ClinicalTrials.gg
CompletedNCT03523390Updated Feb 23, 2024Results posted

Phase I/Ib Multiple Ascending Dose Study in China

A Phase 1 interventional study of Avelumab 3 mg/kg Q2W and Avelumab 10 mg/kg Q2W in Metastatic Solid Tumors, sponsored by Merck KGaA, Darmstadt, Germany. Completed at 3 sites in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-02-23.

Sponsored by Merck KGaA, Darmstadt, Germany · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
24
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study was to evaluate the maximum tolerated dose (MTD) and pharmacokinetics (PK) of Avelumab monotherapy in Chinese subjects.

02

Conditions studied

  • Metastatic Solid Tumors

Keywords

  • Metastatic Solid Tumors
  • Avelumab
  • MSB0010718C
03

In context

Lead sponsor

Merck KGaA, Darmstadt, Germany is the lead sponsor of 275 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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

  • Signed written prior to any study-related procedures are undertaken that are not part of standard patient management
  • or cytologically proven locally advanced unresectable or solid tumors, for which no standard therapy exists or standard therapy has failed
  • (ECOG) performance status of 0 or 1 at study entry
  • Availability of a recently obtained formalin-fixed, paraffin-embedded block containing tumor tissue ( from a non-irradiated area within 6 months) or 12 or more unstained tumor slides suitable for biomarker detection
  • Other protocol defined inclusion criteria could apply

Exclusion criteria

Exclusion Criteria:

  • Prior therapy with any antibody/drug targeting T-cell coregulatory proteins (immune checkpoints) such as programmed death 1 (), PD-L1, cytotoxic T-lymphocyte antigen-4 (CTLA-4), 4-1BB, Lymphocyte-activation gene 3 (LAG-3), T-cell immunoglobulin and mucin-domain containing-3 (TIM-3) or anti-Cluster of Differentiation (CD)-127
  • Persisting toxicity related to prior therapy (Grade greater than equals to [>=] 2 National Cancer Institute- [NCI-CTCAE] v4.03, except Grade less than [\<] 3 neuropathy and alopecia of any grade)
  • Concurrent anticancer treatment (for example, cytoreductive therapy, radiotherapy [with the exception of limited palliative bone-directed radiotherapy], immune therapy, or cytokine therapy except for erthyropoietin).
  • Concurrent agents (except for at physiologic replacement dose, equivalent to less than equals to [\<=] 10 milligram [mg] prednisone daily)
  • Severe reactions to monoclonal antibodies (Grade >= 3 NCI-CTCAE v4.03)
  • Active (except those treated locally, and have not been progressing for at least 2 weeks after the completion of therapy, with no steroid maintenance therapy required, and no ongoing neurological symptoms related to brain localization of the disease)
  • Any history of anaphylaxis, or uncontrolled asthma (that is, 3 or more features of partially controlled asthma)
  • Other protocol defined exclusion criteria could apply
Terms in these criteria, in plain language(11)

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.

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.

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.

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.

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.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
24 participants (actual)

Study arms

  • Experimental
    Avelumab 3 mg/kg Q2W

    Drug: Avelumab 3 mg/kg Q2W

  • Experimental
    Avelumab 10 mg/kg Q2W

    Drug: Avelumab 10 mg/kg Q2W

  • Experimental
    Avelumab 20 mg/kg Q2W

    Drug: Avelumab 20 mg/kg Q2W

  • Experimental
    Avelumab 10 mg/kg QW

    Drug: Avelumab 10 mg/kg QW

Interventions

  • DrugAvelumab 3 mg/kg Q2W

    Drug page: Avelumab

    Participants received intravenous infusion of Avelumab over 1 hour duration at a dose of 3 milligrams per kilogram (mg/kg) once every 2 weeks (Q2W) until disease progression, significant clinical deterioration, unacceptable toxicity, or any criterion for withdrawal from the study or from Avelumab occurs.

