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Metastatic NeoplasmPhase 1/2NCT04418661

Safety and Efficacy Study of Vociprotafib (SAR442720) in Combination With Other Agents in Advanced Malignancies

A Phase 1/2 study testing Vociprotafib, Pembrolizumab and Adagrasib in people with Metastatic Neoplasm, run by Sanofi at 20 sites in 7 countries.

Terminated

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

Official record
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Trial summary

Primary Objectives: Part 1 To characterize the safety and tolerability of SAR442720 in combination with pembrolizumab in participants with advanced solid tumors. To define the MTD and RP2D for the combination of SAR442720 and pembrolizumab in participants with solid tumors. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Metastatic Neoplasm
What is being tested?
Vociprotafib, Pembrolizumab and Adagrasib
Could I receive a placebo?
No, everyone receives an active treatment
How many people
65 participants
Where
20 sitesin 7 countries
Study dates
9 Jun 2020to 4 Apr 2024
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 must be ≥ 18 years of age.
  • Histologically proven diagnosis of advanced solid tumors.
  • Participants must have one or more of the following molecular aberrations (Part 1): KRAS mutations and amplifications, BRAF Class 3 mutations, or NF1 LOF mutations.
  • Participants must have following molecular aberration (Part 3A and 3B): - KRAS G12C mutation.
  • At least 1 measurable disease per RECIST 1.1 criteria.
  • Eastern Cooperative Oncology Group (ECOG) performance status 0-1.
  • Woman of childbearing potential must agree to follow contraceptive guidance.
  • Capable of giving signed informed consent.

Who cannot join

  • Predicted life expectancy <3 months.
  • Primary central nervous system (CNS) tumors.
  • Symptomatic or impending cord compression. Stable CNS disease was allowed.
  • History of cerebrovascular stroke or transient ischemic attack within previous 6 months.
  • Prior solid organ or hematologic transplant.
  • History or current retinal pigment epithelial detachment (RPED), central serous retinopathy, retinal vascular occlusion (RVO), neovascular macular degeneration.
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  • Any clinically significant cardiac disease.
  • Active, known or suspected autoimmune disease.
  • History of or current interstitial lung disease or pneumonitis.
  • Receipt of a live-virus vaccination within 28 days, viral vaccine that do not contain live virus within 7 days of planned treatment start. Seasonal flu vaccines that do not contain live virus are permitted.
  • Known infection with human immunodeficiency virus (HIV), known uncontrolled hepatitis B infection, active tuberculosis, or severe infection requiring parenteral antibiotic treatment.
  • Inadequate hematologic, hepatic and renal function.
  • Known second malignancy.
  • Impairment of gastrointestinal function.
  • Any unstable or clinically significant concurrent medical condition that would, in the opinion of the investigator, jeopardize the safety of a participant, impact their expected survival through the end of the study participation, and/or impact their ability to comply with the protocol.
  • History of severe allergic reaction to any of the study intervention components.
  • The above information was not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Trial locations and contacts

20 sites in 7 countries.

20 sites in 7 countries

Argentina4 sites
  • Investigational Site Number : 0320001

    Buenos Aires, 1019

  • Investigational Site Number : 0320004

    Buenos Aires, 1093

  • Investigational Site Number : 0320002

    Buenos Aires, 1125

  • Investigational Site Number : 0320003

    Rosario, Santa Fe Province, 2000

Other trials in Argentina

Australia3 sites
  • Investigational Site Number : 0360003

    Melbourne, Victoria, 3084

  • Investigational Site Number : 0360002

    Sydney, New South Wales, 2031

  • Investigational Site Number : 0360001

    Woolloongabba, Queensland, 4102

Other trials in Australia

Chile3 sites
  • Investigational Site Number : 1520001

    Santiago, Reg Metropolitana de Santiago, 8420383

  • Investigational Site Number : 1520002

    Temuco, La Araucanía, 4780000

  • Investigational Site Number : 1520003

    Viña del Mar, Valparaiso, 2520598

Other trials in Chile

South Korea3 sites
  • Investigational Site Number : 4100003

    Cheongju-si, North Chungcheong, 28644

  • Investigational Site Number : 4100002

    Seongnam-si, Gyeonggi-do, 13496

  • Investigational Site Number : 4100001

    Seoul, Seoul-teukbyeolsi, 03722

Other trials in South Korea

Spain3 sites
  • Investigational Site Number : 7240001

    Madrid, 28040

  • Investigational Site Number : 7240002

    Madrid, 28050

  • Investigational Site Number : 7240003

    Valencia, 46010

Other trials in Spain

United States2 sites
  • The University of Texas MD Anderson Cancer Center- Site Number : 8400001

