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Small Cell Lung CancerPhase 1/2NCT03026166

A Study of Rovalpituzumab Tesirine Administered in Combination With Nivolumab and With or Without Ipilimumab for Adults With Extensive-Stage Small Cell Lung Cancer

A Phase 1/2 study testing Ipilimumab, Nivolumab and Rovalpituzumab tesirine in people with Small Cell Lung Cancer, run by AbbVie at 35 sites in 5 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The purpose of this study is to assess the safety and efficacy of rovalpituzumab tesirine administered in combination with nivolumab or nivolumab and ipilimumab in participants with extensive-stage small cell lung cancer (SCLC). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Small Cell Lung Cancer
What is being tested?
Ipilimumab, Nivolumab and Rovalpituzumab tesirine
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
42 participants
Where
35 sitesin 5 countries
Study dates
30 Mar 2017to 3 Jul 2019
Phase
Phase 1/2
Are there results?
Yes, posted in the registrySummary in the doctors' view

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

  • Participants with histologically or cytologically confirmed extensive-stage small cell lung cancer (SCLC) with progressive disease after at least one platinum-based chemotherapeutic regimen and with evaluable or measurable disease
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • Adequate hematologic, hepatic, and renal function

Who cannot join

  • Has active, known, or suspected autoimmune disease
  • Had prior exposure to an immuno-oncology or pyrrolobenzodiazepine (PBD)-based drug

Trial locations and contacts

35 sites in 5 countries.

35 sites in 5 countries

United States15 sites
  • University Cancer & Blood Cent /ID# 161028

    Athens, Georgia, 30607

  • Medical University of South Carolina /ID# 161007

    Charleston, South Carolina, 29425

  • University of Chicago /ID# 161006

    Chicago, Illinois, 60637-1443

  • Duke University Medical Center /ID# 161009

    Durham, North Carolina, 27710-3000

  • The University of Kansas Clini /ID# 162915

    Fairway, Kansas, 66205

  • Ucsd /Id# 161030

    La Jolla, California, 92093

  • University of Wisconsin Clinic /ID# 161013

    Madison, Wisconsin, 53705

  • Tennessee Oncology, PLLC /ID# 161012

    Nashville, Tennessee, 37203

  • Vanderbilt University Med Ctr /ID# 162916

    Nashville, Tennessee, 37232-6307

  • Rutgers Cancer Institute of NJ /ID# 161032

    New Brunswick, New Jersey, 08903

  • Memorial Sloan Kettering Cancer Center /ID# 161010

    New York, New York, 10065-6007

  • Florida Hospital /ID# 161017

    Orlando, Florida, 32803

  • Oregon Health and Science University /ID# 161029

    Portland, Oregon, 97239

  • Virginia Cancer Institute /ID# 161025

    Richmond, Virginia, 23230

  • Washington University-School of Medicine /ID# 161011

    St Louis, Missouri, 63110

Other trials in United States

France6 sites
  • Institut Sainte Catherine /ID# 165172

    Avignon, 84082

  • CHU de Besancon - Jean Minjoz /ID# 165173

    Besançon, Doubs, 25000

  • CHRU de Brest - Hospital Morva /ID# 165170

    Brest, 29609

  • Centre Oscar Lambret /ID# 165169

    Lille, Hauts-de-France, 59020

  • Hopital La Timone /ID# 165171

    Marseille, 13005

  • Institut Gustave Roussy /ID# 165168

    Villejuif, Val-de-Marne, 94800

Other trials in France

Italy5 sites
  • Centro di Riferimento Oncologi /ID# 165174

    Aviano, 33081

  • Azienda Ospedaliero Universitaria Policlinico Vittorio Emanuele /ID# 165178

    Catania, 95123

  • Istituto Europeo di Oncologia /ID# 165175

    Milan, 20141

  • AO Univ di Modena /ID# 165177

    Modena, 41100

  • Istituto Clinico Humanitas /ID# 165176

    Rozzano, Milano, 20089

Other trials in Italy

Spain5 sites
  • Hosp Univ Quiron Dexues /ID# 165166

    Barcelona, 08028

  • Hospital Genl Gregorio Maranon /ID# 165162

    Madrid, 28007

  • Hospital Universitario Fundacion Jimenez Diaz /ID# 165164

    Madrid, 28040

  • Hospital Universitario Madrid /ID# 165163

    Madrid, 28050

  • Clinica Universitar de Navarra - Pamplona /ID# 165165

    Pamplona, Navarra, Comunidad, 31008

Other trials in Spain

Germany4 sites
  • Asklepios Fachkliniken M. Gaut /ID# 165183

    Gauting, 82131

  • Lungen Clinic Grosshansdorf /ID# 165182

    Großhansdorf, 22927

  • KH Martha-Maria Halle Dolau /ID# 165180

    Halle, Saxony-Anhalt, 06120

  • Lungenfachklinik Immenhausen /ID# 165181

    Immenhausen, 34376

Other trials in Germany

About this study

Official title: A Phase 1/2 Study on the Safety of Rovalpituzumab Tesirine Administered in Combination With Nivolumab or Nivolumab and Ipilimumab for Adults With Extensive-Stage Small Cell Lung Cancer

The purpose of this study is to assess the safety and efficacy of rovalpituzumab tesirine administered in combination with nivolumab or nivolumab and ipilimumab in participants with extensive-stage small cell lung cancer (SCLC).

