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LuCa-MERIT-1: First-in-human, Open Label, Phase I Dose Confirmation Trial Evaluating the Safety, Tolerability and Preliminary Efficacy of BNT116 Alone and in Combinations in Patients With Advanced Non-small Cell Lung Cancer

Who is this study for? Patients with advanced non-small cell lung cancer
What treatments are being studied? BNT116
Status: Recruiting
Location: See all (44) locations...
Intervention Type: Biological, Drug
Study Type: Interventional
Study Phase: Phase 1
SUMMARY

This first-in-human (FIH) study for BNT116 aims to establish the safety profile and a safe dose for BNT116 monotherapy as well as for BNT116 in combination with approved medicinal products and/or in combination with investigational medicinal products (IMPs) including, but not limited to, cemiplimab, docetaxel, carboplatin, paclitaxel, osimertinib, anaplastic lymphoma kinase (ALK) tyrosine kinase inhibitors (TKIs), rearranged during transfection (RET) TKIs, BNT316 (an anti-cytotoxic T-lymphocyte-associated protein 4 \[CTLA-4\] antibody), an anti-B7-H3 antibody conjugated to a topoisomerase I inhibitor, an anti-human epidermal growth factor receptor 3 (HER3) antibody conjugated to a topoisomerase I inhibitor or a bispecific antibody for programmed death ligand 1 (PD-L1) and vascular endothelial growth factor A (VEGF-A) in participants with non-small cell lung cancer (NSCLC). The study will comprise several cohorts for dose confirmation in monotherapy as well as in combinations of BNT116 as mentioned above. The study will enroll participants with NSCLC in advanced or metastatic stage in Cohorts 1 to 4 and Cohorts 7 to 10, unresectable NSCLC Stage III in Cohorts 5 and 11, resectable NSCLC of Stage II and III in Cohort 6, advanced/metastatic epidermal growth factor receptor (EGFR)-mutant NSCLC in Cohort EGFR, and advanced/metastatic ALK rearranged or RET rearranged NSCLC in Cohort ALK/RET. Cohort EGFR and Cohort ALK/RET will enroll only at selected sites in the US.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Participants must have histologically confirmed NSCLC and measurable disease by RECIST v1.1. Note: Participants in Cohorts 1, 5 and 11 do not have to present with measurable disease.

‣ Participants must present with unresectable Stage III or metastatic Stage IV NSCLC by American Joint Commission on Cancer (AJCC) Cancer Staging Manual, Eighth Edition.

‣ EXCEPT

⁃ Participants in Cohorts 5 and 11 must present with unresectable Stage III NSCLC by AJCC Cancer Staging Manual, Eighth Edition before receiving pre-study chemoradiotherapy.

⁃ Participants in Cohort 6 with the initial diagnosis of resectable Stage II and Stage III NSCLC by AJCC Cancer Staging Manual, Eighth Edition.

• Participants in Cohorts 2, 4, 5, 6, 10 and 11 must be able to tolerate (additional) anti-PD-1 therapy (i.e., did not permanently discontinue anti-programmed death protein 1 \[PD-1\] / programmed death ligand 1 \[PD-L1\] therapy due to toxicity).

• Participants must have an Eastern Cooperative Oncology Group performance status (ECOG-PS) less than or equal to (\<=) 1, except for participants in Cohorts 1, 4, 5, 10 and 11 who are eligible with an ECOG-PS of 0-2.

∙ Cohort-specific inclusion criteria:

∙ Cohort 1:

• Participants' prior therapy must have included at least a PD-1/PD-L1 inhibitor and a platinum-based chemotherapy regimen as well as one other line of systemic therapy (except if a participant is not candidate for a platinum-based chemotherapy and/or PD-1/PD-L1 inhibitor and/or another line of systemic therapy). Note: Participants newly enrolled in Cohort 1B under protocol v 5.0 and subsequent versions of the protocol must consent to mandatory blood sampling for peripheral blood mononuclear cells (PBMCs).

• Participants who are to start cemiplimab at Cycle 3 must present with PD-L1 expression of tumor proportion score (TPS) greater than or equal to (\>=) 1% in tumor cells (as determined locally).

∙ Cohort 2:

• Participants must present with PD-L1 expression of tumor proportion score (TPS) \>= 50% in tumor cells (as determined locally prior to inclusion in this study).

• Participants must present with progressive disease either

‣ in the advanced or metastasized stage of NSCLC: while on a PD-1/PD-L1 inhibitor therapy or within 6 months of termination of this treatment as first-line treatment. Or

⁃ be refractory to ongoing adjuvant therapy/maintenance treatment after CRT with a PD-1/PD-L1 inhibitor that has been given for at least 3 months in monotherapy (i.e., after an initial combination therapy) before being enrolled into this study.

