Clinical Trials /

Study to Assess MEDI4736 With Either AZD9150 or AZD5069 in Advanced Solid Tumors & Relapsed Metastatic Squamous Cell Carcinoma of Head & Neck

NCT02499328

Description:

This multicentre, open-label, Phase 1b/2 study is designed as a 2 part study consisting of a dose-escalation, safety run-in Part A and a dose-expansion Part B

Related Conditions:
  • Breast Carcinoma
  • Hypopharyngeal Squamous Cell Carcinoma
  • Laryngeal Squamous Cell Carcinoma
  • Malignant Solid Tumor
  • Oral Cavity Squamous Cell Carcinoma
  • Oropharyngeal Squamous Cell Carcinoma
  • Prostate Carcinoma
Recruiting Status:

Active, not recruiting

Phase:

Phase 2

Trial Eligibility

Document

Title

  • Brief Title: Study to Assess MEDI4736 With Either AZD9150 or AZD5069 in Advanced Solid Tumors & Relapsed Metastatic Squamous Cell Carcinoma of Head & Neck
  • Official Title: A Phase 1b/2, Open-Label, Multicentre Study Assessing the Safety, Tolerability, Pharmacokinetics, and Preliminary Anti-tumor Activity of MEDI4736 in Combination With AZD9150 or AZD5069 in Patients With Advanced Solid Malignancies and Subsequently Comparing AZD9150 and AZD5069 Both as Monotherapy and in Combination With MEDI4736 as Second Line Treatment in Patients With Recurrent and/or Metastatic Squamous Cell Carcinoma of the Head and Neck

Clinical Trial IDs

  • ORG STUDY ID: D5660C00004
  • NCT ID: NCT02499328

Conditions

  • Advanced Solid Tumors & Metastatic Squamous Cell Carcinoma of the Head and Neck

Interventions

DrugSynonymsArms
AZD9150Part A1: AZD9150 / MEDI4736
MEDI4736Part A1: AZD9150 / MEDI4736
AZD5069Part A2: AZD5069 / MEDI4736
tremelimumab (treme)Part A4: AZD9150/Treme/MEDI4736

Purpose

This multicentre, open-label, Phase 1b/2 study is designed as a 2 part study consisting of a dose-escalation, safety run-in Part A and a dose-expansion Part B

Detailed Description

      The dose-escalation Part A of this study will involve patients with advanced solid
      malignancies refractory to standard therapy or for which no standard of care regimen
      currently exists. Approximately 30 evaluable patients per treatment arm (A1 or A2) will be
      enrolled. A3 will test viability of alternate dosing schedule for AZD5069, A4/A5 will
      evaluate AZD9150/AZD5069 in fixed dose combination with MEDI4736 and tremelimumab in solid
      tumors. there may also be safety run in cohorts enrolled (A6/A7) in specific solid tumor
      types (breast and prostate cancer).

      Once the maximum tolerated doses (MTDs) for each of the 2 agents (AZD9150/AZD5069)in
      combination with MEDI4736 have been identified or the maximum doses of each of the 2 agents
      in combination with MEDI4736 have been reached, the dose expansion Part B of the study would
      commence. It will be conducted in patients with recurrent and/or metastatic (RM) squamous
      cell carcinoma of the head and neck (SCCHN). Between 68 and 266 eligible patients will be
      enrolled and will randomly assigned to 1 of the following 6 treatment arms or non randomized
      arm B7:

        -  Treatment arm B1: AZD9150 in combination with MEDI4736 in patients with prior exposure
           to anti-PD-(L)1 antibodies

        -  Treatment arm B2: AZD5069 in combination with MEDI4736 in patients with prior exposure
           to anti-PD-(L)1 antibodies

        -  Treatment arm B3: AZD9150 in combination with MEDI4736 in patients with no prior
           exposure to anti-PD-(L)1 antibodies (2L RM SCCHN)

        -  Treatment arm B4: AZD5069 in combination with MEDI4736 in patients with no prior
           exposure to anti-PD-(L)1 antibodies

        -  Treatment arm B5: AZD9150 alone in patients with no prior exposure to anti-PD-(L)1
           antibodies

        -  Treatment arm B6: AZD5069 alone in patients with no prior exposure to anti-PD-(L)1
           antibodies

        -  Treatment arm B7: (non randomized): AZD9150 in combination with MEDI4736 in patients
           with no prior exposure to anti-PD-(L)1 antibodies (1L RM SCCHN)

        -  Treatment arm B8: (non randomized): AZD9150 (every two weeks) in combination with
           MEDI4736 in patients with no prior exposure to anti-PD-(L)1 antibodies (1L RM SCCHN)
    

