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. 2022 Mar 30;36(2):153–180. doi: 10.1007/s40259-022-00521-1

Table 2.

Active bintrafusp alfa studies

Trial name NCT Phase Estimated enrollment Bintrafusp alfa dose Combined with Status Target population Location(s)
Bintrafusp Alfa in Previously Treated Patients With Recurrent and Metastatic (R/M) Non-keratinizing Nasopharyngeal Carcinoma (NPC) NCT04396886 II 37 N/A N/A Recruiting Recurrent and metastatic non-keratinizing nasopharyngeal carcinoma Hong Kong
Study of the Efficacy and Safety of the Bintrafusp Alfa in Previously Treated Advanced Malignant Pleural Mesothelioma (BIMES) NCT05005429 II 47 1200 mg Q2W N/A Not yet recruiting Mesothelioma, lung Spain
A Study to Evaluate the Efficacy and Safety of Bintrafusp Alfa (M7824) Monotherapy in Metastatic or Locally Advanced Urothelial Cancer NCT04349280 I 40 1200 mg Q2W N/A Recruiting Metastatic or locally advanced urothelial cancer USA, Canada, France, Netherlands, Spain, United Kingdom
Neoadjuvant Bintrafusp Alfa in Patients With Resectable Biliary Tract Cancer (NEOBIL) NCT04727541 II 24 1200 mg Q2W Surgery Recruiting Biliary tract cancer, cholangiocarcinoma Germany
Evaluation of Bintrafusp Alfa in Operable and Untreated Head and Neck Squamous Cell Carcinoma (ICING) NCT04428047 II 59 1200 mg Q2W N/A Recruiting Squamous cell carcinoma of head and neck France
Docetaxel With or Without Bintrafusp Alfa for the Treatment of Advanced Non-small Cell Lung Cancer NCT04396535 II 80 N/A Docetaxel Recruiting Advanced non-small cell lung carcinoma USA
Bintrafusp Alfa and Doxorubicin Hydrochloride in Treating Patients With Advanced Sarcoma (TRUST) NCT04874311 II 80 2400 mg Q3W Doxorubicin Not yet recruiting Soft-tissue sarcoma France
Bintrafusp Alfa in High Mobility Group AT-Hook 2 (HMGA2) Expressing Triple Negative Breast Cancer NCT04489940 II 29 1200 mg Q2W N/A Recruiting HMGA2-expressing triple negative breast cancer USA, Belgium, France, Italy, Russian Federation, Spain
Bintrafusp Alfa Monotherapy in Platinum-Experienced Cervical Cancer NCT04246489 II 146 1200 mg Q2W N/A Active, not recruiting Uterine and cervical neoplasms USA, Argentina, Australia, Belgium, Brazil, China, France, Hungary, Japan, Republic of Korea, Russian Federation, Spain
Preoperative Bintrafusp Alfa in Operable Urothelial Carcinoma of the Bladder (PEBBLE) NCT04878250 II 49 1200 mg Q2W N/A Not yet recruiting Bladder cancer United Kingdom
Aerosolized Azacytidine as Epigenetic Priming for Bintrafusp Alfa-Mediated Immune Checkpoint Blockade in Patients With Unresectable Pulmonary Metastases From Sarcomas, Germ Cell Tumors, or Epithelial Malignancies NCT04648826 I, II 42 2400 mg Q3W Azacytidine (aerosolized) Not yet recruiting Unresectable pulmonary metastases from sarcomas, germ cell tumors, or epithelial malignancies USA
Bintrafusp Alfa Before Surgery for the Treatment of Untreated Resectable Non-small Cell Lung Cancer NCT04560686 II 23 N/A Surgery Recruiting Resectable non-small cell lung carcinoma USA
Phase 2 Study of Bintrafusp Alfa in Recurrent/Metastatic Olfactory Neuroblastoma (BARON) NCT05012098 II 32 1200 mg Q2W N/A Not yet recruiting Olfactory neuroblastoma USA
Phase I/II Trial of the Combination of Bintrafusp Alfa (M7824), Entinostat and NHS-IL12 (M9241) in Patients With Advanced Cancer NCT04708470 I, II 70 1200 mg Q2W Entinostat and NHS-IL12 (M9241) Recruiting Checkpoint refractory HPV associated malignancies and MSS small bowel or colorectal cancer USA
Bintrafusp Alfa and Pimasertib for the Treatment of Patients With Brain Metastases NCT04789668 I, II 36 N/A Pimasertib Recruiting Intracranial metastases USA
A Phase II Study of Bintrafusp Alfa (M7824) in Checkpoint Inhibitor Naive and Refractory Subjects With Urothelial Carcinoma NCT04501094 II 75 1200 mg Q2W N/A Recruiting Urothelial cancer USA
