Carcinoma, Non-Small-Cell LungPhase 1/2NCT03840915
M7824 in Combination With Chemotherapy in Stage IV Non-small Cell Lung Cancer (NSCLC)
A Phase 1/2 study testing Cisplatin, Carboplatin and Pemetrexed in people with Carcinoma, Non-Small-Cell Lung, run by EMD Serono Research & Development Institute, Inc. at 19 sites in 3 countries.
Trial summary
The main purpose of the study was to evaluate the safety and tolerability of M7824 in combination with chemotherapy. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Carcinoma, Non-Small-Cell Lung
- What is being tested?
- Cisplatin, Carboplatin and Pemetrexed
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 70 participants
- Where
- 19 sitesin 3 countries
- Study dates
- 2 Apr 2019to 29 Jul 2022
- 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 greater than or equals to (>=) 18 years of age inclusive at the time of signing the informed consent
- Participants who have histologically confirmed diagnosis of Stage IV NSCLC:
- Participants in Cohort A, B, and C must not have received prior systemic therapy treatment for their Stage IV NSCLC
- Participants who had disease progression on previous treatment with Programmed death-ligand 1 (PD- L1) inhibitors in combination with platinum-based chemotherapy are enrolled in Cohort D, as long as therapy was completed at least 28 days of the first study intervention.
- Have measurable disease based on Response evaluation criteria in solid tumors (RECIST) 1.1
- Have a life expectancy of at least 3 months
- Availability of archived tumor material (less than [<] 6 months old) adequate for biomarker analysis is mandatory at Screening, central laboratory confirmation is required. Fresh biopsies should be collected if archived tumor material is not available
- Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0 to 1 at study entry and date of first dose
Who cannot join
- The participant's tumor harbors an epidermal growth factor receptor (EGFR) sensitizing (activating) mutation,ROS1 rearrangement, or BRAF V600E mutation or anaplastic lymphoma kinase (ALK) positive, if targeted therapy is locally approved
- Mixed small cell with NSCLC cancer histology
- Has received major surgery within 4 weeks prior to the first dose of study intervention; received thoracic radiation therapy (RT) of > 30 gray (Gy) within 6 months prior to the first dose of study intervention
- Previous malignant disease (other than the target malignancy to be investigated in this study) within the last 3 years
- Has known active central nervous system (CNS) metastases and/or carcinomatous meningitis. Participants with previously treated brain metastases may participate provided they are clinically stable for at least 2 weeks after the end of the RT and, have no evidence of new or enlarging brain metastases evaluated by imaging, preferably brain magnetic resonance imaging (MRI)
- Known severe hypersensitivity to study intervention or any components in their formulations
- For participants in Cohort A, B and C: Has received prior systemic therapy for Stage IV NSCLC, including anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CD137, or anti-Cytotoxic T-lymphocyte-associated antigen-4 (CTLA-4) antibody (including ipilimumab or any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways)
- Unable to tolerate computed tomography (CT) or MRI in the opinion of the Investigator and/or allergy to contrast material.
Trial locations and contacts
19 sites in 3 countries.
19 sites in 3 countries
United States8 sites
University of Maryland - DUPLICATE/Pediatric Surgery
Baltimore, Maryland, 21201
RCCA MD LLC - Bethesda
Bethesda, Maryland, 20817
Henry Ford Health System
Detroit, Michigan, 48202
Compassionate Care Research Group Inc - Edinger Medical Group, Inc.
Fountain Valley, California, 92708
Baptist Health Lexington Oncology Associates
Lexington, Kentucky, 40503
Vanderbilt University Medical Center
Nashville, Tennessee, 37232-8805
Hematology - Oncology Associates of Treasure Coast - Hematology-Oncology Associates of Treasure Coast
Port Saint Lucie, Florida, 34952
California Cancer Associates for Research & Excellence, Inc.
