A Study of Safety, Pharmacokinetics, Pharmacodynamics of JNJ-61610588 in Participants With Advanced Cancer

Study Description

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Brief Summary:

The purpose of this study is to evaluate the safety and tolerability of JNJ-61610588 in participants with advanced cancer in order to determine a recommended Phase 2 dose (RP2D) for further evaluation in specific tumor types.

Condition or disease	Intervention/treatment	Phase
Advanced Cancer	Drug: JNJ-61610588	Phase 1

Detailed Description:

The purpose of this study is to see if JNJ-61610588 is safe and useful for treating participants with advanced cancer. This study consists of up to 4 parts. Part 1 will determine what dose of JNJ-61610588 can be given safely to advanced cancer participants. Part 2 will look at how participants with metastatic non-small cell lung cancer respond to a safe dose of JNJ-61610588. Parts 3 and 4 will test whether the dose of JNJ-61610588 identified in Part 1 is a safe and effective therapy for participants with specific types of advanced cancers (lung, pancreas, cervical, colorectal, head and neck). Participants will receive study drug in an outpatient setting. Participants safety will be monitored throughout the study.

Study Design

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Study Type :	Interventional (Clinical Trial)
Actual Enrollment :	12 participants
Allocation:	Non-Randomized
Intervention Model:	Single Group Assignment
Masking:	None (Open Label)
Primary Purpose:	Treatment
Official Title:	An Open-label, First-in-Human, Phase 1 Study of the Safety, Pharmacokinetics, and Pharmacodynamics of JNJ-61610588, a Fully Human IgG1 Kappa Anti-VISTA (V-domain Ig Suppressor of T-cell Activation) Monoclonal Antibody, in Subjects With Advanced Cancer
Actual Study Start Date :	January 2016
Actual Primary Completion Date :	January 2017
Actual Study Completion Date :	July 2017

Arms and Interventions

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Arm	Intervention/treatment
Experimental: Part 1: Dose Escalation; Participants with advanced solid tumors will receive intravenous infusions of JNJ-61610588 until disease progression. Dose escalation will continue until the maximum tolerated dose is reached.	Drug: JNJ-61610588; Participants will receive intravenous infusions of JNJ-61610588 until disease progression.
Experimental: Part 2: Biomarker Evaluation; Participants with metastatic Non-small Cell Lung Cancer (NSCLC) will receive intravenous infusion of JNJ-61610588 at or below the recommended Phase 2 dose (RP2D) until disease progression.	Drug: JNJ-61610588; Participants will receive intravenous infusions of JNJ-61610588 until disease progression.
Experimental: Part 3: Dose Expansion; Participants with metastatic Non-small Cell Lung Cancer (NSCLC) will receive intravenous infusion of JNJ-61610588 at the recommended Phase 2 dose (RP2D) until disease progression.	Drug: JNJ-61610588; Participants will receive intravenous infusions of JNJ-61610588 until disease progression.
Experimental: Part 4: Dose Expansion; Participants with advanced solid tumors will receive intravenous infusion of JNJ-61610588 at the recommended Phase 2 dose (RP2D) until disease progression.	Drug: JNJ-61610588; Participants will receive intravenous infusions of JNJ-61610588 until disease progression.

Outcome Measures

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Primary Outcome Measures :

1. Frequency of Dose Limiting Toxicity (DLT) [ Time Frame: Approximately 2.5 years ]
   The Dose Limiting Toxicity (DLT) is based on adverse events and includes unacceptable hematologic toxicity, unacceptable non-hematologic toxicity of Grade 3 or higher, and treatment delay greater than 2 weeks.
2. Number of Participants with Adverse Events (AEs) and Serious AEs [ Time Frame: Approximately 2.5 years ]
   An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A serious adverse event (SAE) is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly.
3. Change From Baseline in Pharmacodynamic Blood Biomarkers- Total Blood Cell Counts [ Time Frame: Approximately 2.5 years ]
   Standard hematology laboratory tests will be used to evaluate total blood cell counts in blood samples collected pre- and posttreatment.
4. Change From Baseline in Pharmacodynamic Blood Biomarkers- Markers of Monocyte Activation [ Time Frame: Approximately 2.5 years ]
   Flow cytometry will be used to evaluate markers of monocyte activation in blood samples collected pre- and posttreatment.
5. Change From Baseline in Pharmacodynamic Blood Biomarkers- Markers of T Cell Activation [ Time Frame: Approximately 2.5 years ]
   Flow cytometry will be used to evaluate markers of T cell activation in blood samples collected pre- and posttreatment.
6. Change From Baseline in Pharmacodynamic Tissue Biomarkers- Protein Expression of VISTA (V-domain Ig suppressor of T cell activation) [ Time Frame: Approximately 2.5 years ]
   Pre- and posttreatment tissue samples will be stained by immunohistochemistry for protein expression of VISTA.
7. Change From Baseline in Pharmacodynamic Tissue Biomarkers- Markers Associated With Immune Infiltrate Including CD3, CD4, CD8, Forkhead box P3, CD68, and PD-L1. [ Time Frame: Approximately 2.5 years ]
   Pre- and posttreatment tissue samples will be stained by immunohistochemistry for markers associated with immune infiltrate including CD3, CD4, CD8, forkhead box P3, CD68, and PD-L1.