Hypofractionated Radiation Therapy and Bintrafusp Alfa for the Treatment of Advanced Intrahepatic Cholangiocarcinoma NCT04708067 I 15 N/A Hypofractionated radiation Not yet recruiting Intrahepatic cholangiocarcinoma USA
Bintrafusp Alfa Combination Therapy in Participants With Cervical Cancer (INTR@PID 046) NCT04551950 I 25 N/A Cisplatin/carboplatin, paclitaxel, bevacizumab Active, not recruiting Cervical cancer USA, Japan, Spain
Bintrafusp Alfa With Pemetrexed and Platinum-Based Chemotherapy for the Treatment of Locally Advanced or Metastatic Tyrosine Kinase Inhibitor-Resistant EGFR-Mutant Non-small Cell Lung Cancer NCT04971187 II 40 N/A Cisplatin/carboplatin, pemetrexed Recruiting Non-squamous EGFR-mutant non-small cell lung carcinoma USA
Bintrafusp Alfa (M7824) in Subjects With Thymoma and Thymic Carcinoma NCT04417660 II 38 1200 mg Q2W N/A Recruiting Thymoma and thymic carcinoma USA
Tapestry: Addition of TGF-β and PDL-1 Inhibition to Definitive Chemoradiation in Esophageal Squamous Cell Carcinoma (TAPESTRY) NCT04595149 II 52 2400 mg Q3W XBRT, paclitaxel, and carboplatin Recruiting Esophageal squamous cell carcinoma Netherlands
Gemcitabine Plus Cisplatin With or Without Bintrafusp Alfa (M7824) in Participants With 1L Biliary Tract Cancer (BTC) NCT04066491a II, III 512 2400 mg Q3W Gemcitabine, cisplatin Recruitinga Locally advanced or metastatic biliary tract cancer USA, Argentina, Australia, Belgium, Brazil, Chile, China, France, Germany, Italy, Japan, Republic of Korea, Poland, Spain, Taiwan, United Kingdom
First in Human Study of M6223 NCT04457778 I 35 N/A M6223 (TIGIT inhibitor) Recruiting Metastatic or locally advanced solid unresectable tumors USA, Canada
TGF-β And PDL-1 Inhibition in Esophageal Squamous Cell Carcinoma Combined With Chemoradiation Therapy (TAPESTRY) NCT04481256 Non-randomized feasibility study 49 2400 mg Q3W Carboplatin, paclitaxel, radiation Recruiting Squamous cell carcinoma of the esophagus or gastroesophageal junction Netherlands
Immunotherapy (NHS-IL12 & Bintrafusp Alfa) and Radiation Therapy for the Treatment of Hormone Receptor Positive, HER2 Negative Metastatic Breast Cancer, the REINA Trial NCT04756505 I 20 N/A Immunocytokine NHS-IL12, radiation Not yet recruiting HR+/HER2- metastatic breast cancer USA
Bintrafusp Alfa and Stereotactic Body Radiation Therapy for the Treatment of Recurrent or Second Primary Head and Neck Squamous Cell Cancer NCT04220775 I, II 21 N/A SBRT Recruiting Recurrent head and neck squamous cell carcinoma USA
Phase I/II Trial Investigating the Safety, Tolerability, Pharmacokinetics, Immune and Clinical Activity of SX-682 in Combination With BinTrafusp Alfa (M7824 or TGF-beta "Trap"/PD-L1) With CV301 TRICOM in Advanced Solid Tumors (STAT) NCT04574583 I, II 105 1200 mg Q2W SX-682 (CXCR1/2 inhibitor), BN-CV301 TRICOM (CEA/MUC1) vaccines Recruiting Advanced solid tumors USA
Bintrafusp Alfa (M7824) and M9241 in Combination With Docetaxel in Adults With Metastatic Castration Sensitive and Castration Resistant Prostate Cancer NCT04633252 I, II 86 2400 mg Q3W Immunocytokine NHS-IL12, Docetaxel Recruiting Metastatic castration sensitive and castration resistant prostate cancer USA
Bintrafusp Alfa (M7824) and NHS-IL12 (M9241) Alone and in Combination With Stereotactic Body Radiation Therapy (SBRT) in Adults With Metastatic Non-Prostate Genitourinary Malignancies NCT04235777 I 66 1200 mg Q2W Immunocytokine NHS-IL12, SBRT Recruiting Metastatic non-prostate genitourinary malignancies USA
M7824 and Eribulin Mesylate in Treating Patients With Metastatic Triple Negative Breast Cancer NCT03579472 I 20 N/A Eribulin mesylate (microtubule-targeting agent) Recruiting Metastatic triple negative breast cancer USA
