ClinicalTrials.gg
CompletedNCT03427411Updated Mar 28, 2023Results posted

M7824 in Subjects With HPV Associated Malignancies

A Phase 2 interventional study of M7824 in Human Papilloma Virus, Cervical Cancer and Oropharyngeal Cancer, sponsored by National Cancer Institute (NCI). Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-03-28.

Sponsored by National Cancer Institute (NCI) · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
57
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 70 studies in Uterine Cervical Neoplasms by National Cancer Institute (NCI) — 3 open to participants now, 12 under way, 2 of them phase 3. Uterine Cervical Neoplasms · National Cancer Institute (NCI).

Enrollment
20th of 57
57 · median 41
Started
2018
with 1 other
Phase 2
26 of 70
none open now
Registered
57th of 70
by date

Among the 70 studies in Uterine Cervical Neoplasms by National Cancer Institute (NCI), this one is the 20th largest by enrollment of the 57 interventional ones that give a count, is one of 2 that started in 2018, is one of 26 in phase 2, and was the 57th registered.

Uterine Cervical Neoplasms

2,366 studies on the registry are indexed under Uterine Cervical Neoplasms; 677 are open to participants now.

Browse Uterine Cervical Neoplasms studies →

Open to participants now

3 of the 70 studies in Uterine Cervical Neoplasms by National Cancer Institute (NCI) are open now, in 2 countries. Recruiting first, the newest first:

By country, each count listing its studies:

All 3 open studies →

Who these studies take

Of the 474 Uterine Cervical Neoplasms studies recruiting now, 243 (51%) set no upper age limit and 191 (40%) stop at 75 or younger; 20 take children under 18; 69 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 70 studies in Uterine Cervical Neoplasms by National Cancer Institute (NCI), or all of them as a file.
02

Study summary

Background:

In the United States, each year there are more than 30,000 cases of human papillomavirus (HPV) associated cancers. Some of these cancers are often incurable and are not improved by standard therapies. Researchers want to see if a new drug M7824, which targets and blocks a pathway that prevents the immune system from effectively fighting the cancer can shrink tumors in people with some HPV cancers.

Objectives:

To see if the drug M7824 causes tumors to shrink.

Eligibility:

Adults age 18 and older who have a cancer associated with HPV infection.

Design:

Participants will be screened with medical history and physical exam. They will review their symptoms and how they perform normal activities. They will have body scans. They will give blood and urine samples. They will have a sample of their tumor tissue taken if one is not available.

Participants will have an electrocardiogram to evaluate their heart. Then they will get the study drug through a thin tube in an arm vein.

Participants will get the drug every 2 weeks for 26 times (1 year). This is 1 course.

After the course, participants will be monitored but will not take the study drug. If their condition gets worse, they will start another course with the drug. This process can be repeated as many times as needed.

Treatment will stop if the participant has bad side effects or the drug stops working.

Throughout the study, participants will repeat some or all the screening tests.

After participants stop taking the drug, they will have a follow-up visit and repeat some screening tests. They will get periodic follow-up phone calls.

Read the detailed description

Background:

  • Metastatic or refractory/recurrent human papillomavirus (HPV) associated malignancies (cervical, anal, oropharyngeal cancers etc.) are often incurable and poorly palliated by standard therapies.

    • Transforming growth factor receptor type 1 (TGF R1) pathway signaling and overexpression are significantly associated with HPV+ cancers.
    • Programmed cell death protein 1 (PD-1) inhibitors have produced a 12-20% response rate for these diseases
    • M7824 is a novel bifunctional fusion protein composed of monoclonal antibodies against human programmed death-ligand 1 (PD- L1) and soluble extracellular domain of human TGF- receptor II (TGF- RII), which functions as a TGF- "trap."
    • Early data from a small cohort of patients with HPV associated malignancies in a phase I trial of M7824 has shown promising activity (NCT02517398). As of May 30, 2017, 4 of 9 patients (44%) with HPV associated malignancies have had preliminary evidence of clinical benefit including:
  • Patient with metastatic cervical cancer with a 25% reduction in her disease at 3 months
  • Patient with metastatic P16 positive (P16+) head and neck cancer with an unconfirmed partial response (PR) at 6 weeks
  • Patient with metastatic anal cancer with a durable PR ongoing 9 months after starting treatment
  • Patient with metastatic cervical cancer with a durable complete response (CR) ongoing 15 months after starting treatment.
  • Notably, the P16+ head and neck cancer patient with unconfirmed PR, anal cancer patient with durable PR and cervical cancer patient with durable CR all have HPV+ disease.