    Houston, Texas, 77030

  • University of California Irvine Medical Center- Site Number : 8400002

    Orange, California, 92868

Other trials in United States

Taiwan2 sites
  • Investigational Site Number : 1580002

    Tainan, 704

  • Investigational Site Number : 1580001

    Taipei, 100

Other trials in Taiwan

About this study

Official title: A Phase 1/2, Open-label, Multicenter, Dose Escalation and Dose Expansion Study of SAR442720 in Combination With Other Agents in Participants With Advanced Malignancies

Primary Objectives:

  • Part 1
  • To characterize the safety and tolerability of SAR442720 in combination with pembrolizumab in participants with advanced solid tumors.
  • To define the MTD and RP2D for the combination of SAR442720 and pembrolizumab in participants with solid tumors.
  • Part 2
  • To determine the anti-tumor activity of SAR442720 in combination with pembrolizumab.
  • Part 3A
  • To define the MTD and RP2D for the combination of SAR442720 and adagrasib in participants with KRAS G12C NSCLC
  • To characterize the safety and tolerability of SAR442720 in combination with adagrasib in participants with KRAS G12C NSCLC
  • Part 3B
  • To determine the anti-tumor activity of SAR442720 in combination with adagrasib in participants with KRAS G12C NSCLC
  • Part 4
  • To evaluate the impact of food on the PK of SAR442720 when dosed with pembrolizumab.
  • To evaluate the impact of the formulations (formulation 1 and formulation 2) on the PK of SAR442720 when dosed with pembrolizumab.
Read more

Secondary Objectives:

  • Part 1
  • To assess the PK of SAR442720 with pembrolizumab, and the PK of pembrolizumab with SAR442720.
  • To estimate the anti-tumor effects of SAR442720 with pembrolizumab.
  • Part 2
  • To assess the safety profile of SAR442720 combined with pembrolizumab.
  • To assess other indicators of anti-tumor activity.
  • To assess the PK of SAR442720 with pembrolizumab, and the PK of pembrolizumab with SAR442720.
  • Part 3A
  • To characterize the PK of SAR442720 with adagrasib, and the PK of adagrasib with SAR442720.
  • To estimate the anti-tumor effects of SAR442720 with adagrasib
  • Part 3B
  • To assess the safety profile of SAR442720 with adagrasib in participants with KRAS G12C NSCLC.
  • To assess other indicators of anti-tumor activity.
  • To assess the PK of SAR442720 with adagrasib, and the PK of adagrasib with SAR442720.
  • Part 4
  • To assess the safety and tolerability of SAR442720 formulations with pembrolizumab
  • To estimate the anti-tumor effects of SAR442720 with pembrolizumab.
Read the detailed description

This open label Phase 1 multicenter study was designed to evaluate the safety and maximum tolerated dose (MTD) and recommended phase 2 dose (RP2D) of SAR442720 in combination with pembrolizumab in participants with solid tumors in Part 1.

In Part 2, in the expansion cohort (Cohort A) we assessed the antitumor activity and safety of SAR442720 combined with pembrolizumab in participants with metastatic 1L lung cancer.

In Part 3, we evaluated the safety, MTD, RP2D and antitumor activity of SAR442720 in combination with adagrasib in participants with lung cancer and KRAS G12C mutation.

In Part 4, we evaluated the impact of the formulations (formulation 1 and formulation 2) and of the food on the PK of SAR442720 when dosed in combination with pembrolizumab. The expected duration of study intervention for participants may vary, based on progression date; median expected duration of study per participant was estimated to be about 10 months in Part 1, Part 3 and Part 4 (up to 1 month for screening, a median of 6 months for treatment, and a median of 3 months for long term follow-up) and in Part 2 16 months (up to 1 month for screening, a median of 12 months for treatment and a median of 3 months for long term follow up.)