San Marcos, California, 92069
France6 sites
Groupe Hospitalier Sud - Hôpital Haut-Lévêque - Maison du Ha
Bordeaux
Centre Georges François Leclerc - Unité de Phase I
Dijon
Hôpital de la Timone# - CPCEM CIC - Bat F 1er étage
Marseille
ICO - Site René Gauducheau
Nantes
Centre Antoine Lacassagne
Nice
CHU Poitiers - Hôpital la Milétrie - service d'oncologie médicale
Poitiers
Belgium5 sites
Universitair Ziekenhuis Brussel - Geriatrie
Brussels
UZ Antwerpen
Edegem
Universitair Ziekenhuis Gent - Medical Oncology
Ghent
CHU Sart Tilman
Liège
AZ Sint-Maarten
Mechelen
About this study
Official title: A Phase Ib/II, Open-Label Study of M7824 in Combination With Chemotherapy in Participants With Stage IV Non-small Cell Lung Cancer
The main purpose of the study was to evaluate the safety and tolerability of M7824 in combination with chemotherapy.
- Conditions
- Carcinoma, Non-Small-Cell Lung
- Being tested
- Cisplatin, Carboplatin, Pemetrexed, Nab-paclitaxel, Gemcitabine
- Keywords
- Non-small Cell Lung Cancer, Bintrafusp alfa (proposed INN), M7824, Stage IV, INTR@PID LUNG 024
- Medical subject headings
- Carcinoma, Non-Small-Cell Lung
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CisplatinDrug
Cisplatin was administered intravenously at a dose of 75 milligrams per meter square (mg/m^2) over 60 minutes every 21 days for 4 cycles (each cycle is 21 days).
CarboplatinDrug
Carboplatin was administered at area under the concentration-time Curve (AUC) 5 when combined with pemetrexed over 30 to 60 minutes every 21 days for 4 cycles (each cycle is 21 days).
PemetrexedDrug
Pemetrexed was administered intravenously at a dose of 500 mg/ m^2 over 10 minutes every 21 days.
Nab-paclitaxelDrug
Nab-paclitaxel was administered intravenously at as dose of 100 mg/m^2 over 30 minutes in a 21 days cycle on Day 1, 8, and 15 in each cycle for 4 cycles (each cycle is 21 days).
GemcitabineDrug
Gemcitabine was administered intravenously at a dose of 1250 mg/m^2 over 30 minutes in a 21 days cycle on Day 1, and 8, in each cycle for 4 cycles (each cycle is 21 days).
DocetaxelDrug
Docetaxel was administered intravenously at a dose of 75 mg/m^2 over 60 minutes every 21 days for 4 cycles (each cycle is 21 days).
M7824Drug
M7824 was administered intravenously at a dose of 2400 mg every 21 days in combination with chemotherapy for 4 cycles (each cycle is 21 days) followed by up to 31 cycles in maintenance with M7824 and pemetrexed.
CarboplatinDrug
Carboplatin was administered at area under the concentration-time Curve (AUC) 6 when combined with nab-paclitaxel over 30 to 60 minutes every 21 days for 4 cycles (each cycle is 21 days).
CarboplatinDrug
Carboplatin was administered at area under the concentration-time Curve (AUC) 5 when combined with gemcitabine over 30 to 60 minutes every 21 days for 4 cycles (each cycle is 21 days).
Bintrafusp alfaDrug
M7824 was administered intravenously at a dose of 2400 mg every 21 days in combination with chemotherapy for 4 cycles (each cycle is 21 days) followed by up to 31 cycles in maintenance with M7824 alone.
PaclitaxelDrug
Paclitaxel was administered intravenously at a dose of 200 mg/m2 over 3 hours every 3 weeks for 4 cycles (each cycle is 21 days).
