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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04585815
Registration number
NCT04585815
Ethics application status
Date submitted
30/09/2020
Date registered
14/10/2020
Titles & IDs
Public title
Study of Immunotherapy (Sasanlimab) in Combination With Targeted Therapies in People With Advanced Non-small Cell Lung Cancer (NSCLC) (Landscape 1011 Study)
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Scientific title
A Phase 1b/2 Open Label Umbrella Study of Sasanlimab Combined With Anti-Cancer Therapies Targeting Multiple Molecular Mechanisms in Participants With Non-Small Cell Lung Cancer (NSCLC)
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Secondary ID [1]
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2020-002829-28
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Secondary ID [2]
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B8011011
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Carcinoma, Non-Small-Cell Lung
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Condition category
Condition code
Cancer
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Lung - Mesothelioma
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Cancer
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Lung - Non small cell
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Cancer
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Lung - Small cell
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Sasanlimab Prefilled syringe
Treatment: Drugs - Encorafenib
Treatment: Drugs - Binimetinib
Treatment: Drugs - Sasanlimab
Treatment: Drugs - Axitinib
Treatment: Drugs - SEA-TGT
Experimental: Sub-Study A - Sasanlimab will be administered subcutaneously. Encorafenib \& binimetinib will be administered orally. Treatments will be administered until progressive disease, unacceptable AE, participant withdraws, or study is terminated.
Experimental: Sub-Study B - Sasanlimab will be administered subcutaneously. Axitinib will be administered orally. SEA-TGT will be administered intravenously. Treatments will be administered until progressive disease, unacceptable AE, patient withdraws, or study is terminated.
Treatment: Drugs: Sasanlimab Prefilled syringe
prefilled syringe
Treatment: Drugs: Encorafenib
capsules
Treatment: Drugs: Binimetinib
tablets
Treatment: Drugs: Sasanlimab
solution supplied in vials
Treatment: Drugs: Axitinib
tablets
Treatment: Drugs: SEA-TGT
solution in vials
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Phase 1b of Sub-Study A: Percentage of Participants With Dose-Limiting Toxicities (DLT)
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Assessment method [1]
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DLT=AEs in DLT observation period (OP) related to any study intervention:Grade (G)4 neutropenia;thrombocytopenia or anemia;febrile neutropenia;neutropenic infection;G3 thrombocytopenia with bleeding. Any G\>=3 toxicity (except transient G3 fatigue, local reactions/headache that resolved to G\<=1/baseline; G3 nausea, vomiting controlled within 72 hrs, G3 hypertension controlled by medical therapy (MT), G3 diarrhea that improved to G\<=2 within 72 hrs, G3 skin toxicity that resolved to G\<=1 in \<7 days after MT, G3 endocrinopathies controlled by MT and tumors flare); Non-hematologic G3 lab abnormality \[LA\](medical intervention or hospitalization), or any G4 LA;ALT/AST\>3\*ULN (normal at baseline) or \>3\*ULN and doubling baseline (\>ULN at baseline) and associated with total bilirubin(TB) \>2\*ULN;or ALT/AST\>5\*ULN; or TB\>3\*ULN. Missing 75% of planned doses during DLT OP due to treatment-related toxicities. AE not listed/DLT criteria outside DLT OP was DLT at discretion of sponsor and investigator.
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Timepoint [1]
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Day 1 up to Day 28 of Cycle 1
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Primary outcome [2]
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Phase 2 of Sub-Study A: Durable Objective Response Rate (ORR)
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Assessment method [2]
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Durable ORR was defined as percentage of participants with confirmed complete response (CR) or partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST) version (v) 1.1 based on investigator assessment, lasting for at least 10 months from the date of first CR or PR until the date of the first documentation of disease progression (PD), death, or start of new anticancer therapy. CR was defined as complete disappearance of all target lesions with exception of nodal disease. All target nodes must decrease to normal size (short axis \<10 millimeter \[mm\]). PR was defined as greater than or equal to 30% decrease under baseline of the sum of diameters of all target measurable lesions. PD was defined as 20% increase in sum of diameters of target measurable lesions above smallest sum observed (over baseline if no decrease in the sum was observed during therapy), with a minimum absolute increase of 5 mm.
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Timepoint [2]
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From the date of first CR or PR until the date of the first documentation of PD, death, or start of new anticancer therapy
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Primary outcome [3]
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Phase 1b of Sub-Study B: Percentage of Participants With DLT
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Assessment method [3]
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DLT=AEs in DLT OP related to any study intervention: G4 neutropenia; thrombocytopenia or anemia; neutropenia; neutropenic infection; G3 thrombocytopenia with bleeding. Any G\>=3 toxicity (except transient G3 fatigue, local reactions/headache that resolved to G\<=1/baseline; G3 nausea, vomiting controlled within 72 hrs, G3 hypertension controlled by MT, G3 diarrhea that improved to G\<=2 within 72 hrs, G3 skin toxicity that resolved to G\<=1 in \<7 days after MT, G3 endocrinopathies controlled by MT and tumors flare); Non-hematologic G3 LA (medical intervention or hospitalization), or any G4 LA;ALT/AST\>3\*ULN (normal at baseline) or \>3\*ULN and doubling baseline (\>ULN at baseline) and associated with TB \>2\*ULN; or ALT/AST\>5\*ULN; or TB\>3\*ULN. Missing 75% of planned doses during DLT OP due to treatment-related toxicities. AE not listed/DLT criteria outside DLT OP was DLT at discretion of sponsor and investigator.
