Immune-Modulated Study of Selected Small Molecules (Gefitinib, AZD9291, or Selumetinib + Docetaxel) or a 1st Immune-Mediated Therapy (IMT; Tremelimumab) With a Sequential Switch to a 2nd IMT (MEDI4736) in Patients With Locally Advanced or Metastatic Non-Small-Cell Lung Cancer
A Phase IIa, Open-Label, Multi-Center, Multi-Cohort, Immune-Modulated Study of Selected Small Molecules (Gefitinib, AZD9291, or Selumetinib + Docetaxel) or a 1st Immune-Mediated Therapy (IMT; Tremelimumab) With a Sequential Switch to a 2nd IMT (MEDI4736) in Patients With Locally Advanced or Metastatic Non-Small-Cell Lung Cancer (Stage IIIB-IV)
1 other identifier
interventional
32
1 country
10
Brief Summary
Primary objective: To assess the efficacy of various sequences of either a small molecule or an IMT (IMT-A) followed by a IMT-B (MEDI4736) .
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2
Started Jul 2014
10 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 30, 2014
CompletedFirst Posted
Study publicly available on registry
July 2, 2014
CompletedStudy Start
First participant enrolled
July 25, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 11, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
June 11, 2016
CompletedResults Posted
Study results publicly available
August 2, 2019
CompletedAugust 2, 2019
August 1, 2019
1.9 years
June 30, 2014
June 1, 2017
August 1, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Confirmed Complete Response (CR) Rate
To assess the efficacy of various sequences. CR (per RECIST 1.1 as assessed by the local/site Investigator) is defined as the disappearance of all target and non-target lesions. Confirmed complete response rate (CR rate) is defined as the number (%) of patients with a confirmed overall response of CR and was based on the evaluable analysis set.
Up to 2 years
Secondary Outcomes (4)
Objective Response Rate (ORR)
Up to 2 years
Progression-free Survival
Up to 2 years
Duration of Response
Within 12 months
Overall Survival
Up to 2 years
Study Arms (4)
Gefitinib with a Seq. Switch to a MEDI4736
EXPERIMENTALGefitinib once daily followed by MEDI4736
AZD9291 with a Seq. Switch to a MEDI4736
EXPERIMENTALAZD9291 once daily followed by MEDI4736
Selumetinib+Docetaxel with a Seq. Switch to a MEDI4736
EXPERIMENTALSelumetinib twice daily + docetaxel, followed by MEDI4736
Tremelimumab with a Seq. Switch to a MEDI4736
EXPERIMENTALTremelimumab every 4 weeks followed by MEDI4736
Interventions
Selumetinib twice daily + docetaxel, followed by MEDI4736
Tremelimumab every 4 weeks followed by MEDI4736
Eligibility Criteria
You may qualify if:
- Provision of archived tumor tissue sample and mandatory tissue biopsy
- Patients must have either histologically or cytologically documented NSCLC who present with locally advanced or metastatic stage IIIB-IV disease
- Life expectancy ≥12 weeks
- Patients must have measurable disease and at least 1 lesion not previously irradiated
- World Health Organization (WHO) performance status of 0 or 1
You may not qualify if:
- Mixed small cell and NSCLC histology
- Prior exposure to any anti-PD-1 or anti-PD-L1 antibody
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- AstraZenecalead
- Quintiles, Inc.collaborator
Study Sites (10)
Research Site
Goodyear, Arizona, 85338, United States
Research Site
Washington D.C., District of Columbia, 20007, United States
Research Site
Augusta, Georgia, 30912, United States
Research Site
Marietta, Georgia, 30060, United States
Research Site
Ashland, Kentucky, 41101, United States
Research Site
St Louis, Missouri, 63110, United States
Research Site
Mineola, New York, 11501, United States
Research Site
Huntersville, North Carolina, 28078, United States
Research Site
Spokane, Washington, 99208-1129, United States
Research Site
Tacoma, Washington, 98405, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Phillip Dennis
- Organization
- AstraZeneca
Study Officials
- PRINCIPAL INVESTIGATOR
Samir N. Khleif, MD
International Coordinating Investigator
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 30, 2014
First Posted
July 2, 2014
Study Start
July 25, 2014
Primary Completion
June 11, 2016
Study Completion
June 11, 2016
Last Updated
August 2, 2019
Results First Posted
August 2, 2019
Record last verified: 2019-08