NCT07391670

Brief Summary

The purpose of the study is to determine a subcutaneous (SC: under the skin) durvalumab + recombinant human hyaluronidase (rHu) dose that yields systemic drug exposure similar to intravenous (IV: into the veins) durvalumab administration and to evaluate the pharmacokinetics and safety of SC durvalumab + rHu injection in participants with different types of solid tumours (cancers).

Trial Health

83
On Track

Trial Health Score

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

Enrollment
40

participants targeted

Target at P50-P75 for phase_1

Timeline
16mo left

Started Mar 2026

Geographic Reach
5 countries

19 active sites

Status
recruiting

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

Study Progress7%
Mar 2026Aug 2027

First Submitted

Initial submission to the registry

January 30, 2026

Completed
7 days until next milestone

First Posted

Study publicly available on registry

February 6, 2026

Completed
2 months until next milestone

Study Start

First participant enrolled

March 31, 2026

Completed
1.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 30, 2027

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 30, 2027

Last Updated

April 17, 2026

Status Verified

April 1, 2026

Enrollment Period

1.4 years

First QC Date

January 30, 2026

Last Update Submit

April 14, 2026

Conditions

Keywords

PharmacokineticsNon-small cell lung cancer (Stage III, unresectable)Small cell lung cancer (Limited stage)Hepatocellular carcinoma (Unresectable)SubcutaneousHuman hyaluronidaseMonoclonal antibodyProgrammed cell death ligand 1 (PD-L1)Programmed cell death protein 1Anticancer therapy

Outcome Measures

Primary Outcomes (2)

  • Area under the concentration-time curve

    To characterise the AUC of SC durvalumab.

    From first dose of study intervention (Day 1), at predefined intervals throughout the administration of durvalumab (approximately 17 months).

  • Observed lowest concentration before the next dose is administered (Ctrough)

    To characterise the Ctrough of SC durvalumab

    From first dose of study intervention (Day 1), at predefined intervals throughout the administration of durvalumab (approximately 17 months).

Secondary Outcomes (10)

  • Area under the concentration-time curve from time 0 to last quantifiable concentration (AUClast)

    From first dose of study intervention (Day 1), at predefined intervals throughout the administration of durvalumab (approximately 17 months).

  • Maximum observed concentration (Cmax)

    From first dose of study intervention (Day 1), at predefined intervals throughout the administration of durvalumab (approximately 17 months).

  • Time to reach maximum concentration following drug administration (tmax)

    From first dose of study intervention (Day 1), at predefined intervals throughout the administration of durvalumab (approximately 17 months).

  • Terminal elimination half-life (t1/2λz)

    From first dose of study intervention (Day 1), at predefined intervals throughout the administration of durvalumab (approximately 17 months).

  • Total body clearance/apparent total body clearance (CL[/F])

    From first dose of study intervention (Day 1), at predefined intervals throughout the administration of durvalumab (approximately 17 months).

  • +5 more secondary outcomes

Study Arms (3)

Part 1: SC Durvalumab DL1

EXPERIMENTAL

Participants will receive DL1 of SC durvalumab + rHu followed by IV durvalumab at predefined intervals.

Drug: SC durvalumab + rHuDrug: IV durvalumabDrug: Tremelimumab

Part 1: SC Durvalumab DL2

EXPERIMENTAL

Participants will receive DL2 of SC durvalumab + rHu followed by IV durvalumab at predefined intervals.

Drug: SC durvalumab + rHuDrug: IV durvalumabDrug: Tremelimumab

Part 2: Expansion Cohort, SC Durvalumab Dose Level X

EXPERIMENTAL

Participants will receive dose level X (determined from data analysis in Part 1) of SC durvalumab + rHu followed by IV durvalumab at predefined intervals.

Drug: SC durvalumab + rHuDrug: IV durvalumabDrug: Tremelimumab

Interventions

Durvalumab + rHu will be administered subcutaneously.

Part 1: SC Durvalumab DL1Part 1: SC Durvalumab DL2Part 2: Expansion Cohort, SC Durvalumab Dose Level X

Durvalumab will be administered intravenously.

Also known as: MEDI4736
Part 1: SC Durvalumab DL1Part 1: SC Durvalumab DL2Part 2: Expansion Cohort, SC Durvalumab Dose Level X

Tremelimumab will be administered to participants with unresectable HCC as an IV infusion.

