<clinical_study>
  <!-- This xml conforms to an XML Schema at:
    https://clinicaltrials.gov/ct2/html/images/info/public.xsd -->
  <required_header>
    <download_date>ClinicalTrials.gov processed this data on September 20, 2023</download_date>
    <link_text>Link to the current ClinicalTrials.gov record.</link_text>
    <url>https://clinicaltrials.gov/ct2/show/NCT03767075</url>
  </required_header>
  <id_info>
    <org_study_id>VHIO17002</org_study_id>
    <secondary_id>2017-005108-89</secondary_id>
    <nct_id>NCT03767075</nct_id>
  </id_info>
  <brief_title>A Modular Multi-Basket Trial to Improve Personalized Medicine in Cancer Patients (Basket of Baskets)</brief_title>
  <acronym>BoB</acronym>
  <official_title>Basket of Baskets: A Modular, Open-label, Phase II, Multicentre Study To Evaluate Targeted Agents in Molecularly Selected Populations With Advanced Solid Tumours</official_title>
  <sponsors>
    <lead_sponsor>
      <agency>Vall d'Hebron Institute of Oncology</agency>
      <agency_class>Other</agency_class>
    </lead_sponsor>
    <collaborator>
      <agency>Roche Pharma AG</agency>
      <agency_class>Industry</agency_class>
    </collaborator>
    <collaborator>
      <agency>Iqvia Pty Ltd</agency>
      <agency_class>Industry</agency_class>
    </collaborator>
    <collaborator>
      <agency>Taisho Pharmaceutical Co., Ltd.</agency>
      <agency_class>Industry</agency_class>
    </collaborator>
    <collaborator>
      <agency>Janssen, LP</agency>
      <agency_class>Industry</agency_class>
    </collaborator>
  </sponsors>
  <source>Vall d'Hebron Institute of Oncology</source>
  <oversight_info>
    <has_dmc>No</has_dmc>
    <is_fda_regulated_drug>No</is_fda_regulated_drug>
    <is_fda_regulated_device>No</is_fda_regulated_device>
    <is_us_export>No</is_us_export>
  </oversight_info>
  <brief_summary>
    <textblock>
      The global objective of this Basket of Basket study is to evaluate the antitumor activity of&#xD;
      each matched therapies that will be evaluated through the study in small molecularly selected&#xD;
      populations.&#xD;
&#xD;
      The objective of module 1 wil be to determine the overall response rate (ORR) at 12 weeks by&#xD;
      Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 of atezolizumab in each of the arms&#xD;
      of the module. All patients in genomically selected populations will receive atezolizumab&#xD;
      1200 mg IV every 3 weeks.&#xD;
&#xD;
      The objective of module 2 wil be to determine the overall response rate (ORR) at 16 weeks by&#xD;
      Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 of futibatinib in each of the arms&#xD;
      of the module. All patients in genomically selected populations will receive will receive&#xD;
      futibatinib, 20 mg, once daily (QD) in 28-day cycles.&#xD;
&#xD;
      The objective of module 3 wil be to determine the overall response rate (ORR) at 12 weeks by&#xD;
      Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 of amivantamab in each of the arms&#xD;
      of the module. All patients in genomically selected populations will receive amivantamab 1050&#xD;
      mg intravenously (IV) for body weight &lt; 80 kg and 1400 mg for body weight &gt;= 80 kg mg once&#xD;
      weekly in Cycle 1 (with a split dose on Days 1-2) and then every 2 weeks in subsequent cycles&#xD;
      (28-day cycles).&#xD;
    </textblock>
  </brief_summary>
  <detailed_description>
    <textblock>
      Basket studies are a new sort of clinical studies to identify patients with the same kind of&#xD;
      mutations and treat them with the same drug, irrespective of their specific cancer type. In&#xD;
      basket studies, depending on the mutation types, patients are classified into &quot;baskets&quot;.&#xD;
      Targeted therapies that block that mutation are then identified and assigned to baskets where&#xD;
      patients are treated accordingly.&#xD;
&#xD;
      This protocol has two parts: part A (iPROFILER), which includes the common procedures for&#xD;
      tumor molecular profiling and treatment recommendation, and part B (iBASKET), which&#xD;
      corresponds to the therapeutic portion.&#xD;
&#xD;
      The purpose of part A (iPROFILER) of this study is to test participants' tumour tissue in&#xD;
      order to identify whether their tumour has certain mutations in cancer-related genes. It is&#xD;
      known that gene mutations of tumours contribute to their origin and growth and determine&#xD;
      whether the tumour will respond to particular cancer drugs. This test will provide&#xD;
      information about potential targeted therapies that specifically attack those gene mutations.&#xD;
      The purpose of part B (iBASKET) of this study is to offer participants a personalised&#xD;
      anti-cancer treatment based on the gene mutations that are found in their tumour.&#xD;
&#xD;
      Participants taking part in module 1 of part B (iBASKET) will receive atezolizumab 1200 mg IV&#xD;
      every 3 weeks, following the analysis of their tumour in part A (iPROFILER). Participants&#xD;
      will be able to take atezolizumab for as long as their tumour doesn't grow and for as long as&#xD;
