Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
Label indication BAVENCIO is a programmed death ligand-1 (PD-L1) blocking antibody indicated for: Merkel Cell Carcinoma (MCC) Adults and pediatric patients 12 years and older with metastatic MCC. ( 1.1 , 14.1 ) Urothelial Carcinoma (UC) Maintenance treatment of patients with locally advanced or metastatic UC that has not progressed with first-line platinum-containing chemotherapy. FDA label
Also known as Avelumab (MSB0010718C), Bavencio, MSB0010718C, anti-PD-L1
Avelumab · 10 trials · 15 indications
Overall survival was defined as the time (in months) from the date of randomization to the date of death due to any cause. Participants last known to be alive were censored at date of last contact. Analysis was performed using Kaplan-Meier method.
PFS: time from the date of randomization to the date of the first documentation of progressive disease (PD) according to Response Evaluation Criteria in Solid Tumours (RECIST version \[v\] 1.1) or death due to any cause, whichever occurred first as assessed by BICR. PFS data was censored on date of last adequate tumor assessment for participants who did not have an event (PD or death), who started new anti-cancer therapy prior to an event or for participants with an event after 2 or more missing tumor assessments. PD was defined as at least a 20 percent (%), increase in the sum of all the longest diameter of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to relative increase of 20 %, sum must have also demonstrated an absolute more than (\>) of at least 5 millimeter (mm). The appearance of one or more new lesions was also considered progression.
OS was defined as the time from the date of randomization to the date of death due to any cause. Participants last known to be alive were censored at date of last contact. Analysis was performed using Kaplan-Meier method.
PFS is defined as the time from date of randomization to the date of the first documentation of progression of disease (PD) or death due to any cause, whichever occurs first. PFS time was summarized by treatment arm using the Kaplan-Meier method. PFS based on BICR assessment was evaluated for this endpoint.
The number of patients with a response to treatment as assessed by MRI breast imaging
The study is designed by treating RECIST response \[complete response + partial response (CR+PR)\] after 4-cycle treatment of avelumab and the 16-week progression-free survival (PFS) as dual binary endpoints. Patients who fail to be evaluated at the end of the 4-cycle will be counted as failure.
The study is designed by treating RECIST response \[complete response + partial response (CR+PR)\] after 4-cycle treatment of avelumab and the 16-week progression-free survival (PFS) as dual binary endpoints. Patients who fail to be evaluated at the end of the 4-cycle will be counted as failure.
An adverse event (AE) was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. AEs were graded by investigator according to NCI CTCAE v.4.03 as follows: Grade 1: mild AE, Grade 2: moderate AE, Grade 3: severe AE, Grade 4: life-threatening consequences and urgent intervention indicated, Grade 5: death related to AE.
As per NCI-CTCAE v 4.03, anemia Grade 1= Less than (\<) lower limit of normal (LLN) to 100 gram per liter (g/L),Grade 2= \<100 to 80 g/L; hemoglobin increased: Grade 1= increase of greater than (\>) 0 to 2 gram per deciliter(g/dL) above upper limit of normal \[ULN\]; lymphocyte count decreased: Grade 1= \<LLN to 0.8\*10\^9/L, Grade 2= \<0.8\*10\^9/L to 0.5\*10\^9/L, Grade 3= \<0.5\*10\^9/L to 0.2\*10\^9/L ; lymphocyte count increased: Grade 2= \>4\*10\^9/L to 20\*10\^9/L; neutrophil count decreased: Grade 1= \<LLN to 1.5\*10\^9/L ,Grade 2= \<1.5\*10\^9/L to 1.0\*10\^9/L; platelet count decreased: Grade 1= \<LLN to 75.0\*10\^9/L, Grade 2= \<75.0\*10\^9/L to 50.0\*10\^9/L; white blood cell decreased: Grade 1= \<LLN to 3\*10\^9/L, Grade 2= \<3\*10\^9/L to 2\*10\^9/L.