| Study group | Role | What they receive |
|---|---|---|
| Cohort A: Cisplatin or Carboplatin + Pemetrexed + Bintrafusp alfa | Experimental | Participants received 2400 miligrams (mg) Bintrafusp alfa along with Cisplatin or Carboplatin, and Pemetrexed every 3 weeks until confirmed disease progression, unacceptable toxicity, study withdrawal or death. Receives: Drug: Cisplatin; Drug: Carboplatin; Drug: Pemetrexed; Drug: M7824 |
| Cohort B: Carboplatin + Paclitaxel or Nab-paclitaxel + Bintrafusp alfa | Experimental | Participants received 2400 mg Bintrafusp alfa along with Carboplatin, and Paclitaxel or Nab-paclitaxel every 3 weeks until confirmed disease progression, unacceptable toxicity, study withdrawal or death. Receives: Drug: Nab-paclitaxel; Drug: Carboplatin; Drug: Bintrafusp alfa; Drug: Paclitaxel |
| Cohort C: Cisplatin or Carboplatin + Gemcitabine + Bintrafusp alfa | Experimental | Participants received 2400 mg Bintrafusp alfa along with Cisplatin or Carboplatin, and Gemcitabine every 3 weeks until confirmed disease progression, unacceptable toxicity, study withdrawal or death. Receives: Drug: Cisplatin; Drug: Gemcitabine; Drug: Carboplatin; Drug: Bintrafusp alfa |
| Cohort D: Docetaxel + Bintrafusp alfa | Experimental | Participants received 2400 mg Bintrafusp alfa along with Docetaxel every 3 weeks until confirmed disease progression, unacceptable toxicity, study withdrawal or death. Receives: Drug: Docetaxel; Drug: Bintrafusp alfa |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants With Dose-Limiting Toxicities (DLTs)
DLT was defined as Adverse Events(AEs) with any of following toxicities: Grade 4 nonhematologic toxicity or hematologic toxicity lasting more than equal to(>=) 7 days despite medical intervention; Grade 3 nausea, vomiting, and diarrhea lasting >= 3 days despite supportive care; Any Grade 3 or Grade 4 nonhematologic lab value leading to hospitalization or persisting for >= 7 days; Grade 3 or Grade 4: grade 3 is defined as absolute neutrophil count (ANC) less than (<) 1,000/Cubic Millimeter(mm3) with a temperature of > 38.3 degree Celsius (°C); grade 4 is defined as ANC < 1,000/mm3 with a temperature of > 38.3°C, with life-threatening consequences; Thrombocytopenia < 25,000/mm3 associated with bleeding not resulting in hemodynamic instability or a life-threatening bleeding resulting in urgent intervention; Bleeding events >= Grade 3 occurring within 5 days of bintrafusp alfa treatment; Prolonged delay(> 3 weeks) in initiating Cycle 2 due to treatment-related toxicity; Grade 5 toxicity.
Measured: Day 1 Week 1 up to Week 3
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious TEAEs
An AE was defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which did not necessarily have a causal relationship with this treatment. An AE could therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether considered related to the medicinal product or protocol-specified procedure. Serious AE was defined AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial/prolonged inpatient hospitalization; congenital anomaly/birth defect. TEAE was defined as events with onset date or worsening during the on-treatment period. TEAEs included serious TEAEs and non-serious TEAEs.
Measured: Time from first treatment assessed up to approximately 26 months
Secondary outcomes (12)
Percentage of Participants With Confirmed Objective Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Investigator (IRC)
Percentage of participants with confirmed objective response that is at least one overall assessment of complete response (CR) or partial response (PR) reported here. CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30% reduction from baseline in the sum of the longest diameter (SLD) of all lesions. Confirmed CR = at least 2 determinations of CR at least 4 weeks apart and before progression. Confirmed PR = at least 2 determinations of PR at least 4 weeks apart and before progression (and not qualifying for a CR). Confirmed objective response was determined according to RECIST v1.1 and as adjudicated by Investigator.
Measured: Time from first treatment assessed up to approximately 26 months
Progression-Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors (RECIST Version 1.1) Assessed by Investigator
PFS was defined as the time from first administration of study intervention until date of the first documentation of disease progression (PD) or death due to any cause, whichever occurred first. PD: At least a 20 percent (%) increase in the SLD, taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. Kaplan-Meier estimates was used to calculate PFS.
Measured: Time from first administration of study drug until the first documentation of PD or death, assessed up to approximately 26 months
Overall Survival (OS)
OS was defined as the time from first administration of study intervention to the date of death due to any cause. The OS was analyzed by using the Kaplan-Meier method.
Measured: Time from first treatment assessed up to approximately 26 months
Duration of Response (DOR)
DOR was defined for participants with confirmed response, as the time from first documentation of confirmed objective response (Complete Response [CR] or Partial Response [PR]) according to RECIST 1.1 to the date of first documentation of progression disease (PD) or death due to any cause, whichever occurred first. CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30% reduction from baseline in the SLD of all lesions. PD: At least a 20 percent (%) increase in the SLD, taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. Results were calculated based on Kaplan-Meier estimates.