    Also known as: MSB0010718C

  • DrugAvelumab 10 mg/kg Q2W

    Drug page: Avelumab

    Participants received intravenous infusion of Avelumab over 1 hour duration at a dose of 10 mg/kg Q2W until disease progression, significant clinical deterioration, unacceptable toxicity, or any criterion for withdrawal from the study or from Avelumab occurs.

  • DrugAvelumab 20 mg/kg Q2W

    Drug page: Avelumab

    Participants received intravenous infusion of Avelumab over 1 hour duration at a dose of 20 mg/kg Q2W until disease progression, significant clinical deterioration, unacceptable toxicity, or any criterion for withdrawal from the study or from Avelumab occurs.

  • DrugAvelumab 10 mg/kg QW

    Drug page: Avelumab

    Participants received intravenous infusion of Avelumab over 1 hour duration at a dose of 10 mg/kg every week (QW) for the first 12 weeks followed by once every 2 weeks, started at Week 13 until disease progression, significant clinical deterioration, unacceptable toxicity, or any criterion for withdrawal from the study or from Avelumab occurs.

06

What researchers measure

Primary outcomes

  1. Number of Participants With of Dose-limiting Toxicities (DLTs) According to National Cancer Institute Common Toxicity Criteria for Adverse Events (NCI-CTCAE) Version 4.03

    DLT is defined as greater than or equal to \[\>=\] Grade (Gr)3 Adverse drug reaction (ADR) according to NCI-CTCAE v4.03, occurring during DLT observation period of dose escalation cohorts. ADR: any AE suspected to be related to avelumab by Investigator and/Sponsor. Following events were not considered as DLT: Gr3 infusion-related reaction resolving within 6 hours and controlled with medical management. Transient (less than or equal to \[\<=\] 6 hours) Gr3 flu-like symptoms/fever, controlled with medical management. Transient (\<=24 hours) Gr3 fatigue, local reactions, headache, nausea, emesis, resolves to \<= Gr1. Gr3 skin toxicity/Gr3 Liver function test increase that resolves to \<= Grade 1 in \< 7 days after medical management. Gr3 diarrhea, out-of-range laboratory values without any clinical correlate that resolves to \<= Grade 1 within 7 days with adequate medical management; Tumor flare phenomenon defined as local pain, irritation, rash localized at sites of known or suspected tumor.

    Time frame: Day 1 to Day 21

  2. Area Under the Serum Concentration Time Curve From Time Zero to the Time of the Last Quantifiable Concentration (AUC0-t) of Avelumab

    Area under the serum concentration-time curve from time zero to the last sampling time at which the concentration is at or above lower limit of quantification (LLOQ). AUC0-t was calculated according to the mixed log linear trapezoidal rule.

    Time frame: Day 1: within 2 hours prior to and at the end of the 1-hour infusion, and at 0.5, 1, 2, 4, 6, and 12 hours after the end of the infusion

  3. Area Under the Serum Concentration-Time Curve During a Dosing Interval (AUCtau) of Avelumab

    AUCtau was defined as area under the serum concentration-time curve from time zero to the end of the dosing interval (tau). AUCtau was calculated using the mixed log linear trapezoidal rule.

    Time frame: Day 1: within 2 hours prior to and at the end of the 1-hour infusion, and at 0.5, 1, 2, 4, 6, and 12 hours after the end of the infusion

  4. Area Under the Serum Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC0-inf) of Avelumab

    AUC0-inf was calculated by combining AUC0-t and AUCextra. AUCextra represents an extrapolated value obtained by Clast pred/Lambda z, where Clast pred was the calculated serum concentration at the last sampling time point at which the measured serum concentration is at or above the Lower Limit of quantification (LLOQ) and Lambda z was the apparent terminal rate constant determined by log-linear regression analysis of the measured serum concentrations of the terminal log-linear phase.

    Time frame: Day 1: within 2 hours prior to and at the end of the 1-hour infusion, and at 0.5, 1, 2, 4, 6, and 12 hours after the end of the infusion

  5. Terminal Elimination Rate Constant (Lambda z) of Avelumab

    Lambda z was determined from the terminal slope of the log-transformed serum concentration curve using linear regression method.

    Time frame: Day 1: within 2 hours prior to and at the end of the 1-hour infusion, and at 0.5, 1, 2, 4, 6, and 12 hours after the end of the infusion

  6. Maximum Observed Serum Concentration (Cmax) of Avelumab

    Cmax was obtained directly from the serum concentration versus time curve.

    Time frame: Day 1: within 2 hours prior to and at the end of the 1-hour infusion, and at 0.5, 1, 2, 4, 6, and 12 hours after the end of the infusion

  7. Last Quantifiable Serum Concentration (Clast) of Avelumab

    Clast is the last measurable serum concentration of Avelumab.

    Time frame: Day 1: within 2 hours prior to and at the end of the 1-hour infusion, and at 0.5, 1, 2, 4, 6, and 12 hours after the end of the infusion

  8. Serum Trough Concentration Levels (Ctrough) of Avelumab

    Ctrough is defined as the concentration observed immediately before next dosing.

    Time frame: Day 1: within 2 hours prior to 1 hour infusion

  9. Time to Reach Maximum Observed Serum Concentration (Tmax) of Avelumab

    The time to reach the maximum observed serum concentration (tmax) was obtained directly from the concentration versus time curve.

    Time frame: Day 1: within 2 hours prior to and at the end of the 1-hour infusion, and at 0.5, 1, 2, 4, 6, and 12 hours after the end of the infusion

  10. Apparent Terminal Half Life (t1/2) of Avelumab

    Apparent terminal half-life was defined as the time required for the serum concentration of drug to decrease 50 percent in the final stage of its elimination. t1/2 was calculated as log2/ lambda z. Lambda z was determined from the terminal slope of the log-transformed serum concentration curve using linear regression method.

    Time frame: Day 1: within 2 hours prior to and at the end of the 1-hour infusion, and at 0.5, 1, 2, 4, 6, and 12 hours after the end of the infusion

  11. Dose Normalized Area Under the Serum Concentration-Time Curve From Time Zero to the Last Sampling Time (AUC0-t/Dose) of Avelumab

    AUC0-t/Dose was defined as area under the serum concentration versus time curve from time of dosing to the time of the last measurable concentration divided by dose. AUC0-t/Dose was measured in (microgram\*hour per milliliter)/(milligram per kilogram) (mcg\*h/mL)/(mg/kg).

    Time frame: Day 1: within 2 hours prior to and at the end of the 1-hour infusion, and at 0.5, 1, 2, 4, 6, and 12 hours after the end of the infusion

  12. Dose Normalized Area Under the Concentration-Time Curve Over the Dosing Interval (AUCtau/Dose) of Avelumab

    AUCtau/Dose was calculated by as dose normalized area under the serum concentration-time curve from time zero to the end of the dosing interval (tau). AUCtau was calculated using the mixed log linear trapezoidal rule.

    Time frame: Day 1: within 2 hours prior to and at the end of the 1-hour infusion, and at 0.5, 1, 2, 4, 6, and 12 hours after the end of the infusion

  13. Dose Normalized Maximum Observed Serum Concentration (Cmax/Dose) of Avelumab

    Cmax/Dose was defined as maximum observed serum concentration divided by dose.

    Time frame: Day 1: within 2 hours prior to and at the end of the 1-hour infusion, and at 0.5, 1, 2, 4, 6, and 12 hours after the end of the infusion

Secondary outcomes

  1. Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Treatment Related TEAEs According to National Cancer Institute- Common Terminology Criteria for Adverse Events Version 4.03 (NCI-CTCAE v4.03)

    An Adverse event (AE) was defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease associated with the use of study drug, whether or not considered related to the study drug or worsening of pre-existing medical condition, whether or not related to study drug. A serious adverse event (SAE) was an AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged inpatient hospitalization; congenital anomaly/birth defect or was otherwise considered medically important. TEAEs were defined as events that emerge during treatment having been absent pre-treatment, or worsen relative to the pre-treatment state and with onset dates occurring within the first dosing day of study treatment until 30 days after the last dose of study treatment. TEAEs include both Serious TEAEs and non-serious TEAEs. Treatment-related TEAEs: reasonably related to the study intervention.