      they don't have any side-effects which prevent them from continuing treatment. Module 1 will&#xD;
      have a 2-year recruitment period. The aim of the study is to determine which genomically&#xD;
      selected populations respond effectively to the targeted treatment, atezolizumab.&#xD;
      Approximately 1000 participants will be enrolled into part A (iPROFILER), with approximately&#xD;
      120 participants being recruited into module 1 of part B (iBASKET).&#xD;
&#xD;
      Participants taking part in module 2 of part B (iBASKET) will receive will receive&#xD;
      futibatinib, 20 mg, once daily (QD) in 28-day cycles, following the analysis of their tumour&#xD;
      in part A (iPROFILER). Participants will be able to take futibatinib for as long as their&#xD;
      tumour doesn't grow and for as long as they don't have any side-effects which prevent them&#xD;
      from continuing treatment. Module 2 will have a 2-year recruitment period. The aim of the&#xD;
      study is to determine which genomically selected populations respond effectively to the&#xD;
      targeted treatment, futibatinib. Approximately 1000 participants will be enrolled into part A&#xD;
      (iPROFILER), with approximately 80 participants being recruited into module 2 of part B&#xD;
      (iBASKET).&#xD;
&#xD;
      Participants taking part in module 3 of part B (iBASKET) will receive amivantamab 1050 mg IV&#xD;
      for body weight &lt; 80 kg and 1400 mg for body weight &gt;= 80 kg mg once weekly in Cycle 1 (with&#xD;
      a split dose on Days 1-2) and then every 2 weeks in subsequent cycles (28-day cycles),&#xD;
      following the analysis of their tumour in part A (iPROFILER). Participants will be able to&#xD;
      take amivantamab for as long as their tumour doesn't grow and for as long as they don't have&#xD;
      any side-effects which prevent them from continuing treatment. Module 3 will have a 2.5-year&#xD;
      recruitment period. The aim of the study is to determine which genomically selected&#xD;
      populations respond effectively to the targeted treatment, amivantamab. Approximately 1725&#xD;
      participants will be enrolled into part A (iPROFILER), with approximately 69 participants&#xD;
      being recruited into module 3 of part B (iBASKET).&#xD;
    </textblock>
  </detailed_description>
  <overall_status>Recruiting</overall_status>
  <start_date type="Actual">December 10, 2018</start_date>
  <completion_date type="Anticipated">November 2026</completion_date>
  <primary_completion_date type="Anticipated">May 2025</primary_completion_date>
  <phase>Phase 2</phase>
  <study_type>Interventional</study_type>
  <has_expanded_access>No</has_expanded_access>
  <study_design_info>
    <allocation>Non-Randomized</allocation>
    <intervention_model>Single Group Assignment</intervention_model>
    <intervention_model_description>Part A includes a molecular profiling program for subjects with advanced solid tumors (iPROFILER) and a molecular tumor board to select the most appropriate treatment based on the molecular alterations found in the iPROFILER.&#xD;
Part B includes iBASKET, a modular investigator initiated basket study for subjects with selected molecular alterations.</intervention_model_description>
    <primary_purpose>Treatment</primary_purpose>
    <masking>None (Open Label)</masking>
    <masking_description>no masking is used. All involved know the identity of the intervention assignment</masking_description>
  </study_design_info>
  <primary_outcome>
    <measure>Overall response rate</measure>
    <time_frame>From the first dose date of study treatment to first CR or PR, whichever came earlier, up to 12 weeks (Module 1 &amp; 3) and 16 weeks (Module 2)</time_frame>
    <description>Proportion of patients with a partial response [PR] or complete response [CR] per RECIST v1.1.</description>
  </primary_outcome>
  <secondary_outcome>
    <measure>Progression free survival (PFS by RECIST 1.1)</measure>
    <time_frame>From initiation of treatment to objective progression or death from any cause, whichever occurs first, up to two years</time_frame>
    <description>Time from the first dose date of study treatment to the date of investigator-determined objective progression (according to RECIST 1.1) or death from any cause, whichever occurs first.</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Overall Survival</measure>
    <time_frame>From initiation of treatment to death from any cause, up to two years</time_frame>
    <description>Time from beginning treatment to the time of death from any cause.</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Duration of response</measure>
    <time_frame>From documentation of the first CR or PR to the time of first documented evidence of progressive disease (or relapse for subjects who experience CR during the study) or death (up to apprixmatelly 6 months).</time_frame>
    <description>Time from documentation of the first CR or PR to the time of first documented evidence of progressive disease (or relapse for subjects who experience CR during the study) or death.</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Health-related quality of life (HRQoL)</measure>
