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NCT02608268

Phase I-Ib/II Study of MBG453 as Single Agent and in Combination With PDR001 in Patients With Advanced Malignancies

Terminated Phase 1, PHASE2 Results posted Last updated 6 December 2023
What this trial tests

Phase 1, PHASE2 trial testing MBG453 in Advanced Malignancies in 252 participants. Terminated before completion.

Timeline
23 November 2015
Primary endpoint
30 August 2022
30 August 2022

Quick facts

Lead sponsorNovartis Pharmaceuticals
PhasePhase 1, PHASE2
StatusTerminated
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment252
Start date23 November 2015
Primary completion30 August 2022
Estimated completion30 August 2022
Sites14 locations across Italy, Japan, Netherlands, Taiwan, South Korea, Canada, Switzerland, Singapore

Drugs / interventions tested

Conditions studied

Sponsor

Novartis Pharmaceuticals — full company profile →

Who can join

18 and older, any sex, with Advanced Malignancies. 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.

Phase I-Ib and Dose Ranging Part: Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) During the On-treatment Period Primary · From first dose of study medication up to 30 days after last dose, with a maximum duration of 2 years for sabatolimab and 5 years for sabatolimab in combination with spartalizumab

Number of participants with AEs (any AE regardless of seriousness) and SAEs, including changes from baseline in vital signs, electrocardiograms and laboratory results qualifying and reported as AEs. AE grades to characterize the severity of the AEs were based on the Common Terminology Criteria for Adverse Events (CTCAE) version 4.03. For CTCAE v4.03, Grade 1 = mild; Grade 2 = moderate; Grade 3 = severe; Grade 4 = life-threatening; Grade 5 = death related to AE. The on-treatment period is defined from the day of first administration of study treatment up to 30 days after the date of its last

AEs
GroupValue95% CI
Phase I Dose Escalation: MBG453 80mg Q2W ROW13
Phase I Dose Escalation: MBG453 240mg Q2W ROW9
Phase I Dose Escalation: MBG453 800mg Q2W ROW14
Phase I Dose Escalation: MBG453 1200mg Q2W ROW5
Phase I Dose Escalation: MBG453 80mg Q2W Japan2
Phase I Dose Escalation: MBG453 240mg Q2W Japan3
Phase I Dose Escalation: MBG453 800mg Q2W Japan6
Phase I Dose Escalation: MBG453 1200mg Q2W Japan2
Phase I Dose Escalation: MBG453 240mg Q4W ROW7
Phase I Dose Escalation: MBG453 800mg Q4W ROW9
Phase I Dose Escalation: MBG453 1200mg Q4W ROW6
Phase I Dose Escalation: MBG453 1200mg Q4W Japan5
Treatment-related AEs
GroupValue95% CI
Phase I Dose Escalation: MBG453 80mg Q2W ROW9
Phase I Dose Escalation: MBG453 240mg Q2W ROW5
Phase I Dose Escalation: MBG453 800mg Q2W ROW6
Phase I Dose Escalation: MBG453 1200mg Q2W ROW1
Phase I Dose Escalation: MBG453 80mg Q2W Japan0
Phase I Dose Escalation: MBG453 240mg Q2W Japan0
Phase I Dose Escalation: MBG453 800mg Q2W Japan1
Phase I Dose Escalation: MBG453 1200mg Q2W Japan0
Phase I Dose Escalation: MBG453 240mg Q4W ROW4
Phase I Dose Escalation: MBG453 800mg Q4W ROW6
Phase I Dose Escalation: MBG453 1200mg Q4W ROW2
Phase I Dose Escalation: MBG453 1200mg Q4W Japan1
AEs with grade ≥ 3
GroupValue95% CI
Phase I Dose Escalation: MBG453 80mg Q2W ROW5
Phase I Dose Escalation: MBG453 240mg Q2W ROW3
Phase I Dose Escalation: MBG453 800mg Q2W ROW6
Phase I Dose Escalation: MBG453 1200mg Q2W ROW2
Phase I Dose Escalation: MBG453 80mg Q2W Japan0
Phase I Dose Escalation: MBG453 240mg Q2W Japan1
Phase I Dose Escalation: MBG453 800mg Q2W Japan2
Phase I Dose Escalation: MBG453 1200mg Q2W Japan0
Phase I Dose Escalation: MBG453 240mg Q4W ROW3
Phase I Dose Escalation: MBG453 800mg Q4W ROW7
Phase I Dose Escalation: MBG453 1200mg Q4W ROW4
Phase I Dose Escalation: MBG453 1200mg Q4W Japan3
Treatment-related AEs with grade ≥ 3
GroupValue95% CI
Phase I Dose Escalation: MBG453 80mg Q2W ROW0
Phase I Dose Escalation: MBG453 240mg Q2W ROW0
Phase I Dose Escalation: MBG453 800mg Q2W ROW0
Phase I Dose Escalation: MBG453 1200mg Q2W ROW0
Phase I Dose Escalation: MBG453 80mg Q2W Japan0
Phase I Dose Escalation: MBG453 240mg Q2W Japan0
Phase I Dose Escalation: MBG453 800mg Q2W Japan0
Phase I Dose Escalation: MBG453 1200mg Q2W Japan0
Phase I Dose Escalation: MBG453 240mg Q4W ROW0
Phase I Dose Escalation: MBG453 800mg Q4W ROW0
Phase I Dose Escalation: MBG453 1200mg Q4W ROW0
Phase I Dose Escalation: MBG453 1200mg Q4W Japan0
SAEs
GroupValue95% CI
Phase I Dose Escalation: MBG453 80mg Q2W ROW4
Phase I Dose Escalation: MBG453 240mg Q2W ROW1
Phase I Dose Escalation: MBG453 800mg Q2W ROW6
Phase I Dose Escalation: MBG453 1200mg Q2W ROW2
Phase I Dose Escalation: MBG453 80mg Q2W Japan0
Phase I Dose Escalation: MBG453 240mg Q2W Japan0
Phase I Dose Escalation: MBG453 800mg Q2W Japan0
Phase I Dose Escalation: MBG453 1200mg Q2W Japan0
Phase I Dose Escalation: MBG453 240mg Q4W ROW1
Phase I Dose Escalation: MBG453 800mg Q4W ROW5
Phase I Dose Escalation: MBG453 1200mg Q4W ROW4
Phase I Dose Escalation: MBG453 1200mg Q4W Japan0
Fatal SAEs
GroupValue95% CI
Phase I Dose Escalation: MBG453 80mg Q2W ROW2
Phase I Dose Escalation: MBG453 240mg Q2W ROW0
Phase I Dose Escalation: MBG453 800mg Q2W ROW0
Phase I Dose Escalation: MBG453 1200mg Q2W ROW1
Phase I Dose Escalation: MBG453 80mg Q2W Japan0
Phase I Dose Escalation: MBG453 240mg Q2W Japan0
Phase I Dose Escalation: MBG453 800mg Q2W Japan0
Phase I Dose Escalation: MBG453 1200mg Q2W Japan0
Phase I Dose Escalation: MBG453 240mg Q4W ROW0
Phase I Dose Escalation: MBG453 800mg Q4W ROW0
Phase I Dose Escalation: MBG453 1200mg Q4W ROW0
Phase I Dose Escalation: MBG453 1200mg Q4W Japan0
AEs leading to discontinuation
GroupValue95% CI
Phase I Dose Escalation: MBG453 80mg Q2W ROW0
Phase I Dose Escalation: MBG453 240mg Q2W ROW0
Phase I Dose Escalation: MBG453 800mg Q2W ROW1
Phase I Dose Escalation: MBG453 1200mg Q2W ROW0
Phase I Dose Escalation: MBG453 80mg Q2W Japan0
Phase I Dose Escalation: MBG453 240mg Q2W Japan0
Phase I Dose Escalation: MBG453 800mg Q2W Japan0
Phase I Dose Escalation: MBG453 1200mg Q2W Japan0
Phase I Dose Escalation: MBG453 240mg Q4W ROW0
Phase I Dose Escalation: MBG453 800mg Q4W ROW1
Phase I Dose Escalation: MBG453 1200mg Q4W ROW0
Phase I Dose Escalation: MBG453 1200mg Q4W Japan0
AEs leading to dose adjustment/interruption
GroupValue95% CI
Phase I Dose Escalation: MBG453 80mg Q2W ROW3
Phase I Dose Escalation: MBG453 240mg Q2W ROW0
Phase I Dose Escalation: MBG453 800mg Q2W ROW3
Phase I Dose Escalation: MBG453 1200mg Q2W ROW0
Phase I Dose Escalation: MBG453 80mg Q2W Japan0
Phase I Dose Escalation: MBG453 240mg Q2W Japan1
Phase I Dose Escalation: MBG453 800mg Q2W Japan1
Phase I Dose Escalation: MBG453 1200mg Q2W Japan1
Phase I Dose Escalation: MBG453 240mg Q4W ROW1
Phase I Dose Escalation: MBG453 800mg Q4W ROW2
Phase I Dose Escalation: MBG453 1200mg Q4W ROW0
Phase I Dose Escalation: MBG453 1200mg Q4W Japan1
Phase I-Ib: Number of Participants With Dose-Limiting Toxicities (DLTs) Primary · 28 days (sabatolimab single agent) and 56 days (sabatolimab+spartalizumab)

