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| ID | Type | Description | Link |
|---|---|---|---|
| 2015-003715-38 | EudraCT Number |
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The purpose of this study is to determine if MEDI4736 will be adequately tolerated in combination with tremelimumab in subjects with advanced non-small cell lung cancer (NSCLC).
This is a multicenter, open-label, dose-escalation, and dose expansion study of MEDI4736 in combination with tremelimumab to evaluate the safety, tolerability, pharmacokinetic (PK), immunogenicity, and antitumor activity of MEDI4736 in combination with tremelimumab in adult subjects with advanced NSCLC.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dose Escalation | Experimental | MEDI4736 and tremelimumab received by intravenous infusion. |
|
| Arm A | Experimental | Medi4736 and tremelimumab received by intravenous infusion |
|
| Arm B | Experimental | MEDI4736 and tremelimumab received by intravenous infusion |
|
| Arm C | Experimental | MEDI4736 and tremelimumab received by intravenous infursion |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| MEDI4736 | Drug | MEDI4736 is an anti-PD-L1 monoclonal antibody (MAb). |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of subjects reporting adverse events | The number of subjects reporting adverse events (AEs) and number (percentage) of subjects reporting serious adverse events (SAEs) as graded by CTCAE Version 4.03 | Screening through 90 days after the last dose of study medication |
| Objective response | Best overall response of confirmed complete response (CR) or confirmed partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 as defined as the best response among all overall responses recorded from the start of treatment until progression, or the last evaluable disease assessment in the absence of progressive disease (PD) prior to the initiation of subsequent anti-cancer therapy, or discontinuation from the study, whichever occurs first. | At least 24 weeks as compared to baseline |
| Number of subjects experiencing dose-limiting toxicities (DLTs) | The maximum tolerated dose (MTD), which is the highest dose within a cohort where no more than 1 out of 6 subjects experience DLTs or the highest protocol-defined dose for each agent in the absence of exceeding the MTD, will be evaluated using the following safety assessments: adverse events, serious advents, laboratory evaluations, vital signs, physical examinations, and electrocardiogram (ECG) results. Measurements will be aggregated to determine whether a subject has experienced a DLT as assessed by the investigator. | Depending upon the cohort, the DLT evaluation period is from the 1st dose of study medication until (1) the 3rd dose of MEDI4736 and tremelimumab (2) the 2nd dose of MEDI4736 and tremelimumab or (3) the 3rd dose of MEDI4736 and 2nd dose of tremelimumab |
| Measure | Description | Time Frame |
|---|---|---|
| Immunogenicity of tremelimumab in combination with MEDI4736 | Immunogenicity of MEDI4736 and tremelimumab will include the number and percentage of subjects who develop detectable anti-drug antibodies (ADAs). | During treatment through study completion, about 2 years |
| Antitumor activity of tremelimumab in combination with MEDI4736 |
| Measure | Description | Time Frame |
|---|---|---|
| Biomarkers | To evaluate biomarkers that may correlate with clinical activity of MEDI4736 in combination with tremelimumab | During treatment through study completion, about 2 years |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| MedImmune LLC | MedImmune LLC | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Research Site | Birmingham | Alabama | 35294-3300 | United States | ||
| Research Site |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37146752 | Derived | Garon EB, Spira AI, Goldberg SB, Chaft JE, Papadimitrakopoulou V, Cascone T, Antonia SJ, Brahmer JR, Camidge DR, Powderly JD, Wozniak AJ, Felip E, Wu S, Ascierto ML, Elgeioushi N, Awad MM. Brief Report: Safety and Antitumor Activity of Durvalumab Plus Tremelimumab in Programmed Cell Death-(Ligand)1-Monotherapy Pretreated, Advanced NSCLC: Results From a Phase 1b Clinical Trial. J Thorac Oncol. 2023 Aug;18(8):1094-1102. doi: 10.1016/j.jtho.2023.04.020. Epub 2023 May 4. | |
| 26858122 |
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| Tremelimumab | Drug | Tremelimumab is an anti-CTLA4 monoclonal antibody (mAb). |
|
| tremelimumab | Drug | Tremelimumab is an anti-CTLA4 monoclonal antibody (mAb). |
|
Antitumor activity will include objective response (OR) and disease control (DC) based on RECIST Version 1.1, duration of response (DoR), progression-free survival (PFS), and overall survival (OS). |
| During treatment through study completion, about 2 years |
