A two part study to determine the maximum tolerated dose and/or recommended phase 2 dose of PDR001 in combination with sorafenib in patients with advanced hepatocellular carcinoma in first line. There will be a dose escalation part and a dose expansion part.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
20
Karmanos Cancer Institute
Detroit, Michigan, United States
Novartis Investigative Site
Montreal, Quebec, Canada
Novartis Investigative Site
Essen, Germany
Novartis Investigative Site
Hong Kong, Hong Kong
Number of participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)
Incidence and severity of AEs and SAEs, including changes in laboratory vital signs and ECGs
Time frame: From baseline until 30 days of last dose of study treatment
Incidendence of Dose Limiting Toxicities (DLTs)
A dose-limiting toxicity (DLT) was defined as an adverse event or abnormal laboratory value assessed as unrelated to disease progression, inter-current illness, or concomitant medications that met certain criteria as defined in the protocol.
Time frame: During the first 8 weeks of treatment
Dose interruptions
Tolerability measured by the number of subjects who have interruptions of study treatment
Time frame: Until end of treatment, assessed for a median time of 4 months
Dose reductions
Tolerability measured by the number of subjects who have reductions of study treatment
Time frame: Until end of treatment, assessed for a median time of 4 months
Dose intensity
Tolerability measured by the dose intensity of study treatment
Time frame: Until end of treatment, assessed for a median time of 4 months
Overall Response Rate (ORR) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 as per central radiology assessment by dose level
Overall response rate (ORR) as per the independent central radiology assessment will be summarized descriptively by dose level. The overall response rate (ORR) is defined as the proportion of patients with best overall response of CR or PR. The best overall response is the best response recorded using the independent central radiology review based on RECIST 1.1 from start of treatment until disease progression, death, start of new therapy, withdrawal of consent or cut-off date, whichever occurs first
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Novartis Investigative Site
Rozzano, MI, Italy
Novartis Investigative Site
Kashiwa, Chiba, Japan
Novartis Investigative Site
Yokohama, Kanagawa, Japan
Novartis Investigative Site
Pamplona, Navarre, Spain
Novartis Investigative Site
Taipei, Taiwan
Time frame: Until end of treatment, assessed for a median time of 4 months
PDR001 trough concentration
Concentration of PDR001 in plasma
Time frame: Pre-dose at Cycle 2, 3, 4, 6 , 8, 10, 12 on Day 1. Cycle=28 days
Maximum concentration (Cmax) of sorafenib
The maximum (peak) observed plasma, drug concentration after single dose administration.
Time frame: Cycle 3 Day 1 Pre-dose, 1h, 3h and 8 h post-dose. Cycle=28 days
Time to reach maximum concentration (Tmax) of sorafenib
The time to reach maximum (peak) plasma drug concentration after single dose administration (time)
Time frame: Cycle 3 Day 1 Pre-dose, 1h, 3h and 8 h post-dose. Cycle=28 days
Area under the plasma concentration-time curve of sorafenib from time zero to 8 hours after administration (AUC0-8)
Area under the plasma concentration-time curve of sorafenib from time zero to time 't' where t is a defined time point after administration. t=8 hours (AUC0-8)
Time frame: Cycle 3 Day 1 Pre-dose, 1h, 3h and 8 h post-dose. Cycle=28 days
Area Under the Plasma Concentration-time Profile (AUCtau) of sorafenib
Area under the plasma concentration-time curve from time zero to the end of the dosing interval tau at steady-state
Time frame: Cycle 3 Day 1 Pre-dose, 1h, 3h and 8 h post-dose. Cycle=28 days