A dose-limiting toxicity (DLT) is defined as an adverse event or abnormal laboratory value of Common Terminology Criteria for Adverse Events (CTCAE) grade ≥ 3 assessed as unrelated to disease, disease progression, inter-current illness or concomitant medications, which occurs within the first cycle of treatment with sabatolimab as single agent or in the first two cycles of treatment when sabatolimab is given in combination with spartalizumab during the dose escalation part of the study. Other clinically significant toxicities may be considered to be DLTs, even if not CTCAE grade 3 or higher. T

GroupValue95% CI
Phase I Dose Escalation: MBG453 80mg Q2W ROW0
Phase I Dose Escalation: MBG453 240mg Q2W ROW0
Phase I Dose Escalation: MBG453 800mg Q2W ROW0
Phase I Dose Escalation: MBG453 1200mg Q2W ROW0
Phase I Dose Escalation: MBG453 80mg Q2W Japan0
Phase I Dose Escalation: MBG453 240mg Q2W Japan0
Phase I Dose Escalation: MBG453 800mg Q2W Japan0
Phase I Dose Escalation: MBG453 1200mg Q2W Japan0
Phase I Dose Escalation: MBG453 240mg Q4W ROW0
Phase I Dose Escalation: MBG453 800mg Q4W ROW0
Phase I Dose Escalation: MBG453 1200mg Q4W ROW0
Phase I Dose Escalation: MBG453 1200mg Q4W Japan0
Phase I-Ib and Dose Ranging Part: Number of Participants With Dose Reductions and Dose Interruptions of Sabatolimab Primary · From first dose of study medication up to last dose, with a maximum duration of 1.9 years for sabatolimab and 4.9 years for sabatolimab in combination with spartalizumab

Number of participants with at least one dose reduction of sabatolimab and number of participants with at least one dose interruption of sabatolimab.

