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Solid TumorsEarly Phase 1NCT04237649

KAZ954 Alone and With PDR001, NZV930 and NIR178 in Advanced Solid Tumors

A Early Phase 1 study testing KAZ954, PDR001 and NIR178 in people with Solid Tumors, run by Novartis Pharmaceuticals at 13 sites in 8 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 primary objective of the trial was to characterize the safety, tolerability, and maximum tolerated dose (MTD)/recommended dose (RD) for expansion of single agent KAZ954 and KAZ954 in combination with PDR001, NIR178 and NZV930. Read more about this study

Who is it for?
Ages 18 to 99 years
Conditions the study is for
Solid Tumors
What is being tested?
KAZ954, PDR001 and NIR178
Could I receive a placebo?
No, everyone receives an active treatment
How many people
77 participants
Where
13 sitesin 8 countries
Study dates
20 Feb 2020to 15 Sep 2023
Phase
Early 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 to 99 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients with metastatic and/or advanced malignancies not amenable to curative treatment by surgery.
  • Must have a site of disease amenable to biopsy and be a candidate for tumor biopsy according to the treating institution's guidelines. Patient must be willing to undergo a new tumor biopsy at screening and during the study.
  • ECOG Performance Status of <2.

Who cannot join

  • Presence of symptomatic central nervous system (CNS) metastases, or CNS metastases that require concurrent treatment - including surgery, radiation and/or corticosteroids.
  • History of severe hypersensitivity reaction to any ingredient of study drug(s) and other mAbs and/or their excipients.
  • Impaired cardiac function HIV Known history of tuberculosis Systemic chronic steroid therapy
  • Other protocol-defined inclusion/exclusion criteria may apply.

Trial locations and contacts

13 sites in 8 countries.

13 sites in 8 countries

United States5 sites
  • Northwestern University Med School

    Chicago, Illinois, 60611

  • Uni of TX MD Anderson Cancer Cntr

    Houston, Texas, 77030

  • University Of California LA

    Los Angeles, California, 90095

  • Yale University Yale Cancer Center

    New Haven, Connecticut, 06511

  • WA Uni School Of Med Dept. of Siteman Cancer Center

    St Louis, Missouri, 63110

Other trials in United States

Italy2 sites
  • Novartis Investigative Site

    Milan, MI, 20133

  • Novartis Investigative Site

    Milan, MI, 20162

Other trials in Italy

Canada1 site
  • Novartis Investigative Site

    Toronto, Ontario, M5G 2M9

Other trials in Canada

Hong Kong1 site
  • Novartis Investigative Site

    Shatin New Territories, Hong Kong

Other trials in Hong Kong

Japan1 site
  • Novartis Investigative Site

    Sunto Gun, Shizuoka, 411 8777

Other trials in Japan

Singapore1 site
  • Novartis Investigative Site

    Singapore, 119074

Other trials in Singapore

Spain1 site
  • Novartis Investigative Site

    Barcelona, Catalonia, 08035

Other trials in Spain

Taiwan1 site
  • Novartis Investigative Site

    Taipei, 10002

Other trials in Taiwan

About this study

Official title: A Phase I/Ib, Open-label, Multi-center, Study of KAZ954 as a Single Agent and in Combination With Spartalizumab, NZV930 and NIR178 in Patients With Advanced Solid Tumors

The primary objective of the trial was to characterize the safety, tolerability, and maximum tolerated dose (MTD)/recommended dose (RD) for expansion of single agent KAZ954 and KAZ954 in combination with PDR001, NIR178 and NZV930.

Read the detailed description

The purpose of this trial was to explore the clinical utility of several therapies in patients with advanced cancer.

This is a multi-center, open-label Phase I/Ib study. The study consisted of a dose escalation part and a dose expansion part testing KAZ954 as a single agent or KAZ954 in combination with PDR001, NZV930 and NIR178.

The dose escalation part estimated the MTD and/or RD and tested different dosing schedules. The dose escalation arm KAZ954 + NZV930 was not opened.

The dose expansion part of the study was planned to use the MTD/RDE determined in the dose escalation part to assess the activity, safety and tolerability of the investigational products in patients with specific types of cancer. The dose expansion part of the study was not started.

Conditions
Solid Tumors
Being tested
KAZ954, PDR001, NIR178, NZV930
Keywords
Solid Tumors, KAZ954, PDR001, Spartalizumab, NIR178, NZV930, Immunotherapy, Phase I/Ib

What participants receive

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

  • KAZ954Drug

    KAZ954 will be administered in every arm.