M7824 Versus Pembrolizumab as a First-line (1L) Treatment in Participants With Programmed Death-ligand 1 (PD-L1) Expressing Advanced Non-small Cell Lung Cancer (NSCLC) NCT03631706 III 584 1200 mg Q2W N/A Discontinued, closed after DSMB assessment unlikely to hit co-primary endpoint: PFS PD-L1-expressing advanced non-small cell lung cancer USA, Argentina, Belgium, Brazil, Canada, China, France, Germany, Greece, Hong Kong, Italy, Japan, Republic of Korea, Netherlands, Spain, Taiwan, Turkey, Ukraine
M7824 in Treating Patients With Stage II-III HER2 Positive Breast Cancer NCT03620201 I 20 N/A Neoadjuvant chemotherapy Recruiting Stage II-III HER2 positive breast cancer USA
M7824 Monotherapy in Locally Advanced or Metastatic Second Line (2L) Biliary Tract Cancer (Cholangiocarcinoma and Gallbladder Cancer) NCT03833661 II 159 1200 mg Q2W N/A Active, not recruiting Advanced or metastatic biliary tract cancer USA, China, France, Italy, Japan, Republic of Korea, Spain, Taiwan, United Kingdom
Dose Escalation and Expansion Study of GSK3359609 in Participants With Selected Advanced Solid Tumors (INDUCE-1) NCT02723955 I 828 N/A Feladilimab (Inducible T cell Co-Stimulator [ICOS] receptor agonist) Active, not recruiting Advanced solid tumors USA, Australia, Canada, China, France, Italy, Japan, Netherlands, Spain
Bioimaging Study of 89Zr-M7824 in NSCLC NCT04297748 I, II 12 1200 mg Q2W 89Zirconium-M7824 Recruiting Non-small cell lung cancer Australia
Study of M7824 and Paclitaxel Combination as a Second-line Treatment in Patients With Recurrent/Metastatic Gastric Cancer NCT04835896 I, II 49 1200 mg Q3W Paclitaxel Not yet recruiting Metastatic or locally advanced HER2 negative gastric cancer Republic of Korea
Radiation Therapy and M7824 in Treating Patients With Metastatic Hormone Receptor Positive, HER2 Negative Breast Cancer NCT03524170 I 24 N/A Radiation Active, not recruiting HR+/HER2- metastatic breast cancer USA
BN-Brachyury, Entinostat, Adotrastuzumab Emtansine and M7824 in Advanced Stage Breast Cancer (BrEAsT) NCT04296942 I 65 1800 mg Q3W MVA-BN-Brachyury (vaccine), TRICOM, ado-trastuzumab emtansine, entinostat Recruiting Triple negative breast cancer or ER-/PR-/HER2+ breast cancer USA
M7824 in Patients With Metastatic Colorectal Cancer or With Advanced Solid Tumors With Microsatellite Instability NCT03436563 I, II 74 N/A N/A Recruiting Colorectal cancer (or other solid tumors with microsatellite instability) USA
MSB0011359C (M7824) in Metastatic or Locally Advanced Solid Tumors NCT02517398 I 600 N/A N/A Active, not recruiting Metastatic or locally advanced solid tumors USA, Australia, Belgium, Canada, France, Germany, Italy, Japan, Republic of Korea, Spain, Taiwan, United Kingdom
M7824 in Combination With Chemotherapy in Stage IV Non-small Cell Lung Cancer (NSCLC) NCT03840915a I, II 70 2400 mg Q3W Cisplatin, carboplatin, pemetrexed, paclitaxel or Nab-paclitaxel, gemcitabine, docetaxel Active, not recruitinga Stage IV non-small cell lung cancer USA, Belgium, France
M7824 With cCRT in Unresectable Stage III Non-small Cell Lung Cancer (NSCLC) NCT03840902b II 350 1200 mg Q2W Cisplatin, carboplatin, pemetrexed, paclitaxel, etoposide, durvalumab Recruitingb Unresectable stage III non-small cell lung cancer USA, Argentina, Australia, Belgium, Brazil, Canada, China, Czechia, France, Germany, Japan, Republic of Korea, Netherlands, Spain, Taiwan

M7824 = Bintrafusp alfa

DSMB Data Safety Monitoring Board, HPV human papillomavirus, MSS microsatellite stable, N/A not applicable, PFS progression-free survival, Q2W every 2 weeks, Q3W every 3 weeks

aStudy discontinued by sponsor as unlikely to meet primary endpoint as reviewed by an independent data monitoring committee (study status is as listed on ClinicalTrials.gov as of October 1, 2021)

bSponsor discontinued as a low likelihood that the experimental arm would achieve superiority in efficacy versus standard of care treatment (study status is as listed on ClinicalTrials.gov as of October 1, 2021)