{
"info": {
"nct_id": "NCT03472560",
"official_title": "A PHASE 2, OPEN LABEL STUDY TO EVALUATE SAFETY AND CLINICAL ACTIVITY OF AVELUMAB (BAVENCIO (REGISTERED)) IN COMBINATION WITH AXITINIB (INLYTA (REGISTERED)) IN PATIENTS WITH ADVANCED OR METASTATIC PREVIOUSLY TREATED NON-SMALL CELL LUNG CANCER OR TREATMENT NAÏVE CISPLATIN-INELIGIBLE UROTHELIAL CANCER JAVELIN MEDLEY VEGF",
"inclusion_criteria": "* Non-small cell lung cancer (NSCLC) Cohort: Histologically or cytologically confirmed diagnosis of NSCLC that is locally advanced or metastatic; No activating EGFR mutations, ALK or ROS1 translocations/rearrangements where testing is standard of care; received at least 1 prior platinum-based chemotherapy regimen for locally advanced or metastatic NSCLC; No more than 2 prior lines of systemic therapy for locally advanced or metastatic disease (If disease progression occurred during or within 6 months after neoadjuvant/adjuvant chemotherapy or radiotherapy-chemotherapy, the regimen is counted as 1 prior treatment regimen towards the allowed limit of prior treatment regimens); Checkpoint inhibitor naïve.\n* Urothelial Cancer (UC) Cohort: Histologically or cytologically confirmed diagnosis of transitional cell carcinoma (TCC) of the urothelium (if mixed, more than 50% TCC component) including bladder, urethra, ureters, or renal pelvis that is locally advanced or metastatic; No prior systemic treatment for locally advanced or metastatic disease; Prior neoadjuvant or adjuvant therapy is permitted if disease progression occurred >12 months after the completion of therapy; Checkpoint inhibitor naïve; Ineligible for receiving cisplatin-containing front-line chemotherapy based at least one of the following criteria: ECOG performance status (PS) 2; Renal dysfunction (defined as creatinine-clearance <60 ml/min); Grade 2 peripheral neuropathy; Grade 2 hearing loss (hearing loss measured by audiometry of 25 decibels at two contiguous frequencies).\n* At least 1 measurable lesion by RECIST v1.1 not previously irradiated.\n* Availability of an archival FFPE tumor tissue block from primary diagnosis specimen or metastatic specimen or 15 unstained slides (10 minimum). If an archived sample is not available, a fresh tumor biopsy must be performed.\n* Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1. For UC patients, ECOG performance 2 is permitted (cisplatin ineligibility criterion)\nHealthy volunteers allowed\nMust have minimum age of 18 Years",
"exclusion_criteria": "* Prior immunotherapy with an anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CD137, anti-OX-40, anti-GITR, anti-LAG-3, anti-TIM-3 or anti-CTLA-4 antibody (including ipilimumab).\n* Newly diagnosed brain metastases or known symptomatic brain metastases requiring steroids.\n* Radiologically documented evidence of major blood vessel invasion or encasement by cancer or intratumor cavitation, regardless of tumor histology.\n* Active autoimmune disease (that might deteriorate when receiving an immunostimulatory agent).\n* Current use of immunosuppressive medication (except for those listed in protocol).\n* Known prior severe hypersensitivity to the investigational products /monoclonal antibodies.\n* Known history of immune-mediated colitis, inflammatory bowel disease, immune-mediated pneumonitis, pulmonary fibrosis.\n* NCI CTCAE Grade 3 hemorrhage within 28 days prior to study enrollment.",
"miscellaneous_criteria": ""
},
"inclusion_lines": [
{
"identified_line": {
"line": "* Non-small cell lung cancer (NSCLC) Cohort: Histologically or cytologically confirmed diagnosis of NSCLC that is locally advanced or metastatic; No activating EGFR mutations, ALK or ROS1 translocations/rearrangements where testing is standard of care; received at least 1 prior platinum-based chemotherapy regimen for locally advanced or metastatic NSCLC; No more than 2 prior lines of systemic therapy for locally advanced or metastatic disease (If disease progression occurred during or within 6 months after neoadjuvant/adjuvant chemotherapy or radiotherapy-chemotherapy, the regimen is counted as 1 prior treatment regimen towards the allowed limit of prior treatment regimens); Checkpoint inhibitor naïve.",
"criterions": [
{
"exact_snippets": "Histologically or cytologically confirmed diagnosis of NSCLC",
"criterion": "NSCLC diagnosis",
"requirement": {
"requirement_type": "confirmation method",
"expected_value": [
"histologically",
"cytologically"
]
}
},
{
"exact_snippets": "locally advanced or metastatic",
"criterion": "NSCLC stage",
"requirement": {
"requirement_type": "stage",
"expected_value": [
"locally advanced",
"metastatic"
]
}
},
{
"exact_snippets": "No activating EGFR mutations",
"criterion": "EGFR mutations",
"requirement": {
"requirement_type": "presence",
"expected_value": false
}
},
{
"exact_snippets": "No ... ALK or ROS1 translocations/rearrangements",
"criterion": "ALK or ROS1 translocations/rearrangements",
"requirement": {
"requirement_type": "presence",
"expected_value": false
}
},
{
"exact_snippets": "received at least 1 prior platinum-based chemotherapy regimen",
"criterion": "prior platinum-based chemotherapy",
"requirement": {
"requirement_type": "quantity",
"expected_value": {
"operator": ">=",
"value": 1,
"unit": "regimen"
}
}
},
{
"exact_snippets": "No more than 2 prior lines of systemic therapy",
"criterion": "prior lines of systemic therapy",
"requirement": {
"requirement_type": "quantity",
"expected_value": {
"operator": "<=",
"value": 2,
"unit": "lines"
}
}
},
{
"exact_snippets": "Checkpoint inhibitor naïve",
"criterion": "checkpoint inhibitor exposure",
"requirement": {
"requirement_type": "exposure",
"expected_value": false
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"and_criteria": [
{
"and_criteria": [
{
"and_criteria": [
{
"and_criteria": [
{
"and_criteria": [
{
"exact_snippets": "Histologically or cytologically confirmed diagnosis of NSCLC",
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"histologically",
"cytologically"
]
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{
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}
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},
{
"exact_snippets": "No ... ALK or ROS1 translocations/rearrangements",
