Javelin Parp Medley: Avelumab Plus Talazoparib In Locally Advanced Or Metastatic Solid Tumors
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ClinicalTrials.gov Identifier: NCT03330405 |
Recruitment Status :
Terminated
(The study was terminated since there was no need for further safety or efficacy data to be collected. The participants having benefit from the investigational treatments have been moved to a continuation study (NCT05059522).)
First Posted : November 6, 2017
Results First Posted : June 12, 2023
Last Update Posted : October 13, 2023
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Sponsor:
Pfizer
Information provided by (Responsible Party):
Pfizer
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Study Type | Interventional |
---|---|
Study Design | Allocation: Non-Randomized; Intervention Model: Sequential Assignment; Masking: None (Open Label); Primary Purpose: Treatment |
Condition |
Avelumab in Combination With Talazoparib Will be Investigated in Patients With Locally Advanced (Primary or Recurrent) or Metastatic Solid Tumors |
Interventions |
Drug: Avelumab Phase 1b Drug: Talazoparib Phase 1b Drug: Avelumab Phase 2 Drug: Talazoparib Phase 2 |
Enrollment | 223 |
Participant Flow
Recruitment Details | The study was conducted in 2 phases: Phase 1b (talazoparib dose level cohorts) and Phase 2 (expansion phase). The Phase 1b study design started at the highest dose of talazoparib (1 mg QD), to be de-escalated to 0.75 and 0.5 mg QD. With DLT rate <33% among 12 DLT-evaluable patients treated at 1 mg, Phase 2 started. The 2 cohorts at lower dose did not enroll any participants and are not displayed in the results. Only the Phase 1b cohort "Avelumab 800 mg Q2W + Talazoparib 1 mg QD" is displayed. |
Pre-assignment Details | Phase 1b: 12 participants were enrolled and assigned to study treatment. Phase 2: 211 participants were enrolled and assigned to study treatment. |
Arm/Group Title | Phase 1b: Avelumab 800 mg Q2W + Talazoparib 1 mg QD | Phase 2: Cohort A1 (NSCLC) | Phase 2: Cohort A2 (NSCLC DDR+) | Phase 2: Cohort B1 (TNBC) | Phase 2: Cohort B2 (BC HR+ HER2- DDR+) | Phase 2: Cohort C1 (OVC) | Phase 2: Cohort C2 (OVC BRCA-mutated) | Phase 2: Cohort D (UC) | Phase 2: Cohort E1 (mCRPC) | Phase 2: Cohort E2 (mCRPC DDR+) | Phase 2: Cohort F (BRCA/ATM-mutated) |
---|---|---|---|---|---|---|---|---|---|---|---|
Arm/Group Description | Participants with locally advanced or metastatic solid tumors were treated with talazoparib 1.0 mg orally once daily (QD) in combination with avelumab 800 mg intravenously (IV) every 2 weeks (Q2W) for a maximum of 246.3 weeks. Safety follow-up was for 90 days after last dose of study treatment or until time of initiation of new anticancer treatment, whichever comes first. | Participants with locally advanced (primary or recurrent) or metastatic non-small cell lung cancer (NSCLC) were treated with talazoparib 1 mg QD orally in combination with avelumab 800 mg IV Q2W for a maximum of 183.6 weeks. Safety follow-up was for 90 days after last dose of study treatment or until time of initiation of new anticancer treatment, whichever comes first. | Participants with locally advanced (primary or recurrent) or metastatic NSCLC with DNA damage repair positive (DDR+) were treated with talazoparib 1 mg QD orally in combination with avelumab 800 mg IV Q2W for a maximum of 173.0 weeks. Safety follow-up was for 90 days after last dose of study treatment or until time of initiation of new anticancer treatment, whichever comes first. | Participants with locally advanced (primary or recurrent) or triple-negative breast cancer (TNBC) were treated with talazoparib 1 mg QD orally in combination with avelumab 800 mg IV Q2W for a maximum of 93.0 weeks. Safety follow-up was for 90 days after last dose of study treatment