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NCT02526017: FPA008-003

Study of Cabiralizumab in Combination With Nivolumab in Patients With Selected Advanced Cancers

Completed Phase 1 Results posted Last updated 9 March 2022
What this trial tests

Phase 1 trial testing Cabiralizumab in Advanced Solid Tumors in 313 participants. Completed in 18 November 2019.

Timeline
8 September 2015
Primary endpoint
18 November 2019
18 November 2019

Quick facts

Lead sponsorFive Prime Therapeutics, Inc.
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designsequential
Maskingnone
Primary purposetreatment
Enrollment313
Start date8 September 2015
Primary completion18 November 2019
Estimated completion18 November 2019
Sites39 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Five Prime Therapeutics, Inc. — full company profile →

Who can join

18 and older, any sex, with Advanced Solid Tumors or Head and Neck 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.

Safety: Number of Participants With Grade 3 or Grade 4 Adverse Events (AEs) and Laboratory Abnormalities Defined as Dose Limiting Toxicities (DLT) (Phase 1a) Primary · 28 days

A DLT was defined as a study drug-related ≥ Grade 3 AE (using National Cancer Institute Common Terminology Criteria for Adverse Events v 4.03) occurring during the first 28-days, excluding Grade 3 tumor flare (defined as local pain, irritation, or rash localized at sites of known or suspected tumor), rash, immune-related adverse event (irAE) that resolved to ≤ Grade 1 by 14 days or a transient (resolving within 6 hours of onset) Grade 3 infusion-related AE. Any recurrence of Grade 3 rash, irAE or infusion-related AE was considered a DLT. The protocol was amended such that in the absence of cl

Grade 3 CK increase
GroupValue95% CI
Cabiralizumab 2 mg/kg Q2W0
Cabiralizumab 4 mg/kg Q2W0
Cabiralizumab 6 mg/kg Q2W1
Cabiralizumab 1 mg/kg + Nivolumab 3 mg/kg Q2W0
Cabiralizumab 2 mg/kg + Nivolumab 3 mg/kg Q2W0
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W0
Cabiralizumab 6 mg/kg + Nivolumab 3 mg/kg Q2W0
Grade 3 AST increase
GroupValue95% CI
Cabiralizumab 2 mg/kg Q2W0
Cabiralizumab 4 mg/kg Q2W2
Cabiralizumab 6 mg/kg Q2W1
Cabiralizumab 1 mg/kg + Nivolumab 3 mg/kg Q2W0
Cabiralizumab 2 mg/kg + Nivolumab 3 mg/kg Q2W0
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W0
Cabiralizumab 6 mg/kg + Nivolumab 3 mg/kg Q2W0
Recommended Dose (RD) of Cabiralizumab in Combination With Nivolumab (Phase 1a) Primary · 28 days

Using both the incidence of dose limiting toxicities (first 28 days on therapy) as well as overall tolerability and toxicities observed beyond 28 days, the RD was chosen as 4 mg/kg of cabiralizumab + 3 mg/kg nivolumab every 2 weeks to be the dose used in the Phase 1b (dose expansion). No maximum tolerated dose was identified.

GroupValue95% CI
Overall Phase 1a Dose Escalation4
Safety: Number of Participants With Adverse Events and Serious Adverse Events (Phase 1a and 1b) Primary · From first dose of study drug up to 100 days after last dose. Median (range) duration of exposure was 6 (2-32) weeks in the monotherapy cohorts and 8 (2-108) weeks for cabiralizumab and 8 (2-156) weeks for nivolumab in the combination groups.

An AE is defined as any new untoward medical occurrence or worsening of a preexisting medical condition in a clinical investigation, patient-administered study drug and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (such as an abnormal laboratory finding), symptom, or disease temporally associated with the use of study drug, whether or not considered related to the study drug. A Serious Adverse Event (SAE) is any untoward medical occurrence that at any dose: * Resulted in death; * Was life-threatening; * R

Any adverse event
GroupValue95% CI
Cabiralizumab 2 mg/kg Q2W2
Cabiralizumab 4 mg/kg Q2W10
Cabiralizumab 6 mg/kg Q2W10
Cabiralizumab 1 mg/kg + Nivolumab 3 mg/kg Q2W4
Cabiralizumab 2 mg/kg + Nivolumab 3 mg/kg Q2W3
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W264
Cabiralizumab 6 mg/kg + Nivolumab 3 mg/kg Q2W6
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q3W10
Serious adverse events
GroupValue95% CI
Cabiralizumab 2 mg/kg Q2W1
Cabiralizumab 4 mg/kg Q2W1
Cabiralizumab 6 mg/kg Q2W6
Cabiralizumab 1 mg/kg + Nivolumab 3 mg/kg Q2W2
Cabiralizumab 2 mg/kg + Nivolumab 3 mg/kg Q2W1
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W138
Cabiralizumab 6 mg/kg + Nivolumab 3 mg/kg Q2W3
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q3W5
Safety: Number of Participants With Treatment Discontinuations, Modifications, or Interruptions Due to Adverse Events (Phase 1b) Primary · From first dose of study drug up to last dose; median (range) duration of exposure was 8 (2-108) weeks for cabiralizumab and 8 (2-156) weeks for nivolumab.

Safety: In the Phase 1b only, the incidence of treatment discontinuations, modifications, and interruptions due to adverse events.

Cabiralizumab infusion interruptions
GroupValue95% CI
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W0
Cabiralizumab infusion modifications
GroupValue95% CI
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W12
Nivolumab infusion interruptions
GroupValue95% CI
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W4
Nivolumab infusion modifications
GroupValue95% CI
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W8
AEs leading to discontinuation of cabiralizumab or nivolumab
GroupValue95% CI
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W54
Efficacy: Objective Response Rate - Investigator Assessment (Phase 1b) Primary · Tumor response was assessed every 8 weeks from first dose for the first 12 months and then every 12 weeks thereafter until end of treatment; maximum duration of treatment was 156 weeks.

Objective response rate (ORR) is defined as the percentage of participants with confirmed responses of either complete response (CR) or partial response (PR). Response was evaluated using Response Evaluation Criteria in Solid Tumors (RECIST), version 1.1 by investigator review. Complete Response: Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm. Partial Response: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

GroupValue95% CI
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: NSCLC (PD-1 Naïve)6.90.8 – 22.8
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: NSCLC (PD-1 Resistant)3.20.1 – 16.7
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: SCCHN13.83.9 – 31.7
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: Pancreatic Cancer5.91.6 – 14.4
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: Ovarian Cancer13.33.8 – 30.7
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: RCC6.70.8 – 22.1
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: Malignant Glioma00.0 – 11.6
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: Melanoma9.10.2 – 41.3
Efficacy: Overall Survival (Phase 1b) Secondary · From first dose of study drug up to the end of study; maximum time on study in Phase 1b was 35.9 months.

Overall survival (OS) was defined as the time from first dose of study drug to death due to any cause. OS was calculated using the Kaplan-Meier method. Participants who did not die while on study were censored on the date they were last known to be alive.

GroupValue95% CI
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: NSCLC (PD-1 Naïve)12.36.1 – 19.1
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: NSCLC (PD-1 Resistant)4.72.6 – 10.3
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: SCCHN6.43.4 – NA
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: Pancreatic Cancer5.64.0 – 8.0
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: Ovarian Cancer13.96.9 – 16.4
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: RCCNA16.8 – NA
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: GBM8.15.7 – 12.8
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: Melanoma5.31.1 – 24.8
Efficacy: Overall Survival (OS) at One Year (Phase 1b) Secondary · 52 weeks

Overall survival at one-year is defined as the percentage of participants who were alive one year after receiving their first dose of study drug.

GroupValue95% CI
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: NSCLC (PD-1 Naïve)51.131.7 – 67.6
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: NSCLC (PD-1 Resistant)29.213.7 – 46.6
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: SCCHN42.523.0 – 60.7
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: Pancreatic Cancer27.215.8 – 39.9
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: Ovarian Cancer52.930.6 – 71.0
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: RCC77.857.1 – 89.3
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: GBM35.016.2 – 54.6
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: Melanoma36.49.0 – 65.4
Efficacy: Duration of Response (Phase 1b) Secondary · From first dose of study drug up to the end of study; maximum time on study in Phase 1b was 35.9 months.

Duration of response (DOR) is defined as the time from the date of the first documentation of confirmed response (CR or PR) to the first objective documentation of progressive disease (PD) per RECIST v1.1 per Investigator assessment or to death due to any cause in the absence of documented PD. DOR was analyzed using Kaplan-Meier methods. Participants who discontinued from the study, did not die or have disease progression, or who received new anticancer therapy were censored on the date of last evaluable assessment prior to initiation of subsequent therapy. Participants with no evaluable base

GroupValue95% CI
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: NSCLC (PD-1 Naïve)8.97.6 – 10.2
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: NSCLC (PD-1 Resistant)16.2NA – NA
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: SCCHNNANA – NA
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: Pancreatic Cancer12.78.0 – 16.4
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: Ovarian Cancer7.33.8 – NA
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: RCCNA3.7 – NA
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: MelanomaNANA – NA
Efficacy: Progression Free Survival (Phase 1b) Secondary · From first dose of study drug up to the end of study; maximum time on study in phase 1b was 35.9 months.