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Timepoint [3]
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Day 1 up to Day 21 of Cycle 1
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Primary outcome [4]
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Phase 2 Sub-Study B: Objective Response Rate
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Assessment method [4]
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ORR was defined as percentage of participants with confirmed CR or PR according to RECIST v1.1 based on investigator assessment, from the date of first CR or PR until the date of the first documentation of PD, death, or start of new anticancer therapy. CR was defined as complete disappearance of all target lesions with exception of nodal disease. All target nodes must decrease to normal size (short axis \<10 millimeter \[mm\]). PR was defined as greater than or equal to 30% decrease under baseline of the sum of diameters of all target measurable lesions. PD was defined as 20% increase in sum of diameters of target measurable lesions above smallest sum observed (over baseline if no decrease in the sum was observed during therapy), with a minimum absolute increase of 5 mm.
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Timepoint [4]
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From the date of first CR or PR until the date of the first documentation of PD, death, or start of new anticancer therapy (maximum of 21 months)
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Secondary outcome [1]
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Phase 1b of Sub-Study A: Number of Participants With Adverse Events (AEs) Graded According to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0
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Assessment method [1]
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An AE is any untoward medical occurrence in a participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. AEs will be graded by the investigator according to NCI CTCAE version 5.0; where Grade 1=mild, Grade 2=moderate, Grade 3=severe, Grade 4=life-threatening and Grade 5=death.
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Timepoint [1]
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From the start of study treatment (Cycle1 Day1) up to 30 days after last dose of study treatment (approximately 44 months)
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Secondary outcome [2]
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Phase 2 of Sub-Study A: Number of Participants With Adverse Events Graded According to NCI-CTCAE Version 5.0
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Assessment method [2]
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An AE is any untoward medical occurrence in a participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. AEs were planned to be graded by the investigator according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version (v) 5.0; where Grade 1=mild, Grade 2=moderate, Grade 3=severe, Grade 4=life-threatening and Grade 5=death.
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Timepoint [2]
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From the start of study treatment (Cycle1 Day1) up to 30 days after last dose of study treatment
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Secondary outcome [3]
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Phase 1b of Sub-Study A: Number of Participants With Laboratory Abnormalities
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Assessment method [3]
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Following assessments will be performed: hematology: hemoglobin, platelet count, white blood cell (WBC) count, absolute neutrophils, absolute lymphocytes, absolute monocytes, absolute eosinophils, absolute basophils. Chemistry: alanine aminotransferase (ALT), aspartate aminotransferase (AST), bicarbonate or carbon dioxide (CO2), C-reactive protein (CRP), alkaline phosphatase, sodium, potassium, magnesium chloride, total calcium, total bilirubin, total protein, blood urea nitrogen (BUN) or urea, creatinine, creatinine clearance, uric acid, glucose (random), lactate dehydrogenase, albumin, phosphorus or phosphate, amylase, lipase.
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Timepoint [3]
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From the start of study treatment (Cycle1 Day1) up to 30 days after last dose of study treatment (approximately 44 months)
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Secondary outcome [4]
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Phase 2 of Sub-Study A: Number of Participants With Laboratory Abnormalities
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Assessment method [4]
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Hematology and clinical chemistry parameters were planned to be assessed.
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Timepoint [4]
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From the start of study treatment (Cycle1 Day1) up to 30 days after last dose of study treatment
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Secondary outcome [5]
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Phase 1b of Sub-Study A: Durable Objective Response Rate
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Assessment method [5]
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Durable ORR was defined as percentage of participants with confirmed CR or PR according to RECIST v1.1 based on investigator assessment, lasting for at least 10 months from the date of first CR or PR until the date of the first documentation of PD, death, or start of new anticancer therapy. CR was defined as complete disappearance of all target lesions with exception of nodal disease. All target nodes must decrease to normal size (short axis \<10 mm). PR was defined as greater than or equal to 30% decrease under baseline of the sum of diameters of all target measurable lesions. PD was defined as 20% increase in sum of diameters of target measurable lesions above smallest sum observed (over baseline if no decrease in the sum is observed during therapy) with a minimum absolute increase of 5 mm.
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Timepoint [5]
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From the date of first CR or PR until the date of the first documentation of PD, death, or start of new anticancer therapy (approximately 44 months)
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Secondary outcome [6]
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Phase 1b of Sub-Study A: Objective Response Rate
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Assessment method [6]
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Objective response rate is defined as percentage of participants with confirmed best overall response of CR or PR according to RECIST v1.1 from the date of first dose of study treatment until the date of the first documentation of PD. CR was defined as complete disappearance of all target lesions with the exception of nodal disease. All target nodes must decrease to normal size (short axis \<10 mm). PR was defined as greater than or equal to 30% decrease under baseline of the sum of diameters of all target measurable lesions.
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Timepoint [6]
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From the date of first dose of study treatment until the date of the first documentation of PD (approximately 44 months)
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Secondary outcome [7]
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Phase 2 of Sub-Study A: Objective Response Rate
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Assessment method [7]
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Objective response (OR) rate is defined as percentage of participants with confirmed best overall response of CR or PR according to RECIST v1.1 from the date of first dose of study treatment until the date of the first documentation of PD. CR was defined as complete disappearance of all target lesions with the exception of nodal disease. All target nodes must decrease to normal size (short axis \<10 mm). PR was defined as greater than or equal to 30% decrease under baseline of the sum of diameters of all target measurable lesions.
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Timepoint [7]
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From the date of first dose of study treatment until the date of the first documentation of PD
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Secondary outcome [8]
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Phase 2 of Sub-Study A: Duration of Response (DR)
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Assessment method [8]
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DR was defined for participants with confirmed OR as time from date of first documentation of OR to the date of first documentation of PD or death (any cause), whichever occurred first. OR=CR or PR according to RECIST v1.1 based on investigator assessment. CR and PR must be confirmed by repeat assessments performed no \<4 weeks after criteria for response were first met. CR=complete disappearance of all target lesions (TLs) with exception of nodal disease. All target nodes must decrease to normal size (short axis \<10 mm). PR=greater than or equal to 30% decrease under baseline of the sum of diameters of all target measurable lesions (TMLs). PD=20% increase in sum of diameters of TMLs above smallest sum observed (over baseline if no decrease in sum was observed during therapy), with a minimum absolute increase of 5 mm.
