are off corticosteroids within 3 days prior to the first dose of study treatment.
  • Participant has tested positive for the following at Screening or within 3 months before the first dose of study treatment:
  • Presence of hepatitis B surface antigen.
  • Presence of hepatitis C antibody in the absence of an Ribonucleic acid (RNA) test for hepatitis C virus.
  • Participant has known human immunodeficiency virus (HIV) (positive for HIV 1 or HIV 2 antibodies).
  • Participant has active autoimmune disease that required systemic treatment in the past 2 years, is immunocompromised in the opinion of the Investigator, or is receiving systemic immunosuppressive treatment. Replacement therapy (eg, thyroxine, insulin, or physiologic corticosteroid replacement therapy of prednisone, or equivalent, for adrenal or pituitary insufficiency) is not considered a form of systemic treatment.
  • Participant has received systemic steroid therapy within 3 days prior to the first dose of the study treatment or is receiving any other form of immunosuppressive medication. Replacement therapy is not considered a form of systemic therapy. Use of inhaled corticosteroids, local steroid injection, or steroid eye drops is allowed.
  • Participant has current interstitial lung disease, current pneumonitis, or a history of pneumonitis that required the use of glucocorticoids to assist with management. Lymphangitic spread of the NSCLC is not exclusionary.
  • Participant does not meet requirements per local prescribing guidelines for receiving treatment with docetaxel, including severe hypersensitivity reactions to drugs formulated with polysorbate 80.
  • Participant has received prior anticancer therapy (chemotherapy, targeted therapies, radiotherapy, or immunotherapy) within 21 days, or less than 5 times the half life of the most recent therapy prior to study Day 1, whichever is shorter.
  • Known fibrolamellar HCC, sarcomatoid HCC or mixed cholangiocarcinoma and HCC
  • Participant must not have had major surgery <= 3 weeks prior to initiating protocol therapy and participant must have recovered from any surgical effects
  • Participants must not have received investigational therapy <= 4 weeks, or within a time interval less than at least 5 half-lives of the investigational agent, whichever is shorter, prior to initiating protocol therapy.
  • Active or untreated central nervous system (CNS) and leptomeningeal metastases
  • Prior therapy with any medication targeting PD-1, PD-L1, or TIM-3
  • Participant must not have a known hypersensitivity to TSR-042 and TSR-022 components or excipients.
  • Participants with active malignancy (other than HCC) or a prior malignancy within the past 2 years are excluded. Participants with completely resected cutaneous melanoma (early stage), basal cell carcinoma, cutaneous squamous cell carcinoma, cervical carcinoma in-situ, breast carcinoma in-situ, and localized prostate cancer are eligible
  • Participant must not have serious, uncontrolled medical disorder, or nonmalignant systemic disease as determined by the treating physician. Examples include, but are not limited to uncontrolled ventricular arrhythmia, uncontrolled major seizure disorder, unstable spinal cord compression, or superior vena cava syndrome.
  • Has a history or evidence of cardiac abnormalities within the 6 months prior to enrollment, including:
  • Serious, uncontrolled cardiac arrhythmia or clinically significant ECG abnormalities including second-degree (Type II) or third-degree atrioventricular (AV) block.
  • Cardiomyopathy, myocarditis, myocardial infarction, acute coronary syndromes (including angina pectoris), coronary angioplasty, stenting, or bypass grafting.
  • Congestive heart failure [New York Heart Association (NYHA) Class III or IV]
  • Symptomatic pericarditis
  • Known history of HIV infection
  • Active tuberculosis infection or other microbial infection or any active systemic infection requiring parenteral antibiotic therapy. All prior infections must have resolved following optimal therapy.
  • Participant has an active autoimmune disease that has required systemic treatment in the past 2 years (. i.e., with use of disease-modifying agents, corticosteroids, or immunosuppressive drugs). Replacement therapy (e.g., thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency, etc.) is not considered a form of systemic treatment.
  • History of idiopathic pulmonary fibrosis, interstitial lung disease, bronchial asthma, organizing pneumonia, bronchiolitis obliterans, drug-induced pneumonitis, or idiopathic pneumonitis
  • History of organ transplantation including allogeneic bone marrow transplantation
  • Participant has a diagnosis of immunodeficiency or has been receiving systemic steroid therapy or any other form of immunosuppressive therapy within 7 days prior to initiating protocol therapy.
  • Participant has received a live vaccine within 7 days of initiating protocol therapy. Seasonal flu vaccines that do not contain live virus and COVID 19 vaccines are permitted.
  • Psychiatric illness/social situations that would limit compliance with study requirements
  • Pregnant, lactating, breastfeeding, or intending to become pregnant during the study and for 150 days after the study

Trial locations and contacts

89 sites in 3 countries.