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"requirement": {
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"expected_value": false
}
}
]
},
{
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"operator": ">=",
"value": 1,
"unit": "regimen"
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}
}
]
},
{
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"requirement": {
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"operator": "<=",
"value": 2,
"unit": "lines"
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}
}
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},
{
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"requirement": {
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"expected_value": false
}
}
]
}
}
],
"exclusion_lines": [],
"miscellaneous_lines": [],
"failed_inclusion": [
{
"identified_line": {
"line": "* Urothelial Cancer (UC) Cohort: Histologically or cytologically confirmed diagnosis of transitional cell carcinoma (TCC) of the urothelium (if mixed, more than 50% TCC component) including bladder, urethra, ureters, or renal pelvis that is locally advanced or metastatic; No prior systemic treatment for locally advanced or metastatic disease; Prior neoadjuvant or adjuvant therapy is permitted if disease progression occurred >12 months after the completion of therapy; Checkpoint inhibitor naïve; Ineligible for receiving cisplatin-containing front-line chemotherapy based at least one of the following criteria: ECOG performance status (PS) 2; Renal dysfunction (defined as creatinine-clearance <60 ml/min); Grade 2 peripheral neuropathy; Grade 2 hearing loss (hearing loss measured by audiometry of 25 decibels at two contiguous frequencies).",
"criterions": [
{
"exact_snippets": "Histologically or cytologically confirmed diagnosis of transitional cell carcinoma (TCC) of the urothelium",
"criterion": "transitional cell carcinoma (TCC) of the urothelium",
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"expected_value": [
"histologically",
"cytologically"
]
}
},
{
"exact_snippets": "if mixed, more than 50% TCC component",
"criterion": "TCC component in mixed carcinoma",
"requirement": {
"requirement_type": "percentage",
"expected_value": {
"operator": ">",
"value": 50,
"unit": "%"
}
}
},
{
"exact_snippets": "locally advanced or metastatic",
"criterion": "cancer stage",
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"metastatic"
]
}
},
{
"exact_snippets": "No prior systemic treatment for locally advanced or metastatic disease",
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"requirement": {
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"expected_value": false
}
},
{
"exact_snippets": "Prior neoadjuvant or adjuvant therapy is permitted if disease progression occurred >12 months after the completion of therapy",
"criterion": "prior neoadjuvant or adjuvant therapy",
"requirement": {
"requirement_type": "progression time after therapy",
"expected_value": {
"operator": ">",
"value": 12,
"unit": "months"
}
}
},
{
"exact_snippets": "Checkpoint inhibitor naïve",
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"requirement": {
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"expected_value": true
}
},
{
"exact_snippets": "Ineligible for receiving cisplatin-containing front-line chemotherapy",
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"requirement": {
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"expected_value": false
}
},
{
"exact_snippets": "ECOG performance status (PS) 2",
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"expected_value": {
"operator": "=",
"value": 2,
"unit": "N/A"
}
}
},
{
"exact_snippets": "Renal dysfunction (defined as creatinine-clearance <60 ml/min)",
"criterion": "renal dysfunction",
"requirement": {
"requirement_type": "creatinine-clearance",
"expected_value": {
"operator": "<",
"value": 60,
"unit": "ml/min"
}
}
},
{
"exact_snippets": "Grade 2 peripheral neuropathy",
"criterion": "peripheral neuropathy",
"requirement": {
"requirement_type": "grade",
"expected_value": {
"operator": "=",
"value": 2,
"unit": "N/A"
}
}
},
{
"exact_snippets": "Grade 2 hearing loss (hearing loss measured by audiometry of 25 decibels at two contiguous frequencies)",
"criterion": "hearing loss",
"requirement": {
"requirement_type": "grade",
"expected_value": {
"operator": "=",
"value": 2,
"unit": "N/A"
}
}
},
{
"exact_snippets": "Grade 2 hearing loss (hearing loss measured by audiometry of 25 decibels at two contiguous frequencies)",
"criterion": "hearing loss",
"requirement": {
"requirement_type": "audiometry measurement",
"expected_value": {
"operator": "=",
"value": 25,
"unit": "decibels"
}
}
}
]
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"criterion": "failed",
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}
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"identified_line": {
"line": "* At least 1 measurable lesion by RECIST v1.1 not previously irradiated.",
"criterions": [
{
"exact_snippets": "At least 1 measurable lesion by RECIST v1.1",
"criterion": "measurable lesion",
"requirement": {
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"expected_value": {
"operator": ">=",
"value": 1,
"unit": "N/A"
}
}
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"criterion": "measurable lesion",
"requirement": {
"requirement_type": "measurement standard",
"expected_value": "RECIST v1.1"
}
},
{
"exact_snippets": "not previously irradiated",
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"requirement": {
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"expected_value": false
}
}
]
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},
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"line": "* Availability of an archival FFPE tumor tissue block from primary diagnosis specimen or metastatic specimen or 15 unstained slides (10 minimum). If an archived sample is not available, a fresh tumor biopsy must be performed.",
"criterions": [
{
"exact_snippets": "Availability of an archival FFPE tumor tissue block from primary diagnosis specimen or metastatic specimen",
"criterion": "archival FFPE tumor tissue block",
"requirement": {
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"expected_value": true
}
},
{
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"criterion": "unstained slides",
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"operator": ">=",
"value": 10,
"unit": "slides"
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]
}
}
},
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"exact_snippets": "If an archived sample is not available, a fresh tumor biopsy must be performed",
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"requirement": {
"requirement_type": "necessity",
"expected_value": true
}
}
]
},
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},
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"line": "* Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1. For UC patients, ECOG performance 2 is permitted (cisplatin ineligibility criterion)",
"criterions": [
{
"exact_snippets": "Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1",
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"requirement": {
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]
}
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"exact_snippets": "For UC patients, ECOG performance 2 is permitted",
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"requirement": {
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}
}
]
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}
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},
{
"identified_line": {
"line": "Must have minimum age of 18 Years",
"criterions": [
{
"exact_snippets": "minimum age of 18 Years",
"criterion": "age",
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"expected_value": {
"operator": ">=",
"value": 18,
"unit": "Years"
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}
}
]
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"line": "* Prior immunotherapy with an anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CD137, anti-OX-40, anti-GITR, anti-LAG-3, anti-TIM-3 or anti-CTLA-4 antibody (including ipilimumab).",
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}
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{
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}
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{
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"expected_value": true
}
},
{
"exact_snippets": "Prior immunotherapy with an ... anti-CD137",
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"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "Prior immunotherapy with an ... anti-OX-40",
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"requirement": {
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"expected_value": true
}
},
{
"exact_snippets": "Prior immunotherapy with an ... anti-GITR",
"criterion": "prior immunotherapy with anti-GITR antibody",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "Prior immunotherapy with an ... anti-LAG-3",
"criterion": "prior immunotherapy with anti-LAG-3 antibody",
"requirement": {
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"expected_value": true
}
},
{
"exact_snippets": "Prior immunotherapy with an ... anti-TIM-3",
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"expected_value": true
}
},
{
"exact_snippets": "Prior immunotherapy with an ... anti-CTLA-4 antibody (including ipilimumab)",
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"expected_value": true
}
}
]
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"line": "* Newly diagnosed brain metastases or known symptomatic brain metastases requiring steroids.",
"criterions": [
{
"exact_snippets": "Newly diagnosed brain metastases",
"criterion": "brain metastases",
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}
},
{
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"criterion": "brain metastases",
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"expected_value": true
}
},
{
"exact_snippets": "brain metastases requiring steroids",
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}
]
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"identified_line": {
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{
"exact_snippets": "Radiologically documented evidence of major blood vessel invasion",
"criterion": "major blood vessel invasion",
"requirement": {
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"expected_value": true
}
},
{
"exact_snippets": "Radiologically documented evidence of ... encasement by cancer",
"criterion": "encasement by cancer",
"requirement": {
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}
},
{
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}
]
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{
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"criterion": "autoimmune disease",
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}
},
{
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}
}
]
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},
{
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}
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},
{
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"expected_value": true
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},
{
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}
},
{
"exact_snippets": "Known prior severe hypersensitivity to ... monoclonal antibodies",
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}
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{
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}
},
{
"exact_snippets": "Known history of ... inflammatory bowel disease",
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}
},
{
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}
},
{
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}
]
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},
{
"identified_line": {
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{
"exact_snippets": "NCI CTCAE Grade 3 hemorrhage",
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"requirement_type": "severity",
"expected_value": "NCI CTCAE Grade 3"
}
},
{
"exact_snippets": "within 28 days prior to study enrollment",
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"unit": "days"
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}
}
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],
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}