At least one dose reduction
GroupValue95% CI
Phase I Dose Escalation: MBG453 80mg Q2W ROW0
Phase I Dose Escalation: MBG453 240mg Q2W ROW0
Phase I Dose Escalation: MBG453 800mg Q2W ROW2
Phase I Dose Escalation: MBG453 1200mg Q2W ROW0
Phase I Dose Escalation: MBG453 80mg Q2W Japan0
Phase I Dose Escalation: MBG453 240mg Q2W Japan0
Phase I Dose Escalation: MBG453 800mg Q2W Japan0
Phase I Dose Escalation: MBG453 1200mg Q2W Japan0
Phase I Dose Escalation: MBG453 240mg Q4W ROW0
Phase I Dose Escalation: MBG453 800mg Q4W ROW1
Phase I Dose Escalation: MBG453 1200mg Q4W ROW0
Phase I Dose Escalation: MBG453 1200mg Q4W Japan0
At least one dose interruption
GroupValue95% CI
Phase I Dose Escalation: MBG453 80mg Q2W ROW2
Phase I Dose Escalation: MBG453 240mg Q2W ROW1
Phase I Dose Escalation: MBG453 800mg Q2W ROW3
Phase I Dose Escalation: MBG453 1200mg Q2W ROW0
Phase I Dose Escalation: MBG453 80mg Q2W Japan0
Phase I Dose Escalation: MBG453 240mg Q2W Japan2
Phase I Dose Escalation: MBG453 800mg Q2W Japan1
Phase I Dose Escalation: MBG453 1200mg Q2W Japan0
Phase I Dose Escalation: MBG453 240mg Q4W ROW0
Phase I Dose Escalation: MBG453 800mg Q4W ROW1
Phase I Dose Escalation: MBG453 1200mg Q4W ROW0
Phase I Dose Escalation: MBG453 1200mg Q4W Japan0
Phase Ib: Number of Participants With Dose Reductions and Dose Interruptions of Spartalizumab Primary · From first dose of study medication up to last dose, with a maximum duration of 4.9 years

Number of participants with at least one dose reduction of spartalizumab and number of participants with at least one dose interruption of spartalizumab.

At least one dose reduction
GroupValue95% CI
Phase Ib Dose Escalation: MBG453 20mg Q2W + PDR001 80mg Q2W0
Phase Ib Dose Escalation: MBG453 80mg Q2W + PDR001 80mg Q2W1
Phase Ib Dose Escalation: MBG453 240mg Q2W + PDR001 80mg Q2W0
Phase Ib Dose Escalation: MBG453 240mg Q2W + PDR001 240mg Q2W0
Phase Ib Dose Escalation: MBG453 800mg Q2W + PDR001 80mg Q2W0
Phase Ib Dose Escalation: MBG453 800mg Q2W + PDR001 240mg Q2W0
Phase Ib Dose Escalation: MBG453 80mg Q4W + PDR001 80mg Q4W0
Phase Ib Dose Escalation: MBG453 80mg Q4W + PDR001 400mg Q4W0
Phase Ib Dose Escalation: MBG453 240mg Q4W + PDR001 80mg Q4W0
Phase Ib Dose Escalation: MBG453 240mg Q4W + PDR001 240mg Q4W0
Phase Ib Dose Escalation: MBG453 240mg Q4W + PDR001 400mg Q4W0
Phase Ib Dose Escalation: MBG453 800mg Q4W + PDR001 400mg Q4W0
At least one dose interruption
GroupValue95% CI
Phase Ib Dose Escalation: MBG453 20mg Q2W + PDR001 80mg Q2W2
Phase Ib Dose Escalation: MBG453 80mg Q2W + PDR001 80mg Q2W2
Phase Ib Dose Escalation: MBG453 240mg Q2W + PDR001 80mg Q2W1
Phase Ib Dose Escalation: MBG453 240mg Q2W + PDR001 240mg Q2W1
Phase Ib Dose Escalation: MBG453 800mg Q2W + PDR001 80mg Q2W2
Phase Ib Dose Escalation: MBG453 800mg Q2W + PDR001 240mg Q2W1
Phase Ib Dose Escalation: MBG453 80mg Q4W + PDR001 80mg Q4W1
Phase Ib Dose Escalation: MBG453 80mg Q4W + PDR001 400mg Q4W0
Phase Ib Dose Escalation: MBG453 240mg Q4W + PDR001 80mg Q4W0
Phase Ib Dose Escalation: MBG453 240mg Q4W + PDR001 240mg Q4W0
Phase Ib Dose Escalation: MBG453 240mg Q4W + PDR001 400mg Q4W2
Phase Ib Dose Escalation: MBG453 800mg Q4W + PDR001 400mg Q4W1
Phase I-Ib and Dose Ranging Part: Dose Intensity of Sabatolimab Primary · From first dose of study medication up to last dose, with a maximum duration of 1.9 years for sabatolimab and 4.9 years for sabatolimab in combination with spartalizumab

Dose intensity of sabatolimab Q2W was calculated as cumulative actual dose in milligrams divided by duration of exposure in days and then multiplied by 14 days. Dose intensity of sabatolimab Q4W was calculated as cumulative actual dose in milligrams divided by duration of exposure in days and then multiplied by 28 days.

GroupValue95% CI
Phase I Dose Escalation: MBG453 80mg Q2W ROW78.35± 4.678
Phase I Dose Escalation: MBG453 240mg Q2W ROW235.60± 17.140
Phase I Dose Escalation: MBG453 800mg Q2W ROW728.06± 164.525
Phase I Dose Escalation: MBG453 1200mg Q2W ROW1203.03± 15.891
Phase I Dose Escalation: MBG453 80mg Q2W Japan80.00± 0.000
Phase I Dose Escalation: MBG453 240mg Q2W Japan217.50± 28.723
Phase I Dose Escalation: MBG453 800mg Q2W Japan758.03± 57.03
Phase I Dose Escalation: MBG453 1200mg Q2W Japan1208.70± 12.298
Phase I Dose Escalation: MBG453 240mg Q4W ROW240.19± 1.954
Phase I Dose Escalation: MBG453 800mg Q4W ROW752.29± 123.021
Phase I Dose Escalation: MBG453 1200mg Q4W ROW1193.10± 16.893
Phase I Dose Escalation: MBG453 1200mg Q4W Japan1196.49± 8.595
Phase Ib: Dose Intensity of Spartalizumab Primary · From first dose of study medication up to last dose, with a maximum duration of 4.9 years

Dose intensity of spartalizumab Q2W was calculated as cumulative actual dose in milligrams divided by duration of exposure in days and then multiplied by 14 days. Dose intensity of spartalizumab Q4W was calculated as cumulative actual dose in milligrams divided by duration of exposure in days and then multiplied by 28 days.

