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Non Small Cell Lung Cancer MetastaticPhase 1ARC-4NCT03846310

A Study to Evaluate Immunotherapy Combinations in Participants With Lung Cancer

A Phase 1 study testing Etrumadenant, Zimberelimab and Carboplatin in people with Non Small Cell Lung Cancer Metastatic and Non Small Cell Lung Cancer, run by Arcus Biosciences, Inc. at 22 sites in 4 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This is a Phase 1/1b, multicenter, open-label, dose-escalation and dose-expansion study to evaluate the safety, tolerability, pharmacokinetic (PK), pharmacodynamic, and clinical activity of etrumadenant (AB928) in combination with carboplatin and pemetrexed, with or without an anti-PD-1 antibody (pembrolizumab or… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Etrumadenant, Zimberelimab and Carboplatin
Could I receive a placebo?
No, everyone receives an active treatment
How many people
77 participants
Where
22 sitesin 4 countries
Study dates
1 Apr 2019to 18 Nov 2024
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female participants; age ≥ 18 years
  • Pathologically confirmed nonsquamous NSCLC that is metastatic, locally advanced, or recurrent with progression
  • Arm A participants must fulfill one of the following:
  • Participant has a genetic alteration (mutation or rearrangement) and has received all available targeted therapy. Previous treatment with chemotherapy or PD-1/-L1 therapy is not allowed.
  • Participant has not received any therapy for the disease under study and standard therapy is refused.
  • Participant has progressed on PD-1/-L1 therapy (monotherapy or combination regimen). Previous treatment with chemotherapy is not allowed.
Show all 19Show fewer
  • Participant has progressed on PD-1/-L1 therapy (monotherapy or combination regimen) and has received less than 4 cycles of carboplatin/pemetrexed and further chemotherapy is appropriate.
  • Participant has received any number of prior treatments and is without alternative or curative therapy.
  • Arm B participants must fulfill one of the following:
  • Participant has a genetic alteration (mutation or rearrangement) and has received all available targeted therapy. Previous treatment with chemotherapy or PD-1/-L1 therapy is not allowed.
  • Participant has not received any therapy for the disease under study and standard therapy is refused.
  • Participant has received any number of prior treatments and is without alternative or curative therapy.
  • Arm 1 and Arm 2 participants must have a sensitizing epidermal growth factor receptor (EGFR) mutation with disease progression or treatment intolerance after one or more approved TKIs. Previous treatment with chemotherapy or PD-1/L-1 therapy is not allowed.
  • No TKI therapy within 5 days of Cycle 1 Day 1
  • The last dose of previous investigational therapy is at least 4 weeks or 5 half-lives prior to Cycle 1 Day 1.
  • Must have at least 1 measurable lesion per Response Evaluation Criteria in Solid Tumors (RECIST v1.1)
  • Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1.
  • Confirm that an archival tissue sample is available and ≤ 24 months old; if not, a new biopsy of a tumor lesion should be obtained at screening
  • Adequate organ and marrow function

Who cannot join

  • Use of any live vaccines against infectious diseases within 4 weeks (28 days) of initiation of investigational product
  • Is pregnant or breastfeeding or expecting to conceive or father children within the projected duration of the study, starting with the pre-screening or screening visit through 30 days after the last dose of etrumadenant, 90 days after the last dose of zimberelimab or pembrolizumab, or 6 months after the last dose of pemetrexed, whichever is longer
  • Any active autoimmune disease or a documented history of autoimmune disease or syndrome that required systemic treatment in the past 2 years (ie, with use of disease-modifying agents, corticosteroids, or immunosuppressive drugs), except for vitiligo or resolved childhood asthma/atopy
  • Prior malignancy active within the previous 2 years except for locally curable cancers that have been apparently cured, such as basal or squamous cell skin cancer, superficial bladder cancer, or carcinoma in situ of the cervix, breast, or prostate cancer
  • Prior use of an adenosine pathway targeting agent
  • Due to potential for drug-drug interactions with etrumadenant, participants must not have had:
  • Treatment with breast cancer resistance protein substrates or P-glycoprotein with a narrow therapeutic window, administered orally within 4 weeks or 5 half-lives of the drug (whichever is longer) prior to initiation of study treatment.
  • Treatment with known strong cytochrome P450 3A4 (CYP3A4) inducers and strong CYP3A4 inhibitors within 4 weeks or 5 half-lives of the drug (whichever is longer) prior to initiation of study treatment

Trial locations and contacts

22 sites in 4 countries.