Measured: Time from first documentation of a confirmed objective response to PD or death due to any cause (assessed up to approximately 26 months)
Immediate Observed Serum Concentration at End of Infusion (Ceoi) of Bintrafusp Alfa
Ceoi was the observed concentration at the end of the infusion period. This was taken directly from the observed Bintrafusp Alfa concentration-time data.
Measured: Predose, Day 22, Day 43, Day 64 and Day 85
Serum Trough Concentration Levels (Ctrough) of Bintrafusp Alfa
Ctrough was the serum concentration observed immediately before next dosing.
Measured: Predose, Day 22, Day 43, Day 64 and Day 85
Area Under the Plasma Concentration-Time Curve From Time Zero to Last Measurable Concentration (AUC0-t) of Bintrafusp Alfa
The area under the concentration-time curve (AUC) from time zero (= dosing time) to the last sampling time (tlast) at which the concentration is at or above the lower limit of quantification. Calculated using the mixed log-linear trapezoidal rule (linear up, log down).
Measured: Predose, Day 22, Day 43, Day 64 and Day 85
Area Under the Plasma Concentration-time Curve From Time Zero Extrapolated to Infinity (AUC0-inf) of Bintrafusp Alfa
The AUC from time zero (dosing time) extrapolated to infinity, based on the predicted value for the concentration at tlast, as estimated using the linear regression from terminal first order (elimination) rate constant determination. AUC0-inf= AUC0-tlast +Clast pred/ terminal first order (elimination) rate constant.
Measured: Predose, Day 22, Day 43, Day 64 and Day 85
Maximum Observed Plasma Concentration (Cmax) of Bintrafusp Alfa
Cmax was obtained directly from the concentration versus time curve.
Measured: Predose, Day 22, Day 43, Day 64 and Day 85
Time to Reach Maximum Plasma Concentration (Tmax) of Bintrafusp Alfa
The time to reach the maximum observed concentration collected during a dosing interval. Tmax was obtained directly from the concentration versus time curve.
Measured: Predose, Day 22, Day 43, Day 64 and Day 85
Terminal Elimination Half-Life (T1/2) of Bintrafusp Alfa
Elimination half-life determined as 0.693/terminal first order (elimination) rate constant.
Measured: Predose, Day 22, Day 43, Day 64 and Day 85
Number of Participants With Positive Antidrug Antibodies (ADA)
Serum samples were analyzed by a validated assay method to detect the presence of antidrug antibodies (ADA). Number of participants with positive ADA were reported.
Measured: Time from first treatment assessed up to approximately 26 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Feb 2019
- Study start2 Apr 2019
- Primary completion29 Jul 2022
- Study completion29 Jul 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Carcinoma, Non-Small-Cell LungStudies of the same condition, open and under way.
- More trials run by EMD Serono Research & Development Institute, Inc.The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 70 participants (actual)
Sponsor and investigators
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Merck KGaA, Darmstadt, Germany
- Responsible party
- Sponsor
- Investigators
- Medical Responsible, Study director, Merck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, Germany
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03840915
- Sponsor's protocol ID
- MS200647_0024
- Other IDs
- 2018-004040-28, 2018
- Status last verified
- Jul 2023
- First submitted
- 12 Feb 2019
- Last updated
- 21 Aug 2023
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: We are committed to enhancing public health through responsible sharing of clinical trial data. Following approval of a new product or a new indication for an approved product in both the US and European Union, the study sponsor and/or its affiliated companies will share study protocols, anonymized patient data and study level data, and redacted clinical study reports with qualified scientific and medical researchers, upon request, as necessary for conducting legitimate research. Further information on how to request data can be found on our website bit.ly/IPD21
Publications
Vugmeyster Y, Grisic AM, Wilkins JJ, Loos AH, Hallwachs R, Osada M, Venkatakrishnan K, Khandelwal A. Model-informed approach for risk management of bleeding toxicities for bintrafusp alfa, a bifunctional fusion protein targeting TGF-beta and PD-L1. Cancer Chemother Pharmacol. 2022 Oct;90(4):369-379. doi: 10.1007/s00280-022-04468-6. Epub 2022 Sep 6.