GroupValue95% CI
Phase Ib Dose Escalation: MBG453 20mg Q2W + PDR001 80mg Q2W77.36± 4.171
Phase Ib Dose Escalation: MBG453 80mg Q2W + PDR001 80mg Q2W77.83± 3.957
Phase Ib Dose Escalation: MBG453 240mg Q2W + PDR001 80mg Q2W78.73± 5.017
Phase Ib Dose Escalation: MBG453 240mg Q2W + PDR001 240mg Q2W230.24± 19.982
Phase Ib Dose Escalation: MBG453 800mg Q2W + PDR001 80mg Q2W74.39± 7.953
Phase Ib Dose Escalation: MBG453 800mg Q2W + PDR001 240mg Q2W229.12± 26.871
Phase Ib Dose Escalation: MBG453 80mg Q4W + PDR001 80mg Q4W76.39± 5.315
Phase Ib Dose Escalation: MBG453 80mg Q4W + PDR001 400mg Q4W400.53± 0.920
Phase Ib Dose Escalation: MBG453 240mg Q4W + PDR001 80mg Q4W79.79± 1.409
Phase Ib Dose Escalation: MBG453 240mg Q4W + PDR001 240mg Q4W236.00± 7.800
Phase Ib Dose Escalation: MBG453 240mg Q4W + PDR001 400mg Q4W383.22± 36.754
Phase Ib Dose Escalation: MBG453 800mg Q4W + PDR001 400mg Q4W377.89± 51.948
Phase II: Overall Response Rate (ORR) Per RECIST v1.1 Primary · From start of treatment until end of treatment, assessed up to 2.9 years

Tumor response was based on local investigator assessment as per Response Evaluation Criteria In Solid Tumors (RECIST) v1.1. ORR per RECIST v1.1 is defined as the percentage of participants with a best overall response of Complete Response (CR) or Partial Response (PR). For RECIST v1.1, CR=Disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to \< 10 mm; PR= At least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters.

GroupValue95% CI
Phase II: MBG453 + PDR001 NSCLC00.0 – 16.2
Phase II: MBG453 + PDR001 Melanoma00.0 – 17.1
Best Overall Response (BOR) Per RECIST v1.1 Secondary · From start of treatment until end of treatment, assessed up to 1.9 years for sabatolimab and 4.9 years for sabatolimab in combination with spartalizumab

BOR is defined as the best response recorded from the start of the study treatment until disease progression/recurrence, based on local investigator assessment per RECIST v1.1. For RECIST v1.1, CR=Disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to \< 10 mm; PR= At least a 30% decrease in the sum of diameters of all target lesions, taking as reference the baseline sum of diameters; PD= At least a 20% increase in the sum of diameters of all measured target lesions, taking as reference the sma

GroupValue95% CI
Phase I Dose Escalation: MBG453 80mg Q2W ROW0
Phase I Dose Escalation: MBG453 240mg Q2W ROW0
Phase I Dose Escalation: MBG453 800mg Q2W ROW0
Phase I Dose Escalation: MBG453 1200mg Q2W ROW0
Phase I Dose Escalation: MBG453 80mg Q2W Japan0
Phase I Dose Escalation: MBG453 240mg Q2W Japan0
Phase I Dose Escalation: MBG453 800mg Q2W Japan0
Phase I Dose Escalation: MBG453 1200mg Q2W Japan0
Phase I Dose Escalation: MBG453 240mg Q4W ROW0
Phase I Dose Escalation: MBG453 800mg Q4W ROW0
Phase I Dose Escalation: MBG453 1200mg Q4W ROW0
Phase I Dose Escalation: MBG453 1200mg Q4W Japan0
Phase I Dose Escalation: MBG453 80mg Q2W ROW0
Phase I Dose Escalation: MBG453 240mg Q2W ROW0
Phase I Dose Escalation: MBG453 800mg Q2W ROW0
Phase I Dose Escalation: MBG453 1200mg Q2W ROW0
Phase I Dose Escalation: MBG453 80mg Q2W Japan0
Phase I Dose Escalation: MBG453 240mg Q2W Japan0
Phase I Dose Escalation: MBG453 800mg Q2W Japan0
Phase I Dose Escalation: MBG453 1200mg Q2W Japan0
Phase I Dose Escalation: MBG453 240mg Q4W ROW0
Phase I Dose Escalation: MBG453 800mg Q4W ROW0
Phase I Dose Escalation: MBG453 1200mg Q4W ROW0
Phase I Dose Escalation: MBG453 1200mg Q4W Japan0
Phase I Dose Escalation: MBG453 80mg Q2W ROW4
Phase I Dose Escalation: MBG453 240mg Q2W ROW3
Phase I Dose Escalation: MBG453 800mg Q2W ROW7
Phase I Dose Escalation: MBG453 1200mg Q2W ROW0
Phase I Dose Escalation: MBG453 80mg Q2W Japan0
Phase I Dose Escalation: MBG453 240mg Q2W Japan1
Phase I Dose Escalation: MBG453 800mg Q2W Japan2
Phase I Dose Escalation: MBG453 1200mg Q2W Japan0
Phase I Dose Escalation: MBG453 240mg Q4W ROW3
Phase I Dose Escalation: MBG453 800mg Q4W ROW1
Phase I Dose Escalation: MBG453 1200mg Q4W ROW0
Phase I Dose Escalation: MBG453 1200mg Q4W Japan3
Phase I Dose Escalation: MBG453 80mg Q2W ROW7
Phase I Dose Escalation: MBG453 240mg Q2W ROW6
Phase I Dose Escalation: MBG453 800mg Q2W ROW8
Phase I Dose Escalation: MBG453 1200mg Q2W ROW5
Phase I Dose Escalation: MBG453 80mg Q2W Japan2
Phase I Dose Escalation: MBG453 240mg Q2W Japan3
Phase I Dose Escalation: MBG453 800mg Q2W Japan4
Phase I Dose Escalation: MBG453 1200mg Q2W Japan2
Phase I Dose Escalation: MBG453 240mg Q4W ROW3
Phase I Dose Escalation: MBG453 800mg Q4W ROW4
Phase I Dose Escalation: MBG453 1200mg Q4W ROW4
Phase I Dose Escalation: MBG453 1200mg Q4W Japan3
Progression-Free Survival (PFS) Per RECIST v1.1 Secondary · From start of treatment until first documented progression or death due to any cause, assessed up to 1.9 years for sabatolimab and 4.9 years for sabatolimab in combination with spartalizumab

