A phase 1b combination study of PDR001

  • Research type

    Research Study

  • Full title

    Phase Ib, open-label, multi-centre study to characterise the safety, tolerability and pharmacodynamics (PD) of PDR001 in combination with LCL161, everolimus (RAD001) or panobinostat (LBH589)

  • IRAS ID

    209571

  • Contact name

    Alexander Chesi

  • Contact email

    alexander.chesi@novartis.com

  • Sponsor organisation

    Novartis Pharma Services

  • Eudract number

    2016-000654-35

  • Clinicaltrials.gov Identifier

    NCT02890069

  • Duration of Study in the UK

    1 years, 7 months, 15 days

  • Research summary

    Research Summary

    This is a multicentre, open label, phase Ib study which will enrol approximately 350 patients with advanced cancer. This study has two main parts, dose escalation and dose expansion. The first part (“escalation part”) will test different doses of LCL161 or panobinostat given together with a fixed dose PDR001 400 mg every 4 weeks and will establish a dose for the combination that will be explored in the “expansion part” of the study.

    The purpose of this study is to identify the best dose of LCL161, everolimus (RAD001) or panobinostat (LBH589)to take with a fixed dose of PDR001 that can be given safely to patients and to evaluate how well the combination might work in treating patients with cancer.

    Only one dose of everolimus will be tested, based on the prior experience with that dose in healthy elderly subjects.

    The UK will be joining this study at the dose expansion part.

    Summary of Results

    The evaluated combinations of PDR001 with LBH589, LCL161 and RAD001, while being generally well tolerated, did not identify a combination treatment with efficacy clearly superior to that of single agent PDR001. This study also sought to explore whether ~6 months of treatment with PDR001 in combination would be sufficient to induce a durable clinical benefit. There were too few subjects with clinical response to assess this question, but two patients with NSCLC treated with PDR001 + LCL161 remained well until study completion after the initial six cycles of treatment, suggesting that for some subjects, six months of treatment might be sufficient to provide durable clinical benefit.

  • REC name

    South Central - Oxford A Research Ethics Committee

  • REC reference

    16/SC/0640

  • Date of REC Opinion

    4 Jan 2017

  • REC opinion

    Further Information Favourable Opinion