A basket study to investigate the efficacy and safety of SKB264 in combination with pembrolizumab in subjects with solid tumors

2022-502654-14-00 Protocol SKB264-II-06 Therapeutic exploratory (Phase II) Authorised, recruiting

Start 11 Sep 2023 · Status Authorised, recruiting · 4 EU/EEA countries · 21 sites · Protocol SKB264-II-06

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Authorised, recruiting
Participants planned 318
Countries 4
Sites 21

Endometrial cancer

The main purpose of this study is to see if SKB264 in combination with pembrolizumab is safe and effective in treating selected solid tumors.

Key facts

Sponsor
Sichuan Kelun-Biotech Biopharmaceutical Co. Ltd.
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
11 Sep 2023 → ongoing
Decision date (initial)
2023-06-13
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
Sichuan Kelun-Biotech Biopharmaceutical Co., Ltd, Chengdu, China.

External identifiers

EU CT number
2022-502654-14-00
ClinicalTrials.gov
NCT05642780

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety, Others, Efficacy, Pharmacokinetic

The main purpose of this study is to see if SKB264 in
combination with pembrolizumab is safe and effective in
treating selected solid tumors.

Secondary objectives 3

  1. To assess the safety and efficacy of SKB264 in combination with pembrolizumab.
  2. To assess how the body absorbs, transports, breaks down and removes the study drug(SKB264) [this is called Pharmacokinetics (PK)].
  3. To assess the effects of SKB264 in combination with pembrolizumab on immune (defense) system.

Conditions and MedDRA coding

Endometrial cancer

VersionLevelCodeTermSystem organ class
20.0 LLT 10064467 Urothelial carcinoma 10029104
20.0 PT 10033128 Ovarian cancer 100000004864
21.1 LLT 10008229 Cervical cancer 10029104
21.0 PT 10014733 Endometrial cancer 100000004864
20.0 PT 10060862 Prostate cancer 100000004864

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. Male and/or females of age 18 years and older who have histologically or cytologically confirmed locally advanced or metastatic cancer or recurrent cancer (Cervical, Urothelial, Ovarian, Prostate or Endometrial cancer).

Exclusion criteria 4

  1. Subjects with active central nervous system tumors or metastases.
  2. Subjects with hepatitis B, hepatitis C, human immunodeficiency virus (HIV) or active Tuberculosis.
  3. Subjects with a history of allogeneic tissue or solid organ transplant.
  4. Subjects who received any chemotherapy, radiotherapy, immunotherapy, or biologic therapy treatment within 4 weeks before the first dose of the study drug.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. The primary study endpoints of safety are the number of subjects with dose-limiting toxicities (side effects due to the study drug), number of subjects with adverse events (any side effects related or unrelated to the study drug) and number of subjects discontinuing the study drug due to adverse events.
  2. The primary study endpoints of efficacy are the proportion of subjects with a confirmed complete response or partial response and the percentage of subjects who have a negative change (decrease) in prostate-specific antigen level (a type of protein produced by prostate gland in men).

Secondary endpoints 7

  1. Vital signs, physical examination, laboratory tests, 12-lead electrocardiogram/ echocardiogram/multiple-gated acquisition scan (MUGA), and eastern cooperative oncology group performance status. These tests will be done to assess the safety of SKB264 in combination with pembrolizumab.
  2. The disease control rate, duration of response, progressionfree survival, and overall survival. These are the tests to assess the antitumor activity (preventing or inhibiting the formation or growth of tumors) of SKB264 in combination with pembrolizumab
  3. Area under the serum concentration curve (AUC): AUC shows how much drug has entered the blood over a period of time.
  4. Minimum serum concentration (Cmin): Cmin is the least amount of drug that remains in blood after one dose is given.
  5. Maximum serum concentration (Cmax): Cmax shows the most amount of drug found in blood after one dose is given.
  6. Test for presence of antibodies against the study drug. Number of subjects with positive anti-drug antibodies (ADA) test.
  7. ADA titers (concentration of ADA in blood)

