NSCLCPhase 1D4190C00006NCT02000947
A Phase 1b Study of MEDI4736 in Combination With Tremelimumab in Subjects With Advanced Non-small Cell Lung Cancer
A Phase 1 study testing MEDI4736 and Tremelimumab in people with NSCLC and Non-small Cell Lung Cancer, run by MedImmune LLC at 69 sites in 9 countries.
Trial summary
The purpose of this study is to determine if MEDI4736 will be adequately tolerated in combination with tremelimumab in subjects with advanced non-small cell lung cancer (NSCLC). Read more about this study
- Who is it for?
- Ages 18 to 101 years
- Conditions the study is for
- NSCLC, Non-small Cell Lung Cancer, Lung Cancer
- What is being tested?
- MEDI4736 and Tremelimumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 459 participants
- Where
- 69 sitesin 9 countries
- Study dates
- 25 Oct 2013to 17 Sep 2019
- Phase
- Phase 1
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 101 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Age ≥ 18 years
- Advanced non-small cell lung cancer
- Eastern Cooperative Oncology Group (ECOG) performance status of 0-1
- Adequate organ and marrow function
Who cannot join
- Any concurrent chemotherapy, immunotherapy, biologic, or hormonal therapy for cancer treatment
- Current or prior use of immunosuppressive medication within 14 days before the first dose of study drugs
- Active or prior documented autoimmune disease within the last 2 years.
Trial locations and contacts
69 sites in 9 countries.
69 sites in 9 countries
United States28 sites
Research Site
Ann Arbor, Michigan, 48109
Research Site
Aurora, Colorado, 80045
Research Site
Baltimore, Maryland, 21287
Research Site
Birmingham, Alabama, 35294-3300
Research Site
Boston, Massachusetts, 02114
Research Site
Boston, Massachusetts, 02215
Research Site
Columbus, Ohio, 43210
Research Site
Detroit, Michigan, 48201
Research Site
Fairfax, Virginia, 22031
Research Site
Fort Worth, Texas, 76104
Research Site
Houston, Texas, 77521
Research Site
Huntersville, North Carolina, 28078
Research Site
Indianapolis, Indiana, 46202
Research Site
Lebanon, New Hampshire, 03756
Research Site
Los Angeles, California, 90025
Research Site
Los Angeles, California, 90095
Research Site
Morgantown, West Virginia, 26506
Research Site
New Haven, Connecticut, 06510
Research Site
New York, New York, 10032
Research Site
New York, New York, 10065
Research Site
Newark, Delaware, 19713
Research Site
Portland, Oregon, 97213
Research Site
San Francisco, California, 94158
Research Site
Seattle, Washington, 98109
Research Site
St Louis, Missouri, 63110
Research Site
Tampa, Florida, 33612
Research Site
Tucson, Arizona, 85715
Research Site
Tyler, Texas, 75702
South Korea9 sites
Research Site
Cheongju-si, 28644
Research Site
Incheon, 405-760
Research Site
Seongnam-si, 13620
Research Site
Seoul, 02841
Research Site
Seoul, 03080
Research Site
Seoul, 05368
Research Site
Seoul, 06351
Research Site
Seoul, 120-752
Research Site
Seoul, 138-736
France8 sites
Research Site
Bordeaux, 33076
Research Site
Dijon, 21079
Research Site
La Tronche, 38043
Research Site
Lille, 59000
Research Site
Lyon, 69008
Research Site
Marseille, 13385
Research Site
Montpellier, 34298
Research Site
Saint-Herblain, 44805
Spain8 sites
Research Site
Barcelona, 08028
Research Site
Barcelona, 08035
Research Site
Jaén, 23007
Research Site
Madrid, 28034
Research Site
Madrid, 28041
Research Site
Málaga, 29730
Research Site
Seville, 41013
Research Site
Valencia, 46015
Italy6 sites
Research Site
Bologna, 40138
Research Site
Milan, 20141
Research Site
Rozzano, 20089
Research Site
Saronno, 21047
Research Site
Siena, 53100
Research Site
Sondrio, 23100
Australia3 sites
Research Site
Darlinghurst, 2010
Research Site
Gosford, 2250
Research Site
Kogarah, 2217
Belgium3 sites
Research Site
Brussels, 1000
Research Site
Ghent, 9000
Research Site
Liège, 4000
United Kingdom2 sites
Research Site
London, W1G 6AD
Research Site
Manchester, M20 4BX
About this study
Official title: A Phase 1b Open-label Study to Evaluate the Safety and Tolerability of MEDI4736 in Combination With Tremelimumab in Subjects With Advanced Non-small Cell Lung Cancer
The purpose of this study is to determine if MEDI4736 will be adequately tolerated in combination with tremelimumab in subjects with advanced non-small cell lung cancer (NSCLC).
