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NeoplasmsPhase 1ARCS-MultiNCT03102320

Phase 1b Multi-indication Study of Anetumab Ravtansine in Mesothelin Expressing Advanced Solid Tumors

A Phase 1 study testing Cisplatin, Gemcitabine and Anetumab ravtansine (BAY94-9343) in people with Neoplasms, run by Bayer at 72 sites in 12 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The key purpose of the main part of the study is to assess efficacy and safety of anetumab ravtansine as monotherapy or combination therapy for mesothelin expressing advanced solid tumors. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Neoplasms
What is being tested?
Cisplatin, Gemcitabine and Anetumab ravtansine (BAY94-9343)
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
173 participants
Where
72 sitesin 12 countries
Study dates
26 May 2017to 26 Jul 2021
Phase
Phase 1
Are there results?
None posted in the registry

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

  • Availability of tumor tissue for mesothelin expression testing and for further biomarker analysis
  • Histologically-confirmed, mesothelin-expressing metastatic or advanced non-metastatic disease (tumour type specific inclusion criteria)
  • At least one measurable lesion according to Response Evaluation Criteria in Solid Tumors (RECIST 1.1) (or for thymic carcinoma, at least one measurable lesion per International Thymic Malignancy Interest Group (ITMIG) modified RECIST 1.1 criteria
  • Adequate bone marrow, liver, renal and coagulation function
  • Left ventricular ejection fraction (LVEF) ≥ 50% of the lower limit of normal (LLN) according to local institutional ranges
  • Eastern Cooperative Oncology Group (ECOG) 0 or 1

Who cannot join

  • Exposure to more than one prior anti-tubulin/microtubule agent
  • Corneal epitheliopathy or any eye disorder that may predispose the patients to this condition
  • Symptomatic Central nervous system (CNS) metastases and/or carcinomatous meningitis
  • Contraindication to both CT and MRI contrast agents
  • Active hepatitis B or C infection
  • Pregnant or breast-feeding patients
  • Tumor type specific exclusion criteria

Trial locations and contacts

72 sites in 12 countries.