PFS is defined as the time from the date of start of treatment to the date of the first documented progression or death due to any cause. If a patient did not have an event, PFS was censored at the date of the last adequate tumor assessment. Tumor response was based on local investigator assessment per RECIST v1.1. PFS was analyzed using Kaplan-Meier estimates.

GroupValue95% CI
Phase I Dose Escalation: MBG453 80mg Q2W ROW1.81.7 – 3.3
Phase I Dose Escalation: MBG453 240mg Q2W ROW1.81.6 – 2.8
Phase I Dose Escalation: MBG453 800mg Q2W ROW1.81.7 – 5.3
Phase I Dose Escalation: MBG453 1200mg Q2W ROW1.71.3 – NA
Phase I Dose Escalation: MBG453 80mg Q2W Japan1.51.4 – NA
Phase I Dose Escalation: MBG453 240mg Q2W Japan1.91.0 – NA
Phase I Dose Escalation: MBG453 800mg Q2W Japan2.01.0 – 3.3
Phase I Dose Escalation: MBG453 1200mg Q2W Japan1.61.4 – NA
Phase I Dose Escalation: MBG453 240mg Q4W ROW1.71.0 – NA
Phase I Dose Escalation: MBG453 800mg Q4W ROW1.70.7 – 1.8
Phase I Dose Escalation: MBG453 1200mg Q4W ROW1.81.6 – NA
Phase I Dose Escalation: MBG453 1200mg Q4W Japan2.01.1 – 3.5
Duration of Response (DOR) Per RECIST v1.1 Secondary · From first documented response to first documented disease progression or death due to underlying cancer, assessed up to 1.9 years for sabatolimab and 4.9 years for sabatolimab in combination with spartalizumab

DOR only applies to patients for whom best overall response is complete response (CR) or partial response (PR) based on local investigator assessment according to RECIST v1.1. DOR is defined as the time from the date of first documented response to the date of first documented progression or death due to underlying cancer. If a patient did not have an event, duration was censored at the date of last adequate tumor assessment. According to the statistical analysis plan (SAP), summary estimates of DOR using the Kaplan-Meier method were planned to be reported if there were at least 10 patients a

GroupValue95% CI
Phase Ib Dose Escalation: MBG453 20mg Q2W + PDR001 80mg Q2WNANA – NA
Phase Ib Dose Escalation: MBG453 80mg Q2W + PDR001 80mg Q2WNANA – NA
Phase Ib Dose Escalation: MBG453 240mg Q4W + PDR001 400mg Q4WNANA – NA
Phase Ib Dose Escalation: MBG453 800mg Q4W + PDR001 400mg Q4WNANA – NA
Overall Response Rate (ORR) Per irRC Secondary · From start of treatment until end of treatment, assessed up to 1.9 years for sabatolimab and 4.9 years for sabatolimab in combination with spartalizumab

Tumor response was based on local investigator assessment as per irRC. ORR per irRC is defined as the percentage of participants with a best overall response of immune related Complete Response (irCR) or immune related Partial Response (irPR). For irRC, irCR=Disappearance of all non-nodal target lesions and non-target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to \< 10 mm; irPR= At least a 30% decrease in the sum of diameters of all target lesions including new measurable lesions, taking as reference the baseline sum of di

GroupValue95% CI
Phase I Dose Escalation: MBG453 80mg Q2W ROW00.0 – 19.3
Phase I Dose Escalation: MBG453 240mg Q2W ROW00.0 – 28.3
Phase I Dose Escalation: MBG453 800mg Q2W ROW00.0 – 17.1
Phase I Dose Escalation: MBG453 1200mg Q2W ROW00.0 – 45.1
Phase I Dose Escalation: MBG453 80mg Q2W Japan00.0 – 77.6
Phase I Dose Escalation: MBG453 240mg Q2W Japan00.0 – 52.7
Phase I Dose Escalation: MBG453 800mg Q2W Japan00.0 – 39.3
Phase I Dose Escalation: MBG453 1200mg Q2W Japan00.0 – 77.6
Phase I Dose Escalation: MBG453 240mg Q4W ROW00.0 – 31.2
Phase I Dose Escalation: MBG453 800mg Q4W ROW00.0 – 28.3
Phase I Dose Escalation: MBG453 1200mg Q4W ROW00.0 – 39.3
Phase I Dose Escalation: MBG453 1200mg Q4W Japan00.0 – 39.3
Progression-Free Survival (PFS) Per irRC Secondary · From start of treatment until first documented and confirmed progression or death due to any cause, assessed up to 1.9 years for sabatolimab and 4.9 years for sabatolimab in combination with spartalizumab

PFS is defined as the time from the date of start of treatment to the date of the first documented and confirmed progression or death due to any cause. If a patient did not have an event, PFS was censored at the date of the last adequate tumor evaluation. Tumor response was based on local investigator assessment per irRC. PFS was analyzed using Kaplan-Meier estimates.