Read the detailed description

The study planned to enroll three cohorts with approximately 30 participants in each, including a dose-limiting toxicity (DLT) evaluation phase (the first 12 weeks of any treatment) and an expansion phase. Initially, up to 12 participants were to be enrolled into Cohort 1 in order to obtain 6 evaluable participants through the DLT evaluation period of 12 weeks. Safety data were reviewed by a Safety Monitoring Committee (SMC) for each cohort during the DLT evaluation phase before the next cohort opened. Once a new cohort was opened, the previously opened cohort was permitted to continue enrolling participants for the expansion phase for a total of 30 participants per cohort.

Only two of the planned three cohorts enrolled participants in the study based on the SMC recommendation after DLTs were identified in Cohort 2.

Being tested
Ipilimumab, Nivolumab, Rovalpituzumab tesirine
Keywords
Cancer, Extensive-Stage Small Cell Lung Cancer, Nivolumab, Ipilimumab, Rovalpituzumab tesirine
Medical subject headings
Small Cell Lung Carcinoma, Neoplasms

What participants receive

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

  • IpilimumabDrug

    Also called Yervoy®

    Administered by intravenous infusion

  • NivolumabDrug

    Also called Opdivo®

    Administered by intravenous infusion

  • Rovalpituzumab tesirineDrug

    Also called SC16LD6.5

    Administered by intravenous infusion

Study groups in NCT03026166
Study groupRoleWhat they receive
Rovalpituzumab Tesirine and NivolumabExperimentalParticipants will receive 2 doses of 0.3 mg/kg rovalpituzumab tesirine by intravenous (IV) infusion 6 weeks apart (Day 1 of Cycles 1 and 3), and 2 doses of 360 mg nivolumab IV 3 weeks apart beginning on Cycle 2 (Day 1 of Cycles 2 and 3). Participants will then receive maintenance therapy with 480 mg nivolumab IV once every 4 weeks from Cycle 4 until disease progression.
Receives: Drug: Nivolumab; Drug: Rovalpituzumab tesirine
Rovalpituzumab Tesirine and Nivolumab + Ipilimumab 1 mg/kgExperimentalParticipants will receive 2 doses of 0.3 mg/kg rovalpituzumab tesirine IV 6 weeks apart (Day 1 of Cycles 1 and 3), nivolumab 1 mg/kg every 3 weeks for 4 cycles beginning on Cycle 2 (Day 1 of Cycles 2-5), and ipilimumab 1 mg/kg IV every 3 weeks for 4 cycles beginning on Cycle 2 (Day 1 of Cycles 2-5). After a 6-week washout, participants will then receive maintenance therapy with 480 mg nivolumab IV once every 4 weeks from Cycle 6 until disease progression.
Receives: Drug: Ipilimumab; Drug: Nivolumab; Drug: Rovalpituzumab tesirine
Rovalpituzumab Tesirine and Nivolumab + Ipilimumab 3 mg/kgExperimentalParticipants will receive 2 doses of 0.3 mg/kg rovalpituzumab tesirine IV 6 weeks apart (Day 1 of Cycles 1 and 3), nivolumab 1 mg/kg every 3 weeks for 4 cycles beginning on Cycle 2 (Day 1 of Cycles 2-5), and ipilimumab 3 mg/kg IV every 3 weeks for 4 cycles beginning on Cycle 2 (Day 1 of Cycles 2-5). After an 8-week washout, participants will then receive maintenance therapy with 480 mg nivolumab IV once every 4 weeks from Cycle 6 until disease progression.
Receives: Drug: Ipilimumab; Drug: Nivolumab; Drug: Rovalpituzumab tesirine

What is being measured

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

  1. Number of Participants With Dose-limiting Toxicities (DLT)

    Dose-limiting toxicities were defined as any of the following in the 12-week DLT-evaluation period, graded according to the National Cancer Institute's Common Terminology Criteria for Adverse Events (NCI CTCAE), version 4.03:

    • Grade 4 thrombocytopenia (or Grade 3 thrombocytopenia with bleeding) lasting more than 7 days and/or requiring platelet transfusion
    • Grade 4 neutropenia lasting more than 7 days, and/or requiring hematopoietic growth factor rescue, or any febrile neutropenia (Grade 3 or 4 neutropenia with concurrent fever ≥ 38.3°C)
    • Grade 4 anemia unrelated to underlying disease
    • Clinically significant Grade 3 or 4 non-hematologic laboratory abnormality that did not resolve to Grade 0/1 or baseline within 7 days
    • Grade 3 or 4 non-laboratory adverse event (AE), except fatigue, asthenia, nausea, or other manageable constitutional symptom

    Measured: Up to 12 weeks

  2. Number of Participants With Adverse Events (AEs)

    The investigator rated the severity of each AE according to the NCI CTCAE Version 4.03 and according to the following:

    Grade 1: The AE is transient and easily tolerated by the subject (mild).