89 sites in 3 countries

United States64 sites
  • GSK Investigational Site

    Arlington Heights, Illinois, 60005

  • GSK Investigational Site

    Atlanta, Georgia, 30322

  • GSK Investigational Site

    Augusta, Georgia, 30912

  • GSK Investigational Site

    Aurora, Colorado, 80012

  • GSK Investigational Site

    Aurora, Colorado, 80045

  • GSK Investigational Site

    Austin, Texas, 78705

  • GSK Investigational Site

    Bethlehem, Pennsylvania, 18015

  • GSK Investigational Site

    Boston, Massachusetts, 02114

  • GSK Investigational Site

    Charleston, South Carolina, 29425

  • GSK Investigational Site

    Chicago, Illinois, 60637

  • GSK Investigational Site

    Cincinnati, Ohio, 45242

  • GSK Investigational Site

    Cleveland, Ohio, 44106

  • GSK Investigational Site

    Dallas, Texas, 75246

  • GSK Investigational Site

    Denver, Colorado, 80218

  • GSK Investigational Site

    Detroit, Michigan, 48202

  • GSK Investigational Site

    Encinitas, California, 92024

  • GSK Investigational Site

    Eugene, Oregon, 97401

  • GSK Investigational Site

    Fairfax, Virginia, 22031

  • GSK Investigational Site

    Florissant, Missouri, 63031

  • GSK Investigational Site

    Fort Worth, Texas, 76104

  • GSK Investigational Site

    Fountain Valley, California, 92708

  • GSK Investigational Site

    Goodyear, Arizona, 85338

  • GSK Investigational Site

    Greenville, South Carolina, 29605

  • GSK Investigational Site

    Hackensack, New Jersey, 07601

  • GSK Investigational Site

    Houston, Texas, 77030

  • GSK Investigational Site

    Iowa City, Iowa, 52242

  • GSK Investigational Site

    Jacksonville, Florida, 32224

  • GSK Investigational Site

    Kennewick, Washington, 99336

  • GSK Investigational Site

    Longview, Texas, 75601

  • GSK Investigational Site

    Los Angeles, California, 90024

  • GSK Investigational Site

    Los Angeles, California, 90025

  • GSK Investigational Site

    Louisville, Kentucky, 40202

  • GSK Investigational Site

    Madison, Wisconsin, 53792

  • GSK Investigational Site

    McAllen, Texas, 78503-1298

  • GSK Investigational Site

    Miami, Florida, 33140

  • GSK Investigational Site

    Nashville, Tennessee, 37203

  • GSK Investigational Site

    New Haven, Connecticut, 06511

  • GSK Investigational Site

    New York, New York, 10016

  • GSK Investigational Site

    Niles, Illinois, 60714

  • GSK Investigational Site

    Pikeville, Kentucky, 41501

  • GSK Investigational Site

    Pittsburgh, Pennsylvania, 15232

  • GSK Investigational Site

    Puyallup, Washington, 98373

  • GSK Investigational Site

    Rochester, Minnesota, 55905

  • GSK Investigational Site

    San Antonio, Texas, 78229

  • GSK Investigational Site

    San Marcos, California, 92069

  • GSK Investigational Site

    Sarasota, Florida, 34232

  • GSK Investigational Site

    Scottsdale, Arizona, 85258

  • GSK Investigational Site

    Seattle, Washington, 98111

  • GSK Investigational Site

    St Louis, Missouri, 63110

  • GSK Investigational Site

    St Louis, Missouri, 63129

  • GSK Investigational Site

    St Louis, Missouri, 63141

  • GSK Investigational Site

    Tacoma, Washington, 98405

  • GSK Investigational Site

    Tampa, Florida, 33612

  • GSK Investigational Site

    Temple, Texas, 76508

  • GSK Investigational Site

    The Bronx, New York, 10461