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Timepoint [8]
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From the date of first documentation of OR to the date of the first documentation of PD or death due to any cause, whichever occurred first
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Secondary outcome [9]
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Phase 2 of Sub-Study A: Time to Tumor Response (TTR)
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Assessment method [9]
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TTR is defined for participants with confirmed objective response as the time from the date of first dose of study treatment to the date of first documentation of objective response (CR or PR) which was subsequently confirmed. CR=complete disappearance of all target lesions with exception of nodal disease. All target nodes must decrease to normal size (short axis \<10 mm). PR=greater than or equal to 30% decrease under baseline of the sum of diameters of all target measurable lesions.
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Timepoint [9]
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From the date of first dose of study treatment to the date of first documentation of objective response
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Secondary outcome [10]
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Phase 2 of Sub-Study A: Progression-Free Survival (PFS)
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Assessment method [10]
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PFS is defined as the time from the date of first dose of study treatment to the date of first documentation of PD or death due to any cause, whichever occurred first. PD=20% increase in sum of diameters of target measurable lesions above smallest sum observed (over baseline if no decrease in sum was observed during therapy), with a minimum absolute increase of 5 mm.
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Timepoint [10]
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From the date of first dose of study treatment to the date of first documentation of PD or death due to any cause, whichever occurred first
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Secondary outcome [11]
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Phase 2 of Sub-Study A: Overall Survival (OS)
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Assessment method [11]
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OS is defined as the time from the date of first dose of study treatment to the date of death due to any cause. Participants last known to be alive were planned to be censored at the date of last contact.
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Timepoint [11]
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From the date of first dose of study treatment to the date of death due to any cause or censoring date
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Secondary outcome [12]
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Phase 1b of Sub-Study A: Area Under the Concentration Versus Time Curve Over the Dosing Interval (AUCtau) After Single Dose of Sasanlimab
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Assessment method [12]
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AUCtau was defined as area under the plasma concentration time curve from time zero to the next dose.
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Timepoint [12]
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Cycle 1 (pre-dose on Day 1, 168 hours [Day 8] and 336 hours [Day 15] and Day 28 post-dose) (1 cycle= 28 days)
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Secondary outcome [13]
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Phase 2 of Sub-Study A: Area Under the Concentration Versus Time Curve Over the Dosing Interval (AUCtau) After Single Dose of Sasanlimab
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Assessment method [13]
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Timepoint [13]
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Cycle 1 (pre-dose on Day 1, 336 hours [Day 15] and Day 28 post-dose) (1 cycle= 28 days)
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Secondary outcome [14]
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Phase 1b of Sub-Study A: Maximum Observed Plasma Concentration (Cmax) of Sasanlimab
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Assessment method [14]
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Timepoint [14]
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Cycle 1 (pre-dose on Day 1, 168 hours [Day 8],336 hours [Day 15] and Day 28 post-dose) and Cycle 5 (pre-dose on Day 1 and 168 hours [Day 8] post dose) (1 cycle= 28 days)
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Secondary outcome [15]
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Phase 2 of Sub-Study A: Maximum Observed Plasma Concentration (Cmax) of Sasanlimab
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Assessment method [15]
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Timepoint [15]
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Cycle 1 (pre-dose on Day 1, 336 hours [Day 15] and Day 28 post-dose) and Cycle 5 Day 1 (pre-dose) (1 cycle= 28 days)
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Secondary outcome [16]
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Phase 1b of Sub-Study A: Time for Cmax (Tmax) of Sasanlimab
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Assessment method [16]
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Timepoint [16]
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Cycle 1 (pre-dose on Day 1, 168 hours [Day 8], 336 hours [Day 15] and Day 28 post-dose) and Cycle 5 (pre-dose on Day 1 and 168 hours [Day 8] post dose) (1 cycle= 28 days)
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Secondary outcome [17]
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Phase 2 of Sub-Study A: Time for Cmax (Tmax) of Sasanlimab
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Assessment method [17]
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Timepoint [17]
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Cycle 1 (pre-dose on Day 1, 336 hours [Day 15] and Day 28 post-dose) and Cycle 5 Day 1 (pre-dose) (1 cycle= 28 days)
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Secondary outcome [18]
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Phase 1b of Sub-Study A: Pre-dose Concentration During Multiple Dosing (Ctrough) of Sasanlimab
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Assessment method [18]
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Timepoint [18]
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Cycle 5 Day 1 (pre-dose) (1 cycle= 28 days)
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Secondary outcome [19]
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Phase 2 of Sub-Study A: Pre-dose Concentration During Multiple Dosing (Ctrough) of Sasanlimab
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Assessment method [19]
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Timepoint [19]
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Cycle 5 Day 1 (pre-dose) (1 cycle= 28 days)
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Secondary outcome [20]
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Phase 1b of Sub-Study A: Ctrough of Encorafenib
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Assessment method [20]
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Timepoint [20]
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Day 1 (pre-dose) of Cycle 1, 2 and 5; Day 15 of Cycle 1 (1 cycle= 28 days)
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Secondary outcome [21]
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Phase 2 of Sub-Study A: Ctrough of Encorafenib
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Assessment method [21]
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0
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Timepoint [21]
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Cycle 5 Day 1 (pre-dose)
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Secondary outcome [22]
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Phase 1b of Sub-Study A: Ctrough of Binimetinib
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Assessment method [22]
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0
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Timepoint [22]
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Day 1 (pre-dose) of Cycles 1, 2, and 5 (1 cycle= 28 days)
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Secondary outcome [23]
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Phase 2 of Sub-Study A: Ctrough of Binimetinib
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Assessment method [23]
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Timepoint [23]
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Cycle 5 Day 1 (pre-dose)
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Secondary outcome [24]
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Phase 1b of Sub-Study A: Number of Participants With Positive Anti-Drug Antibody (ADA) and Neutralizing Antibody (NAb) Against Sasanlimab
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Assessment method [24]
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In this outcome measure, number of ADA-positive and NAb-positive participants has been presented. A participant was considered ADA (or NAb) positive if (1) baseline titer was missing or negative and participant had \>= 1 post-treatment positive titer (treatment-induced), or (2) positive titer at baseline and had a \>= \[4-fold dilution increase\] in titer (equivalent to 0.602 unit increase in logarithm to base 10 (log10) titer from baseline in \>= 1 post-treatment sample (treatment-boosted).