Read the detailed description
This is a multicenter, open-label, dose-escalation, and dose expansion study of MEDI4736 in combination with tremelimumab to evaluate the safety, tolerability, pharmacokinetic (PK), immunogenicity, and antitumor activity of MEDI4736 in combination with tremelimumab in adult subjects with advanced NSCLC.
- Conditions
- NSCLC, Non-small Cell Lung Cancer, Lung Cancer
- Being tested
- MEDI4736, Tremelimumab
- Keywords
- anti-CTLA-4, anti-PD-L1, immunotherapy, IMTC
- Medical subject headings
- Carcinoma, Non-Small-Cell Lung, Lung Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
MEDI4736Drug
MEDI4736 is an anti-PD-L1 monoclonal antibody (MAb).
TremelimumabDrug
Tremelimumab is an anti-CTLA4 monoclonal antibody (mAb).
tremelimumabDrug
Tremelimumab is an anti-CTLA4 monoclonal antibody (mAb).
| Study group | Role | What they receive |
|---|---|---|
| Dose Escalation | Experimental | MEDI4736 and tremelimumab received by intravenous infusion. Receives: Drug: MEDI4736; Drug: Tremelimumab |
| Arm A | Experimental | Medi4736 and tremelimumab received by intravenous infusion Receives: Drug: MEDI4736; Drug: Tremelimumab |
| Arm B | Experimental | MEDI4736 and tremelimumab received by intravenous infusion Receives: Drug: MEDI4736; Drug: tremelimumab |
| Arm C | Experimental | MEDI4736 and tremelimumab received by intravenous infursion Receives: Drug: MEDI4736; Drug: tremelimumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of subjects reporting adverse events
The number of subjects reporting adverse events (AEs) and number (percentage) of subjects reporting serious adverse events (SAEs) as graded by CTCAE Version 4.03
Measured: Screening through 90 days after the last dose of study medication
Objective response
Best overall response of confirmed complete response (CR) or confirmed partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 as defined as the best response among all overall responses recorded from the start of treatment until progression, or the last evaluable disease assessment in the absence of progressive disease (PD) prior to the initiation of subsequent anti-cancer therapy, or discontinuation from the study, whichever occurs first.
Measured: At least 24 weeks as compared to baseline
Number of subjects experiencing dose-limiting toxicities (DLTs)
The maximum tolerated dose (MTD), which is the highest dose within a cohort where no more than 1 out of 6 subjects experience DLTs or the highest protocol-defined dose for each agent in the absence of exceeding the MTD, will be evaluated using the following safety assessments: adverse events, serious advents, laboratory evaluations, vital signs, physical examinations, and electrocardiogram (ECG) results. Measurements will be aggregated to determine whether a subject has experienced a DLT as assessed by the investigator.
Measured: Depending upon the cohort, the DLT evaluation period is from the 1st dose of study medication until (1) the 3rd dose of MEDI4736 and tremelimumab (2) the 2nd dose of MEDI4736 and tremelimumab or (3) the 3rd dose of MEDI4736 and 2nd dose of tremelimumab
Secondary outcomes (4)
Immunogenicity of tremelimumab in combination with MEDI4736
Immunogenicity of MEDI4736 and tremelimumab will include the number and percentage of subjects who develop detectable anti-drug antibodies (ADAs).
Measured: During treatment through study completion, about 2 years
Antitumor activity of tremelimumab in combination with MEDI4736
Antitumor activity will include objective response (OR) and disease control (DC) based on RECIST Version 1.1, duration of response (DoR), progression-free survival (PFS), and overall survival (OS).
Measured: During treatment through study completion, about 2 years
Pharmacokinetic parameters
Assessment of PK of MEDI4736 and tremelimumab will include individual MEDI4736 and tremelimumab concentrations in serum, and PK parameters including peak concentration (Cmax), area under the concentration-time curve (AUC), clearance (CL), and half-life (t½).
