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Phase 2 Completed N=114 Treatment

Study of Mogamulizumab + Nivolumab in Subjects w/Locally Advanced or Metastatic Solid Tumors

Solid Tumor · Cancer · Carcinoma · Hepatocellular Carcinoma
Source: ClinicalTrials.gov NCT02705105 ↗
Enrolled (actual)
114
Serious AEs
61.4%
Results posted
Jun 2020
Primary outcomePrimary: Maximum Tolerated Dose (MTD) — 4; 4 Participants

Summary

The purpose of this study is to characterize the safety and tolerability and determine the maximum tolerated dose (MTD) or the recommended fixed dose of the combinations of mogamulizumab and nivolumab in subjects with locally advanced or metastatic solid tumors.

Outcome Measures

OutcomeResultp-value
PRIMARY
Maximum Tolerated Dose (MTD)
4; 4
PRIMARY
Number of Subjects Experiencing Dose-limiting Toxicity
4; 0
SECONDARY
Objective Tumor Response Rate According to RECIST
25; 20; 25; 10; 3.4; 14.3

Eligibility Criteria

Inclusion Criteria

  • Subject is age 18 years or older;
  • Subject must have histologically or cytologically confirmed solid tumor;
  • Subject must have locally advanced or metastatic solid tumor;
  • Subjects who have progressed or have been intolerant to any standard treatment regimen or refused standard treatment, or for which adequate standard therapy does not exist.
  • Subjects who have evaluable lesion per guideline of Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.
  • Subject has an Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1;
  • If the subject is a woman of child-bearing potential or man who is sexually active with woman of child-bearing potential, the subject agrees to use adequate contraception from signing of the ICF, for the duration of study participation; and for 23 weeks after the last dose of IMP for women or 31 weeks after the last dose of IMP for men;
  • Subjects who have adequate hematological, renal, hepatic and respiratory functions defined.
  • The subject is willing to undergo tumor biopsy during the Screening period, or if the tumor is inaccessible for biopsy, archived tumor material must be available for submission;
  • Subjects who voluntarily signed and dated Institutional Review Board approved informed consent form in accordance with regulatory and institutional guidelines.

Hepatocellular Carcinoma Inclusion Criteria:

  • Histologically confirmed hepatocellular carcinoma not amenable for management with curative intent by surgery or local therapeutic measure;
  • Subject must have received sorafenib treatment and either:
  • have had documented radiographic or symptomatic progression during or after sorafenib therapy; OR
  • be intolerant of sorafenib (defined as Grade 2 drug-related adverse event which 1) persisted in spite of comprehensive supportive therapy according to institutional standards AND 2) persisted or recurred after sorafenib treatment interruption of at least 7 days and dose reduction by one dose level (to 400 mg once daily) AND/OR Grade 3 drug-related adverse event which 1) persisted in spite of comprehensive supportive therapy according to institutional standards OR 2) persisted or recurred after sorafenib treatment interruption of at least 7 days and dose reduction by one dose level (to 400 mg once daily); OR must have documented refusal of sorafenib;
  • Subject has Child-Pugh score of ≤6, i.e., Child-Pugh A (Appendix 2);
  • INR ≤ 2.3 or Prothrombin time (PT) ≤ 6 seconds above control;
  • Subject has HBV DNA viral load undetectable or 1 from previous anti-cancer therapy
  • Subject use of immunosuppressive medication within 14 days before Cycle 1 Day 1.
  • Subjects who have known active autoimmune disease or a history of autoimmune disease which may affect vital organ function or require immune suppressive treatment including systemic corticosteroids;
  • Subjects who have history of toxic epidermal necrolysis or Stevens-Johnson syndrome;
  • Subjects who have a history of inflammatory bowel disease, Crohn's disease, ulcerative colitis, or Wegener's granulomatosis;
  • Subject has primary or acquired immunodeficiency or known history of testing positive for human immunodeficiency virus (HIV) or known acquired immunodeficiency syndrome;
  • Subject who tests positive for hepatitis B surface antigen (HBVsAg) or hepatitis C RNA indicating acute or chronic infection except for subjects with hepatocellular carcinoma;
  • Subject has another active malignancy requiring concurrent intervention;
  • Subject who is receiving any other investigational agents;
  • Subject has another condition that, in the opinion of the Investigator and/or Sponsor, would interfere with evaluation of the IMP or interpretation of subject safety or study results;
  • Subject has a history of pneumonitis or interstitial lung disease.

Hepatocellular Carcinoma Exclusion Criterion:

  • Any history of hepatic encephalopathy
  • Any prior (within 1 year) or current clinically significant ascites as measure
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02705105). 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. Informational only — not medical advice.

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