Durvalumab and Tremelimumab in Combination With First-Line Chemotherapy in Advanced Solid Tumors
Primary Purpose
Small Cell Lung Carcinoma, Carcinoma, Squamous Cell of Head and Neck, Stomach Neoplasms
Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
paclitaxel + carboplatin
carboplatin + etoposide
gemcitabine + carboplatin
nab-paclitaxel (paclitaxel-albumin) + carboplatin
oxaliplatin + 5-fluorouracil (5FU) + leucovorin (calcium folinate/folinic acid)
durvalumab
tremelimumab
nab-paclitaxel (paclitaxel-albumin) + gemcitabine
cisplatin + 5-fluorouracil (5FU)
Sponsored by
About this trial
This is an interventional treatment trial for Small Cell Lung Carcinoma focused on measuring durvalumab, tremelimumab, metastatic, solid tumors, immuno-oncology, first-line chemotherapy, esophageal, pancreatic
Eligibility Criteria
Inclusion Criteria:
- ≥18 years
- Written informed consent
- Patients with histologically or cytologically documented chemotherapy-naïve locally advanced unresectable or metastatic ovarian/peritoneal/fallopian tube cancer, SCCHN, TNBC, SCLC, gastric cancer/GEJ, PDAC and ESCC.
- ECOG performance status of 0 or 1
- Patients must be considered suitable candidates for, and able to receive, first line chemotherapy for metastatic disease
- At least 1 lesion, not previously irradiated, that can be accurately measured at baseline
- No prior exposure to immune-mediated therapy
- Adequate organ and marrow function as defined below
Exclusion Criteria:
- Receipt of any investigational anticancer therapy within 28 days or 5 halflives, whichever is longer, prior to the first dose of study treatment
- Brain metastases or spinal cord compression unless asymptomatic or treated and stable off steroids and anti-convulsants for at least 1 month prior to study treatment
- Any unresolved Grade ≥2 toxicity from previous anticancer therapy
- Active or prior documented autoimmune or inflammatory disorders
- Uncontrolled intercurrent illness, including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, uncontrolled hypertension, unstable angina pectoris, cardiac arrhythmia, interstitial lung disease, or psychiatric illness/social situations that would limit compliance with study requirement, substantially increase risk of incurring AEs from study drugs, or compromise the ability of the patient to give written informed consent
- Mean QT interval corrected for heart rate using Fridericia's formula (QTcF) ≥470 ms 20. Active tuberculosis
- Active infection including tuberculosis, hepatitis B, hepatitis C, or human immunodeficiency virus (HIV)
Sites / Locations
- Research Site
- Research Site
- Research Site
- Research Site
- Research Site
- Research Site
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Arm 7
Arm Type
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Arm Label
Cohort 1
Cohort 2
Cohort 3
Cohort 4
Cohort 5
Cohort 6
Cohort 7
Arm Description
ovarian/peritoneal/fallopian tube cancer and squamous cell carcinoma of the head and neck (SCCHN)
Small-cell lung cancer (SCLC)
Triple-negative breast cancer (TNBC)
Triple-negative breast cancer (TNBC)
Gastric/gastro-esophageal junction (GEJ)
Pancreatic ductal adenocarcinoma (PDAC)
Esophageal squamous cell carcinoma (ESCC)
Outcomes
Primary Outcome Measures
Laboratory findings (including: clinical chemistry, hematology, and urinalysis)
To assess the safety and tolerability profile of first-line chemotherapy in combination with durvalumab + tremelimumab
Incidence of Adverse Events
To assess incidence of Adverse Events for the safety and tolerability profile of first-line chemotherapy in combination with durvalumab and tremelimumab
Tumor assessment based on RECIST 1.1 (for cohort 6 only)
To estimate the objective response rate (ORR) of durvalumab + tremelimumab + chemotherapy (for cohort 6 only)
Secondary Outcome Measures
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02658214
Brief Title
Durvalumab and Tremelimumab in Combination With First-Line Chemotherapy in Advanced Solid Tumors
Official Title
A Phase Ib Study to Evaluate the Safety and Tolerability of Durvalumab and Tremelimumab in Combination With First-Line Chemotherapy in Patients With Advanced Solid Tumors.
