This is an open-label, multicenter, Phase Ib study to evaluate the safety and therapeutic activity of RO6874281 in combination with pembrolizumab. The study will consist of 3 parts: a safety run-in (Part I: Cohorts 1.1. and 1.2) and two expansion parts (Parts II and III). Part II will start once all participants in Cohort 1.1 have completed the observation period. Part III will start once all participants in Cohorts 1.1 and 1.2 have completed the observation period.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
83
Part I Safety Run in: Cohort 1.1: RO6874281 will be administered by intravenous (IV) infusion; 10 mg (Q3W) every 3 weeks and will be observed over 2 administration cycles (i.e. 6 weeks) in order to confirm the safety of the proposed dose and schedule that will be used in Part II of this study. Cohort 1.2: RO6874281 will be administered by IV infusion via an induction and maintenance phase; 10 mg (QW) every week for 3 weeks followed by 10 mg (Q3W) every 3 weeks and will be observed over 2 administration cycles (6 weeks) to confirm safety of the proposed dose and schedule to be used in Part III of this study. Part II Expansion: RO6874281 will be administered by IV infusion; 10 mg (Q3W) every 3 weeks (or lower dose level depending on Part I Cohort 1.1 outcome). Part III Expansion: RO6874281 will be administered by IV infusion; 10 mg (QW) every week or 10mg (Q3W) every 3 weeks (or lower dose level depending on Part I Cohorts 1.1 and 1.2 outcomes) in either a Q3W or QW/Q3W schedule.
Part I Safety Run in (Cohorts 1.1 and 1.2): Pembrolizumab will be administered by IV; 200 mg Q3W and will be observed over 2 administration cycles (i.e. 6 weeks). Part II Expansion: Pembrolizumab will be administered by IV; 200 mg Q3W (or lower dose level depending on Part I Cohort 1.1 outcome) Part III Expansion: Pembrolizumab will be administered by IV; 200 mg Q3W (or lower dose level depending on Part I Cohorts 1.1 and 1.2 outcomes)
Yale University
New Haven, Connecticut, United States
University of Iowa
Iowa City, Iowa, United States
Beth Israel Deaconess Med Ctr
Boston, Massachusetts, United States
Dana Farber Cancer Institute
Boston, Massachusetts, United States
Melanoma Institute Australia
North Sydney, New South Wales, Australia
Peter Maccallum Cancer Institute; Clinical Trial Unit
Melbourne, Victoria, Australia
UZ Antwerpen
Edegem, Belgium
UZ Leuven Gasthuisberg
Leuven, Belgium
Princess Margaret Cancer Centre
Toronto, Ontario, Canada
Jewish General Hospital
Montreal, Quebec, Canada
...and 13 more locations
Percentage of participants with adverse events
Time frame: Baseline to end of study (approximately 24 months)
Objective Response Rate (ORR)
Time frame: Time from first occurrence of a documented objective response until the time of documented disease progression or death from any cause during treatment (whichever occurs first) until the end of study (approximately 24 months)
Complete Response Rate (CRR)
Time frame: Baseline to end of study (approximately 24 months)
Disease Control Rate (DCR)
Time frame: Baseline to end of study (approximately 24 months)
Duration of Response
Time frame: Time from first occurrence of a documented objective response until the time of documented disease progression or death from any cause during treatment (whichever occurs first) until the end of study (approximately 24 months)
Progression Free Survival (PFS)
Time frame: Time from study treatment initiation to the first occurrence of documented disease progression (based on Investigator's assessment) or death from any cause during treatment (whichever occurs first) until the end of study (approximately 24 months)
Baseline PD-L1
Time frame: Baseline to end of study (approximately 24 months)
Fibroblast Activation Protein-a (FAP)
Time frame: Baseline to end of study (approximately 24 months)
Change from baseline in density (cell/mm2) of immune cells including CD8+, FOXP3, and PD-L1
Time frame: Baseline to end of study (approximately 24 months)
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