    Time frame: Time from first study treatment up to 139 weeks

  2. Number of Participants With at Least 1 Positive Anti-Avelumab Antibodies (ADA)

    Serum samples were analyzed by a validated electrochemiluminescence immunoassay to detect the presence of antidrug antibodies (ADA). Number of participants with ADA positive results for Avelumab were reported.

    Time frame: Time from first study treatment up to 139 weeks

07

Results

Posted Feb 23, 2024

Participant flow

Participant flow — Overall Study
MilestoneAvelumab 3 mg/kg Q2WAvelumab 10 mg/kg Q2WAvelumab 20 mg/kg Q2WAvelumab 10 mg/kg QW
Started3768
Completed3768
Not completed0000

Outcome measures

PrimaryNumber of Participants With of Dose-limiting Toxicities (DLTs) According to National Cancer Institute Common Toxicity Criteria for Adverse Events (NCI-CTCAE) Version 4.03

DLT is defined as greater than or equal to \[\>=\] Grade (Gr)3 Adverse drug reaction (ADR) according to NCI-CTCAE v4.03, occurring during DLT observation period of dose escalation cohorts. ADR: any AE suspected to be related to avelumab by Investigator and/Sponsor. Following events were not considered as DLT: Gr3 infusion-related reaction resolving within 6 hours and controlled with medical management. Transient (less than or equal to \[\<=\] 6 hours) Gr3 flu-like symptoms/fever, controlled with medical management. Transient (\<=24 hours) Gr3 fatigue, local reactions, headache, nausea, emesis, resolves to \<= Gr1. Gr3 skin toxicity/Gr3 Liver function test increase that resolves to \<= Grade 1 in \< 7 days after medical management. Gr3 diarrhea, out-of-range laboratory values without any clinical correlate that resolves to \<= Grade 1 within 7 days with adequate medical management; Tumor flare phenomenon defined as local pain, irritation, rash localized at sites of known or suspected tumor.

Time frame:
Day 1 to Day 21
Reported as:
Count of participants · Participants
Number of Participants With of Dose-limiting Toxicities (DLTs) According to National Cancer Institute Common Toxicity Criteria for Adverse Events (NCI-CTCAE) Version 4.03
ParticipantsAvelumab 3 mg/kg Q2WAvelumab 10 mg/kg Q2WAvelumab 20 mg/kg Q2W
Number of Participants With of Dose-limiting Toxicities (DLTs) According to National Cancer Institute Common Toxicity Criteria for Adverse Events (NCI-CTCAE) Version 4.03000
SecondaryNumber of Participants With Treatment-Emergent Adverse Events (TEAEs) and Treatment Related TEAEs According to National Cancer Institute- Common Terminology Criteria for Adverse Events Version 4.03 (NCI-CTCAE v4.03)

An Adverse event (AE) was defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease associated with the use of study drug, whether or not considered related to the study drug or worsening of pre-existing medical condition, whether or not related to study drug. A serious adverse event (SAE) was an AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged inpatient hospitalization; congenital anomaly/birth defect or was otherwise considered medically important. TEAEs were defined as events that emerge during treatment having been absent pre-treatment, or worsen relative to the pre-treatment state and with onset dates occurring within the first dosing day of study treatment until 30 days after the last dose of study treatment. TEAEs include both Serious TEAEs and non-serious TEAEs. Treatment-related TEAEs: reasonably related to the study intervention.

Time frame:
Time from first study treatment up to 139 weeks
Reported as:
Count of participants · Participants
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Treatment Related TEAEs According to National Cancer Institute- Common Terminology Criteria for Adverse Events Version 4.03 (NCI-CTCAE v4.03)
ParticipantsAvelumab 3 mg/kg Q2WAvelumab 10 mg/kg Q2WAvelumab 20 mg/kg Q2WAvelumab 10 mg/kg QW
Participants with TEAEs3768
Participants with Treatment Related TEAEs3666
SecondaryNumber of Participants With at Least 1 Positive Anti-Avelumab Antibodies (ADA)

Serum samples were analyzed by a validated electrochemiluminescence immunoassay to detect the presence of antidrug antibodies (ADA). Number of participants with ADA positive results for Avelumab were reported.