Measured: During treatment through study completion, about 2 years
Number of subjects reporting adverse events
The number of subjects reporting adverse events (AEs) and number (percentage) of subjects reporting serious adverse events (SAEs) as graded by CTCAE Version 4.03
Measured: Screening through 90 days after the last dose of study medication
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Dec 2013 (estimated)
- Study start25 Oct 2013
- Primary completion17 Sep 2019
- Study completion17 Sep 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for NSCLCStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 459 participants (actual)
Sponsor and investigators
- Lead sponsor
- MedImmune LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- MedImmune LLC, Study director, MedImmune LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02000947
- Sponsor's protocol ID
- D4190C00006
- Other IDs
- 2015-003715-38, 2015
- Acronym
- D4190C00006
- Status last verified
- Oct 2019
- First submitted
- 27 Nov 2013
- Last updated
- 31 Oct 2019
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Garon EB, Spira AI, Goldberg SB, Chaft JE, Papadimitrakopoulou V, Cascone T, Antonia SJ, Brahmer JR, Camidge DR, Powderly JD, Wozniak AJ, Felip E, Wu S, Ascierto ML, Elgeioushi N, Awad MM. Brief Report: Safety and Antitumor Activity of Durvalumab Plus Tremelimumab in Programmed Cell Death-(Ligand)1-Monotherapy Pretreated, Advanced NSCLC: Results From a Phase 1b Clinical Trial. J Thorac Oncol. 2023 Aug;18(8):1094-1102. doi: 10.1016/j.jtho.2023.04.020. Epub 2023 May 4.
PubMed 37146752Antonia S, Goldberg SB, Balmanoukian A, Chaft JE, Sanborn RE, Gupta A, Narwal R, Steele K, Gu Y, Karakunnel JJ, Rizvi NA. Safety and antitumour activity of durvalumab plus tremelimumab in non-small cell lung cancer: a multicentre, phase 1b study. Lancet Oncol. 2016 Mar;17(3):299-308. doi: 10.1016/S1470-2045(15)00544-6. Epub 2016 Feb 6.
PubMed 26858122
Study at a glance
From the registry record, last updated by the sponsor on 31 Oct 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 1b Open-label Study to Evaluate the Safety and Tolerability of MEDI4736 in Combination With Tremelimumab in Subjects With Advanced Non-small Cell Lung Cancer
- ClinicalTrials.gov ID
- NCT02000947
- Acronym / sponsor ID
- D4190C00006 / D4190C00006
- Conditions
- NSCLC, Non-small Cell Lung Cancer, Lung Cancer
- Keywords
- anti-CTLA-4, anti-PD-L1, immunotherapy, IMTC
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 459 participants (actual)
- Lead sponsor
- MedImmune LLCIndustry (pharma, biotech, devices)
- Study start
- 25 Oct 2013 (actual)
- Primary completion
- 17 Sep 2019 (actual)
- Study completion
- 17 Sep 2019 (actual)
- First posted
- 4 Dec 2013 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to determine if MEDI4736 will be adequately tolerated in combination with tremelimumab in subjects with advanced non-small cell lung cancer (NSCLC).
