[No standalone website (unbranded, no questionnaire)] A Study of Subjects With Psoriatic Arthritis to Investigate the Effectiveness of Adalimumab Introduction Compared With Methotrexate Dose Escalation (CONTROL)

How to apply

Determine if a study site for this clinical trial is near you. Contact the study to apply.

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Study’s contact

Call center

1-888-669-6682

Email address

novartis.email@novartis.com

Condition

Colorectal Cancer,Esophageal SCC,Gastrointestinal Stromal Tumors,Head and Neck Squamous Cell Carcinoma,Non-small Cell Lung Carcinoma

Treatment type

Interventional

Investigational product

Ribociclib

Phase

Phase 1

Sponsor

Novartis

ClinicalTrials.gov identifier

NCT04000529

Study number

CTNO155B12101

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About the study

This study is a Phase Ib, multi-center, open-label study of TNO155 in combination with spartalizumab or ribociclib with a dose escalation part followed by a dose expansion part in adult subjects with advanced solid tumors. These two treatment arms will enroll subjects in parallel to characterize the safety, tolerability, PK, PD and preliminary antitumor activity. The study treatment will be administered until the subject experiences unacceptable toxicity, progressive disease, and/or has treatment discontinued at the discretion of the Investigator or the subject, or due to withdrawal of consent.

Who can take part?

You may be eligible to participate in the study if you meet the following criteria:

Inclusion criteria
  1. Group) performance status ≤ 1. 4. Dose escalation part: Patients with advanced solid tumors, with evaluable disease as determined by RECIST version 1.1, and fit into one of the following groups: a. For TNO155 plus spartalizumab combination: i. Advanced EGFR WT, ALK WT NSCLC, after progression on or intolerance to platinum-containing combination chemotherapy and after progression on anti-PD-1 or anti-PD-L1 therapy. ii. Advanced HNSCC or esophageal SCC, after progression on or intolerance to platinum-containing combination chemotherapy. iii. Advanced CRC, after progression on or intolerance to all standard-of-care (
  2. SOC) therapy per local guidelines. b. For TNO155 plus ribociclib combination: i. Advanced NSCLC, after progression on or intolerance to platinum-containing combination chemotherapy and anti-PD-1 or anti-PD-L1 therapy. ii. Advanced HNSCC or esophageal SCC after progression on or intolerance to, platinum-containing combination chemotherapy and anti-PD-1 or anti-PD-L1 therapy, where such therapy is available and considered standard of care. iii. Advanced CRC or GIST, after progression on or intolerance to all SOC therapy per local guidelines. 5. Dose expansion part: Patients with advanced solid tumors, with at least one measurable lesion as determined by RECIST version 1.1, who fit into one of the following groups: a. For TNO155 plus spartalizumab combination: i. Advanced EGFR WT, ALK WT, KRAS G12C NSCLC after progression on or intolerance to platinum-containing combination chemotherapy and after progression on anti-PD-1 or anti-PD-L1 therapy. ii. Advanced EGFR WT, ALK WT, KRAS WT NSCLC, after progression on or intolerance to platinum-containing combination chemotherapy and after progression on anti-PD-1 or anti-PD-L1 therapy. iii. Advanced HNSCC, after progression on or intolerance to, platinum-containing combination chemotherapy. b. For TNO155 plus ribociclib combination: i. Advanced EGFR WT, ALK WT, KRAS WT NSCLC, after progression on or intolerance to platinum-containing chemotherapy and anti-PD-1 or anti-PD-L1 therapy ii. Advanced CRC harboring a KRAS codon 12, 13, or 61 mutation, after progression on or intolerance to all SOC per local guidelines 6. Patients with NSCLC whose tumors harbor genomic aberrations for which SOC targeted therapies exist and are locally approved and available must have had progression on or after, or intolerance to, the SOC targeted therapy/therapies as indicated 7. Patients must have a site of disease amenable to biopsy Key
Exclusion criteria
  1. RVO) or current risk factors for RVO 5. Inflammatory bowel disease (e.g., ulcerative colitis, Crohn's
  2. disease) or impairment of gastrointestinal (
  3. GI) function or GI disease that may significantly alter the absorption of study drugs 6. Symptomatic CNS metastases which are neurologically unstable 7. Insufficient bone marrow function at screening: 1. Absolute Neutrophil Count (
  4. ANC) < 1.5 x 109/L. 2. Hemoglobin < 9.0 g/dL. 3. Platelets < 75 x 109/L for TNO155 plus spartalizumab combination; < 100 x 109/L for TNO155 plus ribociclib combination. 8. Insufficient hepatic or renal function at screening: 1. Serum total bilirubin > upper limit of normal (
  5. ULN) or, for TNO155 plus spartalizumab combination only, if liver metastases are present at baseline, serum total bilirubin > 1.5 x ULN. An exception for either combination is for patients with Gilbert's syndrome, who are excluded if total bilirubin > 3.0 x ULN or direct bilirubin > 1.5 x ULN 2. Aspartate aminotransferase (
  6. AST) or alanine aminotransferase (
  7. ALT) > 3 x ULN for TNO155 plus spartalizumab combination or > 2.5 x ULN for TNO155 plus ribociclib combination, or > 5 x ULN for either combination if liver metastases are present. 3. Creatinine clearance < 60 mL/min (calculated using Cockcroft-Gault equation). 9. Pregnant or breast-feeding (
  8. lactating) women. Additional exclusion criteria for the TNO155 plus spartalizumab combination 10. History of severe hypersensitivity reactions to other mAbs. 11. Active, known or suspected autoimmune disease. 12. History of or current interstitial lung disease or pneumonitis grade ≥ 2. 13. Human Immunodeficiency Virus (
  9. HIV) infection, unless the patient is on antiviral therapy and has undetectable viral load. 14. Active hepatitis B virus (
  10. HBV) or hepatitis C virus (
  11. HCV) infection. 15. Systemic chronic steroid therapy 16. Patients who discontinued prior anti-PD-1 therapy due to an anti-PD-1-related toxicity. Additional exclusion criteria for the TNO155 plus ribociclib combination 17. Systolic Blood Pressure (
  12. SBP) < 90 mmHg. 18. International Normalized Ratio (
  13. INR) > 1.5 (unless the patient is receiving anticoagulants and the INR is within the therapeutic range of intended use for that anticoagulant within seven days prior to the first dose of study drug). 19. History of HIV infection (testing not
  14. mandatory) 20. Currently receiving any of the following substances and cannot be discontinued seven days prior to Cycle 1 Day 1: - Concomitant medications or herbal supplements, that are strong inducers or inhibitors of CYP3A4/5, - Medications that have a narrow therapeutic window and are predominantly metabolized through CYP3A4/5. 21. Previous treatment with a CDK4/6 inhibitor. 22. Patient is currently receiving or has received systemic corticosteroids ≤ 2 weeks prior to starting study drug, or who have not fully recovered from side effects of such treatment. Note: The following uses of corticosteroids are permitted: single doses, topical applications (e.g., for rash), inhaled sprays (e.g., for obstructive airways diseases), eye drops or local injections (e.g., intra-articular).

For a full list of inclusion/exclusion criteria, please visit ClinicalTrials.gov

Study locations

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How to apply

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