    <time_frame>Baseline up to data cut-off, up to two years.</time_frame>
    <description>Assessed with the European Organization for Research and Treatment of Cancer (EORTC) Core Quality of Life Questionnaire (QLQ-C30)</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Incidence and severity of adverse events</measure>
    <time_frame>From initiation of treatment to 30 days (all adverse events), and 90 days (all SAEs and AESIs), then any SAE considered treatment-related.</time_frame>
    <description>Type, incidence, severity, timing, seriousness, and relatedness of adverse events and laboratory abnormalities, graded by the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE)</description>
  </secondary_outcome>
  <number_of_arms>3</number_of_arms>
  <enrollment type="Anticipated">1000</enrollment>
  <condition>Advanced Solid Tumor</condition>
  <arm_group>
    <arm_group_label>Module 1 - Atezolizumab</arm_group_label>
    <arm_group_type>Experimental</arm_group_type>
    <description>Genomically selected populations will all receive the same drug&#xD;
Arm 1A: BRCA1 or BRCA2 mutations&#xD;
Arm 1B: MLH1, MSH2, MSH6, or PMS2 mutations&#xD;
Arm 1C: tumors with POLE mutation, POLD1 mutation&#xD;
Arm 1D: hypermutated tumors&#xD;
Arm 1E: tumors with other mutations in DNA-repair genes&#xD;
Arm 1F: tumors with amplified PDL1&#xD;
Arm 1G: tumours with CDK12 mutations&#xD;
Subjects will be recruited and allocated to arms according to their biomarker profile. It is assumed that 1000 subjects will need to be screened in part A in order to enroll 120 patients in part B of module 1.</description>
  </arm_group>
  <arm_group>
    <arm_group_label>Module 2 - Futibatinib</arm_group_label>
    <arm_group_type>Experimental</arm_group_type>
    <description>Genomically selected populations will all receive the same drug&#xD;
Arm 2A: Known pathogenic FGFR1-3 mutations&#xD;
Arm 2B: Variants of unknown significance in FGFR1-3 with functional relevance or pathogenic FGFR4 mutations.&#xD;
Arm 2C: Highly amplified FGFR1-3 with high FGFR1-3 mRNA (with the exception of gastric and breast cancer)&#xD;
Arm 2D: Highly amplifiedFGFR1-3 without high FGFR1-3 mRNA (with the exception of gastric and breast cancer)&#xD;
Subjects will be recruited and allocated to arms according to their biomarker profile. It is assumed that 2000 subjects will need to be screened in part A in order to enroll 80 patients in part B of module 2.</description>
  </arm_group>
  <arm_group>
    <arm_group_label>Module 3 - Amivantamab</arm_group_label>
    <arm_group_type>Experimental</arm_group_type>
    <description>Genomically selected populations will all receive the same drug&#xD;
Arm 3A: kinase domain mutations/ MET fusion-genes (including intragene exon skipping MET-MET fusions)&#xD;
Arm 3B: MET copy number gain (equivalent CNG ≥6) (exception: colorectal cancer)&#xD;
Arm 3C: EGFR mutations (exception: primary lung malignancies)&#xD;
Subjects will be recruited and allocated to arms according to their biomarker profile. It is assumed that 1725 subjects will need to be screened in part A in order to enroll 69 patients in part B of module 3.</description>
  </arm_group>
  <intervention>
    <intervention_type>Drug</intervention_type>
    <intervention_name>Atezolizumab</intervention_name>
    <description>1200 mg, administered IV, once every 3 weeks</description>
    <arm_group_label>Module 1 - Atezolizumab</arm_group_label>
  </intervention>
  <intervention>
    <intervention_type>Drug</intervention_type>
    <intervention_name>Futibatinib</intervention_name>
    <description>20 mg administered orally, once daily (QD) continuously in 28-day cycles.</description>
    <arm_group_label>Module 2 - Futibatinib</arm_group_label>
    <other_name>TAS-120</other_name>
  </intervention>
  <intervention>
    <intervention_type>Drug</intervention_type>
    <intervention_name>Amivantamab</intervention_name>
    <description>1050 mg administered IV for body weight &lt; 80 kg and 1400 mg for body weight &gt;= 80 kg mg once weekly in Cycle 1 (with a split dose on Days 1-2) and then every 2 weeks in subsequent cycles (28-day cycles)</description>
    <arm_group_label>Module 3 - Amivantamab</arm_group_label>
    <other_name>JNJ-372</other_name>
  </intervention>
  <eligibility>
    <criteria>
      <textblock>
        Eligibilty Criteria (PART A - iPROFILER)&#xD;
&#xD;
        Inclusion Criteria:&#xD;
&#xD;
          1. Subjects must have histologically or cytologically confirmed malignancy that is&#xD;
             metastatic or unresectable, who have progressed to standard therapy, who are receiving&#xD;
             a standard anticancer treatment, but no subsequent approved treatment would be&#xD;
             available upon progression, who are unable to receive standard therapy, or for whom&#xD;
             standard therapy does not exist.&#xD;
&#xD;
          2. Patient must have ECOG performance status of 0 or 1.&#xD;
&#xD;
          3. Subjects must be 18-year-old or older.&#xD;
&#xD;
          4. Subjects must have measurable disease according to RECIST 1.1.&#xD;
&#xD;
          5. Subjects must have enough tumour tissue for molecular analysis.&#xD;
&#xD;
               1. Subjects providing formalin-fixed paraffin embedded tissue (FFPE) must provide a&#xD;
                  minimum amount of tissue ranging from 28 to 36 slides depending on the sample&#xD;
                  tumour cellularity. If there is not enough archival tissue to meet this&#xD;
                  criterion, the patient must undergo a tumour biopsy.&#xD;
&#xD;
               2. Subjects providing fresh frozen tissue must provide 5 core biopsies or&#xD;
                  equivalent.&#xD;
&#xD;
                  Fresh frozen tissue must be preferentially collected from a tumour biopsy; hence,&#xD;
                  subjects must have disease amenable to be biopsied. Otherwise, the patient should&#xD;
                  have fresh frozen tumour tissue stored in a biobank or biorepository.&#xD;
&#xD;
               3. Efforts will be made to provide fresh frozen tissue in at least one quarter of&#xD;
                  the participating subjects. The proportion of subjects that might provide fresh&#xD;
                  frozen tissue might change based on the results from the molecular analysis.&#xD;
&#xD;
               4. Since some of the tests are performed in FFPE tissue, subjects providing fresh&#xD;
                  frozen tissue from a recent biopsy will have part of the sample processed in FFPE&#xD;
                  as per Laboratory manual.&#xD;
&#xD;
          6. Subjects must have adequate haematological, renal, and hepatic function.&#xD;
&#xD;
          7. For subjects requiring a tumour biopsy: subjects must have adequate coagulation&#xD;
             function.&#xD;
&#xD;
          8. Subjects must be willing to participate in a clinical trial with a matched therapy&#xD;
             according to the molecular profile of his/her tumour.&#xD;
&#xD;
        Exclusion Criteria:&#xD;
&#xD;
          1. Subjects with leptomeningeal disease should be excluded from this clinical trial.&#xD;
&#xD;
          2. Subjects with known unstable brain metastases should be excluded from this clinical&#xD;
             trial. Exception: Subjects who have undergone surgery and/or radiotherapy and in which&#xD;
             brain metastases remain stable or decrease in size for six months after having&#xD;
             completed therapy.&#xD;
&#xD;
          3. Subjects with spinal cord compression not definitively treated with surgery and/or&#xD;
             radiation.&#xD;
&#xD;
          4. Subjects with uncontrolled intercurrent illness including, but not limited to, active&#xD;
             infection, symptomatic congestive heart failure, LVEF &lt; 50%, unstable angina pectoris,&#xD;
             cardiac arrhythmia, or psychiatric illness/social situations that would limit&#xD;
             compliance with study requirements.&#xD;
&#xD;
          5. Subjects with inability to swallow tablets or capsules.&#xD;
&#xD;
          6. Subjects with known HIV, hepatitis B or hepatitis C infection.&#xD;
&#xD;
          7. Subjects with known history of malabsorption.&#xD;
&#xD;
        Eligibilty Criteria (PART B - iBASKET)&#xD;
&#xD;
        Inclusion Criteria:&#xD;
&#xD;
          1. Subjects must have metastatic or unresectable malignant tumour, histologically or&#xD;
             cytological confirmed and progressing to current therapy. Tumours must be refractory&#xD;
             to standard therapy or for which standard therapy does not exist, or subjects may be&#xD;
             unable to receive standard therapy.&#xD;
&#xD;
          2. Patient must have ECOG performance status of 0 or 1.&#xD;
&#xD;
          3. Subjects must be 18-year-old or older.&#xD;
&#xD;
          4. Subjects must have measurable disease according to RECIST 1.1.&#xD;
&#xD;
          5. Subjects must be willing to participate in a clinical trial with a matched therapy&#xD;
             according to the molecular profile of his/her tumour.&#xD;
&#xD;
          6. Tumours must harbour the following alterations.&#xD;
&#xD;
          7. Subjects must have adequate hematological, renal, and hepatic function.&#xD;
&#xD;
          8. For subjects requiring a tumour biopsy: subjects must have adequate coagulation&#xD;
             function.&#xD;
&#xD;
          9. A woman of childbearing potential must have a negative serum pregnancy test within 72&#xD;
             hours of the first dose of study treatment and must agree to further serum or urine&#xD;
             pregnancy test during the study.&#xD;
&#xD;
         10. A woman must be either of the following:&#xD;
&#xD;
               1. Not of childbearing potential.&#xD;
&#xD;
               2. Of childbearing potential and practicing true abstinence during the entire period&#xD;
                  of the study, including up to 6 months after the last dose of study treatment is&#xD;
                  given.&#xD;
&#xD;
               3. Of childbearing potential and practicing 2 methods of contraception, including 1&#xD;
                  highly effective user independent method and a second method. Participant must&#xD;
                  agree to continue contraception throughout the study and through 6 months after&#xD;
                  the last dose of study treatment.&#xD;
&#xD;
         11. A woman must agree not to donate eggs (ova, oocytes) for the purposes of assisted&#xD;
             reproduction during the study and for 6 months after receiving the last dose of study&#xD;
             treatment.&#xD;
&#xD;
         12. A male participant must agree not to donate sperm for the purpose of reproduction&#xD;
             during the study and for a minimum of 6 months after receiving the last dose of study&#xD;
             treatment.&#xD;
&#xD;
         13. Ability to understand and the willingness to sign a written informed consent document.&#xD;
&#xD;
        Exclusion Criteria:&#xD;
&#xD;
          1. Pregnant or breastfeeding women. Females of childbearing potential must have a&#xD;
             negative serum pregnancy test within 72 hours of the first dose of study treatment and&#xD;
             must agree to further serum or urine pregnancy test during the study.&#xD;
&#xD;
          2. Any approved anticancer therapy, including chemotherapy, hormonal therapy or&#xD;
             radiotherapy, within 3 weeks prior to initiation of study treatment; however, the&#xD;
             following are allowed:&#xD;
&#xD;
               1. Hormone-replacement therapy or oral contraceptives.&#xD;
&#xD;
               2. Somatostatin analogues for the treatment of symptoms related with neuroendocrine&#xD;
                  tumours.&#xD;
&#xD;
               3. Gonadotropin-releasing hormone agonists or antiandrogens for prostate cancer.&#xD;
&#xD;
               4. Palliative radiotherapy for bone metastases &gt; 2 weeks prior to Cycle 1, Day 1.&#xD;
&#xD;
          3. Treatment with an investigational agent within 3 weeks prior to Cycle 1, Day 1 (or&#xD;
             within five half-lives of the investigational product, whichever is longer).&#xD;
&#xD;
          4. Patients with recent major surgery or invasive procedure within 15 days before the&#xD;
             fist dose of the study drug.&#xD;
&#xD;
          5. Participant has unstable symptomatic brain metastases. A participant with asymptomatic&#xD;
             or previously treated and stable brain metastases may participate in this study.&#xD;
&#xD;
             a. Participants who have received definitive radiation or surgical treatment for&#xD;
             symptomatic or unstable brain metastases and have been clinically stable and&#xD;
             asymptomatic for at least 2 weeks before enrolment are eligible, provided they have&#xD;
             been either off corticosteroid treatment or are stable or tapering doses below 4 mg of&#xD;
             dexamethasone.&#xD;
&#xD;
          6. Patients with meningeal or leptomeningeal carcinomatosis.&#xD;
&#xD;
          7. Uncontrolled intercurrent illness including, but not limited to, active infection,&#xD;
             cardiovascular disease, or psychiatric illness/social situations that would limit&#xD;
             compliance with study requirements.&#xD;
&#xD;
          8. Positive hepatitis B (hepatitis B virus [HBV]) surface antigen (HBsAg). Note: Subjects&#xD;
             with a prior history of HBV demonstrated by positive hepatitis B core antibody are&#xD;
             eligible if they have at Screening 1) a negative HBsAg and 2) an HBV DNA (viral load)&#xD;
             below the lower limit of quantification, per local testing.&#xD;
&#xD;
          9. Positive hepatitis C antibody (anti-HCV). Note: Subjects with a prior history of HCV,&#xD;
             who have completed antiviral treatment and have subsequently documented HCV RNA below&#xD;
             the lower limit of quantification per local testing are eligible.&#xD;
&#xD;
         10. Significant cardiovascular disease, such as New York Heart Association cardiac disease&#xD;
             (Class III or greater), myocardial infarction within 3 months prior to Cycle 1, Day 1,&#xD;
             unstable angina or unstable clinically meaningful arrhythmias.&#xD;
&#xD;
         11. Another primary malignancy other than disease under study within 2 years prior to&#xD;
             Cycle 1 Day 1, unless consider at low risk of relapse at Investigator discretion.&#xD;
&#xD;
         12. Contraindications included in the product information of the drugs used in the study.&#xD;
&#xD;
        Other protocol specified criteria for each module. The study center will determine if&#xD;
        criteria for participation are met.&#xD;
      </textblock>
    </criteria>
    <gender>All</gender>
    <minimum_age>18 Years</minimum_age>
    <maximum_age>N/A</maximum_age>
    <healthy_volunteers>No</healthy_volunteers>
  </eligibility>
  <overall_official>
    <last_name>Jordi Rodon, MD</last_name>
    <role>Study Chair</role>
    <affiliation>MD Anderson</affiliation>
  </overall_official>
  <overall_contact>
    <last_name>Xenia Villalobos Alberú, PhD</last_name>
    <phone>+34 932 543 450</phone>
    <phone_ext>8625</phone_ext>
    <email>xvillalobos@vhio.net</email>
  </overall_contact>
  <overall_contact_backup>
    <last_name>Susana Muñoz</last_name>
    <phone>+34 934 893 000</phone>
    <phone_ext>2432</phone_ext>
    <email>smunoz@vhio.net</email>
  </overall_contact_backup>