Progression-free survival (PFS) was defined as as the time from the first dose to the first objectively documented disease progression per RECIST v1.1 per Investigator assessment or death due to any cause in the absence of documented progressive disease (PD). PFS was analyzed using Kaplan-Meier methods. Participants who discontinued from the study, did not die or have disease progression, or who received new anticancer therapy were censored on the date of last evaluable assessment prior to initiation of subsequent therapy. Participants with no evaluable baseline or post-baseline assessments we

GroupValue95% CI
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: NSCLC (PD-1 Naïve)2.81.7 – 4.8
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: NSCLC (PD-1 Resistant)1.91.7 – 3.4
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: SCCHN1.81.4 – 3.8
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: Pancreatic Cancer1.71.6 – 1.9
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: Ovarian Cancer2.01.7 – 3.6
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: RCC2.91.8 – 5.5
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: GBM1.81.3 – 3.4
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: Melanoma1.81.1 – 4.9
Efficacy: Objective Response Rate - Central Review Assessment (Phase 1b) Secondary · Tumor response was assessed every 8 weeks from first dose for the first 12 months and then every 12 weeks thereafter until end of treatment; maximum duration of treatment was 156 weeks.

Objective response rate is defined as the percentage of participants with confirmed responses of either complete response (CR) or partial response (PR). Response was evaluated using Response Evaluation Criteria in Solid Tumors (RECIST), version 1.1 by independent central review. Complete Response: Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm. Partial Response: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

GroupValue95% CI
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: NSCLC (PD-1 Naïve)3.40.1 – 17.8
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: NSCLC (PD-1 Resistant)00.0 – 11.2
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: SCCHN10.72.3 – 28.2
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: Pancreatic Cancer6.01.7 – 14.6
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: Ovarian Cancer6.70.8 – 22.1
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: RCC16.75.6 – 34.7
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: GBM00.0 – 11.6
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: Melanoma9.10.2 – 41.3
Pharmacokinetics (PK) of Cabiralizumab: Area Under the Concentration Curve From Time Zero to Time of Last Quantifiable Concentration (AUC0-t) Normalized by Dose (Phase 1a and 1b) Secondary · Cycles 1 and 8, Day 1 predose, and at 0.25, 4, 24, 72, 168, and 336 hours after the end of infusion.

Cabiralizumab serum concentration was determined using a validated enzyme-linked immunosorbent assay (ELISA) method.

Cycle 1
GroupValue95% CI
Cabiralizumab 2 mg/kg Q2W1.26± 0.588
Cabiralizumab 4 mg/kg Q2W1.70± 0.444
Cabiralizumab 6 mg/kg Q2W1.84± 0.684
Cabiralizumab 1 mg/kg + Nivolumab 3 mg/kg Q2W0.66± 0.346
Cabiralizumab 2 mg/kg + Nivolumab 3 mg/kg Q2W1.22± 0.970
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W1.66± 0.737
Cabiralizumab 6 mg/kg + Nivolumab 3 mg/kg Q2W2.14± 0.509
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q3W1.75± 0.982
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: NSCLC (PD-1 Naïve)1.74± 0.769
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: NSCLC (PD-1 Resistant)1.46± 0.562
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: SCCHN1.42± 0.404
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: Pancreatic Cancer1.52± 0.494
Cycle 8
GroupValue95% CI
Cabiralizumab 6 mg/kg + Nivolumab 3 mg/kg Q2W3.65± 0.696
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: NSCLC (PD-1 Naïve)2.83± 1.602
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: NSCLC (PD-1 Resistant)3.52± 1.290
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: SCCHN2.63± 1.128
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: Pancreatic Cancer2.32± 0.694
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: Ovarian Cancer2.69± 1.307
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: RCC2.67± 2.120
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: GBM4.69± 2.058
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: Melanoma4.43± 1.126
PK of Cabiralizumab: Maximum Observed Concentration (Cmax) and Minimum Observed Concentration (Cmin) Secondary · Cycles 1 and 8, Day 1 predose, and at 0.25, 4, 24, 72, 168, and 336 hours after the end of infusion.

Cabiralizumab serum concentration was determined using a validated enzyme-linked immunosorbent assay method. Cmax is the maximum observed serum concentration of cabiralizumab during the dosing period. Cmin is the minimum observed serum concentration of cabiralizumab during a dosing interval (excluding pre-dose concentration before the first dose).