GroupValue95% CI
Phase I Dose Escalation: MBG453 80mg Q2W ROW1.81.7 – 3.3
Phase I Dose Escalation: MBG453 240mg Q2W ROW1.81.6 – 3.0
Phase I Dose Escalation: MBG453 800mg Q2W ROW1.81.7 – 5.3
Phase I Dose Escalation: MBG453 1200mg Q2W ROW1.71.3 – NA
Phase I Dose Escalation: MBG453 80mg Q2W Japan1.51.4 – NA
Phase I Dose Escalation: MBG453 240mg Q2W Japan1.91.0 – NA
Phase I Dose Escalation: MBG453 800mg Q2W Japan2.01.0 – 3.3
Phase I Dose Escalation: MBG453 1200mg Q2W Japan1.61.4 – NA
Phase I Dose Escalation: MBG453 240mg Q4W ROW1.71.0 – NA
Phase I Dose Escalation: MBG453 800mg Q4W ROW1.80.7 – 2.5
Phase I Dose Escalation: MBG453 1200mg Q4W ROW2.31.8 – NA
Phase I Dose Escalation: MBG453 1200mg Q4W Japan2.01.1 – 3.5

Adverse events — posted to ClinicalTrials.gov

Time frame: On-treatment and post-treatment safety follow-up: from first dose of study treatment to 30 days after last dose (sabatolimab) and to 150 days after last dose (sabatolimab+spartalizumab), up to 2 years for single agent and 5.3 years (phase Ib)/3.3 years (phase II) for combination. Deaths in survival period: from 31 days (single agent) and 151 days (combination) after last dose until end of study, up to 2 years for single agent and 5.3 years (phase Ib)/3.3 years (phase II) for combination.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Phase I Dose Escalation: MBG453 80mg Q2W ROW
Serious: 6/14 (43%)
Deaths: 9/14
Phase I Dose Escalation: MBG453 240mg Q2W ROW
Serious: 1/9 (11%)
Deaths: 4/9
Phase I Dose Escalation: MBG453 800mg Q2W ROW
Serious: 9/16 (56%)
Deaths: 6/16
Phase I Dose Escalation: MBG453 1200mg Q2W ROW
Serious: 2/5 (40%)
Deaths: 5/5
Phase I Dose Escalation: MBG453 80mg Q2W Japan
Serious: 0/2 (0%)
Deaths: 1/2
Phase I Dose Escalation: MBG453 240mg Q2W Japan
Serious: 0/4 (0%)
Deaths: 4/4
Phase I Dose Escalation: MBG453 800mg Q2W Japan
Serious: 0/6 (0%)
Deaths: 5/6
Phase I Dose Escalation: MBG453 1200mg Q2W Japan
Serious: 0/2 (0%)
Deaths: 1/2
Phase I Dose Escalation: MBG453 240mg Q4W ROW
Serious: 3/8 (38%)
Deaths: 3/8
Phase I Dose Escalation: MBG453 800mg Q4W ROW
Serious: 6/9 (67%)
Deaths: 4/9
Phase I Dose Escalation: MBG453 1200mg Q4W ROW
Serious: 4/6 (67%)
Deaths: 4/6
Phase I Dose Escalation: MBG453 1200mg Q4W Japan
Serious: 0/6 (0%)
Deaths: 3/6
Phase Ib Dose Escalation: MBG453 20mg Q2W + PDR001 80mg Q2W
Serious: 2/6 (33%)
Deaths: 1/6
Phase Ib Dose Escalation: MBG453 80mg Q2W + PDR001 80mg Q2W
Serious: 7/13 (54%)
Deaths: 5/13
Phase Ib Dose Escalation: MBG453 240mg Q2W + PDR001 80mg Q2W
Serious: 2/6 (33%)
Deaths: 2/6
Phase Ib Dose Escalation: MBG453 240mg Q2W + PDR001 240mg Q2W
Serious: 5/5 (100%)
Deaths: 5/5
Phase Ib Dose Escalation: MBG453 800mg Q2W + PDR001 80mg Q2W
Serious: 4/5 (80%)
Deaths: 2/5
Phase Ib Dose Escalation: MBG453 800mg Q2W + PDR001 240mg Q2W
Serious: 0/6 (0%)
Deaths: 3/6
Phase Ib Dose Escalation: MBG453 80mg Q4W + PDR001 80mg Q4W
Serious: 4/6 (67%)
Deaths: 0/6
Phase Ib Dose Escalation: MBG453 80mg Q4W + PDR001 400mg Q4W
Serious: 1/3 (33%)
Deaths: 3/3
Phase Ib Dose Escalation: MBG453 240mg Q4W + PDR001 80mg Q4W
Serious: 2/12 (17%)
Deaths: 5/12
Phase Ib Dose Escalation: MBG453 240mg Q4W + PDR001 240mg Q4W
Serious: 3/5 (60%)
Deaths: 2/5
Phase Ib Dose Escalation: MBG453 240mg Q4W + PDR001 400mg Q4W
Serious: 2/7 (29%)
Deaths: 1/7
Phase Ib Dose Escalation: MBG453 800mg Q4W + PDR001 400mg Q4W
Serious: 4/6 (67%)
Deaths: 2/6
Phase Ib Dose Escalation: MBG453 1200mg Q4W + PDR001 400mg Q4W
Serious: 5/6 (83%)
Deaths: 4/6
Dose Ranging Part: MBG453 80mg Q4W
Serious: 10/14 (71%)
Deaths: 8/14
Dose Ranging Part: MBG453 240mg Q4W
Serious: 8/17 (47%)
Deaths: 9/17
Dose Ranging Part: MBG453 1200mg Q4W
Serious: 9/15 (60%)
Deaths: 6/15
Phase II: MBG453 + PDR001 NSCLC
Serious: 9/17 (53%)
Deaths: 9/17
Phase II: MBG453 + PDR001 Melanoma
Serious: 5/16 (31%)
Deaths: 6/16
Phase I Dose Escalation: MBG453 80mg Q2W ROW - Survival Period
Serious: 0
Deaths: 3/5
Phase I Dose Escalation: MBG453 240mg Q2W ROW - Survival Period
Serious: 0
Deaths: 4/5
Phase I Dose Escalation: MBG453 800mg Q2W ROW - Survival Period
Serious: 0
Deaths: 7/10
Phase I Dose Escalation: MBG453 1200mg Q2W ROW - Survival Period
Serious: 0
Deaths: 0
Phase I Dose Escalation: MBG453 80mg Q2W Japan - Survival Period
Serious: 0
Deaths: 1/1
Phase I Dose Escalation: MBG453 240mg Q2W Japan - Survival Period
Serious: 0
Deaths: 0
Phase I Dose Escalation: MBG453 800mg Q2W Japan - Survival Period
Serious: 0
Deaths: 1/1
Phase I Dose Escalation: MBG453 1200mg Q2W Japan - Survival Period
Serious: 0
Deaths: 1/1
Phase I Dose Escalation: MBG453 240mg Q4W ROW - Survival Period
Serious: 0
Deaths: 3/5
Phase I Dose Escalation: MBG453 800mg Q4W ROW - Survival Period
Serious: 0
Deaths: 3/5
Phase I Dose Escalation: MBG453 1200mg Q4W ROW - Survival Period
Serious: 0
Deaths: 1/2
Phase I Dose Escalation: MBG453 1200mg Q4W Japan - Survival Period
Serious: 0
Deaths: 3/3
Phase Ib Dose Escalation: MBG453 20mg Q2W + PDR001 80mg Q2W - Survival Period
Serious: 0
Deaths: 2/5
Phase Ib Dose Escalation: MBG453 80mg Q2W + PDR001 80mg Q2W - Survival Period
Serious: 0
Deaths: 4/8
Phase Ib Dose Escalation: MBG453 240mg Q2W + PDR001 80mg Q2W - Survival Period
Serious: 0
Deaths: 3/4
Phase Ib Dose Escalation: MBG453 240mg Q2W + PDR001 240mg Q2W - Survival Period
Serious: 0
Deaths: 0
Phase Ib Dose Escalation: MBG453 800mg Q2W + PDR001 80mg Q2W - Survival Period
Serious: 0
Deaths: 2/3
Phase Ib Dose Escalation: MBG453 800mg Q2W + PDR001 240mg Q2W - Survival Period
Serious: 0
Deaths: 2/3
Phase Ib Dose Escalation: MBG453 80mg Q4W + PDR001 80mg Q4W - Survival Period
Serious: 0
Deaths: 2/6
Phase Ib Dose Escalation: MBG453 80mg Q4W + PDR001 400mg Q4W - Survival Period
Serious: 0
Deaths: 0
Phase Ib Dose Escalation: MBG453 240mg Q4W + PDR001 80mg Q4W - Survival Period
Serious: 0
Deaths: 6/7
Phase Ib Dose Escalation: MBG453 240mg Q4W + PDR001 240mg Q4W - Survival Period
Serious: 0
Deaths: 2/3
Phase Ib Dose Escalation: MBG453 240mg Q4W + PDR001 400mg Q4W - Survival Period
Serious: 0
Deaths: 3/6
Phase Ib Dose Escalation: MBG453 800mg Q4W + PDR001 400mg Q4W - Survival Period
Serious: 0
Deaths: 2/4
Phase Ib Dose Escalation: MBG453 1200mg Q4W + PDR001 400mg Q4W - Survival Period
Serious: 0
Deaths: 1/2
Dose Ranging Part: MBG453 80mg Q4W - Survival Period
Serious: 0
Deaths: 4/6
Dose Ranging Part: MBG453 240mg Q4W - Survival Period
Serious: 0
Deaths: 3/8
Dose Ranging Part: MBG453 1200mg Q4W - Survival Period
Serious: 0
Deaths: 7/9
Phase II: MBG453 + PDR001 NSCLC - Survival Period
Serious: 0
Deaths: 8/8
Phase II: MBG453 + PDR001 Melanoma - Survival Period
Serious: 0
Deaths: 7/10