Secondary Outcome Measures :

1. Maximum Serum Concentration (Cmax) of JNJ-61610588 [ Time Frame: Approximately 2.5 years ]
   The Cmax is the maximum observed serum concentration of JNJ-61610588.
2. Elimination Half-Life (t1/2) [ Time Frame: Approximately 2.5 years ]
   The elimination half-life (t1/2) is the time measured for the plasma concentration to decrease by 1 half to its original concentration. It is associated with the terminal slope of the semi logarithmic drug concentration-time curve, and is calculated as 0.693/lambda(z).
3. Area Under the Serum Concentration-Time Curve From t1 to t2 Time (AUC[t1-t2]) of JNJ-61610588 [ Time Frame: Approximately 2.5 years ]
   The AUC(t1-t2) is the area under the serum JNJ-61610588 concentration-time curve from time t1 to t2.
4. Area Under the Plasma Concentration-Time Curve From Time Zero to Infinite Time (AUC[0-infinity]) [ Time Frame: Approximately 2.5 years ]
   The AUC (0-infinity) is the area under the plasma concentration-time curve from time zero to infinite time, calculated as the sum of AUC(last) and C(last)/lambda(z); wherein AUC(last) is area under the plasma concentration-time curve from time zero to last quantifiable time, C(last) is the last observed quantifiable concentration, and lambda(z) is elimination rate constant.
5. Number of Participants With Anti-JNJ-61610588 Antibodies [ Time Frame: Approximately 2.5 years ]
   Plasma levels of antibodies to JNJ-61610588 for evaluation of potential immunogenicity.
6. Assessment of Anti-Tumor Activity, as Assessed by the Overall Response Rate (ORR) [ Time Frame: Approximately 2.5 years ]
   Anti-tumour activity as assessed by the ORR based on Response Evaluation Criteria in Solid Tumours (RECIST), version 1.1.
7. Assessment of Anti-Tumor Activity, as Assessed by the Overall Response Rate (ORR) [ Time Frame: Approximately 2.5 years ]
   Anti-tumour activity as assessed by the ORR based on Immune-Related Response Criteria (irRC).
8. Assessment of Anti-Tumor Activity, as Assessed by Duration of Response [ Time Frame: Approximately 2.5 years ]
   Anti-tumour activity as assessed by the duration of response.

Eligibility Criteria

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Ages Eligible for Study:	18 Years and older (Adult, Older Adult)
Sexes Eligible for Study:	All
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

• The participant has a solid tumor. Parts 2 and 3 are limited to participants with non-small cell lung cancer. Part 4 is limited to participants with small cell lung, head and neck, pancreatic, colorectal, and cervical cancers
• Tumor progression following at least one prior standard therapy
• The participant has a radiographically measurable tumor. Evaluable disease is acceptable for Part 1 only
• The participant is willing to consent to provide a tumor tissue sample (fresh biopsy) before (Parts 2 and 3) and after (Part 2 only) receiving the study drug
• The participant is able to carry out daily life activities without difficulty
• The participant does not have significant side effects from previous anti-cancer treatment
• The participant has adequate organ and blood cell counts
• Sexually active participants must use medically acceptable methods of contraception during the course of this study

Exclusion Criteria:

• The participant has a history of major surgery or treatment other cancer therapy within 2-6 weeks before starting the study
• The participant has an untreated brain tumor
• Current severe, uncontrolled systemic disease including an ongoing, active infection requiring treatment with antibiotics
• The participant has high blood pressure or diabetes that is not well-controlled with medication
• History of clinically significant heart problems
• History of severe side effects toimmunotherapy
• The participant is pregnant, breastfeeding, or planning to become pregnant or father a child
• Positive for Hepatitis B, Hepatitis C, or HIV
• The participant has received anticoagulant therapy with the exception of aspirin within 1 week of starting the study

Contacts and Locations

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Locations

United States, New York
New York, New York, United States
United States, Pennsylvania
Philadelphia, Pennsylvania, United States
United States, Tennessee
Nashville, Tennessee, United States
United States, Texas
Houston, Texas, United States

Sponsors and Collaborators

Janssen Research & Development, LLC

Investigators

Study Director:	Janssen Research & Development, LLC Clinical Trial	Janssen Research & Development, LLC

More Information

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Responsible Party:	Janssen Research & Development, LLC
ClinicalTrials.gov Identifier:	NCT02671955 History of Changes
Other Study ID Numbers:	CR108083; 61610588LUC1001 ( Other Identifier: Janssen Research & Development, LLC ); 2016-001903-22 ( EudraCT Number )
First Posted:	February 2, 2016
Last Update Posted:	March 27, 2018
Last Verified:	March 2018

Studies a U.S. FDA-regulated Device Product:		No

Keywords provided by Janssen Research & Development, LLC:

Advanced Cancer; JNJ-61610588

Additional relevant MeSH terms:

Neoplasms