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| ID | Type | Description | Link |
|---|---|---|---|
| 2019-003303-35 | EudraCT Number |
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| Name | Class |
|---|---|
| AstraZeneca | INDUSTRY |
| Epizyme, Inc. | INDUSTRY |
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Umbrella study structure to independently and simultaneously assess the effects of the association of durvalumab and tazemetostat in multiple solid tumors.
4 independant, multicenter, prospective, signle-arm phase II trials, based on 2-stage Simon's optimal design, will be conducted in parallel to assess the efficacy of durvalumab when prescribed with tazemetostat, separately, in distinct cohorts of solid tumors:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort A: pancreatic cancer | Experimental | Patients with pancreatic cancer will be treated by durvalumab prescribed in association with tazemetostat |
|
| Cohort B: not MSI-H or MMR-deficient colorectal cancer | Experimental | Patients with colorectal cancer will be treated bydurvalumab prescribed in association with tazemetostat |
|
| Cohort C: metastatic solid tumor | Experimental | Patients with metastatic solid with positive interferon gamma signature and/or presence of tertiary lymphoid structurestumor will be treated bydurvalumab prescribed in association with tazemetostat |
|
| Cohort D: soft-tissue sarcoma | Experimental | Patients with soft-tissue sarcoma will be treated by durvalumab prescribed in association with tazemetostat |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Durvalumab | Drug | Durvalumab will be administered by intraveinous infusion (1120 mg) on day 1, every 3 weeks. Treatment by durvalumab will start on Day 22 (i.e., day 1 of cycle 2) |
| Measure | Description | Time Frame |
|---|---|---|
| Assessment of antitumor activity of durvalumab combined with tazemetostat for cohort A | Antitumor activity will be assessed in terms of disease control rate, defined as complete response (CR), partial response (PR) and stable disease (SD) as per RECIST v1.1 criteria | Within 6 months of treatment onset |
| Assessment of antitumor activity of durvalumab combined with tazemetostat for cohort B | Antitumor activity will be assessed in terms of disease control rate, defined as CR, PR and SD as per RECIST v1.1 criteria | Within 6 months of treatment onset |
| Assessment of antitumor activity of durvalumab combined with tazemetostat for cohort C | Antitumor activity will be assessed in terms of objective response rate, defined as CR and PR as per RECIST v1.1 criteria | Within 6 months of treatment onset |
| Assessment of antitumor activity of durvalumab combined with tazemetostat for cohort D | Antitumor activity will be assessed in terms of 6-months progression-free rate, defined as CR, PR and SD as per RECIST v1.1 criteria | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Assessment of antitumor activity of durvalumab combined with tazemetostat for cohort D | Antitumor activity will be assessed in terms of objective response rate, defined as CR and PR as per RECIST v1.1 criteria | Within 6 months of treatment onset |
| Assessment of antitumor activity of durvalumab combined with tazemetostat for cohort A |
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Inclusion Criteria:
Histology: histologically confirmed solid tumors including pancreatic cancer (cohort A), non MSI-H or MMR-deficient colorectal cancer (cohort B), solid tumor with positive IFNG gene expression signature and/or tertiary lymphoid structure positive (cohort C), soft-tissue sarcomas (Cohort D). Other solid tumor types may be included through future amendment of the current version of the study protocol.
Note: for cohort C, IFNG gene expression and/or presence of tertiary lymphoid structure will be centrally assessed. Cohort D, diagnosis must be confirmed and reviewed by the RRePS Network.as recommended by the French NCI (Inca).
For cohort C, availability of archived FFPE tumor tissue sample for IFNG gene expression assessment and/or determination of the presence of tertiary lymphoid structure,
Advanced disease defined as metastatic or unresectable locally advanced disease,
Age ≥ 18 years,
ECOG, Performance status ≤ 1,
Measurable disease according to RECIST
Life expectancy > 3 months,
Participant must have advanced disease and must not be a candidate for other approved therapeutic regimen known to provide significant clinical benefit based on investigator judgment,
Adequate hematological, renal, metabolic and hepatic functions
No prior or concurrent malignant disease diagnosed or treated in the last 2 years except for adequately treated in situ carcinoma of the cervix, basal or squamous skin cell carcinoma, or in situ transitional bladder cell carcinoma,
At least three weeks since last chemotherapy, immunotherapy or any other pharmacological treatment and/or radiotherapy,
Recovery to grade ≤ 1 from any adverse event (AE) derived from previous treatment, excluding alopecia of any grade and non-painful peripheral neuropathy grade ≤ 2
Women of childbearing potential must have a negative serum pregnancy test within 7 days prior to inclusion.
