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

Purpose

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	Intervention	Phase
Advanced Cancer	Drug: JNJ-61610588	Phase 1


Study Type:	Interventional
Study Design:	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

Further study details as provided by Janssen Research & Development, LLC:

Primary Outcome Measures:

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.
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.
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.
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.
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.
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.
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:

Maximum Serum Concentration (Cmax) of JNJ-61610588 [ Time Frame: Approximately 2.5 years ]
The Cmax is the maximum observed serum concentration of JNJ-61610588.
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).
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.
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.
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.
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.
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).
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.


Enrollment:	12
Actual Study Start Date:	January 27, 2016
Estimated Study Completion Date:	August 23, 2019
Estimated Primary Completion Date:	April 10, 2018 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
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.

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.

Eligibility


Ages Eligible for Study:	18 Years and older (Adult, Senior)
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

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT02671955

Locations


United States, New York
Roswell Park Cancer Institute
Buffalo, New York, United States, 14263
Montefiore Medical Center
The Bronx, New York, United States, 10461
United States, Pennsylvania
Fox Chase Cancer Center
Philadelphia, Pennsylvania, United States, 19111
United States, Tennessee
Sarah Cannon Research Institute
Nashville, Tennessee, United States, 37203
United States, Texas
MD Anderson Cancer Center
Houston, Texas, United States, 77030
United States, Wisconsin
Medical College Of Wisconsin
Milwaukee, Wisconsin, United States, 53226-3522
France
Institut Bergonié
Bordeaux, France, 33000
Centre Georges François Leclerc
Dijon, France, 21079
Hôpital de la Timone
Marseille, France, 13885
Institut Curie
Paris, France, 75005
Gustave Roussy
Villejuif, France, 94805
Spain
Hosp. Univ. Germans Trias I Pujol
Badalona, Spain, 8916
Hosp. Univ. Vall D Hebron
Barcelona, Spain, 08035
Hosp. Univ. Fund. Jimenez Diaz
Madrid, Spain, 28040
Hosp. Univ. Hm Sanchinarro
Madrid, Spain, 28050
Hosp. Virgen Del Rocio
Sevilla, Spain, 41013

Sponsors and Collaborators

Janssen Research & Development, LLC

Investigators


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

More Information


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 )
Study First Received:	January 11, 2016
Last Updated:	August 24, 2017


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

ClinicalTrials.gov processed this record on September 21, 2017