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Timepoint [24]
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Pre-dose on Cycle 1 Day 1 until end of treatment (up to approximately 255 days) (1 cycle= 28 days)
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Secondary outcome [25]
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Phase 2 of Sub-Study A: Number of Participants With Positive Anti-Drug Antibody (ADA) and Neutralizing Antibody (NAb) Against Sasanlimab
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Assessment method [25]
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0
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Timepoint [25]
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Pre-dose on Cycle 1 Day 1 until end of treatment
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Secondary outcome [26]
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Phase 2 of Sub-Study A: Objective Response (OR) Rate by Programmed Death Ligand-1 (PD-L1) Expression at Baseline
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Assessment method [26]
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OR rate is defined as percentage of participants with CR or PR according to RECIST v1.1 based on investigator assessment. CR=complete disappearance of all target lesions with exception of nodal disease. All target nodes must decrease to normal size (short axis \<10 mm). PR=greater than or equal to 30% decrease under baseline of the sum of diameters of all target measurable lesions. OR by PD-L1 expression at baseline was planned to be assessed.
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Timepoint [26]
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From the date of first dose of study treatment until the date of the first documentation of PD
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Secondary outcome [27]
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Phase 2 of Sub-Study A: Change From Baseline in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (EORTC QLQ-C30) Score
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Assessment method [27]
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EORTC QLQ-C30: consisted of 30 questions grouped into 5 functional scales (physical, role, cognitive, emotional, and social); a global health status/global quality of life scale; 3 symptom scales (fatigue, pain, nausea and vomiting); and 6 single items that assessed additional symptoms (dyspnea, appetite loss, sleep disturbance, constipation, and diarrhea), and financial impact. All scales and single item measures ranged in score from 0 to 100. Higher scores on the global health status/quality of life scale represent higher health status/quality of life. Higher scores on the functional scales represent higher levels of functioning. Higher scores on the symptom scales and single items represent a greater presence of symptoms or financial impact.
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Timepoint [27]
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Baseline up to end of treatment
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Secondary outcome [28]
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Phase 2 of Sub-Study A: Change From Baseline in European Organization for Research and Treatment of Cancer (EORTC), Quality of Life Questionnaire-Lung Cancer 13 (QLQ- LC13) Score
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Assessment method [28]
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The EORTC QLQ-LC13 is the lung cancer specific module of the EORTC Quality of Life Questionnaire. The EORTC QLQ-LC13 consisted of 13 questions which included 1 multi-item scale and 9 single items assessing symptoms (dyspnea, cough, hemoptysis, and site specific pain), side effects (sore mouth, dysphagia, peripheral neuropathy, and alopecia), and pain medication use. The item scale ranged from 1 to 4 (1 = Not at all; 4 = Very Much) where the EORTC-QLQ-LC13 scoring algorithm was applied to convert to a 0 to 100 point scale where 100 is best quality of life (QOL), for comparability. Higher scores are reflective of a greater presence of symptoms.
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Timepoint [28]
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Baseline up to end of treatment
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Secondary outcome [29]
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0
Phase 1b of Sub-Study B: Number of Participants With Adverse Events Graded According to NCI-CTCAE Version 5.0
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Assessment method [29]
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An AE is any untoward medical occurrence in a participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. AEs were graded by the investigator according to NCI CTCAE version 5.0; where Grade 1=mild, Grade 2=moderate, Grade 3=severe, Grade 4=life-threatening and Grade 5=death.
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Timepoint [29]
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From the start of study treatment (Cycle1 Day1) up to 30 days after last dose of study treatment (maximum of 21 months)
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Secondary outcome [30]
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0
Phase 2 of Sub-Study B: Number of Participants With Adverse Events Graded According to NCI-CTCAE Version 5.0
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Assessment method [30]
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0
An AE is any untoward medical occurrence in a participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. AEs were graded by the investigator according to NCI CTCAE version 5.0; where Grade 1=mild, Grade 2=moderate, Grade 3=severe, Grade 4=life-threatening and Grade 5=death
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Timepoint [30]
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0
From the start of study treatment (Cycle1 Day1) up to 30 days after last dose of study treatment (maximum of 21 months)
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Secondary outcome [31]
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Phase 1b of Sub-Study B: Number of Participants With Shift From Baseline in Hematology Parameter Values Based on CTCAE V5.0
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Assessment method [31]
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Hematology parameters included: anemia, lymphocyte count decreased, platelet count decreased, white blood cell decreased. Number of participants with shift from baseline in hematology parameters by grades (as per Common Terminology Criteria for Adverse Events (CTCAE version 5.0) were reported. Grade 0= any shift, Grade 1= mild; Grade 2= moderate; Grade 3= severe and Grade 4= life-threatening or disabling. Categories with at least 1 non-zero data values showing shift in Grade from baseline to post-baseline were reported. Participants whose grade category was unchanged (e.g. normal to normal) were not reported.