Study Type
Interventional
2. Study Status
Record Verification Date
August 2020
Overall Recruitment Status
Completed
Study Start Date
April 28, 2016 (Actual)
Primary Completion Date
November 14, 2019 (Actual)
Study Completion Date
November 14, 2019 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AstraZeneca
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
Durvalumab and Tremelimumab in combination with first-line chemotherapy in the following indications: Ovarian/peritoneal/fallopian tube cancer, SCCHN, TNBC, SCLC and gastric/GEJ cancer, PDAC, ESCC.
Detailed Description
7 cohorts of first-line chemotherapy regimens combined with durvalumab + tremelimumab.
This study will evaluate the safety and tolerability of durvalumab (MEDI4736) + tremelimumab in combination with first line chemotherapy regimens in patients with locally advanced or metastatic solid tumors: ovarian/peritoneal/fallopian tube cancer, squamous cell carcinoma of the head and neck (SCCHN), triple negative breast cancer (TNBC), small cell lung carcinoma (SCLC), and gastric/gastro-esophageal junction (GEJ) cancer, pancreatic ductal adenocarcinoma (PDAC) and esophageal squamous cell carcinoma (ESCC).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Small Cell Lung Carcinoma, Carcinoma, Squamous Cell of Head and Neck, Stomach Neoplasms, Triple Negative Breast Neoplasms, Ovarian Neoplasms, Fallopian Tube Neoplasms, Peritoneal Neoplasms, Esophagogastric Junction Neoplasms, Carcinoma, Pancreatic Ductal, Esophageal Squamous Cell Carcinoma
Keywords
durvalumab, tremelimumab, metastatic, solid tumors, immuno-oncology, first-line chemotherapy, esophageal, pancreatic
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
32 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Cohort 1
Arm Type
Experimental
Arm Description
ovarian/peritoneal/fallopian tube cancer and squamous cell carcinoma of the head and neck (SCCHN)
Arm Title
Cohort 2
Arm Type
Experimental
Arm Description
Small-cell lung cancer (SCLC)
Arm Title
Cohort 3
Arm Type
Experimental
Arm Description
Triple-negative breast cancer (TNBC)
Arm Title
Cohort 4
Arm Type
Experimental
Arm Description
Triple-negative breast cancer (TNBC)
Arm Title
Cohort 5
Arm Type
Experimental
Arm Description
Gastric/gastro-esophageal junction (GEJ)
Arm Title
Cohort 6
Arm Type
Experimental
Arm Description
Pancreatic ductal adenocarcinoma (PDAC)
Arm Title
Cohort 7
Arm Type
Experimental
Arm Description
Esophageal squamous cell carcinoma (ESCC)
Intervention Type
Drug
Intervention Name(s)
paclitaxel + carboplatin
Other Intervention Name(s)
Platinum based Standard of Care Chemotherapy
Intervention Description
IV infusion
Intervention Type
Drug
Intervention Name(s)
carboplatin + etoposide
Other Intervention Name(s)
Platinum based Standard of Care Chemotherapy
Intervention Description
IV infusion
Intervention Type
Drug
Intervention Name(s)
gemcitabine + carboplatin
Other Intervention Name(s)
Platinum based Standard of Care Chemotherapy
Intervention Description
IV infusion
Intervention Type
Drug
Intervention Name(s)
nab-paclitaxel (paclitaxel-albumin) + carboplatin
Other Intervention Name(s)
Platinum based Standard of Care Chemotherapy
Intervention Description
IV infusion
Intervention Type
Drug
Intervention Name(s)
oxaliplatin + 5-fluorouracil (5FU) + leucovorin (calcium folinate/folinic acid)
Other Intervention Name(s)
Platinum based Standard of Care Chemotherapy
Intervention Description
IV infusion and bolus administration
Intervention Type
Biological
Intervention Name(s)
durvalumab
Other Intervention Name(s)
MEDI4736
Intervention Description
IV infusion
Intervention Type
Biological
Intervention Name(s)
tremelimumab
Intervention Description
IV infusion
Intervention Type
Drug
Intervention Name(s)
nab-paclitaxel (paclitaxel-albumin) + gemcitabine