Serious adverse events (121 terms)

ReactionSystemPhase I Dose Escalation: M…Phase I Dose Escalation: M…Phase I Dose Escalation: M…Phase I Dose Escalation: M…Phase I Dose Escalation: M…Phase I Dose Escalation: M…Phase I Dose Escalation: M…Phase I Dose Escalation: M…Phase I Dose Escalation: M…Phase I Dose Escalation: M…Phase I Dose Escalation: M…Phase I Dose Escalation: M…Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Dose Ranging Part: MBG453 …Dose Ranging Part: MBG453 …Dose Ranging Part: MBG453 …Phase II: MBG453 + PDR001 …Phase II: MBG453 + PDR001 …Phase I Dose Escalation: M…Phase I Dose Escalation: M…Phase I Dose Escalation: M…Phase I Dose Escalation: M…Phase I Dose Escalation: M…Phase I Dose Escalation: M…Phase I Dose Escalation: M…Phase I Dose Escalation: M…Phase I Dose Escalation: M…Phase I Dose Escalation: M…Phase I Dose Escalation: M…Phase I Dose Escalation: M…Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Dose Ranging Part: MBG453 …Dose Ranging Part: MBG453 …Dose Ranging Part: MBG453 …Phase II: MBG453 + PDR001 …Phase II: MBG453 + PDR001 …
Abdominal painGastrointestinal disorders
VomitingGastrointestinal disorders
AscitesGastrointestinal disorders
Intestinal obstructionGastrointestinal disorders
NauseaGastrointestinal disorders
SubileusGastrointestinal disorders
PyrexiaGeneral disorders
Back painMusculoskeletal and connective tissue disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Pleural effusionRespiratory, thoracic and mediastinal disorders
AnaemiaBlood and lymphatic system disorders
Blood loss anaemiaBlood and lymphatic system disorders
Disseminated intravascular coagulationBlood and lymphatic system disorders
Cardiac arrestCardiac disorders
Cardiac failure congestiveCardiac disorders
Left ventricular dysfunctionCardiac disorders
Myocardial infarctionCardiac disorders
TachycardiaCardiac disorders
ColitisGastrointestinal disorders
ConstipationGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
Duodenal stenosisGastrointestinal disorders
DysphagiaGastrointestinal disorders
Gastrointestinal haemorrhageGastrointestinal disorders
HaematemesisGastrointestinal disorders
Other adverse events (371 terms — click to expand)