    • Immune related adverse events with M7824 in the phase I trial to date have been on par with other PD-1/PD-L1 inhibitors, suggesting a manageable safety profile.
    • EMD Serono has an ongoing expansion cohort evaluating M7824 in patients with head and neck squamous cell carcinoma (HNSCC) as well as in cervical cancer excluding neuroendocrine cervical cancer.

Objective:

-To determine the objective response rate (ORR) according to the Response Evaluation Criteria in Solid Tumors (RECIST 1.1) in subjects with recurrent or metastatic HPV associated malignancies.

Eligibility:

  • Age greater than or equal to 18 years old
  • Subjects with cytologically or histologically confirmed locally advanced or metastatic HPV

associated malignancies including:

  • Non-Neuroendocrine Cervical cancers
  • P16+ Oropharyngeal cancers
  • Anal cancers
  • Vulvar, vaginal, penile, squamous cell rectal and neuroendocrine cervical cancers
  • Other locally advanced or metastatic solid tumors (e.g. lung, esophagus) that are known HPV+

    • Subjects must have measurable disease.

Design:

-This is a Phase II trial of M7824 in patients with recurrent or metastatic HPV associated

malignancies.

  • Patients will be scheduled to receive 1,200 mg of M7824 intravenous (IV) every 2 weeks until off treatment criteria are met.
  • There will be six cohorts: (1) Patients with anal cancer whose disease is naive to checkpoint inhibition, (2) Patients with non-neuroendocrine cervical cancer naive to checkpoint inhibition,

    (3) Patients with P16+ oropharyngeal cancers naive to checkpoint inhibition, and (4) Patients with other rare HPV associated tumors (e.g. squamous cell rectal, vulvar, vaginal, penile cancer, neuroendocrine cervical) naive to checkpoint inhibition, (5) Patients with any HPV associated cancers whose disease is refractory to checkpoint inhibition. Patients who are determined to be HPV negative after enrolling will be taken off of their previously assigned cohort and reassigned to cohort 6 and their slot on their previously assigned cohort will be replaced.

  • Cohorts 1-5 of the trial will be conducted using a Simon two-stage phase II trial design.
03

Conditions studied

  • Human Papilloma Virus
  • Cervical Cancer
  • Oropharyngeal Cancer
  • Anal Cancer
  • Vaginal or Penile Cancer

Keywords

  • TGFR1 pathway signaling and overexpression
  • PD-1 inhibitors
  • Manageable Safety Profile
  • Bifunctional Fusion Protein
  • Refractory/Recurrent HPV Associated Malignancies
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age greater than or equal to 18 years.
  • Ability of subject to understand and the willingness to sign a written document.
  • Subjects with or histologically confirmed locally advanced or human papillomavirus (HPV) associated including:

    • Non-Neuroendocrine Cervical cancers
    • P16 positive (P16+) Oropharyngeal cancers
    • Anal cancers
    • Vulvar, vaginal, penile, squamous cell rectal and neuroendocrine cervical cancers
    • Other locally advanced or metastatic solid tumors (e.g. lung, esophagus) that are known HPV+
  • Patients must have disease that is not amenable to potentially curative resection
  • Subjects must have
  • (ECOG) performance status less than or equal to 2
  • Adequate hematologic function at screening, as follows:

    • (ANC) greater than or equal to 1 x 109/L
    • greater than or equal to 9 g/dL
    • greater than or equal to 75,000/microliter.
  • Adequate renal and hepatic function at screening, as follows:

    • Serum creatinine less than or equal to 1.5 x (ULN) OR (CrCl) greater than or equal to 40 mL/min per institutional standard
    • less than or equal to 1.5 x ULN OR in subjects with Gilbert's syndrome, a total bilirubin less than or equal to 3.0 x ULN
    • (ALT) and aspartate aminotransferase (AST) less than or equal to 2.5 x ULN, unless liver metastases are present, then values must be less than or equal to 3 x ULN)
  • The effects of M7824 on the developing human fetus are unknown; thus, women of and men must agree to use adequate (hormonal or barrier method of birth control; abstinence) prior to study entry, for the duration of study participation and up to 60 days after the last dose of the drug. Should a woman become pregnant or suspect she is pregnant while she or her partner is participating in this study, she should inform her treating physician immediately.
  • Patients serologically positive for (HIV), Hep B, Hep C are eligible as long as the viral loads are undetectable by quantitative polymerase chain reaction (PCR). HIV positive patients must have cluster of differentiation 4 (CD4) count greater than or equal to 300 cells per cubic millimeter at enrollment, be on stable antiretroviral therapy and have no reported opportunistic infections within 12 months prior to enrollment.