22 sites in 4 countries

United States8 sites
  • USO Texas Oncology - Dallas (Baylor Charles A. Sammons Cancer Center)

    Dallas, Texas, 75246

  • USO Virginia Cancer Specialist

    Fairfax, Virginia, 22031

  • SCRI Florida Cancer Specialists - South

    Fort Myers, Florida, 33901

  • SCRI Tennessee Oncology - Nashville

    Nashville, Tennessee, 37203

  • USO Virginia Oncology Associates

    Norfolk, Virginia, 23502

  • Medical Oncology Associates/Summit Cancer Center

    Spokane, Washington, 99208

  • SCRI Florida Cancer Specialists - North

    Tavares, Florida, 33705

  • Arizona Cancer Research Center (ACRC)

    Tucson, Arizona, 85715

Other trials in United States

South Korea7 sites
  • Chungbuk National University Hospital

    Cheongju-si, 28644

  • Bundang CHA Medical Center

    Seongnam-si, 13496

  • Severance Hospital, Yonsei University Health System

    Seoul, 3722

  • Asan Medical Centre

    Seoul, 5505

  • Seoul St. Mary's Hospital

    Seoul, 6591

  • The Catholic University of Korea St. Vincent Hospital

    Suwon, Gyeonggi-do, 16247

  • Seoul National University Hospital

    Suwon, 3080

Other trials in South Korea

Taiwan5 sites
  • Changhua Christian Hospital

    Changhua, 500

  • Taipei Medical University - Shuang Ho Hospital

    New Taipei City, 23561

  • Chi Mei Hospital, Liouying

    Tainan, 73657

  • National Taiwan University Hospital

    Taipei, 10002

  • Tri Service General Hospital

    Taipei, 11490

Other trials in Taiwan

Singapore2 sites
  • National University Hospital

    Singapore, 119228

  • National Cancer Centre Singapore

    Singapore, 169610

Other trials in Singapore

About this study

Official title: A Phase 1/1b Study to Evaluate the Safety and Tolerability of Immunotherapy Combinations in Participants With Lung Cancer

This is a Phase 1/1b, multicenter, open-label, dose-escalation and dose-expansion study to evaluate the safety, tolerability, pharmacokinetic (PK), pharmacodynamic, and clinical activity of etrumadenant (AB928) in combination with carboplatin and pemetrexed, with or without an anti-PD-1 antibody (pembrolizumab or zimberelimab), in participants with non-squamous Non-Small Cell Lung Cancer (NSCLC).

Read the detailed description

In the dose-escalation phase, escalating doses of etrumadenant in combination with carboplatin and pemetrexed at standard doses (Arm A), and etrumadenant in combination with carboplatin, pemetrexed and pembrolizumab (Arm B), may be assessed in participants with advanced NSCLC. Eligible participants will receive oral administration of etrumadenant as well as IV infused carboplatin, pemetrexed, with or without pembrolizumab in this phase. The recommended dose for expansion (RDE) of etrumadenant will be determined upon completion of the dose-escalation phase.

In the dose-expansion phase, zimberelimab in combination with carboplatin and pemetrexed (Arm 1), and etrumadenant at RDE in combination with carboplatin, pemetrexed, and zimberelimab (Arm 2) may be assessed in eligible NSCLC participants who harbor an EGFR mutation and have progressed on EGFR Tyrosine Kinase Inhibitor (TKI) treatment(s).

Overall duration of treatment will depend on how well the treatment is tolerated.

Treatment may continue until unacceptable toxicity or progressive disease or other reasons specified in the protocol.

Being tested
Etrumadenant, Zimberelimab, Carboplatin, Pemetrexed, Pembrolizumab
Medical subject headings
Carcinoma, Non-Small-Cell Lung

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • EtrumadenantDrug

    Also called AB928

    Etrumadenant is an A2aR and A2bR antagonist

  • ZimberelimabDrug

    Also called AB122

    Zimberelimab is a fully human anti-PD-1 monoclonal antibody

  • CarboplatinDrug

    Carboplatin administered as part of standard chemotherapy regimen

  • PemetrexedDrug

    Pemetrexed administered as part of standard chemotherapy regimen

  • PembrolizumabDrug

    Pembrolizumab is a humanized anti-PD-1 monoclonal antibody

Study groups in NCT03846310
Study groupRoleWhat they receive
Dose Escalation Arm AExperimentalDose escalation is a 3+3 design, including a Dose Limiting Toxicity (DLT) evaluation period. The RDE of etrumadenant will be determined in this part with escalating doses of etrumadenant in combination with standard doses of carboplatin/pemetrexed chemotherapy regimen in participants with Non-Small Cell Lung Cancer.
Receives: Drug: Etrumadenant; Drug: Carboplatin; Drug: Pemetrexed
Dose Escalation Arm BExperimentalDose escalation is a 3+3 design, including a Dose Limiting Toxicity (DLT) evaluation period. The RDE of etrumadenant will be determined in this part with escalating doses of etrumadenant in combination with standard doses of carboplatin/pemetrexed chemotherapy regimen and pembrolizumab in participants with Non-Small Cell Lung Cancer.
Receives: Drug: Etrumadenant; Drug: Carboplatin; Drug: Pemetrexed; Drug: Pembrolizumab
Dose Expansion Arm 1ExperimentalZimberelimab will be administered in combination with standard carboplatin and pemetrexed chemotherapy regimen in participants with Non-Small Cell Lung Cancer harboring a sensitizing EGFR mutation.
Receives: Drug: Zimberelimab; Drug: Carboplatin; Drug: Pemetrexed
Dose Expansion Arm 2ExperimentalThe etrumadenant at RDE determined from the dose escalation phase will be administered in combination with standard carboplatin and pemetrexed chemotherapy regimen and zimberelimab in participants with Non-Small Cell Lung Cancer harboring a sensitizing EGFR mutation.
Receives: Drug: Etrumadenant; Drug: Zimberelimab; Drug: Carboplatin; Drug: Pemetrexed

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of participants with Adverse Events

    Measured: From first study treatment administration until up to 90 days after the last dose (Approximately 1 year)

  2. Percentage of participants who experience a Dose Limiting Toxicity

    Measured: From first study treatment administration through Day 21

Secondary outcomes (7)
  1. Percentage of participants with anti-drug antibodies to zimberelimab

    Measured: Recorded at baseline (screening), during the first 4 cycles of treatment (4 months) and 30 days post last dose (i.e. in total approximately 5 months).

  2. Plasma concentration of etrumadenant

    Measured: Recorded at baseline (screening), during the first 4 cycles of treatment (4 months) and 30 days post last dose (i.e. in total approximately 5 months).

  3. Serum concentration of zimberelimab

    Measured: Recorded at baseline (screening), during the first 4 cycles of treatment (4 months) and 30 days post last dose (i.e. in total approximately 5 months).

  4. Progression Free Survival (PFS)

    Measured: From start of treatment up to the first occurrence of progressive disease or death from any cause, whichever occurs first (up to approximately 3-5 years)

  5. Duration of Response

    Measured: From the date of first occurrence of a documented objective response to first documentation of disease progression or death from any cause, whichever occurs first (up to approximately 3-5 years)

  6. Percentage of Participants with Disease Control (complete response, partial response, or stable disease) for >6 months

    Measured: From study enrollment until disease progression or loss of clinical benefit (up to approximately 3-5 years)

  7. Percentage of participants with Objective Response

    Measured: From study enrollment until participant discontinuation, first occurrence of progressive disease, or death from any cause, whichever occurs first (up to approximately 3-5 years)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Feb 2019
  2. Study start1 Apr 2019
  3. Primary completion18 Nov 2024
  4. Study completion18 Nov 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Model description
3+3 dose escalation
Masking
None (open label)
Enrolment
77 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03846310
Sponsor's protocol ID
ARC-4 (AB928CSP0004)
Acronym
ARC-4
Status last verified
May 2024
First submitted
14 Feb 2019
Last updated
9 Dec 2024
Results posted
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Arcus will provide access to individual de-identified participant data and related study documents (e.g., protocol, Statistical Analysis Plan \[SAP\], Clinical Study Report \[CSR\]) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. For more information, please visit our website.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Etrumadenant, Zimberelimab and Carboplatin in people with Non Small Cell Lung Cancer Metastatic and Non Small Cell Lung Cancer, run by Arcus Biosciences, Inc. at 22 sites in 4 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 19 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 9 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 22 sites in United States, South Korea, Taiwan, Singapore. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of participants with Adverse Events (time frame: From first study treatment administration until up to 90 days after the last dose (Approximately 1 year)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Dec 2024.

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