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Timepoint [31]
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0
From the start of study treatment (Cycle1 Day1) up to 30 days after last dose of study treatment (maximum of 21 months)
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Secondary outcome [32]
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Phase 1b of Sub-Study B: Number of Participants With Shift From Baseline in Chemistry Parameter Values Based on CTCAE V5.0
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Assessment method [32]
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Chemistry parameters included: alanine aminotransferase (ALT) increased, alkaline phosphatase (ALP) increased, aspartate aminotransferase (AST) increased, chronic kidney disease, creatinine increased, hypercalcemia, hyperkalemia, hypoalbuminemia, hypoglycemia, hypokalemia, hypomagnesemia, hyponatremia, lipase increased, serum amylase increased. Number of participants with shift from baseline in chemistry parameters by grades as per CTCAE version 5.0 were reported. Grade 0= any shift, Grade 1= mild; Grade 2= moderate; Grade 3= severe and Grade 4= life-threatening or disabling. Categories with at least 1 non-zero data values showing shift in Grade from baseline to post-baseline were reported. Participants whose grade category was unchanged (e.g. normal to normal) were not reported.
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Timepoint [32]
0
0
From the start of study treatment (Cycle1 Day1) up to 30 days after last dose of study treatment (maximum of 21 months)
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Secondary outcome [33]
0
0
Phase 2 of Sub-Study B: Number of Participants With Shift From Baseline in Hematology Parameter Values Based on CTCAE V5.0
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Assessment method [33]
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Hematology parameters included: anemia, hemoglobin increased, lymphocyte count decreased, Neutrophil count decreased, platelet count decreased, white blood cell decreased. Number of participants with shift from baseline in hematology parameters by grades as per CTCAE version 5.0 were reported. Grade 0= any shift, Grade 1= mild; Grade 2= moderate; Grade 3= severe and Grade 4= life-threatening or disabling. Categories with at least 1 non-zero data values showing shift in Grade from baseline to post-baseline were reported. Participants whose grade category was unchanged (e.g. normal to normal) were not reported.
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Timepoint [33]
0
0
From the start of study treatment (Cycle1 Day1) up to 30 days after last dose of study treatment (maximum of 21 months)
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Secondary outcome [34]
0
0
Phase 2 of Sub-Study B: Number of Participants With Shift From Baseline in Chemistry Parameter Values Based on CTCAE V5.0
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Assessment method [34]
0
0
Chemistry parameters included: ALT increased, ALP increased, AST increased, blood bilirubin increased, chronic kidney disease, creatinine increased, hypercalcemia, hyperkalemia, hypermagnesemia, hypernatremia, hypoalbuminemia, hypocalcemia, hypokalemia, hypomagnesemia, hyponatremia, lipase increased, serum amylase increased. Number of participants with shift from baseline in chemistry parameters by grades as per CTCAE version 5.0 were reported. Grade 0= any shift, Grade 1= mild; Grade 2= moderate; Grade 3= severe and Grade 4= life-threatening or disabling. Categories with at least 1 non-zero data values showing shift in Grade from baseline to post-baseline were reported. Participants whose grade category was unchanged (e.g. normal to normal) were not reported.
Query!
Timepoint [34]
0
0
From the start of study treatment (Cycle1 Day1) up to 30 days after last dose of study treatment (maximum of 21 months)
Query!
Secondary outcome [35]
0
0
Phase 1b of Sub-Study B: Objective Response Rate (ORR)
Query!
Assessment method [35]
0
0
ORR was defined as percentage of participants with confirmed CR or PR according to RECIST v1.1 based on investigator assessment, from the date of first CR or PR until the date of the first documentation of PD, death, or start of new anticancer therapy. CR was defined as complete disappearance of all target lesions with exception of nodal disease. All target nodes must decrease to normal size (short axis \<10 mm). PR was defined as greater than or equal to 30% decrease under baseline of the sum of diameters of all target measurable lesions. PD was defined as 20% increase in sum of diameters of target measurable lesions above smallest sum observed (over baseline if no decrease in the sum was observed during therapy), with a minimum absolute increase of 5 mm. Two sided 95% CI was based on Clopper-Pearson method.
Query!
Timepoint [35]
0
0
From the date of first CR or PR until the date of the first documentation of PD, death, or start of new anticancer therapy, whichever occurred first (maximum of 21 months)
Query!
Secondary outcome [36]
0
0
Phase 1b of Sub-Study B: Duration of Response (DR)
Query!
Assessment method [36]
0
0
DR was defined for participants with confirmed objective response (OR) as time from date of first documentation of OR to the date of first documentation of PD or death (any cause), whichever occurred first. OR=CR or PR according to RECIST v1.1 based on investigator assessment. CR and PR must be confirmed by repeat assessments performed no \<4 weeks after criteria for response were first met. CR=complete disappearance of all target lesions (TLs) with exception of nodal disease. All target nodes must decrease to normal size (short axis \<10 mm). PR=greater than or equal to 30% decrease under baseline of the sum of diameters of all target measurable lesions (TMLs). PD=20% increase in sum of diameters of TMLs above smallest sum observed (over baseline if no decrease in sum was observed during therapy), with a minimum absolute increase of 5 mm.
Query!
Timepoint [36]
0
0
From the date of first documentation of OR to the date of first documentation of PD or death, whichever occurred first (maximum of 21 months)
Query!
Secondary outcome [37]
0
0
Phase 1b of Sub-Study B: Time to Tumor Response (TTR)
Query!
Assessment method [37]
0
0
TTR is defined for participants with confirmed objective response as the time from the date of first dose of study treatment to the date of first documentation of objective response (CR or PR) which was subsequently confirmed. CR=complete disappearance of all target lesions with exception of nodal disease. All target nodes must decrease to normal size (short axis \<10 mm). PR=greater than or equal to 30% decrease under baseline of the sum of diameters of all target measurable lesions.
Query!