Exclusion criteria

  • Pregnant women are excluded from this study because this drug has not been tested in pregnant women and there is potential for teratogenic or abortifacient effects. Because there is an unknown but potential risk for adverse events in nursing infants secondary to

treatment of the mother with M7824, breastfeeding should be discontinued if the mother is treated with M7824.

  • Patients with prior drug, chemotherapy, immunotherapy or any prior radiotherapy (except for palliative bone directed therapy) within the past 28 days prior to the first drug administration except if the investigator has assessed that all residual treatment-related toxicities have resolved or are minimal and feel the patient is otherwise suitable for enrollment. Patients may continue hormonal therapy in the setting of a definitively treated cancer (e.g., breast).
  • Major surgery within 28 days prior to the first drug administration (minimally invasive procedures such as diagnostic are permitted).
  • Known intolerance to or life-threatening side effects resulting from prior therapy.
  • Known active brain or central nervous system (less than 1 month out from definitive radiotherapy or surgery), seizures requiring anticonvulsant treatment (\<3 months) or cerebrovascular accident (\<3 months). In order to be eligible patients must have repeat central nervous system (CNS) imaging at least two months after definitive treatment showing stable CNS disease. Patients with evidence of intra-tumoral or peritumoral hemorrhage on baseline imaging are also excluded unless the hemorrhage is grade less than or equal to 1 and has been shown to be stable on two consecutive imaging scans.
  • Active disease that might deteriorate when receiving an immunostimulatory agent with exception of:

    • diabetes type I, eczema, vitiligo, alopecia, psoriasis, hypo- or hyperthyroid disease or other mild autoimmune disorders not requiring treatment;
    • Subjects requiring hormone replacement with are eligible if the steroids are administered only for the purpose of hormonal replacement and at doses less than or equal to 10 mg of prednisone or equivalent per day;
    • Administration of steroids for other conditions through a route known to result in a minimal systemic exposure (topical, intranasal, intro-ocular, or inhalation) is acceptable;
    • Subjects on systemic intravenous or oral corticosteroid therapy with the exception of physiologic doses of corticosteroids (less than or equal to the equivalent of prednisone 10 mg/day) or other immunosuppressives such as azathioprine or cyclosporin A are excluded on the basis of potential immune suppression. For these subjects these excluded treatments must be discontinued at least 1 weeks prior to enrollment for recent short course use (less than or equal to 14 days) or discontinued at least 4 weeks prior to enrollment for long term use (>14 days). In addition, the use of corticosteroids as premedication for contrast enhanced studies is allowed prior to enrollment and on study.
  • Subjects with a history of serious intercurrent chronic or acute illness, such as cardiac or pulmonary disease, hepatic disease, bleeding diathesis or recent (within 3 months) clinically significant bleeding events, or other illness considered by the Investigator as high risk for investigational drug treatment.
  • History of non-HPV associated second within 3 years of enrollment except localized malignancy which has been adequately treated or malignancy which does not require active systemic treatment (e.g., low risk chronic lymphocytic leukemia (CLL).
  • Known severe reactions to monoclonal antibodies (Grade greater than or equal to 3 National Cancer Institute (CTCAE) v4.03)
  • Receipt of any organ transplantation requiring ongoing immunosuppression.
  • Patients with vulvar cancer originating from differentiated vulvar intraepithelial neoplasia (d-VIN), as opposed to vulvar intraepithelial neoplasia of usual type, are excluded. Vulvar squamous cell carcinoma originating from differentiated VIN (d-VIN) is HPV negative; however, rare cases of HPV positive d-VIN can occur. Patients are not excluded if their tumor has tested positive for HPV or there is no documentation of prior VIN type.
  • Patients with known HPV negative malignancies based on comprehensive laboratory testing (e.g. PCR based assay evaluating for HPV 16, 18, 31, 33, 35, 39, 51, 52, 56, 58, 59, 66, 68). Patients with HPV associated malignancies and unknown HPV status prior to enrollment are eligible.
Terms in these criteria, in plain language(26)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

PD-1, PD-L1 and checkpoint inhibitors

PD-1, PD-L1 and CTLA-4 are proteins that act as brakes on the immune system. Checkpoint inhibitors, such as pembrolizumab or nivolumab, block them so the immune system can attack a cancer.

