Phase 1
Completed N=57
Study of Avelumab-M3814 Combinations
Oncology · Solid Tumors
Source: ClinicalTrials.gov NCT03724890 ↗
Enrolled (actual)
57
Serious AEs
57.9%
Results posted
Apr 2025
Primary outcomePrimary: Part A: Number of Participants Who Experienced Dose Limiting Toxicities (DLTs) Assessed Using National Cancer Institute (NCI) Common Toxicity Criteria for Adverse Events (CTCAE) Version 5.0 — 0; 0; 1; 1 Participants
Summary
The main purpose of the study was to evaluate a safe, tolerable recommended Phase II dose (RP2D) and/or the maximum tolerated dose (MTD) of M3814 when given in combination with avelumab with and without radiotherapy in participants with selected advanced solid tumors.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Part A: Number of Participants Who Experienced Dose Limiting Toxicities (DLTs) Assessed Using National Cancer Institute (NCI) Common Toxicity Criteria for Adverse Events (CTCAE) Version 5.0 |
0; 0; 1; 1; 3 | — |
| PRIMARY Part B: Number of Participants Who Experienced Dose Limiting Toxicities (DLTs) Assessed Using National Cancer Institute (NCI) Common Toxicity Criteria for Adverse Events (CTCAE) Version 5.0 |
0; 0; 0; 0 | — |
| PRIMARY Part Food Effect (FE): Area Under the Plasma Concentration-Time Curve (AUC) From Time Zero to 6 Hour (AUC0-6hour) of M3814 |
1520; NA; 6250; NA; NA; NA | — |
| PRIMARY Part FE: Maximum Observed Plasma Concentration (Cmax) of M3814 |
563; 950; 1370; NA; 1070; NA | — |
| SECONDARY Part A: Number of Participants With Treatment-emergent Adverse Events (TEAEs), Treatment-related TEAEs and Serious TEAEs According to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 5.0 |
3; 11; 4; 6; 4; 3 | — |
| SECONDARY Part B: Number of Participants With Treatment-Emergent Adverse Events, Treatment-related TEAEs and Serious TEAEs According to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 5.0 |
3; 3; 4; 9; 3; 3 | — |
| SECONDARY Part FE: Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-related TEAEs and Serious TEAEs According to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 5.0 |
4; 5; 3; 5; 2; 3 | — |
| SECONDARY Part A: Number of Participants With Abnormalities Grade Greater Than or Equals to (>=) 3 in Laboratory Test Values |
0; 7; 4; 5; 4 | — |
| SECONDARY Part B: Number of Participants With Abnormalities Grade Greater Than or Equals to (>=) 3 in Laboratory Test Values |
0; 0; 0; 2 | — |
| SECONDARY Part FE: Number of Participants With Abnormalities Grade Greater Than or Equals to (>=) 3 in Laboratory Test Values |
0; 0 | — |
| SECONDARY Part A: Number of Participants With Clinically Meaningful Change From Baseline in Electrocardiogram (ECG) |
0; 0; 0; 0; 0 | — |
| SECONDARY Part B: Number of Participants With Clinically Meaningful Change From Baseline in Electrocardiogram (ECG) |
0; 0; 0; 0 | — |
| SECONDARY Part FE: Number of Participants With Clinically Meaningful Change From Baseline in Electrocardiogram (ECG) |
0; 0 | — |
| SECONDARY Part A: Number of Participants With Clinically Meaningful Change From Baseline in Vital Signs |
0; 0; 0; 0; 0 | — |
| SECONDARY Part B: Number of Participants With Clinically Meaningful Change From Baseline in Vital Signs |
0; 0; 0; 0 | — |
| SECONDARY Part FE: Number of Participants With Clinically Meaningful Change From Baseline in Vital Signs |
0; 0 | — |
| SECONDARY Part A: Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance: Baseline Score Versus (Vs) Worst Post-baseline Score |
2; 2; 1; 1; 0; 0 | — |
| SECONDARY Part B:Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance: Baseline Score Versus (Vs) Worst Post-baseline Score |
1; 0; 0; 2; 1; 2 | — |
| SECONDARY Part FE: Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance: Baseline Score Versus (Vs) Worst Post-baseline Score |
0; 1; 1; 2; 1; 0 | — |
| SECONDARY Part A: Single Dose: Maximum Observed Plasma Concentration (Cmax) of M3814 |
392; 1030; 2340; 1710; 3190 | — |
| SECONDARY Part A: Multiple Dose: Maximum Observed Plasma Concentration (Cmax) of M3814 |
693; 2370; NA; 2360; NA | — |
| SECONDARY Part B: Single Dose: Maximum Observed Drug Concentration (Cmax) of M3814 |
NA; 1460; 854; 2380 | — |
| SECONDARY Part B: Multiple Dose: Maximum Observed Drug Concentration (Cmax) of M3814 |
NA; 1220; 1420; 3150 | — |
| SECONDARY Part A: Single Dose: Time to Reach the Maximum Plasma Concentration (Tmax) of M3814 |
1.06; 2.02; 1.03; 1.51; 1.08 | — |
| SECONDARY Part A: Multiple Dose: Time to Reach the Maximum Plasma Concentration (Tmax) of M3814 |
1.08; 1.16; NA; 1.87 | — |
| SECONDARY Part B: Single Dose: Time to Reach the Maximum Plasma Concentration (Tmax) of M3814 |
NA; 0.93; 1.42; 1.47 | — |
| SECONDARY Part B: Multiple Dose: Time to Reach the Maximum Plasma Concentration (Tmax) of M3814 |
NA; 2.18; 2.28; 2.01 | — |
| SECONDARY Part A: Minimum Observed Drug Concentration (Cmin) of M3814 |
— | — |
| SECONDARY Part B: Minimum Observed Drug Concentration (Cmin) of M3814 |
— | — |
| SECONDARY Part A: Average Plasma Concentration of M3814 Observed Post-dose (Cavg) |
— | — |
| SECONDARY Part B: Average Plasma Concentration of M3814 Observed Post-dose (Cavg) |
— | — |
| SECONDARY Part A: Fluctuation Index of M3814 |
— | — |
| SECONDARY Part B: Fluctuation Index of M3814 |
— | — |
| SECONDARY Part A: Area Under the Plasma Concentration-Time Curve From Time Zero to Last Quantifiable Concentration (AUC0-t) of M3814 |
— | — |
| SECONDARY Part B: Area Under the Plasma Concentration-Time Curve From Time Zero to Last Quantifiable Concentration (AUC0-t) of M3814 |
— | — |
| SECONDARY Part A: Area Under the Plasma Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC0-inf) of M3814 |
— | — |
| SECONDARY Part B: Area Under the Plasma Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC0-inf) of M3814 |
— | — |
| SECONDARY Part A: Accumulation Ratio of Maximum Observed Drug Concentration [Racc(Cmax)] of M3814 |
1.77; 1.47; NA; 2.61 | — |
| SECONDARY Part B: Accumulation Ratio of Cmax [Racc(Cmax)] of M3814 |
NA; 0.838; 2.15; 1.34 | — |
| SECONDARY Part A: Accumulation Ratio of AUC [Racc (AUC 0-12)] of M3814 |
2.36; 1.57; NA; 4.32 | — |
| SECONDARY Part B: Accumulation Ratio of AUC [Racc (AUC 0-24)] of M3814 |
NA; NA; 1.44; 1.96 | — |
| SECONDARY Part A: Single Dose: Apparent Terminal Half-life (t1/2) of M3814 |
2.37; 3.94; 2.25; 5.24; 3.51 | — |
| SECONDARY Part A: Multiple Doses: Apparent Terminal Half-life (t1/2) of M3814 |
5.60; 6.26; NA; 11.4 | — |
| SECONDARY Part B: Single Dose: Apparent Terminal Half-life (t1/2) of M3814 |
NA; 6.56; 6.95; 7.79 | — |
| SECONDARY Part B: Multiple Dose: Apparent Terminal Half-life (t1/2) of M3814 |
NA; NA; 7.50; 11.5 | — |
| SECONDARY Part A: Apparent Volume of Distribution During Terminal Phase (Vz/f) of M3814 |
— | — |
| SECONDARY Part B: Apparent Volume of Distribution During Terminal Phase (Vz/f) of M3814 |
— | — |
| SECONDARY Part A: Apparent Clearance (CL/f) of M3814 |
— | — |
| SECONDARY Part B: Apparent Clearance (CL/f) of M3814 |
— | — |
| SECONDARY Part A: Terminal Elimination Rate Constant (Lambda z) of M3814 |
— | — |
| SECONDARY Part B: Terminal Elimination Rate Constant (Lambda z) of M3814 |
— | — |
| SECONDARY Part A: Number of Participants With Positive Antidrug Antibody (ADA) |
0; 5; 0; 2; 0 | — |
| SECONDARY Part B: Number of Participants With Positive Antidrug Antibody (ADA) |
1; 0; 1; 3 | — |
| SECONDARY Part FE: Number of Participants With Positive Antidrug Antibody (ADA) |
1; 1 | — |
| SECONDARY Part A: Number of Participants With Confirmed Best Overall Response (BOR) as Assessed by Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) |
0; 0; 0; 0; 0; 0 | — |
| SECONDARY Part B: Number of Participants With Confirmed Best Overall Response (BOR) as Assessed by Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) |
0; 0; 0; 0; 0; 0 | — |
| SECONDARY Part FE: Number of Participants With Confirmed Best Overall Response (BOR) as Assessed by Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) |
0; 0; 0; 1; 2; 1 | — |
| SECONDARY Part A: Duration of Response (DoR) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Investigator |
— | — |
| SECONDARY Part B: Duration of Response (DoR) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Investigator |
— | — |
| SECONDARY Part FE: Duration of Response (DoR) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Investigator |
NA | — |
| SECONDARY Part A: Progression-free Survival (PFS) Time According to Response Evaluation Criteria in Solid Tumors (RECIST Version 1.1) Assessed by Investigator |
5.1; 1.9; 3.3; 1.8; 2.6 | — |
| SECONDARY Part B: Progression-free Survival (PFS) Time According to RECIST v 1.1 Assessed by Investigator |
1.9; 1.7; 3.4; 1.9 | — |
| SECONDARY Part FE: Progression-free Survival (PFS) Time According to RECIST v 1.1 Assessed by Investigator |
2.7; 8.5 | — |
| SECONDARY Part A: Overall Survival |
25.5; 23.7; NA; 3.4; 7.2 | — |
| SECONDARY Part B: Overall Survival |
NA; NA; NA; NA | — |
| SECONDARY Part FE: Overall Survival |
6.4; 8.5 | — |
| SECONDARY Part A: Best Percent Change From Baseline in Tumor Size According to RECIST v 1.1 |
15.8; 15.3; -4.5; 4.9; 13.6 | — |
| SECONDARY Part B: Best Percent Change From Baseline in Tumor Size According to RECIST v 1.1 |
8.4; 0.3; -18.5; -0.7 | — |
| SECONDARY Part FE: Best Percent Change From Baseline in Tumor Size According to RECIST v 1.1 |
6.1; -13.3 | — |
| SECONDARY Part B: Number of Participants With Radiotherapy (RT)-Induced Toxicity According to NCI-CTCAE v 5.0 |
0; 0; 0; 0 | — |
Eligibility Criteria
Inclusion Criteria
- Part A and Part FE (M3814 + avelumab): Participants had histologically or cytologically proven advanced or metastatic solid tumors for which no standard therapy exists, standard therapy has failed, or participants are intolerant to or have rejected established therapy known to provide clinical benefit for their condition
- Part B (M3814 + Radiotherapy [RT] + avelumab): histologically or cytologically proven advanced or metastatic solid tumors for which no standard therapy exists, standard therapy has failed, or participants are intolerant to or have rejected established therapy known to provide benefit for their condition and are amenable to receive RT
- Part A, B and FE: Measurable or evaluable disease according to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v 1.1)
- Eastern Cooperative Oncology Group performance status (ECOG PS) of 0 to 1 at study entry
- Part A, B and FE: Female participants of childbearing potential should be willing to use a highly effective contraceptive method
- Part A, B and FE: Male participants should agree to refrain from donating sperm plus, either: abstain from any activity that allows for exposure to ejaculate
- Use an adequate method of contraception starting with the first dose of study therapy through 90 days after the last dose of study therapy
- Part A, B and FE: Be willing to provide informed consent for the trial
- Other protocol defined inclusion criteria could apply
Exclusion Criteria
- Participants who had received prior chemotherapy, hormonal anticancer therapy with the exception of luteinizing hormone-releasing hormone analogs, biologic therapy, or any other anticancer therapy within 28 days of the first dose of study treatments (6 weeks for nitrosoureas or mitomycin C)
- Participants who had undergone major surgery for any reason, except diagnostic biopsy, within 4 weeks of the study intervention and/or has not fully recovered from the surgery within 4 weeks of the study intervention
- Participants with evidence of active or history of autoimmune disease that might deteriorate when receiving an immune-stimulatory agent
- Participants with brain metastases, except those meeting the following criteria: a) brain metastases that have been treated locally and are clinically stable for greater than or equal to (>=) 4 weeks prior to randomization b) no ongoing neurological symptoms that are related to the brain localization of the disease (sequelae that are a consequence of the treatment of the brain metastases are acceptable) c) participants must be either off steroids or on a stable or decreasing dose of less than ( =) 3 irAEs that did not respond to steroid rescue; or neurologic irAE with significant clinical sequelae
- Participants with irAE requiring hormone replacement therapy (e.g., thyroxine, insulin, or physiologic dose of corticosteroid replacement therapy for adrenal or pituitary insufficiency) may participate as long as the endocrinopathy is well controlled and the participant is not otherwise symptomatic from hormone insufficiency
- Physiologic corticosteroid dose is defined as = 30% of bone marrow reserve or prior bone marrow/stem cell transplantation within 5 years before study start
- If participant hepatic metastatic lesion is selected to be irradiated: - the non-tumor liver volume = 8
- Other protocol defined exclusion criteria could apply
Data sourced from ClinicalTrials.gov (NCT03724890). 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.