Time frame:
Time from first study treatment up to 139 weeks
Reported as:
Count of participants · Participants
Number of Participants With at Least 1 Positive Anti-Avelumab Antibodies (ADA)
ParticipantsAvelumab 3 mg/kg Q2WAvelumab 10 mg/kg Q2WAvelumab 20 mg/kg Q2WAvelumab 10 mg/kg QW
Number of Participants With at Least 1 Positive Anti-Avelumab Antibodies (ADA)2000
PrimaryArea Under the Serum Concentration Time Curve From Time Zero to the Time of the Last Quantifiable Concentration (AUC0-t) of Avelumab

Area under the serum concentration-time curve from time zero to the last sampling time at which the concentration is at or above lower limit of quantification (LLOQ). AUC0-t was calculated according to the mixed log linear trapezoidal rule.

Time frame:
Day 1: within 2 hours prior to and at the end of the 1-hour infusion, and at 0.5, 1, 2, 4, 6, and 12 hours after the end of the infusion
Reported as:
Geometric mean · microgram*hour per milliliter (mcg*h/mL)
Area Under the Serum Concentration Time Curve From Time Zero to the Time of the Last Quantifiable Concentration (AUC0-t) of Avelumab
microgram*hour per milliliter (mcg*h/mL)Avelumab 3 mg/kg Q2WAvelumab 10 mg/kg Q2WAvelumab 20 mg/kg Q2W
Area Under the Serum Concentration Time Curve From Time Zero to the Time of the Last Quantifiable Concentration (AUC0-t) of Avelumab7000 ± 3.020400 ± 31.335600 ± 20.6
PrimaryArea Under the Serum Concentration-Time Curve During a Dosing Interval (AUCtau) of Avelumab

AUCtau was defined as area under the serum concentration-time curve from time zero to the end of the dosing interval (tau). AUCtau was calculated using the mixed log linear trapezoidal rule.

Time frame:
Day 1: within 2 hours prior to and at the end of the 1-hour infusion, and at 0.5, 1, 2, 4, 6, and 12 hours after the end of the infusion
Reported as:
Geometric mean · mcg*h/mL
Area Under the Serum Concentration-Time Curve During a Dosing Interval (AUCtau) of Avelumab
mcg*h/mLAvelumab 3 mg/kg Q2WAvelumab 10 mg/kg Q2WAvelumab 20 mg/kg Q2W
Area Under the Serum Concentration-Time Curve During a Dosing Interval (AUCtau) of Avelumab7000 ± 2.920800 ± 27.835800 ± 22.3
PrimaryArea Under the Serum Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC0-inf) of Avelumab

AUC0-inf was calculated by combining AUC0-t and AUCextra. AUCextra represents an extrapolated value obtained by Clast pred/Lambda z, where Clast pred was the calculated serum concentration at the last sampling time point at which the measured serum concentration is at or above the Lower Limit of quantification (LLOQ) and Lambda z was the apparent terminal rate constant determined by log-linear regression analysis of the measured serum concentrations of the terminal log-linear phase.

Time frame:
Day 1: within 2 hours prior to and at the end of the 1-hour infusion, and at 0.5, 1, 2, 4, 6, and 12 hours after the end of the infusion
Reported as:
Geometric mean · mcg*h/mL
Area Under the Serum Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC0-inf) of Avelumab
mcg*h/mLAvelumab 3 mg/kg Q2WAvelumab 10 mg/kg Q2WAvelumab 20 mg/kg Q2W
Area Under the Serum Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC0-inf) of Avelumab7710 ± 6.222600 ± 29.738300 ± 23.4
PrimaryTerminal Elimination Rate Constant (Lambda z) of Avelumab

Lambda z was determined from the terminal slope of the log-transformed serum concentration curve using linear regression method.

