Clinical trial • Phase II • Oncology

PEMBROLIZUMAB for Kaposi's sarcoma

Phase II trial of PEMBROLIZUMAB for Kaposi's sarcoma. adaptive. 37 participants.

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Kaposi's sarcoma
Trial Stage
Phase II
Drug Modality
Monoclonal antibody

Key dates

Initial CTIS Submission Date
02-10-2024
First CTIS Authorization Date
22-10-2024

Trial design

adaptive Phase II trial across 10 sites in France.

Adaptive
True, Simon’s two-stage Optimal Design is specified (two-stage design with interim assessment for activity/futility and an extension stage).
Target Sample Size
37
Trial Duration For Participant
730

Eligibility

Recruits 37 No vulnerable populations selected. Participants must be ≥ 18 years and provide written informed consent; adult subject information and consent forms are provided (no assent procedures described since minors are excluded)..

Pregnancy Exclusion
Female subject of childbearing potential should have a negative serum XML File Identifier: IeulZ03EWkX0or3jxMs6iTJnYtU= Page 10/22 pregnancy within 72 hours prior to receiving the first dose of study medication, and a negative urine pregnancy test prior to receiving each other dose.
Vulnerable Population
No vulnerable populations selected. Participants must be ≥ 18 years and provide written informed consent; adult subject information and consent forms are provided (no assent procedures described since minors are excluded).

Inclusion criteria

  • {"criterion_text":"- Classic or endemic histologically confirmed KS"}
  • {"criterion_text":"- Progressive disease"}
  • {"criterion_text":"- KS with more than 10 lesions or involving more than one limb segment or with involvement >3% body surface"}
  • {"criterion_text":"- .KS with at least 4 lesions>ou = 5mm"}
  • {"criterion_text":"- KS with at least 1 other cutaneous tumor available for repeated pharmacodynamics evaluation and be willing to provide tissue from cutaneous biopsy of a tumor lesion"}
  • {"criterion_text":"- At least 4 weeks washout for all KS specific therapies including chemotherapy and immunotherapy such as Interferon"}
  • {"criterion_text":"- Be 18 years of age on day of signing informed consent"}
  • {"criterion_text":"- Female subject of childbearing potential should have a negative serum XML File Identifier: IeulZ03EWkX0or3jxMs6iTJnYtU= Page 10/22 pregnancy within 72 hours prior to receiving the first dose of study medication, and a negative urine pregnancy test prior to receiving each other dose."}

Exclusion criteria

  • {"criterion_text":"- •\tHas a known history of organ transplantation"}
  • {"criterion_text":"- •\tHas active autoimmune disease that has required systemic treatment in the past 2 years"}
  • {"criterion_text":"- •\tIs receiving systemic steroid therapy or any other form of immunosuppressive therapy within 7 days prior to the first dose of trial treatment"}
  • {"criterion_text":"- •\tHas KS with symptomatic visceral involvement unless no other therapeutic option is available"}
  • {"criterion_text":"- •\tPreviously received treatments with an anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CTLA4 antibody or any other antibody or drug specifically targeting T-cell costimulation or immune checkpoint pathways."}
  • {"criterion_text":"- •\tUncontrolled infection with HIV, HBV, or HCV infection; or diagnosis of immunodeficiency that is related to, or results in chronic infection."}
  • {"criterion_text":"- •\tHas an active infection requiring systemic therapy"}
  • {"criterion_text":"- •\tHas hypersensitivity to pembrolizumab/ KEYTRUDA® or any of its excipients"}
  • {"criterion_text":"- •\tHas had a prior anti-cancer monoclonal antibody (mAb) within last 4 weeks or who has not recovered (i.e., > Grade 1 at selection) from adverse events due to agents administered more than 4 weeks earlier."}
  • {"criterion_text":"- •\tHas had prior chemotherapy, targeted small molecule therapy, or radiation therapy within 3 weeks (or 5 half lives) prior to study Day 1 or who has not recovered (i.e., > Grade 1 at selection) from adverse events due to a previously administered agent"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- the Best Overall Response Rate (BORR) defined by the occurrence of complete response or partial response following ACTG criteria recorded from the start of treatment until 6 months or the beginning of any other specific systemic therapy for KS if it occurs before 6 months.","definition_or_measurement_approach":"Measured per ACTG criteria; BORR = occurrence of complete or partial response recorded from start of treatment until 6 months or until start of any other systemic therapy if earlier."}
  • {"endpoint_text":"- For Extension stage The primary endpoint of this stage will be the best overall response rate according to the ACTG criteria recorded from the start of treatment until 24 months or the beginning of any other specific systemic therapy for KS if it occurs before 6 months.","definition_or_measurement_approach":"Measured per ACTG criteria; BORR recorded from start of treatment until 24 months or until start of any other systemic therapy if earlier."}

