Immunotherapy with anti-PD1 antibodies provides encouraging results on a subset of patients. Capmatinib, a MET inhibitor, has shown an imunomodulatory effect and a synergy with spartalizumab a PD-1 inhibitor. The purpose of this phase II trial is to evaluate the efficacy and safety of the combination of capmatinib + spartalizumab in adult patients with advanced oesogastric adenocarcinoma.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
90
Capmatinib 400mg BID for a maximum of 12 months or until progression, patient's refusal or unacceptable toxicity
Spartalizumab 300mg Q3W for a maximum of 12 months or until progression, patient's refusal or unacceptable toxicity
Hôpital Jean Minjoz
Besançon, France
Centre François Leclerc
Dijon, France
Centre Léon Bérard
Lyon, France
AP-HP Hôpital Saint Louis
Paris, France
Tumor response
Overall response rate defined as the proportion of patients with at least one objective tumour response (complete or partial) according to response evaluation criteria in solid tumours (RECIST) v1.1 within 6 months.
Time frame: 6 months
Proportion of unacceptable toxicity of the regimen during the first and second cycles of administration
Presence of at least one of (composite endpoint): * Adverse event (AE) grade \>3 (NCI-CTCAE v5), at least possibly related to the treatment or unrelated to disease, progression, intercurrent illness, concomitant medications * Non-hematological AE grade ≥3 * Recurring grade 2 pneumonitis, Myocarditis grade ≥2 * Autoimmune hemolytic anemia, hemolytic uremic syndrome, acquired hemophilia grade ≥3 * Guillain-Barre, severe peripheral or autonomic neuropathy, transverse myelitis, encephalitis, aseptic meningitis * Laboratory abnormality grade ≥3 for \>7days (except nephritis grade 3-4, combined elevations of aspartate or alanine transaminase and total bilirubin, hyperglycemia, serum electrolytes/enzymes changes without clinical impact) * Febrile neutropenia, documented infection with absolute neutrophil count\<10\^9/L, grade 3 neutropenia \>7days, grade 4 neutropenia or thrombocytopenia, or bleeding with platelet transfusion * AE with discontinuation \>21days * Significant drug-related AE
Time frame: Day 42
Proportion of unacceptable toxicity of the regimen during the whole treatment course
Presence of at least one of (composite endpoint): * Adverse event (AE) grade \>3 (NCI-CTCAE v5), at least possibly related to the treatment or unrelated to disease, progression, intercurrent illness, concomitant medications * Non-hematological AE grade ≥3 * Recurring grade 2 pneumonitis, Myocarditis grade ≥2 * Autoimmune hemolytic anemia, hemolytic uremic syndrome, acquired hemophilia grade ≥3 * Guillain-Barre, severe peripheral or autonomic neuropathy, transverse myelitis, encephalitis, aseptic meningitis * Laboratory abnormality grade ≥3 for \>7days (except nephritis grade 3-4, combined elevations of aspartate or alanine transaminase and total bilirubin, hyperglycemia, serum electrolytes/enzymes changes without clinical impact) * Febrile neutropenia, documented infection with absolute neutrophil count\<10\^9/L, grade 3 neutropenia \>7days, grade 4 neutropenia or thrombocytopenia, or bleeding with platelet transfusion * AE with discontinuation \>21days * Significant drug-related AE
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Hôpital Haut Lévêque
Pessac, France
Institut Universitaire du Cancer
Toulouse, France
Institut Gustave Roussy
Villejuif, France
Time frame: 12 months or treatment discontinuation
Proportion of patients with adverse events during the whole treatment course
All adverse events during the whole treatment course
Time frame: 12 months or treatment discontinuation
Duration of overall response
Time between the first occurrence of tumor objective response, partial or complete (RECIST 1.1) and the first radiological progression, with response assessment every 9 weeks, up to 24 months
Time frame: 24 months
Time to response
Time between inclusion and the first occurrence of tumor objective response (complete or partial, according to RECIST 1.1) or the end of the study, with response assessment every 9 weeks, up to 24 months
Time frame: 24 months
Progression-free survival
Time between inclusion and the date of the first radiological progression (according to RECIST 1.1), death (any cause), or last follow-up (maximum=24 months), whichever occurs first.
Time frame: 24 months
Overall survival
Time between inclusion and death (any cause) or last follow-up (maximum=24 months), whichever occurs first
Time frame: 24 months