  <location>
    <facility>
      <name>Institut Gustave Roussy</name>
      <address>
        <city>Villejuif</city>
        <zip>94800</zip>
        <country>France</country>
      </address>
    </facility>
    <status>Recruiting</status>
    <contact>
      <last_name>Yohann Loriot</last_name>
      <email>Yohann.LORIOT@gustaveroussy.fr</email>
    </contact>
  </location>
  <location>
    <facility>
      <name>Deutsches Krebsforschungszentrum (NCT/DKFZ)</name>
      <address>
        <city>Heidelberg</city>
        <state>Baden-Wurtemberg</state>
        <zip>69120</zip>
        <country>Germany</country>
      </address>
    </facility>
    <status>Recruiting</status>
    <contact>
      <last_name>Richard Schlenk, MD</last_name>
      <email>richard.schlenk@nct-heidelberg.de</email>
    </contact>
  </location>
  <location>
    <facility>
      <name>Universitätsklinikum Dresden</name>
      <address>
        <city>Dresden</city>
        <zip>01307</zip>
        <country>Germany</country>
      </address>
    </facility>
    <status>Recruiting</status>
    <contact>
      <last_name>Christoph Johannes Heining, MD</last_name>
      <email>Christoph.Heining@uniklinikum-dresden.de</email>
    </contact>
  </location>
  <location>
    <facility>
      <name>Instituto Nazionale dei Tumori di Milano</name>
      <address>
        <city>Milano</city>
        <zip>20133</zip>
        <country>Italy</country>
      </address>
    </facility>
    <status>Recruiting</status>
    <contact>
      <last_name>Filippo de Braud, MD</last_name>
      <email>filippo.debraud@istitutotumori.mi.it</email>
    </contact>
  </location>
  <location>
    <facility>
      <name>Nederland Kanker Instituut (NKI)</name>
      <address>
        <city>Amsterdam</city>
        <zip>1066</zip>
        <country>Netherlands</country>
      </address>
    </facility>
    <status>Recruiting</status>
    <contact>
      <last_name>Frans Opdam, MD</last_name>
      <email>f.opdam@nki.nl</email>
    </contact>
  </location>
  <location>
    <facility>
      <name>Hospital Vall d'Hebron</name>
      <address>
        <city>Barcelona</city>
        <zip>08035</zip>
        <country>Spain</country>
      </address>
    </facility>
    <status>Recruiting</status>
    <contact>
      <last_name>Irene Braña, MD</last_name>
      <email>ibrana@vhio.net</email>
    </contact>
  </location>
  <location>
    <facility>
      <name>Karolinska University Hospital Solna</name>
      <address>
        <city>Stockholm</city>
        <zip>17176</zip>
        <country>Sweden</country>
      </address>
    </facility>
    <status>Recruiting</status>
    <contact>
      <last_name>Luigi de Petris, MD</last_name>
      <email>Luigi.depetris@ki.se</email>
    </contact>
  </location>
  <location>
    <facility>
      <name>Cancer Research UK Cambridge Centre</name>
      <address>
        <city>Cambridge</city>
        <zip>CB2 0QQ</zip>
        <country>United Kingdom</country>
      </address>
    </facility>
    <status>Recruiting</status>
    <contact>
      <last_name>Richard Baird, MD</last_name>
      <email>richard.baird@medschl.cam.ac.uk</email>
    </contact>
  </location>
  <location_countries>
    <country>France</country>
    <country>Germany</country>
    <country>Italy</country>
    <country>Netherlands</country>
    <country>Spain</country>
    <country>Sweden</country>
    <country>United Kingdom</country>
  </location_countries>
  <verification_date>June 2023</verification_date>
  <study_first_submitted>November 14, 2018</study_first_submitted>
  <study_first_submitted_qc>December 5, 2018</study_first_submitted_qc>
  <study_first_posted type="Actual">December 6, 2018</study_first_posted>
  <last_update_submitted>June 9, 2023</last_update_submitted>
  <last_update_submitted_qc>June 9, 2023</last_update_submitted_qc>
  <last_update_posted type="Actual">June 12, 2023</last_update_posted>
  <responsible_party>
    <responsible_party_type>Sponsor</responsible_party_type>
  </responsible_party>
  <keyword>Advanced Solid Tumor</keyword>
  <keyword>Cancer</keyword>
  <keyword>Atezolizumab</keyword>
  <keyword>Immunotherapy</keyword>
  <intervention_browse>
    <!-- CAUTION:  The following MeSH terms are assigned with an imperfect algorithm            -->
    <mesh_term>Atezolizumab</mesh_term>
    <mesh_term>Amivantamab-vmjw</mesh_term>
    <mesh_term>Futibatinib</mesh_term>
  </intervention_browse>
  <!-- Results have not yet been posted for this study                                          -->
</clinical_study>


download date: ClinicalTrials.gov processed this data on September 20, 2023
link text: Link to the current ClinicalTrials.gov record.
url: https://clinicaltrials.gov/ct2/show/NCT03767075
org study id: VHIO17002
secondary id: 2017-005108-89
nct id: NCT03767075
lead sponsor: 
collaborator: 
collaborator: 
collaborator: 
collaborator: 
has dmc: No
is fda regulated drug: No
is fda regulated device: No
is us export: No
The global objective of this Basket of Basket study is to evaluate the antitumor activity of
      each matched therapies that will be evaluated through the study in small molecularly selected
      populations.

      The objective of module 1 wil be to determine the overall response rate (ORR) at 12 weeks by
      Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 of atezolizumab in each of the arms
      of the module. All patients in genomically selected populations will receive atezolizumab
      1200 mg IV every 3 weeks.

      The objective of module 2 wil be to determine the overall response rate (ORR) at 16 weeks by
      Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 of futibatinib in each of the arms
      of the module. All patients in genomically selected populations will receive will receive
      futibatinib, 20 mg, once daily (QD) in 28-day cycles.

      The objective of module 3 wil be to determine the overall response rate (ORR) at 12 weeks by
      Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 of amivantamab in each of the arms
      of the module. All patients in genomically selected populations will receive amivantamab 1050
      mg intravenously (IV) for body weight < 80 kg and 1400 mg for body weight >= 80 kg mg once
      weekly in Cycle 1 (with a split dose on Days 1-2) and then every 2 weeks in subsequent cycles
      (28-day cycles).
Basket studies are a new sort of clinical studies to identify patients with the same kind of
      mutations and treat them with the same drug, irrespective of their specific cancer type. In
      basket studies, depending on the mutation types, patients are classified into "baskets".
      Targeted therapies that block that mutation are then identified and assigned to baskets where
      patients are treated accordingly.

      This protocol has two parts: part A (iPROFILER), which includes the common procedures for
      tumor molecular profiling and treatment recommendation, and part B (iBASKET), which
      corresponds to the therapeutic portion.

      The purpose of part A (iPROFILER) of this study is to test participants' tumour tissue in
      order to identify whether their tumour has certain mutations in cancer-related genes. It is
      known that gene mutations of tumours contribute to their origin and growth and determine
      whether the tumour will respond to particular cancer drugs. This test will provide
      information about potential targeted therapies that specifically attack those gene mutations.
      The purpose of part B (iBASKET) of this study is to offer participants a personalised
      anti-cancer treatment based on the gene mutations that are found in their tumour.

      Participants taking part in module 1 of part B (iBASKET) will receive atezolizumab 1200 mg IV
      every 3 weeks, following the analysis of their tumour in part A (iPROFILER). Participants
      will be able to take atezolizumab for as long as their tumour doesn't grow and for as long as
      they don't have any side-effects which prevent them from continuing treatment. Module 1 will
      have a 2-year recruitment period. The aim of the study is to determine which genomically
      selected populations respond effectively to the targeted treatment, atezolizumab.
      Approximately 1000 participants will be enrolled into part A (iPROFILER), with approximately
      120 participants being recruited into module 1 of part B (iBASKET).

      Participants taking part in module 2 of part B (iBASKET) will receive will receive
      futibatinib, 20 mg, once daily (QD) in 28-day cycles, following the analysis of their tumour
      in part A (iPROFILER). Participants will be able to take futibatinib for as long as their
      tumour doesn't grow and for as long as they don't have any side-effects which prevent them
      from continuing treatment. Module 2 will have a 2-year recruitment period. The aim of the
      study is to determine which genomically selected populations respond effectively to the
      targeted treatment, futibatinib. Approximately 1000 participants will be enrolled into part A
      (iPROFILER), with approximately 80 participants being recruited into module 2 of part B
      (iBASKET).

      Participants taking part in module 3 of part B (iBASKET) will receive amivantamab 1050 mg IV
      for body weight < 80 kg and 1400 mg for body weight >= 80 kg mg once weekly in Cycle 1 (with
      a split dose on Days 1-2) and then every 2 weeks in subsequent cycles (28-day cycles),
      following the analysis of their tumour in part A (iPROFILER). Participants will be able to
      take amivantamab for as long as their tumour doesn't grow and for as long as they don't have
      any side-effects which prevent them from continuing treatment. Module 3 will have a 2.5-year
      recruitment period. The aim of the study is to determine which genomically selected
      populations respond effectively to the targeted treatment, amivantamab. Approximately 1725
      participants will be enrolled into part A (iPROFILER), with approximately 69 participants
      being recruited into module 3 of part B (iBASKET).
allocation: Non-Randomized
intervention model: Single Group Assignment
intervention model description: Part A includes a molecular profiling program for subjects with advanced solid tumors (iPROFILER) and a molecular tumor board to select the most appropriate treatment based on the molecular alterations found in the iPROFILER.