Time frame:
Day 1: within 2 hours prior to and at the end of the 1-hour infusion, and at 0.5, 1, 2, 4, 6, and 12 hours after the end of the infusion
Reported as:
Geometric mean · 1/hour
Terminal Elimination Rate Constant (Lambda z) of Avelumab
1/hourAvelumab 3 mg/kg Q2WAvelumab 10 mg/kg Q2WAvelumab 20 mg/kg Q2W
Terminal Elimination Rate Constant (Lambda z) of Avelumab0.00719 ± 18.60.00767 ± 21.10.00811 ± 9.1
PrimaryMaximum Observed Serum Concentration (Cmax) of Avelumab

Cmax was obtained directly from the serum concentration versus time curve.

Time frame:
Day 1: within 2 hours prior to and at the end of the 1-hour infusion, and at 0.5, 1, 2, 4, 6, and 12 hours after the end of the infusion
Reported as:
Geometric mean · microgram per milliliter (mcg/mL)
Maximum Observed Serum Concentration (Cmax) of Avelumab
microgram per milliliter (mcg/mL)Avelumab 3 mg/kg Q2WAvelumab 10 mg/kg Q2WAvelumab 20 mg/kg Q2W
Maximum Observed Serum Concentration (Cmax) of Avelumab77.6 ± 13.9294 ± 44.7450 ± 36.5
PrimaryLast Quantifiable Serum Concentration (Clast) of Avelumab

Clast is the last measurable serum concentration of Avelumab.

Time frame:
Day 1: within 2 hours prior to and at the end of the 1-hour infusion, and at 0.5, 1, 2, 4, 6, and 12 hours after the end of the infusion
Reported as:
Geometric mean · mcg/mL
Last Quantifiable Serum Concentration (Clast) of Avelumab
mcg/mLAvelumab 3 mg/kg Q2WAvelumab 10 mg/kg Q2WAvelumab 20 mg/kg Q2W
Last Quantifiable Serum Concentration (Clast) of Avelumab4.94 ± 33.716.3 ± 51.221.4 ± 50.3
PrimarySerum Trough Concentration Levels (Ctrough) of Avelumab

Ctrough is defined as the concentration observed immediately before next dosing.

Time frame:
Day 1: within 2 hours prior to 1 hour infusion
Reported as:
Geometric mean · mcg/mL
Serum Trough Concentration Levels (Ctrough) of Avelumab
mcg/mLAvelumab 3 mg/kg Q2WAvelumab 10 mg/kg Q2WAvelumab 20 mg/kg Q2W
Serum Trough Concentration Levels (Ctrough) of Avelumab4.94 ± 33.714.8 ± 47.221.4 ± 50.3
PrimaryTime to Reach Maximum Observed Serum Concentration (Tmax) of Avelumab

The time to reach the maximum observed serum concentration (tmax) was obtained directly from the concentration versus time curve.

Time frame:
Day 1: within 2 hours prior to and at the end of the 1-hour infusion, and at 0.5, 1, 2, 4, 6, and 12 hours after the end of the infusion
Reported as:
Median · hours
Time to Reach Maximum Observed Serum Concentration (Tmax) of Avelumab
hoursAvelumab 3 mg/kg Q2WAvelumab 10 mg/kg Q2WAvelumab 20 mg/kg Q2W
Time to Reach Maximum Observed Serum Concentration (Tmax) of Avelumab1.55 (1.53 to 1.62)1.52 (1.00 to 6.90)1.97 (1.05 to 5.00)
PrimaryApparent Terminal Half Life (t1/2) of Avelumab

Apparent terminal half-life was defined as the time required for the serum concentration of drug to decrease 50 percent in the final stage of its elimination. t1/2 was calculated as log2/ lambda z. Lambda z was determined from the terminal slope of the log-transformed serum concentration curve using linear regression method.