PubMed 36066618
Study at a glance
From the registry record, last updated by the sponsor on 21 Aug 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase Ib/II, Open-Label Study of M7824 in Combination With Chemotherapy in Participants With Stage IV Non-small Cell Lung Cancer
- ClinicalTrials.gov ID
- NCT03840915
- Acronym / sponsor ID
- MS200647_0024
- Conditions
- Carcinoma, Non-Small-Cell Lung
- Keywords
- Non-small Cell Lung Cancer, Bintrafusp alfa (proposed INN), M7824, Stage IV, INTR@PID LUNG 024
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 70 participants (actual)
- Lead sponsor
- EMD Serono Research & Development Institute, Inc.Industry (pharma, biotech, devices)
- Collaborators
- Merck KGaA, Darmstadt, Germany
- Study start
- 2 Apr 2019 (actual)
- Primary completion
- 29 Jul 2022 (actual)
- Study completion
- 29 Jul 2022 (actual)
- First posted
- 15 Feb 2019 (actual)
- Results
- Posted 21 Aug 2023
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The main purpose of the study was to evaluate the safety and tolerability of M7824 in combination with chemotherapy.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Cohort A: Cisplatin or Carboplatin + Pemetrexed + Bintrafusp alfa | Experimental | Drug: Cisplatin, Drug: Carboplatin, Drug: Pemetrexed, Drug: M7824Participants received 2400 miligrams (mg) Bintrafusp alfa along with Cisplatin or Carboplatin, and Pemetrexed every 3 weeks until confirmed disease progression, unacceptable toxicity, study withdrawal or death. |
| Cohort B: Carboplatin + Paclitaxel or Nab-paclitaxel + Bintrafusp alfa | Experimental | Drug: Nab-paclitaxel, Drug: Carboplatin, Drug: Bintrafusp alfa, Drug: PaclitaxelParticipants received 2400 mg Bintrafusp alfa along with Carboplatin, and Paclitaxel or Nab-paclitaxel every 3 weeks until confirmed disease progression, unacceptable toxicity, study withdrawal or death. |
| Cohort C: Cisplatin or Carboplatin + Gemcitabine + Bintrafusp alfa | Experimental | Drug: Cisplatin, Drug: Gemcitabine, Drug: Carboplatin, Drug: Bintrafusp alfaParticipants received 2400 mg Bintrafusp alfa along with Cisplatin or Carboplatin, and Gemcitabine every 3 weeks until confirmed disease progression, unacceptable toxicity, study withdrawal or death. |
| Cohort D: Docetaxel + Bintrafusp alfa | Experimental | Drug: Docetaxel, Drug: Bintrafusp alfaParticipants received 2400 mg Bintrafusp alfa along with Docetaxel every 3 weeks until confirmed disease progression, unacceptable toxicity, study withdrawal or death. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Participants greater than or equals to (>=) 18 years of age inclusive at the time of signing the informed consent
- Participants who have histologically confirmed diagnosis of Stage IV NSCLC:
- Have measurable disease based on Response evaluation criteria in solid tumors (RECIST) 1.1
- Have a life expectancy of at least 3 months
- Availability of archived tumor material (less than [<] 6 months old) adequate for biomarker analysis is mandatory at Screening, central laboratory confirmation is required. Fresh biopsies should be collected if archived tumor material is not available
Key exclusion criteria (8 listed)
- The participant's tumor harbors an epidermal growth factor receptor (EGFR) sensitizing (activating) mutation,ROS1 rearrangement, or BRAF V600E mutation or anaplastic lymphoma kinase (ALK) positive, if targeted therapy is locally approved
- Mixed small cell with NSCLC cancer histology
- Has received major surgery within 4 weeks prior to the first dose of study intervention; received thoracic radiation therapy (RT) of > 30 gray (Gy) within 6 months prior to the first dose of study intervention
- Previous malignant disease (other than the target malignancy to be investigated in this study) within the last 3 years
- Has known active central nervous system (CNS) metastases and/or carcinomatous meningitis. Participants with previously treated brain metastases may participate provided they are clinically stable for at least 2 weeks after the end of the RT and, have no evidence of new or enlarging brain metastases evaluated by imaging, preferably brain magnetic resonance imaging (MRI)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| CisplatinCisplatin was administered intravenously at a dose of 75 milligrams per meter square (mg/m^2) over 60 minutes every 21 days for 4 cycles (each cycle is 21 days). | Drug | Cohort A: Cisplatin or Carboplatin + Pemetrexed + Bintrafusp alfa, Cohort C: Cisplatin or Carboplatin + Gemcitabine + Bintrafusp alfa |
| CarboplatinCarboplatin was administered at area under the concentration-time Curve (AUC) 5 when combined with pemetrexed over 30 to 60 minutes every 21 days for 4 cycles (each cycle is 21 days). | Drug | Cohort A: Cisplatin or Carboplatin + Pemetrexed + Bintrafusp alfa |
| PemetrexedPemetrexed was administered intravenously at a dose of 500 mg/ m^2 over 10 minutes every 21 days. | Drug | Cohort A: Cisplatin or Carboplatin + Pemetrexed + Bintrafusp alfa |
| Nab-paclitaxelNab-paclitaxel was administered intravenously at as dose of 100 mg/m^2 over 30 minutes in a 21 days cycle on Day 1, 8, and 15 in each cycle for 4 cycles (each cycle is 21 days). | Drug | Cohort B: Carboplatin + Paclitaxel or Nab-paclitaxel + Bintrafusp alfa |
| GemcitabineGemcitabine was administered intravenously at a dose of 1250 mg/m^2 over 30 minutes in a 21 days cycle on Day 1, and 8, in each cycle for 4 cycles (each cycle is 21 days). | Drug | Cohort C: Cisplatin or Carboplatin + Gemcitabine + Bintrafusp alfa |
| DocetaxelDocetaxel was administered intravenously at a dose of 75 mg/m^2 over 60 minutes every 21 days for 4 cycles (each cycle is 21 days). | Drug | Cohort D: Docetaxel + Bintrafusp alfa |
| M7824M7824 was administered intravenously at a dose of 2400 mg every 21 days in combination with chemotherapy for 4 cycles (each cycle is 21 days) followed by up to 31 cycles in maintenance with M7824 and pemetrexed. | Drug | Cohort A: Cisplatin or Carboplatin + Pemetrexed + Bintrafusp alfa |
| CarboplatinCarboplatin was administered at area under the concentration-time Curve (AUC) 6 when combined with nab-paclitaxel over 30 to 60 minutes every 21 days for 4 cycles (each cycle is 21 days). | Drug | Cohort B: Carboplatin + Paclitaxel or Nab-paclitaxel + Bintrafusp alfa |
| CarboplatinCarboplatin was administered at area under the concentration-time Curve (AUC) 5 when combined with gemcitabine over 30 to 60 minutes every 21 days for 4 cycles (each cycle is 21 days). | Drug | Cohort C: Cisplatin or Carboplatin + Gemcitabine + Bintrafusp alfa |
| Bintrafusp alfaM7824 was administered intravenously at a dose of 2400 mg every 21 days in combination with chemotherapy for 4 cycles (each cycle is 21 days) followed by up to 31 cycles in maintenance with M7824 alone. | Drug | Cohort B: Carboplatin + Paclitaxel or Nab-paclitaxel + Bintrafusp alfa, Cohort C: Cisplatin or Carboplatin + Gemcitabine + Bintrafusp alfa, Cohort D: Docetaxel + Bintrafusp alfa |
| PaclitaxelPaclitaxel was administered intravenously at a dose of 200 mg/m2 over 3 hours every 3 weeks for 4 cycles (each cycle is 21 days). | Drug | Cohort B: Carboplatin + Paclitaxel or Nab-paclitaxel + Bintrafusp alfa |
Primary outcome
Number of Participants With Dose-Limiting Toxicities (DLTs)
Time frame: Day 1 Week 1 up to Week 3
DLT was defined as Adverse Events(AEs) with any of following toxicities: Grade 4 nonhematologic toxicity or hematologic toxicity lasting more than equal to(>=) 7 days despite medical intervention; Grade 3 nausea, vomiting, and diarrhea lasting >= 3 days despite supportive care; Any Grade 3 or Grade 4 nonhematologic lab value leading to hospitalization or persisting for >= 7 days; Grade 3 or Grade 4: grade 3 is defined as absolute neutrophil count (ANC) less than (<) 1,000/Cubic Millimeter(mm3) with a temperature of > 38.3 degree Celsius (°C); grade 4 is defined as ANC < 1,000/mm3 with a temperature of > 38.3°C, with life-threatening consequences; Thrombocytopenia < 25,000/mm3 associated with bleeding not resulting in hemodynamic instability or a life-threatening bleeding resulting in urgent intervention; Bleeding events >= Grade 3 occurring within 5 days of bintrafusp alfa treatment; Prolonged delay(> 3 weeks) in initiating Cycle 2 due to treatment-related toxicity; Grade 5 toxicity.
