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NCT Number: NCT03409458

A Dose Escalation and Confirmation Study of PT-112 in Advanced Solid Tumors in Combination With Avelumab

This is a Phase 1/2, open-label, multi-center, non-randomized, dose-escalation study of PT-112 in combination with the anti-PD-L1 antibody, avelumab, in selected advanced solid tumors.

The study is to be conducted in two parts: the Dose Escalation Phase of PT-112 within the combination and the Dose Confirmation Phase in patients with non-small cell lung cancer who will be treated at the RP2D.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

Lausanne, Switzerland

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About this study

This is a Phase 1/2, open-label, multi-center, non-randomized, dose-escalation study of PT-112 in combination with the anti-PD-L1 antibody, avelumab, in selected advanced solid tumors. The study is to be conducted in two parts: the Dose Escalation Phase and the Dose Confirmation Phase.

Enrollment for dose escalation and dose confirmation is complete.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Key Inclusion Criteria:

  • Histologically or cytologically confirmed metastatic or locally advanced, squamous or non-squamous NSCLC (NSCLC). Patients must have received no more than four prior lines of therapy, including a PD-1 / PD-L1-containing therapy and a platinum containing regimen. Patients must have received no more than one taxane containing regimen and no more than one investigational agent;
  • Must provide study-related tumor specimens;
  • ECOG(PS) 0-1;
  • Estimated Life Expectancy > 3 months;
  • Adequate bone marrow (BM), renal, hepatic and metabolic function.

Key Exclusion Criteria:

  • Concurrent cancer treatment with cytoreductive therapy, radiotherapy, cytokine therapy, cytotoxic agents, targeted small molecule therapy or any investigational anticancer small molecule drugs within 2 weeks prior to the start of study treatment (except 5 weeks from last dose of nitrosourea compound) OR treatment with monoclonal antibodies within 4 weeks prior to the start of study treatment;
  • Known symptomatic central nervous system (CNS) metastases requiring steroids.
  • Diagnosis of any other malignancy within 2 years prior to enrollment;
  • Vaccination within 4 weeks of the first dose of study treatment is prohibited except for administration of inactivated vaccines;
  • Current use of immunosuppressive medication at study entry;
  • Active or prior autoimmune disease that might deteriorate with receiving an immunostimulatory agent;
  • Acute or chronic infections requiring systemic therapy;
  • Known history of autoimmune colitis, inflammatory bowel disease, pneumonitis, pulmonary fibrosis;
  • Known intolerance to checkpoint inhibitor therapy, defined by the occurrence of an AE leading to drug discontinuation;
  • Participation in other studies involving investigational drug(s) within 28 days prior to study entry and/or during study participation.

Treatment and study plan

PT-112

Drug

The RP2D of PT-112 when used in combination with avelumab has been determined during dose escalation and is being confirmed in the NSCLC dose confirmation cohort.

For the NSCLC confirmation cohort, PT-112 will be administered at a dose of 360 mg/m2 on Days 1, 8 and 15.

avelumab

Biological

Avelumab will be administered at a fixed dose of 800 mg on Days 1 and 15.

Primary outcomes

  1. NSCLC Cohort: Evaluate best overall response rate (ORR) by tumor type according to Immune-Response Criteria (iRECIST) in metastatic or locally advanced, squamous or non-squamous NSCLC.

    Time frame: 24 months

Secondary outcomes

  1. NSCLC Cohort: Confirm the RP2D patients with metastatic or locally advanced, squamous or non-squamous NSCLC

    Time frame: 24 months

  2. NSCLC Cohort: Assess the safety profile of PT-112 in combination with avelumab

    Time frame: 24 months

  3. NSCLC Cohort: Evaluate disease control rate (CR, PR and SD lasting ≥6 months) overall and by tumor type based on iRECIST

    Time frame: 24 months

  4. NSCLC Cohort: Evaluate disease control rate (CR, PR and SD lasting ≥3 months) overall and by tumor type based on iRECIST

    Time frame: 24 months

  5. NSCLC Cohort: Evaluate median duration of response among responding patients

    Time frame: 24 months

  6. NSCLC Cohort: Evaluate median PFS

    Time frame: 24 months

  7. NSCLC Cohort: Evaluate PFS rate at 6 months from start of study drug, based on tumor assessments every 8 weeks based on iRECIST

    Time frame: 24 months

Sponsors and collaborators

Lead sponsor

Promontory Therapeutics Inc.

Industry

Collaborators

  • EMD Serono
  • Pfizer

Registry information

Official study title

A Phase 1b/2a Dose Escalation and Confirmation Study of PT-112 in Advanced Solid Tumors in Combination With Avelumab

Acronym: PAVE-1

Important dates

Study start
2018
Primary completion
2022
Study completion
2022
First posted
Jan 24, 2018
Registry last updated
Nov 18, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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