This is a multicenter, open-label, dose escalation, phase I study to estimate the Maximum Tolerated Dose (MTD) or a lower Recommended Dose for Expansion (RDE) of LJM716 in combination with trastuzumab in patients with Human Epidermal growth factor Receptor 2 (HER2) overexpressing Metastatic Breast Cancer (MBC) or gastric cancer (MGC). The study consists of a dose escalation part and a dose expansion part. LJM716 will be administered intravenously once weekly unless a less frequent dosing regimen such as every 2 weeks or once every 4 weeks is introduced. Patients will continue on their trastuzumab dosing, administered intravenously once weekly at 2mg/kg. During dose escalation, a minimum of 15 patients are anticipated to be treated in successive cohorts. The dose escalation will continue until the MTD/RDE is declared. The RDE dose selected will either be the MTD or a dose below the MTD based on safety and Pharmacokinetic/Pharmacodynamic (PK/PD) considerations. Following the MTD/RDE declaration, approximately 20 MBC and 20 MGC patients will be enrolled in separate arms in the dose expansion part and treated at the MTD/RDE to further assess the safety, tolerability, and anti-tumor activity of the combination.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
64
LJM716
Trastuzumab
Novartis Investigative Site
Boston, Massachusetts, United States
Novartis Investigative Site
Chapel Hill, North Carolina, United States
Novartis Investigative Site
Philadelphia, Pennsylvania, United States
Novartis Investigative Site
Wilrijk, Belgium
Novartis Investigative Site
Saint-Herblain, France
Novartis Investigative Site
Milan, MI, Italy
Novartis Investigative Site
Amsterdam, Netherlands
Novartis Investigative Site
Seoul, Korea, South Korea
Novartis Investigative Site
Valencia, Valencia, Spain
Novartis Investigative Site
Taipei, Taiwan
...and 1 more locations
Incidence rate of Dose Limiting Toxicities
Incidence of dose-limiting toxicities (DLTs)
Time frame: 4 weeks
Number of adverse events
Safety assessment
Time frame: 4 months
Number of serious adverse events
Safety assessment
Time frame: 4 months
Pharmacodynamic response to LJM716 in tumor tissue
Post-treatment change from baseline in pHER3 levels in the tumor
Time frame: 3 months
Progression-free survival
Efficacy assessment
Time frame: 18 months
Duration of response
Efficacy assessment
Time frame: 18 months
Serum concentration of anti-LJM716 antibodies
Incidence of antibodies against LJM716
Time frame: 4 months
Serum concentration of LJM716 when administered in combination with trastuzumab
PK profile
Time frame: 4 months
Frequency of partial responses according to Response Evaluation Criteria In Solid Tumors (RECIST)
Efficacy assessment
Time frame: every 2 months up to 18 months
Frequency of complete responses according to RECIST
Efficacy assessment
Time frame: every 2 months up to 18 months
Frequency of stable disease according to RECIST
Efficacy assessment
Time frame: every 2 months up to 18 months
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