NCT02983045

A Dose Escalation and Cohort Expansion Study of NKTR-214 in Combination With Nivolumab and Other Anti-Cancer Therapies in Patients With Select Advanced Solid Tumors

Official Title:

A Phase 1/2, Open-label, Multicenter Study of the Combination of NKTR-214 and Nivolumab or the Combination of NKTR-214, Nivolumab, and Other Anti-Cancer Therapies in Patients With Select Locally Advanced or Metastatic Solid Tumor Malignancies

Summary

In this four-part study, NKTR-214 was administered in combination with nivolumab and with/without other anticancer therapies. Part 1 considered escalating doublet (NKTR 214 + nivolumab) doses to determine the RP2D. Part 2 considered dose expansion cohorts for the doublet (NKTR 214 + nivolumab ± chemotherapy). Part 3 was schedule-finding for a triplet therapy (NKTR 214 + nivolumab + ipilimumab). Part 4 dose expansion for the triplet (NKTR 214 + nivolumab + ipilimumab) was planned to further assess the efficacy of the RP2D triplet combination at dosing schedules from Part 3.

Eligibility

INCLUSION CRITERIA - For Parts 1-4:

* Histologically confirmed diagnosis of a locally advanced (not amenable to curative therapy such as surgical resection) or metastatic solid tumors
* Life expectancy \> 12 weeks
* Patients must not have received prior interleukin-2 (IL-2) therapy
* Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
* Measurable disease per RECIST 1.1
* Patients with stable brain metastases under certain criteria
* Fresh and archival tumor tissue available Tumor specific inclusion criteria may apply.

EXCLUSION CRITERIA - For Parts 1-4:

* Use of an investigational agent or an investigational device within 28 days before administration of first dose of NKTR--214
* Females who are pregnant or breastfeeding
* Participants who have an active autoimmune disease requiring systemic treatment within the past 3 months or have a documented history of clinically severe autoimmune disease that requires systemic steroids or immunosuppressive agents
* History of organ transplant that requires use of immune suppressive agents
* Active malignancy not related to the current diagnosed malignancy
* Evidence of clinically significant interstitial lung disease or active, noninfectious pneumonitis
* Participants who have had \< 28 days since the last chemotherapy, biological therapy, or \< 14 days from approved tyrosine kinase inhibitor (TKI) therapy, or systemic or inhaled steroid therapy at doses greater than 10mg of prednisone Tumor specific exclusion criteria may apply.

Other protocol defined inclusion/exclusion criteria may apply

Disease(s) and\or Condition(s)

Melanoma

Renal Cell Carcinoma

Non Small Cell Lung Cancer

Urothelial Carcinoma

Triple Negative Breast Cancer

HR+/HER2- Breast Cancer

Gastric Cancer

Primary Purpose
  • TREATMENT
Intervention/Treatment
    • Type: DRUG
    • Name: Dose Escalation Doublet: Combination of NKTR-214 + nivolumab
    • Description: NKTR 214 + nivolumab at 5 dosage levels.
    • Arm Group Labels: Dose Escalation: Combination of NKTR-214 + nivolumab
    • Type: DRUG
    • Name: Dose Expansion Doublet: Combination of NKTR-214 + nivolumab
    • Description: Select patient cohorts with select tumor types will be dosed with NKTR-214 + nivolumab at the RP2D + other anti-cancer therapies per institution standard.
    • Arm Group Labels: Dose Expansion: Combination of NKTR-214 + nivolumab
    • Type: DRUG
    • Name: Schedule Finding Triplet: Combination of NKTR-214+ nivolumab+ ipilimumab
    • Description: 1L patients with RCC, NSCLC, UCC, and melanoma received NKTR-214 0.006 mg/kg q3w in combination with nivolumab and ipilimumab according to 3 dosing schedules.
    • Arm Group Labels: Experimental: Combination of NKTR-214 + nivolumab + ipilimumab
    • Type: DRUG
    • Name: Dose Expansion Triplet: Combination of NKTR-214+ nivolumab+ ipilimumab
    • Description: Combination of NKTR-214 + nivolumab + ipilimumab was administered at RP2D dose/schedules in select tumor types
    • Arm Group Labels: Experimental: Dose Expansion of Part 3
Sponsor
  • Nektar Therapeutics