  • GSK Investigational Site

    Toledo, Ohio, 43623

  • GSK Investigational Site

    Tucson, Arizona, 85704

  • GSK Investigational Site

    Tucson, Arizona, 85711

  • GSK Investigational Site

    Tyler, Texas, 75702

  • GSK Investigational Site

    Vancouver, Oregon, 97213-2982

  • GSK Investigational Site

    Washington D.C., District of Columbia, 20007

  • GSK Investigational Site

    Wheaton, Maryland, 20850

  • GSK Investigational Site

    Whittier, California, 90606

  • GSK Investigational Site

    Wichita, Kansas, 67214

Other trials in United States

Spain20 sites
  • GSK Investigational Site

    Barcelona, 08017

  • GSK Investigational Site

    Barcelona, 08025

  • GSK Investigational Site

    Barcelona, 8035

  • GSK Investigational Site

    Girona, 17007

  • GSK Investigational Site

    Jerez de la Frontera, 11407

  • GSK Investigational Site

    L'Hospitalet de Llobrega, 08908

  • GSK Investigational Site

    Las Palmas de Gran Canar, 35016

  • GSK Investigational Site

    Madrid, 28027

  • GSK Investigational Site

    Madrid, 28040

  • GSK Investigational Site

    Madrid, 28041

  • GSK Investigational Site

    Madrid, 28046

  • GSK Investigational Site

    Madrid, 28222

  • GSK Investigational Site

    Málaga, 29010

  • GSK Investigational Site

    Palma de Mallorca, 07120

  • GSK Investigational Site

    Pamplona, 31008

  • GSK Investigational Site

    Santander, 39008

  • GSK Investigational Site

    Seville, 41013

  • GSK Investigational Site

    Valencia, 46010

  • GSK Investigational Site

    Valencia, 46026

  • GSK Investigational Site

    Zaragoza, 50009

Other trials in Spain

South Korea5 sites
  • GSK Investigational Site

    Daegu, 42601

  • GSK Investigational Site

    Seoul, 02841

  • GSK Investigational Site

    Seoul, 03722

  • GSK Investigational Site

    Seoul, 06351

  • GSK Investigational Site

    Seoul, 7061

Other trials in South Korea

About this study

Official title: A Phase 1 Dose Escalation and Cohort Expansion Study of TSR-022, an Anti-TIM-3 Monoclonal Antibody, in Patients With Advanced Solid Tumors (AMBER)

This is a first-in-human study evaluating the anti-T cell immunoglobulin and mucin containing protein-3 (TIM-3) antibody TSR-022. The study will be conducted in 2 parts with Part 1 consisting of dose escalation and Part 2 dose expansion. Part 1 will determine the recommended Phase 2 dose (RP2D) of TSR-022 and Part 2 will evaluate the antitumor activity of TSR-022 in combination with TSR-042 or docetaxel and as monotherapy.

Conditions
Neoplasms
Being tested
TSR-022, Nivolumab, TSR-042, TSR-033, Docetaxel
Keywords
TSR-022, Nivolumab, Advanced solid tumors, Metastatic solid tumors, Immunotherapy, Colorectal cancer, Non-small cell lung cancer, Melanoma, TSR-033, TSR-042, Hepatocellular carcinoma cancer, Docetaxel
Medical subject headings
Neoplasms, Colorectal Neoplasms, Carcinoma, Non-Small-Cell Lung, Melanoma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • TSR-022Drug

    TSR-022 will be administered.

  • NivolumabDrug

    Nivolumab will be administered.

  • TSR-042Drug

    TSR-042 will be administered.

  • TSR-033Drug

    TSR-033 will be administered.

  • DocetaxelDrug

    Docetaxel will be administered.

  • PemetrexedDrug

    Pemetrexed will be administered.

  • CisplatinDrug

    Cisplatin will be administered.

  • CarboplatinDrug

    Carboplatin will be administered.

