Phase 1
N=147
A Dose Escalation Study Of PF-06801591 In Melanoma, Head And Neck Cancer (SCCHN), Ovarian, Sarcoma, Non-Small Cell Lung Cancer, Urothelial Carcinoma or Other Solid Tumors
Part 1 · MELANOMA · SCCHN · OVCA · SARCOMA
Bottom Line
View on ClinicalTrials.gov: NCT02573259 ↗Enrolled (actual)
147
Serious AEs
30.9%
Results posted
Dec 2021
Primary outcome: Primary: Percentage of Participants With Dose-Limiting Toxicities (DLT) - Part 1 — 0; 0; 0; 0 Percentage of Participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 1
- Interventions
- PF-06801591 (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Pfizer
- Primary completion
- Nov 2020
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Percentage of Participants With Dose-Limiting Toxicities (DLT) - Part 1 |
0; 0; 0; 0; 0 | — |
| PRIMARY Number of Participants With All-Causality Treatment-Emergent Adverse Events (AEs) - Part 1 and Part 2 |
2; 7; 8; 7; 15; 62 | — |
| PRIMARY Number of Participants With Treatment-Related Treatment-Emergent Adverse Events (AEs) - Part 1 and Part 2 |
2; 6; 7; 6; 13; 42 | — |
| PRIMARY Number of Participants With Laboratory Test Abnormalities - Part 1 and Part 2 |
0; 2; 1; 1; 1; 16 | — |
| PRIMARY Objective Response Rate (ORR) Based on RECIST Version 1.1 - Part 2 |
16.4; 18.4 | — |
| PRIMARY Objective Response Rate (ORR) Based on Immune Related RECIST (irRECIST) - Part 2 |
19.4; 21.1 | — |
| SECONDARY Maximum Plasma Concentration (Cmax) of PF-06801591 - Part 1 |
NA; 21.52; 69.63; 217.2; 21.24; NA | — |
| SECONDARY AUClast of PF-06801591 in Part 1. |
NA; 4700; 14770; 46780; 9923 | — |
| SECONDARY Clearance (CL) of PF-06801591 - Part 1 |
NA; NA; NA; 0.006045; 0.004984 | — |
| SECONDARY Volume of Distribution at Steady State (Vss) of PF-06801591 - Part 1 |
NA | — |
| SECONDARY Accumulation Ratio (Rac) of PF-06801591 - Part 1 |
NA; NA; NA; 2.360; 2.073 | — |
| SECONDARY Terminal Elimination Half-Life (t1/2) of PF-06801591 - Part 1 |
NA; NA | — |
| SECONDARY Number of Participants With Anti-Drug Antibody (ADA) Against PF-06801591 - Part 1 and Part 2 |
1; 5; 3; 1; 1; 0 | — |
| SECONDARY Number of Participants With Neutralizing Antibodies (NAb) Positive Against PF-06801591 - Part 1 and Part 2 |
0; 3; 1; 0; 0; 0 | — |
| SECONDARY Percentage of Baseline PD-1 Receptor Occupancy (RO) by PF-06801591 - Part 1 |
0.00; 0.00; 0.56; 0.02; 0.32; 0.00 | — |
| SECONDARY Number of Participants Achieving Objective Response (OR) Based on RECIST Version 1.1 - Part 1 |
1; 2; 1; 2; 1 | — |
| SECONDARY Number of Participants Achieving Objective Response (OR) Based on irRECIST - Part 1 |
1; 2; 1; 2; 1 | — |
| SECONDARY Progression-Free Survival (PFS) Based on RECIST Version 1.1 and irRECIST - Part 1 and Part 2 |
4.7; 3.0; 3.7; 2.9; 4.9; 4.5 | — |
| SECONDARY Duration of Stable Disease (DOSD) Based on RECIST Version 1.1 and irRECIST - Part 1 and Part 2 |
NA; NA; 24.3; 5.7; 6.0; 6.5 | — |
| SECONDARY Duration of Response (DOR) Based on RECIST Version 1.1 and irRECIST - Part 1 and Part 2 |
9.7; NA; 21.8; 13.9; 13.0; NA | — |
| SECONDARY Time to Response (TTR) Based on RECIST Version 1.1 - Part 2 |
2.71; 2.33 | — |
| SECONDARY Time to Progression (TTP) Based on RECIST Version 1.1 and irRECIST - Part 2 |
3.7; 3.7; 6.5; 8.5 | — |
| SECONDARY Median Time to Death - Part 2 |
14.7; 10.9 | — |
| SECONDARY Probability of Survival at 6 Months, 1 Year, and 2 Years - Part 2 |
0.773; 0.711; 0.547; 0.471; 0.403; 0.286 | — |
| SECONDARY Trough PF-06801591 Concentrations (Ctrough) - Part 2 |
14.97; 14.34; 22.54; 20.15; 23.55; 23.77 | — |
Summary
Protocol B8011001 is a Phase 1, open-label, multi-center, multiple-dose, dose escalation and expansion, safety, pharmacokinetics (PK), and pharmacodynamics (PD) study of PF-06801591 in previously treated adult patients with locally advanced or metastatic melanoma, SCCHN, ovarian carcinoma, sarcoma, NSCLC, urothelial carcinoma or other solid tumors. This is a 2 Part study whereby the safety and tolerability of increasing dose levels of intravenous (IV) or subcutaneous (SC) PF-06801591 was assessed in Part 1. Part 2 expansion is designed to further evaluate the safety and efficacy of SC PF-06801591 in patients with NSCLC or urothelial carcinoma as well as confirm the recommended Phase 2 dose.
