Last reviewed · How we verify

NCT02346370: PRIMAL

A Phase 1b Study of PEGylated Recombinant Human Hyaluronidase (PEGPH20) Combined With Docetaxel in Subjects With Recurrent Previously Treated Locally Advanced or Metastatic NSCLC

Terminated Phase 1 Results posted Last updated 8 February 2019
What this trial tests

Phase 1 trial testing PEGylated recombinant human hyaluronidase PH20 in Non-small Cell Lung Cancer in 16 participants. Terminated before completion.

Timeline
10 February 2015
Primary endpoint
9 August 2016
14 November 2016

Quick facts

Lead sponsorHalozyme Therapeutics
PhasePhase 1
StatusTerminated
Study typeINTERVENTIONAL
Designsequential
Maskingnone
Primary purposetreatment
Enrollment16
Start date10 February 2015
Primary completion9 August 2016
Estimated completion14 November 2016
Sites8 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Halozyme Therapeutics — full company profile →

Who can join

18 and older, any sex, with Non-small Cell Lung Cancer. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Dose Limiting Toxicities (DLTs) Primary · Cycle 1 (Day 1 through Day 21) (1 Cycle = 21 days)

DLTs were defined as adverse events (AEs) that occurred during Cycle 1 in the Dose Escalation portion of the study, and deemed by the Investigator as related to study treatment.

Neutropenia
GroupValue95% CI
Cohort 1: 1.6 ug/kg PEGPH20 + Docetaxel0
Cohort 2: 3.0 ug/kg PEGPH20 + Docetaxel1
Cohort 3: 2.2 ug/kg PEGPH20 + Docetaxel0
Gastroenteritis Escherichia coli
GroupValue95% CI
Cohort 1: 1.6 ug/kg PEGPH20 + Docetaxel0
Cohort 2: 3.0 ug/kg PEGPH20 + Docetaxel1
Cohort 3: 2.2 ug/kg PEGPH20 + Docetaxel0
Sepsis
GroupValue95% CI
Cohort 1: 1.6 ug/kg PEGPH20 + Docetaxel0
Cohort 2: 3.0 ug/kg PEGPH20 + Docetaxel1
Cohort 3: 2.2 ug/kg PEGPH20 + Docetaxel0
Deep vein thrombosis
GroupValue95% CI
Cohort 1: 1.6 ug/kg PEGPH20 + Docetaxel0
Cohort 2: 3.0 ug/kg PEGPH20 + Docetaxel1
Cohort 3: 2.2 ug/kg PEGPH20 + Docetaxel1
Number of Participants With the Indicated Type of Adverse Events for PEGPH20 and Docetaxel Primary · From date of first dose until 30 days after the last dose of study treatment, up to approximately 1 year 10 months

Throughout the Treatment Period, the assessment of safety was based on AEs, including deaths, non-serious AEs, and serious adverse events, AEs leading to discontinuation of study treatment, and results of vital sign measurements and clinical laboratory assessments (including hematology, clinical chemistry, coagulation parameters, and urinalysis). Additionally, thromboembolic (TE) events were deemed by the Sponsor as AEs of special interest. AEs and laboratory values were graded for severity using the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 4

AEs greater than or equal to grade 3
GroupValue95% CI
Cohort 1: 1.6 ug/kg PEGPH20 + Docetaxel5
Cohort 2: 3.0 ug/kg PEGPH20 + Docetaxel4
Cohort 3: 2.2 ug/kg PEGPH20 + Docetaxel3
PEGPH20-related AEs
GroupValue95% CI
Cohort 1: 1.6 ug/kg PEGPH20 + Docetaxel6
Cohort 2: 3.0 ug/kg PEGPH20 + Docetaxel4
Cohort 3: 2.2 ug/kg PEGPH20 + Docetaxel4
Docetaxel-related AEs
GroupValue95% CI
Cohort 1: 1.6 ug/kg PEGPH20 + Docetaxel7
Cohort 2: 3.0 ug/kg PEGPH20 + Docetaxel4
Cohort 3: 2.2 ug/kg PEGPH20 + Docetaxel4
AEs with outcome of death
GroupValue95% CI
Cohort 1: 1.6 ug/kg PEGPH20 + Docetaxel0
Cohort 2: 3.0 ug/kg PEGPH20 + Docetaxel0
Cohort 3: 2.2 ug/kg PEGPH20 + Docetaxel0
SAEs
GroupValue95% CI
Cohort 1: 1.6 ug/kg PEGPH20 + Docetaxel3
Cohort 2: 3.0 ug/kg PEGPH20 + Docetaxel3
Cohort 3: 2.2 ug/kg PEGPH20 + Docetaxel1
Treatment-related SAEs
GroupValue95% CI
Cohort 1: 1.6 ug/kg PEGPH20 + Docetaxel1
Cohort 2: 3.0 ug/kg PEGPH20 + Docetaxel2
Cohort 3: 2.2 ug/kg PEGPH20 + Docetaxel1
AEs leading to discontinuation of study drug
GroupValue95% CI
Cohort 1: 1.6 ug/kg PEGPH20 + Docetaxel1
Cohort 2: 3.0 ug/kg PEGPH20 + Docetaxel1
Cohort 3: 2.2 ug/kg PEGPH20 + Docetaxel2