Both women and men must agree to use a highly effective method of contraception throughout the treatment period and for at least nine months after discontinuation of treatment for women and six months after discontinuation of treatment for men.
Voluntary signed and dated written informed consents prior to any specific study procedure,
Participants with a social security in compliance with the French law.
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Institut Bergonie | Bordeaux | 33076 | France | |||
| CHRU Brest |
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| ID | Term |
|---|---|
| D000072717 | Tertiary Lymphoid Structures |
| D010190 | Pancreatic Neoplasms |
| D012509 | Sarcoma |
| D015179 | Colorectal Neoplasms |
| ID | Term |
|---|---|
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
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| ID | Term |
|---|---|
| C000613593 | durvalumab |
| C000593333 | tazemetostat |
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4 independant single-arm, phase II trials, based on 2-stage Simon's optimal design:
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| Tazemetostat | Drug | Tazemetostat will be administered per-os, twice daily (800 mg x 2), continuously. Treatment by tazemetostat will start on day 1 (of cycle1). |
|
Antitumor activity will be assessed in terms of 6-months progression-free rate, defined as CR, PR and SD as per RECIST v1.1 criteria |
| 6 months |
| Assessment of antitumor activity of durvalumab combined with tazemetostat for cohort B | Antitumor activity will be assessed in terms of 6-months progression-free rate, defined as CR, PR and SD as per RECIST v1.1 criteria | 6 months |
| Assessment of antitumor activity of durvalumab combined with tazemetostat for cohort C | Antitumor activity will be assessed in terms of 6-months progression-free rate, defined as CR, PR and SD as per RECIST v1.1 criteria | 6 months |
| 6-month objective response (OR) independently for each population | Objective response is defined as the proportion of patients with complete response (CR) or partial response (PR) observed at 6 months, based on RECIST 1.1 criteria | 6 months |
| Best overall response, independently for each population | Best overall response is defined as the best response across all time points (RECIST 1.1). The best overall response is determinded once all the data for the patient is known (RECIST 1.1) | Throughout the treatment period, an expected average of 6 months |
| 1-year progression-free survival, independently for each population | Progression-free survival is defined as the delay between the start date of treatment and the date of progression (as per RECIST 1.1) or death (from any cause), whichever occurs first | 1 year |
| 1-year overall survival, independently for each population | Overall survival is defined as the delay between the start date of treatment and the date of death (of any cause) | 1 year |
| Safety profile, independently for each population: Common Terminology Criteria for adverse events version 5 | Toxicity graded using the Common Terminology Criteria for Adverse Events vers 5 | Throughout the treatment period, an expected average of 6 months |
| Tumor immune cell levels | Levels of immune cells in tumors will be measured by immunohistochemistry | before treatment onset, cycle 2 day 1 and cycle 3 day 1 (each cycle is 21 days) |
| Blood cytokines level | Levels of cytokines in blood will be measured by ELISA | before treatment onset, cycle 2 day 1, cycle 3 day 1 and treatment discontinuation (each cycle is 21 days) |
| Blood lymphocytes level | Levels of lymphocytes in blood will be measured by flow cytometry | before treatment onset, cycle 2 day 1, cycle 3 day 1 and treatment discontinuation (each cycle is 21 days) |
| Blood kynurenin level | Levels of kynurenin in blood will be measured by ELISA | before treatment onset, cycle 2 day 1, cycle 3 day 1 and treatment discontinuation (each cycle is 21 days) |
| Brest |
| 29200 |
| France |
| CHU Poitiers | Poitiers | 86000 | France |
| D009369 | Neoplasms |
| D004701 | Endocrine Gland Neoplasms |
| D004066 | Digestive System Diseases |
| D010182 | Pancreatic Diseases |
| D004700 | Endocrine System Diseases |
| D018204 | Neoplasms, Connective and Soft Tissue |
| D009370 | Neoplasms by Histologic Type |
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |