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Completed

NCT Number: NCT03735628

An Study to Evaluate the Safety and Efficacy of Copanlisib in Combination With Nivolumab in Patients With Advanced Solid Tumors

The purpose of the dose escalation part of this study is to determine the feasibility of using the combination of copanlisib and nivolumab in subjects with advanced solid tumors, and to determine the maximum tolerated dose of copanlisib in combination with nivolumab. The maximum tolerated dose will then be used in Phase 2 (dose expansion) of the study.

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Key information

About this study

Study was originally designed with both Phase I and Phase II part, but sponsor decided not to conduct Phase 2 part due to strategic portfolio re-prioritization.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Participants with a histologically confirmed diagnosis of:

Phase 1b:

  • Advanced solid tumors where nivolumab is indicated as per the latest nivolumab Prescribing Information,

Phase 2:

  • Metastatic NSCLC, progressing on or after prior pembrolizumab therapy with or without chemotherapy, irrespective of PD-L1 expression Patients with EGFR or ALK genomic tumor aberrations should have disease progression on FDA-approved therapy for these aberrations.
  • Recurrent or metastatic HNSCC progressing on or after prior pembrolizumab therapy with or without chemotherapy
  • HCC progressing after any prior therapy.

Exclusion criteria

  • Active, known or suspected autoimmune disease. Participants 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.
  • Major surgery, open biopsy or significant traumatic injury ≤ 28 days prior to first administration of study intervention. Central line surgery is not considered major surgery
  • Symptomatic metastatic brain or meningeal carcinomatosis or tumors unless the participant is > 6 months from definitive therapy (surgery or radiotherapy), has no evidence of tumor growth on an imaging study and is clinically stable with respect to the tumor at the start of study intervention.
  • Other malignancy within the last 5 years except for the following, which are permitted:
  • curatively treated basal cell/squamous cell skin cancer,
  • carcinoma in situ of the cervix,
  • superficial transitional cell bladder carcinoma (if BCG [Bacillus Calmette-Guerin] treatment was given, there should be a minimum of 6 months between last dose and enrollment),
  • in situ ductal carcinoma of the breast after complete resection,
  • participants with localized, resected and/or low-risk prostate cancer may be eligible after discussion with the sponsor's designated medical representative and sponsor's approval.
  • Other protocol inclusion/exclusion criteria may apply

Treatment and study plan

Copanlisib

Drug

Copanlisib: lyophilisate for reconstitution and further dilution for infusion

Nivolumab

Drug

Nivolumab: concentrate for solution for infusion

Primary outcomes

  1. Phase 1b: Frequency of dose limiting toxicities (DLT) at each dose level associated with administration of copanlisib and nivolumab

    Time frame: At the end of Cycle 2 of a 28-day cycle

  2. Phase 2: Overall response rate (ORR) as per RECIST v 1.1 (Response evaluation criteria in solid tumors, v 1.1) (by local investigator

    Time frame: Up to 26 months

Secondary outcomes

  1. Phase 1b: Overall response rate (ORR) as per RECIST v 1.1 (by local investigator assessment)

    Time frame: Up to 26 months

  2. Phase 1b and 2:Maximum drug concentration in plasma (Cmax) of copanlisib

    Time frame: At cycle1 day15, cycle2 day15, cycle 6 day15

  3. Phase 1b and 2:Area under the curve (AUC) of copanlisib

    Time frame: At cycle1 day15, cycle2 day15,cycle 6 day15

  4. Phase 1b and 2: Cmax for nivolumab

    Time frame: At cycle1 day15, cycle2 day15,cycle 6 day15

  5. Phase 1b and 2: Minimum plasma drug concentration (Cmin) for nivolumab

    Time frame: At cycle1 day15, cycle2 day15,cycle 6 day15

  6. Phase 1b and 2: Overall survival (OS)

    Time frame: Up to 26 months

  7. Phase 1b and 2: Progression-free survival (PFS)

    Time frame: Up to 26 months

  8. Phase 1b and 2: Disease control rate (DCR)

    Time frame: Up to 26 months

  9. Phase 1b and 2: Duration of stable disease (DSD)

    Time frame: Up to 26 months

  10. Phase 1b and 2: Time to response (TTR)

    Time frame: Up to 26 months

  11. Phase 1b and 2: Time to progression (TTP)

    Time frame: Up to 26 months

  12. Phase 1b and 2: Duration of response (DOR)

    Time frame: Up to 26 months

  13. Phase 1b and 2:Number of participants with Adverse events (AE) and Serious AEs (SAE)

    Time frame: Up to 26 months

  14. Phase 1b and 2:Number of participants with clinically significantly abnormal changes in electrocardiograms (ECG) including heart rate and measures PR, QRS, QT, and QTc intervals

    Time frame: Up to 26 months

  15. Phase 1b and 2:Number of participants with changes in dose including interruptions, reductions and dose intensity

    Time frame: Up to 26 months

Sponsors and collaborators

Lead sponsor

Bayer

Industry

Registry information

Official study title

An Open-label, Multi-center, Phase 1b/2 Study to Evaluate the Safety and Efficacy of Copanlisib in Combination With Nivolumab in Patients With Advanced Solid Tumors.

Important dates

Study start
2018
Primary completion
2022
Study completion
2022
First posted
Nov 8, 2018
Registry last updated
Oct 6, 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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