Time frame:
Day 1: within 2 hours prior to and at the end of the 1-hour infusion, and at 0.5, 1, 2, 4, 6, and 12 hours after the end of the infusion
Reported as:
Geometric mean · hours
Apparent Terminal Half Life (t1/2) of Avelumab
hoursAvelumab 3 mg/kg Q2WAvelumab 10 mg/kg Q2WAvelumab 20 mg/kg Q2W
Apparent Terminal Half Life (t1/2) of Avelumab96.5 ± 18.690.3 ± 21.185.5 ± 9.1
PrimaryDose Normalized Area Under the Serum Concentration-Time Curve From Time Zero to the Last Sampling Time (AUC0-t/Dose) of Avelumab

AUC0-t/Dose was defined as area under the serum concentration versus time curve from time of dosing to the time of the last measurable concentration divided by dose. AUC0-t/Dose was measured in (microgram\*hour per milliliter)/(milligram per kilogram) (mcg\*h/mL)/(mg/kg).

Time frame:
Day 1: within 2 hours prior to and at the end of the 1-hour infusion, and at 0.5, 1, 2, 4, 6, and 12 hours after the end of the infusion
Reported as:
Geometric mean · (mcg*h/mL)/(mg/kg)
Dose Normalized Area Under the Serum Concentration-Time Curve From Time Zero to the Last Sampling Time (AUC0-t/Dose) of Avelumab
(mcg*h/mL)/(mg/kg)Avelumab 3 mg/kg Q2WAvelumab 10 mg/kg Q2WAvelumab 20 mg/kg Q2W
Dose Normalized Area Under the Serum Concentration-Time Curve From Time Zero to the Last Sampling Time (AUC0-t/Dose) of Avelumab2330 ± 3.02040 ± 31.31780 ± 20.6
PrimaryDose Normalized Area Under the Concentration-Time Curve Over the Dosing Interval (AUCtau/Dose) of Avelumab

AUCtau/Dose was calculated by as dose normalized area under the serum concentration-time curve from time zero to the end of the dosing interval (tau). AUCtau was calculated using the mixed log linear trapezoidal rule.

Time frame:
Day 1: within 2 hours prior to and at the end of the 1-hour infusion, and at 0.5, 1, 2, 4, 6, and 12 hours after the end of the infusion
Reported as:
Geometric mean · (mcg*h/mL)/(mg/kg)
Dose Normalized Area Under the Concentration-Time Curve Over the Dosing Interval (AUCtau/Dose) of Avelumab
(mcg*h/mL)/(mg/kg)Avelumab 3 mg/kg Q2WAvelumab 10 mg/kg Q2WAvelumab 20 mg/kg Q2W
Dose Normalized Area Under the Concentration-Time Curve Over the Dosing Interval (AUCtau/Dose) of Avelumab2330 ± 2.92080 ± 27.81790 ± 22.3
PrimaryDose Normalized Maximum Observed Serum Concentration (Cmax/Dose) of Avelumab

Cmax/Dose was defined as maximum observed serum concentration divided by dose.

Time frame:
Day 1: within 2 hours prior to and at the end of the 1-hour infusion, and at 0.5, 1, 2, 4, 6, and 12 hours after the end of the infusion
Reported as:
Geometric mean · (mcg/mL)/(mg/kg)
Dose Normalized Maximum Observed Serum Concentration (Cmax/Dose) of Avelumab
(mcg/mL)/(mg/kg)Avelumab 3 mg/kg Q2WAvelumab 10 mg/kg Q2WAvelumab 20 mg/kg Q2W
Dose Normalized Maximum Observed Serum Concentration (Cmax/Dose) of Avelumab25.9 ± 13.929.4 ± 44.722.5 ± 36.5

