Vibostolimab

Clinical trials are studying Vibostolimab in different cancer groups, including melanoma, lung cancer, bladder cancer, kidney cancer, colorectal cancer, and pediatric or young adult cancers. These studies look at safety, tolerability, and how well the treatment works, often as part of combination therapy. The trials include several phases and different patient populations.

Table of contents

Overview of the Vibostolimab trials

The trial data shows that Vibostolimab was studied in several interventional trials, which means researchers gave a study treatment and then measured the results.[1] Most studies looked at Vibostolimab as part of a combination with other cancer treatments, especially in people with advanced or hard-to-treat cancer.[1]

The studies were done in different settings, including authorised, completed, and withdrawn trials.[1] The data includes both adult and younger patient groups, depending on the cancer type and study plan.[1]

Cancer types studied

Vibostolimab was studied across a wide range of cancers.[1] These included melanoma, non-small cell lung cancer, small-cell lung cancer, bladder cancer, kidney cancer, colorectal cancer, and metastatic castration-resistant prostate cancer.[1]

Some studies focused on special subgroups, such as people with PD-L1 positive tumors, people with PD-1 refractory melanoma, and people with MSI-H or dMMR colorectal cancer.[1] One trial also included pediatric and young adult participants with hematologic malignancies or solid tumors, but that study was withdrawn.[1]

Trial phases and study designs

The studies covered several stages of clinical research, including Phase 1, Phase 2, Phase 3, and one Phase 4 study.[1] There was also one study described as low intervention, which means the study used treatments in a more limited or routine way compared with many research trials.[1]

Early-phase studies mainly looked at safety, side effects, and whether the treatment could be given in a practical way.[1] Later-phase studies compared Vibostolimab-containing treatment plans with other standard cancer treatments and measured how well they worked over time.[1]

Who could take part

Each trial had its own entry rules based on the cancer type and disease stage.[1] For example, some studies included people with metastatic disease, which means the cancer had spread to other parts of the body.[1]

Other studies focused on people whose tumors had certain markers, such as PD-L1 expression, or people whose cancer had already not responded to earlier treatment, such as PD-1 refractory melanoma.[1] In some studies, participants had newly diagnosed advanced cancer, while in others they had cancer that had returned, spread, or was resistant to prior therapy.[1]

Main outcomes measured

The trials measured several important outcomes, depending on the cancer type and study phase.[1] Common results included overall survival, progression-free survival, objective response rate, and recurrence-free survival.[1]

Some studies also measured complete response, pathological complete response, and PSA response in prostate cancer.[1] Safety outcomes were also important, including the number of participants with adverse events, dose-limiting toxicities, or treatment stopping because of side effects.[1]

Key studies in the data

Melanoma studies included several Phase 1 and Phase 3 trials. One completed Phase 1 study in stage IIIB, IIIC, or IIID melanoma measured adverse events, treatment stopping due to adverse events, and pathological complete response.[1] Another Phase 1 study in PD-1 refractory melanoma looked at safety, tolerability, and objective response rate.[1] A Phase 3 study in high-risk resected melanoma was withdrawn and planned to compare recurrence-free survival.[1]

Lung cancer studies formed a major part of the dataset. A Phase 2 study in non-small cell lung cancer looked at progression-free survival with Vibostolimab-containing treatment compared with docetaxel alone.[1] Two Phase 3 studies in metastatic or stage IV non-small-cell lung cancer measured overall survival in PD-L1 positive groups.[1] Another authorised Phase 3 study in extensive-stage small-cell lung cancer compared overall survival between Vibostolimab-containing treatment and atezolizumab-based treatment.[1]

Bladder and kidney cancer studies also tested Vibostolimab-containing regimens. A Phase 2 study in non-muscle invasive bladder cancer measured complete response and 12-month disease-free survival.[1] A Phase 1 kidney cancer study measured safety in a lead-in part and objective response rate in the efficacy part.[1]

Other studies included metastatic castration-resistant prostate cancer, MSI-H or dMMR stage IV colorectal cancer, and pediatric or young adult cancers.[1] These trials mainly focused on safety and response, and some were authorised while others were completed or withdrawn.[1]

What these trials mean for patients

For patients, these studies show that Vibostolimab was mainly explored as part of combination treatment for difficult cancers.[1] The trials were designed to find out whether the treatment could help shrink cancer, delay growth, prevent recurrence, or improve survival.[1]

The data also shows that researchers paid close attention to safety, especially in early-phase studies and in groups with advanced disease.[1] Because the studies used different cancer types and different endpoints, the results cannot be treated as one single answer for all patients.[1]

Trial ID Phase Condition studied Status Enrollment
NCT04303169 Phase 1 Stage IIIB/IIIC/IIID melanoma Completed 136
NCT04305054 Phase 1 PD-1 refractory melanoma Completed 189
NCT04305041 Phase 1 PD-1 refractory melanoma Completed 100
NCT04725188 Phase 2 Non-small cell lung cancer Completed 255
NCT04738487 Phase 3 Stage IV non-small-cell lung cancer Completed 1386
NCT05226598 Phase 3 Metastatic non-small cell lung cancer Completed 739
NCT05224141 Phase 3 Extensive-stage small-cell lung cancer Authorised 450
2022-502526-41-00 Phase 2 Non-muscle invasive bladder cancer Completed 356
2022-502100-70-00 Phase 4 MSI-H or dMMR stage IV colorectal cancer Authorised 402
NCT04626479 Phase 1 Renal cell carcinoma Authorised 256
NCT02861573 Phase 1 Metastatic castration-resistant prostate cancer Authorised 1205
2023-506932-33-00 Phase 2 Non-small cell lung cancer Completed 414
2023-507179-23-00 Phase 1 Hematologic malignancies or solid tumors in pediatric and young adults Withdrawn 52
2022-501417-31-00 Phase 3 High-risk resected melanoma Withdrawn 1806
2022-502752-31-00 Low intervention Non-small cell lung cancer Completed 209

Igangværende kliniske forsøg for Vibostolimab

  • Undersøgelse af lægemidlet pembrolizumab i kombination med andre behandlinger til fremskreden prostatakræft, der ikke reagerer på hormonbehandling

    Rekrutterer

    1 1 1
    Østrig Danmark Finland Frankrig Tyskland Irland +5
  • Test af pembrolizumab sammen med andre lægemidler til behandling af blodkræft og tumorer hos børn og unge

    Rekrutterer endnu ikke

    1 1 1
    Danmark
  • Sammenligning af ny behandling (MK-7684A) med standardbehandling mod modermærkekræft efter operation

    Rekrutterer endnu ikke

    1 1 1 1
    Undersøgte lægemidler:
    Østrig Belgien Frankrig Tyskland Irland Italien +3
  • Test af ny kræftbehandling (MK-7684A) hos patienter med livmoderhalskræft og andre fremskredne kræftformer

    Rekrutterer ikke

    1 1 1
    Frankrig Tyskland Italien Holland Polen Spanien
  • Undersøgelse af lægemidlet pembrolizumab alene eller sammen med andre lægemidler til behandling af stadie III modermærkekræft før operation

    Rekrutterer ikke

    1 1 1
    Frankrig Italien
  • Test af pembrolizumab alene eller sammen med andre lægemidler til behandling af modermærkekræft (melanom)

    Rekrutterer ikke

    1 1 1
    Frankrig Grækenland Ungarn Italien Polen Spanien
  • Sammenligning af MK-7684A versus durvalumab med stråling og kemoterapi hos patienter med ikke-småcellet lungekræft i stadium III

    Rekrutterer ikke

    1 1 1 1
    Østrig Kroatien Tjekkiet Frankrig Tyskland Grækenland +5
  • Sammenligning af MK-7684A plus kemoterapi med standardbehandling til patienter med fremskreden lungekræft (ikke-småcellet type)

    Rekrutterer ikke

    1 1 1 1
    Østrig Frankrig Tyskland Polen Spanien
  • Undersøgelse af ny kombinationsbehandling versus pembrolizumab alene til patienter med fremskreden lungekræft (ikke-småcellet)

    Rekrutterer ikke

    1 1 1 1
    Undersøgte lægemidler:
    Ungarn Rumænien
  • Test af pembrolizumab og andre lægemidler til behandling af modermærkekræft, der ikke reagerer på PD-1 behandling

    Rekrutterer ikke

    1 1 1
    Frankrig Italien

Ordliste

  • Advanced cancer: Cancer that has spread or is no longer limited to one place in the body.
  • Adverse event (AE): A medical problem that happens during a study. It may or may not be caused by the study treatment.
  • Blinded Independent Central Review (BICR): A review of scan or test results by experts who do not know which treatment the person received.
  • Complete response (CR): No visible sign of cancer after treatment, based on the study rules.
  • Dose-limiting toxicity (DLT): A serious side effect that can limit how much of a study treatment can be given.
  • Objective response rate (ORR): The percentage of participants whose cancer shrinks or disappears during the study.
  • Overall survival (OS): How long participants live after starting the study treatment.
  • Pathological complete response (pCR): No cancer found in tissue samples after treatment.
  • PD-L1: A marker found on some tumors. Some studies only included people whose tumors had a certain PD-L1 level.
  • Progression-free survival (PFS): The length of time during and after treatment when the cancer does not get worse.
  • Recurrence-free survival (RFS): The length of time after treatment when the cancer does not come back.
  • Safety lead-in phase: The first part of a study used to check safety before more people are enrolled.

Referencer

  1. https://kliniske-forsoeg.dk/forsog/undersogelse-af-laegemidlet-pembrolizumab-i-kombination-med-andre-behandlinger-til-fremskreden-prostatakraeft-der-ikke-reagerer-pa-hormonbehandling/
  2. https://kliniske-forsoeg.dk/forsog/test-af-ny-kraeftbehandling-mk-7684a-hos-patienter-med-livmoderhalskraeft-og-andre-fremskredne-kraeftformer/
  3. https://kliniske-forsoeg.dk/forsog/undersogelse-af-ny-kombinationsbehandling-versus-pembrolizumab-alene-til-patienter-med-fremskreden-lungekraeft-ikke-smacellet/
  4. https://kliniske-forsoeg.dk/forsog/undersogelse-af-laegemidlet-pembrolizumab-alene-eller-sammen-med-andre-laegemidler-til-behandling-af-stadie-iii-modermaerkekraeft-for-operation/
  5. https://kliniske-forsoeg.dk/forsog/test-af-pembrolizumab-alene-eller-sammen-med-andre-laegemidler-til-behandling-af-modermaerkekraeft-melanom/
  6. https://clinicaltrials.gov/study/2022-502752-31-00
  7. https://kliniske-forsoeg.dk/forsog/sammenligning-af-mk-7684a-plus-kemoterapi-med-standardbehandling-til-patienter-med-fremskreden-lungekraeft-ikke-smacellet-type/
  8. https://kliniske-forsoeg.dk/forsog/test-af-pembrolizumab-og-andre-laegemidler-til-behandling-af-modermaerkekraeft-der-ikke-reagerer-pa-pd-1-behandling/
  9. https://clinicaltrials.gov/study/2023-507179-23-00
  10. https://clinicaltrials.gov/study/2022-501417-31-00
  11. https://clinicaltrials.gov/study/2022-502100-70-00
  12. https://clinicaltrials.gov/study/2022-502526-41-00
  13. https://kliniske-forsoeg.dk/forsog/afprovning-af-mk-7684a-sammen-med-kemoterapi-til-behandling-af-fremskreden-smacellet-lungekraeft/
  14. https://kliniske-forsoeg.dk/forsog/undersogelse-af-forskellige-behandlinger-herunder-pembrolizumab-til-patienter-med-fremskreden-nyrekraeft-som-har-faet-tidligere-behandling/
  15. https://clinicaltrials.gov/study/2023-506932-33-00