ALT,ALP,AST increased grades(g):g1\>ULN-3.0\*ULN,g2\>3.0-5.0\*ULN,g3\>5.0-20.0\*ULN; blood bilirubin increased:g1\>ULN-1.5\*ULN, g2\>1.5-3.0\*ULN, g3\>3.0-10.0\*ULN; \[cholesterol high:g1\>ULN-7.75, g2 \>7.75-10.34,g4 \>12.92\]millimoles per liter(mmol/L);creatine phosphokinase, gamma-glutamyl transferase(ggt) increased g1\>ULN-2.5\*ULN, g2\>2.5\*ULN-5\*ULN; Ggt increased g3 \>5.0-20.0\*ULN; Creatinine increased: g1\>ULN-1.5\*ULN; \[hypoalbuminemia:g1\<LLN-30,g2\<30-20\] grams per liter(g/L);\[hyperglycemia:g1\> ULN-8.9,g2\> 8.9-13.9,g3\> 13.9-27.8;hypermagnesemia:g1\>ULN-1.23;hypercalcemia:g1\>ULN -2.9;hyperkalemia:g1\>ULN-5.5,hypernatremia:g1\>ULN-150;hypertriglyceridemia g1:1.71-3.42,g2 \>3.42-5.7;hypocalcemia:g1\<LLN-2.0,hypoglycemia:g1\<LLN-3.0, g2\<3.0-2.2;hypokalemia:g2\<LLN-3.0,g4\<2.5,hypomagnesemia:g1\<LLN-0.5,hyponatremia:g1\<LLN-130, g3\<130-120,hypophosphatemia:g1\<LLN-0.8,g2\<0.8-0.6\]mmol/L;lipase increased:g1\>ULN-1.5\*ULN,g3 \>2.0-5.0\*ULN;serum amylase increased:g1\>ULN-1.5\*ULN, g2\>1.5-2.0\*ULN,g3\>2.0-5.0\*ULN.
Dose limiting toxicities (DLTs) includes the following: * Grade ≥ 3 drug related adverse event (AEs). However, fatigue, nausea/vomiting adequately treated with anti-emetics, endocrinopathies adequately controlled with one physiologic hormone replacement, skin toxicity and single laboratory values out of normal range without any clinical correlate, asymptomatic grade ≥3 lipase or amylase elevation, tumor flare defined as local pain, irritation, or rash localized at sites of known or suspected tumor or a transient Grade 3 infusion adverse event are excluded. * Liver function test abnormality: * AST or ALT \> 5 x ULN * Total bilirubin \> 3 x ULN * Concurrent AST or ALT \> 3 x ULN and total bilirubin \> 2 x ULN * Drug related AE requiring treatment interruption for more than 2 weeks
Percentage of participants whose best overall response is either a Complete Response or a Partial Response according to Response Evaluation Criteria In Solid Tumors (RECIST v1.0) criteria over the the total number of evaluable participants. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by CT/MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.", or similar definition that is accurate and appropriate.
PFS is defined as the time from the date of randomization to the date of first documented tumor progression or death due to any cause, whichever occurs first. If a participant has not had a PFS event at the cut-off date for analysis or at the date when a further antineoplastic therapy (other than those planned as study treatment in the protocol) is started, PFS will be censored at the date of last evaluable tumor assessment before the cut-off or start of further antineoplastic therapy.
PFS is defined as the time from the date of randomization to the date of first documented tumor progression or death due to any cause, whichever occurs first. If a participant has not had a PFS event at the cut-off date for analysis or at the date when a further antineoplastic therapy (other than those planned as study treatment in the protocol) is started, PFS will be censored at the date of last evaluable tumor assessment before the cut-off or start of further antineoplastic therapy.
DLT: greater than or equal to (\>=) Grade 3 hematologic/non-hematologic toxicity, Grade 3-4 liver-related laboratory test elevation (alanine aminotransferase, aspartate aminotransferase) with Grade 2 elevation of total bilirubin, non-hematologic Grade 3 laboratory abnormality (required medical intervention to treat participant/led to hospitalization), inability to complete \>=75% of first 2 cycles doses of axitinib (from Cycle 1 Day 1 after completion of lead-in period) or 2 infusions of avelumab within DLT observation period due to investigational product related toxicity.
