Evolving development of PD-1 therapy: Cetrelimab (JNJ-63723283) from monotherapy to combination with erdafitinib.

Authors

Victor Moreno

Victor Moreno

START Madrid-FJD, Fundación Jiménez Díaz University Hospital, Madrid, Spain

Victor Moreno , Yohann Loriot , Piotr Rutkowski , Carmen Beato , Enriqueta Felip , Ignacio Duran , Dariusz Kowalski , Salvatore Siena , Diego Cortinovis , Lionnel Geoffrois , Elizabeth Ruth Plummer , Scott T. Tagawa , Emiliano Calvo , Begona Mellado , Anne OHagan , Sydney Akapame , Manish Monga , James Greger , Nebedita Bandyopadhyay , Arlene O. Siefker-Radtke

Organizations

START Madrid-FJD, Fundación Jiménez Díaz University Hospital, Madrid, Spain, Institut de Cancérologie Gustave Roussy, Villejuif, France, Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, Poland, Hospital Universitario Virgen Macarena Medical Oncology Department, Sevilla, Spain, Vall d’Hebron Institute of Oncology (VHIO), Barcelona, Spain, Department of Medical Oncology, Hospital Universitario Marqués de Valdecilla, Santander, Spain, Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland, Grande Ospedale Metropolitano Niguarda, and Università degli Studi di Milano, Milan, Italy, Az. Ospedaliera San Gerardo, Monza, Italy, Centre Alexis Vautrin, Vandoeuvre-Lès-Nancy, France, Northern Centre for Cancer Care, Newcastle-upon-Tyne, United Kingdom, Weill Cornell Medicine, New York, NY, Early Clinical Drug Development Program, START Madrid-HM CIOCC, Centro Integral Oncologico Clara Campal, Madrid, Spain, Translational Genomics and Targeted Therapeutics in Solid Tumours Lab, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain, Janssen Research & Development, LLC, Spring House, PA, Clinical Oncology, Janssen R&D US, Springhouse, PA, Janssen Research and Development, Spring House, PA, Janssen Research and Development, Raritan, NJ, The University of Texas MD Anderson Cancer Center, Houston, TX

Research Funding

Pharmaceutical/Biotech Company
Janssen Research and Development

Background: Cetrelimab (CET) is an investigational checkpoint inhibitor (CI). In part 1 of a first-in-human (FIH) trial (LUC1001; NCT02908906), pts with advanced solid tumors with ≥1 prior treatment received CET 80–800 mg Q2W or 480 mg Q4W. Response rates and safety profiles were similar to other CIs. Based on preclinical and clinical data, a phase 1/2 study (NORSE; NCT03473743) of CET + erdafitinib (ERD) in metastatic urothelial carcinoma (mUC) + FGFR alterations (alt) was initiated and is ongoing. Methods: In LUC1001 Part 2, pts with nonsmall cell lung cancer (NSCLC), melanoma (MEL), or MSI-H/dMMR colorectal cancer (CRC) received CET IV 240 q2w. Overall response rates (ORR = % complete response + partial response [PR] confirmed) were assessed as per RECIST v1.1. Adverse events (AEs) were assessed for all patients receiving CET IV 240 q2w in parts 1 and 2. Results: As of July 1, 2019, 122 pts with NSCLC (n=30); MEL (n=50); or CRC (n= 42) had been treated in Part 2. Median age ranged from 58 to 64 yrs (overall range, 23–86 yrs). Duration of treatment was 8.1 mos (range, 0.0-24.7) for NSCLC; 5.5 mos (range, 0.0-25.0) for MEL; and for 3.0 mos (0.0-16.1) for CRC. ORR was 37% in NSCLC; 53% in PD-L1+ NSCLC (≥50% by IHC), 28% in MEL; 32% in non-uveal MEL, 14% in CRC and 24% in centrally confirmed MSI-high CRC. In all CET IV 240 q2w treated pts in the FIH study (N= 162), treatment-related grade ≥3 and serious AEs were reported in 15% and 12% of pts, respectively. All grade and grade ≥3 immune-related (ir) AEs were reported in 41% and 8% of pts, respectively Most common ir AE: hypothyroidism (8%), asthenia (6%), diarrhea (4%), rash (4%), hyperthyroidism (4%), dyspnea (3%), pruritis (3%) and pneumonitis (3%). There was 1 treatment-related death due to myasthenia gravis. In the phase 1 combination study (NORSE), pts with mUC + FGFR alt (n=17) received fixed-dose CET IV 240 q2w + ERD 6mg, 8 mg or 8mg + up titration (UpT) to 9 mg to establish the RP2D for the combination as CET + ERD 8mg + UpT. In the RP2D group (n=10), 60% had treatment-related grade ≥3 AEs. ORR (all confirmed PR) was 50% in the all treated response-evaluable group (n=16). Conclusions: CET is a CI with efficacy and safety profiles in advanced solid tumors similar to approved CIs. In NORSE phase 1, CET+ ERD demonstrated antitumor activity in mUC with an acceptable safety profile. NORSE phase 2 is evaluating this combination as first-line therapy in pts with mUC with FGFR alt. References: Rutkowski, et al J Clin Oncol.2019; 37 (8 suppl): 31-31. Moreno, et al. ASCO-GU Genitourinary Cancers Symposium. February 13-15, 2020. San Francisco, CA. Clinical trial information: NCT02908906 and NCT03473743.

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Abstract Details

Meeting

2020 ASCO Virtual Scientific Program

Session Type

Poster Session

Session Title

Developmental Therapeutics—Immunotherapy

Track

Developmental Therapeutics—Immunotherapy

Sub Track

Immune Checkpoint Inhibitors

Clinical Trial Registration Number

NCT02908906 and NCT03473743

Citation

J Clin Oncol 38: 2020 (suppl; abstr 3055)

DOI

10.1200/JCO.2020.38.15_suppl.3055

Abstract #

3055

Poster Bd #

119

Abstract Disclosures