A Phase 1b Study of PEGylated Recombinant Human Hyaluronidase (PEGPH20) Combined With Docetaxel in Subjects With Recurrent Previously Treated Locally Advanced or Metastatic NSCLC



Status:Terminated
Conditions:Lung Cancer, Lung Cancer, Cancer
Therapuetic Areas:Oncology
Healthy:No
Age Range:18 - Any
Updated:2/10/2019
Start Date:February 10, 2015
End Date:November 14, 2016

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PRIMAL STUDY: A Phase 1b, Open-label, Multicenter, Multinational Study of PEGylated Recombinant Human Hyaluronidase (PEGPH20) Combined With Docetaxel (PDoc) in Subjects With Recurrent Previously Treated Locally Advanced or Metastatic Non-small Cell Lung Cancer (NSCLC)

A Phase 1b study for participants with Stage IIIB/IV Non-Small Cell Lung Cancer (NSCLC) to
participate in 1 of 2 portions of this study. The first portion is Dose Escalation in which
participants are tested with PEGPH20 at various doses (1.6, 3.0, 2.2 and 2.8
micrograms/kilogram (ug/kg)) in addition to dosing with the standard dose of docetaxel (PDoc)
of 75 milligrams/meter squared (mg/m^2) once every 21-day cycle. Based on observations on the
safety and tolerability of study treatment from dose escalation cohorts dosed to date (1.6
and 3.0 ug/kg of PEGPH20), two additional dose levels will be tested, 2.2 and 2.8 ug/kg. Up
to 30 additional participants may be enrolled to test these dose levels. The second portion
of Phase 1b is Cohort Expansion in which the recommended Phase 2 dose (RP2D) of PDoc
identified in dose escalation is administered every 21 days to approximately 50 participants
with high hyaluronan (HA-high) prospectively measured in their tumor tissue.


Inclusion Criteria:

- Signed, approved Informed Consent.

- Histologically confirmed and documented previously treated Stage IIIB/IV Non-Small
Cell Lung Cancer (NSCLC), having failed 1 previous platinum chemo regimen for locally
advanced or metastatic disease.

- Cohort Expansion: Available archival tumor tissue block or 5-10 unstained, consecutive
core biopsy slides from one archival tumor block that meet specific tissue
requirements.

- Cohort Expansion: Participants must be determined to be hyaluronidase (HA)-high based
on tumor biopsy that meets the requirements noted in the previous inclusion criterion.

- Cohort Expansion: One or more tumors measurable on computed tomography/magnetic
resonance imaging (CT/MRI) scan per Response Evaluation Criteria on Solid Tumors
(RECIST) v 1.1 (Eisenhauer 2009; Appendix C).

- Participants may have failed a programmed cell death protein 1 (PD-1) or programmed
death-ligand 1 (PD-L1) therapy for advanced disease.

- Participants that are known to be epidermal growth factor (EGFR)-activating mutation
positive must have received an EGFR inhibitor.

- Participants known to be anaplastic lymphoma kinase (ALK)-fusion/rearrangement
mutation positive must have received an ALK inhibitor.

- Most prior therapies and prior targeted therapy are allowed and these specific
therapies are detailed in the protocol.

- Life expectancy - =/> 3 months, Eastern Cooperative Oncology Group status = 0 or 1.

- Negative urine or serum pregnancy test within 7 days before Day 1 (first dose of study
medication) if female participants is of childbearing potential (WOCBP).

- Men and women agreement to use effective contraceptive method. For WOCBP and for men,
agreement to use an effective contraceptive method from the time of screening
throughout the study until 1 month for WOCBP or 6 months for men after administration
of the last dose of any study medication.

- Specific ranges/levels of Screening labs that are acceptable per protocol.

- Age >/= 18 years.

Exclusion Criteria:

- Previous treatment with docetaxel.

- Failed more than 3 treatment regimens for locally advanced or metastatic NSCLC.

- New York Heart Assoc Class III or IV cardiac disease, myocardial infarction within the
past 12 months before screening, or pre-existing atrial fibrillation.

- History of cerebrovascular accident or transient ischemic attack.

- Pre-existing carotid artery disease.

- Previous history of pulmonary embolism or pulmonary embolism found on screening exam.

- No ongoing requirement for corticosteroids

- Active, uncontrolled bacterial, viral, or fungal infection requiring systemic therapy
at time of screening.

- Known infection with HIV and active infection with hepatitis B or C.

- Known allergy to hyaluronidase or any constituents of docetaxel formulation.

- Current use (within 10 days of day 1) of megestrol acetate.

- Chronic concomitant use of strong CYP3A4 inhibitors (e.g., ketoconazole, itraconazole,
clarithromycin, indinavir, nefazodone, nelfinavir, ritonavir, saquinavir,
telithromycin, and voriconazole).

- Women currently pregnant or breast feeding.

- Intolerance to dexamethasone, as determined by Investigator.

- History of another primary cancer within the last 3 years that required treatment,
with the exception of non-melanoma skin cancer, early stage prostate cancer, or
curatively treated cervical carcinoma in situ.

- Any other disease, metabolic dysfunction, physical exam finding, or clinical lab
finding that leads to reasonable suspicion of disease that contraindicates the use of
an investigational drug that might affect interpretation of results or render subject
at high risk for treatment complications.

- In opinion of Investigator, make subject unsuitable for study.

- Hypersensitivity to the active substance or ingredients of PEGPH20 and docetaxel.

- Subject's inability to comply with study and follow-up procedures, as judged by the
Investigator.
We found this trial at
8
sites
Charlotte, North Carolina 28211
Principal Investigator: Daniel Haggstrom, MD
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60 Crittenden Blvd # 70
Rochester, New York 14642
(585) 275-2121
Principal Investigator: Eric Kim, MD
University of Rochester The University of Rochester is one of the country's top-tier research universities....
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Canton, Ohio 44718
Principal Investigator: Nashat Y Gabrail, MD
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11100 Euclid Ave
Cleveland, Ohio 44106
(216) 844-1000
Principal Investigator: Neelesh Sharma, MD
University Hospitals of Cleveland The history of University Hospitals Case Medical Center is linked to...
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Encinitas, California 92024
Principal Investigator: Alberto Bessudo, MD
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Fresno, California 93720
Principal Investigator: Steven J Hager, DO
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1 Medical Center Dr
Lebanon, New Hampshire 03756
 (603) 650-5000
Principal Investigator: Konstantin H Dragnev, MD
Dartmouth Hitchcock Medical Center Dartmouth-Hitchcock is a national leader in patient-centered health care and building...
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Lebanon, NH
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San Diego, California 92093
Principal Investigator: Lyudmila Bazhenova, MD
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San Diego, CA
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