Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
spartalizumab · 5 trials · 6 indications
An AE is any untoward medical occurrence (e.g. any unfavorable and unintended sign \[including abnormal laboratory findings\], symptom or disease) in a clinical investigation participant after providing written informed consent for participation in the study. An AE may or may not be temporally or causally associated with the use of a medicinal (investigational) product. An SAE is defined as any adverse event \[appearance of (or worsening of any pre-existing)\] undesirable sign(s), symptom(s), or medical conditions(s) which meets any one of the following criteria: fatal, life-threatening, results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability/incapacity, may have caused a congenital anomaly/birth defect, requires intervention to prevent permanent impairment or damage.
Severity of AEs and SAEs will be measured according to the CTCAE v5.0
PFS is the time from the date of randomization to the date of event defined as the first documented confirmed progression or death due to any cause. If a patient has not had an event, progression-free survival is censored at the date of last adequate tumor assessment. Tumor response was based on central review of tumor scan and the assessment criteria was Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1). Progressive disease is at least a 20% increase in the sum of diameter of all measured target lesions, taking as reference the smallest sum of diameter of all target lesions recorded at or after baseline. Number of participants in each category (progression, death, censored) is reported in this record.
PFS is the time from the date of randomization to the date of event defined as the first documented confirmed progression or death due to any cause. If a patient has not had an event, progression-free survival is censored at the date of last adequate tumor assessment. Tumor response was based on central review of tumor scan and the assessment criteria was Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1). Progressive disease is at least a 20% increase in the sum of diameter of all measured target lesions, taking as reference the smallest sum of diameter of all target lesions recorded at or after baseline.
A dose-limiting toxicity (DLT) was defined as (1) an adverse event or abnormal laboratory value (assessed as unrelated to disease, disease progression, inter-current illness, or concomitant medications) that occurred within the first 8 weeks (56 days) of treatment with PDR001 in combination with regorafenib during dose escalation part and (2) met any of the pre-defined criteria.
Number of participants with AEs and SAEs, including changes from baseline in vital signs, electrocardiograms and laboratory results qualifying and reported as AEs. AE grades to characterize the severity of the AEs were based on the Common Terminology Criteria for Adverse Events (CTCAE) version 4.03. For CTCAE v4.03, Grade 1 = mild; Grade 2 = moderate; Grade 3 = severe; Grade 4 = life-threatening; Grade 5 = death related to AE. The on-treatment period is defined from the day of first administration of study treatment up to 30 days after the date of its last administration.
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 unrelated to disease, disease progression, inter-current illness or concomitant medications that occurs within the first 2 cycles of treatment with capmatinib in combination with spartalizumab during the dose escalation part of the study. Other clinically significant toxicities may be considered to be DLTs, even if not CTCAE grade 3 or higher. The duration of one treatment cycle is 21 days.
Number of participants with at least one dose reduction of capmatinib and spartalizumab and number of participants with at least one dose interruption of capmatinib and spartalizumab. No dose modifications (i.e. dose reduction) were allowed for spartalizumab.
Dose intensity of capmatinib was calculated as actual cumulative dose in milligrams divided by duration of exposure in days.
Dose intensity of spartalizumab was calculated as actual cumulative dose in milligrams divided by duration of exposure in weeks and then multiplied by 3 weeks (3W).
Tumor response was based on local investigator assessment as per Response Evaluation Criteria In Solid Tumors (RECIST) v1.1. ORR per RECIST v1.1 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 diameter of all target lesions, taking as reference the baseline sum of diameters.
Feasibility of spartalizumab and canakinumab will be met if \> 85% of patients proceed to radical nephrectomy (12 of 14).