  • PDR001Drug

    KAZ954 + PDR001

  • NIR178Drug

    KAZ954 + NIR178

  • NZV930Drug

    KAZ954 + NZV930

Study groups in NCT04237649
Study groupRoleWhat they receive
Arm AExperimentalKAZ954
Receives: Drug: KAZ954
Arm BExperimentalKAZ954 + PDR001
Receives: Drug: KAZ954; Drug: PDR001
Arm CExperimentalKAZ954 + NIR178
Receives: Drug: KAZ954; Drug: NIR178
Arm DExperimentalKAZ954 + NZV930
Receives: Drug: KAZ954; Drug: NZV930

What is being measured

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

  1. Incidence of Dose Limiting Toxicities (DLTs)

    A dose-limiting toxicity (DLT) is defined as an adverse event or abnormal laboratory value of Common Terminology Criteria for Adverse Events (CTCAE) grade ≥ 3 assessed as unrelated to disease, disease progression, inter-current illness or concomitant medications, which occurs within the DLT period. The DLT period for Schedule 1 is 28 days and covers two infusions. The DLT period for Schedule 2 and Schedule 3 is 35 days to cover two infusions of the Experimental dose. Other clinically significant toxicities may be considered to be DLTs, even if not CTCAE grade 3 or higher.

    Measured: Up to 35 days

  2. Incidence of adverse events and serious adverse events during the on-treatment period

    Number of participants with AEs (any AE regardless of seriousness) and SAEs, including changes from baseline in vital signs, electrocardiograms and laboratory results qualifying and reported as AEs. The on-treatment period is defined from the day of first administration of study treatment up to 30 days after the date of its last administration.

    Measured: Up to approximately 52 weeks (KAZ954 single agent), 20 weeks (KAZ954+PDR001) and 24 weeks (KAZ954+NIR178)

  3. Number of participants with dose interruptions and dose reductions

    Number of participants with at least one dose interruption or reduction of KAZ954 and its combination partners during study treatment to assess tolerability.

    Measured: Up to approximately 48 weeks (KAZ954 single agent), 16 weeks (KAZ954+PDR001) and 20 weeks (KAZ954+NIR178)

  4. Dose intensity of study treatment

    Dose intensity of KAZ954 and its combination partners computed as the ratio of actual cumulative dose received and actual duration of exposure.

    Measured: Up to approximately 48 weeks (KAZ954 single agent), 16 weeks (KAZ954+PDR001) and 20 weeks (KAZ954+NIR178)

Secondary outcomes (16)
  1. Overall Response Rate (ORR) per RECIST v1.1

    ORR is the percentage of patients with a best overall response of complete response (CR) or partial response (PR), based on local investigator assessment per Response Evaluation Criteria for Solid Tumors (RECIST) v1.1. For RECIST v1.1, CR=Disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to < 10 mm; PR= At least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters.

    Measured: Up to approximately 48 weeks (KAZ954 single agent), 16 weeks (KAZ954+PDR001) and 20 weeks (KAZ954+NIR178)

  2. Overall Response Rate (ORR) per iRECIST

    ORR is the percentage of patients with a best overall response of complete response (iCR) or partial response (iPR), based on local investigator assessment per immune-related RECIST (iRECIST). For iRECIST, the principles used to determine objective tumor response are largely unchanged from RECIST v1.1, while the major change of iRECIST is the concept of 'resetting the bar' if RECIST v1.1 progression is followed by tumor shrinkage. Unlike RECIST v1.1, iRECIST requires the confirmation of progression.

    Measured: Up to approximately 48 weeks (KAZ954 single agent), 16 weeks (KAZ954+PDR001) and 20 weeks (KAZ954+NIR178)

  3. Disease Control Rate (DCR) per RECIST v1.1

    DCR is the percentage of patients with a best overall response of complete response (CR), partial response (PR) or stable disease (SD), based on local investigator assessment per Response Evaluation Criteria for Solid Tumors (RECIST) v1.1. For RECIST v1.1, CR=Disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to < 10 mm; PR= At least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters; SD= Neither sufficient shrinkage to qualify for PR or CR nor an increase in lesions which would qualify for progression.