Being tested
Vociprotafib, Pembrolizumab, Adagrasib
Medical subject headings
Neoplasm Metastasis

What participants receive

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

  • VociprotafibDrug

    Also called SAR442720, RMC-4630

    Pharmaceutical form: Varies Route of administration: Varies

  • PembrolizumabDrug

    Pharmaceutical form:Sterile Lyophilized powder for reconstitution Route of administration: Infusion

  • AdagrasibDrug

    Pharmaceutical form:Sterile Tablet Route of administration: Oral

Study groups in NCT04418661
Study groupRoleWhat they receive
Part 1- SAR442720 140 mg BIW + PembrolizumabExperimentalParticipants were administered SAR442720 140 milligram (mg) orally twice a week (BIW) on Days 1 and 4 along with pembrolizumab 200 mg via intravenous (IV) infusion once every 3 weeks (Q3W) in 21-day cycles until disease progression, unacceptable adverse events (AEs), or the participant's or investigator's decision to stop the treatment.
Receives: Drug: Vociprotafib; Drug: Pembrolizumab
Part 1- SAR442720 200mg BIW + PembrolizumabExperimentalParticipants were administered SAR442720 200 mg orally BIW on Days 1 and 2 along with pembrolizumab 200 mg via IV infusion Q3W in 21-day cycles until disease progression, unacceptable AEs, or the participant's or investigator's decision to stop the treatment.
Receives: Drug: Vociprotafib; Drug: Pembrolizumab
Part 2- SAR442720 200mg + Pembrolizumab - Cohort A1 (PDL1 TPS >=50%)ExperimentalParticipants with programmed death-ligand 1 (PD-L1) tumor proportion score (TPS)>=50% non-small cell lung cancer (NSCLC) were administered SAR442720 200 mg orally BIW on Days 1 and 2 in 21-day cycles along with an IV infusion of pembrolizumab 200 mg on Q3W (21 days cycle) or 400 mg once in every 6 weeks (Q6W) (42 days cycle) until disease progression, unacceptable AEs, consent withdrawal, or the participant's or investigator's decision to stop the treatment.
Receives: Drug: Vociprotafib; Drug: Pembrolizumab
Part 2- SAR442720 200mg + Pembrolizumab - Cohort A2 (PDL1 TPS 1% - 49%)ExperimentalParticipants with PDL1 TPS 1% - 49% NSCLC were administered SAR442720 200 mg orally BIW on Days 1 and 2 in 21-day cycles along with an IV infusion of pembrolizumab 200 mg on Q3W (21 days cycle) or 400 mg Q6W (42 days cycle) until disease progression, unacceptable AEs, consent withdrawal, or the participant's or investigator's decision to stop the treatment.
Receives: Drug: Vociprotafib; Drug: Pembrolizumab
Part 3A- SAR442720 100mg BIW + AdagrasibExperimentalParticipants were administered SAR442720 100 mg orally BIW on Days 1 and 2 along with adagrasib 400 mg orally twice daily (BID) in 21-day cycles until disease progression, unacceptable AEs, consent withdrawal, or the participant's or investigator's decision to stop the treatment.
Receives: Drug: Vociprotafib; Drug: Adagrasib
Part 4- SAR442720 200mg + PembrolizumabExperimentalParticipants were administered SAR442720 200 mg orally BIW on Days 1 and 2 in 21-day cycles (as tablet during the first cycle and as capsule from Cycle 2) along with an IV infusion of pembrolizumab 200 mg Q3W (21-day cycle)or 400 mg Q6W (42-day cycle) until disease progression, unacceptable AEs, consent withdrawal, or the participant's or investigator's decision to stop the treatment.
Receives: Drug: Vociprotafib; Drug: Pembrolizumab

What is being measured

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

  1. Part 1: Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Treatment-Emergent Serious Adverse Events (TESAEs)

    AE: any untoward medical occurrence in participant or clinical study participant, temporally associated with the use of IMP, whether or not considered related to the IMP. TEAEs: AEs that developed or worsened or became serious during treatment-emergent period, defined as time from first administration of IMP (on Day 1) to last administration of IMP + 30 days. SAE: any untoward medical occurrence that, at any dose: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, or was a medically important event.

    Measured: From first dose of IMP up to 30 days after the last dose; approximately 27 weeks

  2. Parts 1 and 3A: Number of Participants With Treatment Related Dose Limiting Toxicities (DLTs)

    Potential DLTs were defined as the AEs that occurred during the first cycle (C) of treatment, considered by the investigator to be related to IMP, unless due to disease progression or to a cause obviously unrelated to IMP: Grade(G)>= 4 AEs, G3 neutropenia lasting >7 days or febrile neutropenia; G3 thrombocytopenia with clinically significant bleeding; any G>=3 immune-related AEs; G3 nonhematologic AEs; G3 aspartate transaminase, alanine transaminase, and/or total bilirubin elevations that persist >5 days; possible Hy's law case; G3 QT interval corrected using Fridericia's formula prolongation; retinal vein occlusion any grade; toxicity related to IMP leading to 50% or less dose intensity of SAR442720 and/or delay in initiation of C2 dosing of pembrolizumab by >15 days, in the absence of recovery to baseline or G <=1 AE. Potential DLT were reviewed by Sponsor and investigators to confirm them as DLTs.