72 sites in 12 countries

United States13 sites
  • National Cancer Institute - Maryland

    Bethesda, Maryland, 20892

  • Texas Oncology, PA

    Dallas, Texas, 75246

  • Barbara Ann Karmanos Cancer Institute

    Farmington Hills, Michigan, 48334

  • University of Texas MD Anderson Cancer Center

    Houston, Texas, 77030

  • Indiana University School of Medicine

    Indianapolis, Indiana, 46202

  • University of Southern California

    Los Angeles, California, 90033

  • Vanderbilt University Medical Center

    Nashville, Tennessee, 37232

  • Ochsner Medical Center - New Orleans

    New Orleans, Louisiana, 70121

  • Mayo Clinic Hospital

    Phoenix, Arizona, 85054-4502

  • Mayo Clinic - Rochester

    Rochester, Minnesota, 55905

  • Washington University School of Medicine

    St Louis, Missouri, 63110

  • Stanford Health Care

    Stanford, California, 94305

  • MedStar Georgetown University Hospital

    Washington D.C., District of Columbia, 20007

Other trials in United States

France12 sites
  • Hopital Jean Minjoz

    Besançon, 25030

  • Hôpital Henri Mondor

    Créteil, 94010

  • Centre Oscar Lambret - Lille

    Lille, 59020

  • Centre Léon Bérard

    Lyon, 69008

  • C.H.U. Timone

    Marseille, 13385

  • Centre René Gauducheau

    Nantes, 44805

  • Centre Antoine Lacassagne

    Nice, 06102

  • Centre Hospitalier Lyon Sud

    Pierre-Bénite, 69495

  • Hôpital de la Milétrie

    Poitiers, 86021

  • Hôpital Pontchaillou

    Rennes, 35033

  • Centre Eugène Marquis - Rennes Cedex

    Rennes, 35062

  • Institut Gustave Roussy

    Villejuif, 94805

Other trials in France

Spain9 sites
  • Hospital del Mar

    Barcelona, 08003

  • Ciutat Sanitària i Universitaria de la Vall d'Hebron

    Barcelona, 08035

  • Hospital Clínic i Provincial de Barcelona

    Barcelona, 08036

  • Hospital General Universitario Gregorio Marañón | Oncología

    Madrid, 28007

  • Hospital Ramón y Cajal | Oncología

    Madrid, 28034

  • Hospital Universitario 12 de Octubre

    Madrid, 28041

  • Centro Integral Oncológico Clara Campal

    Madrid, 28050

  • Hospital Virgen de la Victoria

    Málaga, 29010

  • Hospital Universitario Quirón de Madrid

    Pozuelo de Alarcón, Madrid, 28223

Other trials in Spain

Australia8 sites
  • Flinders Medical Centre

    Adelaide, South Australia, 5042

  • Blacktown Cancer & Haematology Centre

    Blacktown, New South Wales, 2148

  • Mid North Coast Cancer Institute

    Coffs Harbour, New South Wales, 2450

  • Kinghorn Cancer Centre

    Darlinghurst, New South Wales, 2010

  • Sir Charles Gairdner Hospital

    Nedlands, Western Australia, 6009

  • Epworth HealthCare

    Richmond, Victoria, 3122

  • Northern Cancer Institute

    St Leonards, New South Wales, 2065

  • St John of God Healthcare

    Subiaco, Western Australia, 6008

Other trials in Australia

Italy6 sites
  • A.O.U. di Bologna Policlinico S.Orsola Malpighi

    Bologna, Emilia-Romagna, 40138

  • Istituto Clinico Humanitas - Humanitas Mirasole S.p.A.

    Milan, Lombardy, 20089

  • Fondazione IRCCS Istituto Nazionale dei Tumori

    Milan, Lombardy, 20133

  • ASST Grande Ospedale Metropolitano Niguarda

    Milan, Lombardy, 20162

  • A.O.U. di Modena - Policlinico

    Modena, Emilia-Romagna, 41124

  • A.O.U.I. Verona

    Verona, Veneto, 37134

Other trials in Italy

United Kingdom6 sites
  • Belfast City Hospital

    Belfast, North Ireland, BT12 7AB

  • Leicester Royal Infirmary

    Leicester, Leicestershire, LE1 5WW

  • Guy's Hospital

    London, SE1 9RT

  • Royal Marsden Hospital (London)

    London, SW3 6JJ

  • Christie Hospital

    Manchester, M20 4BX

  • Royal Marsden NHS Trust (Surrey)

    Sutton, Surrey, SM2 5PT

Other trials in United Kingdom

Belgium4 sites
  • Hôpital Erasme/Erasmus Ziekenhuis

    Bruxelles - Brussel, 1070

  • UZ Antwerpen

    Edegem, 2650

  • UZ Leuven Gasthuisberg

    Leuven, 3000

  • CHU de Liège

    Liège, 4000

Other trials in Belgium

Canada4 sites
  • Cross Cancer Institute

    Edmonton, Alberta, T6G 1Z2

  • Sir Mortimer B. Davis Jewish General Hospital

    Montreal, Quebec, H3T 1E2

  • McGill University Health Center

    Montreal, Quebec, H4A 3J1

  • Princess Margaret Cancer Centre - UHN

    Toronto, Ontario, M5G 2M9

Other trials in Canada

South Korea4 sites
  • Seoul National University Hospital

    Seoul, 03080

  • Severance Hospital, Yonsei University Health System

    Seoul, 03722

  • Asan Medical Center

    Seoul, 05505

  • Samsung Medical Center

    Seoul, 06351

Other trials in South Korea

Netherlands2 sites
  • Nederlands Kanker Instituut

    Amsterdam, 1066 CX

  • Maastricht UMC

    Maastricht, 6229 HX

Other trials in Netherlands

Singapore2 sites
  • National University Hospital

    Singapore, 119228

  • National Cancer Center Singapore

    Singapore, 169610

Other trials in Singapore

Switzerland2 sites
  • Ospedale Regionale Bellinzona

    Bellinzona, Canton Ticino, 6500

  • Kantonsspital Graubünden

    Chur, Kanton Graubünden, 7000

Other trials in Switzerland

About this study

Official title: Phase 1b Multi-indication Study of Anetumab Ravtansine (BAY94-9343) in Patients With Mesothelin Expressing Advanced or Recurrent Malignancies

The key purpose of the main part of the study is to assess efficacy and safety of anetumab ravtansine as monotherapy or combination therapy for mesothelin expressing advanced solid tumors.

The main purpose of the safety lead-in (dose-finding) part of the study is to determine the safety and tolerability of anetumab ravtansine in combination with cisplatin and in combination with gemcitabine, and to determine the MTD of anetumab ravtansine in combination with cisplatin for mesothelin expressing advanced cholangiocarcinoma and in combination with gemcitabine for mesothelin expressing advanced adenocarcinoma of the pancreas.

