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Gevokizumab With Standard of Care Anti-cancer Therapies for Metastatic Colorectal, Gastroesophageal, and Renal Cancers
Gevokizumab With Standard of Care Anti-cancer Therapies for Metastatic Colorectal, Gastroesophageal, and Renal Cancers

NCT03798626

CompletedPhase 1

Sponsor: Novartis Pharmaceuticals

Conditions: Colorectal Cancer, Gastroesophageal Cancer, Renal Cell Carcinoma

Interventions: Gevokizumab, Bevacizumab, Modified FOLFOX6, FOLFIRI, Ramucirumab

Countries: United States, Australia, Belgium, Canada, Chile, Czechia, Germany, Israel

This study will determine the pharmacodynamically-active dose of gevokizumab and the tolerable dose of gevokizumab in combination with the standard of care anti-cancer therapy in patients with metastatic colorectal cancer, metastatic gastroesophageal cancer and metastatic renal cell carcinoma, and the preliminary efficacy of gevokizumab in combination with the SOC anti-cancer therapy in subjects with mCRC and mGEC.

Eligibility overview

Sex: ALL

Age: 18 Years to 100 Years

Healthy volunteers: No

Study type: INTERVENTIONAL

Eligibility criteria
Key Inclusion Criteria:

For All Cohorts:

* Adult ≥ 18 years old.
* Metastatic disease not amenable to potentially curative surgery and with available archival tumor tissue or fresh tumor tissue biopsy.
* Presence of at least 1 measurable lesion assessed by CT and/or MRI according to RECIST 1.1.
* Eastern Cooperative Oncology Group (ECOG) Performance Status 0 or 1.
* Adequate bone marrow and organ function per defined criteria in the protocol.
* Recovered from acute laboratory and clinical toxicities of prior anti cancer treatment to NCI CTCAE v5.0 grade ≤1 at time of screening, except alopecia and amenorrhea.

For Cohort A:

• First line metastatic colorectal adenocarcinoma.

For Cohort B:

• Second line metastatic colorectal adenocarcinoma that has progressed on prior line of chemotherapy administered for metastatic disease and which must include a fluoropyrimidine and oxaliplatin.

For Cohort C:

• Second line metastatic gastroesophageal adenocarcinoma that has progressed on prior line of chemotherapy administered for metastatic disease, and which must include a platinum agent and fluoropyrimidine doublet.

For Cohort D:

• Second or third line metastatic renal cell carcinoma with a clear cell component and has received one or two lines of treatment for metastatic disease that included an anti angiogenic agent for at least 4 weeks with radiologic progression on that treatment.

For subjects starting from Part 1a in Cohorts A and B:

* Serum hs CRP at screening ≥ 10 mg/L (per central laboratory assessment).
* Not requiring immediate initiation of anti cancer therapy per investigator's best judgement.

For subjects starting from Part 2 in Cohort C:

• Serum hs CRP at screening ≥ 10 mg/L (per central laboratory assessment).

Key Exclusion Criteria:

For All Cohorts:

* Currently receiving any of the prohibited medications or has contraindications as outlined in the 'Contraindications' to SOC regimen components.
* Symptomatic brain metastases or brain metastases that require directed therapy (such as focal radiotherapy or surgery).
* Suspected or proven immunocompromised state, or infections (as defined in the protocol).
* Conditions that have a high risk of clinically significant bleeding after administration of anti VEGF agents.
* Clinically significant, uncontrolled or recent (within last 6 months) cardiovascular disease.

For Cohort D:

* Concomitant medications, herbal supplements, and/or fruits and their juices that are known as strong inhibitors or inducers of CYP3A4/5, and medications that have a narrow therapeutic window and are predominantly metabolized through CYP3A4/5.
* Impairment of GI function or GI disease that may significantly alter the absorption of cabozantinib.

Other protocol-defined inclusion/exclusion criteria may apply
Locations (34)
  • Los Angeles, California, United States
  • St Louis, Missouri, United States
  • Nashville, Tennessee, United States
  • Melbourne, Victoria, Australia
  • Brussels, Belgium
  • Edegem, Belgium
  • Leuven, Belgium
  • Calgary, Alberta, Canada
  • Toronto, Ontario, Canada
  • Santiago, Santiago Metropolitan, Chile
  • Brno, Czechia
  • Frankfurt am Main, Hesse, Germany
  • Dresden, Saxony, Germany
  • Ulm, Germany
  • Ramat Gan, Israel
  • Tel Aviv, Israel
  • Milan, MI, Italy
  • Rozzano, MI, Italy
  • Nagoya, Aichi-ken, Japan
  • Kashiwa, Chiba, Japan
  • Osaka, Osaka, Japan
  • Sunto Gun, Shizuoka, Japan
  • Bunkyo-ku, Tokyo, Japan
  • Singapore, Singapore
  • Seoul, South Korea
  • L'Hospitalet de Llobregat, Barcelona, Spain
  • Madrid, Spain
  • Madrid, Spain
  • Madrid, Spain
  • Seville, Spain
  • + 4 more on CT.gov