| Arm | Type | Description |
|---|---|---|
| Arm 1 | EXPERIMENTAL | Avelumab monotherapy as specified by sub-study protocol B9991001C |
| Arm 2 | EXPERIMENTAL | Avelumab in combination with CMP 001, Utomilumab or PF04518600 as specified by sub-study protocol B9991004C |
| Arm 3 | EXPERIMENTAL | Avelumab in combination with Loratanib as specified by sub-study protocol B9991005C |
| Arm 4 | EXPERIMENTAL | Avelumab monotherapy as specified by sub-study protocol B9991009C |
| Arm 5 | EXPERIMENTAL | Avelumab monotherapy or in combination with Pemetrexed as specified by sub-study protocol B9991023C |
| Arm 6 | EXPERIMENTAL | Avelumab in combination with Talazoparib as specified by sub-study B9991025C. |
| Arm 7 | EXPERIMENTAL | Avelumab in combination with Axitinib as specified by sub-study B9991027C. |
| Arm 8 | EXPERIMENTAL | Avelumab in combination with Talazoparib as specified by sub-study B9991032C. |
| Arm 9 | EXPERIMENTAL | Avelumab in combination with Axitinib as specified by sub-study protocol B9991003C |
| Arm A | EXPERIMENTAL | Avelumab plus Best Supportive Care (BSC) |
| Arm B | OTHER | Best Supportive Care (BSC) alone Following the planned interim analysis for this study, eligible patients in Arm B whose cancer has not worsened and are still in the "watch and wait" part of the study will be given the option to receive Avelumab plus BSC. Prior to this, Arm B patients received BSC alone. All patients who choose not to receive Avelumab will be discontinued. |
| Avelumab in combination with axitinib | EXPERIMENTAL | Avelumab administered at 10 mg/kg IV every two weeks in combination with axitinib, 5 mg PO BID. |
| Sunitinib | ACTIVE_COMPARATOR | Sunitinib given at 50 mg PO QD on schedule 4/2 |
| avelumab | EXPERIMENTAL | Arm A: avelumab alone |
| avelumab plus pegylated liposomal doxorubicin (PLD) | EXPERIMENTAL | Arm B: avelumab plus PLD |
| PLD | ACTIVE_COMPARATOR | Arm C: PLD alone |
| Endocrine Therapy | ACTIVE_COMPARATOR | Eligible patients with ER-positive breast cancer will undergo a biopsy and be randomized to receive endocrine therapy (ET) versus endocrine therapy with palbociclib (PET) in a 1:2 ratio. A 1:2 ratio means that twice as many participants will be assigned to the PET arm as compared to the ET arm. After 1 cycle (28 days) another biopsy will be obtained, and both arms will receive avelumab (A) for 3 additional cycles. Patients will then undergo breast surgery. |
| Endocrine Therapy with Palbociclib | ACTIVE_COMPARATOR | Eligible patients with ER-positive breast cancer will undergo a biopsy and be randomized to receive endocrine therapy (ET) versus endocrine therapy with palbociclib (PET) in a 1:2 ratio. A 1:2 ratio means that twice as many participants will be assigned to the PET arm as compared to the ET arm. After 1 cycle (28 days) another biopsy will be obtained, and both arms will receive avelumab (A) for 3 additional cycles. Patients will then undergo breast surgery. |
| PT-112 in combination with avelumab | EXPERIMENTAL | PT-112, administered by intravenous infusion avelumab, administered by intravenous infusion Patients with all listed conditions are eligible for treatment during the dose escalation phase of the study. Patients with NSCLC are eligible for the dose confirmation phase of the study. |
| Experimental 1 | EXPERIMENTAL | Avelumab (MSB0010718C) in combination with axitinib (AG-013736) |
| TG4001/Avelumab | EXPERIMENTAL | - |
| Dose finding phase and dose expansion phase. | EXPERIMENTAL | To test the maximum tolerated dose of avelumab (MSB0010718C) in combination with axitinib (AG-013736) |
| Name | Type | Description |
|---|---|---|
| Avelumab | DRUG | oral |
| Lorlatanib | DRUG | oral |
| Talazoparib | DRUG | oral |
| Pemetrexed | DRUG | IV (intravenous) infusion |
| Axitinib | DRUG | oral |
| CMP 001 | DRUG | IT (intratumoral) or SC (subcutaneous) |
| Utomilumab | DRUG | IV infusion |
| PF04518600 | DRUG | IV infusion |
