The purpose of this study of MCS110 with PDR001 was to characterize the safety,
tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and antitumor activity of the
combination of MCS110 with PDR001 in adult patients with solid tumors.
Study sponsor and potential other locations can be found on ClinicalTrials.gov for NCT02807844.
Combined treatment with MCS110 and PDR001 was expected to result in Tumor-associated
macrophages (TAM) depletion, enhanced T-cell activation and synergistic antitumor
activity in the clinical setting.
This study was a Phase Ib/II, multi-center, open label study starting with a Phase Ib
dose escalation part followed by a Phase II part. MCS110 and PDR001 were administered
i.v. Q3W until the patient experienced unacceptable toxicity, progressive disease as per
irRC and/or treatment was discontinued at the discretion of the investigator or the
patient. Patients were not to discontinue treatment based on progressive disease per
Response evaluation criteria in solid tumors (RECIST) v1.1. During the Phase Ib part of
the study, cohorts of patients were treated with increasing doses of MCS110 and PDR001
every 3 weeks until a Recommended Phase 2 Dose (RP2D) was determined for this treatment
combination.
To assure that the combination RP2D did not exceed the Maximum tolerated dose (MTD), the
combination MCS110 and PDR001 dose escalation was guided by a Bayesian logistic
regression model (BLRM) with overdose control (EWOC) principle based on dose limiting
toxicity data in the context of available safety, Pharmacokinetics (PK) and
Pharmacodynamics (PD) information. Once the MTD and/or RP2D was declared, additional
patients were enrolled in the Phase II part in order to assess the preliminary anti-tumor
activity of MCS110 in combination with PDR001 in anti-PD1/PD-L1-naive triple negative
breast cancer (TNBC), pancreatic (PC), endometrial carcinoma (EC) and anti
PD1/PD-L1-resistance melanoma (ME).
Lead OrganizationNovartis Pharmaceuticals Corporation