Timepoint [37]
0
0
From the date of first dose of study treatment to the date of first documentation of objective response (CR or PR) (maximum of 21 months)
Query!
Secondary outcome [38]
0
0
Phase 1b of Sub-Study B: Progression-Free Survival (PFS)
Query!
Assessment method [38]
0
0
PFS is defined as the time from the date of first dose of study treatment to the date of first documentation of PD or death due to any cause, whichever occurred first. PD=20% increase in sum of diameters of target measurable lesions above smallest sum observed (over baseline if no decrease in sum was observed during therapy), with a minimum absolute increase of 5 mm.
Query!
Timepoint [38]
0
0
From the date of first dose of study treatment to the date of first documentation of PD or death due to any cause, whichever occurred first (maximum of 21 months)
Query!
Secondary outcome [39]
0
0
Phase 2 of Sub-Study B: Duration of Response (DR)
Query!
Assessment method [39]
0
0
DR was defined for participants with confirmed OR as time from date of first documentation of OR to the date of first documentation of PD or death (any cause), whichever occurred first. OR=CR or PR according to RECIST v1.1 based on investigator assessment. CR and PR must be confirmed by repeat assessments performed no \<4 weeks after criteria for response were first met. CR=complete disappearance of all target lesions (TLs) with exception of nodal disease. All target nodes must decrease to normal size (short axis \<10 mm). PR=greater than or equal to 30% decrease under baseline of the sum of diameters of all target measurable lesions (TMLs). PD=20% increase in sum of diameters of TMLs above smallest sum observed (over baseline if no decrease in sum was observed during therapy), with a minimum absolute increase of 5 mm.
Query!
Timepoint [39]
0
0
From date of first documentation of OR to the date of first documentation of PD or death, whichever occurred first (maximum of 21 months)
Query!
Secondary outcome [40]
0
0
Phase 2 of Sub-Study B: Time to Tumor Response (TTR)
Query!
Assessment method [40]
0
0
TTR is defined for participants with confirmed OR as the time from the date of first dose of study treatment to the date of first documentation of objective response (CR or PR) which was subsequently confirmed. CR=complete disappearance of all target lesions with exception of nodal disease. All target nodes must decrease to normal size (short axis \<10 mm). PR=greater than or equal to 30% decrease under baseline of the sum of diameters of all target measurable lesions.
Query!
Timepoint [40]
0
0
From the date of first dose of study treatment to the date of first documentation of objective response (CR or PR) (maximum of 21 months)
Query!
Secondary outcome [41]
0
0
Phase 2 of Sub-Study B: Progression-Free Survival (PFS)
Query!
Assessment method [41]
0
0
PFS is defined as the time from the date of first dose of study treatment to the date of first documentation of PD or death due to any cause, whichever occurred first. PD=20% increase in sum of diameters of target measurable lesions above smallest sum observed (over baseline if no decrease in sum was observed during therapy), with a minimum absolute increase of 5 mm.
Query!
Timepoint [41]
0
0
From the date of first dose of study treatment to the date of first documentation of PD or death due to any cause, whichever occurred first (maximum of 21 months)
Query!
Secondary outcome [42]
0
0
Phase 2 of Sub-Study B: Overall Survival (OS)
Query!
Assessment method [42]
0
0
OS is defined as the time from the date of first dose of study treatment to the date of death due to any cause. Participants last known to be alive were planned to be censored at the date of last contact.
Query!
Timepoint [42]
0
0
From the date of first dose of study treatment to the date of death due to any cause or censoring date, whichever occurred first (maximum of 21 months)
Query!
Secondary outcome [43]
0
0
Phase 1b of Sub-Study B: Cmax of Sasanlimab
Query!
Assessment method [43]
0
0
Query!
Timepoint [43]
0
0
Cycle 1: pre-dose, 168 hours post-dose on Day 1, Cycle 5: pre-dose, 168 hours post-dose on Day 1 (1 cycle= 21 days)
Query!
Secondary outcome [44]
0
0
Phase 1b of Sub-Study B: Cmax of Axitinib
Query!
Assessment method [44]
0
0
Query!
Timepoint [44]
0
0
Cycle 1: pre-dose on Day 1, Day 8 and 3 hours post-dose on Day 1; Cycle 5: pre-dose on Day 1, Day 8 and 3 hours post-dose on Day 1 (1 cycle= 21 days)
Query!
Secondary outcome [45]
0
0
Phase 1b of Sub-Study B: Cmax of SEA-TGT
Query!
Assessment method [45]
0
0
Query!
Timepoint [45]
0
0
Cycle 1: pre-dose, 168 hours post-dose on Day 1, Cycle 5: pre-dose, 168 hours post-dose on Day 1 (1 cycle= 21 days)
Query!
Secondary outcome [46]
0
0
Phase 2 of Sub-Study B: Cmax of Sasanlimab
Query!
Assessment method [46]
0
0
Query!
Timepoint [46]
0
0
Cycle 1: pre-dose, 168 hours post-dose on Day 1, Cycle 5: pre-dose, 168 hours post-dose on Day 1 (1 cycle= 21 days)
Query!
Secondary outcome [47]
0
0
Phase 2 of Sub-Study B: Cmax of Axitinib
Query!
Assessment method [47]
0
0
Query!
Timepoint [47]
0
0
Cycle 1: pre-dose on Day 1, Day 8 and 3 hours post-dose on Day 1; Cycle 5: pre-dose on Day 1, Day 8 and 3 hours post-dose on Day 1 (1 cycle= 21 days)
Query!
Secondary outcome [48]
0
0
Phase 2 of Sub-Study B: Cmax of SEA-TGT
Query!
Assessment method [48]
0
0
Query!
Timepoint [48]
0
0
Cycle 1: pre-dose, 168 hours post-dose on Day 1, Cycle 5: pre-dose, 168 hours post-dose on Day 1 (1 cycle= 21 days)
Query!
