The ANZCTR website will be unavailable from 1pm until 3pm (AEDT) on Wednesday the 30th of October for website maintenance. Please be sure to log out of the system in order to avoid any loss of data.

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this information for consumers
Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/study/NCT02584634




Registration number
NCT02584634
Ethics application status
Date submitted
21/10/2015
Date registered
22/10/2015

Titles & IDs
Public title
Study to Evaluate Safety, Efficacy, Pharmacokinetics And Pharmacodynamics Of Avelumab In Combination With Either Crizotinib Or PF-06463922 In Patients With NSCLC. (Javelin Lung 101)
Scientific title
A PHASE 1B/2, OPEN-LABEL, DOSE-FINDING STUDY TO EVALUATE SAFETY, EFFICACY, PHARMACOKINETICS AND PHARMACODYNAMICS OF AVELUMAB (MSB0010718C) IN COMBINATION WITH EITHER CRIZOTINIB OR PF-06463922 IN PATIENTS WITH ADVANCED OR METASTATIC NON-SMALL CELL LUNG CANCER
Secondary ID [1] 0 0
2015-001879-43
Secondary ID [2] 0 0
B9991005
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Non-Small Cell Lung Cancer 0 0
Condition category
Condition code
Cancer 0 0 0 0
Lung - Mesothelioma
Cancer 0 0 0 0
Lung - Non small cell
Cancer 0 0 0 0
Lung - Small cell

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - Avelumab
Treatment: Drugs - PF-06463922
Treatment: Drugs - Crizotinib

Experimental: Group A - ALK negative Non-Small Cell Lung Cancer

Experimental: Group B - ALK positive Non-Small Cell Lung Cancer


Treatment: Drugs: Avelumab
Administered by IV once every two weeks in doses of either 5 mg/kg or 10 mg/kg

Treatment: Drugs: PF-06463922
Tablets taken orally once every day in doses of either 100mg, 75mg, or 50mg.

Treatment: Drugs: Crizotinib
Capsules. Taken orally once or twice every day in doses of either 200mg or 250mg.

Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Number of Participants With Dose-limiting Toxicities (DLTs): Phase 1b
Timepoint [1] 0 0
First 2 cycles (1 cycle = 14 days)
Primary outcome [2] 0 0
Percentage of Participants With Objective Response (OR): Phase 2
Timepoint [2] 0 0
Screening, Day 1 of each cycle starting Cycle 3, up to end of treatment/withdrawal (maximum of 5 years)
Primary outcome [3] 0 0
Percentage of Participants With CR for Group B: Phase 2
Timepoint [3] 0 0
Baseline up to 60 months
Secondary outcome [1] 0 0
Number of Participants With Treatment-Emergent Adverse Events (TEAEs)
Timepoint [1] 0 0
Baseline up to 30 days after last dose of study treatment or the day before start day of new anti-cancer therapy (maximum of 5 years)
Secondary outcome [2] 0 0
Number of Participants With Baseline Laboratory Abnormalities Grade <=2 and Post-Baseline Laboratory Abnormalities of Grades 3 or 4 Per NCI CTCAE v4.03
Timepoint [2] 0 0
Screening up to end of treatment/withdrawal (maximum of 5 years)
Secondary outcome [3] 0 0
Number of Participants With Vital Signs Meeting Pre-defined Criteria
Timepoint [3] 0 0
Screening up to end of treatment/withdrawal (maximum of 5 years)
Secondary outcome [4] 0 0
Disease Control Rate (DCR)
Timepoint [4] 0 0
Screening, Day 1 of each cycle starting Cycle 3, up to end of treatment/withdrawal (maximum of 5 years)
Secondary outcome [5] 0 0
Duration of Response (DR)
Timepoint [5] 0 0
Screening, Day 1 of each cycle starting Cycle 3, up to end of treatment/withdrawal (maximum of 5 years)
Secondary outcome [6] 0 0
Time to Tumor Response (TTR)
Timepoint [6] 0 0
Screening, Day 1 of each cycle starting Cycle 3, up to end of treatment/withdrawal (maximum of 5 years)
Secondary outcome [7] 0 0
Progression-free Survival (PFS)
Timepoint [7] 0 0
Screening, Day 1 of each cycle starting Cycle 3, up to end of treatment/withdrawal (maximum of 5 years)
Secondary outcome [8] 0 0
Kaplan-Meier Estimates of Overall Survival (OS)
Timepoint [8] 0 0
Screening, Day 1 of each cycle starting Cycle 3, up to end of treatment/withdrawal (maximum of 5 years)
Secondary outcome [9] 0 0
Maximum Plasma Concentration (Cmax) of Crizotinib in The Presence of Avelumab
Timepoint [9] 0 0
Pre-dose, 1, 2, 4, 6 and 8 hours post dose on Day 1 of Cycle 2
Secondary outcome [10] 0 0
Time to Cmax (Tmax) of Crizotinib in The Presence of Avelumab
Timepoint [10] 0 0
Pre-dose, 1, 2, 4, 6 and 8 hours post dose on Day 1 of Cycle 2
Secondary outcome [11] 0 0
Area Under The Plasma Concentration-Time Curve During The Dosing Interval Time Course (AUCtau) of Crizotinib in The Presence of Avelumab
Timepoint [11] 0 0
Pre-dose, 1, 2, 4, 6 and 8 hours post dose on Day 1 of Cycle 2
Secondary outcome [12] 0 0
Apparent Plasma Clearance (CL/F) of Crizotinib in The Presence of Avelumab
Timepoint [12] 0 0
Pre-dose, 1, 2, 4, 6 and 8 hours post dose on Day 1 of Cycle 2
Secondary outcome [13] 0 0
Cmax of Crizotinib Metabolite PF-06260182 in The Presence of Avelumab
Timepoint [13] 0 0
Pre-dose, 1, 2, 4, 6 and 8 hours post dose on Day 1 of Cycle 2
Secondary outcome [14] 0 0
Tmax of Crizotinib Metabolite PF-06260182 in The Presence of Avelumab
Timepoint [14] 0 0
Pre-dose, 1, 2, 4, 6 and 8 hours post dose on Day 1 of Cycle 2
Secondary outcome [15] 0 0
AUCtau of Crizotinib Metabolite PF-06260182 in The Presence of Avelumab
Timepoint [15] 0 0
Pre-dose, 1, 2, 4, 6 and 8 hours post dose on Day 1 of Cycle 2
Secondary outcome [16] 0 0
Metabolite to Parent Ratio for AUCtau (MRAUCtau) of PF-06260182 in The Presence of Avelumab
Timepoint [16] 0 0
Pre-dose, 1, 2, 4, 6 and 8 hours post dose on Day 1 of Cycle 2
Secondary outcome [17] 0 0
Metabolite to Parent Ratio for Cmax (MRCmax) of PF-06260182 in The Presence of Avelumab
Timepoint [17] 0 0
Pre-dose, 1, 2, 4, 6 and 8 hours post dose on Day 1 of Cycle 2
Secondary outcome [18] 0 0
Cmax of Lorlatinib in The Presence of Avelumab
Timepoint [18] 0 0
Pre-dose, 1, 2, 4, 6, 8, and 24 hours (prior to Day 2 lorlatinib dose) post dose on Day 1 of Cycle 2
Secondary outcome [19] 0 0
Tmax of Lorlatinib in The Presence of Avelumab
Timepoint [19] 0 0
Pre-dose, 1, 2, 4, 6, 8, and 24 hours (prior to Day 2 lorlatinib dose) post dose on Day 1 of Cycle 2
Secondary outcome [20] 0 0
AUCtau of Lorlatinib in The Presence of Avelumab
Timepoint [20] 0 0
Pre-dose, 1, 2, 4, 6, 8, and 24 hours (prior to Day 2 lorlatinib dose) post dose on Day 1 of Cycle 2
Secondary outcome [21] 0 0
Area Under The Plasma Concentration Time Curve From Time of Dosing to The Last Collection Time Point (AUClast) of Lorlatinib in The Presence of Avelumab
Timepoint [21] 0 0
Pre-dose, 1, 2, 4, 6, 8, and 24 hours (prior to Day 2 lorlatinib dose) post dose on Day 1 of Cycle 2
Secondary outcome [22] 0 0
CL/F of Lorlatinib in The Presence of Avelumab
Timepoint [22] 0 0
Pre-dose, 1, 2, 4, 6, 8, and 24 hours (prior to Day 2 lorlatinib dose) post dose on Day 1 of Cycle 2
Secondary outcome [23] 0 0
Cmax of Avelumab in The Presence of Crizotinib (Group A) or Lorlatinib (Group B) After Single Dose of Avelumab
Timepoint [23] 0 0
Pre-dose, 1, and 168 hours post dose of avelumab on Cycle 1 Day 1.
Secondary outcome [24] 0 0
Cmax of Avelumab in The Presence of Crizotinib (Group A) or Lorlatinib (Group B) After Multiple Doses of Avelumab
Timepoint [24] 0 0
Pre-dose, 1, and 168 hours post dose of avelumab on Cycle 2 Day 1
Secondary outcome [25] 0 0
Trough Serum Concentration (Ctrough) of Avelumab in The Presence of Crizotinib (Group A) Following Multiple Doses of Avelumab
Timepoint [25] 0 0
Pre-dose on Day 1 of Cycles 2-5, 11, 17, 23, 29, 35, and 47.
Secondary outcome [26] 0 0
Trough Serum Concentration (Ctrough) of Avelumab in The Presence of Lorlatinib (Group B) Following Multiple Doses of Avelumab
Timepoint [26] 0 0
Pre-dose on Day 1 of Cycles 2-5, 11, 17, 23, 29, 35, 41, and 47.
Secondary outcome [27] 0 0
Number of Participants With Anti-Drug Antibodies (ADA) Against Avelumab by Never and Ever Positive Status
Timepoint [27] 0 0
Day 1 of Cycles 1-5, then every 12 weeks thereafter, end of treatment/withdrawal, and 30 days after last avelumab dose (up to a maximum of 5 years)
Secondary outcome [28] 0 0
Number of Participants With Positive Programmed Death Ligand-1 (PD-L1) Biomarker Expression
Timepoint [28] 0 0
Baseline
Secondary outcome [29] 0 0
Number of Participants With Positive Tumor Infiltrating CD8+ Lymphocytes
Timepoint [29] 0 0
Baseline