Read more

Patients will receive anetumab ravtansine every three weeks in monotherapy for most indications. In cholangiocarinoma and adenocarinoma of the pancreas, 3-weekly anetumab ravtansine is administered in combination with cisplatin or gemcitabine respectively (both administered in a 2 week on / 1 week off schedule).

Treatment will continue until disease progression or until another criterion for withdrawal is met. .Efficacy will be measured by evaluating the tumor's objective response rate. Radiological tumor assessments will be performed at defined time points until the patient's disease progresses.

Blood samples will be collected for safety, pharmacokinetic and biomarker analysis. Archival or fresh biopsy tissue will also be collected for mesothelin expression testing and biomarker analyses.

Conditions
Neoplasms
Being tested
Cisplatin, Gemcitabine, Anetumab ravtansine (BAY94-9343)
Keywords
cholangiocarcinoma, pancreatic cancer, triple-negative breast cancer, non-small cell lung cancer, thymic carcinoma, gastric including gastroesophageal junction cancer
Medical subject headings
Neoplasms, Cholangiocarcinoma, Pancreatic Neoplasms, Triple Negative Breast Neoplasms, Carcinoma, Non-Small-Cell Lung, Thymoma

What participants receive

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

  • CisplatinDrug

    Cisplatin 25 mg/m2 IV administered on day 1 and day 8 of 21 day cycle, for up to maximum 6 cycles

  • GemcitabineDrug

    Gemcitabine 1000 mg/m2 IV administered on days 1 and 8 of a 21-day cycle

  • Anetumab ravtansine (BAY94-9343)Drug

    Anetumab ravtansine 6.5mg/kg IV in monotherapy indications. For combination indications, the MTD determined in safety lead in phase will be administered

Study groups in NCT03102320
Study groupRoleWhat they receive
CholangiocarcinomaExperimentalSafety lead-in phase will determine the MTD of anetumab ravtansine administered in combination with cisplatin. Please note the study is no longer recruiting for the cholangiocarcinoma safety lead-in phase. During the main study phase anetumab ravtansine will be administered at the determined MTD in combination with cisplatin. Please note the main study phase for cholangiocarcinoma will no longer be going ahead.
Receives: Drug: Cisplatin; Drug: Anetumab ravtansine (BAY94-9343)
Adenocarcinoma of the pancreasExperimentalSafety lead-in phase will determine the MTD of anetumab ravtansine administered in combination with gemcitabine During the main study phase, anetumab ravtansine will be administered at the determined MTD in combination with gemcitabine
Receives: Drug: Gemcitabine; Drug: Anetumab ravtansine (BAY94-9343)
Other solid tumorsExperimental(Non-small cell adenocarcinoma of the lung (NSCLC adenocarcinoma), Adenocarcinoma of the breast - triple negative (TNBC), Gastric adenocarcinoma including gastroesophageal junction (GEJ Cancer, Thymic carcinoma) During the main study phase, anetumab ravtansine will be administered at dose of 6.5 mg/kg in solid tumors
Receives: Drug: Anetumab ravtansine (BAY94-9343)

What is being measured

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

  1. Number of patients in the safety lead-in (SLI) phase who completed Cycle 1 or had a DLT and were not replaced.

    During SLI, patients with cholangiocarcinoma received anetumab ravtansine in combination with cisplatin and patients with pancreatic adenocarcinoma received anetumab ravtansine in combination with gemcitabine. The highest dose of anetumab ravtansine that can be given so that not more than 1 out of 6 patients experiences a dose-limiting toxicity (DLT) during the DLT evaluation period were declared as the MTD for anetumab ravtansine in combination with cisplatin or with gemcitabine.

    Measured: At least 3 weeks after the last patient starts treatment

  2. Objective response (qualitative improvement from baseline) of anetumab ravtansine for monotherapy and combination therapy in mesothelin expressing advanced solid tumors

    A patient is a responder if the patient has a best response compared to baseline of complete response (CR) or partial response (PR) among all post-baseline tumor assessments, as determined per RECIST 1.1 criteria (ITMIG modified RECIST 1.1 criteria for thymic carcinoma)

    Measured: Up to approximately 26 months after patient starts treatment

  3. Durable disease control (lack of progression from baseline) of anetumab ravtansine in indications pancreatic and gastric cancer (co-primary endpoint)

    A patient experiences durable disease control if the patient has a tumor response compared to baseline of CR, PR or stable disease (SD) among the post-baseline tumor assessments made at least 180 days from first treatment, without prior disease progression

    Measured: Up to approximately 26 months after patient starts treatment

Secondary outcomes (6)
  1. Number of serious and non-serious adverse events (AEs)

    Include treatment-emergent AEs, SAEs, treatment-related AEs, AEs of special interest, and deaths.

