Avelumab for Cancer

Not currently recruiting at 152 trial locations
Age: 18+
Sex: Any
Trial Phase: Phase 3
Sponsor: EMD Serono Research & Development Institute, Inc.
Must be taking: Avelumab
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Pivotal Trial (Near Approval)This treatment is in the last trial phase before FDA approval
Prior Safety DataThis treatment has passed at least one previous human trial
Breakthrough TherapyThis drug has been fast-tracked for approval by the FDA given its high promise
Approved in 3 JurisdictionsThis treatment is already approved in other countries

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores the safety and tolerability of avelumab for individuals with solid tumors, building on a previous study. Researchers are testing avelumab to determine its effectiveness in managing these cancers. Participants currently involved in an avelumab study, either receiving treatment or under long-term survival monitoring, might be suitable for this trial. As a Phase 3 trial, it serves as the final step before potential FDA approval, providing participants an opportunity to contribute to the validation of a promising cancer treatment.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It seems focused on participants already receiving avelumab, so it's best to discuss your specific situation with the study team.

Is there any evidence suggesting that avelumab is likely to be safe for humans?

A previous study found avelumab to be safe for patients who had already received many treatments. These patients tolerated avelumab well, even after extensive prior therapy. Research has also shown that avelumab is safe and effective for patients with advanced cancers, such as Merkel cell carcinoma.

Real-world data supports these findings, confirming that avelumab is safe when combined with other treatments for kidney cancer. Avelumab has already received FDA approval for certain types of cancer, indicating it has passed strict safety checks for those uses. Overall, avelumab is considered well-tolerated and a promising option for many patients with solid tumors.12345

Why do researchers think this study treatment might be promising?

Avelumab is unique because it is an immunotherapy treatment that works by blocking the PD-L1 protein, which helps cancer cells hide from the immune system. Unlike traditional treatments such as chemotherapy and radiation, which target cancer cells directly, Avelumab empowers the body's immune system to recognize and attack cancer cells. Researchers are excited about Avelumab because it has the potential to produce a more durable response with possibly fewer side effects compared to conventional therapies. This new mechanism of action offers hope for more effective, personalized cancer treatments.

What is the effectiveness track record for avelumab in treating solid tumors?

Research has shown that avelumab, the treatment under study in this trial, effectively treats certain cancers. Specifically, studies found that patients with metastatic Merkel cell carcinoma who used avelumab experienced positive outcomes. In another study, survival rates were encouraging, with about 80.6% of patients alive six months after starting treatment and 69.1% alive at 12 months. Additionally, real-world studies demonstrated that many patients had a complete or partial response to avelumab after chemotherapy. This suggests that avelumab can be a viable option for some cancer patients.13567

Who Is on the Research Team?

MR

Medical Responsible

Principal Investigator

Merck KGaA, Darmstadt, Germany

Are You a Good Fit for This Trial?

This trial is for patients with solid tumors who are already enrolled in an avelumab study and either continue treatment or are in follow-up. They must use effective contraception if applicable, not have allergies to the drug's ingredients, and cannot be pregnant or breastfeeding.

Inclusion Criteria

My treatment is associated with Merck Serono in Japan.
Participants on active treatment must agree to continue to use highly effective contraception (that is, methods with a failure rate of less than 1% per year) for both male and female participants if the risk of conception exists
I am currently enrolled in a clinical study sponsored by EMD Serono/Merck KGaA for avelumab treatment.
See 2 more

Exclusion Criteria

Participants who are pregnant or breastfeeding
Participant has been enrolled in the comparator arm of avelumab parent study
I am allergic to one or more ingredients in the study treatment.
See 3 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants continue treatment with avelumab under the same regimen as in the parent study

Follow-up

Participants are monitored for safety and tolerability of avelumab

Long-term

What Are the Treatments Tested in This Trial?

Interventions

  • Avelumab
Trial Overview The trial monitors the ongoing safety and tolerability of avelumab, a medication previously studied for treating solid tumors. Participants will maintain their current regimen from the parent study without any changes.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: AvelumabExperimental Treatment1 Intervention

Avelumab is already approved in European Union, United States, Japan for the following indications:

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Approved in European Union as Bavencio for:
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Approved in United States as Bavencio for:
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Approved in Japan as Bavencio for:

Find a Clinic Near You

Who Is Running the Clinical Trial?

EMD Serono Research & Development Institute, Inc.