| Arm | Type | Description |
|---|---|---|
| sabatolimab + azacitidine | EXPERIMENTAL | Patients will take sabatolimab 800 mg i.v and azacitidine 75 mg/m2/d d1-7 s.c. or i.v./q4w or sabatolimab 400 mg i.v/q2w and azacitidine 75 mg/m2/d d1-7 s.c. or i.v./q4w. |
| sabatolimab + decitabine | EXPERIMENTAL | Patients will take Sabatolimab 400 mg i.v/q2w and decitabine 20 mg/m2/d d1-5 i.v. |
| sabatolimab + venetoclax + azacitidine | EXPERIMENTAL | Patients will take sabatolimab 200 mg i.v./q2w and venetoclax 400 mg p.o. d1-14/q4wk and azacitidine 75 mg/m2/d d1-7/q4w. |
| sabatolimab + spartalizumab + decitabine | EXPERIMENTAL | Patients will take sabatolimab 400 mg i.v./q2w and decitabine 20 mg/m2/d d1-5 i.v. and spartalizumab 100 mg i.v/q2w. |
| sabatolimab + HMA | EXPERIMENTAL | Patients will take sabatolimab 800 mg and azacitidine 75 mg/m2/d d1-7 or decitabine 20 mg/m2/d d1-5/ all q4w HMA means hypomethylating agents. Hypomethylating agents are azacitidine and decitabine. |
| sabatolimab | EXPERIMENTAL | Patients will take sabatolimab 800 mg i.v q4w. |
| Spartalizumab 400 mg Q4W | EXPERIMENTAL | anti-PD1 humanized monoclonal antibody. Participants treated with spartalizumab who remained on spartalizumab |
| Chemotherapy | ACTIVE_COMPARATOR | commonly used chemotherapy as per investigator's choice |
| spartalizumab (PDR001) + regorafenib | EXPERIMENTAL | Subjects with metastatic MSS CRC received a combination of spartalizumab and regorafenib. |
| Phase Ib: Capmatinib 200 mg BID + Spartalizumab 300 mg Q3W | EXPERIMENTAL | Capmatinib 200 mg administered orally on a continuous twice daily (BID) dosing schedule in combination with spartalizumab 300 mg administered intravenously once every 3 weeks (Q3W) in Phase Ib |
| Phase Ib: Capmatinib 300 mg BID + Spartalizumab 300 mg Q3W | EXPERIMENTAL | Capmatinib 300 mg administered orally on a continuous twice daily (BID) dosing schedule in combination with spartalizumab 300 mg administered intravenously once every 3 weeks (Q3W) in Phase Ib |
| Phase Ib: Capmatinib 400 mg BID + Spartalizumab 300 mg Q3W | EXPERIMENTAL | Capmatinib 400 mg administered orally on a continuous twice daily (BID) dosing schedule in combination with spartalizumab 300 mg administered intravenously once every 3 weeks (Q3W) in Phase Ib |
| Phase II: Capmatinib 400 mg BID + Spartalizumab 300 mg Q3W | EXPERIMENTAL | Capmatinib 400 mg administered orally on a continuous twice daily (BID) dosing schedule in combination with spartalizumab 300 mg administered intravenously once every 3 weeks (Q3W) in Phase II |
| Phase II: Spartalizumab 300 mg Q3W | EXPERIMENTAL | Spartalizumab 300 mg administered intravenously once every 3 weeks (Q3W) in Phase II |
| Spartalizumab and Canakinumab | EXPERIMENTAL | Subjects with renal cell carcinoma will receive study treatment Q4 weeks x 2 doses prior to radical nephrectomy. |
| Name | Type | Description |
|---|---|---|
| decitabine | DRUG | Solution for intravenous infusion |
| spartalizumab | DRUG | Solution for intravenous infusion |
| sabatolimab | DRUG | Solution for intravenous infusion |
| azacitidine | DRUG | Solution for subcutaneous injection or intravenous infusion |
| venetoclax | DRUG | Tablet for oral administration |
| INQOVI (oral decitabine) | DRUG | Tablet for oral administration. HMA = azactidine or decitabine INQOVI = decitabine (oral) |
| Investigator choice of chemotherapy | DRUG | Commonly used chemotherapy as per investigator's choice. The dose and route of administration was the one described in each drug's label. |
| spartalizumab (PDR001) | DRUG | 100 mg lyophilisate in vial received 400 mg every 4 weeks |
| regorafenib | DRUG | 120 mg once daily first 21 days of each 28-day cycle (=4 weeks) |
| Capmatinib | DRUG | Capmatinib administered orally as a tablet on a continuous twice daily (BID) dosing schedule |
| Canakinumab | DRUG | Canakinumab 300 mg IV Q4 weeks x 2 doses prior to radical nephrectomy Infusion |
Inclusion Criteria: 1. Participant is currently enrolled in a Novartis-sponsored study with sabatolimab, is being treated with sabatolimab, and has fulfilled all requirements in the parent study. 2. Participant is currently benefiting from the treatment with sabatolimab as determined by guidelines ...
Top 20 of 33 competitors