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Non-small Cell Lung CarcinomaPhase 1NCT04000529

Phase Ib Study of TNO155 in Combination With Spartalizumab or Ribociclib in Selected Malignancies

A Phase 1 study testing TNO155, Spartalizumab and Ribociclib in people with Non-small Cell Lung Carcinoma and Head and Neck Squamous Cell Carcinoma, run by Novartis Pharmaceuticals at 10 sites in 9 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
Search all trials

Trial summary

This study was a Phase Ib, multi-center, open-label study of TNO155 in combination with spartalizumab or ribociclib with a dose escalation part followed by a dose expansion part in adult subjects with advanced solid tumors. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
TNO155, Spartalizumab and Ribociclib
Could I receive a placebo?
No, everyone receives an active treatment
How many people
122 participants
Where
10 sitesin 9 countries
Study dates
30 Jul 2019to 15 Jan 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

  • Signed informed consent must be obtained prior to participation in the study.
  • Age ≥ 18 years. For Japan only: written consent is necessary both from the patient and his/her legal representative if he/she is under the age of 20 years.
  • ECOG (Eastern Cooperative Oncology Group) performance status ≤ 1.
  • Dose escalation part: Patients with advanced solid tumors, with evaluable disease as determined by RECIST version 1.1, and fit into one of the following groups:
  • For TNO155 plus spartalizumab combination: i. Advanced EGFR WT, ALK WT NSCLC, after progression on or intolerance to platinum-containing combination chemotherapy and after progression on anti-PD-1 or anti-PD-L1 therapy.
  • Advanced HNSCC or esophageal SCC, after progression on or intolerance to platinum-containing combination chemotherapy.
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  • Advanced CRC, after progression on or intolerance to all standard-of-care (SOC) therapy per local guidelines.
  • For TNO155 plus ribociclib combination: Advanced solid malignancies with the exception of CRC or GIST, after progression on or intolerance to all SOC therapy per local guidelines. The exclusion of CRC applies only as of Protocol Amendment 4.
  • Dose expansion part: Patients with advanced solid tumors, with at least one measurable lesion as determined by RECIST version 1.1, who fit into one of the following groups:
  • For TNO155 plus spartalizumab combination: i. Advanced EGFR WT, ALK WT, KRAS G12C NSCLC after progression on or intolerance to platinum-containing combination chemotherapy and after progression on anti-PD-1 or anti-PD-L1 therapy.
  • Advanced EGFR WT, ALK WT, KRAS WT NSCLC, after progression on or intolerance to platinum-containing combination chemotherapy and after progression on anti-PD-1 or anti-PD-L1 therapy.
  • Advanced HNSCC, after progression on or intolerance to, platinum-containing combination chemotherapy.
  • For TNO155 plus ribociclib combination: i. Advanced EGFR WT, ALK WT, KRAS WT NSCLC, after progression on or intolerance to platinum-containing chemotherapy and anti-PD-1 or anti-PD-L1 therapy ii. Advanced HNSCC, after progression on or intolerance to all SOC per local guidelines
  • Patients with NSCLC whose tumors harbor genomic aberrations for which SOC targeted therapies exist and are locally approved and available must have had progression on or after, or intolerance to, the SOC targeted therapy/therapies as indicated
  • Patients must have a site of disease amenable to biopsy

Who cannot join

  • Prior treatment with a MAPK pathway inhibitor
  • Clinically significant cardiac disease or risk factors
  • Use of any agent known to prolong the QT interval unless it can be permanently discontinued for the duration of study (see list in Section 6.2.2).
  • History or current evidence of retinal vein occlusion (RVO) or current risk factors for RVO
  • Inflammatory bowel disease (e.g., ulcerative colitis, Crohn's disease) or impairment of gastrointestinal (GI) function or GI disease that may significantly alter the absorption of study drugs
  • Symptomatic CNS metastases which are neurologically unstable
Show all 33Show fewer
  • Insufficient bone marrow function at screening:
  • Absolute Neutrophil Count (ANC) < 1.5 x 109/L.
  • Hemoglobin < 9.0 g/dL.
  • Platelets < 75 x 109/L for TNO155 plus spartalizumab combination; < 100 x 109/L for TNO155 plus ribociclib combination.
  • Insufficient hepatic or renal function at screening:
  • Serum total bilirubin > upper limit of normal (ULN) or, for TNO155 plus spartalizumab combination only, if liver metastases are present at baseline, serum total bilirubin > 1.5 x ULN. An exception for either combination is for patients with Gilbert's syndrome, who are excluded if total bilirubin > 3.0 x ULN or direct bilirubin > 1.5 x ULN
  • Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) > 3 x ULN for TNO155 plus spartalizumab combination or > 2.5 x ULN for TNO155 plus ribociclib combination, or > 5 x ULN for either combination if liver metastases are present.
  • Creatinine clearance < 60 mL/min (calculated using Cockcroft-Gault equation).
  • Pregnant or breast-feeding (lactating) women.
  • Additional exclusion criteria for the TNO155 plus spartalizumab combination
  • History of severe hypersensitivity reactions to other mAbs.
  • Active, known or suspected autoimmune disease.
  • History of or current interstitial lung disease or pneumonitis grade ≥ 2.
  • Human Immunodeficiency Virus (HIV) infection, unless the patient is on antiviral therapy and has undetectable viral load.
  • Active hepatitis B virus (HBV) or hepatitis C virus (HCV) infection.
  • Systemic chronic steroid therapy
  • Patients who discontinued prior anti-PD-1 therapy due to an anti-PD-1-related toxicity.
  • Additional exclusion criteria for the TNO155 plus ribociclib combination
  • Systolic Blood Pressure (SBP) < 90 mmHg.
  • International Normalized Ratio (INR) > 1.5 (unless the patient is receiving anticoagulants and the INR is within the therapeutic range of intended use for that anticoagulant within seven days prior to the first dose of study drug).
  • History of HIV infection (testing not mandatory)
  • Currently receiving any of the following substances and cannot be discontinued seven days prior to Cycle 1 Day 1:
  • Concomitant medications or herbal supplements, that are strong inducers or inhibitors of CYP3A4/5,
  • Medications that have a narrow therapeutic window and are predominantly metabolized through CYP3A4/5.
  • Previous treatment with a CDK4/6 inhibitor.
  • Patient is currently receiving or has received systemic corticosteroids ≤ 2 weeks prior to starting study drug, or who have not fully recovered from side effects of such treatment.
  • Note: The following uses of corticosteroids are permitted: single doses, topical applications (e.g., for rash), inhaled sprays (e.g., for obstructive airways diseases), eye drops or local injections (e.g., intra-articular).

Trial locations and contacts

10 sites in 9 countries.

10 sites in 9 countries

Spain2 sites
  • Novartis Investigative Site

    Barcelona, Catalonia, 08035

  • Novartis Investigative Site

    Valencia, Valencia, 46010

Other trials in Spain

United States1 site
  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

Other trials in United States

Australia1 site
  • Novartis Investigative Site

    Westmead, New South Wales, 2145

Other trials in Australia

Belgium1 site
  • Novartis Investigative Site

    Brussels, 1200

Other trials in Belgium

China1 site
  • Novartis Investigative Site

    Chengdu, Sichuan, 610041

Other trials in China

Germany1 site
  • Novartis Investigative Site

    Cologne, 50937

Other trials in Germany

Hong Kong1 site
  • Novartis Investigative Site

    Hong Kong

Other trials in Hong Kong

Japan1 site
  • Novartis Investigative Site

    Chuo Ku, Tokyo, 104 0045

Other trials in Japan

Singapore1 site
  • Novartis Investigative Site

    Singapore, 119228

Other trials in Singapore

About this study

Official title: A Phase Ib, Open-label, Multi-center Study to Characterize the Safety, Tolerability, and Preliminary Efficacy of TNO155 in Combination With Spartalizumab or Ribociclib in Selected Malignancies

This study was a Phase Ib, multi-center, open-label study of TNO155 in combination with spartalizumab or ribociclib with a dose escalation part followed by a dose expansion part in adult subjects with advanced solid tumors.

These two treatment arms enrolled subjects in parallel to characterize the safety, tolerability, PK, PD and preliminary antitumor activity.

The study treatment was administered until the subject experienced unacceptable toxicity, progressive disease, and/or had treatment discontinued at the discretion of the Investigator or the subject, or due to withdrawal of consent.

Read the detailed description

Rationale The purpose of this study was to evaluate the safety, tolerability, and preliminary efficacy of the combination of TNO155 with spartalizumab and of TNO155 with ribociclib, and to identify dosing regimens for further study. Data from preclinical models have demonstrated anti-tumor activity for the combinations of TNO155 with spartalizumab and of TNO155 with ribociclib that is superior to the activity observed with each of the drugs as single agents. These data suggest that these combinations may provide clinical benefit to patients with advanced malignancies.

Study Design This study was a Phase Ib, multi-center, open-label study with a dose escalation part followed by a dose expansion part in adult subjects with advanced solid tumors to characterize the safety and tolerability TNO155 in combination with spartalizumab and of TNO155 in combination with ribociclib and to identify the MTD and/or recommended regimen (dose and schedule) for each combination. The study treatment was administered until the subject experienced unacceptable toxicity, progressive disease, and/or had treatment discontinued at the discretion of the Investigator or the subject, or due to withdrawal of consent.

Objectives

Primary objective:

To characterize the safety and tolerability TNO155 in combination with spartalizumab and of TNO155 in combination with ribociclib, and to identify the MTD and/or recommended regimen (dose and schedule) for each combination.

Secondary objectives:

  • To characterize the pharmacokinetic (PK) profile of TNO155, spartalizumab and ribociclib when administered as a combination of TNO155 plus spartalizumab or of TNO155 plus ribociclib.
  • To evaluate the preliminary anti-tumor activity of TNO155 in combination with spartalizumab and of TNO155 in combination with ribociclib.
Being tested
TNO155, Spartalizumab, Ribociclib
Keywords
TNO155, spartalizumab, ribociclib, checkpoint inhibitor, SHP2, PD-1, CDK4/6, NSCLC, CRC, HNSCC, KRAS, esophageal SCC, GIST
Medical subject headings
Carcinoma, Non-Small-Cell Lung, Squamous Cell Carcinoma of Head and Neck, Esophageal Squamous Cell Carcinoma, Gastrointestinal Stromal Tumors, Colorectal Neoplasms, Parkinson Disease 4, Autosomal Dominant Lewy Body

What participants receive

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

  • TNO155Drug

    Capsule

  • SpartalizumabDrug

    Also called PDR001

    Concentrate for solution for infusion

  • RibociclibDrug

    Also called LEE011

    Capsule and tablet

Study groups in NCT04000529
Study groupRoleWhat they receive
TNO155 in combination with spartalizumabExperimentalTNO155 in combination with spartalizumab
Receives: Drug: TNO155; Drug: Spartalizumab
TNO155 in combination with ribociclibExperimentalTNO155 in combination with ribociclib
Receives: Drug: TNO155; Drug: Ribociclib

What is being measured

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

  1. DLT incidence

    Incidence of dose limiting toxicities (DLTs) during the first cycle of combination treatment during the dose escalation part

    Measured: 1 year

  2. AE and SAE incidence

    Incidence and severity of adverse events (AEs) and serious adverse events (SAEs) as per CTCAE v5.0, by treatment

    Measured: 3 years

  3. Dose interruptions, reductions and dose intensity, by treatment

    Dose tolerability

    Measured: 3 years

Secondary outcomes (13)
  1. Pharmacokinetics (PK): Cmax

    Cmax for TNO155, spartalizumab, and ribociclib

    Measured: 3 years

  2. Pharmacokinetics (PK): Tmax

    Tmax for TNO155, spartalizumab, and ribociclib

    Measured: 3 years

  3. Pharmacokinetics (PK): AUClast

    AUClast for TNO155, spartalizumab, and ribociclib

    Measured: 3 years

  4. Pharmacokinetics (PK): AUCtau

    AUCtau for TNO155, spartalizumab, and ribociclib

    Measured: 3 years

  5. Efficacy measurements per RECIST v1.1: ORR

    Overall response rate (ORR) per RECIST v1.1, by treatment

    Measured: 3 years

  6. Efficacy measurements per RECIST v1.1: DCR

    Disease control rate (DCR) per RECIST v1.1, by treatment

    Measured: 3 years

  7. Efficacy measurements per RECIST v1.1: PFS

    Progression-free survival (PFS) per RECIST v1.1, by treatment

    Measured: 3 years

  8. Efficacy measurements per RECIST v1.1: DOR

    Duration of response (DOR) per RECIST v1.1, by treatment

    Measured: 3 years

  9. Efficacy measurements per iRECIST: ORR

    Overall response rate (ORR) per iRECIST for TNO155 in combination with spartalizumab

    Measured: 3 years

  10. Efficacy measurements per iRECIST: DCR

    Disease control rate (DCR) per iRECIST for TNO155 in combination with spartalizumab

    Measured: 3 years

  11. Efficacy measurements per iRECIST: PFS

    Progression-free survival (PFS) per iRECIST for TNO155 in combination with spartalizumab

    Measured: 3 years

  12. Efficacy measurements per iRECIST: DOR

    Duration of response (DOR) per iRECIST for TNO155 in combination with spartalizumab

    Measured: 3 years

  13. Overall Survival

    Overall survival (OS) by treatment

    Measured: 3 years

Timeline

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

  1. First posted27 Jun 2019
  2. Study start30 Jul 2019
  3. Primary completion15 Jan 2024
  4. Study completion15 Jan 2024

Why it stopped: Business reasons

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
Parallel groups
Masking
None (open label)
Enrolment
122 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04000529
Sponsor's protocol ID
CTNO155B12101
Status last verified
Sep 2025
First submitted
24 Jun 2019
Last updated
30 Sep 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Chen H, Cresswell GM, Libring S, Ayers MG, Miao J, Zhang ZY, Solorio L, Ratliff TL, Wendt MK. Tumor Cell-Autonomous SHP2 Contributes to Immune Suppression in Metastatic Breast Cancer. Cancer Res Commun. 2022 Oct 3;2(10):1104-1118. doi: 10.1158/2767-9764.CRC-22-0117. eCollection 2022 Oct.

    PubMed 36969745

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing TNO155, Spartalizumab and Ribociclib in people with Non-small Cell Lung Carcinoma and Head and Neck Squamous Cell Carcinoma, run by Novartis Pharmaceuticals at 10 sites in 9 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 15 inclusion and 33 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: stopped early, as of the sponsor's last update on 30 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 10 sites in Spain, United States, Australia, Belgium, China and 4 more countries. 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 was stopped early (reason given: Business reasons). Results are not available in the source record.

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?

DLT incidence (time frame: 1 year). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04000529, which also lists 1 linked publication.

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 30 Sep 2025.

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