A Multicenter, Randomized, Open-Label, Phase 1b/2 Trial Of Valemetostat Tosylate Plus Pembrolizumab Vs Pembrolizumab Alone in Participants With Advanced or Metastatic Non-Small Cell Lung Cancer Whose Tumors Express PD-L1 With Tumor Proportion Score ≥50% Without Actionable Genomic Alterations
Summary
This study will compare Valemetostat Tosylate Plus Pembrolizumab vs Pembrolizumab Alone in First-line NSCLC Without Actionable Genomic Alterations
Detailed description
This trial will evaluate the safety and efficacy of valemetostat tosylate (DS-3201b) in combination with fixed-dose pembrolizumab versus pembrolizumab alone in participants with advanced or metastatic NSCLC without actionable genomic alterations, whose tumor has PD-L1 TPS ≥50%, and who have not received prior systemic therapy for advanced or metastatic NSCLC. The trial will be in 2 phases, dose escalation and dose expansion phases.
Arms & interventions
- Drugvalemetostat tosylate
Valemetostat will be administered orally once daily until RP2D of valemetostat is determined.
- Drugpembrolizumab
One IV infusion Q3W on D1 of each 21-day cycle for a maximum of 35 cycles.
Outcome measures
Primary
Phase 1b: Number of Participants with Dose-Limiting Toxicities
Total number of participants with A Dose-Limiting Toxicity (DLT) at each dose level of valemetostat in combination with pembrolizumab per National Cancer Institute - Common Terminology Criteria for Adverse Events version 5.0.
Time frame: From day of first dose on Day 1 to Day 21 in Cycle 1 (21 days), or before the administration of Cycle 2, up to 24 days
Phase 1b: Number of Participants with Treatment-Emergent Adverse Events
Incidence of TEAEs, Grade 3 or 4 TEAEs, deaths, TESAEs, TEAEs leading to dose modifications (including interruption, reduction, and discontinuation), and AESIs using the National Cancer Institute - Common Terminology Criteria for Adverse Events version 5.0
Time frame: From date of first dose to 30 days after last dose, up to approximately 31 months
Phase 2: Progression-Free Survival by BICR
PFS is the time from the date of randomization to the date of radiographic disease progression as assessed by blinded independent central review (BICR) per RECIST v1.1 or death from any cause, whichever occurs first.
Time frame: From date of randomization to the date of radiographic disease progression, or death from any cause, whichever occurs first, up to approximately 31 months
Secondary
Phase 2: Objective Response Rate
Time frame: From date of randomization to the date of radiographic disease progression, or death from any cause, whichever occurs first, up to approximately 31 months
Phase 2: Duration of Response
Time frame: From date of randomization to the date of radiographic disease progression, or death from any cause, whichever occurs first, up to approximately 31 months
Phase 2: Disease Control Rate
Time frame: From date of randomization up to approximately 31 months
Phase 2: Overall Survival
Time frame: From date of randomization the date of death from any cause, up to approximately 31 months
Phase 2: Progression-Free Survival by Investigator
Time frame: From date of randomization to the date of radiographic disease progression, or death from any cause, whichever occurs first, up to approximately 31 months
Eligibility criteria
Study locations (12)
University of California San Diego (Ucsd)-Moores Cancer Center
La Jolla, California, 92037
California Research Institute
Los Angeles, California, 90027
Valkyrie Clinical Trials
Los Angeles, California, 90067
Mayo Clinic Hospital
Jacksonville, Florida, 32224
BRCR Global
Plantation, Florida, 33322-5426
University of Kentucky Medical Center
Lexington, Kentucky, 40536
Pikeville Medical Center
Pikeville, Kentucky, 41501
Mayo Clinic - Rochester
Rochester, Minnesota, 55904
Columbia University Irving Medical Center
New York, New York, 10032
Montefiore Medical Center
The Bronx, New York, 10461
Thomas Jefferson University, Sidney Kimmel Cancer Center
Philadelphia, Pennsylvania, 19107
Virginia Cancer Specialist
Fairfax, Virginia, 22031