Eligibility Criteria
Inclusion Criteria (Part 2 Only):
- Histological or cytological diagnosis of locally advanced or metastatic NSCLC or urothelial carcinoma who have progressed on or were intolerant to standard of care systemic therapy, or for whom standard of care systemic therapy was refused (refusal must be documented) or unavailable.
- No prior treatment with anti-PD-1 or anti-PD-L1 therapy.
- NSCLC patients whose tumor is not known to have ALK or EGFR mutations must have progressed on or after no more than 1 prior line of platinum-containing systemic therapy or were intolerant or refused standard of care systemic therapy.
- NSCLC patients whose tumor is known to have ALK or EGFR mutation must have received prior systemic therapies that only include 1 or more lines of ALK or EGFR targeting drugs and chemotherapy limited to 1 line of a platinum-based regimen and they must have progressed on or after both types of therapies.
- Urothelial carcinoma patients must have received up to 2 lines of prior systemic therapy and progressed on or after, experienced disease recurrence within 12 months of neoadjuvant or adjuvant treatment, were intolerant to, ineligible or refused platinum-containing systemic therapy. If urothelial cancer patients are treatment naïve and eligible for platinum-containing systemic therapy but are refusing platinum chemotherapy, they must also be documented to have previous PD-L1 high status.
- Provide archived tumor tissue sample taken within the past 2 years or provide a fresh tumor biopsy sample.
- At least one measurable lesion as defined by RECIST version 1.1.
- Adequate renal, liver, thyroid and bone marrow function.
- Performance status 0 or 1.
- Patient is capable of receiving study treatment for at least 8 weeks.
Exclusion Criteria (Part 2 Only)
- Active brain or leptomeningeal metastases.
- Active, known or suspected autoimmune disease. Patients with vitiligo, type I diabetes mellitus, residual hypothyroidism due to autoimmune condition only requiring hormone replacement, psoriasis not requiring systemic treatment, or conditions not expected to recur in the absence of an external trigger are permitted to enroll. Diagnosis of prior immunodeficiency or organ transplant requiring immunosuppressive therapy or prior allogeneic bone marrow or hematopoietic stem cell transplant.
- Patients with a condition requiring systemic treatment with either corticosteroids (>10mg daily prednisone equivalents) or other immunosuppressive medications within 14 days of study drug administration. Inhaled or topical steroids, and adrenal replacement doses >10 mg daily prednisone equivalents are permitted in the absence of active autoimmune disease.
- Patients with a history of interstitial lung disease, non-infectious pneumonitis, or active pulmonary tuberculosis. Those with active lung infections requiring treatment are also excluded.
- History of Grade ≥3 immune mediated AE (including AST/ALT elevations that where considered drug related and cytokine release syndrome) that was considered related to prior immune modulatory therapy (eg, immune checkpoint inhibitors, co-stimulatory agents, etc.) and required immunosuppressive therapy.
- Active hepatitis B or C, HIV/AIDS.
- Other potentially metastatic malignancy within past 5 years.
Data sourced from ClinicalTrials.gov (NCT02573259). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.