    Measured: Cycle 1 (21 days)

  3. Part 2: Percentage of Participants With Objective Response Rate (ORR)

    ORR was defined as the percentage of participants who had a confirmed complete response (CR) or partial response (PR) determined by investigator per response evaluation criteria in solid tumors (RECIST) version 1.1 CR: disappearance of all target lesions. Any pathological lymph nodes (whether target or nontarget) had reduction in short axis to 10 millimeter (mm) OR disappearance of all nontarget lesions and normalization of tumor marker level. All lymph nodes had nonpathological in size (< 10 mm short axis). PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters. The confidence interval (CI) was estimated using Clopper-Pearson method.

    Measured: Tumor assessments performed every 9 weeks (56 ±7 days) after the date of first IMP up to end of treatment, approximately 107 weeks

  4. Part 3A: Number of Participants With Treatment-Emergent Adverse Events and Treatment-Emergent Serious Adverse Events

    AE: any untoward medical occurrence in participant or clinical study participant, temporally associated with the use of IMP, whether or not considered related to the IMP. TEAEs: AEs that developed or worsened or became serious during treatment-emergent period, defined as time from first administration of IMP (on Day 1) to last administration of IMP + 30 days. SAE: any untoward medical occurrence that, at any dose: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, or was a medically important event.

    Measured: From first dose of IMP up to 30 days after the last dose; approximately 7 weeks

  5. Part 4: Plasma Concentration of SAR442720 in Combination With Pembrolizumab

    Plasma samples were collected at specified timepoints for pharmacokinetic (PK) analysis.

    Measured: Pre-dose, 0.5, 1, 2, 4, 8, 24 hours post-dose on C1 D1, C1 D15, C2 D1; Pre-dose on C1 D8 and C6 D1; end of treatment (Week 45)

  6. Part 4: Area Under Curve From Zero to Last Concentration Timepoint (AUClast) for SAR442720 Tablets and Capsules

    Plasma samples were collected at specified timepoints to determine AUClast for evaluating the impact of food and formulation on the PK of SAR442720 tablet. It was calculated using non-compartmental analysis (NCA) method.

    Measured: Pre-dose, 0.5, 1, 2, 4, 8, 24 hours on C1 D1, C1 D15 and C2D1

  7. Part 4: Maximum Observed Plasma Concentration (Cmax) for SAR442720 Tablets and Capsules

    Plasma samples were collected at specified timepoints to determine Cmax for evaluating the impact of food and formulation on the PK of SAR442720 tablet. It was calculated using NCA method.

    Measured: Pre-dose, 0.5, 1, 2, 4, 8, 24 hours on C1 D1, C1 D15 and C2 D1

  8. Part 4: Time to Reach Maximum Plasma Concentration (Tmax) for SAR442720 Tablets and Capsules

    Plasma samples were collected at specified timepoints to determine tmax for evaluating the impact of food and formulation on the PK of SAR442720 tablet. It was calculated using NCA method.

    Measured: Pre-dose, 0.5, 1, 2, 4, 8, 24 hours on C1 D1, C1 D15 and C2 D1

Secondary outcomes (16)
  1. Part 1: Plasma Concentration of SAR442720

    Plasma samples were collected at specified timepoints for evaluation of SAR442720 PK concentrations.

    Measured: Pre-dose, 2, 8, hours post-dose on C1 D1 and C2D1; pre-dose C1D8, C1D15, and C6D1; 2 hours C2D2; and end of treatment (Week 22)

  2. Part 2: Plasma Concentration of SAR442720

    Plasma samples were collected at specified timepoints for evaluation of SAR442720 PK concentrations.

    Measured: Pre-dose and 2 hours post-dose C1D1 and C2D1; pre-dose on C1D8, C1D15, C6D1; and end of treatment (Week 104)

  3. Parts 1 and 2: Serum Concentration of Pembrolizumab

    Serum samples were collected at specified timepoints for evaluation of pembrolizumab PK concentrations.