Lead Sponsor

Trials
86
Recruited
22,700+

Miguel Fernández Alcalde

EMD Serono Research & Development Institute, Inc.

Chief Executive Officer

Bachelor’s Degree in Pharmacy from the University Complutense in Madrid, MBA from the University of Alcalá de Henares, Master’s Degree in Management from IESE Business School

Danny Bar-Zohar

EMD Serono Research & Development Institute, Inc.

Chief Medical Officer since 2022

MD

Merck KGaA, Darmstadt, Germany

Industry Sponsor

Trials
449
Recruited
122,000+
Danny Bar-Zohar profile image

Danny Bar-Zohar

Merck KGaA, Darmstadt, Germany

Chief Medical Officer since 2022

MD

Belén Garijo profile image

Belén Garijo

Merck KGaA, Darmstadt, Germany

Chief Executive Officer since 2021

MD

Published Research Related to This Trial

Avelumab, an immune checkpoint inhibitor used for treating Merkel cell carcinoma, can lead to rare but severe neurological adverse effects, as demonstrated in a case of a 70-year-old man who developed diplopia and later severe demyelinating polyneuropathy after treatment.
The neurological complications observed in this patient were refractory to multiple immune suppressive treatments, highlighting the need for awareness of potential severe side effects associated with avelumab therapy.
Severe Demyelinating Polyneuropathy and Cranial Neuropathy During Avelumab Treatment of Metastatic Merkel Cell Carcinoma.Bilić, H., Sitaš, B., Hančević, M., et al.[2021]
Avelumab, a PD-L1 inhibitor, has shown overall response rates for advanced Merkel cell carcinoma (MCC) ranging from 29.1% to 72.1% in real-world studies, with median progression-free survival between 8.1 to 24.1 months, indicating its efficacy across diverse populations.
The treatment is generally safe, with common side effects including fatigue and infusion-related reactions, and it appears to be particularly effective in immunosuppressed patients, although further research is needed to evaluate long-term safety and efficacy.
Avelumab for Advanced Merkel Cell Carcinoma: Global Real-World Data on Patient Response and Survival.Lohray, R., Verma, KK., Wang, LL., et al.[2023]
Avelumab maintenance therapy after platinum-based chemotherapy in advanced urothelial carcinoma significantly improves overall response rate (ORR), progression-free survival (PFS), and overall survival (OS), especially in patients with PD-L1 positive tumors, compared to those receiving best supportive care.
While avelumab is effective, it is associated with a high rate of treatment-related adverse events (TRAEs) in 86.7% of patients, with 32.4% experiencing severe adverse events, indicating the need for careful patient monitoring during treatment.
Clinical Evaluation of Avelumab in the Treatment of Advanced Urothelial Carcinoma: Focus on Patient Selection and Outcomes.Ten Eyck, JE., Kahlon, N., Masih, S., et al.[2022]

Citations

Study Results | BAVENCIO® (avelumab) EfficacyBAVENCIO showed consistent results when the study kept track of patients for over 3 years. BAVENCIO® Long Term Data. BAVENCIO®-Long-Term-Data.
2.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/39448350/
Real-world Study of Avelumab First-line Maintenance ...Outcome measurements and statistical analysis: Overall survival (OS) from avelumab initiation (primary endpoint) and safety were evaluated.
Efficacy and safety of avelumab treatment in patients with ...Avelumab, a human anti–programmed death-ligand 1 immunoglobulin G1 monoclonal antibody, showed favorable efficacy and safety in patients with metastatic Merkel ...
Real-World Effectiveness and Safety of Avelumab First ...The median duration of avelumab maintenance treatment was 6 months. The 6-and 12-month OS rates were 80.6% (95% CI: 73.9–85.7%) and 69.1% (95% ...
Real world outcomes for maintenance avelumab treatment ...After a median of six cycles of platinum-based chemotherapy, 11.3% had a complete response, and 54.9% had a partial response. Patients then ...
Avelumab (MSB0010718C; anti-PD-L1) in patients with ...Conclusions: Single-agent avelumab showed an acceptable safety profile in a heavily pretreated population and large dataset of pts with LA/M ...
Real-World Data Confirms Safety of Bavencio and Inlyta in ...Bavencio and Inlyta combination therapy demonstrated high six- and 12-month OS rates in advanced RCC patients in real-world settings. The AVION ...
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