| Best Supportive Care | OTHER | BSC will be administered as deemed appropriate by the treating physician, and could include treatment with antibiotics, nutritional support, correction of metabolic disorders, optimal symptom control and pain management (including palliative radiotherapy), etc. BSC does not include any active anti-tumor therapy, however local radiotherapy of isolated lesions with palliative intent is acceptable. |
| Following the planned interim analysis for this study: Avelumab | BIOLOGICAL | 1 hour intravenous infusion every 2 weeks (Q2W) in 4 week cycles |
| Avelumab (MSB0010718C) | DRUG | IV treatment Avelumab administered at 10 mg/kg IV every two weeks |
| Axitinib (AG-013736) | DRUG | Oral treatment Axitinib given 5 mg PO BID |
| Sunitinib | DRUG | Oral treatment Sunitinib given at 50 mg PO QD on schedule 4/2 |
| PLD | DRUG | PLD (Arm B, Arm C) 40 mg/m2 will be given as a 1 hour IV infusion every 4 weeks (Q4W) in 4 week cycles |
| Endocrine therapy | DRUG | The endocrine therapy given will depend on menopausal status. Premenopausal women will receive tamoxifen AND either Goserelin or Leuprolide: * Tamoxifen (20mg) will be given orally daily x 4 cycles. (Other Names: Nolvadex) * Goserelin (3.6mg) will be given subcutaneously (under the skin) on Day 1 of each cycle x 4 cycles. (Other Names: Zoladex) * Leuprolide (3.75mg) will be given intramuscularly (in the buttock, thigh, or upper arm) on Day 1 of each cycle x 4 cycles. (Other Names: Leuprorelin, Lupron, Eligard) Postmenopausal women will receive letrozole: \- Letrozole (2.5mg) will be given orally daily each cycle x 4 cycles. (Other Names: Femara) |
| Palbociclib | DRUG | Palbociclib (125 mg) will be given orally on days 1-21 of each cycle x 4 cycles. |
| Questionnaires | OTHER | To assess quality of life, patients will complete questionnaires at four time points. |
| PT-112 | DRUG | The RP2D of PT-112 when used in combination with avelumab has been determined during dose escalation and is being confirmed in the NSCLC dose confirmation cohort. For the NSCLC confirmation cohort, PT-112 will be administered at a dose of 360 mg/m2 on Days 1, 8 and 15. |
| TG4001 | BIOLOGICAL | PhIb: Dose escalation PhII: Established RP2D for TG4001 |
Inclusion Criteria: 1. Any participant who is receiving study treatment and deriving significant clinical benefit or is in the safety and/or survival follow-up period in a Pfizer-sponsored Avelumab Parent Study. 2. Participants must agree to follow the reproductive criteria. 3. Participants must be...
Avelumab is an investigational monoclonal antibody being studied in advanced malignancies, including non-small cell lung cancer, breast cancer, hepatocellular carcinoma, HPV-related carcinoma, and osteosarcoma. It is also being evaluated in ovarian, urothelial, and other solid tumors. The clinical program spans Phase 1 to Phase 3 trials in these cancer types.
Avelumab targets CD274, also known as PD-L1. By binding to this immune checkpoint protein, it is designed to interfere with PD-L1-mediated immune suppression. This mechanism is intended to restore T-cell activity against tumor cells. The target class is listed as OTHER in the available data.
Avelumab is developed by Pfizer, Inc., which trades under the ticker PFE. Pfizer sponsors the clinical trials for this monoclonal antibody across multiple cancer indications. The company is responsible for the ongoing development program.
Avelumab is in Phase 3 development. It is an investigational agent and has not been approved by the FDA for any indication. The clinical program includes Phase 1, Phase 2, and Phase 3 trials, with one active trial and two completed trials listed in the available data.
Avelumab is being studied in several clinical trials. NCT05059522 is a Phase 3 continued access study for participants deriving benefit from parent studies. NCT03573648 is a Phase 2 trial in estrogen receptor positive breast cancer. NCT03409458 is a completed Phase 1 trial in NSCLC, and NCT03289533 is a completed Phase 1 trial in hepatocellular carcinoma.
Yes, Avelumab is also known as MSB0010718C. MSB0010718C is an alternative designation used for the same monoclonal antibody. Both names refer to the same investigational drug developed by Pfizer.