Study groups in NCT02817633
Study groupRoleWhat they receive
Part 1a: TSR-022 monotherapyExperimentalNot described
Receives: Drug: TSR-022
Part 1b: TSR-022 in combination with nivolumabExperimentalNot described
Receives: Drug: TSR-022; Drug: Nivolumab
Part 1c: TSR-022 in combination with TSR-042ExperimentalNot described
Receives: Drug: TSR-022; Drug: TSR-042
Part 1d: TSR-022 in combination with TSR-042 and TSR-033ExperimentalNot described
Receives: Drug: TSR-022; Drug: TSR-042; Drug: TSR-033
Part 1e: TSR-022 with TSR-042 (not previously treated with anti-programmed death ligand [PD-{L}]1)ExperimentalNot described
Receives: Drug: TSR-022; Drug: TSR-042
Part 1f: TSR-022 in combination with TSR-042 and DocetaxelExperimentalNot described
Receives: Drug: TSR-022; Drug: TSR-042; Drug: Docetaxel
Part 1g: TSR-022 in combination with TSR-042, pemetrexed, and cisplatinExperimentalNot described
Receives: Drug: TSR-022; Drug: TSR-042; Drug: Pemetrexed; Drug: Cisplatin
Part 1h: TSR-022 in combination with TSR-042, pemetrexed, and carboplatinExperimentalNot described
Receives: Drug: TSR-022; Drug: TSR-042; Drug: Pemetrexed; Drug: Carboplatin
Part 2: Cohort A Melanoma-TSR-022 as monotherapyExperimentalNot described
Receives: Drug: TSR-022
Part 2: Cohort A Melanoma-TSR-022 with TSR-042ExperimentalNot described
Receives: Drug: TSR-022; Drug: TSR-042
Part 2:Cohort B Non-small cell lung cancer-TSR-022-monotherapyExperimentalNot described
Receives: Drug: TSR-022
Part 2:Cohort B Non-small cell lung cancer-TSR-022 with TSR-042ExperimentalNot described
Receives: Drug: TSR-022; Drug: TSR-042
Part 2:Cohort C Colorectal cancer-TSR-022 as monotherapyExperimentalNot described
Receives: Drug: TSR-022
Part 2:Cohort C Colorectal cancer-TSR-022 with TSR-042ExperimentalNot described
Receives: Drug: TSR-022; Drug: TSR-042
Part 2: Cohort D-TIM-3 selected non-small cell lung cancer (NSCLC)-TSR-022 with TSR-042ExperimentalNot described
Receives: Drug: TSR-022; Drug: TSR-042
Part 2: Cohort E-Non-small cell lung cancer-TSR-022 with docetaxelExperimentalNot described
Receives: Drug: TSR-022; Drug: Docetaxel
Part 2: Cohort F- Hepatocellular carcinoma (HCC)-TSR-022 with TSR-042ExperimentalNot described
Receives: Drug: TSR-022; Drug: TSR-042

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Part 1 (a): Number of participants achieving dose limiting toxicity (DLTs)

    Measured: Up to 28 days

  2. Part 1 (b,c,d): Number of participants achieving dose limiting toxicity (DLTs)

    Measured: Up to 42 days

  3. Part 1 (f,g,h): Number of participants achieving dose limiting toxicity (DLTs)

    Measured: Up to 21 days

  4. Part 1: Number of participants with adverse events (AEs), serious adverse events (SAEs), AEs leading to discontinuation, treatment emergent adverse events (TEAEs), TEAEs leading to death and immune-related adverse events (irAEs)

    Measured: Up to 2 years

  5. Part 1: Number of participants with clinically significant changes in laboratory parameters, vital signs, electrocardiogram (ECG) findings, Eastern Cooperative Oncology Group (ECOG) status, physical examination and use of concomitant medications

    Measured: Up to 2 years

  6. Part 1 (e) and Part 2: Overall Response Rate (ORR) by Response Evaluation Criteria in Solid Tumors (RECIST) version (v)1.1