    Measured: Pre-dose and post-dose C1D1; pre-dose on C2D1 and C6D1

  4. Parts 1 and 4: Percentage of Participants With Objective Response Rate

    ORR was defined as the percentage of participants who had a confirmed CR or PR determined by investigator per RECIST version 1.1 CR: disappearance of all target lesions. Any pathological lymph nodes (whether target or nontarget) had reduction in short axis to 10 mm OR disappearance of all nontarget lesions and normalization of tumor marker level. All lymph nodes had nonpathological in size (< 10 mm short axis). PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters. The CI was estimated using Clopper-Pearson method.

    Measured: Tumor assessments performed on C3 D1 (± 7 days) and every 2 cycles up to C7 D1 (± 7 days), and then every 3 cycles thereafter, approximately 23.7 weeks (Part 1), 46 weeks (Part 4)

  5. Part 1: Duration of Response (DoR)

    DoR as per RECIST version 1.1 was defined as the interval from the first documentation of CR or PR to the earlier of first documentation of definitive disease progression(PD) or death due to any cause, whichever occurs first. CR: disappearance of all target lesions. Any pathological lymph nodes (whether target or nontarget) had reduction in short axis to 10 mm OR disappearance of all nontarget lesions and normalization of tumor marker level. All lymph nodes had nonpathological in size (< 10 mm short axis). PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters. PD: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study and the sum must also demonstrate an absolute increase of at least 5 mm. DoR was estimated using Kaplan-Meier method.

    Measured: Tumor assessments performed on C3 D1 (± 7 days) and every 2 cycles up to C7 D1 (± 7 days), and then every 3 cycles thereafter, approximately 23.7 weeks

  6. Part 2: Duration of Response

    DoR as per RECIST version 1.1 was defined as the interval from the first documentation of CR or PR to the earlier of first documentation of definitive PD or death due to any cause, whichever occurs first. CR: disappearance of all target lesions. Any pathological lymph nodes (whether target or nontarget) had reduction in short axis to 10 mm OR disappearance of all nontarget lesions and normalization of tumor marker level. All lymph nodes had nonpathological in size (< 10 mm short axis). PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters. PD: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study and the sum must also demonstrate an absolute increase of at least 5mm. DoR was estimated using Kaplan-Meier method.

    Measured: Tumor assessments performed every 9 weeks (56 ±7 days) after the date of first IMP up to end of treatment, approximately 107 weeks

  7. Part 2: Number of Participants With Treatment-Emergent Adverse Events and Treatment-Emergent Serious Adverse Events

    AE: any untoward medical occurrence in participant or clinical study participant, temporally associated with the use of IMP, whether or not considered related to the IMP. TEAEs: AEs that developed or worsened or became serious during treatment-emergent period, defined as time from first administration of IMP (on Day 1) to last administration of IMP + 30 days. SAE: any untoward medical occurrence that, at any dose: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, or was a medically important event.

    Measured: From first dose of IMP up to 30 days after the last dose; approximately 111 weeks

  8. Part 4: Number of Participants With Treatment-Emergent Adverse Events and Treatment-Emergent Serious Adverse Events

    AE: any untoward medical occurrence in participant or clinical study participant, temporally associated with the use of IMP, whether or not considered related to the IMP. TEAEs: AEs that developed or worsened or became serious during treatment-emergent period, defined as time from first administration of IMP (on Day 1) to last administration of IMP + 30 days. SAE: any untoward medical occurrence that, at any dose: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, or was a medically important event.

    Measured: From first dose of IMP up to 30 days after the last dose; approximately 50 weeks

  9. Part 2: Time to Response (TTR)

    TTR was defined as the time interval from the administration of first IMP dose to the first documented evidence of PR or CR determined by the Investigator per RECIST version 1.1. CR: disappearance of all target lesions. Any pathological lymph nodes (whether target or nontarget) had reduction in short axis to 10 mm OR disappearance of all nontarget lesions and normalization of tumor marker level. All lymph nodes had nonpathological in size (< 10 mm short axis). PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters. TTR was estimated using Kaplan-Meier method.

    Measured: Tumor assessments performed every 9 weeks (56 ±7 days) after the date of first IMP up to end of treatment, approximately 107 weeks

  10. Part 2: Percentage of Participants With Clinical Benefit Rate

    Clinical benefit rate was defined as the percentage of participants with confirmed CR or PR at any time or stable disease (SD) of at least 6 months determined by investigator per RECIST version 1.1. CR: disappearance of all target lesions. Any pathological lymph nodes (whether target or nontarget) had reduction in short axis to 10 mm OR disappearance of all nontarget lesions and normalization of tumor marker level. All lymph nodes had nonpathological in size (< 10 mm short axis). PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters. SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study. The CI was estimated using Clopper-Pearson method.