∙ Cohort 3:

• Participants' prior therapy must have included at least a PD-1/PD-L1 inhibitor and a platinum-based chemotherapy regimen (except if a participant is not candidate for a platinum-based chemotherapy and/or PD-1/PD-L1 inhibitor).

• Participants must present with progressive disease.

∙ Cohort 4:

• Participants who are not candidates for chemotherapy as first-line treatment for the advanced or metastasized stage of NSCLC may be enrolled if presenting with PD-L1 expression: TPS \>= 1% in tumor cells (as determined locally).

∙ Cohort 5:

• Participants' NSCLC must have been considered unresectable due to participant's condition and/or tumor-related factors and the participants must have undergone chemoradiotherapy before entering the study.

∙ Cohort 6:

• Participants' NSCLC must be considered technically and medically resectable.

• Participants must be considered eligible for neo-adjuvant treatment.

∙ Cohort 7:

• Participants' prior therapy must have included at least a PD-1/PD-L1 inhibitor and a platinum-based chemotherapy regimen (except if a participant is not a candidate for a platinum-based chemotherapy and/or PD-1/PD-L1 inhibitor). Note 1: Participants may have received prior therapy targeting CTLA-4, lymphocyte-activation gene 3 (LAG-3), T cell immunoglobulin and immunoreceptor tyrosine-based inhibitory motif \[ITIM\] domain (TIGIT), VEGF or VEGF receptor (VEGFR) inhibitor as monotherapy or part of a combination therapy. Note 2: If the participants' prior therapies included a CTLA-4 inhibitor, the participant must be able to tolerate (additional) treatment with the CTLA-4 inhibitor.

• Participants must present with progressive disease at study enrollment.

• Participants must consent to mandatory blood sampling for PBMCs.

∙ Cohorts 8 \& 9:

• Participants' prior therapy must have included at least a PD-1/PD-L1 inhibitor and a platinum-based chemotherapy regimen (except if a participant is not a candidate for a platinum-based chemotherapy and/or PD-1/PD-L1 inhibitor).

• Participants must present with progressive disease at study enrollment.

∙ Cohort 10:

• Participants who are not candidates for chemotherapy as first-line treatment for the advanced or metastasized stage of NSCLC may be enrolled.

∙ Cohort 11:

• Participants' NSCLC must have been considered unresectable due to participants condition and/or tumor related factors and the participants must have undergone chemoradiotherapy before entering the study.

∙ Cohort EGFR (will enroll only at selected sites in the US):

• Participants' NSCLC must have classical EGFR mutations, i.e., ex19Del or L858R.

• Participants must have ongoing treatment with osimertinib.

∙ Cohort ALK/RET (will enroll only at selected sites in the US):

• Participants' NSCLC must have ALK rearrangement or RET rearrangement.

• Participants must have ongoing treatment with a standard of care ALK TKI or RET TKI.