    Measured: Up to approximately 48 weeks (KAZ954 single agent), 16 weeks (KAZ954+PDR001) and 20 weeks (KAZ954+NIR178)

  4. Disease Control Rate (DCR) per iRECIST

    DCR is the percentage of patients with a best overall response of complete response (iCR), partial response (iPR), stable disease (iSD), based on local investigator assessment per immune-related RECIST (iRECIST). For iRECIST, the principles used to determine objective tumor response are largely unchanged from RECIST v1.1, while the major change of iRECIST is the concept of 'resetting the bar' if RECIST v1.1 progression is followed by tumor shrinkage. Unlike RECIST v1.1, iRECIST requires the confirmation of progression.

    Measured: Up to approximately 48 weeks (KAZ954 single agent), 16 weeks (KAZ954+PDR001) and 20 weeks (KAZ954+NIR178)

  5. Progression-Free Survival (PFS) per RECIST v1.1

    For assessment per RECIST v1.1, PFS is the time from date of start of treatment to the date of event defined as the first progression or death due to any cause. If a subject had not had an event, PFS was censored at the date of last adequate tumor assessment. PFS was analyzed using the Kaplan-Meier method.

    Measured: Up to approximately 52 weeks (KAZ954 single agent), 20 weeks (KAZ954+PDR001) and 24 weeks (KAZ954+NIR178)

  6. Progression-Free Survival (iPFS) per iRECIST

    For assessment per iRECIST, iPFS is the time from date of start of treatment to the date of event defined as the first documented confirmed progression or death due to any cause. If a subject had not had an event, iPFS was censored at the date of last adequate tumor assessment. PFS was analyzed using the Kaplan-Meier method.

    Measured: Up to approximately 52 weeks (KAZ954 single agent), 20 weeks (KAZ954+PDR001) and 24 weeks (KAZ954+NIR178)

  7. Maximum observed serum concentration (Cmax) of KAZ954

    Pharmacokinetic (PK) parameters were calculated based on free KAZ954 serum concentrations by using non-compartmental methods. Cmax is defined as the maximum (peak) observed concentration following a dose.

    Measured: Cycle 1 Day 1 (C1D1) and Cycle 3 Day 1 (C3D1): pre-dose, 1, 24, 72, 168, 240 and 360 hours after the end of the infusion. The duration of the infusion was 2 hours. One cycle=28 days

  8. Maximum observed serum concentration (Cmax) of PDR001

    PK parameters were calculated based on PDR001 serum concentrations by using non-compartmental methods. Cmax is defined as the maximum (peak) observed concentration following a dose.

    Measured: Cycle 1 Day 1 (C1D1) and Cycle 3 Day 1 (C3D1): pre-dose, 1, 168, 336 and 672 hours after the end of the infusion. The duration of the infusion was 30 minutes. One cycle=28 days

  9. Maximum observed plasma concentration (Cmax) of NIR178 and its metabolite NJI765

    PK parameters were calculated based on NIR178 and NJI765 plasma concentrations by using non-compartmental methods. Cmax is defined as the maximum (peak) observed concentration following a dose.

    Measured: Cycle 1 Day 1 (C1D1) and Cycle 2 Day 1 (C2D1): pre-dose, 15 minutes, 1, 2, 4 and 6 hours after morning dose and 12 hours after evening dose. One cycle=28 days

  10. Area under the serum concentration-time curve from time zero to 14 days post dose (AUC0-14d) of KAZ954

    PK parameters were calculated based on free KAZ954 serum concentrations by using non-compartmental methods. The linear trapezoidal method was used for area under the curve (AUC) calculation.

    Measured: Cycle 1 Day 1 (C1D1) and Cycle 3 Day 1 (C3D1): pre-dose, 1, 24, 72, 168, 240 and 360 hours after the end of the infusion. The duration of the infusion was 2 hours. One cycle=28 days

  11. Area under the serum concentration-time curve from time zero to the time of the last quantifiable concentration (AUClast) of PDR001

    PK parameters were calculated based on PDR001 serum concentrations by using non-compartmental methods. The linear trapezoidal method was used for AUC calculation.

    Measured: Cycle 1 Day 1 (C1D1) and Cycle 3 Day 1 (C3D1): pre-dose, 1, 168, 336 and 672 hours after the end of the infusion. The duration of the infusion was 30 minutes. One cycle=28 days

  12. Area under the plasma concentration-time curve from time zero to the time of the last quantifiable concentration (AUClast) of NIR178 and its metabolite NJI765

    PK parameters were calculated based on NIR178 and NJI765 plasma concentrations by using non-compartmental methods. The linear trapezoidal method was used for AUC calculation.

