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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.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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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

Other trials in United States

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

Other trials in South Korea

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

Other trials in France

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

Other trials in Spain

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

Other trials in Italy

Australia3 sites
  • Research Site

    Darlinghurst, 2010

  • Research Site

    Gosford, 2250

  • Research Site

    Kogarah, 2217

Other trials in Australia

Belgium3 sites
  • Research Site

    Brussels, 1000

  • Research Site

    Ghent, 9000

  • Research Site

    Liège, 4000

Other trials in Belgium

Taiwan2 sites
  • Research Site

    Tainan, 704

  • Research Site

    Taipei, 10048

Other trials in Taiwan

United Kingdom2 sites
  • Research Site

    London, W1G 6AD

  • Research Site

    Manchester, M20 4BX

Other trials in United Kingdom

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.

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 groups in NCT02000947
Study groupRoleWhat they receive
Dose EscalationExperimentalMEDI4736 and tremelimumab received by intravenous infusion.
Receives: Drug: MEDI4736; Drug: Tremelimumab
Arm AExperimentalMedi4736 and tremelimumab received by intravenous infusion
Receives: Drug: MEDI4736; Drug: Tremelimumab
Arm BExperimentalMEDI4736 and tremelimumab received by intravenous infusion
Receives: Drug: MEDI4736; Drug: tremelimumab
Arm CExperimentalMEDI4736 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.

  1. 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

  2. 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

  3. 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)
  1. 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

  2. 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

  3. 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

  4. 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.

  1. First posted4 Dec 2013 (estimated)
  2. Study start25 Oct 2013
  3. Primary completion17 Sep 2019
  4. Study completion17 Sep 2019

Resources

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)
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 37146752
  • Antonia 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

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.

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