    Measured: Approximately 26 months (Until 30 days after the last day of study treatment, or until later resolution of adverse events or determination by the investigator that the event will not improve)

  2. Disease control rate (DCR)

    The DCR is defined as the number of patients with disease control divided by the number of treated patients.

    Measured: Up to approximately 24 months after last patient starts treatment, or until earlier disease progression [assessed every 6 weeks for the first 6 months, every 9 weeks until end of year 1 and every 12 weeks thereafter]

  3. Duration of response (DOR)

    DOR is defined in responders as the time from documentation of tumor response (CR or PR) to earlier of disease progression or death

    Measured: Up to approximately 24 months after last patient starts treatment, or until earlier disease progression [assessed every 6 weeks for the first 6 months, every 9 weeks until end of year 1 and every 12 weeks thereafter]

  4. Durable response rate (DRR)

    A durable responder is defined as a responder (CR or PR) with a duration of response per RECIST 1.1 criteria (ITMIG modified RECIST 1.1 criteria for thymic carcinoma) of 180 days or more. The DRR is the number of durable responders divided by the number of treated patients.

    Measured: Up to approximately 24 months after last patient starts treatment, or until earlier disease progression [assessed every 6 weeks for the first 6 months, every 9 weeks until end of year 1 and every 12 weeks thereafter]

  5. Progression free survival (PFS)

    PFS is defined as time from start of treatment until disease progression according to RECIST 1.1 (ITMIG modified RECIST 1.1 criteria for thymic carcinoma) or death.

    Measured: Up to approximately 24 months after last patient starts treatment, or until earlier disease progression [assessed every 6 weeks for the first 6 months, every 9 weeks until end of year 1 and every 12 weeks thereafter]

  6. Durable disease control rate (DDCR) of anetumab ravtansine in indications other than pancreatic and gastric cancer

    A patient experiences durable disease control if the patient has a tumor response of CR, PR or SD with CR, PR or SD assessed at least 180 days from first treatment, without prior progression.

    Measured: Up to approximately 24 months after last patient starts treatment, or until earlier disease progression [assessed every 6 weeks for the first 6 months, every 9 weeks until end of year 1 and every 12 weeks thereafter]

Timeline

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

  1. First posted5 Apr 2017
  2. Study start26 May 2017
  3. Primary completion16 Sep 2020
  4. Study completion26 Jul 2021

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
Parallel groups
Masking
None (open label)
Enrolment
173 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03102320
Sponsor's protocol ID
15834
Other IDs
2016-004002-33, 2016
Acronym
ARCS-Multi
Status last verified
Jun 2022
First submitted
30 Mar 2017
Last updated
30 Jun 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No: Availability of this study's data will later be determined according to Bayer's commitment to the EFPIA/PhRMA "Principles for responsible clinical trial data sharing". This pertains to scope, timepoint and process of data access. As such, Bayer commits to sharing upon request from qualified researchers patient-level clinical trial data, study-level clinical trial data, and protocols from clinical trials in patients for medicines and indications approved in the US and EU as necessary for conducting legitimate research. This applies to data on new medicines and indications that have been approved by the EU and US regulatory agencies on or after January 01, 2014. Interested researchers can use www.clinicalstudydatarequest.com to request access to anonymized patient-level data and supporting documents from clinical studies to conduct research. Information on the Bayer criteria for listing studies and other relevant information is provided in the Study sponsors section of the portal.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Cisplatin, Gemcitabine and Anetumab ravtansine (BAY94-9343) in people with Neoplasms, run by Bayer at 72 sites in 12 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 6 inclusion and 7 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: finished, as of the sponsor's last update on 30 Jun 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 72 sites in United States, France, Spain, Australia, Italy and 7 more countries. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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 patients in the safety lead-in (SLI) phase who completed Cycle 1 or had a DLT and were not replaced. (time frame: At least 3 weeks after the last patient starts treatment). The study lists 3 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 30 Jun 2022.

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