    Measured: Cycle 1 Day 1 (C1D1) and Cycle 2 Day 1 (C2D1): pre-dose, 15 minutes, 1, 2, 4 and 6 hours after morning dose and 12 hours after evening dose. One cycle=28 days

  13. Number of participants with anti-KAZ954 antibodies

    KAZ954 immunogenicity was evaluated in serum samples. Patient anti-drug antibodies (ADA) status was defined as follows:

    • ADA-negative at baseline: ADA-negative sample at baseline
    • ADA-positive at baseline: ADA-positive sample at baseline
    • ADA-negative post-baseline: ADA-negative sample at baseline and at least 1 post-baseline sample, all of which are ADA-negative samples
    • Treatment-reduced ADA-positive: ADA-positive sample at baseline and at least 1 post-baseline sample, all of which are ADA-negative samples
    • Treatment-induced ADA-positive: ADA-negative sample at baseline and at least 1 treatment-induced ADA-positive sample
    • Treatment-boosted ADA-positive: ADA-positive sample at baseline and at least 1 treatment-boosted ADA-positive sample

    Measured: Baseline (before first dose) and post-baseline (assessed throughout the treatment, up to approximately 48 weeks, 16 weeks and 20 weeks for KAZ954 single agent, KAZ954+PDR001 and KAZ954+NIR178, respectively)

  14. Number of participants with anti-PDR001 antibodies

    PDR001 immunogenicity was evaluated in serum samples. Patient anti-drug antibodies (ADA) status was defined as follows:

    • ADA-negative at baseline: ADA-negative sample at baseline
    • ADA-positive at baseline: ADA-positive sample at baseline
    • ADA-negative post-baseline: ADA-negative sample at baseline and at least 1 post-baseline sample, all of which are ADA-negative samples
    • Treatment-reduced ADA-positive: ADA-positive sample at baseline and at least 1 post-baseline sample, all of which are ADA-negative samples
    • Treatment-induced ADA-positive: ADA-negative sample at baseline and at least 1 treatment-induced ADA-positive sample
    • Treatment-boosted ADA-positive: ADA-positive sample at baseline and at least 1 treatment-boosted ADA-positive sample

    Measured: Baseline (before first dose) and post-baseline (assessed throughout the treatment, up to approximately 16 weeks)

  15. Overall Response Rate (ORR) using RECIST v1.1 and iRECIST by PD-L1 expression

    Programmed Death-Ligand 1 (PD-L1) expression was assessed centrally using the 22C3 PharmDx assay. PD-L1 expression levels were defined based on the tumor proportion score (TPS). The PD-L1 expression levels were categorized as high (TPS ≥ 50%), medium (TPS 1% - 49%) and low (TPS <1%) expressors. ORR using RECIST v1.1 and iRECIST was summarized by PD-L1 expression.

    Measured: Up to approximately 48 weeks (KAZ954 single agent), 16 weeks (KAZ954+PDR001) and 20 weeks (KAZ954+NIR178)

  16. Progression Free Survival (PFS) using RECIST v1.1 and iRECIST by PD-L1 expression

    Programmed Death-Ligand 1 (PD-L1) expression was assessed centrally using the 22C3 PharmDx assay. PD-L1 expression levels were defined based on the tumor proportion score (TPS). The PD-L1 expression levels were categorized as high (TPS ≥ 50%), medium (TPS 1% - 49%) and low (TPS <1%) expressors. PFS using RECIST v1.1 and iRECIST was summarized by PD-L1 expression.

    Measured: Up to approximately 52 weeks (KAZ954 single agent), 20 weeks (KAZ954+PDR001) and 24 weeks (KAZ954+NIR178)

Timeline

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

  1. First posted23 Jan 2020
  2. Study start20 Feb 2020
  3. Primary completion15 Sep 2023
  4. Study completion15 Sep 2023

Why it stopped: Business reasons

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
Early Phase 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
77 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04237649
Sponsor's protocol ID
CKAZ954A12101
Other IDs
2019-002841-39, 2019
Status last verified
May 2025
First submitted
17 Jan 2020
Last updated
18 May 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 Early Phase 1 study testing KAZ954, PDR001 and NIR178 in people with Solid Tumors, run by Novartis Pharmaceuticals at 13 sites in 8 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 4 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 18 May 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 13 sites in United States, Italy, Canada, Hong Kong, Japan and 3 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?

Early Phase 1 (sometimes called Phase 0) studies give a very small amount of a treatment to a few people, mainly to see how the body handles it.

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 was stopped early (reason given: Business reasons). Results are not available in the source record.

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?

Incidence of Dose Limiting Toxicities (DLTs) (time frame: Up to 35 days). The study lists 4 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 18 May 2025.

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