ReactionSystemPhase I Dose Escalation: M…Phase I Dose Escalation: M…Phase I Dose Escalation: M…Phase I Dose Escalation: M…Phase I Dose Escalation: M…Phase I Dose Escalation: M…Phase I Dose Escalation: M…Phase I Dose Escalation: M…Phase I Dose Escalation: M…Phase I Dose Escalation: M…Phase I Dose Escalation: M…Phase I Dose Escalation: M…Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Dose Ranging Part: MBG453 …Dose Ranging Part: MBG453 …Dose Ranging Part: MBG453 …Phase II: MBG453 + PDR001 …Phase II: MBG453 + PDR001 …Phase I Dose Escalation: M…Phase I Dose Escalation: M…Phase I Dose Escalation: M…Phase I Dose Escalation: M…Phase I Dose Escalation: M…Phase I Dose Escalation: M…Phase I Dose Escalation: M…Phase I Dose Escalation: M…Phase I Dose Escalation: M…Phase I Dose Escalation: M…Phase I Dose Escalation: M…Phase I Dose Escalation: M…Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Phase Ib Dose Escalation: …Dose Ranging Part: MBG453 …Dose Ranging Part: MBG453 …Dose Ranging Part: MBG453 …Phase II: MBG453 + PDR001 …Phase II: MBG453 + PDR001 …
FatigueGeneral disorders
Decreased appetiteMetabolism and nutrition disorders
AnaemiaBlood and lymphatic system disorders
ConstipationGastrointestinal disorders
NauseaGastrointestinal disorders
HypomagnesaemiaMetabolism and nutrition disorders
DiarrhoeaGastrointestinal disorders
VomitingGastrointestinal disorders
PyrexiaGeneral disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Tumour painNeoplasms benign, malignant and unspecified (incl cysts and polyps)
CoughRespiratory, thoracic and mediastinal disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Abdominal painGastrointestinal disorders
AscitesGastrointestinal disorders
DyspepsiaGastrointestinal disorders
StomatitisGastrointestinal disorders
Oedema peripheralGeneral disorders
Liver disorderHepatobiliary disorders
HypoalbuminaemiaMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders
Cancer painNeoplasms benign, malignant and unspecified (incl cysts and polyps)
HeadacheNervous system disorders
LeukocytosisBlood and lymphatic system disorders
LeukopeniaBlood and lymphatic system disorders
Sinus tachycardiaCardiac disorders
HypothyroidismEndocrine disorders
Abdominal distensionGastrointestinal disorders
Abdominal pain lowerGastrointestinal disorders
Abdominal pain upperGastrointestinal disorders
Anal haemorrhageGastrointestinal disorders
AstheniaGeneral disorders
ChillsGeneral disorders
Gait disturbanceGeneral disorders
Influenza like illnessGeneral disorders
Injection site reactionGeneral disorders
Non-cardiac chest painGeneral disorders
PainGeneral disorders
CellulitisInfections and infestations
Herpes zosterInfections and infestations

Most-reported serious reactions: Abdominal pain, Vomiting, Ascites, Intestinal obstruction, Nausea, Subileus, Pyrexia, Back pain.

Data from ClinicalTrials.gov NCT02608268 adverse events section.

Sponsor's own description

The purpose of this first-in-human study of MBG453 was to characterize the safety, tolerability, pharmacokinetics, pharmacodynamics and anti-tumor activity of MBG453 administered i.v. as a single agent or in combination with PDR001 or decitabine in adult patients with advanced solid tumors

Publications & conference data

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

  1. Immunotherapy in colorectal cancer: rationale, challenges and potential.
    Ganesh K, Stadler ZK, Cercek A, Mendelsohn RB, et al · · 2019 · cited 1407× · PMID 30886395 · DOI 10.1038/s41575-019-0126-x
  2. PD-1 and PD-L1 Checkpoint Signaling Inhibition for Cancer Immunotherapy: Mechanism, Combinations, and Clinical Outcome.
    Alsaab HO, Sau S, Alzhrani R, Tatiparti K, et al · · 2017 · cited 1206× · PMID 28878676 · DOI 10.3389/fphar.2017.00561
  3. Hallmarks of response, resistance, and toxicity to immune checkpoint blockade.
    Morad G, Helmink BA, Sharma P, Wargo JA. · · 2021 · cited 1197× · PMID 34624224 · DOI 10.1016/j.cell.2021.09.020
  4. Comprehensive review of targeted therapy for colorectal cancer.
    Xie YH, Chen YX, Fang JY. · · 2020 · cited 1162× · PMID 32296018 · DOI 10.1038/s41392-020-0116-z
  5. Combination strategies with PD-1/PD-L1 blockade: current advances and future directions.
    Yi M, Zheng X, Niu M, Zhu S, et al · · 2022 · cited 1018× · PMID 35062949 · DOI 10.1186/s12943-021-01489-2
  6. Novel immune checkpoint targets: moving beyond PD-1 and CTLA-4.
    Qin S, Xu L, Yi M, Yu S, et al · · 2019 · cited 909× · PMID 31690319 · DOI 10.1186/s12943-019-1091-2
  7. TIM3 comes of age as an inhibitory receptor.
    Wolf Y, Anderson AC, Kuchroo VK. · · 2020 · cited 755× · PMID 31676858 · DOI 10.1038/s41577-019-0224-6
  8. Next generation of immune checkpoint therapy in cancer: new developments and challenges.
    Marin-Acevedo JA, Dholaria B, Soyano AE, Knutson KL, et al · · 2018 · cited 582× · PMID 29544515 · DOI 10.1186/s13045-018-0582-8

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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/NCT02608268.

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