    Grade 2: The AE causes the subject discomfort and interrupts the subject's usual activities (moderate).

    Grade 3/4: The AE causes considerable interference with the subject's usual activities and may be incapacitating or life-threatening (severe).

    Grade 5: The AE resulted in death of the subject (severe).

    The maximum severity AE for each participant is reported.

    A serious adverse event was defined as an AE meeting any of the following:

    • Death
    • Life-threatening
    • Resulted in hospitalization or prolongation of hospitalization
    • Resulted in congenital abnormality
    • Resulted in persistent or significant disability or incapacity
    • Was an important medical event requiring medical intervention to prevent a serious outcome.

    Relationship to study drug was assessed by the Investigator.

    Measured: From the first dose of study drug until 100 days after the last dose of study drug; median duration of treatment was 65 days and 53 days in each cohort respectively.

Secondary outcomes (4)
  1. Objective Response Rate (ORR)

    Treatment response was assessed by radiographic tumor evaluations conducted by a central radiology review.

    Objective response rate (ORR) is defined as the percentage of participants whose best overall response is either a confirmed complete response (CR) or partial response (PR) according to Response Evaluation Criteria for Solid Tumors (RECIST) v1.1.

    Complete response (CR): Disappearance of all target lesions. Any pathological lymph nodes must have reduction in short axis to < 10 mm.

    Partial response (PR): A ≥ 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

    CR or PR must have been confirmed at least 4 weeks (28 days) from the initial determination per RECIST v 1.1.

    Measured: Cohort 1: at Week 6, Week 13, and every 8 weeks thereafter; Cohort 2: at Week 6, Week 12, Week 18, and every 8 weeks thereafter, to the end of follow-up; median duration on follow-up was 31.7 and 48.0 weeks in each cohort respectively.

  2. Duration of Response (DOR)

    Duration of overall response is defined as the time from the date of first documented CR or PR, assessed by central radiology review and based on RECIST v. 1.1, to the documented date of progressive disease (PD) or death, whichever occurred first. Participants who neither progressed nor died were censored at the last evaluable disease assessment. Duration of response was evaluated using Kaplan-Meier methodology.

    Progressive disease was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study, with an absolute increase of at least 0.5 cm, or the unequivocal progression of non-target lesions, or the appearance of one or more new lesions.

    Measured: Cohort 1: at Week 6, Week 13, and every 8 weeks thereafter; Cohort 2: at Week 6, Week 12, Week 18 and every 8 weeks thereafter, to the end of follow-up; median duration on follow-up was 31.7 and 48.0 weeks in each cohort respectively.

  3. Progression-free Survival (PFS)

    Progression-free survival is defined as the time from the first dose date to the documented date of PD or death, whichever occurred first, based on central radiology review according to RECIST v 1.1. Progression-free survival was evaluated using Kaplan-Meier methodology. Participants who neither progressed nor died were censored at the last evaluable disease assessment.

    Progressive disease was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study, with an absolute increase of at least 0.5 cm, or the unequivocal progression of non-target lesions, or the appearance of one or more new lesions.

    Measured: From first dose of study drug to the end of follow-up; median duration on follow-up was 31.7 and 48.0 weeks in each cohort respectively.

  4. Overall Survival (OS)

    Overall survival is defined as the time from the first dose date to death for any reason. Participants who were still alive were censored at the last known alive date. Overall survival was evaluated using Kaplan-Meier methodology.

    Measured: From first dose of study drug to the end of follow-up; median duration on follow-up was 31.7 and 48.0 weeks in each cohort respectively.

Timeline

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

  1. First posted20 Jan 2017 (estimated)
  2. Study start30 Mar 2017
  3. Primary completion3 Jul 2019
  4. Study completion3 Jul 2019

Why it stopped: Enrollment was stopped after the dose-limiting toxicity (DLT) evaluation phase of Cohort 2.

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 1/2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
42 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03026166
Sponsor's protocol ID
M16-300
Other IDs
2016-003686-26, 2016
Status last verified
Jul 2020
First submitted
18 Jan 2017
Last updated
17 Jul 2020
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: AbbVie is committed to responsible data sharing regarding the clinical trials we sponsor. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols and clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications.

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Ipilimumab, Nivolumab and Rovalpituzumab tesirine in people with Small Cell Lung Cancer, run by AbbVie at 35 sites in 5 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 3 inclusion and 2 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: stopped early, as of the sponsor's last update on 17 Jul 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 35 sites in United States, France, Italy, Spain, Germany. 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 combined 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.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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

Are results available for this study?

Yes. Results are posted in the registry (first posted 1 Jul 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Number of Participants With Dose-limiting Toxicities (DLT) (time frame: Up to 12 weeks). The study lists 2 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 17 Jul 2020.

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