| Pharmacokinetic parameters | Assessment of PK of MEDI4736 and tremelimumab will include individual MEDI4736 and tremelimumab concentrations in serum, and PK parameters including peak concentration (Cmax), area under the concentration-time curve (AUC), clearance (CL), and half-life (t½). | During treatment through study completion, about 2 years |
| Number of subjects reporting adverse events | The number of subjects reporting adverse events (AEs) and number (percentage) of subjects reporting serious adverse events (SAEs) as graded by CTCAE Version 4.03 | Screening through 90 days after the last dose of study medication |
| Tucson |
| Arizona |
| 85715 |
| United States |
| Research Site | Los Angeles | California | 90025 | United States |
| Research Site | Los Angeles | California | 90095 | United States |
| Research Site | San Francisco | California | 94158 | United States |
| Research Site | Aurora | Colorado | 80045 | United States |
| Research Site | New Haven | Connecticut | 06510 | United States |
| Research Site | Newark | Delaware | 19713 | United States |
| Research Site | Tampa | Florida | 33612 | United States |
| Research Site | Indianapolis | Indiana | 46202 | United States |
| Research Site | Baltimore | Maryland | 21287 | United States |
| Research Site | Boston | Massachusetts | 02114 | United States |
| Research Site | Boston | Massachusetts | 02215 | United States |
| Research Site | Ann Arbor | Michigan | 48109 | United States |
| Research Site | Detroit | Michigan | 48201 | United States |
| Research Site | St Louis | Missouri | 63110 | United States |
| Research Site | Lebanon | New Hampshire | 03756 | United States |
| Research Site | New York | New York | 10032 | United States |
| Research Site | New York | New York | 10065 | United States |
| Research Site | Huntersville | North Carolina | 28078 | United States |
| Research Site | Columbus | Ohio | 43210 | United States |
| Research Site | Portland | Oregon | 97213 | United States |
| Research Site | Fort Worth | Texas | 76104 | United States |
| Research Site | Houston | Texas | 77521 | United States |
| Research Site | Tyler | Texas | 75702 | United States |
| Research Site | Fairfax | Virginia | 22031 | United States |
| Research Site | Seattle | Washington | 98109 | United States |
| Research Site | Morgantown | West Virginia | 26506 | United States |
| Research Site | Darlinghurst | 2010 | Australia |
| Research Site | Gosford | 2250 | Australia |
| Research Site | Kogarah | 2217 | Australia |
| Research Site | Brussels | 1000 | Belgium |
| Research Site | Ghent | 9000 | Belgium |
| Research Site | Liège | 4000 | Belgium |
| Research Site | Bordeaux | 33076 | France |
| Research Site | Dijon | 21079 | France |
| Research Site | La Tronche | 38043 | France |
| Research Site | Lille | 59000 | France |
| Research Site | Lyon | 69008 | France |
| Research Site | Marseille | 13385 | France |
| Research Site | Montpellier | 34298 | France |
| Research Site | Saint-Herblain | 44805 | France |
| Research Site | Bologna | 40138 | Italy |
| Research Site | Milan | 20141 | Italy |
| Research Site | Rozzano | 20089 | Italy |
| Research Site | Saronno | 21047 | Italy |
| Research Site | Siena | 53100 | Italy |
| Research Site | Sondrio | 23100 | Italy |
| Research Site | Cheongju-si | 28644 | South Korea |
| Research Site | Incheon | 405-760 | South Korea |
| Research Site | Seongnam-si | 13620 | South Korea |
| Research Site | Seoul | 02841 | South Korea |
| Research Site | Seoul | 03080 | South Korea |
| Research Site | Seoul | 05368 | South Korea |
| Research Site | Seoul | 06351 | South Korea |
| Research Site | Seoul | 120-752 | South Korea |
| Research Site | Seoul | 138-736 | South Korea |
| Research Site | Barcelona | 08028 | Spain |
| Research Site | Barcelona | 08035 | Spain |
| Research Site | Jaén | 23007 | Spain |
| Research Site | Madrid | 28034 | Spain |
| Research Site | Madrid | 28041 | Spain |
| Research Site | Málaga | 29730 | Spain |
| Research Site | Seville | 41013 | Spain |
| Research Site | Valencia | 46015 | Spain |
| Research Site | Tainan | 704 | Taiwan |
| Research Site | Taipei | 10048 | Taiwan |
| Research Site | London | W1G 6AD | United Kingdom |
| Research Site | Manchester | M20 4BX | United Kingdom |
| Derived |
| Antonia S, Goldberg SB, Balmanoukian A, Chaft JE, Sanborn RE, Gupta A, Narwal R, Steele K, Gu Y, Karakunnel JJ, Rizvi NA. Safety and antitumour activity of durvalumab plus tremelimumab in non-small cell lung cancer: a multicentre, phase 1b study. Lancet Oncol. 2016 Mar;17(3):299-308. doi: 10.1016/S1470-2045(15)00544-6. Epub 2016 Feb 6. |
| ID | Term |
|---|---|
| D002289 | Carcinoma, Non-Small-Cell Lung |
| D008175 | Lung Neoplasms |
| ID | Term |
|---|---|
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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| ID | Term |
|---|---|
| C000613593 | durvalumab |
| C520704 | tremelimumab |
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