Pharmacokinetics, Safety, and Immunogenicity of Bmab1800 and Keytruda® as Adjuvant Monotherapy in Patients With Melanoma

Phase
Recruitment status
Participants
Lead sponsor
Biocon Biologics UK PLC
Start date
Number of sites

Summary
The purpose of the study is to evaluate the pharmacokinetic (PK) equivalence of Bmab1800 as compared with reference product Keytruda® in a randomized, double-blind, two-arm, parallel comparative, multi-center study in patients with resected melanoma (Stage IIB, or Stage IIC, or Stage III) as an adjuvant treatment. This study also compares the safety and immunogenicity of Bmab1800 and Keytruda.
Short title
Pharmacokinetics, Safety, and Immunogenicity of Bmab1800 and Keytruda® as Adjuvant Monotherapy in Patients With Melanoma
Official title
A Randomized, Double-blind, Two-arm, Parallel Comparative Multi-center Study to Assess and Compare the Pharmacokinetics, Safety, and Immunogenicity of Bmab1800 and Keytruda® as Adjuvant Monotherapy in Patients With Melanoma

Control arm
Active comparator
Registry reports results
Listing at source
Recruitment status
Phase
Study type
Interventional

Completion date
First posted
Registry last updated
Primary completion date
Start date

Participants
Participant count basis
Planned participants
Protocol amendments
Randomisation ratio
Number of sites

Data monitoring committee
Registry sponsor category
Lead sponsor
Biocon Biologics UK PLC
Source registry
ClinicalTrials.gov

Registry ID
ClinicalTrials.gov ID
Registry record
Open registry record

Allocation
Randomised
Model
Parallel groups
Purpose
Treatment
Masking
Double masking
Masking description
Double (Participant, Investigator)
Masked roles
Participants, Investigators
Sources for study design

  1. Time Curve from Time 0 to 21 Days (AUC₀-₂₁days)

    Timeframe: Week 0 to Week 3

    Assessed to compare pharmacokinetics of Bmab1800 and Keytruda®

  2. Time Curve Over the Dosing Interval at Steady State (AUCτ)

    Timeframe: Assessed to demonstrate steady-state PK equivalence

    Cycle 7 (Week 18 to Week 21)

  1. Cmax

    Timeframe: From first dose through Week 24 (DB-TP)

  2. tmax

    Timeframe: From first dose through Week 24 (DB-TP)

  3. Cmax,ss

    Timeframe: From first dose through Week 24 (DB-TP)

  4. tmax,ss

    Timeframe: From first dose through Week 24 (DB-TP)

  5. Ctrough

    Timeframe: From first dose through Week 24 (DB-TP)

  6. Incidence and severity of adverse events and serious adverse events

    Timeframe: From first dose through Week 24 (DB-TP)

    Assessed by incidence and severity of adverse events and serious adverse events

  7. Immunogenicity

    Timeframe: From first dose through Week 24 (DB-TP)

    Assessed by incidence of anti-drug antibodies

Sources for outcomes

Sex
All
Age groups
Adults, Older adults
Minimum age
18 Years
Maximum age
99 Years
Healthy volunteers
No

  • Male or female patients aged ≥18 years (or legal adult age per local regulations)
  • ECOG Performance Status of 0 or 1 at screening and prior to randomization.
  • Histologically confirmed melanoma that is completely surgically resected with negative margins (per local standard), classified as: Stage IIB, IIC, or Stage III melanoma per AJCC Cancer Staging Manual, 8th edition.
  • Patients must have undergone definitive melanoma resection ≥28 days prior to signing informed consent, and randomization must occur within 12 weeks after surgery.
  • All patients must have disease-free status (ie, no evidence of locoregional recurrence or distant metastasis); no clinical evidence of brain metastases.

  • History of ocular/uveal and mucosal melanoma.
  • Active autoimmune disease that has necessitated chronic systemic treatment within 2 years before the first study treatment
  • Active, known, or suspected autoimmune disease that has required systemic treatment in past 2 years.
  • Prior malignancy active within the previous 3 years, except for early-stage cancers (carcinoma in situ or Stage 1) treated with curative intent, basal cell carcinoma of the skin, squamous cell carcinoma of the skin, in situ cervical cancer, in situ prostate cancer, or in situ breast cancer that has undergone potentially curative therapy.
  • Prior therapy with anti-PD-1 (including pembrolizumab), anti PD-L1, anti PD L2, anti CD137, or anti-CTLA-4 antibody (including ipilimumab or any other antibody) or agents that target interleukin-2 (IL-2) pathway any other antibody or drug specifically targeting T cell co-stimulation or checkpoint pathways.
  • Requirement for systemic treatment corticosteroids (>10 mg daily prednisone or equivalent) or other immunosuppressive medications within 14 days of randomization. Inhaled or topical steroids, and adrenal replacement steroid doses > 10 mg daily prednisone or equivalent, are permitted in the absence of active autoimmune disease.
  • History of ocular/uveal and mucosal melanoma.
  • Active autoimmune disease that has necessitated chronic systemic treatment within 2 years before the first study treatment
  • Active, known, or suspected autoimmune disease that has required systemic treatment in past 2 years.
  • Prior malignancy active within the previous 3 years, except for early-stage cancers (carcinoma in situ or Stage 1) treated with curative intent, basal cell carcinoma of the skin, squamous cell carcinoma of the skin, in situ cervical cancer, in situ prostate cancer, or in situ breast cancer that has undergone potentially curative therapy.
  • Prior therapy with anti-PD-1 (including pembrolizumab), anti PD-L1, anti PD L2, anti CD137, or anti-CTLA-4 antibody (including ipilimumab or any other antibody) or agents that target interleukin-2 (IL-2) pathway any other antibody or drug specifically targeting T cell co-stimulation or checkpoint pathways.
  • Requirement for systemic treatment corticosteroids (>10 mg daily prednisone or equivalent) or other immunosuppressive medications within 14 days of randomization. Inhaled or topical steroids, and adrenal replacement steroid doses > 10 mg daily prednisone or equivalent, are permitted in the absence of active autoimmune disease.
  • Receipt of treatment directed against the resected melanoma (eg, chemotherapy, targeted agents, biotherapy, or limb perfusion) administered after the complete resection.
  • History of allergy or hypersensitivity to pembrolizumab or its excipients.
  • History of severe hypersensitivity reaction (Grade ≥3) to any monoclonal antibody.
  • Received prior anticancer therapy including mAb, chemotherapy, or an investigational agent or device within 5 half-lives before first dose of study intervention or not recovered (ie, > Grade 1 or at baseline) from AEs due to previously administered agents at screening and before randomization.
  • Patients with ≤ Grade 2 neuropathy are an exception and may qualify for the study.
  • Received a live vaccine within 30 days prior to the first dose of study intervention.
Sources for eligibility

  • Hospital de Cancer de BarretosBarretos, BrazilRecruiting
Sources for sites

Related records

Drugs (1)

Lead sponsors (1)

Conditions (1)

Targets (1)