Cmax Cycle 1
GroupValue95% CI
Cabiralizumab 2 mg/kg Q2W52.11± 10.663
Cabiralizumab 4 mg/kg Q2W104.82± 21.543
Cabiralizumab 6 mg/kg Q2W142.83± 38.528
Cabiralizumab 1 mg/kg + Nivolumab 3 mg/kg Q2W21.93± 7.651
Cabiralizumab 2 mg/kg + Nivolumab 3 mg/kg Q2W49.00± 17.314
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W104.47± 6.890
Cabiralizumab 6 mg/kg + Nivolumab 3 mg/kg Q2W124.36± 8.825
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q3W85.45± 16.750
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: NSCLC (PD-1 Naïve)93.41± 25.708
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: NSCLC (PD-1 Resistant)93.69± 23.406
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: SCCHN83.01± 37.646
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: Pancreatic Cancer81.40± 17.451
Cmin Cycle 1
GroupValue95% CI
Cabiralizumab 2 mg/kg Q2W2.68± 2.223
Cabiralizumab 4 mg/kg Q2W28.61± 17.127
Cabiralizumab 6 mg/kg Q2W37.08± 18.490
Cabiralizumab 1 mg/kg + Nivolumab 3 mg/kg Q2W3.29± 4.414
Cabiralizumab 2 mg/kg + Nivolumab 3 mg/kg Q2W3.96± 2.711
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W25.57± 16.098
Cabiralizumab 6 mg/kg + Nivolumab 3 mg/kg Q2W28.76± 5.307
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q3W10.34± 8.351
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: NSCLC (PD-1 Naïve)16.22± 10.176
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: NSCLC (PD-1 Resistant)17.82± 10.054
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: SCCHN13.65± 6.959
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: Pancreatic Cancer15.45± 9.663
Cmax Cycle 8
GroupValue95% CI
Cabiralizumab 6 mg/kg + Nivolumab 3 mg/kg Q2W187.27± 63.438
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: NSCLC (PD-1 Naïve)126.01± 39.937
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: NSCLC (PD-1 Resistant)142.85± 44.856
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: SCCHN97.24± 25.252
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: Pancreatic Cancer108.76± 24.249
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: Ovarian Cancer130.17± 29.845
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: RCC121.06± 40.392
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: GBM167.66± 47.960
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: Melanoma164.47± 15.283
Cmin Cycle 8
GroupValue95% CI
Cabiralizumab 6 mg/kg + Nivolumab 3 mg/kg Q2W109.66± 58.420
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: NSCLC (PD-1 Naïve)38.79± 20.999
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: NSCLC (PD-1 Resistant)52.26± 6.642
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: SCCHN37.05± 13.674
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: Pancreatic Cancer40.63± 11.189
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: Ovarian Cancer36.95± 15.291
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: RCC40.15± 16.612
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: GBM85.33± 30.039
Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W: Melanoma82.00± 12.572

Adverse events — posted to ClinicalTrials.gov

Time frame: From first dose of study drug up to 100 days after last dose. Median (range) duration of exposure was 6 (2-32) weeks in the monotherapy cohorts and 8 (2-108) weeks for cabiralizumab and 8 (2-156) weeks for nivolumab in the combination groups.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Phase 1a: Cabiralizumab 2 mg/kg Q2W
Serious: 1/3 (33%)
Deaths: 2/3
Phase 1a: Cabiralizumab 4 mg/kg Q2W
Serious: 1/10 (10%)
Deaths: 6/10
Phase 1a: Cabiralizumab 6 mg/kg Q2W
Serious: 6/11 (55%)
Deaths: 6/11
Phase 1a: Cabiralizumab 1mg/kg + Nivolumab 3 mg/kg Q2W
Serious: 2/4 (50%)
Deaths: 2/4
Phase 1a: Cabiralizumab 2 mg/kg + Nivolumab 3 mg/kg Q2W
Serious: 1/3 (33%)
Deaths: 3/4
Phase 1a+1b: Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q2W
Serious: 138/265 (52%)
Deaths: 172/265
Phase 1a: Cabiralizumab 6 mg/kg + Nivolumab 3 mg/kg Q2W
Serious: 3/6 (50%)
Deaths: 4/6
Phase 1a: Cabiralizumab 4 mg/kg + Nivolumab 3 mg/kg Q3W
Serious: 5/10 (50%)
Deaths: 7/10

Serious adverse events (162 terms)