Adverse events — posted to ClinicalTrials.gov

Time frame: From date of first dose until 30 days after the last dose of study drug, up to approximately 1 year 10 months.. Reporting threshold: 2%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Cohort 1: 1.6 ug/kg PEGPH20 + Docetaxel
Serious: 3/7 (43%)
Deaths: 1/7
Cohort 2: 3.0 ug/kg PEGPH20 + Docetaxel
Serious: 3/4 (75%)
Deaths: 3/4
Cohort 3: 2.2 ug/kg PEGPH20 + Docetaxel
Serious: 1/4 (25%)
Deaths: 1/4

Serious adverse events (10 terms)

ReactionSystemCohort 1: 1.6 ug/kg PEGPH2…Cohort 2: 3.0 ug/kg PEGPH2…Cohort 3: 2.2 ug/kg PEGPH2…
PneumoniaInfections and infestations
Respiratory distressRespiratory, thoracic and mediastinal disorders
MyalgiaMusculoskeletal and connective tissue disorders
NeutropeniaBlood and lymphatic system disorders
DiverticulitisInfections and infestations
Gastroenteritis Escherichia coliInfections and infestations
SepsisInfections and infestations
Deep vein thrombosisVascular disorders
PneumothoraxRespiratory, thoracic and mediastinal disorders
Pericardial effusionCardiac disorders
Other adverse events (32 terms — click to expand)

ReactionSystemCohort 1: 1.6 ug/kg PEGPH2…Cohort 2: 3.0 ug/kg PEGPH2…Cohort 3: 2.2 ug/kg PEGPH2…
FatigueGeneral disorders
PyrexiaGeneral disorders
Muscle spasmsMusculoskeletal and connective tissue disorders
MyalgiaMusculoskeletal and connective tissue disorders
CoughRespiratory, thoracic and mediastinal disorders
Oedema peripheralGeneral disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
NauseaGastrointestinal disorders
NeutropeniaBlood and lymphatic system disorders
InsomniaPsychiatric disorders
Bone painMusculoskeletal and connective tissue disorders
ArthralgiaMusculoskeletal and connective tissue disorders
DiarrhoeaGastrointestinal disorders
VomitingGastrointestinal disorders
ConstipationGastrointestinal disorders
Gastroesophageal reflux diseaseGastrointestinal disorders
HeadacheNervous system disorders
Neuropathy PeripheralNervous system disorders
AlopeciaSkin and subcutaneous tissue disorders
OnycholysisSkin and subcutaneous tissue disorders
Decreased appetiteMetabolism and nutrition disorders
Deep vein thrombosisVascular disorders
Local swellingGeneral disorders
DysphoniaRespiratory, thoracic and mediastinal disorders
Productive coughRespiratory, thoracic and mediastinal disorders
Abdominal painGastrointestinal disorders
ThrombocytopeniaBlood and lymphatic system disorders
Peripheral sensory neuropathyNervous system disorders
Candida infectionInfections and infestations
SepsisInfections and infestations
CushingoidEndocrine disorders

Most-reported serious reactions: Pneumonia, Respiratory distress, Myalgia, Neutropenia, Diverticulitis, Gastroenteritis Escherichia coli, Sepsis, Deep vein thrombosis.

Data from ClinicalTrials.gov NCT02346370 adverse events section.

Sponsor's own description

A Phase 1b study for participants with Stage IIIB/IV Non-Small Cell Lung Cancer (NSCLC) to participate in 1 of 2 portions of this study. The first portion is Dose Escalation in which participants are tested with PEGPH20 at various doses (1.6, 3.0, 2.2 and 2.8 micrograms/kilogram (ug/kg)) in addition to dosing with the standard dose of docetaxel (PDoc) of 75 milligrams/meter squared (mg/m\^2) once every 21-day cycle. Based on observations on the safety and tolerability of study treatment from dose escalation cohorts dosed to date (1.6 and 3.0 ug/kg of PEGPH20), two additional dose levels will be tested, 2.2 and 2.8 ug/kg. Up to 30 additional participants may be enrolled to test these dose levels. The second portion of Phase 1b is Cohort Expansion in which the recommended Phase 2 dose (RP2D) of PDoc identified in dose escalation is administered every 21 days to approximately 50 participants with high hyaluronan (HA-high) prospectively measured in their tumor tissue.

Publications & conference data

5 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Targeting the tumor stroma for cancer therapy.
    Xu M, Zhang T, Xia R, Wei Y, et al · · 2022 · cited 195× · PMID 36324128 · DOI 10.1186/s12943-022-01670-1
  2. Recent advances in hyaluronic acid-decorated nanocarriers for targeted cancer therapy.
    Wickens JM, Alsaab HO, Kesharwani P, Bhise K, et al · · 2017 · cited 134× · PMID 28017836 · DOI 10.1016/j.drudis.2016.12.009
  3. Modulating the Tumor Microenvironment to Enhance Tumor Nanomedicine Delivery.
    Zhang B, Hu Y, Pang Z. · · 2017 · cited 91× · PMID 29311946 · DOI 10.3389/fphar.2017.00952
  4. Tumor battlefield within inflamed, excluded or desert immune phenotypes: the mechanisms and strategies.
    Zheng S, Wang W, Shen L, Yao Y, et al · · 2024 · cited 76× · PMID 39107856 · DOI 10.1186/s40164-024-00543-1
  5. Safety and pharmacokinetics of docetaxel in combination with pegvorhyaluronidase alfa in patients with non-small cell lung cancer.
    Heineman T, Baumgart M, Nanavati C, Gabrail N, et al · · 2021 · cited 10× · PMID 33982408 · DOI 10.1111/cts.13041

Verify or expand the search:

Other recruiting trials for Non-small Cell Lung Cancer

Currently open trials in the same condition.

Other Halozyme Therapeutics trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02346370.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing