A Phase 1 Study to Evaluate MEDI4736 in Combination With Tremelimumab
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ClinicalTrials.gov Identifier: NCT01975831 |
Recruitment Status :
Completed
First Posted : November 5, 2013
Results First Posted : June 22, 2020
Last Update Posted : July 15, 2021
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Study Type | Interventional |
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Study Design | Allocation: Non-Randomized; Intervention Model: Sequential Assignment; Masking: None (Open Label); Primary Purpose: Treatment |
Conditions |
Breast Cancer Ovarian Cancer Colorectal Cancer Cervical Cancer Renal Cell Carcinoma |
Interventions |
Drug: Durvalumab Drug: Tremelimumab |
Enrollment | 104 |
Recruitment Details | |
Pre-assignment Details |
Arm/Group Title | Escalation: 0.3 mg/kg Durva + 3 mg/kg Treme | Escalation: 1 mg/kg Durva + 3 mg/kg Treme | Escalation: 3 mg/kg Durva + 3 mg/kg Treme | Escalation: 3 mg/kg Durva + 1 mg/kg Treme | Expansion: Ovarian Cancer | Expansion: Colorectal Cancer | Expansion: Non-triple Negative Breast Cancer | Expansion: Renal Cell Carcinoma | Expansion: Cervical Cancer |
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Subjects received durvalumab (0.3 mg/kg every 2 weeks [Q2W] for 13 cycles) and tremelimumab (3 mg/kg every 4 weeks [Q4W] for 6 cycles, then every 12 weeks [Q12W]). Optional extended treatment comprised durvalumab monotherapy administered at the recommended fixed dose of 1500 mg Q4W. Durvalumab and tremelimumab were administered as intravenous (IV) infusions over 60 (± 5) minutes, with durvalumab infusions started at least 60 minutes after the end of the tremelimumab infusion on dual dosing days. |
Subjects received durvalumab (1 mg/kg Q2W for 13 cycles) and tremelimumab (3 mg/kg Q4W for 6 cycles, then Q12W). Optional extended treatment comprised durvalumab monotherapy administered at the recommended fixed dose of 1500 mg Q4W. Durvalumab and tremelimumab were administered as IV infusions over 60 (± 5) minutes, with durvalumab infusions started at least 60 minutes after the end of the tremelimumab infusion on dual dosing days. |
Subjects received durvalumab (3 mg/kg Q2W for 13 cycles) and tremelimumab (3 mg/kg Q4W for 6 cycles, then Q12W). Optional extended treatment comprised durvalumab monotherapy administered at the recommended fixed dose of 1500 mg Q4W. Durvalumab and tremelimumab were administered as IV infusions over 60 (± 5) minutes, with durvalumab infusions started at least 60 minutes after the end of the tremelimumab infusion on dual dosing days. |
Subjects received durvalumab (3 mg/kg Q2W for 12 or 13 cycles) and tremelimumab (1 mg/kg Q4W for 6 cycles, then Q12W or Q4W for 4 cycles). Optional extended treatment comprised durvalumab monotherapy administered at the recommended fixed dose of 1500 mg Q4W. Durvalumab and tremelimumab were administered as IV infusions over 60 (± 5) minutes, with durvalumab infusions started at least 60 minutes after the end of the tremelimumab infusion on dual dosing days. |
Subjects received durvalumab (10 mg/kg Q2W for 13 cycles or 1500 mg Q4W for 12 cycles) and tremelimumab (1 mg/kg or 75 mg Q4W for 4 cycles). Optional extended treatment comprised durvalumab monotherapy administered at the recommended fixed dose of 1500 mg Q4W. Durvalumab and tremelimumab were administered as IV infusions over 60 (± 5) minutes, with durvalumab infusions started at least 60 minutes after the end of the tremelimumab infusion on dual dosing days. |
Subjects received durvalumab (10 mg/kg Q2W for 13 cycles or 1500 mg Q4W for 12 cycles) and tremelimumab (1 mg/kg or 75 mg Q4W for 4 cycles). Optional extended treatment comprised durvalumab monotherapy administered at the recommended fixed dose of 1500 mg Q4W. Durvalumab and tremelimumab were administered as IV infusions over 60 (± 5) minutes, with durvalumab infusions started at least 60 minutes after the end of the tremelimumab infusion on dual dosing days. |
Subjects received durvalumab (10 mg/kg Q2W for 13 cycles or 1500 mg Q4W for 12 cycles) and tremelimumab (1 mg/kg or 75 mg Q4W for 4 cycles). Optional extended treatment comprised durvalumab monotherapy administered at the recommended fixed dose of 1500 mg Q4W. Durvalumab and tremelimumab were administered as IV infusions over 60 (± 5) minutes, with durvalumab infusions started at least 60 minutes after the end of the tremelimumab infusion on dual dosing days. |
Subjects received durvalumab (10 mg/kg Q2W for 13 cycles or 1500 mg Q4W for 12 cycles) and tremelimumab (1 mg/kg or 75 mg Q4W for 4 cycles). Optional extended treatment comprised durvalumab monotherapy administered at the recommended fixed dose of 1500 mg Q4W. Durvalumab and tremelimumab were administered as IV infusions over 60 (± 5) minutes, with durvalumab infusions started at least 60 minutes after the end of the tremelimumab infusion on dual dosing days. |
Subjects received durvalumab (10 mg/kg Q2W for 13 cycles or 1500 mg Q4W for 12 cycles) and tremelimumab (1 mg/kg or 75 mg Q4W for 4 cycles). Optional extended treatment comprised durvalumab monotherapy administered at the recommended fixed dose of 1500 mg Q4W. Durvalumab and tremelimumab were administered as IV infusions over 60 (± 5) minutes, with durvalumab infusions started at least 60 minutes after the end of the tremelimumab infusion on dual dosing days. |
Period Title: Overall Study | |||||||||
Started | 3 | 11 | 4 | 4 | 19 | 16 | 16 | 16 | 15 |
Completed | 0 | 2 | 0 | 0 | 1 | 2 | 0 | 1 | 3 |
Not Completed | 3 | 9 | 4 | 4 | 18 | 14 | 16 | 15 | 12 |
Reason Not Completed | |||||||||
Adverse Event | 1 | 2 | 2 | 0 | 1 | 1 | 3 | 4 | 1 |
Death | 1 | 1 | 0 | 0 | 1 | 0 | 1 | 0 | 0 |
Progressive Disease | 1 | 3 | 2 | 4 | 13 | 9 | 10 | 8 | 10 |
Withdrawal by Subject | 0 | 3 | 0 | 0 | 3 | 1 | 1 | 0 | 0 |
Physician Decision | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 0 |
Initiation of Subsequent Therapy | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 2 | 0 |
Entered Hospice | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 |
Unable to Treat Within Protocol Windows | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 |
Arm/Group Title | Escalation: 0.3 mg/kg Durva + 3 mg/kg Treme | Escalation: 1 mg/kg Durva + 3 mg/kg Treme | Escalation: 3 mg/kg Durva + 3 mg/kg Treme | Escalation: 3 mg/kg Durva + 1 mg/kg Treme | Expansion: Ovarian Cancer | Expansion: Colorectal Cancer | Expansion: Non-triple Negative Breast Cancer | Expansion: Renal Cell Carcinoma | Expansion: Cervical Cancer | Total | |
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Subjects received durvalumab (0.3 mg/kg Q2W for 13 cycles) and tremelimumab (3 mg/kg Q4W for 6 cycles, then Q12W). Optional extended treatment comprised durvalumab monotherapy administered at the recommended fixed dose of 1500 mg Q4W. Durvalumab and tremelimumab were administered as IV infusions over 60 (± 5) minutes, with durvalumab infusions started at least 60 minutes after the end of the tremelimumab infusion on dual dosing days. |
Subjects received durvalumab (1 mg/kg Q2W for 13 cycles) and tremelimumab (3 mg/kg Q4W for 6 cycles, then Q12W). Optional extended treatment comprised durvalumab monotherapy administered at the recommended fixed dose of 1500 mg Q4W. Durvalumab and tremelimumab were administered as IV infusions over 60 (± 5) minutes, with durvalumab infusions started at least 60 minutes after the end of the tremelimumab infusion on dual dosing days. |
Subjects received durvalumab (3 mg/kg Q2W for 13 cycles) and tremelimumab (3 mg/kg Q4W for 6 cycles, then Q12W). Optional extended treatment comprised durvalumab monotherapy administered at the recommended fixed dose of 1500 mg Q4W. Durvalumab and tremelimumab were administered as IV infusions over 60 (± 5) minutes, with durvalumab infusions started at least 60 minutes after the end of the tremelimumab infusion on dual dosing days. |
Subjects received durvalumab (3 mg/kg Q2W for 12 or 13 cycles) and tremelimumab (1 mg/kg Q4W for 6 cycles, then Q12W or Q4W for 4 cycles). Optional extended treatment comprised durvalumab monotherapy administered at the recommended fixed dose of 1500 mg Q4W. Durvalumab and tremelimumab were administered as IV infusions over 60 (± 5) minutes, with durvalumab infusions started at least 60 minutes after the end of the tremelimumab infusion on dual dosing days. |
Subjects received durvalumab (10 mg/kg Q2W for 13 cycles or 1500 mg Q4W for 12 cycles) and tremelimumab (1 mg/kg or 75 mg Q4W for 4 cycles). Optional extended treatment comprised durvalumab monotherapy administered at the recommended fixed dose of 1500 mg Q4W. Durvalumab and tremelimumab were administered as IV infusions over 60 (± 5) minutes, with durvalumab infusions started at least 60 minutes after the end of the tremelimumab infusion on dual dosing days. |
Subjects received durvalumab (10 mg/kg Q2W for 13 cycles or 1500 mg Q4W for 12 cycles) and tremelimumab (1 mg/kg or 75 mg Q4W for 4 cycles). Optional extended treatment comprised durvalumab monotherapy administered at the recommended fixed dose of 1500 mg Q4W. Durvalumab and tremelimumab were administered as IV infusions over 60 (± 5) minutes, with durvalumab infusions started at least 60 minutes after the end of the tremelimumab infusion on dual dosing days. |
Subjects received durvalumab (10 mg/kg Q2W for 13 cycles or 1500 mg Q4W for 12 cycles) and tremelimumab (1 mg/kg or 75 mg Q4W for 4 cycles). Optional extended treatment comprised durvalumab monotherapy administered at the recommended fixed dose of 1500 mg Q4W. Durvalumab and tremelimumab were administered as IV infusions over 60 (± 5) minutes, with durvalumab infusions started at least 60 minutes after the end of the tremelimumab infusion on dual dosing days. |
Subjects received durvalumab (10 mg/kg Q2W for 13 cycles or 1500 mg Q4W for 12 cycles) and tremelimumab (1 mg/kg or 75 mg Q4W for 4 cycles). Optional extended treatment comprised durvalumab monotherapy administered at the recommended fixed dose of 1500 mg Q4W. Durvalumab and tremelimumab were administered as IV infusions over 60 (± 5) minutes, with durvalumab infusions started at least 60 minutes after the end of the tremelimumab infusion on dual dosing days. |
Subjects received durvalumab (10 mg/kg Q2W for 13 cycles or 1500 mg Q4W for 12 cycles) and tremelimumab (1 mg/kg or 75 mg Q4W for 4 cycles). Optional extended treatment comprised durvalumab monotherapy administered at the recommended fixed dose of 1500 mg Q4W. Durvalumab and tremelimumab were administered as IV infusions over 60 (± 5) minutes, with durvalumab infusions started at least 60 minutes after the end of the tremelimumab infusion on dual dosing days. |
Total of all reporting groups | |
Overall Number of Baseline Participants | 3 | 11 | 4 | 4 | 19 | 16 | 16 | 16 | 15 | 104 | |
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The population comprises all subjects who received any dose of study treatment.
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Age, Continuous
Mean (Standard Deviation) Unit of measure: Years |
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Number Analyzed | 3 participants | 11 participants | 4 participants | 4 participants | 19 participants | 16 participants | 16 participants | 16 participants | 15 participants | 104 participants | |
61.3 (7.51) | 54.9 (11.93) | 50.3 (10.21) | 52.8 (11.35) | 59.7 (10.91) | 49.7 (9.79) | 55.4 (14.31) | 59.7 (9.71) | 53.0 (11.46) | 55.5 (11.51) | ||
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 3 participants | 11 participants | 4 participants | 4 participants | 19 participants | 16 participants | 16 participants | 16 participants | 15 participants | 104 participants | |
Female |
3 100.0%
|
6 54.5%
|
3 75.0%
|
3 75.0%
|
19 100.0%
|
9 56.3%
|
16 100.0%
|
2 12.5%
|
15 100.0%
|
76 73.1%
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|
Male |
0 0.0%
|
5 45.5%
|
1 25.0%
|
1 25.0%
|
0 0.0%
|
7 43.8%
|
0 0.0%
|
14 87.5%
|
0 0.0%
|
28 26.9%
|
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Ethnicity (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 3 participants | 11 participants | 4 participants | 4 participants | 19 participants | 16 participants | 16 participants | 16 participants | 15 participants | 104 participants | |
Hispanic or Latino |
0 0.0%
|
1 9.1%
|
1 25.0%
|
0 0.0%
|
1 5.3%
|
1 6.3%
|
1 6.3%
|
0 0.0%
|
0 0.0%
|
5 4.8%
|
|
Not Hispanic or Latino |
3 100.0%
|
10 90.9%
|
3 75.0%
|
4 100.0%
|
17 89.5%
|
14 87.5%
|
14 87.5%
|
16 100.0%
|
12 80.0%
|
93 89.4%
|
|
Unknown or Not Reported |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 5.3%
|
1 6.3%
|
1 6.3%
|
0 0.0%
|
3 20.0%
|
6 5.8%
|
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Race (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 3 participants | 11 participants | 4 participants | 4 participants | 19 participants | 16 participants | 16 participants | 16 participants | 15 participants | 104 participants | |
American Indian or Alaska Native |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
Asian |
0 0.0%
|
0 0.0%
|
1 25.0%
|
0 0.0%
|
1 5.3%
|
2 12.5%
|
0 0.0%
|
1 6.3%
|
3 20.0%
|
8 7.7%
|
|
Native Hawaiian or Other Pacific Islander |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 5.3%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 1.0%
|
|
Black or African American |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 5.3%
|
0 0.0%
|
2 12.5%
|
0 0.0%
|
2 13.3%
|
5 4.8%
|
|
White |
3 100.0%
|
10 90.9%
|
2 50.0%
|
4 100.0%
|
16 84.2%
|
12 75.0%
|
12 75.0%
|
15 93.8%
|
9 60.0%
|
83 79.8%
|
|
More than one race |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
Unknown or Not Reported |
0 0.0%
|
1 9.1%
|
1 25.0%
|
0 0.0%
|
0 0.0%
|
2 12.5%
|
2 12.5%
|
0 0.0%
|
1 6.7%
|
7 6.7%
|
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Eastern Cooperative Oncology Group (ECOG) Performance Status (PS)
[1] Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 3 participants | 11 participants | 4 participants | 4 participants | 19 participants | 16 participants | 16 participants | 16 participants | 15 participants | 104 participants | |
ECOG PS 0 |
2 66.7%
|
2 18.2%
|
2 50.0%
|
1 25.0%
|
7 36.8%
|
9 56.3%
|
6 37.5%
|
14 87.5%
|
9 60.0%
|
52 50.0%
|
|
ECOG PS 1 |
1 33.3%
|
9 81.8%
|
2 50.0%
|
2 50.0%
|
11 57.9%
|
7 43.8%
|
10 62.5%
|
2 12.5%
|
6 40.0%
|
50 48.1%
|
|
ECOG PS 2 |
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 25.0%
|
1 5.3%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
2 1.9%
|
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[1]
Measure Description: PS 0 = Fully active, able to carry on all pre-disease performance without restriction; PS 1 = Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature, e.g., light house work, office work; PS 2 = Ambulatory and capable of all selfcare but unable to carry out any work activities; up and about more than 50% of waking hours; PS 3 = Capable of only limited selfcare; confined to bed or chair more than 50% of waking hours; PS 4 = Completely disabled; cannot carry on any selfcare; totally confined to bed or chair; PS 5 = Dead
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Name/Title: | Mary Macri, Director, Clinical Trials Management |
Organization: | Ludwig Institute for Cancer Research |
Phone: | (212) 450-1546 |
EMail: | mmacri@lcr.org |
Responsible Party: | Ludwig Institute for Cancer Research |
ClinicalTrials.gov Identifier: | NCT01975831 |
Other Study ID Numbers: |
LUD2013-003 |
First Submitted: | October 29, 2013 |
First Posted: | November 5, 2013 |
Results First Submitted: | April 22, 2020 |
Results First Posted: | June 22, 2020 |
Last Update Posted: | July 15, 2021 |