NCT02658214

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.

Trial Health

90
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
32

participants targeted

Target at P50-P75 for phase_1

Timeline
Completed

Started Apr 2016

Typical duration for phase_1

Geographic Reach
2 countries

6 active sites

Status
completed

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

January 11, 2016

Completed
7 days until next milestone

First Posted

Study publicly available on registry

January 18, 2016

Completed
3 months until next milestone

Study Start

First participant enrolled

April 28, 2016

Completed
3.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 14, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 14, 2019

Completed
Last Updated

August 20, 2020

Status Verified

August 1, 2020

Enrollment Period

3.5 years

First QC Date

January 11, 2016

Last Update Submit

August 19, 2020

Conditions

Keywords

durvalumab, tremelimumab, metastatic, solid tumors, immuno-oncology, first-line chemotherapy, esophageal, pancreatic

Outcome Measures

Primary Outcomes (3)

  • Laboratory findings (including: clinical chemistry, hematology, and urinalysis)

    To assess the safety and tolerability profile of first-line chemotherapy in combination with durvalumab + tremelimumab

    Throughout the study, approximately three years

  • 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

    Throughout the study, approximately three years

  • 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)

    Throughout the study, approximately three years (for cohort 6 only)

Study Arms (7)

Cohort 1

EXPERIMENTAL

ovarian/peritoneal/fallopian tube cancer and squamous cell carcinoma of the head and neck (SCCHN)

Drug: paclitaxel + carboplatinBiological: durvalumabBiological: tremelimumab

Cohort 2

EXPERIMENTAL

Small-cell lung cancer (SCLC)

Drug: carboplatin + etoposideBiological: durvalumabBiological: tremelimumab

Cohort 3

EXPERIMENTAL

Triple-negative breast cancer (TNBC)

Drug: gemcitabine + carboplatinBiological: durvalumabBiological: tremelimumab

Cohort 4

EXPERIMENTAL

Triple-negative breast cancer (TNBC)

Drug: nab-paclitaxel (paclitaxel-albumin) + carboplatinBiological: durvalumabBiological: tremelimumab

Cohort 5

EXPERIMENTAL

Gastric/gastro-esophageal junction (GEJ)

Drug: oxaliplatin + 5-fluorouracil (5FU) + leucovorin (calcium folinate/folinic acid)Biological: durvalumabBiological: tremelimumab

Cohort 6

EXPERIMENTAL

Pancreatic ductal adenocarcinoma (PDAC)

Biological: durvalumabBiological: tremelimumabDrug: nab-paclitaxel (paclitaxel-albumin) + gemcitabine

Cohort 7

EXPERIMENTAL

Esophageal squamous cell carcinoma (ESCC)

Biological: durvalumabBiological: tremelimumabDrug: cisplatin + 5-fluorouracil (5FU)

Interventions

IV infusion

Also known as: Platinum based Standard of Care Chemotherapy
Cohort 1

IV infusion

Also known as: Platinum based Standard of Care Chemotherapy
Cohort 2

IV infusion

Also known as: Platinum based Standard of Care Chemotherapy
Cohort 3

IV infusion

Also known as: Platinum based Standard of Care Chemotherapy
Cohort 4

IV infusion and bolus administration

Also known as: Platinum based Standard of Care Chemotherapy
Cohort 5
durvalumabBIOLOGICAL

IV infusion

Also known as: MEDI4736
Cohort 1Cohort 2Cohort 3Cohort 4Cohort 5Cohort 6Cohort 7
tremelimumabBIOLOGICAL

IV infusion

Cohort 1Cohort 2Cohort 3Cohort 4Cohort 5Cohort 6Cohort 7

IV infusion

Also known as: Standard of Care Chemotherapy
Cohort 6

IV infusion

Also known as: Platinum based Standard of Care Chemotherapy
Cohort 7

Eligibility Criteria

Age18 Years - 99 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • ≥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

You may not qualify if:

  • 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)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (6)

Research Site

Chūōku, 104-0045, Japan

Location

Research Site

Kashiwa, 277-8577, Japan

Location

Research Site

Seoul, 03080, South Korea

Location

Research Site

Seoul, 03722, South Korea

Location

Research Site

Seoul, 05505, South Korea

Location

Research Site

Seoul, 135-710, South Korea

Location

Related Publications (1)

  • Lee DH, Kim HR, Keam B, Kato K, Kuboki Y, Gao H, Yovine A, Robbins SH, Ahn MJ. Safety and tolerability of first-line durvalumab with tremelimumab and chemotherapy in esophageal squamous cell carcinoma. Cancer Med. 2023 Aug;12(15):16066-16075. doi: 10.1002/cam4.6260. Epub 2023 Jul 25.

Related Links

MeSH Terms

Conditions

Small Cell Lung CarcinomaSquamous Cell Carcinoma of Head and NeckStomach NeoplasmsTriple Negative Breast NeoplasmsOvarian NeoplasmsFallopian Tube NeoplasmsPeritoneal NeoplasmsCarcinoma, Pancreatic DuctalEsophageal Squamous Cell CarcinomaNeoplasm Metastasis

Interventions

CP protocolEC regimenGemcitabineCarboplatin130-nm albumin-bound paclitaxelOxaliplatinFluorouracilLeucovorindurvalumabtremelimumabCisplatin

Condition Hierarchy (Ancestors)

Carcinoma, BronchogenicBronchial NeoplasmsLung NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsNeoplasms by SiteNeoplasmsLung DiseasesRespiratory Tract DiseasesCarcinoma, Squamous CellCarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypeHead and Neck NeoplasmsGastrointestinal NeoplasmsDigestive System NeoplasmsDigestive System DiseasesGastrointestinal DiseasesStomach DiseasesBreast NeoplasmsBreast DiseasesSkin DiseasesSkin and Connective Tissue DiseasesEndocrine Gland NeoplasmsOvarian DiseasesAdnexal DiseasesGenital Diseases, FemaleFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesGenital Neoplasms, FemaleUrogenital NeoplasmsGenital DiseasesEndocrine System DiseasesGonadal DisordersFallopian Tube DiseasesAbdominal NeoplasmsPeritoneal DiseasesCarcinoma, DuctalAdenocarcinomaNeoplasms, Ductal, Lobular, and MedullaryPancreatic NeoplasmsPancreatic DiseasesNeoplasms, Squamous CellEsophageal NeoplasmsEsophageal DiseasesNeoplastic ProcessesPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Heterocyclic CompoundsDeoxycytidineCytidinePyrimidine NucleosidesPyrimidinesHeterocyclic Compounds, 1-RingCoordination ComplexesOrganic ChemicalsUracilPyrimidinonesFormyltetrahydrofolatesTetrahydrofolatesFolic AcidPterinsPteridinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingCoenzymesEnzymes and CoenzymesChlorine CompoundsInorganic ChemicalsNitrogen CompoundsPlatinum Compounds

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 11, 2016

First Posted

January 18, 2016

Study Start

April 28, 2016

Primary Completion

November 14, 2019

Study Completion

November 14, 2019

Last Updated

August 20, 2020

Record last verified: 2020-08

Locations