or until time of initiation of new anticancer treatment, whichever comes first. | Participants with locally advanced (primary or recurrent) or metastatic hormone receptor positive (HR+)/human epidermal growth factor receptor 2 negative (HER2-) breast cancer (BC) with DDR+ were treated with talazoparib 1 mg QD orally in combination with avelumab 800 mg IV Q2W for a maximum of 180.0 weeks. Safety follow-up was for 90 days after last dose of study treatment or until time of initiation of new anticancer treatment, whichever comes first. | Participants with locally advanced (primary or recurrent) or metastatic ovarian cancer (OVC) were treated with talazoparib 1 mg QD orally in combination with avelumab 800 mg IV Q2W for a maximum of 161.1 weeks. Safety follow-up was for 90 days after last dose of study treatment or until time of initiation of new anticancer treatment, whichever comes first. | Participants with locally advanced (primary or recurrent) or metastatic OVC with germline or somatic BRCA1 or BRCA2 gene defect were treated with talazoparib 1 mg QD orally in combination with avelumab 800 mg IV Q2W for a maximum of 144.0 weeks. Safety follow-up was for 90 days after last dose of study treatment or until time of initiation of new anticancer treatment, whichever comes first. | Participants with locally advanced (primary or recurrent) or metastatic urothelial cancer (UC) were treated with talazoparib 1 mg QD orally in combination with avelumab 800 mg IV Q2W for a maximum of 164.0 weeks. Safety follow-up was for 90 days after last dose of study treatment or until time of initiation of new anticancer treatment, whichever comes first. | Participants with metastatic castration-resistant prostate cancer (mCRPC) were treated with talazoparib 1 mg QD orally in combination with avelumab 800 mg IV Q2W for a maximum of 54.1 weeks. Safety follow-up was for 90 days after last dose of study treatment or until time of initiation of new anticancer treatment, whichever comes first. | Participants with mCRPC with DDR+ were treated with talazoparib 1 mg QD orally in combination with avelumab 800 mg IV Q2W for a maximum of 74.0 weeks. Safety follow-up was for 90 days after last dose of study treatment or until time of initiation of new anticancer treatment, whichever comes first. | Participants with locally advanced (primary or recurrent) or metastatic solid tumors, independent of tissue of origin, with previously identified pathogenic, or likely pathogenic, germline or somatic defects in BRCA1, BRCA2, or ATM genes were treated with talazoparib 1 mg QD orally in combination with avelumab 800 mg IV Q2W for a maximum of 49.9 weeks. Safety follow-up was for 90 days after last dose of study treatment or until time of initiation of new anticancer treatment, whichever comes first. |
Period Title: Overall Study | |||||||||||
Started | 12 | 42 | 5 | 22 | 23 | 20 | 11 | 40 | 21 | 18 | 9 |
Completed | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Not Completed | 12 | 42 | 5 | 22 | 23 | 20 | 11 | 40 | 21 | 18 | 9 |
Reason Not Completed | |||||||||||
Other | 1 | 3 | 1 | 0 | 2 | 0 | 1 | 0 | 0 | 0 | 0 |
Progressive disease | 8 | 27 | 4 | 18 | 16 | 14 | 7 | 29 | 9 | 11 | 5 |
Withdrawal by Subject | 1 | 4 | 0 | 1 | 1 | 1 | 0 | 2 | 2 | 1 | 1 |
Global deterioration of health status | 2 | 3 | 0 | 2 | 3 | 3 | 0 | 2 | 8 | 4 | 1 |
Adverse Event | 0 | 1 | 0 | 1 | 1 | 1 | 3 | 4 | 2 | 2 | 2 |
Death | 0 | 4 | 0 | 0 | 0 | 1 | 0 | 2 | 0 | 0 | 0 |
Physician Decision | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 |
Baseline Characteristics