Detailed description
This is a multicenter, open-label, dose-escalation, and dose expansion study of MEDI4736 in combination with tremelimumab to evaluate the safety, tolerability, pharmacokinetic (PK), immunogenicity, and antitumor activity of MEDI4736 in combination with tremelimumab in adult subjects with advanced NSCLC.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Dose Escalation | Experimental | Drug: MEDI4736, Drug: TremelimumabMEDI4736 and tremelimumab received by intravenous infusion. |
| Arm A | Experimental | Drug: MEDI4736, Drug: TremelimumabMedi4736 and tremelimumab received by intravenous infusion |
| Arm B | Experimental | Drug: MEDI4736, Drug: tremelimumabMEDI4736 and tremelimumab received by intravenous infusion |
| Arm C | Experimental | Drug: MEDI4736, Drug: tremelimumabMEDI4736 and tremelimumab received by intravenous infursion |
Who may qualify
- Ages
- 18 to 101 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Age ≥ 18 years
- Advanced non-small cell lung cancer
- Eastern Cooperative Oncology Group (ECOG) performance status of 0-1
- Adequate organ and marrow function
Key exclusion criteria (3 listed)
- Any concurrent chemotherapy, immunotherapy, biologic, or hormonal therapy for cancer treatment
- Current or prior use of immunosuppressive medication within 14 days before the first dose of study drugs
- Active or prior documented autoimmune disease within the last 2 years.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| MEDI4736MEDI4736 is an anti-PD-L1 monoclonal antibody (MAb). | Drug | Arm A, Arm B, Arm C, Dose Escalation |
| TremelimumabTremelimumab is an anti-CTLA4 monoclonal antibody (mAb). | Drug | Arm A, Dose Escalation |
| tremelimumabTremelimumab is an anti-CTLA4 monoclonal antibody (mAb). | Drug | Arm B, Arm C |
Primary outcome
Number of subjects reporting adverse events
Time frame: Screening through 90 days after the last dose of study medication
The number of subjects reporting adverse events (AEs) and number (percentage) of subjects reporting serious adverse events (SAEs) as graded by CTCAE Version 4.03
Objective response
Time frame: At least 24 weeks as compared to baseline
Best overall response of confirmed complete response (CR) or confirmed partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 as defined as the best response among all overall responses recorded from the start of treatment until progression, or the last evaluable disease assessment in the absence of progressive disease (PD) prior to the initiation of subsequent anti-cancer therapy, or discontinuation from the study, whichever occurs first.
Number of subjects experiencing dose-limiting toxicities (DLTs)
Time frame: Depending upon the cohort, the DLT evaluation period is from the 1st dose of study medication until (1) the 3rd dose of MEDI4736 and tremelimumab (2) the 2nd dose of MEDI4736 and tremelimumab or (3) the 3rd dose of MEDI4736 and 2nd dose of tremelimumab
The maximum tolerated dose (MTD), which is the highest dose within a cohort where no more than 1 out of 6 subjects experience DLTs or the highest protocol-defined dose for each agent in the absence of exceeding the MTD, will be evaluated using the following safety assessments: adverse events, serious advents, laboratory evaluations, vital signs, physical examinations, and electrocardiogram (ECG) results. Measurements will be aggregated to determine whether a subject has experienced a DLT as assessed by the investigator.
4 secondary outcomes
Immunogenicity of tremelimumab in combination with MEDI4736
Time frame: During treatment through study completion, about 2 years
Antitumor activity of tremelimumab in combination with MEDI4736
Time frame: During treatment through study completion, about 2 years
Pharmacokinetic parameters
Time frame: During treatment through study completion, about 2 years
Number of subjects reporting adverse events
Time frame: Screening through 90 days after the last dose of study medication
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 31 Oct 2019.
- Derived from this study: PubMed 37146752Garon EB, Spira AI, Goldberg SB, Chaft JE, Papadimitrakopoulou V, Cascone T, Antonia SJ, Brahmer JR, Camidge DR, Powderly JD, Wozniak AJ, Felip E, Wu S, Ascierto ML, Elgeioushi N, Awad MM. Brief Report: Safety and Antitumor Activity of Durvalumab Plus Tremelimumab in Programmed Cell Death-(Ligand)1-Monotherapy Pretreated, Advanced NSCLC: Results From a Phase 1b Clinical Trial. J Thorac Oncol. 2023 Aug;18(8):1094-1102. doi: 10.1016/j.jtho.2023.04.020. Epub 2023 May 4.
- Derived from this study: PubMed 26858122Antonia S, Goldberg SB, Balmanoukian A, Chaft JE, Sanborn RE, Gupta A, Narwal R, Steele K, Gu Y, Karakunnel JJ, Rizvi NA. Safety and antitumour activity of durvalumab plus tremelimumab in non-small cell lung cancer: a multicentre, phase 1b study. Lancet Oncol. 2016 Mar;17(3):299-308. doi: 10.1016/S1470-2045(15)00544-6. Epub 2016 Feb 6.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
MedImmune LLC study director
MedImmune LLC
69 sites in 9 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing MEDI4736 and Tremelimumab in people with NSCLC and Non-small Cell Lung Cancer, run by MedImmune LLC at 69 sites in 9 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 31 Oct 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 69 sites in United States, South Korea, France, Spain, Italy and 4 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of subjects reporting adverse events (time frame: Screening through 90 days after the last dose of study medication). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02000947, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 Oct 2019.