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious TEAEs
Time frame: Time from first treatment assessed up to approximately 26 months
An AE was defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which did not necessarily have a causal relationship with this treatment. An AE could therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether considered related to the medicinal product or protocol-specified procedure. Serious AE was defined AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial/prolonged inpatient hospitalization; congenital anomaly/birth defect. TEAE was defined as events with onset date or worsening during the on-treatment period. TEAEs included serious TEAEs and non-serious TEAEs.
12 secondary outcomes
Percentage of Participants With Confirmed Objective Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Investigator (IRC)
Time frame: Time from first treatment assessed up to approximately 26 months
Progression-Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors (RECIST Version 1.1) Assessed by Investigator
Time frame: Time from first administration of study drug until the first documentation of PD or death, assessed up to approximately 26 months
Overall Survival (OS)
Time frame: Time from first treatment assessed up to approximately 26 months
Duration of Response (DOR)
Time frame: Time from first documentation of a confirmed objective response to PD or death due to any cause (assessed up to approximately 26 months)
Immediate Observed Serum Concentration at End of Infusion (Ceoi) of Bintrafusp Alfa
Time frame: Predose, Day 22, Day 43, Day 64 and Day 85
Serum Trough Concentration Levels (Ctrough) of Bintrafusp Alfa
Time frame: Predose, Day 22, Day 43, Day 64 and Day 85
Area Under the Plasma Concentration-Time Curve From Time Zero to Last Measurable Concentration (AUC0-t) of Bintrafusp Alfa
Time frame: Predose, Day 22, Day 43, Day 64 and Day 85
Area Under the Plasma Concentration-time Curve From Time Zero Extrapolated to Infinity (AUC0-inf) of Bintrafusp Alfa
Time frame: Predose, Day 22, Day 43, Day 64 and Day 85
Maximum Observed Plasma Concentration (Cmax) of Bintrafusp Alfa
Time frame: Predose, Day 22, Day 43, Day 64 and Day 85
Time to Reach Maximum Plasma Concentration (Tmax) of Bintrafusp Alfa
Time frame: Predose, Day 22, Day 43, Day 64 and Day 85
Terminal Elimination Half-Life (T1/2) of Bintrafusp Alfa
Time frame: Predose, Day 22, Day 43, Day 64 and Day 85
Number of Participants With Positive Antidrug Antibodies (ADA)
Time frame: Time from first treatment assessed up to approximately 26 months
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Aug 2023.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 36066618Vugmeyster Y, Grisic AM, Wilkins JJ, Loos AH, Hallwachs R, Osada M, Venkatakrishnan K, Khandelwal A. Model-informed approach for risk management of bleeding toxicities for bintrafusp alfa, a bifunctional fusion protein targeting TGF-beta and PD-L1. Cancer Chemother Pharmacol. 2022 Oct;90(4):369-379. doi: 10.1007/s00280-022-04468-6. Epub 2022 Sep 6.
- Trial Awareness and Transparency websiteLink provided by the sponsor.
- US Medical Information website, Medical ResourcesLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. We are committed to enhancing public health through responsible sharing of clinical trial data. Following approval of a new product or a new indication for an approved product in both the US and European Union, the study sponsor and/or its affiliated companies will share study protocols, anonymized patient data and study level data, and redacted clinical study reports with qualified scientific and medical researchers, upon request, as necessary for conducting legitimate research. Further information on how to request data can be found on our website bit.ly/IPD21
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Medical Responsible study director
Merck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, Germany
19 sites in 3 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing Cisplatin, Carboplatin and Pemetrexed in people with Carcinoma, Non-Small-Cell Lung, run by EMD Serono Research & Development Institute, Inc. at 19 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 8 inclusion and 8 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 21 Aug 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 19 sites in United States, France, Belgium. 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 21 Aug 2023). 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 (DLTs) (time frame: Day 1 Week 1 up to Week 3). 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?
On the ClinicalTrials.gov record for NCT03840915, which also lists 1 linked publication.
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 21 Aug 2023.