Secondary outcome [49]
0
0
Phase 1b of Sub-Study B: Pre-dose Concentration During Multiple Dosing (Ctrough) of Sasanlimab
Query!
Assessment method [49]
0
0
Query!
Timepoint [49]
0
0
Pre-dose on Cycle 1 Day 1 and Cycle 5 Day 1 (1 cycle= 21 days)
Query!
Secondary outcome [50]
0
0
Phase 1b of Sub-Study B: Pre-dose Concentration During Multiple Dosing (Ctrough) of Axitinib
Query!
Assessment method [50]
0
0
Query!
Timepoint [50]
0
0
Pre-dose on Cycle 1 Day 1 and Day 8; pre-dose on Cycle 5 Day 1 and Day 8 (1 cycle= 21 days)
Query!
Secondary outcome [51]
0
0
Phase 1b of Sub-Study B: Pre-dose Concentration During Multiple Dosing (Ctrough) of SEA-TGT
Query!
Assessment method [51]
0
0
Query!
Timepoint [51]
0
0
Pre-dose on Cycle 1 Day 1; pre-dose on Cycle 5 Day 1 (1 cycle= 21 days)
Query!
Secondary outcome [52]
0
0
Phase 2 of Sub-Study B: Pre-dose Concentration During Multiple Dosing (Ctrough) of Sasanlimab
Query!
Assessment method [52]
0
0
Query!
Timepoint [52]
0
0
Cycle 1: pre-dose on Day 1, Cycle 5: pre-dose on Day 1 (1 cycle= 21 days)
Query!
Secondary outcome [53]
0
0
Phase 2 of Sub-Study B: Pre-dose Concentration During Multiple Dosing (Ctrough) of Axitinib
Query!
Assessment method [53]
0
0
Query!
Timepoint [53]
0
0
Pre-dose on Cycle 1 Day 1 and Day 8; pre-dose on Cycle 5 Day 1 and Day 8 (1 cycle= 21 days)
Query!
Secondary outcome [54]
0
0
Phase 2 of Sub-Study B: Pre-dose Concentration During Multiple Dosing (Ctrough) of SEA-TGT
Query!
Assessment method [54]
0
0
Query!
Timepoint [54]
0
0
Pre-dose on Cycle 1 Day 1; pre-dose on Cycle 5 Day 1 (1 cycle= 21 days)
Query!
Secondary outcome [55]
0
0
Phase 1b of Sub-Study B: Number of Participants With Positive Anti-Drug Antibody (ADA) Against Sasanlimab and SEA-TGT
Query!
Assessment method [55]
0
0
A participant was considered ADA (or NAb) positive if (1) baseline titer was missing or negative and participant had \>= 1 post-treatment positive titer (treatment-induced), or (2) positive titer at baseline and had a \>= \[4-fold dilution increase\] in titer (equivalent to 0.602 unit increase in logarithm to base 10 (log10) titer from baseline in \>= 1 post-treatment sample (treatment-boosted).
Query!
Timepoint [55]
0
0
Pre-dose on Cycle 1 Day 1 until end of treatment (up to approximately 21 months) (1 cycle= 21 days)
Query!
Secondary outcome [56]
0
0
Phase 2 of Sub-Study B: Number of Participants With Positive Anti-Drug Antibody (ADA) Against Sasanlimab and SEA-TGT
Query!
Assessment method [56]
0
0
Query!
Timepoint [56]
0
0
Pre-dose on Cycle 1 Day 1 until end of treatment (up to approximately 21 months) (1 cycle= 21 days)
Query!
Secondary outcome [57]
0
0
Phase 2 of Sub-Study B: Objective Response Rate by PD-L1 Expression in Available Tumor Tissue
Query!
Assessment method [57]
0
0
ORR was defined as percentage of participants with confirmed CR or PR according to RECIST v1.1 based on investigator assessment, from the date of first CR or PR until the date of the first documentation of disease progression (PD), death, or start of new anticancer therapy. CR was defined as complete disappearance of all target lesions with exception of nodal disease. All target nodes must decrease to normal size (short axis \<10 millimeter \[mm\]). PR was defined as greater than or equal to 30% decrease under baseline of the sum of diameters of all target measurable lesions. PD was defined as 20% increase in sum of diameters of target measurable lesions above smallest sum observed (over baseline if no decrease in the sum was observed during therapy), with a minimum absolute increase of 5 mm.
Query!
Timepoint [57]
0
0
From the date of first CR or PR until the date of the first documentation of PD, death, or start of new anticancer therapy (maximum of 21 months)
Query!
Eligibility
Key inclusion criteria
Inclusion Criteria Umbrella Phase 1b & 2:
* Histologically or cytologically confirmed locally advanced/metastatic (Stage IIIB-IV) NSCLC.
* At least one measurable lesion per RECIST v1.1 at Screening.
* ECOG Performance Status 0 or 1.
* Resolved acute effects of any prior therapy to baseline severity or CTCAE Grade =1.
* Adequate hepatic, renal, and bone marrow function.
Additional Inclusion Criteria for Sub-Study A Phase 1b &2:
-BRAFV600E mutation in tumor tissue or plasma as determined by a local laboratory PCR or NGS assay and documented in a local pathology report.
Additional Inclusion Criteria for Sub-Study A Phase 1b only:
-Any line of therapy for locally advanced/metastatic NSCLC.
Additional Inclusion Criteria for Sub-Study A Phase 2 only:
-Previously untreated for locally advanced/metastatic NSCLC
Additional Inclusion Criteria for Sub-Study B Phase 1b only::
-Any line of therapy for locally advanced/metastatic NSCLC.