Eligibility
Key inclusion criteria
* Inclusion Criteria
* Diagnosis of advanced or metastatic NSCLC. Group A must be ALK negative NSCLC and Group B must be ALK positive NSCLC
* Group A at least one prior regimen of therapy
* Group B any number of prior regimens.
* Mandatory tumor tissue available
* At least one measurable lesion
* ECOG Performance status 0 or 1
* Adequate bone marrow, renal, liver and pancreatic function
* Negative pregnancy test for females of childbearing potential
* Group B Phase 2: No prior systemic treatment for advanced or metastatic disease (adjuvant and/or neoadjuvant therapies are allowed if completed at least 6 months prior to study entry. No prior tyrosine kinase inhibitor therapy is allowed at any time prior to study entry)
Minimum age
18 Years
Maximum age
No limit
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
* No prior therapy with an anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CD137, or anti-CTLA-4 antibody.
* No Severe or Chronic medical conditions including gastrointestinal abnormalities or significant cardiac history
* No active infection requiring systemic therapy
* Prior organ transplantation including allogenic stem cell transplantation.

Study design
Purpose of the study
Treatment
Allocation to intervention
Non-randomised trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Open (masking not used)
Who is / are masked / blinded?



Intervention assignment
Parallel
Other design features
Phase
Phase 1
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Stopped early
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
NSW,QLD,VIC
Recruitment hospital [1] 0 0
Chris O'Brien Lifehouse - Camperdown
Recruitment hospital [2] 0 0
The Prince Charles Hospital - Chermside
Recruitment hospital [3] 0 0
Peter MacCallum Cancer Centre - Melbourne
Recruitment hospital [4] 0 0
Royal Melbourne Hospital - Parkville
Recruitment postcode(s) [1] 0 0
2050 - Camperdown
Recruitment postcode(s) [2] 0 0
4032 - Chermside
Recruitment postcode(s) [3] 0 0
3000 - Melbourne
Recruitment postcode(s) [4] 0 0
3050 - Parkville
Recruitment outside Australia
Country [1] 0 0
United States of America
State/province [1] 0 0
Georgia
Country [2] 0 0
United States of America
State/province [2] 0 0
Massachusetts
Country [3] 0 0
United States of America
State/province [3] 0 0
Tennessee
Country [4] 0 0
Japan
State/province [4] 0 0
Aichi
Country [5] 0 0
Japan
State/province [5] 0 0
Fukuoka
Country [6] 0 0
Japan
State/province [6] 0 0
Koto-ku, Tokyo
Country [7] 0 0
Korea, Republic of
State/province [7] 0 0
Gyeonggi-do
Country [8] 0 0
Korea, Republic of
State/province [8] 0 0
Seoul
Country [9] 0 0
Spain
State/province [9] 0 0
Barcelona

Funding & Sponsors
Primary sponsor type
Commercial sector/industry
Name
Pfizer
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
Trial website
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Pfizer CT.gov Call Center
Address 0 0
Pfizer
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries

Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
What data in particular will be shared?
Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.
When will data be available (start and end dates)?
Available to whom?
Available for what types of analyses?
How or where can data be obtained?
IPD available at link: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests


What supporting documents are/will be available?

Results publications and other study-related documents

No documents have been uploaded by study researchers.