Locations
United States
Kentucky
University of Kentucky Chandler Medical Center
RECRUITING
Lexington
Norton Cancer Institute
RECRUITING
Louisville
Maryland
Johns Hopkins Sidney Kimmel Comprehensive Cancer Center
RECRUITING
Baltimore
Texas
MD Anderson Cancer Center
RECRUITING
Houston
Virginia
NEXT Virginia
RECRUITING
Fairfax
Other Locations
Australia
Cancer Research SA
RECRUITING
Adelaide
Monash Health
RECRUITING
Clayton
Scientia Clinical Research
RECRUITING
Randwick
Royal North Shore Hospital
RECRUITING
Sydney
Germany
Universitätsklinikum Köln
RECRUITING
Cologne
Krankenhaus Nordwest GmbH - Institut Fuer Klinisch-Onkologische Forschung (IKF)
RECRUITING
Frankfurt
University Medical Center Hamburg-Eppendorf
RECRUITING
Hamburg
Universitaetsmedizin der Johannes Gutenberg Universitaet Mainz KoeR
RECRUITING
Mainz
Hungary
ICON-PRA Budapest, Fázis 1 Vizsgálóhely
COMPLETED
Budapest
National Institute of Oncology
RECRUITING
Budapest
Semmelweis Egyetem ÁOK Belgyógyászati és Onkológiai Klinika
RECRUITING
Budapest
Clinexpert Ltd
RECRUITING
Gyöngyös
Poland
Uniwersyteckie Centrum Kliniczne
RECRUITING
Gdansk
Warminsko Mazurskie Centrum Chorob Pluc w Olsztynie
RECRUITING
Olsztyn
NZOZ Medpolonia Sp. Z o.o
RECRUITING
Poznan
Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie Panstwowy Instytut Badawczy
WITHDRAWN
Warsaw
Spain
Institut Catala d'Oncologia Badalona, Hospital Germans Trias I Pujol
RECRUITING
Badalona
Hospital Universitario Vall d'Hebron
RECRUITING
Barcelona
Hospital Universitario Fundacion Jimenez Diaz
RECRUITING
Madrid
MD Anderson Cancer Center
RECRUITING
Madrid
START Madrid - CIOCC. Grupo Hospital de Madrid (HM) - Centro Integral Oncologico Clara Campal (CIOCC)
RECRUITING
Madrid
Complejo Hospitalario Universitario de Santiago de Compostela (CHUS) - Hospital Clinico Universitario (University Clinical Hospital)
RECRUITING
Santiago De Compostela
Hospital Universitario Virgen Macarena
RECRUITING
Seville
Hospital Universitario y Politecnico La Fe
RECRUITING
Valencia
Turkey
Adana City Training and Research Hospital
RECRUITING
Adana
Ankara City Hospital
RECRUITING
Ankara
Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital
RECRUITING
Ankara
Haceteppe Hospital
RECRUITING
Ankara
Koc University Hospital
RECRUITING
Istanbul
University Medical Faculty Oncology Institute
RECRUITING
Istanbul
Yeditepe University
RECRUITING
Istanbul
Dokuz Eylul Medical School
COMPLETED
Izmir
Ege University School of Medicine Tulay Aktas Oncology Hospital
RECRUITING
Izmir
United Kingdom
Cambridge University Hospitals NHS Foundation Trust
RECRUITING
Cambridge
Velindre NHS Trust
RECRUITING
Cardiff
The Clatterbridge Cancer Centre NHS Foundation Trust
RECRUITING
Liverpool
Guy's and St Thomas NHS Foundation Trust
RECRUITING
London
University College London Hospitals NHS Foundation Trust
RECRUITING
London
The Newcastle Upon Tyne Hospitals NHS Foundation Trust
RECRUITING
Newcastle Upon Tyne
Contact Information
Primary
BioNTech clinical trials patient information
patients@biontech.de
+49 6131 9084
Time Frame
Start Date: 2022-06-17
Estimated Completion Date: 2031-11
Participants
Target number of participants: 320
Treatments
Experimental: Cohort 1A - BNT116 Monotherapy
Experimental: Cohort 1B - BNT116 Monotherapy
Experimental: Cohort 2 - BNT116 + Cemiplimab (PD-1/PD-L1 Inhibitor Refractory/Relapsed Participants)
Experimental: Cohort 3 - BNT116 + Docetaxel
Experimental: Cohort 4 - BNT116 + Cemiplimab (Frail Participants)
Experimental: Cohort 5 - BNT116 + Cemiplimab (After Concurrent Chemoradiotherapy [CRT])
Experimental: Cohort 6 - BNT116 + Cemiplimab + Carboplatin + Paclitaxel
BNT116 + cemiplimab + carboplatin + paclitaxel as neo-adjuvant treatment followed by surgery, thereafter adjuvant treatment with BNT116 + cemiplimab
Experimental: Cohort 7 - BNT116 + BNT316
Dose finding for the combination of BNT116 with BNT316 (CTLA4 antibody) with dose escalation of BNT316
Experimental: Cohort 8: BNT116 + Anti-B7-H3 Antibody Conjugated to Topoisomerase I Inhibitor
Dose finding for the combination of BNT116 with an anti-B7-H3 antibody conjugated to a topoisomerase I inhibitor with dose escalation of the anti-B7-H3 antibody conjugated to a topoisomerase I inhibitor
Experimental: Cohort 9: BNT116 + Anti-HER3 Antibody Conjugated to Topoisomerase I Inhibitor
Dose confirmation for the combination of BNT116 with an anti-HER3 antibody conjugated to a topoisomerase I inhibitor with dose escalation of the anti-HER3 antibody conjugated to a topoisomerase I inhibitor
Experimental: Cohort 10: BNT116 + Bispecific Antibody for PD-L1 and VEGF-A (Frail Participants)
Dose confirmation for BNT116 in combination with a bispecific antibody for programmed death ligand 1 (PD-L1) and vascular endothelial growth factor A (VEGF-A) will be established.
Experimental: Cohort 11: BNT116 + Bispecific Antibody for PD-L1 and VEGF-A (After Concurrent CRT)
Dose confirmation for BNT116 in combination with a bispecific antibody for PD-L1 and VEGF-A will be established in participants after concurrent CRT.
Experimental: Cohort EGFR : BNT116 + osimertinib
Dose confirmation for BNT116 in combination with ongoing osimertinib therapy. Treatment with osimertinib is standard of care.~Cohort will enroll only at selected sites in the US.
Experimental: Cohort ALK/RET: BNT116 + ALK TKI or RET TKI
Dose confirmation for BNT116 in combination with either ongoing ALK-inhibitor or ongoing RET-inhibitor therapy. Treatment with ALK TKI or RET TKI is standard of care.~Cohort will enroll only at selected sites in the US.
Sponsors
Leads: BioNTech SE

This content was sourced from clinicaltrials.gov