ReactionSystemPhase 1a: Cabiralizumab 2 …Phase 1a: Cabiralizumab 4 …Phase 1a: Cabiralizumab 6 …Phase 1a: Cabiralizumab 1m…Phase 1a: Cabiralizumab 2 …Phase 1a+1b: Cabiralizumab…Phase 1a: Cabiralizumab 6 …Phase 1a: Cabiralizumab 4 …
Abdominal painGastrointestinal disorders
SepsisInfections and infestations
DyspnoeaRespiratory, thoracic and mediastinal disorders
Blood creatine phosphokinase increasedInvestigations
ColitisGastrointestinal disorders
SeizureNervous system disorders
PneumonitisRespiratory, thoracic and mediastinal disorders
Acute respiratory failureRespiratory, thoracic and mediastinal disorders
Pleural effusionRespiratory, thoracic and mediastinal disorders
Gait disturbanceGeneral disorders
PyrexiaGeneral disorders
HyponatraemiaMetabolism and nutrition disorders
AnaemiaBlood and lymphatic system disorders
DiarrhoeaGastrointestinal disorders
NauseaGastrointestinal disorders
PneumoniaInfections and infestations
PneumothoraxRespiratory, thoracic and mediastinal disorders
Back painMusculoskeletal and connective tissue disorders
Mental status changesPsychiatric disorders
GastritisGastrointestinal disorders
Gastrointestinal haemorrhageGastrointestinal disorders
VomitingGastrointestinal disorders
BacteraemiaInfections and infestations
CellulitisInfections and infestations
Urinary tract infectionInfections and infestations
Other adverse events (614 terms — click to expand)

ReactionSystemPhase 1a: Cabiralizumab 2 …Phase 1a: Cabiralizumab 4 …Phase 1a: Cabiralizumab 6 …Phase 1a: Cabiralizumab 1m…Phase 1a: Cabiralizumab 2 …Phase 1a+1b: Cabiralizumab…Phase 1a: Cabiralizumab 6 …Phase 1a: Cabiralizumab 4 …
FatigueGeneral disorders
Blood creatine phosphokinase increasedInvestigations
Periorbital oedemaEye disorders
Aspartate aminotransferase increasedInvestigations
AnaemiaBlood and lymphatic system disorders
NauseaGastrointestinal disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
CoughRespiratory, thoracic and mediastinal disorders
ConstipationGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
Decreased appetiteMetabolism and nutrition disorders
RashSkin and subcutaneous tissue disorders
PruritusSkin and subcutaneous tissue disorders
VomitingGastrointestinal disorders
Alanine aminotransferase increasedInvestigations
Peripheral swellingGeneral disorders
Oedema peripheralGeneral disorders
PyrexiaGeneral disorders
Amylase increasedInvestigations
Lipase increasedInvestigations
Abdominal painGastrointestinal disorders
HyponatraemiaMetabolism and nutrition disorders
HeadacheNervous system disorders
HypophosphataemiaMetabolism and nutrition disorders
InsomniaPsychiatric disorders
HypokalaemiaMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders
HypertensionVascular disorders
Blood lactate dehydrogenase increasedInvestigations
Rash maculo-papularSkin and subcutaneous tissue disorders
Blood alkaline phosphatase increasedInvestigations
ArthralgiaMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
HypoalbuminaemiaMetabolism and nutrition disorders
DehydrationMetabolism and nutrition disorders
AnxietyPsychiatric disorders
Weight decreasedInvestigations
Pleural effusionRespiratory, thoracic and mediastinal disorders
DysphagiaGastrointestinal disorders
ChillsGeneral disorders

Most-reported serious reactions: Abdominal pain, Sepsis, Dyspnoea, Blood creatine phosphokinase increased, Colitis, Seizure, Pneumonitis, Acute respiratory failure.

Data from ClinicalTrials.gov NCT02526017 adverse events section.

Sponsor's own description

Phase 1a/1b does-escalation study of cabiralizumab alone and with nivolumab in advanced solid tumors.

Publications & conference data

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

  1. Macrophages as regulators of tumour immunity and immunotherapy.
    DeNardo DG, Ruffell B. · · 2019 · cited 1903× · PMID 30718830 · DOI 10.1038/s41577-019-0127-6
  2. Enhancing cancer immunotherapy using antiangiogenics: opportunities and challenges.
    Fukumura D, Kloepper J, Amoozgar Z, Duda DG, et al · · 2018 · cited 1560× · PMID 29508855 · DOI 10.1038/nrclinonc.2018.29
  3. Colony-stimulating factor 1 receptor (CSF1R) inhibitors in cancer therapy.
    Cannarile MA, Weisser M, Jacob W, Jegg AM, et al · · 2017 · cited 796× · PMID 28716061 · DOI 10.1186/s40425-017-0257-y
  4. Targeting tumor-associated macrophages to synergize tumor immunotherapy.
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