    Measured: Up to 2 years

Secondary outcomes (45)
  1. Part 1 (a, b, c, d, f, g, h): ORR by RECIST v 1.1

    Measured: Up to 2 years

  2. Part 2 (A, B, C, D): ORR by Immune related RECIST (irRECIST)

    Measured: Up to 2 years

  3. Part 2: Duration of response (DOR) by RECIST v 1.1

    Measured: Up to 2 years

  4. Part 2 (A, B, C, D): DOR by irRECIST

    Measured: Up to 2 years

  5. Parts 1 and 2: Disease control rate (DCR) by RECIST v 1.1

    Measured: Up to 2 years

  6. Part 2 (A, B, C, D): DCR by irRECIST

    Measured: Up to 2 years

  7. Part 2: Progression-free survival (PFS) by RECIST v 1.1

    Measured: Up to 2 years

  8. Part 2 (A, B, C, D): PFS by irRECIST

    Measured: Up to 2 years

  9. Parts 1 and 2 (A, B, C, D, E, F): Serum concentration of TSR-022

    Measured: Up to 2 years

  10. Part 1d: Serum concentration of TSR-033

    Measured: Up to 2 years

  11. Part 1 (c, d, e, f, g, h): Serum concentration of TSR-042

    Measured: Up to 2 years

  12. Part 2 (A, B, C, D, F): Serum concentration of TSR-042

    Measured: Up to 2 years

  13. Part 2: Overall survival (OS)

    Measured: Up to 2 years

  14. Part 1a: Minimum plasma concentration (Cmin) of TSR-022 as monotherapy

    Measured: Up to 2 years

  15. Part 1b: Cmin of TSR-022 in combination with nivolumab

    Measured: Up to 2 years

  16. Part 1c: Cmin of TSR-022 in combination with TSR-042

    Measured: Up to 2 years

  17. Part 1d: Cmin of TSR-022 in combination with TSR-042 and TSR-033

    Measured: Up to 2 years

  18. Part 2F: Cmin of TSR-022 in combination with TSR-042

    Measured: Up to 2 years

  19. Part 1a: Area under the concentration × time curve from time 0 to infinity AUC (0-inf) of TSR-022 as monotherapy

    Measured: Up to 2 years

  20. Part 1b: AUC (0-inf) of TSR-022 in combination with nivolumab

    Measured: Up to 2 years

  21. Part 1c: AUC (0-inf) of TSR-022 in combination with TSR-042

    Measured: Up to 2 years

  22. Part 1d: AUC (0-inf) of TSR-022 in combination with TSR-042 and TSR-033

    Measured: Up to 2 years

  23. Part 2F: AUC (0-inf) of TSR-022 in combination with TSR-042

    Measured: Up to 2 years

  24. Part 1a: Area under the concentration time curve from time 0 to last assessment (AUC 0-last) of TSR-022 as monotherapy

    Measured: Up to 2 years

  25. Part 1b: AUC (0-last) of TSR-022 in combination with nivolumab

    Measured: Up to 2 years

  26. Part 1c: AUC (0-last) of TSR-022 in combination with TSR-042

    Measured: Up to 2 years

  27. Part 1d: AUC (0-last) of TSR-022 in combination with TSR-042 and TSR-033

    Measured: Up to 2 years

  28. Part 2F: AUC (0-last) of TSR-022 in combination with TSR-042

    Measured: Up to 2 years

  29. Part 1a: Terminal half life (t 1/2) of TSR-022 as monotherapy

    Measured: Up to 2 years

  30. Part 1b: t1/2 of TSR-022 and in combination with nivolumab

    Measured: Up to 2 years

  31. Part 1c: t1/2 of TSR-022 in combination with TSR-042

    Measured: Up to 2 years

  32. Part 1d: t1/2 of TSR-022 in combination with TSR-042 and TSR-033

    Measured: Up to 2 years

  33. Part 2F: t1/2 of TSR-022 in combination with TSR-042

    Measured: Up to 2 years

  34. Part 1a: Area under the concentration × time curve during the dosing interval (AUCtau) of TSR-022 as monotherapy

    Measured: Up to 2 years

  35. Part 1b: AUCtau of TSR-022 and in combination with nivolumab

    Measured: Up to 2 years

  36. Part 1c: AUCtau of TSR-022 in combination with TSR-042

    Measured: Up to 2 years

  37. Part 1d: AUCtau of TSR-022 in combination with TSR-042 and TSR-033

    Measured: Up to 2 years

  38. Part 2F: AUCtau of TSR-022 in combination with TSR-042

    Measured: Up to 2 years

  39. Part 1: Number of participants with anti-drug antibodies (ADAs) to TSR-022

    Measured: Up to 2 years

  40. Part 2 (A, B, C, D, E, F): Number of participants with ADA to anti-TSR-022

    Measured: Up to 2 years

  41. Part 1 (c, d, e, f, g, h): Number of participants with ADA to TSR-042

    Measured: Up to 2 years

  42. Part 2 (A, B, C, D, F): Number of Participants with ADA to TSR-042

    Measured: Up to 2 years

  43. Part 1d: Number of participants with ADA to TSR-033

    Measured: Up to 2 years

  44. Part 2F: Number of participants with AEs, SAEs, AEs leading to discontinuation, TEAEs, TEAEs leading to death

    Measured: Up to 2 years

  45. Part 2F: Percent change from Baseline in Alpha-fetoprotein (AFP)

    Measured: Baseline, and up to 2 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Jun 2016 (estimated)
  2. Study start8 Jul 2016
  3. Primary completion1 Mar 2027 (estimated)
  4. Study completion1 Mar 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Model description
This is a multi-center, open-label, first-in-human Phase 1 study.
Masking
None (open label)
Enrolment
463 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02817633
Sponsor's protocol ID
213348
Other IDs
2018-002143-29, 2018
Status last verified
Oct 2025
First submitted
22 Jun 2016
Last updated
28 Oct 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing TSR-022, Nivolumab and TSR-042 in people with Neoplasms, run by Tesaro, Inc. at 89 sites in 3 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 36 inclusion and 52 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 28 Oct 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 89 sites in United States, Spain, South Korea. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Part 1 (a): Number of participants achieving dose limiting toxicity (DLTs) (time frame: Up to 28 days). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Oct 2025.

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