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LAG525

Phase 2

Triple-negative Breast Cancer | Small molecule | Oncology |Novartis AG|Last Updated: Jan 30, 2023

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLED
Total Trials1
Total Enrollment88

FDA Designations

No designations recorded

Clinical trial landscape

LAG525 · 2 trials · 2 indications

Phase 2 1Phase 1 1
NCT03499899A Study of Efficacy and Safety of LAG525 in Combination With Spartalizumab, or With Spartalizumab and Carboplatin, or With Carboplatin, in Patients With Advanced Triple-negative Breast CancerTriple-negative Breast Cancer
COMPLETED88 Analytics
PHASE2COMPLETED
A Study of Efficacy and Safety of LAG525 in Combination With Spartalizumab, or With Spartalizumab and Carboplatin, or With Carboplatin, in Patients With Advanced Triple-negative Breast Cancer
Triple-negative Breast CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Overall Response Rate (ORR) Per Investigator's Assessment According to RECIST v1.1
Up to approximately 14 months

Overall response rate (ORR) is defined as the percentage of participants with best overall response of complete response (CR) or partial response (PR) according to RECIST 1.1 based on investigator's assessment. The 95% CIs were computed using two-sided exact binomial method. CR: Disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to \< 10 mm PR: At least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters.

Phase 1: Number of Participants With Dose-Limiting Toxicities (DLTs)
15 days for single-agent LAG525 arms and 30 days for the combination LAG525 + PDR001 arms

A dose-limiting toxicity (DLT) is defined as an adverse event or abnormal laboratory value of Common Terminology Criteria for Adverse Events (CTCAE) grade ≥ 3 assessed as having a suspected relationship to study drug, and unrelated to disease, disease progression, inter-current illness, or concomitant medications that occurs within the first cycle of treatment with single-agent LAG525 or within the first two cycles of treatment with the combination of LAG525 and PDR001. Other clinically significant toxicities may be considered to be DLTs, even if not CTCAE grade 3 or higher.

Phase 2: Overall Response Rate (ORR) Per RECIST 1.1
From start of treatment until end of treatment, assessed up to 2.6 years

Tumor response was based on local investigator assessment and the assessment criteria was Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1). ORR per RECIST 1.1 is defined as the percentage of participants with a best overall response of Complete Response (CR) or Partial Response (PR). For RECIST v1.1, CR=Disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to \< 10 mm; PR= At least a 30% decrease in the sum of diameters of all target lesions, taking as reference the baseline sum of diameters. ORR is reported by tumor type.

Secondary Endpoints

Clinical Benefit Rate (CBR) Per Investigator's Assessment According to RECIST v1.1
Up to approximately 14 months
Duration of Response (DOR) Per Investigator's Assessment According to RECIST v1.1
From first documented response up to disease progression or death due to underlying cancer, whichever occurs first, up to approximately 14 months
Time to Response (TTR) Per Investigator's Assessment According to RECIST v1.1
From date of randomization to first documented response (CR or PR), up to approximately 14 months
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
LAG525 + PDR001EXPERIMENTALParticipants received LAG525 and PDR001 administered as infusion once every 3 weeks
LAG525 + PDR001 + carboplatinEXPERIMENTALParticipants received LAG525, PDR001 and carboplatin administered as infusion once every 3 weeks.
LAG525 + carboplatinEXPERIMENTALParticipants received LAG525 and carboplatin administered as infusion once every 3 weeks
Phase 1: LAG525 1 mg/kg Q2WEXPERIMENTALSingle-agent LAG525 1 mg/kg Q2W
Phase 1: LAG525 3 mg/kg Q2WEXPERIMENTALSingle-agent LAG525 3 mg/kg Q2W
Phase 1: LAG525 5 mg/kg Q2WEXPERIMENTALSingle-agent LAG525 5 mg/kg Q2W
Phase 1: LAG525 10 mg/kg Q2WEXPERIMENTALSingle-agent LAG525 10 mg/kg Q2W
Phase 1: LAG525 15 mg/kg Q2WEXPERIMENTALSingle-agent LAG525 15 mg/kg Q2W
Phase 1: LAG525 240 mg Q2WEXPERIMENTALSingle-agent LAG525 240 mg Q2W
Phase 1: LAG525 400 mg Q2WEXPERIMENTALSingle-agent LAG525 400 mg Q2W
Phase 1: LAG525 3 mg/kg Q4WEXPERIMENTALSingle-agent LAG525 3 mg/kg Q4W
Phase 1: LAG525 5 mg/kg Q4WEXPERIMENTALSingle-agent LAG525 5 mg/kg Q4W
Phase 1: LAG525 10 mg/kg Q4WEXPERIMENTALSingle-agent LAG525 10 mg/kg Q4W
Phase 1: LAG525 400 mg Q4WEXPERIMENTALSingle-agent LAG525 400 mg Q4W
Phase 1: LAG525 0.3 mg/kg Q2W + PDR001 1 mg/kg Q2WEXPERIMENTALCombination LAG525 0.3 mg/kg + PDR001 1 mg/kg (Q2W/Q2W)
Phase 1: LAG525 1 mg/kg Q2W + PDR001 1 mg/kg Q2WEXPERIMENTALCombination LAG525 1 mg/kg + PDR001 1 mg/kg (Q2W/Q2W)
Phase 1: LAG525 80 mg Q2W + PDR001 80 mg Q2WEXPERIMENTALCombination LAG525 80 mg + PDR001 80 mg (Q2W/Q2W)
Phase 1: LAG525 80 mg Q2W + PDR001 240 mg Q2WEXPERIMENTALCombination LAG525 80 mg + PDR001 240 mg (Q2W/Q2W)
Phase 1: LAG525 240 mg Q2W + PDR001 240 mg Q2WEXPERIMENTALCombination LAG525 240 mg + PDR001 240 mg (Q2W/Q2W)
Phase 1: LAG525 240 mg Q3W + PDR001 300 mg Q3WEXPERIMENTALCombination LAG525 240 mg + PDR001 300 mg (Q3W/Q3W)
Phase 1: LAG525 400 mg Q3W + PDR001 300 mg Q3WEXPERIMENTALCombination LAG525 400 mg + PDR001 300 mg (Q3W/Q3W)
Phase 1: LAG525 600 mg Q3W + PDR001 300 mg Q3WEXPERIMENTALCombination LAG525 600 mg + PDR001 300 mg (Q3W/Q3W)
Phase 1: LAG525 80 mg Q4W + PDR001 240 mg Q4WEXPERIMENTALCombination LAG525 80 mg + PDR001 240 mg (Q4W/Q4W)
Phase 1: LAG525 400 mg Q4W + PDR001 400 mg Q4WEXPERIMENTALCombination LAG525 400 mg + PDR001 400 mg (Q4W/Q4W)
Phase 1: LAG525 800 mg Q4W + PDR001 400 mg Q4WEXPERIMENTALCombination LAG525 800 mg + PDR001 400 mg (Q4W/Q4W)
Phase 1: LAG525 1000 mg Q4W + PDR001 400 mg Q4WEXPERIMENTALCombination LAG525 1000 mg + PDR001 400 mg (Q4W/Q4W)
Phase 1: LAG525 80 mg Q2W + PDR001 400 mg Q4WEXPERIMENTALCombination LAG525 80 mg + PDR001 400 mg (Q2W/Q4W)
Phase 1: LAG525 240 mg Q2W + PDR001 400 mg Q4WEXPERIMENTALCombination LAG525 240 mg + PDR001 400 mg (Q2W/Q4W)
Phase 1: LAG525 300 mg Q2W + PDR001 400 mg Q4WEXPERIMENTALCombination LAG525 300 mg + PDR001 400 mg (Q2W/Q4W)
Phase 2: Naive - LAG525 400 mg Q3W + PDR001 300 mg Q3WEXPERIMENTALCombination LAG525 400 mg + PDR001 300 mg (Q3W/Q3W) in patients naïve to anti-PD-1/PD-L1
Phase 2: Naive - LAG525 600 mg Q4W + PDR001 400 mg Q4WEXPERIMENTALCombination LAG525 600 mg + PDR001 400 mg (Q4W/Q4W) in patients naïve to anti-PD-1/PD-L1
Phase 2: Pre-treated - LAG525 400 mg Q3W + PDR001 300 mg Q3WEXPERIMENTALCombination LAG525 400 mg + PDR001 300 mg (Q3W/Q3W) in patients pre-treated with anti-PD-1/PD-L1