PD-L1 can also be measured in a tumour sample. Some scores count stained tumour cells only (TPS); others also count certain immune cells (CPS). The study names the score and the minimum it uses.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

CTCAE grade

The US National Cancer Institute’s scale of how severe an adverse event is — any unwanted medical event during a study, such as a symptom, an illness or an abnormal test result, whether or not a treatment caused it. Whether it did is judged separately.

1
Mild.
2
Moderate.
3
Severe.
4
Life-threatening.
5
Death due to the event.

“Side effects of earlier treatment resolved to grade 1 or less” means they have settled to mild or gone.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
57 participants (actual)

Study arms

  • Experimental
    1/Arm 1-M7824 1,200 mg intravenous (IV) once every 2 weeks

    M7824 at a flat dose of 1,200 mg intravenous (IV) once every 2 weeks

    Drug: M7824

Interventions

  • DrugM7824

    Flat dose of 1,200 mg of M7824 intravenous (IV) once every 2 weeks

    Also known as: MSB0011359C

06

What researchers measure

Primary outcomes

  1. Percentage of Participants That Achieved an Objective Confirmed Complete or Partial Overall Tumor Response

    The percentage of participants that achieved an objective confirmed complete or partial overall tumor response was measured using the Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. Complete response is disappearance of all target lesions. Partial response is at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

    Time frame: Every six weeks for up to one year

Secondary outcomes

  1. Progression-free Survival Time (PFS)

    PFS is defined as the time from the date of first treatment to the date of disease progression or death. Progression was measured using the Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 and is defined as at least a 20% increase in the sum of diameters of target lesions, or appearance of one or more new lesions.

    Time frame: Time from the date of first treatment to the date of disease progression or death, up to 12 months

  2. Percentage of Participants With Disease Control Who Achieved a Complete Response, Partial Response and Stable Disease Defined by the Response Evaluation Criteria in Solid Tumors (RECIST)Version 1.1 Lasting at Least 6 Months

    The percentage of participants with disease control who achieved a complete response, partial response and stable disease lasting at least 6 months was measured by the response evaluation criteria in solid tumors (RECIST)version 1.1. Complete response (CR) is disappearance of all target lesions. Partial response (PR) is at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Stable disease (SD) is neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD) (at least a 20% increase in the sum of diameters of target lesions, or appearance of one or more new lesions).

    Time frame: 6 months

  3. Overall Survival (OS)

    OS is defined as the time from the date of first treatment to the date of death and was measured by Kaplan-Meier analysis.

    Time frame: Time from the date of first treatment to the date of death, up to 3 years.

  4. Number of Participants With Serious Grade ≥3 Adverse Events Considered Related to Study Treatment of M7824

    Adverse events were assessed by the Common Terminology Criteria for Adverse Events version 5.0. A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned. Grade 1 is mild. Grade 2 is moderate, Grade 3 is severe, Grade 4 is life-threatening, and Grade 5 is death related to adverse event.

    Time frame: 28 days after treatment

  5. Number of Checkpoint Inhibitor Naive Participants With Response Based on Adequate Similarity (Defined as P-value > 0.2 With Fisher's Exact Test) of Results in Cohorts 1 and 2

    Response based on adequate similarity defined as P-value \> 0.2 with Fisher's exact test of results in cohorts 1 and 2 was compared with a two-sided Fishers exact test, and response was measured by the response evaluation criteria in solid tumors (RECIST)version 1.1. Complete response (CR) is disappearance of all target lesions. Partial response (PR) is at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Progressive disease is at least a 20% increase in the sum of diameters of target lesions, or appearance of one or more new lesions. Stable disease (SD) is neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD).

    Time frame: median of 2 years

  6. Percentage of Participants That Were Hospitalized Because of Adverse Events Attributed to Disease Progression

    Adverse events were assessed by the Common Terminology Criteria for Adverse Events (CTCAE v5.0). A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned. Disease progression is at least a 20% increase in the sum of diameters of target lesions, or appearance of one or more new lesions measured by the Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.

    Time frame: Up to 30 days from last treatment

  7. Duration of Response (Complete Response or Partial Response)

    Duration of response is defined as the time from complete response or partial response (whichever is first recorded) until the first date that recurrent or progressive disease (PD) is objectively documented. Response was measured by the Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. Complete response is disappearance of all target lesions. Partial response is at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Progression is at least a 20% increase in the sum of diameters of target lesions, or appearance of one or more new lesions.

    Time frame: Time from complete response or partial response (whichever is first recorded) until the first date that recurrent or progressive disease (PD) is objectively documented, up to 12 months

Other outcomes

  1. Number of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0)

    Here is the number of participants with serious and/or non-serious adverse events assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0). A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned.