Other Intervention Name(s)
Standard of Care Chemotherapy
Intervention Description
IV infusion
Intervention Type
Drug
Intervention Name(s)
cisplatin + 5-fluorouracil (5FU)
Other Intervention Name(s)
Platinum based Standard of Care Chemotherapy
Intervention Description
IV infusion
Primary Outcome Measure Information:
Title
Laboratory findings (including: clinical chemistry, hematology, and urinalysis)
Description
To assess the safety and tolerability profile of first-line chemotherapy in combination with durvalumab + tremelimumab
Time Frame
Throughout the study, approximately three years
Title
Incidence of Adverse Events
Description
To assess incidence of Adverse Events for the safety and tolerability profile of first-line chemotherapy in combination with durvalumab and tremelimumab
Time Frame
Throughout the study, approximately three years
Title
Tumor assessment based on RECIST 1.1 (for cohort 6 only)
Description
To estimate the objective response rate (ORR) of durvalumab + tremelimumab + chemotherapy (for cohort 6 only)
Time Frame
Throughout the study, approximately three years (for cohort 6 only)
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
99 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
≥18 years
Written informed consent
Patients with histologically or cytologically documented chemotherapy-naïve locally advanced unresectable or metastatic ovarian/peritoneal/fallopian tube cancer, SCCHN, TNBC, SCLC, gastric cancer/GEJ, PDAC and ESCC.
ECOG performance status of 0 or 1
Patients must be considered suitable candidates for, and able to receive, first line chemotherapy for metastatic disease
At least 1 lesion, not previously irradiated, that can be accurately measured at baseline
No prior exposure to immune-mediated therapy
Adequate organ and marrow function as defined below
Exclusion Criteria:
Receipt of any investigational anticancer therapy within 28 days or 5 halflives, whichever is longer, prior to the first dose of study treatment
Brain metastases or spinal cord compression unless asymptomatic or treated and stable off steroids and anti-convulsants for at least 1 month prior to study treatment
Any unresolved Grade ≥2 toxicity from previous anticancer therapy
Active or prior documented autoimmune or inflammatory disorders
Uncontrolled intercurrent illness, including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, uncontrolled hypertension, unstable angina pectoris, cardiac arrhythmia, interstitial lung disease, or psychiatric illness/social situations that would limit compliance with study requirement, substantially increase risk of incurring AEs from study drugs, or compromise the ability of the patient to give written informed consent
Mean QT interval corrected for heart rate using Fridericia's formula (QTcF) ≥470 ms 20. Active tuberculosis
Active infection including tuberculosis, hepatitis B, hepatitis C, or human immunodeficiency virus (HIV)
Facility Information:
Facility Name
Research Site
City
Chuo-ku
ZIP/Postal Code
104-0045
Country
Japan
Facility Name
Research Site
City
Kashiwa
ZIP/Postal Code
277-8577
Country
Japan
Facility Name
Research Site
City
Seoul
ZIP/Postal Code
03080
Country
Korea, Republic of
Facility Name
Research Site
City
Seoul
ZIP/Postal Code
03722
Country
Korea, Republic of
Facility Name
Research Site
City
Seoul
ZIP/Postal Code
05505
Country
Korea, Republic of
Facility Name
Research Site
City
Seoul
ZIP/Postal Code
135-710
Country
Korea, Republic of
12. IPD Sharing Statement
Links:
URL
https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Search
Description
Results of this clinical trial are available on www.astrazenecaclinicaltrials.com
Learn more about this trial
Durvalumab and Tremelimumab in Combination With First-Line Chemotherapy in Advanced Solid Tumors
We'll reach out to this number within 24 hrs