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 2

KEYTRUDA 25 mg/mL concentrate for solution for infusion

PRD4323105 · Product

Active substance
Pembrolizumab
Substance synonyms
Lambrolizumab, MK-3475, SCH-900475, ABP 234
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS USE
Max daily dose
400 mg milligram(s)
Max total dose
6800 mg milligram(s)
Max treatment duration
24 Month(s)
Authorisation status
Authorised
ATC code
L01FF02 — -
Marketing authorisation
EU/1/15/1024/002
MA holder
MERCK SHARP & DOHME BV
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
KEYTRUDA will be used in the clinical study unmodified, with the exception of labelling and repackaging.

SKB264

PRD10162431 · Product

Active substance
SKB264
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS USE
Max daily dose
5 mg/kg milligram(s)/kilogram
Max total dose
260 mg/kg milligram(s)/kilogram
Max treatment duration
24 Month(s)
Authorisation status
Not Authorised
MA holder
SICHUAN KELUN-BIOTECH BIOPHARMACEUTICAL CO.
Paediatric formulation
No
Orphan designation
No

Auxiliary 4

-

M01A · Product

Pharmaceutical form
-
Route of administration
UNKNOWN USE
Max daily dose
0 DF dosage form
Max total dose
0 DF dosage form
Max treatment duration
24 Month(s)
Authorisation status
Authorised
ATC code
M01A — ANTIINFLAMMATORY AND ANTIRHEUMATIC PRODUCTS, NON-STEROIDS
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

-

H02AB · Product

Pharmaceutical form
PHF00231MIG
Route of administration
UNKNOWN USE
Max daily dose
0 DF dosage form
Max total dose
0 DF dosage form
Max treatment duration
24 Month(s)
Authorisation status
Authorised
ATC code
H02AB — GLUCOCORTICOIDS
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Anhydrous Caffeine

SCP4358000 · ATC

Active substance
Anhydrous Caffeine
Route of administration
UNKNOWN USE
Max daily dose
0 DF dosage form
Max total dose
0 DF dosage form
Max treatment duration
24 Month(s)
Authorisation status
Authorised
ATC code
N02BE01 — PARACETAMOL
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

-

R06A · Product

Pharmaceutical form
-
Route of administration
UNKNOWN USE
Max daily dose
0 DF dosage form
Max total dose
0 DF dosage form
Max treatment duration
24 Month(s)
Authorisation status
Authorised
ATC code
R06A — ANTIHISTAMINES FOR SYSTEMIC USE
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Sichuan Kelun-Biotech Biopharmaceutical Co. Ltd.

Sponsor organisation
Sichuan Kelun-Biotech Biopharmaceutical Co. Ltd.
Address
No. 666 Xinhuaavenue, Chengduhaixialiangantechnologyindustrydevelopmentpark Chengduhaixialiangantechnologyindustrydevelopmentpark
Postcode
610072
Country
China

Scientific contact point

Organisation
Sichuan Kelun-Biotech Biopharmaceutical Co. Ltd.
Contact name
Chief Medical Officer

Public contact point

Organisation
Sichuan Kelun-Biotech Biopharmaceutical Co. Ltd.
Contact name
Medical Monitor

Third parties 8

OrganisationCity, countryDuties
Ventana Medical Systems Inc.
ORG-100043193
Oro Valley, United States Laboratory analysis
Discovery Life Sciences LLC
ORG-100046461
Huntsville, United States Laboratory analysis
Medidata Solutions Inc.
ORG-100016256
New York, United States E-data capture
Frontage Laboratories Inc.
ORG-100011515
Exton, United States Laboratory analysis
Myriad Genetics Inc.
ORG-100046746
Salt Lake City, United States Laboratory analysis
Q Squared Solutions Limited
ORG-100042527
Reading, United Kingdom Laboratory analysis
Parexel International (IRL) Limited
ORG-100022780
Dublin 2, Ireland On site monitoring, Code 10, Code 11, Code 12, Code 13, Code 14, Code 2, Code 5, Data management, Code 8
Perceptive Informatics Inc.
ORG-100013171
Billerica, United States Code 14, Interactive response technologies (IRT)

Locations

4 EU/EEA countries · 21 investigational sites

By country

CountryMS statusPlanned subjectsSites
Belgium Ended 11 3
France Ended 34 8
Poland Ongoing, recruitment ended 19 2
Spain Ended 37 8
Rest of world
China, Canada, Australia, United States
217

Investigational sites

Belgium

3 sites · Ended
Cliniques Universitaires Saint-Luc
Medical oncology, Hippokrateslaan 10, Batiment 54, Sint-Lambrechts-Woluwe
AZ Klina
Medical oncology, Augustijnslei 100, 2930, Brasschaat
Grand Hopital De Charleroi
Medical oncology, Grand'rue 3, 6000, Charleroi

France

8 sites · Ended
Centre Francois Baclesse
Oncologie Médicale-Cancérologie, 3 Avenue Du General Harris, Cs 45026, Caen Cedex 5
Centr Georges Francois Leclerc
Service d'Oncologie Médicale, 1 Rue Professeur Marion, 21000, Dijon
Centre Jean Perrin
Service d'Oncologie Médicale, 58 Rue Montalembert, 63000, Clermont-Ferrand
Institut Bergonie
Département d’Oncologie Médicale, 229 Cours De L Argonne, 33000, Bordeaux
Institut Paoli-Calmettes
NAP, 232 Boulevard De Sainte Marguerite, Bp 156, Marseille
Centre Hospitalier Lyon Sud
Service d'Oncologie Médicale, 165 Chemin Du Grand Revoyet, 69310, Pierre-Benite
Centre Hospitalier Universitaire De Poitiers
Oncologie Médicale, 2 Rue De La Miletrie, 86000, Poitiers
Assistance Publique Hopitaux De Paris
Service de Cancérologie Médicale, 27 Rue Du Faubourg Saint Jacques, 75014, Paris

Poland

2 sites · Ongoing, recruitment ended
Pratia S.A.
1801: NA, Ul. Pana Tadeusza 2, 30-727, Cracow
Szpitale Pomorskie Sp. z o.o.
1804: Oddział Onkologii i Radioterapii, Ul. Powstania Styczniowego 1, 81-519, Gdynia

Spain

8 sites · Ended
Hospital Universitari Vall D Hebron
Medical Oncology, Edificio Materno-Infantil, Passeig De La Vall D'hebron 119-129, Barcelona
Hospital Universitario 12 De Octubre
Medical Oncology, Bloque D, Avenida De Cordoba S/n, Madrid
Complexo Hospitalario Universitario De Santiago
Medical Oncology, Calle Choupana Da S/n, 15706, Santiago De Compostela
University Hospital Virgen Del Rocio S.L.
Medical Oncology, Avenida De Manuel Siurot S/n, 41013, Sevilla
Fundacion Instituto Valenciano De Oncologia
Medical Oncology, Calle Professor Beltran Baguena 8, 46009, Valencia
Hospital Universitari Dexeus Grupo Quironsalud
Medical Oncology, Calle De Sabino Arana 5-19, 08028, Barcelona
Hospital Clinic De Barcelona
Medical Oncology, Calle Villarroel 170, 08036, Barcelona
Hospital Del Mar
Medical Oncology, Passeig Maritim De La Barceloneta 25-29, 08003, Barcelona

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Belgium 2023-11-06 2025-11-18
Poland 2023-09-11 2023-10-09 2025-08-11

Oversight and notifications

Regulatory notifications under CTR Articles 38, 52, 53, 54 and 77

Unexpected events 1 · Art. 53 CTR

Note: SUSARs are reported via EudraVigilance, not CTIS — events shown here are CTIS-public notifications only.

Unexpected event UE-55953

Event date
2024-10-22
Date aware
2024-10-22
Submission date
2024-11-06
Member states affected
Belgium, France, Spain, Poland
Clinical procedures
N/A
Event description
The Sponsor has received information regarding a study
participant who experienced Grade 4 keratitis with associated corneal perforation. The participant was then permanently discontinued from SKB264 due to Grade 4 keratitis with the keratitis still ongoing. This case was reported as a SUSAR in Eudravigilance previously.

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 51 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol Amendment Main English SKB264-II-06 Public 6.0
Protocol (for publication) D1_Protocol SoC Main English SKB264-II-06 Public 6.0
Protocol (for publication) D1_Supporting Document Safety data Response English SKB264-II-06 Public NA
Protocol (for publication) D1_Supporting Document SRC Meeting minutes Response English SKB264-II-06 Public NA
Recruitment arrangements (for publication) BEL Recruitment Procedure Description English SKB264-II-06 Public Redacted 1.1
Recruitment arrangements (for publication) 271179 BEL Patient Recruitment Procedure English 1
Recruitment arrangements (for publication) 271179 POL Patient Recruitment Procedure English Redacted 2.0
Recruitment arrangements (for publication) 271179 POL Recruitment Poster Polish TC SKB264-II-06 Public 1.1
Recruitment arrangements (for publication) 271179 POL Recruitment Procedure Description English TC SKB264-II-06 Public 2.0
Recruitment arrangements (for publication) BEL Recruitment Procedure Description Dutch SKB264-II-06 Public 1.1
Recruitment arrangements (for publication) BEL Recruitment Procedure Description Dutch TC SKB264-II-06 Public 1.1
Recruitment arrangements (for publication) BEL Recruitment Procedure Description English SKB264-II-06 1.1
Recruitment arrangements (for publication) BEL Recruitment Procedure Description English SKB264-II-06 Public 1.1
Recruitment arrangements (for publication) BEL Recruitment Procedure Description English SKB264-II-06 Public Redacted 1.0
Recruitment arrangements (for publication) BEL Recruitment Procedure Description English TC SKB264-II-06 1.0
Recruitment arrangements (for publication) BEL Recruitment Procedure Description English TC SKB264-II-06 Public 1.1
Recruitment arrangements (for publication) BEL Recruitment Procedure Description English TC SKB264-II-06 Public Redacted 1
Recruitment arrangements (for publication) BEL Recruitment Procedure Description French SKB264-II-06 Public 1.1
Recruitment arrangements (for publication) BEL Recruitment Procedure Description French TC SKB264-II-06 Public 1.1
Recruitment arrangements (for publication) K2_271179 PL Patient Recruitment Poster Polish Public 3.0
Recruitment arrangements (for publication) K2_BEL Recruitment Poster Dutch SKB264-II-06 3.0
Recruitment arrangements (for publication) K2_BEL Recruitment Poster English SKB264-II-06 3.0
Recruitment arrangements (for publication) K2_BEL Recruitment Poster French SKB264-II-06 3.0
Subject information and informed consent form (for publication) 271179 BEL Country ICF Continuation of Study Treatment Dutch TC Redacted 1.1
Subject information and informed consent form (for publication) 271179 BEL Country ICF Continuation of Study Treatment French TC Redacted 1.1
Subject information and informed consent form (for publication) 271179 BEL Country ICF Main English TC Redacted 1.1
Subject information and informed consent form (for publication) 271179 BEL Pregnant partner ICF Dutch REDACTED 3.0
Subject information and informed consent form (for publication) 271179 BEL Pregnant Partner ICF English REDACTED 3.0
Subject information and informed consent form (for publication) 271179 BEL Pregnant Partner ICF French REDACTED 3.0
Subject information and informed consent form (for publication) 271179 BEL Subject Information Sheet English REDACTED 1.0
Subject information and informed consent form (for publication) 271179 POL Country ICF Main Polish TC SKB264-II-06 Redacted 1.1
Subject information and informed consent form (for publication) 271179 POL Country ICF Pregnant Participant-Partner Polish TC SKB264-II-06 Redacted 1.1
Subject information and informed consent form (for publication) 271179 POL ICF Pregnant Participant-Partner Polish SKB264-II-06 Redacted 2.0
Subject information and informed consent form (for publication) 271179 POL Informed Consent Procedure English SKB264-II-06 Redacted 1.0
Subject information and informed consent form (for publication) BEL Country ICF Main French TC Redacted 1.1
Subject information and informed consent form (for publication) L1_271179 BEL Continuation of Study Treatment ICF Dutch REDACTED 3.1
Subject information and informed consent form (for publication) L1_271179 BEL Continuation of Study Treatment ICF English REDACTED 3.1
Subject information and informed consent form (for publication) L1_271179 BEL Continuation of Study Treatment ICF French REDACTED 3.1
Subject information and informed consent form (for publication) L1_271179 BEL Country ICF Main Dutch REDACTED 8.0
Subject information and informed consent form (for publication) L1_271179 BEL Country ICF Main English REDACTED 8.0
Subject information and informed consent form (for publication) L1_271179 BEL Country ICF Main French REDACTED 8.0
Subject information and informed consent form (for publication) L1_271179 PL Country ICF Treatment Continuation Polish TC SKB264-II-06 3.0
Subject information and informed consent form (for publication) L1_271179 PL ICF Main Polish SKB264-II-06 Public 9.0
Subject information and informed consent form (for publication) L1_271179 PL ICF Treatment Continuation Polish SKB264-II-06 Public 3.0
Summary of Product Characteristics (SmPC) (for publication) SmPC English 1.0
Synopsis of the protocol (for publication) D1_Lay Protocol Synopsis Main Dutch SKB264-II-06 Public 3.0
Synopsis of the protocol (for publication) D1_Lay Protocol Synopsis Main English SKB264-II-06 Public 3.0
Synopsis of the protocol (for publication) D1_Lay Protocol Synopsis Main French SKB264-II-06 Public 3.0
Synopsis of the protocol (for publication) D1_Lay Protocol Synopsis Main German SKB264-II-06 Public 3.0
Synopsis of the protocol (for publication) D1_Lay Protocol Synopsis Main Polish SKB264-II-06 Public 3.0
Synopsis of the protocol (for publication) Lay Protocol Synopsis Main Spanish Public 2.0