    Time frame: Date treatment consent signed to date off study, approximately 42 months and 28 days for the naïve group, and 40 months and 16 days for the refractory group.

07

Results

Posted Feb 28, 2022

Participant flow

Participant flow — Overall Study
MilestoneParticipants Naïve to Checkpoint Inhibition - M7824 1,200 mg Intravenous Once Every 2 WeeksParticipants Refractory to Checkpoint Inhibition - M7824 1,200 mg Intravenous Once Every 2 Weeks
Started3027
Completed3026
Not completed01
Withdrew: Screen failure - platelets too low01

Outcome measures

PrimaryPercentage of Participants That Achieved an Objective Confirmed Complete or Partial Overall Tumor Response

The percentage of participants that achieved an objective confirmed complete or partial overall tumor response was measured using the Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. Complete response is disappearance of all target lesions. Partial response is at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

Time frame:
Every six weeks for up to one year
Reported as:
Number · percentage of participants
Percentage of Participants That Achieved an Objective Confirmed Complete or Partial Overall Tumor Response
percentage of participantsParticipants Naïve to Checkpoint Inhibition - M7824 1,200 mg Intravenous Once Every 2 WeeksParticipants Refractory to Checkpoint Inhibition - M7824 1,200 mg Intravenous Once Every 2 Weeks
Percentage of Participants That Achieved an Objective Confirmed Complete or Partial Overall Tumor Response31 (15.3 to 50.8)7.7 (0.9 to 25.1)
SecondaryProgression-free Survival Time (PFS)

PFS is defined as the time from the date of first treatment to the date of disease progression or death. Progression was measured using the Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 and is defined as at least a 20% increase in the sum of diameters of target lesions, or appearance of one or more new lesions.

Time frame:
Time from the date of first treatment to the date of disease progression or death, up to 12 months
Reported as:
Median · Months
Progression-free Survival Time (PFS)
MonthsParticipants Naïve to Checkpoint Inhibition - M7824 1,200 mg Intravenous Once Every 2 WeeksParticipants Refractory to Checkpoint Inhibition - M7824 1,200 mg Intravenous Once Every 2 Weeks
Progression-free Survival Time (PFS)3.5 (1.5 to 7.4)1.4 (0.0 to 9.2)
SecondaryPercentage of Participants With Disease Control Who Achieved a Complete Response, Partial Response and Stable Disease Defined by the Response Evaluation Criteria in Solid Tumors (RECIST)Version 1.1 Lasting at Least 6 Months

The percentage of participants with disease control who achieved a complete response, partial response and stable disease lasting at least 6 months was measured by the response evaluation criteria in solid tumors (RECIST)version 1.1. Complete response (CR) is disappearance of all target lesions. Partial response (PR) is at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Stable disease (SD) is neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD) (at least a 20% increase in the sum of diameters of target lesions, or appearance of one or more new lesions).

Time frame:
6 months
Reported as:
Number · percentage of participants
Percentage of Participants With Disease Control Who Achieved a Complete Response, Partial Response and Stable Disease Defined by the Response Evaluation Criteria in Solid Tumors (RECIST)Version 1.1 Lasting at Least 6 Months
percentage of participantsParticipants Naïve to Checkpoint Inhibition - M7824 1,200 mg Intravenous Once Every 2 WeeksParticipants Refractory to Checkpoint Inhibition - M7824 1,200 mg Intravenous Once Every 2 Weeks
Percentage of Participants With Disease Control Who Achieved a Complete Response, Partial Response and Stable Disease Defined by the Response Evaluation Criteria in Solid Tumors (RECIST)Version 1.1 Lasting at Least 6 Months62.1 (42.3 to 79.3)19.2 (6.6 to 39.4)
SecondaryOverall Survival (OS)

OS is defined as the time from the date of first treatment to the date of death and was measured by Kaplan-Meier analysis.

Time frame:
Time from the date of first treatment to the date of death, up to 3 years.
Reported as:
Median · Months
Overall Survival (OS)
MonthsParticipants Naïve to Checkpoint Inhibition - M7824 1,200 mg Intravenous Once Every 2 WeeksParticipants Refractory to Checkpoint Inhibition - M7824 1,200 mg Intravenous Once Every 2 Weeks
Overall Survival (OS)19.2 (9.7 to NA)4.4 (2.7 to 13.2)
SecondaryNumber of Participants With Serious Grade ≥3 Adverse Events Considered Related to Study Treatment of M7824

Adverse events were assessed by the Common Terminology Criteria for Adverse Events version 5.0. A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned. Grade 1 is mild. Grade 2 is moderate, Grade 3 is severe, Grade 4 is life-threatening, and Grade 5 is death related to adverse event.

Time frame:
28 days after treatment
Reported as:
Count of participants · Participants
Number of Participants With Serious Grade ≥3 Adverse Events Considered Related to Study Treatment of M7824
ParticipantsParticipants Naïve to Checkpoint Inhibition - M7824 1,200 mg Intravenous Once Every 2 WeeksParticipants Refractory to Checkpoint Inhibition - M7824 1,200 mg Intravenous Once Every 2 Weeks
Number of Participants With Serious Grade ≥3 Adverse Events Considered Related to Study Treatment of M782464
SecondaryNumber of Checkpoint Inhibitor Naive Participants With Response Based on Adequate Similarity (Defined as P-value > 0.2 With Fisher's Exact Test) of Results in Cohorts 1 and 2

Response based on adequate similarity defined as P-value \> 0.2 with Fisher's exact test of results in cohorts 1 and 2 was compared with a two-sided Fishers exact test, and response was measured by the response evaluation criteria in solid tumors (RECIST)version 1.1. Complete response (CR) is disappearance of all target lesions. Partial response (PR) is at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Progressive disease is at least a 20% increase in the sum of diameters of target lesions, or appearance of one or more new lesions. Stable disease (SD) is neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD).

Time frame:
median of 2 years
Reported as:
Count of participants · Participants
Number of Checkpoint Inhibitor Naive Participants With Response Based on Adequate Similarity (Defined as P-value > 0.2 With Fisher's Exact Test) of Results in Cohorts 1 and 2
ParticipantsParticipants Naïve to Checkpoint Inhibition - M7824 1,200 mg Intravenous Once Every 2 Weeks
Complete Response2
Partial Response7
Progressive Disease10
Stable Disease9
Not Evaluable1
Statistical analysis
  • Participants Naïve to Checkpoint Inhibition - M7824 1,200 mg Intravenous Once Every 2 Weeks · Fisher Exact · p = 0.6143 (The p value was calculated and was 0.6143 which is \> 0.2 (pre-defined threshold).)
SecondaryPercentage of Participants That Were Hospitalized Because of Adverse Events Attributed to Disease Progression

Adverse events were assessed by the Common Terminology Criteria for Adverse Events (CTCAE v5.0). A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned. Disease progression is at least a 20% increase in the sum of diameters of target lesions, or appearance of one or more new lesions measured by the Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.

Time frame:
Up to 30 days from last treatment
Reported as:
Number · percentage of participants
Percentage of Participants That Were Hospitalized Because of Adverse Events Attributed to Disease Progression
percentage of participantsParticipants Naïve to Checkpoint Inhibition - M7824 1,200 mg Intravenous Once Every 2 WeeksParticipants Refractory to Checkpoint Inhibition - M7824 1,200 mg Intravenous Once Every 2 Weeks
Percentage of Participants That Were Hospitalized Because of Adverse Events Attributed to Disease Progression37.969.2
SecondaryDuration of Response (Complete Response or Partial Response)

Duration of response is defined as the time from complete response or partial response (whichever is first recorded) until the first date that recurrent or progressive disease (PD) is objectively documented. Response was measured by the Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. Complete response is disappearance of all target lesions. Partial response is at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Progression is at least a 20% increase in the sum of diameters of target lesions, or appearance of one or more new lesions.

Time frame:
Time from complete response or partial response (whichever is first recorded) until the first date that recurrent or progressive disease (PD) is objectively documented, up to 12 months
Reported as:
Median · Months
Duration of Response (Complete Response or Partial Response)
MonthsParticipants Naïve to Checkpoint Inhibition - M7824 1,200 mg Intravenous Once Every 2 WeeksParticipants Refractory to Checkpoint Inhibition - M7824 1,200 mg Intravenous Once Every 2 Weeks
Duration of Response (Complete Response or Partial Response)NA (8.3 to NA)4.0 (2.8 to NA)
Other pre-specifiedNumber of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0)

Here is the number of participants with serious and/or non-serious adverse events assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0). A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned.

