This is a Phase 2, open-label study to evaluate PD-1 inhibitor pimivalimab (JTX-4014) alone and in combination with vopratelimab (JTX-2011), an ICOS agonist, in biomarker-selected adult subjects with metastatic NSCLC who are PD-1/PD-L1 inhibitor naïve and have progressed on a platinum-based chemotherapy regimen.
Pimivalimab is a fully human IgG4 monoclonal antibody designed to specifically bind to programmed cell death receptor protein-1 (PD-1) and block its interaction with its ligands, programmed cell death receptor protein-1 ligand 1 (PD-L1) and programmed cell death receptor protein-1 ligand 2 (PD-L2), to augment anti-tumor T cell activity. Vopratelimab is an agonist monoclonal antibody that specifically binds to the Inducible CO-Stimulator of T cells (ICOS) to generate an anti-tumor immune response. This is a Phase 2, open label study to evaluate the efficacy, safety, tolerability of pimivalimab alone and in combination with vopratelimab in biomarker-selected adult subjects with metastatic non-small cell lung cancer (NSCLC) who are PD-1/PD-L1 inhibitor naïve and have progressed on a platinum-based chemotherapy regimen.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
69
Specified dose on specified days
Specified dose on specified days
Change in measurable lesion size
Mean percent change from baseline tumor size of all measurable existing and new lesions
Time frame: over 9 and 18 weeks (average)
Overall response rate (ORR)
ORR (percentage of subjects with complete response \[CR\] + partial response \[PR\]) according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1
Time frame: up to 24 months
Progression-free survival (PFS)
PFS according to RECIST v1.1
Time frame: up to 24 months
Landmark PFS rate
Landmark PFS rate at 9 months according to RECIST v1.1
Time frame: 9 months
Disease control rate (DCR)
DCR (confirmed CR + confirmed PR + unconfirmed stable disease \[SD\]) according to RECIST v1.1
Time frame: up to 24 months
Duration of response (DOR)
DOR in months according to RECIST v1.1
Time frame: up to 24 months
Overall survival (OS)
Time frame: up to 24 months
Treatment-emergent adverse events (TEAEs)
Incidence and grade of TEAEs
Time frame: up to 24 months
Pharmacokinetic properties of pimivalimab and vopratelimab - Cmax (maximum observed concentration)
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Minsk City Clinical Oncology Dispensary
Minsk, Belarus
N. N. Alexandrov National Cancer Centre
Minsk, Belarus
University Clinical Center of the Republic of Srpska
Banja Luka, Bosnia and Herzegovina
Clinical Center University of Sarajevo
Sarajevo, Bosnia and Herzegovina
Multiprofile Hospital for Active Treatment - Dobrich AD
Dobrich, Bulgaria
Multiprofile Hospital for Active Treatment - Uni Hospital OOD
Panagyurishte, Bulgaria
Complex Oncology Center Plovdiv
Plovdiv, Bulgaria
Acibadem City Clinic Multiprofile Hospital for Active Treatment Tokuda
Sofia, Bulgaria
Multiprofile Hospital for Active Treatment Serdika EOOD
Sofia, Bulgaria
Clinical Hospital Centre Osijek
Osijek, Croatia
...and 62 more locations
Time frame: Cycle 1 through Cycle 6 (each cycle is 6 weeks)
Pharmacokinetic properties of pimivalimab and vopratelimab - Tmax (time of first occurrence of Cmax)
Time frame: Cycle 1 through Cycle 6 (each cycle is 6 weeks)
Pharmacokinetic properties of pimivalimab and vopratelimab - AUClast (area under the concentration-time curve from time zero to the last measurable concentration)
Time frame: Cycle 1 through Cycle 6 (each cycle is 6 weeks)
Pharmacokinetic properties of pimivalimab and vopratelimab - half-life (time it takes for the concentration of the drug in the plasma or the total amount in the body to be reduced by 50%)
Time frame: Cycle 1 through Cycle 6 (each cycle is 6 weeks)
Pharmacokinetic properties of pimivalimab and vopratelimab - clearance (efficiency of drug elimination)
Time frame: Cycle 1 through Cycle 6 (each cycle is 6 weeks)
Pharmacokinetic properties of pimivalimab and vopratelimab - volume of distribution (amount of drug in the body divided by the plasma drug concentration)
Time frame: Cycle 1 through Cycle 6 (each cycle is 6 weeks)
Incidence of anti-drug antibodies (ADAs) to either pimivalimab or vopratelimab
Time frame: Cycle 1 through Cycle 6 (each cycle is 6 weeks)
Incidence of neutralizing antibodies (NAbs) to either pimivalimab or vopratelimab
Time frame: Cycle 1 through Cycle 6 (each cycle is 6 weeks)
Association of baseline tumor RNA signature score with clinical outcomes
Change in measurable lesion size for patients with elevated tumor RNA signature score (i.e., tumor inflammation signature (TIS) vopra score ≥ 7.9)
Time frame: up to 24 months