Application history

13 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-02-20 France Acceptable with conditions
2023-06-12
2023-06-13
2 NON SUBSTANTIAL MODIFICATION NSM-1 2023-07-03 France Acceptable with conditions
2023-06-12
2023-07-03
3 SUBSTANTIAL MODIFICATION SM-1 2023-07-07 Acceptable with conditions 2023-08-22
4 SUBSTANTIAL MODIFICATION SM-2 2023-07-07 France Acceptable with conditions 2023-08-23
5 SUBSTANTIAL MODIFICATION SM-3 2023-07-07 Acceptable with conditions 2023-08-08
6 SUBSTANTIAL MODIFICATION SM-5 2023-11-06 France Acceptable
2024-02-26
2024-02-26
7 SUBSTANTIAL MODIFICATION SM-7 2024-06-05 France Acceptable
2024-07-05
2024-07-05
8 SUBSTANTIAL MODIFICATION SM-8 2024-10-30 Acceptable
2025-02-21
2025-02-24
9 SUBSTANTIAL MODIFICATION SM-9 2025-03-21 Acceptable
2025-05-22
2025-05-25
10 SUBSTANTIAL MODIFICATION SM-10 2025-06-26 Acceptable 2025-06-27
11 SUBSTANTIAL MODIFICATION SM-11 2025-07-22 Acceptable
2025-09-05
2025-09-09
12 SUBSTANTIAL MODIFICATION SM-12 2025-12-18 Acceptable
2026-02-24
2026-02-26
13 SUBSTANTIAL MODIFICATION SM-13 2026-04-07 Acceptable
2026-05-12
2026-05-19