Time frame:
Date treatment consent signed to date off study, approximately 42 months and 28 days for the naïve group, and 40 months and 16 days for the refractory group.
Reported as:
Count of participants · Participants
Number of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0)
ParticipantsParticipants Naïve to Checkpoint Inhibition - M7824 1,200 mg Intravenous Once Every 2 WeeksParticipants Refractory to Checkpoint Inhibition - M7824 1,200 mg Intravenous Once Every 2 Weeks
Number of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0)3026

Adverse events

Collected over Date treatment consent signed to date off study, approximately 42 months and 28 days for the naïve group, and 40 months and 16 days for the refractory group.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Participants Naïve to Checkpoint Inhibition - M7824 1,200 mg Intravenous Once Every 2 Weeks18/30 (60%)19/30 (63.3%)30/30 (100%)
Participants Refractory to Checkpoint Inhibition - M7824 1,200 mg Intravenous Once Every 2 Weeks22/26 (84.6%)21/26 (80.8%)26/26 (100%)
Most frequent serious events
Showing 10 of 86
Most frequent serious events
EventParticipants Naïve to Checkpoint Inhibition - M7824 1,200 mg Intravenous Once Every 2 WeeksParticipants Refractory to Checkpoint Inhibition - M7824 1,200 mg Intravenous Once Every 2 Weeks
AnemiaBlood and lymphatic system disorders3/306/26
Disease progressionGeneral disorders0/305/26
Abdominal painGastrointestinal disorders3/303/26
FatigueGeneral disorders0/303/26
HematuriaRenal and urinary disorders0/303/26
NauseaGastrointestinal disorders3/301/26
VomitingGastrointestinal disorders3/301/26
DyspneaRespiratory, thoracic and mediastinal disorders2/302/26
FeverGeneral disorders1/302/26
Neoplasms benign, malignant and unspecified (incl cysts and polyps) - Other, SpecifyNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/302/26
Most frequent other events
Showing 10 of 229
Most frequent other events
EventParticipants Naïve to Checkpoint Inhibition - M7824 1,200 mg Intravenous Once Every 2 WeeksParticipants Refractory to Checkpoint Inhibition - M7824 1,200 mg Intravenous Once Every 2 Weeks
AnemiaBlood and lymphatic system disorders19/3019/26
FatigueGeneral disorders18/3011/26
AnorexiaMetabolism and nutrition disorders10/3012/26
Lymphocyte count decreasedInvestigations11/3012/26
DyspneaRespiratory, thoracic and mediastinal disorders11/3011/26
NauseaGastrointestinal disorders11/308/26
ConstipationGastrointestinal disorders10/306/26
Rash acneiformSkin and subcutaneous tissue disorders10/306/26
HypoalbuminemiaMetabolism and nutrition disorders7/308/26
PruritusSkin and subcutaneous tissue disorders8/308/26

Baseline characteristics

One participant enrolled in the refractory group was a screen failure and was not treated. However, collected baseline data is shown here.

Age, Categorical
Age, Categorical(Participants)Participants Naïve to Checkpoint Inhibition - M7824 1,200 mg Intravenous Once Every 2 WeeksParticipants Refractory to Checkpoint Inhibition - M7824 1,200 mg Intravenous Once Every 2 WeeksTotal
<=18 years000
Between 18 and 65 years251843
>=65 years5914
Age, Continuous
Age, Continuous(years)Participants Naïve to Checkpoint Inhibition - M7824 1,200 mg Intravenous Once Every 2 WeeksParticipants Refractory to Checkpoint Inhibition - M7824 1,200 mg Intravenous Once Every 2 WeeksTotal
Mean53.48 ± 13.4958.73 ± 11.9455.96 ± 12.94
Sex: Female, Male
Sex: Female, Male(Participants)Participants Naïve to Checkpoint Inhibition - M7824 1,200 mg Intravenous Once Every 2 WeeksParticipants Refractory to Checkpoint Inhibition - M7824 1,200 mg Intravenous Once Every 2 WeeksTotal
Female251136
Male51621
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Participants Naïve to Checkpoint Inhibition - M7824 1,200 mg Intravenous Once Every 2 WeeksParticipants Refractory to Checkpoint Inhibition - M7824 1,200 mg Intravenous Once Every 2 WeeksTotal
Hispanic or Latino224
Not Hispanic or Latino282553
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Participants Naïve to Checkpoint Inhibition - M7824 1,200 mg Intravenous Once Every 2 WeeksParticipants Refractory to Checkpoint Inhibition - M7824 1,200 mg Intravenous Once Every 2 WeeksTotal
American Indian or Alaska Native000
Asian202
Native Hawaiian or Other Pacific Islander000
Black or African American314
White232649
More than one race000
Unknown or Not Reported202
Region of Enrollment
Region of Enrollment(participants)Participants Naïve to Checkpoint Inhibition - M7824 1,200 mg Intravenous Once Every 2 WeeksParticipants Refractory to Checkpoint Inhibition - M7824 1,200 mg Intravenous Once Every 2 WeeksTotal
United States302757
Site of Primary Tumor
Site of Primary Tumor(Participants)Participants Naïve to Checkpoint Inhibition - M7824 1,200 mg Intravenous Once Every 2 WeeksParticipants Refractory to Checkpoint Inhibition - M7824 1,200 mg Intravenous Once Every 2 WeeksTotal
Anus4610
Cervix15621
Head-face or neck - Not Otherwise Specified112
Head/Neck123
Hypopharynx011
Oropharynx011
Rectum314
Tongue011
Tongue, Base of Tongue134
Tonsil156
Vagina101
Vulva202
Penile101
08