Part B includes iBASKET, a modular investigator initiated basket study for subjects with selected molecular alterations.
primary purpose: Treatment
masking: None (Open Label)
masking description: no masking is used. All involved know the identity of the intervention assignment
measure: Overall response rate
time frame: From the first dose date of study treatment to first CR or PR, whichever came earlier, up to 12 weeks (Module 1 & 3) and 16 weeks (Module 2)
description: Proportion of patients with a partial response [PR] or complete response [CR] per RECIST v1.1.
measure: Progression free survival (PFS by RECIST 1.1)
time frame: From initiation of treatment to objective progression or death from any cause, whichever occurs first, up to two years
description: Time from the first dose date of study treatment to the date of investigator-determined objective progression (according to RECIST 1.1) or death from any cause, whichever occurs first.
measure: Overall Survival
time frame: From initiation of treatment to death from any cause, up to two years
description: Time from beginning treatment to the time of death from any cause.
measure: Duration of response
time frame: From documentation of the first CR or PR to the time of first documented evidence of progressive disease (or relapse for subjects who experience CR during the study) or death (up to apprixmatelly 6 months).
description: Time from documentation of the first CR or PR to the time of first documented evidence of progressive disease (or relapse for subjects who experience CR during the study) or death.
measure: Health-related quality of life (HRQoL)
time frame: Baseline up to data cut-off, up to two years.
description: Assessed with the European Organization for Research and Treatment of Cancer (EORTC) Core Quality of Life Questionnaire (QLQ-C30)
measure: Incidence and severity of adverse events
time frame: From initiation of treatment to 30 days (all adverse events), and 90 days (all SAEs and AESIs), then any SAE considered treatment-related.
description: Type, incidence, severity, timing, seriousness, and relatedness of adverse events and laboratory abnormalities, graded by the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE)
arm group label: Module 1 - Atezolizumab
arm group type: Experimental
description: Genomically selected populations will all receive the same drug
Arm 1A: BRCA1 or BRCA2 mutations
Arm 1B: MLH1, MSH2, MSH6, or PMS2 mutations
Arm 1C: tumors with POLE mutation, POLD1 mutation
Arm 1D: hypermutated tumors
Arm 1E: tumors with other mutations in DNA-repair genes
Arm 1F: tumors with amplified PDL1
Arm 1G: tumours with CDK12 mutations
Subjects will be recruited and allocated to arms according to their biomarker profile. It is assumed that 1000 subjects will need to be screened in part A in order to enroll 120 patients in part B of module 1.
arm group label: Module 2 - Futibatinib
arm group type: Experimental
description: Genomically selected populations will all receive the same drug
Arm 2A: Known pathogenic FGFR1-3 mutations
Arm 2B: Variants of unknown significance in FGFR1-3 with functional relevance or pathogenic FGFR4 mutations.
Arm 2C: Highly amplified FGFR1-3 with high FGFR1-3 mRNA (with the exception of gastric and breast cancer)
Arm 2D: Highly amplifiedFGFR1-3 without high FGFR1-3 mRNA (with the exception of gastric and breast cancer)
Subjects will be recruited and allocated to arms according to their biomarker profile. It is assumed that 2000 subjects will need to be screened in part A in order to enroll 80 patients in part B of module 2.
arm group label: Module 3 - Amivantamab
arm group type: Experimental
description: Genomically selected populations will all receive the same drug
Arm 3A: kinase domain mutations/ MET fusion-genes (including intragene exon skipping MET-MET fusions)
Arm 3B: MET copy number gain (equivalent CNG ≥6) (exception: colorectal cancer)
Arm 3C: EGFR mutations (exception: primary lung malignancies)
Subjects will be recruited and allocated to arms according to their biomarker profile. It is assumed that 1725 subjects will need to be screened in part A in order to enroll 69 patients in part B of module 3.
intervention type: Drug
intervention name: Atezolizumab
description: 1200 mg, administered IV, once every 3 weeks
arm group label: Module 1 - Atezolizumab
intervention type: Drug
intervention name: Futibatinib
description: 20 mg administered orally, once daily (QD) continuously in 28-day cycles.
arm group label: Module 2 - Futibatinib
other name: TAS-120
intervention type: Drug
intervention name: Amivantamab
description: 1050 mg administered IV for body weight < 80 kg and 1400 mg for body weight >= 80 kg mg once weekly in Cycle 1 (with a split dose on Days 1-2) and then every 2 weeks in subsequent cycles (28-day cycles)
arm group label: Module 3 - Amivantamab
other name: JNJ-372
criteria: 
gender: All
minimum age: 18 Years
maximum age: N/A
healthy volunteers: No
last name: Jordi Rodon, MD
role: Study Chair
affiliation: MD Anderson
last name: Xenia Villalobos Alberú, PhD
phone: +34 932 543 450
phone ext: 8625
email: xvillalobos@vhio.net
last name: Susana Muñoz
phone: +34 934 893 000
phone ext: 2432
email: smunoz@vhio.net
facility: 
status: Recruiting
contact: 
facility: 
status: Recruiting
contact: 
facility: 
status: Recruiting
contact: 
facility: 
status: Recruiting
contact: 
facility: 
status: Recruiting
contact: 
facility: 
status: Recruiting
contact: 
facility: 
status: Recruiting
contact: 
facility: 
status: Recruiting
contact: 
country: France
country: Germany
country: Italy
country: Netherlands
country: Spain
country: Sweden
country: United Kingdom
responsible party type: Sponsor
mesh term: Atezolizumab
mesh term: Amivantamab-vmjw
mesh term: Futibatinib