Arm/Group Title | Phase 1b: Avelumab 800 mg Q2W + Talazoparib 1 mg QD | Phase 2: Cohort A1 (NSCLC) | Phase 2: Cohort A2 (NSCLC DDR+) | Phase 2: Cohort B1 (TNBC) | Phase 2: Cohort B2 (BC HR+ HER2- DDR+) | Phase 2: Cohort C1 (OVC) | Phase 2: Cohort C2 (OVC BRCA-mutated) | Phase 2: Cohort D (UC) | Phase 2: Cohort E1 (mCRPC) | Phase 2: Cohort E2 (mCRPC DDR+) | Phase 2: Cohort F (BRCA/ATM-mutated) | Total | |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Arm/Group Description | Participants with locally advanced or metastatic solid tumors were treated with talazoparib 1.0 mg orally once daily (QD) in combination with avelumab 800 mg intravenously (IV) every 2 weeks (Q2W) for a maximum of 246.3 weeks. Safety follow-up was for 90 days after last dose of study treatment or until time of initiation of new anticancer treatment, whichever comes first. | Participants with locally advanced (primary or recurrent) or metastatic non-small cell lung cancer (NSCLC) were treated with talazoparib 1 mg QD orally in combination with avelumab 800 mg IV Q2W for a maximum of 183.6 weeks. Safety follow-up was for 90 days after last dose of study treatment or until time of initiation of new anticancer treatment, whichever comes first. | Participants with locally advanced (primary or recurrent) or metastatic NSCLC with DNA damage repair positive (DDR+) were treated with talazoparib 1 mg QD orally in combination with avelumab 800 mg IV Q2W for a maximum of 173.0 weeks. Safety follow-up was for 90 days after last dose of study treatment or until time of initiation of new anticancer treatment, whichever comes first. | Participants with locally advanced (primary or recurrent) or triple-negative breast cancer (TNBC) were treated with talazoparib 1 mg QD orally in combination with avelumab 800 mg IV Q2W for a maximum of 93.0 weeks. Safety follow-up was for 90 days after last dose of study treatment or until time of initiation of new anticancer treatment, whichever comes first. | Participants with locally advanced (primary or recurrent) or metastatic hormone receptor positive (HR+)/human epidermal growth factor receptor 2 negative (HER2-) breast cancer (BC) with DDR+ were treated with talazoparib 1 mg QD orally in combination with avelumab 800 mg IV Q2W for a maximum of 180.0 weeks. Safety follow-up was for 90 days after last dose of study treatment or until time of initiation of new anticancer treatment, whichever comes first. | Participants with locally advanced (primary or recurrent) or metastatic ovarian cancer (OVC) were treated with talazoparib 1 mg QD orally in combination with avelumab 800 mg IV Q2W for a maximum of 161.1 weeks. Safety follow-up was for 90 days after last dose of study treatment or until time of initiation of new anticancer treatment, whichever comes first. | Participants with locally advanced (primary or recurrent) or metastatic OVC with germline or somatic BRCA1 or BRCA2 gene defect were treated with talazoparib 1 mg QD orally in combination with avelumab 800 mg IV Q2W for a maximum of 144.0 weeks. Safety follow-up was for 90 days after last dose of study treatment or until time of initiation of new anticancer treatment, whichever comes first. | Participants with locally advanced (primary or recurrent) or metastatic urothelial cancer (UC) were treated with talazoparib 1 mg QD orally in combination with avelumab 800 mg IV Q2W for a maximum of 164.0 weeks. Safety follow-up was for 90 days after last dose of study treatment or until time of initiation of new anticancer treatment, whichever comes first. | Participants with metastatic castration-resistant prostate cancer (mCRPC) were treated with talazoparib 1 mg QD orally in combination with avelumab 800 mg IV Q2W for a maximum of 54.1 weeks. Safety follow-up was for 90 days after last dose of study treatment or until time of initiation of new anticancer treatment, whichever comes first. | Participants with mCRPC with DDR+ were treated with talazoparib 1 mg QD orally in combination with avelumab 800 mg IV Q2W for a maximum of 74.0 