Study of Novel Immunomodulators as Monotherapy and in Combination With Anticancer Agents in Participants With Advanced Hepatobiliary Cancer

Phase
Recruitment status
Active, not recruiting
Participants
Lead sponsor
Start date
Number of sites

Summary
GEMINI-Hepatobiliary study will assess the efficacy, safety and tolerability of novel immunomodulators alone and in combination with other anticancer drugs in participants with specified advanced solid tumors.
Short title
Study of Novel Immunomodulators as Monotherapy and in Combination With Anticancer Agents in Participants With Advanced Hepatobiliary Cancer
Official title
A Phase II, Open-Label, Multi-Drug, Multi-Center, Master Protocol to Evaluate the Efficacy and Safety of Novel Immunomodulators as Monotherapy and in Combination With Anticancer Agents in Participants With Advanced Hepatobiliary Cancer (GEMINI-Hepatobiliary)

Control arm
Registry reports results
Listing at source
Recruitment status
Active, not recruiting
Phase
Study type
Interventional

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

Participants
Participant count basis
Planned participants
Protocol amendments
Number of sites

Data monitoring committee
Registry sponsor category
Lead sponsor
Source registry
ClinicalTrials.gov

Registry ID
ClinicalTrials.gov ID
Registry record
Open registry record

Allocation
Not randomised
Model
Single group
Purpose
Treatment
Masking
No masking
Sources for study design

  1. Objective response rate (ORR)

    Timeframe: Through study completion, an average of 2 years

    ORR is defined as the proportion of participants who have a confirmed CR (complete response) or confirmed PR (partial response), determined by the Investigator at local site per RECIST 1.1 (For HCC sub-study 1)

  2. The number of participants with adverse events/serious adverse events

    Timeframe: Through study completion, an average of 2 years

    Number of participants with adverse events and with serious adverse events including abnormal clinical observations, abnormal Electrocardiogram (ECG) parameters, abnormal laboratory assessments and abnormal vital signs that changed from baseline.

  3. Progression free survival (PFS)

    Timeframe: Through study completion, an average of 2 years

    PFS is defined as the time from the start of studyintervention until progression per RECIST 1.1 as assessed by the Investigator at the local site or death due to any cause in the absence of progression, whichever occurs first. (For BTC sub-study 2)

  1. Duration Of Response (DOR)

    Timeframe: Through study completion, an average of 2 years

    DoR is defined as the time from the date of first documented confirmed response until date of documented progression per RECIST 1.1 by the Investigator at local site or death due to any cause in the absence of disease progression, whichever occurs first.

  2. Disease Control Rate (DCR)

    Timeframe: At 12 and 24 weeks

    DCR at 12 and 24 weeks is defined as the percentage of participants who have a Complete response (CR) or Partial response (PR) in the first 13 and 25 weeks or who have Stable disease (SD) for at least 11 and 23 weeks after the date of first dose respectively, per RECIST 1.1 as assessed by the investigator at local site and derived from the raw tumour data.

  3. Progression free survival (PFS)

    Timeframe: Through study completion, an average of 2 years

    PFS is defined as the time from the start of study intervention until progression per RECIST 1.1 as assessed by the Investigator at the local site or death due to any cause in the absence of progression, whichever occurs first.

  4. Overall Survival (OS)

    Timeframe: Through study completion, an average of 2 years

    OS is defined as the time from the start of study intervention until the date of death due to any cause, whichever occurs first.

  5. Anti Drug Antibody (ADA)

    Timeframe: Through study completion, an average of 2 years

    Incidences of ADAs against novel immunomodulators in serum.

  6. Pharmacokinetics of novel immunomodulators: Maximum plasma concentration of the study drug (Cmax)

    Timeframe: From the first dose of study intervention, at predefined intervals throughout the administration of novel immunomodulators ( approx 2 years )

    Maximum observed plasma concentration of the study drug

  7. Pharmacokinetics of novel immunomodulators: Time to maximum plasma concentration of the study drug (T-max)

    Timeframe: From the first dose of study intervention, at predefined intervals throughout the administration of novel immunomodulators ( approx 2 years )

    Time to maximum observed plasma concentration of the study drug

  8. lmmunogenicity of novel immunomodulators

    Timeframe: From the first dose of study intervention, at predefined intervals throughout the administration of novel immunomodulators ( approx 2 years)

    The number and percentage of participants who develop ADAs.

  9. Objective response rate (ORR)

    Timeframe: Through study completion, an average of 2 years

    ORR is defined as the proportion of participants who have a confirmed CR (complete response) or confirmed PR (partial response), determined by the Investigator at local site per RECIST 1.1

Sources for outcomes

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

  • Age ≥18 years at the time of signing the ICF.
  • Provision of a signed and dated written ICF.
  • Confirmed locally advanced or metastatic solid tumor specified in substudy based on histopathology.
  • Adequate organ and bone marrow function.
  • At least 1 measurable not previously irradiated lesion per RECIST 1.1
  • Life expectancy of at least 12 weeks at the time of screening.
  • Willing and able to provide an adequate tumor sample.

  • History of allogeneic organ transplantation.
  • Active or prior documented autoimmune or inflammatory disorders.
  • Uncontrolled intercurrent illness.
  • History of another primary malignancy, leptomeningeal carcinomatosis, and active primary immunodeficiency.
  • Active infection, brain metastases or spinal cord compression.
  • Participants co-infected with HBV and hepatitis D virus (HDV).
  • Previous treatment in the present study.
  • For substudy 1, history of hepatic encephalopathy within 12 months prior to treatment allocation.
Sources for eligibility

  • Research SiteBirmingham, United States
  • Research SiteLos Angeles, United States
  • Research SiteOrange, United States
  • Research SiteKansas City, United States
  • Research SiteNew York, United States
  • Research SiteBeijing, China
  • Research SiteBeijing, China
  • Research SiteBeijing, China
  • Research SiteChengdu, China
  • Research SiteChengdu, China
  • Research SiteChongqing, China
  • Research SiteFuzhou, China
  • Research SiteGuangzhou, China
  • Research SiteGuangzhou, China
  • Research SiteHarbin, China
  • Research SiteNanning, China
  • Research SiteShanghai, China
  • Research SiteHong Kong, Hong Kong
  • Research SiteShatin, Hong Kong
  • Research SiteFlorence, Italy
  • Research SiteMilan, Italy
  • Research SiteNaples, Italy
  • Research SiteRozzano, Italy
  • Research SiteChūōku, Japan
  • Research SiteKashiwa, Japan

And 21 more, listed on the interactive page.

Sources for sites

Related records

Drugs (6)

Lead sponsors (1)

Conditions (3)

Targets (18)