Interventions

NameTypeDescription
LAG525DRUGLAG525 was a concentrate for solution for intravenous infusion, came in 100mg vials as a liquid formulation for infusion and was dosed at 400mg every 21 days. For all arms, LAG525 was infused first
PDR001DRUGSpartalizumab was a concentrate for solution for intravenous infusion, came in 100mg vials as a liquid formulation for infusion and was dosed at 300mg every 21 days. Spartalizumab was infused after LAG525
CarboplatinDRUGCarboplatin was a concentrate for solution for intravenous infusion, came in 100mg/mL and was dosed per area under the curve (AUC) 6 every 21 days. Carboplatin was infused once LAG525 and spartalizumab infusions were completed
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites33

Inclusion Criteria: * Had advanced (loco-regionally recurrent not amenable to curative therapy or metastatic) breast cancer * Had adequate bone marrow and organ function. * Had an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 * Had measurable disease, i.e., at least one mea...

Countries:United StatesArgentinaAustraliaBelgiumCanadaFranceGermanyHungaryIsraelItalyJapanLebanonSingaporeSouth KoreaSpainTaiwanThailandHong Kong
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Frequently asked questions about LAG525

What is LAG525 used for?

LAG525 is an investigational oncology drug being studied for advanced solid tumors and triple-negative breast cancer. It is a small molecule being developed by Novartis AG. Clinical trials have evaluated LAG525 as a single agent and in combination with other therapies for these indications.

What does LAG525 target?

LAG525 is a small molecule that targets the LAG-3 protein, an immune checkpoint receptor involved in regulating T-cell activity. By targeting LAG-3, the drug is designed to modulate the immune response against cancer cells. This mechanism is being explored in advanced solid tumors and triple-negative breast cancer.

Who makes LAG525?

LAG525 is being developed by Novartis AG, a global pharmaceutical company traded on the New York Stock Exchange under the ticker NVS. Novartis is conducting clinical trials to evaluate the safety and efficacy of LAG525 in oncology indications.

What phase is LAG525 in?

LAG525 has completed Phase 1 and Phase 2 clinical trials. The Phase 1 trial evaluated the drug as a single agent and in combination with PDR001 in patients with advanced malignancies. The Phase 2 trial studied LAG525 in combination with spartalizumab and carboplatin in triple-negative breast cancer. Both trials are completed.

What clinical trials is LAG525 in?

LAG525 has been studied in two completed clinical trials. NCT02460224 was a Phase 1 trial evaluating LAG525 alone and with PDR001 in advanced solid tumors, enrolling 490 patients. NCT03499899 was a Phase 2 trial testing LAG525 with spartalizumab and carboplatin in triple-negative breast cancer, enrolling 88 patients.

Is LAG525 the same as any other drug?

LAG525 is also known by the code name LAG525. It is an investigational agent and has been studied under this name in clinical trials. No other alternative names have been reported for this drug.