Study to Assess Safety and Efficacy of the Second Mitochondrial-derived Activator of Caspases (SMAC) Mimetic Debio 1143 (SMARTPLUS-106)
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ClinicalTrials.gov Identifier: NCT04122625 |
Recruitment Status :
Completed
First Posted : October 10, 2019
Results First Posted : June 12, 2023
Last Update Posted : June 12, 2023
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Sponsor:
Debiopharm International SA
Information provided by (Responsible Party):
Debiopharm International SA
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Study Type | Interventional |
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Study Design | Allocation: Non-Randomized; Intervention Model: Sequential Assignment; Masking: None (Open Label); Primary Purpose: Treatment |
Condition |
Solid Tumor |
Interventions |
Drug: Debio 1143 Drug: Nivolumab |
Enrollment | 46 |
Participant Flow
Recruitment Details | Participants took part at 24 investigational sites in the United States, Spain, and France from 26 April 2019 to 6 April 2022. |
Pre-assignment Details | A total of 46 participants were enrolled in this study, 11 participants with advanced solid malignancies who failed prior systemic standard treatments into Part A and 35 participants into Part B of the study. Part B of the study was started after recommended phase 2 dose (RP2D) was determined in Part A and did not include any participants from Part A. |
Arm/Group Title | Part A - Debio 1143 150 mg + Nivolumab | Part A - Debio 1143 200 mg + Nivolumab | Part B - Cohort 1 (SCLC): Debio 1143 200 mg + Nivolumab | Part B - Cohort 2 (SCCHN): Debio 1143 200 mg + Nivolumab | Part B - Cohort 3 (GI Cancers): Debio 1143 200 mg + Nivolumab | Part B - Cohort 4 (Gynecologic Cancers): Debio 1143 200 mg + Nivolumab |
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Arm/Group Description | Participants received Debio 1143, 150 milligrams (mg) capsules, orally once on Days 1 to 10 and Days 15 to 24 of each 28-day treatment cycle along with nivolumab 240 mg, intravenous (IV) infusion on Days 1 and 15 of each 28-day treatment cycle allowed for a maximum of 26 cycles. | Participants received Debio 1143, 200 mg capsules, orally once on Days 1 to 10 and Days 15 to 24 of each 28-day treatment cycle along with nivolumab 240 mg, IV infusion on Days 1 and 15 of each 28-day treatment cycle allowed for a maximum of 26 cycles. | Participants with small-cell lung cancer (SCLC) received Debio 1143, 200 mg capsules, orally once on Days 1 to 28 in each 28-day treatment cycle along with nivolumab 240 mg, IV infusion on Days 1 and 15 of each 28-day treatment cycle allowed for a maximum of 26 cycles. | Participants with squamous cell carcinoma of the head and neck (SCCHN) received Debio 1143, 200 mg capsules, orally once on Days 1 to 28 in each 28-day treatment cycle along with nivolumab 240 mg, IV infusion on Days 1 and 15 of each 28-day treatment cycle allowed for a maximum of 26 cycles. | Participants with gastrointestinal (GI) cancers received Debio 1143, 200 mg capsules, orally once on Days 1 to 28 in each 28-day treatment cycle along with nivolumab 240 mg, IV infusion on Days 1 and 15 of each 28-day treatment cycle allowed for a maximum of 26 cycles. | Participants with gynecologic cancers received Debio 1143, 200 mg capsules, orally once on Days 1 to 28 in each 28-day treatment cycle along with nivolumab 240 mg, IV infusion on Days 1 and 15 of each 28-day treatment cycle allowed for a maximum of 26 cycles. |
Period Title: Part A (up to 2.92 Years) | ||||||
Started | 3 | 8 | 0 | 0 | 0 | 0 |
Completed [1] | 1 | 4 | 0 | 0 | 0 | 0 |
Not Completed | 2 | 4 | 0 | 0 | 0 | 0 |
Reason Not Completed | ||||||
Death | 2 | 4 | 0 | 0 | 0 | 0 |
[1]
Completed also includes 1 participant in arm group, Part A: Debio 1143 200 mg + Nivolumab who entered and completed the extension phase of Part A.
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Period Title: Part B (up to 2.33 Years) | ||||||
Started | 0 | 0 | 8 | 8 | 8 | 11 |
Completed | 0 | 0 | 2 | 0 | 0 | 4 |
Not Completed | 0 | 0 | 6 | 8 | 8 | 7 |
Reason Not Completed | ||||||
Patient lost to follow-up | 0 | 0 | 1 | 1 | 2 | 0 |
Death | 0 | 0 | 5 | 7 | 6 | 7 |
Baseline Characteristics
Arm/Group Title | Part A - Debio 1143 150 mg + Nivolumab | Part A - Debio 1143 200 mg + Nivolumab | Part B - Cohort 1 (SCLC): Debio 1143 200 mg + Nivolumab | Part B - Cohort 2 (SCCHN): Debio 1143 200 mg + Nivolumab | Part B - Cohort 3 (GI Cancers): Debio 1143 200 mg + Nivolumab | Part B - Cohort 4 (Gynecologic Cancers): Debio 1143 200 mg + Nivolumab | Total | |
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Arm/Group Description | Participants received Debio 1143, 150 mg capsules, orally once on Days 1 to 10 and Days 15 to 24 of each 28-day treatment cycle along with nivolumab 240 mg, IV infusion on Days 1 and 15 of each 28-day treatment cycle allowed for a maximum of 26 cycles. | Participants received Debio 1143, 200 mg capsules, orally once on Days 1 to 10 and Days 15 to 24 of each 28-day treatment cycle along with nivolumab 240 mg, IV infusion on Days 1 and 15 of each 28-day treatment cycle allowed for a maximum of 26 cycles. | Participants with SCLC received Debio 1143, 200 mg capsules, orally once on Days 1 to 28 in each 28-day treatment cycle along with nivolumab 240 mg, IV infusion on Days 1 and 15 of each 28-day treatment cycle allowed for a maximum of 26 cycles. | Participants with SCCHN received Debio 1143, 200 mg capsules, orally once on Days 1 to 28 in each 28-day treatment cycle along with nivolumab 240 mg, IV infusion on Days 1 and 15 of each 28-day treatment cycle allowed for a maximum of 26 cycles. | Participants with GI cancers received Debio 1143, 200 mg capsules, orally once on Days 1 to 28 in each 28-day treatment cycle along with nivolumab 240 mg, IV infusion on Days 1 and 15 of each 28-day treatment cycle allowed for a maximum of 26 cycles. | Participants with gynecologic cancers received Debio 1143, 200 mg capsules, orally once on Days 1 to 28 in each 28-day treatment cycle along with nivolumab 240 mg, IV infusion on Days 1 and 15 of each 28-day treatment cycle allowed for a maximum of 26 cycles. | Total of all reporting groups | |
Overall Number of Baseline Participants | 3 | 8 | 8 | 8 | 8 | 11 | 46 | |
Baseline Analysis Population Description |
Safety analysis set included all participants who were enrolled and received at least one dose of any study drug.
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Age, Continuous
Mean (Full Range) Unit of measure: Years |
||||||||
Number Analyzed | 3 participants | 8 participants | 8 participants | 8 participants | 8 participants | 11 participants | 46 participants | |
71.0
(58 to 79)
|
55.5
(27 to 81)
|
65.5
(57 to 74)
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61.6
(48 to 71)
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63.9
(36 to 81)
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64.8
(43 to 79)
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63.0
(27 to 81)
|
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Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 3 participants | 8 participants | 8 participants | 8 participants | 8 participants | 11 participants | 46 participants | |
Female |
1 33.3%
|
1 12.5%
|
4 50.0%
|
1 12.5%
|
3 37.5%
|
11 100.0%
|
21 45.7%
|
|
Male |
2 66.7%
|
7 87.5%
|
4 50.0%
|
7 87.5%
|
5 62.5%
|
0 0.0%
|
25 54.3%
|
|
Ethnicity (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
||||||||
Number Analyzed | 3 participants | 8 participants | 8 participants | 8 participants | 8 participants | 11 participants | 46 participants | |
Hispanic or Latino |
0 0.0%
|
0 0.0%
|
1 12.5%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 2.2%
|
|
Not Hispanic or Latino |
3 100.0%
|
7 87.5%
|
5 62.5%
|
6 75.0%
|
7 87.5%
|
6 54.5%
|
34 73.9%
|
|
Unknown or Not Reported |
0 0.0%
|
1 12.5%
|
2 25.0%
|
2 25.0%
|
1 12.5%
|
5 45.5%
|
11 23.9%
|
|
Race/Ethnicity, Customized
Measure Type: Count of Participants Unit of measure: Participants |
||||||||
Race | Number Analyzed | 3 participants | 8 participants | 8 participants | 8 participants | 8 participants | 11 participants | 46 participants |
White |
3 100.0%
|
7 87.5%
|
6 75.0%
|
5 62.5%
|
7 87.5%
|
6 54.5%
|
34 73.9%
|
|
Other |
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 12.5%
|
0 0.0%
|
0 0.0%
|
1 2.2%
|
|
Unknown |
0 0.0%
|
1 12.5%
|
2 25.0%
|
2 25.0%
|
1 12.5%
|
5 45.5%
|
11 23.9%
|
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.
Any publication or scientific communication related to this study can only take place once the agreement between the Sponsor and the Investigator has been reached.
Results Point of Contact
Name/Title: | Head Clinical Research & Development |
Organization: | Debiopharm International S.A. |
Phone: | 4121 321 01 11 |
EMail: | info-international@debiopharm.com |
Responsible Party: | Debiopharm International SA |
ClinicalTrials.gov Identifier: | NCT04122625 |
Other Study ID Numbers: |
Debio 1143-106 2018-003546-16 ( EudraCT Number ) |
First Submitted: | August 30, 2019 |
First Posted: | October 10, 2019 |
Results First Submitted: | April 5, 2023 |
Results First Posted: | June 12, 2023 |
Last Update Posted: | June 12, 2023 |