Researchers are looking for a better way to treat advanced solid cancers including head and neck cancer, lung cancer and bladder cancer. In some people with cancer a protein called Aryl Hydrocarbon Receptor (AhR) can prevent immune cells from fighting tumor cells. The study drug, BAY 2416964, is a small molecule which blocks the AhR allowing the body to use its immune response against the cancer cells. Researchers think that BAY 2416964 given together with a cancer treatment called pembrolizumab may help shrink tumors in people with cancer. The main aims of this study are to find for BAY 2416964 in combination with pembrolizumab, * how safe this drug combination is * how it affects the body (also referred to as tolerability) * the highest amount of BAY 2416964 that can be given in combination with pembrolizumab without too many side effects. The researchers will also study the action of BAY 2416964 in combination with pembrolizumab against the cancer. The participants in this study will get BAY 2416964 and pembrolizumab. BAY 2416964 will be given by mouth. Pembrolizumab will be given as an intravenous (IV) infusion. An IV infusion is given through a needle into a vein. This study will have two parts. The first part will help find the most appropriate dose that can be given in the second part. Each participant of the first, so called dose escalation part, will be assigned to one specific dose group for BAY 2416964. The amount of BAY 2416964 that is given changes step-wise from one group to the next. The dose of pembrolizumab will always be the same. The participants of the second, so called dose expansion part, will receive the most appropriate dose of BAY 2416964 found in the first part. During the study, the participants will receive the treatment in 3-week periods called cycles. In each cycle, the participants will in general get pembrolizumab once and BAY 2416964 in a daily schedule. These 3-week cycles will be repeated throughout the trial. The participants can take the study treatment until their cancer gets worse, until they have medical problems, or until they leave the trial. Participants will have around 4 visits in each cycle. Some of the visits can also be done via phone. During the study, the study doctors and their team will: * take blood and urine samples * check if the participants' cancer has changed in size using computed tomography scans or magnetic resonance imaging scans of the participants' tumors * check the participants' overall health * ask the participants questions about how they are feeling and what adverse events they are having. An adverse event is any medical problem that a participant has during a study. Doctors keep track of all adverse events that happen in studies, even if they do not think the adverse events might be related to the study treatments.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
47
Oral, twice or three times daily
The highest dose determined safe in combination with pembrolizumab in the dose escalation part or a lower dose. More than one dose may be explored in the dose expansion.
Administered as a dose of 200 mg using a 30-minute IV infusion every 3 weeks
Florida Cancer Specialists
Altamonte Springs, Florida, United States
Florida Cancer Specialists & Research Institute
Sarasota, Florida, United States
Brigette Harris Cancer Pavilion at Henry Ford Cancer Center - Detroit
Detroit, Michigan, United States
Sarah Cannon Research Institute
Nashville, Tennessee, United States
Texas Oncology- Austin Midtown
Austin, Texas, United States
Virginia Cancer Specialists, PC
Fairfax, Virginia, United States
IRCCS Istituto Nazionale Tumori Fondazione Pascale - S. C. Sperimentazioni Cliniche
Napoli, Campania, Italy
Fondazione IRCCS Istituto Nazionale dei Tumori - S. C. Oncologia Medica 1
Milan, Lombardy, Italy
Istituto Europeo di Oncologia s.r.l - Sviluppo di nuovi farmaci per Terapie Innovative
Milan, Lombardy, Italy
ASST Grande Ospedale Metropolitano Niguarda
Milan, Lombardy, Italy
...and 4 more locations
The incidence of TEAEs including TESAEs
TEAEs: treatment-emergent adverse events TESAEs: treatment-emergent serious adverse events
Time frame: After first administration of BAY2416964 in combination with pembrolizumab up to 90 days after the last dose of BAY2416964 in combination with pembrolizumab
The severity of TEAEs including TESAEs
Time frame: After first administration of BAY2416964 in combination with pembrolizumab up to 90 days after the last dose of BAY2416964 in combination with pembrolizumab
Maximum tolerated dose (MTD) or maximum administered dose (MAD) of BAY2416964
The MTD/MAD is the dose level that can be safely given, defined as the occurrence of dose-limiting toxicities (DLTs) below a certain threshold.
Time frame: Cycle 1 (21 days) in dose escalation
Cmax of BAY2416964 after single-dose in Cycle 1
Time frame: Cycle 1 Day 1 (1 cycle is 21 days)
Cmax of BAY2416964 after multiple-dose in Cycle 1
Time frame: Cycle 1 Day 15 (1 cycle is 21 days)
AUC(0-t) (t depend on the dosing regimen) of BAY2416964 after single-dose in Cycle 1
Time frame: Cycle 1 Day 1 (1 cycle is 21 days)
AUC(0-t) (t depend on the dosing regimen) of BAY2416964 after multiple-dose in Cycle 1
Time frame: Cycle 1 Day 15 (1 cycle is 21 days)
Objective response rate (ORR) by Response Evaluation Criteria in Solid Tumors, version 1.1 (RECIST 1.1)
ORR will be evaluated using RECIST 1.1 by investigator assessment.
Time frame: At the end of Cycle 2 (-7 days, each cycle is 21 days), Cycle 4 (-7 days) and at the end of every third cycle (-7 days) from Cycle 5 onwards
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