Study locations

1 site
  • National Institutes of Health Clinical Center
    Bethesda, Maryland 20892, United States
09

References and documents

Publications

  • Viens LJ, Henley SJ, Watson M, Markowitz LE, Thomas CC, Thompson TD, Razzaghi H, Saraiya M. Human Papillomavirus-Associated Cancers - United States, 2008-2012. MMWR Morb Mortal Wkly Rep. 2016 Jul 8;65(26):661-6. doi: 10.15585/mmwr.mm6526a1. PubMed 27387669 ↗
  • Levovitz C, Chen D, Ivansson E, Gyllensten U, Finnigan JP, Alshawish S, Zhang W, Schadt EE, Posner MR, Genden EM, Boffetta P, Sikora AG. TGFbeta receptor 1: an immune susceptibility gene in HPV-associated cancer. Cancer Res. 2014 Dec 1;74(23):6833-44. doi: 10.1158/0008-5472.CAN-14-0602-T. Epub 2014 Oct 1. PubMed 25273091 ↗
  • Wu P, Wu D, Li L, Chai Y, Huang J. PD-L1 and Survival in Solid Tumors: A Meta-Analysis. PLoS One. 2015 Jun 26;10(6):e0131403. doi: 10.1371/journal.pone.0131403. eCollection 2015. PubMed 26114883 ↗
  • Strauss J, Gatti-Mays ME, Cho BC, Hill A, Salas S, McClay E, Redman JM, Sater HA, Donahue RN, Jochems C, Lamping E, Burmeister A, Marte JL, Cordes LM, Bilusic M, Karzai F, Ojalvo LS, Jehl G, Rolfe PA, Hinrichs CS, Madan RA, Schlom J, Gulley JL. Bintrafusp alfa, a bifunctional fusion protein targeting TGF-beta and PD-L1, in patients with human papillomavirus-associated malignancies. J Immunother Cancer. 2020 Dec;8(2):e001395. doi: 10.1136/jitc-2020-001395. PubMed 33323462 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — All IPD recorded in the medical record will be shared with intramural investigators upon request. In addition, all large scale genomic sequencing data will be shared with subscribers to the database of Genotypes and Phenotypes (dbGaP) .

Supporting information: Study protocol, Statistical analysis plan, Informed consent form

Time frame: Clinical data available during the study and indefinitely. Genomic data are available once genomic data are uploaded per protocol Genomic Data Sharing (GDS) plan for as long as database is active.

Access criteria: Clinical data will be made available via subscription to the Biomedical Translational Research Information System (BTRIS) and with the permission of the study principal investigator (PI). Genomic data are made available via the database of Genotypes and Phenotypes (dbGaP) through requests to the data custodians.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Feb 2018 to primary completion in Feb 2021, 35 months.

Results were first posted in Feb 2022, 1 year after primary completion.

Of 154 non-industry phase 2 interventional studies under Uterine Cervical Neoplasms, half reached primary completion within 46 months of starting (the median), counting those still running; a quarter within 34 and three quarters within 99. This study's 35 months is below that.

Counting every sponsor, half of 204 studies reached it within 42 months; a quarter within 29 and three quarters within 88.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 8, 2018
First posted
Feb 9, 2018
StartActual
Feb 27, 2018
Primary completionActual
Feb 2, 2021
CompletionActual
Dec 31, 2022
Results first posted
Feb 28, 2022
Last update
Mar 28, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 28, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03427411
Responsible party
Julius Strauss, M.D. (Principal Investigator, National Cancer Institute (NCI)) — Principal investigator
First posted
Feb 9, 2018
Start date
Feb 27, 2018
Primary completion
Feb 2, 2021
Completion
Dec 31, 2022
Results posted
Feb 28, 2022
Last update
Mar 28, 2023

Study contacts

Julius Y Strauss, M.D.
principal investigator · National Cancer Institute (NCI)

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Bintrafusp alfa

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