    Measured: Tumor assessments performed every 9 weeks (56 ±7 days) after the date of first IMP up to end of treatment, approximately 107 weeks

  11. Part 2: Percentage of Participants With Disease Control Rate

    Disease control rate was defined percentage of participants with confirmed CR or PR or SD as determined by the investigator per RECIST version 1.1. CR: disappearance of all target lesions. Any pathological lymph nodes (whether target or nontarget) had reduction in short axis to 10 mm OR disappearance of all nontarget lesions and normalization of tumor marker level. All lymph nodes had nonpathological in size (< 10 mm short axis). PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters. SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study. The CI was estimated using Clopper-Pearson method.

    Measured: Tumor assessments performed every 9 weeks (56 ±7 days) after the date of first IMP up to end of treatment, approximately 107 weeks

  12. Part 2: Progression Free Survival (PFS)

    PFS was defined as the time from the date of first IMP administration to the date of the first documented PD determined by the investigator per RECIST version 1.1 or death due to any cause, whichever occurs first. PD: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study and the sum must also demonstrate an absolute increase of at least 5 mm. PFS was estimated using Kaplan-Meier method.

    Measured: Tumor assessments performed every 9 weeks (56 ±7 days) after the date of first IMP up to end of treatment, approximately 107 weeks

  13. Part 3A: Plasma Concentration of SAR442720

    Plasma samples were collected at specified timepoints for evaluation of SAR442720 PK concentrations. It was calculated using NCA method.

    Measured: Pre-dose, 0.5, 1, 2, 4, 6, 24 hours post-dose C1D1; pre-dose C1D8; pre-dose, 0.5, 1, 2, 4, 6 post-dose C1D15, and end of treatment (Week 3)

  14. Part 3A: Plasma Concentration of Adagrasib

    Plasma samples were collected at specified timepoints for evaluation of adagrasib PK concentrations. It was calculated using NCA method.

    Measured: Pre-dose, 1, 2, 4, 6, 8 post-dose C1D1 and C1D15; pre-dose C1D8

  15. Part 3A: Percentage of Participants With Objective Response Rate

    ORR was defined as the percentage of participants who had a confirmed CR or PR determined by investigator per RECIST version 1.1 CR: disappearance of all target lesions. Any pathological lymph nodes (whether target or nontarget) had reduction in short axis to 10 mm OR disappearance of all nontarget lesions and normalization of tumor marker level. All lymph nodes had nonpathological in size (< 10 mm short axis). PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters. The CI was estimated using Clopper-Pearson method.

    Measured: Tumor assessments performed till end of treatment, approximately 3 weeks

  16. Part 3A: Duration of Response

    DoR as per RECIST version 1.1 was defined as the interval from the first documentation of CR or PR to the earlier of first documentation of definitive PD or death due to any cause, whichever occurs first. CR: disappearance of all target lesions. Any pathological lymph nodes (whether target or nontarget) had reduction in short axis to 10 mm OR disappearance of all nontarget lesions and normalization of tumor marker level. All lymph nodes had nonpathological in size (< 10 mm short axis). PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters. PD: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study and the sum must also demonstrate an absolute increase of at least 5 mm. DoR was estimated using Kaplan-Meier method.

    Measured: Tumor assessments performed till end of treatment, approximately 3 weeks

Timeline

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

  1. First posted5 Jun 2020
  2. Study start9 Jun 2020
  3. Primary completion4 Apr 2024
  4. Study completion4 Apr 2024

Why it stopped: Sponsor's decision not related to any safety concern

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
65 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04418661
Sponsor's protocol ID
TCD16210
Other IDs
U1111-1244-2555, TCD16210, 2020-000436-22
Status last verified
May 2025
First submitted
29 May 2020
Last updated
29 May 2025
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Vociprotafib, Pembrolizumab and Adagrasib in people with Metastatic Neoplasm, run by Sanofi at 20 sites in 7 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 17 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 29 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 20 sites in Argentina, Australia, Chile, South Korea, Spain and 2 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 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 20 Apr 2025). 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?

Part 1: Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Treatment-Emergent Serious Adverse Events (TESAEs) (time frame: From first dose of IMP up to 30 days after the last dose; approximately 27 weeks). The study lists 8 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 29 May 2025.

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