Part 1: SC Durvalumab DL1Part 1: SC Durvalumab DL2Part 2: Expansion Cohort, SC Durvalumab Dose Level X

Eligibility Criteria

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

You may qualify if:

  • An Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  • Life expectancy of ≥ 12 weeks at enrolment.
  • Adequate organ and marrow function.
  • Minimum body weight \> 30 kg.
  • Part 1 only:
  • Locally Advanced Unresectable (Stage III) NSCLC Participants -
  • Histological or cytological documented evidence of NSCLC (locally advanced, unresectable, Stage III).
  • Must have received at least 2 cycles of platinum-based chemotherapy concurrent with definitive radiation therapy.
  • Have not progressed following definitive concurrent chemoradiation.
  • LS-SCLC Participants -
  • Histologically or cytologically documented LS-SCLC (Stage I-III).
  • Received 4 cycles of chemotherapy concurrent with radiotherapy, which must be completed within 1 to 42 days prior to enrolment.
  • Have not progressed following definitive concurrent chemoradiation.
  • Part 1 and 2:
  • Unresectable HCC Participants -
  • +5 more criteria

You may not qualify if:

  • Active or prior documented autoimmune disease requiring systemic treatment.
  • Uncontrolled infection (including human immunodeficiency virus \[HIV\], hepatitis B or C).
  • Prior exposure to immune checkpoint inhibitors.
  • Part 1 only:
  • Locally Advanced Unresectable (Stage III) NSCLC Participants -
  • Mixed SCLC and NSCLC histology.
  • Active pneumonitis or interstitial lung disease requiring systemic therapy.
  • LS SCLC Participants -
  • Mixed SCLC and NSCLC histology.
  • Extensive-stage disease.
  • History of Grade ≥ 2 pneumonitis.
  • Part 1 and 2:
  • Unresectable HCC Participants -
  • Hepatic encephalopathy.
  • Uncontrolled ascites.
  • +1 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (19)

Research Site

Fitzroy, 3065, Australia

NOT YET RECRUITING

Research Site

St Albans, 3021, Australia

NOT YET RECRUITING

Research Site

Woolloongabba, 4102, Australia

NOT YET RECRUITING

Research Site

Batumi, 6010, Georgia

NOT YET RECRUITING

Research Site

Tbilisi, 0112, Georgia

RECRUITING

Research Site

Tbilisi, 0114, Georgia

RECRUITING

Research Site

Brzozów, 36-200, Poland

NOT YET RECRUITING

Research Site

Koszalin, 75-581, Poland

NOT YET RECRUITING

Research Site

Lublin, 20-090, Poland

NOT YET RECRUITING

Research Site

Olsztyn, 10-357, Poland

NOT YET RECRUITING

Research Site

Przemyśl, 37-700, Poland

NOT YET RECRUITING

Research Site

Seongnam-si, 13620, South Korea

NOT YET RECRUITING

Research Site

Seoul, 03722, South Korea

NOT YET RECRUITING

Research Site

Seoul, 06351, South Korea

RECRUITING

Research Site

Seoul, 5505, South Korea

RECRUITING

Research Site

Tainan, 73657, Taiwan

NOT YET RECRUITING

Research Site

Taipei, 110, Taiwan

NOT YET RECRUITING

Research Site

Taipei, 112, Taiwan

NOT YET RECRUITING

Research Site

Taoyuan District, 333, Taiwan

NOT YET RECRUITING

Related Links

MeSH Terms

Conditions

Carcinoma, Non-Small-Cell LungSmall Cell Lung CarcinomaCarcinoma, Hepatocellular

Interventions

durvalumabtremelimumab

Condition Hierarchy (Ancestors)

Carcinoma, BronchogenicBronchial NeoplasmsLung NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsNeoplasms by SiteNeoplasmsLung DiseasesRespiratory Tract DiseasesAdenocarcinomaCarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypeLiver NeoplasmsDigestive System NeoplasmsDigestive System DiseasesLiver Diseases

Central Study Contacts

AstraZeneca Clinical Study Information Center

CONTACT

Study Design

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

Study Record Dates

First Submitted

January 30, 2026

First Posted

February 6, 2026

Study Start

March 31, 2026

Primary Completion (Estimated)

August 30, 2027

Study Completion (Estimated)

August 30, 2027

Last Updated

April 17, 2026

Record last verified: 2026-04

Data Sharing

IPD Sharing
Will share

Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal Vivli.org. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

Time Frame
AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA PhRMA Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
Access Criteria
When a request has been approved AstraZeneca will provide access to the anonymized individual patient-level data via secure research environment Vivli.org. Signed Data Usage Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information.
More information

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