weeks. Safety follow-up was for 90 days after last dose of study treatment or until time of initiation of new anticancer treatment, whichever comes first. | Participants with locally advanced (primary or recurrent) or metastatic solid tumors, independent of tissue of origin, with previously identified pathogenic, or likely pathogenic, germline or somatic defects in BRCA1, BRCA2, or ATM genes were treated with talazoparib 1 mg QD orally in combination with avelumab 800 mg IV Q2W for a maximum of 49.9 weeks. Safety follow-up was for 90 days after last dose of study treatment or until time of initiation of new anticancer treatment, whichever comes first. | Total of all reporting groups | |
Overall Number of Baseline Participants | 12 | 42 | 5 | 22 | 23 | 20 | 11 | 40 | 21 | 18 | 9 | 223 | |
Baseline Analysis Population Description |
[Not Specified]
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Age, Continuous
Mean (Standard Deviation) Unit of measure: Years |
|||||||||||||
Mean | Number Analyzed | 12 participants | 42 participants | 5 participants | 22 participants | 23 participants | 20 participants | 11 participants | 40 participants | 21 participants | 18 participants | 9 participants | 223 participants |
62.67 (9.49) | 67.00 (9.37) | 59.60 (7.40) | 56.18 (12.49) | 53.83 (14.08) | 62.65 (10.66) | 61.36 (9.24) | 65.73 (9.19) | 63.71 (7.40) | 71.56 (7.37) | 63.00 (10.91) | 63.17 (11.04) | ||
Age, Customized
Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 12 participants | 42 participants | 5 participants | 22 participants | 23 participants | 20 participants | 11 participants | 40 participants | 21 participants | 18 participants | 9 participants | 223 participants |
<65 years |
6 50.0%
|
15 35.7%
|
4 80.0%
|
15 68.2%
|
17 73.9%
|
12 60.0%
|
7 63.6%
|
16 40.0%
|
8 38.1%
|
3 16.7%
|
5 55.6%
|
108 48.4%
|
|
65 - <75 years |
5 41.7%
|
19 45.2%
|
1 20.0%
|
6 27.3%
|
3 13.0%
|
5 25.0%
|
3 27.3%
|
16 40.0%
|
12 57.1%
|
8 44.4%
|
2 22.2%
|
80 35.9%
|
|
75 - <85 years |
1 8.3%
|
7 16.7%
|
0 0.0%
|
1 4.5%
|
3 13.0%
|
3 15.0%
|
1 9.1%
|
7 17.5%
|
1 4.8%
|
6 33.3%
|
2 22.2%
|
32 14.3%
|
|
>= 85 years |
0 0.0%
|
1 2.4%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 2.5%
|
0 0.0%
|
1 5.6%
|
0 0.0%
|
3 1.3%
|
|
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
|||||||||||||
Number Analyzed | 12 participants | 42 participants | 5 participants | 22 participants | 23 participants | 20 participants | 11 participants | 40 participants | 21 participants | 18 participants | 9 participants | 223 participants | |
Female |
3 25.0%
|
9 21.4%
|
2 40.0%
|
22 100.0%
|
22 95.7%
|
20 100.0%
|
11 100.0%
|
14 35.0%
|
0 0.0%
|
0 0.0%
|
3 33.3%
|
106 47.5%
|
|
Male |
9 75.0%
|
33 78.6%
|
3 60.0%
|
0 0.0%
|
1 4.3%
|
0 0.0%
|
0 0.0%
|
26 65.0%
|
21 100.0%
|
18 100.0%
|
6 66.7%
|
117 52.5%
|
|
Ethnicity (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
|||||||||||||
Number Analyzed | 12 participants | 42 participants | 5 participants | 22 participants | 23 participants | 20 participants | 11 participants | 40 participants | 21 participants | 18 participants | 9 participants | 223 participants | |
Hispanic or Latino |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 4.3%
|
0 0.0%
|
0 0.0%
|
2 5.0%
|
3 14.3%
|
1 5.6%
|
0 0.0%
|
7 3.1%
|
|
Not Hispanic or Latino |
12 100.0%
|
39 92.9%
|
5 100.0%
|
19 86.4%
|
21 91.3%
|
18 90.0%
|
11 100.0%
|
38 95.0%
|
11 52.4%
|
16 88.9%
|
8 88.9%
|
198 88.8%
|
|
Unknown or Not Reported |
0 0.0%
|
3 7.1%
|
0 0.0%
|
3 13.6%
|
1 4.3%
|
2 10.0%
|
0 0.0%
|
0 0.0%
|
7 33.3%
|
1 5.6%
|
1 11.1%
|
18 8.1%
|
|
Race/Ethnicity, Customized
Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 12 participants | 42 participants | 5 participants | 22 participants | 23 participants | 20 participants | 11 participants | 40 participants | 21 participants | 18 participants | 9 participants | 223 participants |
