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Changing trial strategy
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| Name | Class |
|---|---|
| AstraZeneca | INDUSTRY |
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This is Phase 2, open label, non randomized single arm study to determine whether the administration of vactosertib with durvalumab will provide meaningful increases in the Overall Response Rate (ORR) in patients with urothelial cancers that fail to achieve a response with anti-PD-1/PD-L1 based regimens
This is a Phase 2, open-label, non-randomized, two-cohort multi center study with a safety run-in of 6 patients in Cohort 1. It is anticipated that a total of 48 patients will be enrolled.
Durvalumab will be administered with the standard regimen of 1500 mg intravenously (IV) every four weeks. Vactosertib will be administered at a dose of 300 mg PO BID for 5 days per week All treatment will be administered up to two years and the trial is anticipated to be completed over a period of 36 months.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Vactosertib+Durvalumab | Experimental | Vactosertib will be administered in combination with standard dose of durvalumab every four weeks. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Vactosertib(TEW-7197)/ Durvalumab | Drug | Vactosertib (PO) in combination with Durvalumab (IV) every 4 weeks |
|
| Measure | Description | Time Frame |
|---|---|---|
| Overall Response Rate | ORR by RECIST version 1.1 | 12months |
| Measure | Description | Time Frame |
|---|---|---|
| Time to Tumor Response | TTR by RECIST version 1.1 and iRECIST | Overall study period up to 3years |
| Best Response | Best response (percent of tumor shrinkage) by RECIST version 1.1 and iRECIST |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Lawrence Fong, MD | University of California, San Francisco | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of California San Francisco | San Francisco | California | 94158 | United States | ||
| Roswell Park Comprehensive Cancer Center |
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| ID | Term |
|---|---|
| C000613593 | durvalumab |
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Phase 2, open label, non randomized single arm study with two cohorts and a safety run-in for first six patients
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| Overall study period up to 3years |
| Duration of Response | DoR by RECIST version 1.1 and iRECIST | Overall study period up to 3years |
| Progression Free Survival | PFS by RECIST version 1.1 and iRECIST | 6-month/ 12-month |
| Overall survival | OS by RECIST version 1.1 and iRECIST | 12month |
| Tumor-specific immune responses | tumor-specific immune responses within on-therapy biopsies measured by increased T cell infiltration and increased IFN-λ signature. and the correlation with outcome as measured by ORR, TTR, DoR, PFS and OS | Overall study period up to 3years |
| Incidence of Treatment-Emergent Adverse Events [Safety and tolerability] | To assess safety and tolerability of vactosertib administered concurrent with Durvalumab in patients with urothelial carcinoma failing checkpoint inhibition | Overall study period up to 3years |
| Buffalo |
| New York |
| 14263 |
| United States |