Additional Inclusion Criteria for Sub-Study B Phase 2 only:
* Previously untreated for locally advanced/metastatic NSCLC (Arms B1 & B2), or
* One or 2 prior lines of therapy for advanced/metastatic NSCLC (Arm B3), including immune checkpoint inhibitor treatment + chemotherapy, and have progressed during or after that therapy.
* PD-L1 TPS =1%
Query!
Minimum age
18
Years
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Query!
Maximum age
No limit
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Query!
Sex
Both males and females
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Can healthy volunteers participate?
No
Query!
Key exclusion criteria
Exclusion Criteria Umbrella Phase 1b &2:
* Active or prior autoimmune disease that might deteriorate when receiving an immunostimulatory agent.
* Active non-infectious pneumonitis, pulmonary fibrosis, or known history of immune-mediated pneumonitis.
* Active infection requiring systemic therapy.
* Clinically significant cardiovascular disease.
* Other malignancy within 2 years of first dose, with exceptions.
* Symptomatic brain metastasis, with exceptions.
Additional Exclusion Criteria for Sub-Study A Phase 1b&2:
* EGFR mutation, ALK fusion oncogene, or ROS1 rearrangement.
* Prior treatment with any BRAF inhibitor or MEK inhibitor.
Additional Exclusion Criteria for Sub-Study A Phase 2 only:
-Prior therapy with anti-PD-1, anti-PD-L1, or anti-PD-L2 agents.
Additional Exclusion Criteria for Sub-Study B Phase 1b&2:
-Documentation of any tumor-driving molecular alteration (eg, BRAF, EGFR, ALK)
Additional Exclusion Criteria for Sub-Study B Phase 2 only:
* Prior therapy with anti-PD-1, anti-PD-L1, or anti-PD-L2 agents.(Arms B1 & B2)
* Confirmed progressive disease on 1st or 2nd imaging tumor assessment after initiation of therapy for advanced/metastatic NSCLC.
Query!
Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Query!
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Intervention assignment
Parallel
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Other design features
Query!
Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
Query!
Actual
10/11/2020
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
31/10/2024
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Actual
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Sample size
Target
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Accrual to date
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Final
34
Query!
Recruitment in Australia
Recruitment state(s)
NSW,VIC
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Recruitment hospital [1]
0
0
Chris O'Brien Lifehouse - Camperdown
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Recruitment hospital [2]
0
0
Concord Hospital - Concord
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Recruitment hospital [3]
0
0
GenesisCare North Shore - St Leonards
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Recruitment hospital [4]
0
0
North Shore Radiology and Nuclear Medicine - St Leonards
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Recruitment hospital [5]
0
0
Austin Health - Heidelberg
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Recruitment postcode(s) [1]
0
0
2050 - Camperdown
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Recruitment postcode(s) [2]
0
0
2139 - Concord
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Recruitment postcode(s) [3]
0
0
2065 - St Leonards
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Recruitment postcode(s) [4]
0
0
3084 - Heidelberg
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Recruitment outside Australia
Country [1]
0
0
United States of America
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State/province [1]
0
0
California
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Country [2]
0
0
United States of America
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State/province [2]
0
0
Colorado
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Country [3]
0
0
United States of America
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State/province [3]
0
0
Florida
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Country [4]
0
0
United States of America
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State/province [4]
0
0
Maryland
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Country [5]
0
0
United States of America
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State/province [5]
0
0
Massachusetts
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Country [6]
0
0
United States of America
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State/province [6]
0
0
Michigan
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Country [7]
0
0
United States of America
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State/province [7]
0
0
New Jersey
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Country [8]
0
0
United States of America
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State/province [8]
0
0
New York
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Country [9]
0
0
United States of America
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State/province [9]
0
0
Tennessee
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Country [10]
0
0
Belgium
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State/province [10]
0
0
Antwerpen
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Country [11]
0
0
Belgium
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State/province [11]
0
0
Gent
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Country [12]
0
0
Belgium
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State/province [12]
0
0
Leuven
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Country [13]
0
0
Taiwan
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State/province [13]
0
0
Taichung
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Country [14]
0
0
Taiwan
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State/province [14]
0
0
Taipei City
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Country [15]
0
0
Taiwan
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State/province [15]
0
0
Taipei
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Country [16]
0
0
United Kingdom
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State/province [16]
0
0
London
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Country [17]
0
0
United Kingdom
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State/province [17]
0
0
Newcastle upon Tyne
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Pfizer
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
Phase 1b/Phase 2 Umbrella Study; open-label, multi-center, parallel group study. Sasanlimab (a PD-1 antagonist monoclonal antibody) will be combined with a different targeted therapy in each sub-study. Phase1b of each sub-study will evaluate the safety of the combination and select the dose for the Phase 2 portion. Phase 2 of each sub-study will evaluate the anti-tumor activity of the combination. Sub-Study A is active, not recruiting, ongoing participants are still receiving treatment in Phase 1, Phase 2 will not be initiated. Sub-study B is complete. All participants have discontinued treatment and any additional follow up required by protocol.
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Trial website
https://clinicaltrials.gov/study/NCT04585815
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
0
0
Pfizer CT.gov Call Center
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Address
0
0
Pfizer
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Country
0
0
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Phone
0
0
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Fax
0
0
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Email
0
0
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Contact person for public queries
Name
0
0
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Address
0
0
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Country
0
0
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Phone
0
0
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Fax
0
0
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Email
0
0
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.
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When will data be available (start and end dates)?
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Available to whom?
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Available for what types of analyses?
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How or where can data be obtained?
IPD available at link: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests
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What supporting documents are/will be available?
No Supporting Document Provided
Type
Other Details
Attachment
Study protocol
https://cdn.clinicaltrials.gov/large-docs/15/NCT04585815/Prot_000.pdf
Statistical analysis plan
https://cdn.clinicaltrials.gov/large-docs/15/NCT04585815/SAP_001.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT04585815