Recruitment

Planned Sample Size
37
Recruitment Window Months
126
Consent Approach
Written informed consent required from each participant (participants must be ≥18). Subject information and informed consent forms for adults are provided (documents listed: L1_SIS and ICF_Adult; L1_SIS and Non opposition form_adult). No assent processes described; languages not specified (protocol includes French translations of titles).

Geography

Total Number Of Sites
10
Total Number Of Participants
37

France

Earliest CTIS Part Ii Submission Date
10-10-2024
Latest Decision Or Authorization Date
23-04-2026
Processing Time Days
560
Number Of Sites
10
Number Of Participants
37

Sites

Site Name
Assistance Publique Hopitaux De Paris
Department Name
Dermatologie
Contact Person Name
Nicolas DUPIN
Contact Person Email
nicolas.dupin@aphp.fr
Site Name
Centre Hospitalier Universitaire De Toulouse
Department Name
Oncologie
Contact Person Name
Laurent PAGES
Contact Person Email
Pages.l@chu-toulouse.fr
Site Name
Centre Hospitalier Universitaire De Montpellier
Department Name
Dermatologie
Contact Person Name
Olivier Dereure
Contact Person Email
o-dereure@chu-montpellier.fr
Site Name
Centre Hospitalier Universitaire De Lille
Department Name
Dermatologie
Contact Person Name
Laurent Mortier
Contact Person Email
laurent.mortier@chru-lille.fr
Site Name
Centre Hospitalier Regional De Marseille
Department Name
Dermatologie
Contact Person Name
Caroline Gaudy
Contact Person Email
caroline.gaudy@ap-hm.fr
Site Name
Centre Hospitalier Universitaire De Nice
Department Name
Dermatologie
Contact Person Name
Henri Montaudie
Contact Person Email
montaudie.h@chu-nice.fr
Site Name
Assistance Publique Hopitaux De Paris
Department Name
Dermatologie
Contact Person Name
Eve Maubec
Contact Person Email
eve.maubec@aphp.fr
Site Name
Assistance Publique Hopitaux De Paris
Department Name
Dermatologie
Contact Person Name
Florence Brunet- Possenti
Site Name
Hospices Civils De Lyon
Department Name
Dermatologie
Contact Person Name
Stéphane Dalle
Contact Person Email
stephane.dalle@chu-lyon.fr
Site Name
Assistance Publique Hopitaux De Paris
Department Name
Dermatologie
Contact Person Name
Celeste LEBBE
Contact Person Email
celeste.lebbe@aphp.fr

Sponsor

Primary sponsor

Full Name
Assistance Publique Hopitaux De Paris
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
France

Third parties

  • {"country":"","full_name":"MSD International","duties_or_roles":"Monetary support","organisation_type":""}

Investigational products

Investigational Product Name
PEMBROLIZUMAB
Active Substance
PEMBROLIZUMAB
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENOUS ADMINISTRATION
Route
Intravenous
Maximum Dose
200 mg

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