Black or African American |
3 25.0%
|
1 2.4%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
2 18.2%
|
1 2.5%
|
5 23.8%
|
2 11.1%
|
0 0.0%
|
14 6.3%
|
|
American Indian or Alaska Native |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 4.3%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 0.4%
|
|
Asian |
0 0.0%
|
5 11.9%
|
0 0.0%
|
1 4.5%
|
1 4.3%
|
0 0.0%
|
3 27.3%
|
2 5.0%
|
1 4.8%
|
2 11.1%
|
0 0.0%
|
15 6.7%
|
|
Native Hawaiian or Other Pacific Islander |
0 0.0%
|
0 0.0%
|
1 20.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 0.4%
|
|
White |
9 75.0%
|
34 81.0%
|
4 80.0%
|
20 90.9%
|
17 73.9%
|
18 90.0%
|
6 54.5%
|
36 90.0%
|
12 57.1%
|
14 77.8%
|
9 100.0%
|
179 80.3%
|
|
Not reported |
0 0.0%
|
2 4.8%
|
0 0.0%
|
1 4.5%
|
4 17.4%
|
2 10.0%
|
0 0.0%
|
1 2.5%
|
3 14.3%
|
0 0.0%
|
0 0.0%
|
13 5.8%
|
|
Geographic Region
Measure Type: Count of Participants Unit of measure: Participants |
|||||||||||||
Number Analyzed | 12 participants | 42 participants | 5 participants | 22 participants | 23 participants | 20 participants | 11 participants | 40 participants | 21 participants | 18 participants | 9 participants | 223 participants | |
North America |
12 100.0%
|
9 21.4%
|
3 60.0%
|
14 63.6%
|
15 65.2%
|
10 50.0%
|
7 63.6%
|
15 37.5%
|
20 95.2%
|
11 61.1%
|
8 88.9%
|
124 55.6%
|
|
Western Europe |
0 0.0%
|
10 23.8%
|
2 40.0%
|
0 0.0%
|
1 4.3%
|
2 10.0%
|
1 9.1%
|
5 12.5%
|
1 4.8%
|
4 22.2%
|
1 11.1%
|
27 12.1%
|
|
Eastern Europe |
0 0.0%
|
19 45.2%
|
0 0.0%
|
6 27.3%
|
4 17.4%
|
5 25.0%
|
1 9.1%
|
16 40.0%
|
0 0.0%
|
1 5.6%
|
0 0.0%
|
52 23.3%
|
|
Australasia |
0 0.0%
|
0 0.0%
|
0 0.0%
|
2 9.1%
|
2 8.7%
|
3 15.0%
|
0 0.0%
|
2 5.0%
|
0 0.0%
|
1 5.6%
|
0 0.0%
|
10 4.5%
|
|
Asia |
0 0.0%
|
4 9.5%
|
0 0.0%
|
0 0.0%
|
1 4.3%
|
0 0.0%
|
2 18.2%
|
2 5.0%
|
0 0.0%
|
1 5.6%
|
0 0.0%
|
10 4.5%
|
|
ECOG Performance Status
[1] Measure Type: Count of Participants Unit of measure: Participants |
|||||||||||||
Number Analyzed | 12 participants | 42 participants | 5 participants | 22 participants | 23 participants | 20 participants | 11 participants | 40 participants | 21 participants | 18 participants | 9 participants | 223 participants | |
0 |
4 33.3%
|
5 11.9%
|
1 20.0%
|
12 54.5%
|
12 52.2%
|
9 45.0%
|
8 72.7%
|
16 40.0%
|
4 19.0%
|
6 33.3%
|
1 11.1%
|
78 35.0%
|
|
1 |
8 66.7%
|
37 88.1%
|
4 80.0%
|
10 45.5%
|
11 47.8%
|
11 55.0%
|
3 27.3%
|
24 60.0%
|
17 81.0%
|
12 66.7%
|
8 88.9%
|
145 65.0%
|
|
[1]
Measure Description: ECOG=Eastern Cooperative Oncology Group. Score 0=Fully active, able to carry on all pre-disease activities without restriction; 1=Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature, eg, light house work or office work.
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Outcome Measures
Adverse Events
Limitations and Caveats
[Not Specified]
More Information
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts
the PI's rights to discuss or publish trial results after the trial is completed.
Pfizer has the right to review disclosures, requesting a delay of less than 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.
Results Point of Contact
Name/Title: | Pfizer ClinicalTrials.gov Call Center |
Organization: | Pfizer Inc. |
Phone: | 1-800-718-1021 |
EMail: | ClinicalTrials.gov_Inquiries@pfizer.com |
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: | Pfizer |
ClinicalTrials.gov Identifier: | NCT03330405 |
Other Study ID Numbers: |
B9991025 2017-001509-33 ( EudraCT Number ) JAVELIN PARP MEDLEY ( Other Identifier: Alias Study Number ) |
First Submitted: | October 16, 2017 |
First Posted: | November 6, 2017 |
Results First Submitted: | February 10, 2023 |
Results First Posted: | June 12, 2023 |
Last Update Posted: | October 13, 2023 |