Adverse events

Collected over Time from first study treatment up to 139 weeks. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Avelumab 3 mg/kg Q2W1/3 (33.3%)1/3 (33.3%)3/3 (100%)
Avelumab 10 mg/kg Q2W4/7 (57.1%)3/7 (42.9%)7/7 (100%)
Avelumab 20 mg/kg Q2W6/6 (100%)2/6 (33.3%)6/6 (100%)
Avelumab 10 mg/kg QW7/8 (87.5%)2/8 (25%)8/8 (100%)
Most frequent serious events
Showing 10 of 12
Most frequent serious events
EventAvelumab 3 mg/kg Q2WAvelumab 10 mg/kg Q2WAvelumab 20 mg/kg Q2WAvelumab 10 mg/kg QW
AnemiaBlood and lymphatic system disorders1/30/70/60/8
Abdominal painGastrointestinal disorders0/30/71/60/8
PneumoniaInfections and infestations0/30/71/60/8
DyspneaRespiratory, thoracic and mediastinal disorders0/30/71/60/8
DysphagiaGastrointestinal disorders0/31/70/60/8
Head injuryInjury, poisoning and procedural complications0/31/70/60/8
HyperuricemiaMetabolism and nutrition disorders0/31/70/60/8
ApneaRespiratory, thoracic and mediastinal disorders0/31/70/60/8
BronchostenosisRespiratory, thoracic and mediastinal disorders0/31/70/60/8
Hepatic failureHepatobiliary disorders0/30/70/61/8
Most frequent other events
Showing 10 of 133
Most frequent other events
EventAvelumab 3 mg/kg Q2WAvelumab 10 mg/kg Q2WAvelumab 20 mg/kg Q2WAvelumab 10 mg/kg QW
AnaemiaBlood and lymphatic system disorders2/34/76/66/8
Weight decreasedInvestigations2/35/72/64/8
ArthralgiaMusculoskeletal and connective tissue disorders2/31/71/60/8
NauseaGastrointestinal disorders0/31/71/64/8
PyrexiaGeneral disorders1/32/73/64/8
Chest painGeneral disorders0/33/71/61/8
Blood alkaline phosphatase increasedInvestigations0/33/70/61/8
White blood cells urine positiveInvestigations0/33/70/60/8
Decreased appetiteMetabolism and nutrition disorders1/33/72/63/8
HyperuricaemiaMetabolism and nutrition disorders0/33/70/60/8

Baseline characteristics

Safety analysis set (SAF) included all participants who have received at least 1 dose of Avelumab.

Age, Continuous
Age, Continuous(years)Avelumab 3 mg/kg Q2WAvelumab 10 mg/kg Q2WAvelumab 20 mg/kg Q2WAvelumab 10 mg/kg QWTotal
Mean54 ± 17.752 ± 14.350 ± 16.661 ± 13.155 ± 14.7
Sex: Female, Male
Sex: Female, Male(Participants)Avelumab 3 mg/kg Q2WAvelumab 10 mg/kg Q2WAvelumab 20 mg/kg Q2WAvelumab 10 mg/kg QWTotal
Female024410
Male352414
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Avelumab 3 mg/kg Q2WAvelumab 10 mg/kg Q2WAvelumab 20 mg/kg Q2WAvelumab 10 mg/kg QWTotal
American Indian or Alaska Native00000
Asian376824
Native Hawaiian or Other Pacific Islander00000
Black or African American00000
White00000
More than one race00000
Unknown or Not Reported00000
08

Study locations

3 sites
  • Research site
    Guangzhou, Guangzhou, China
  • Research site
    Changchun, Jilin, China
  • Research site
    Hangzhou, Zhejiang, China
09

References and documents

Publications

  • Wu YL, Cheng Y, Chen H, Tu H, Xu C, Wang Z, Liu Y, Xin Y, Lou H, Wang W, Chin K, Li D, Zhao D, Gao Y, Xu W, Pan H. Phase I/Ib dose-escalation study of avelumab in Chinese patients with advanced solid tumors. Future Oncol. 2022 Jun;18(17):2053-2062. doi: 10.2217/fon-2021-1342. Epub 2022 Mar 31. PubMed 35354274 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 23, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03523390
Responsible party
Sponsor
First posted
May 14, 2018
Start date
Apr 24, 2018
Primary completion
Jul 29, 2019
Completion
Feb 8, 2021
Results posted
Feb 23, 2024
Last update
Feb 23, 2024

Study contacts

Medical Responsible
study director · Merck KGaA, Darmstadt, Germany

Oversight

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

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Studies of the drug tested here: Avelumab

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