Trial Arms

NameTypeDescriptionInterventions
Part A1: AZD9150 / MEDI4736ExperimentalPatients allocated in cohort of arm A1 (AZD9150/MEDI4736 will be evaluated for DLT until an MTD is achieved.
  • AZD9150
  • MEDI4736
Part A2: AZD5069 / MEDI4736ExperimentalPatients allocated in cohort of arm A2 (AZD5069/MEDI4736 will be evaluated for DLT until an MTD is achieved.
  • MEDI4736
  • AZD5069
Part B1:AZD9150+MEDI4736:PDL1 pretreatedExperimentalPatients in arm B1 will be evaluated for efficacy until disease progression and then followed-up for safety and survival.
  • AZD9150
  • MEDI4736
Part B2:AZD5069+MEDI4736:PDL1 pretreatedExperimentalPatients in arm B2 will be evaluated for efficacy until disease progression and then followed-up for safety and survival.
  • MEDI4736
  • AZD5069
Part B3: AZD9150+MED4736:naiive 2LExperimentalPatients in arm B3 will be evaluated for efficacy until disease progression and then followed-up for safety and survival.
  • AZD9150
  • MEDI4736
Part B4:AZD5069+MEDI4736:naiive patientsExperimentalPatients in arm B4 will be evaluated for efficacy until disease progression and then followed-up for safety and survival.
  • MEDI4736
  • AZD5069
Part B5: AZD9150 in naiive patientsExperimentalPatients in arm B5 will be evaluated for efficacy until disease progression and then allowed to receive additional MEDI4736 and followed for safety and survival
  • AZD9150
Part B6:AZD5069 in naiive patientsExperimentalPatients in arm B6 will be evaluated for efficacy until disease progression and then allowed to receive additional MEDI4736 and followed for safety and survival
  • AZD5069
Part A3: AZD5069/MEDI4736ExperimentalPatients allocated in cohort of arm A3 (AZD5069/MEDI4736) will be evaluated for DLT and viability as alternate dosing option for Phase 2 studies
  • MEDI4736
  • AZD5069
Part A4: AZD9150/Treme/MEDI4736ExperimentalPatients allocated in cohort of arm A4 (AZD9150/treme/MEDI4736) will be evaluated for DLT and MTD
  • AZD9150
  • MEDI4736
  • tremelimumab (treme)
Part A5: AZD5069/Treme/MEDI4736ExperimentalPatients allocated in cohort of arm A5 (AZD5069/treme/MEDI4736) will be evaluated for DLT and MTD.
  • MEDI4736
  • AZD5069
  • tremelimumab (treme)
Part A6: AZD9150/MEDI4736ExperimentalPatients allocated in cohort of arm A6 (AZD9150/MEDI4736) will be evaluated for safety, PK and PD.
  • AZD9150
  • MEDI4736
Part A7: AZD5069/MEDI4736ExperimentalPatients allocated in cohort of arm A7 (AZD5069/MEDI4736) will be evaluated for safety, PK and PD.
  • MEDI4736
  • AZD5069
Part B7: AZD9150+MEDI4736: naiive 1LExperimentalPatients in Arm B7 will be evaluated for efficacy until disease progression and then followed up for safety and survival
  • AZD9150
  • MEDI4736
Part B8: AZD9150 (every other week)+MEDI4736: naive 1LExperimentalPatients in Arm B8 will be evaluated for efficacy until disease progression and then followed up for safety and survival
  • AZD9150
  • MEDI4736

Eligibility Criteria

        Key Inclusion Criteria:

          -  Male and female patients must be at least 18 years of age.

          -  Has an Eastern Cooperative Oncology Group (ECOG) PS score of 0 or 1.

          -  Has measurable disease, defined as at least 1 lesion that can be accurately measured
             in at least 1 dimension (longest diameter to be recorded) with a minimum size of 10 mm
             by computerised tomography (CT) scan, except lymph nodes which must have minimum short
             axis size of 15 mm (CT scan slice thickness no greater than 5 mm in both cases).
             Indicator lesions must not have been previously treated with surgery, radiation
             therapy, or radiofrequency ablation unless there is documented progression after
             therapy.

          -  Has undergone ≤3 previous regimens (depending on treatment arm) of cytoreductive
             therapies including, but not limited to, platinum-based compounds, taxanes, or
             5-fluorouracil. for B7 & B8, no prior systemic treatments should have been received
             for RM SCCHN

          -  Adequate organ and marrow function

          -  Female subjects of childbearing potential and male subjects with partners of
             childbearing potential should ensure use of a highly effective method of birth control
             as defined in study protocol

          -  Additional inclusion for part A: Has a histological confirmation of a solid malignancy
             (other than HCC) that is refractory to standard therapy or for which no standard of
             care regimen currently exists.

          -  Addition inclusion for Part A (A6) Has a histological confirmation of
             castrate-resistant prostate cancer

          -  Additional inclusion for Part B:Has histologically and/or cytologically confirmed
             SCCHN that is RM and not amendable to curative therapy by surgery or radiation.
             Squamous cell carcinoma of the head and neck originating from the following sites is
             eligible: oral cavity, oropharynx, larynx, or hypopharynx. Has at least 1 SCCHN tumour
             lesion (TL) amenable to biopsy and must have failed, refused, or has been found to be
             ineligible for least 1 prior platinum-based chemotherapy for RM-SCCHN Additional
             inclusion criteria for Arms B1 & B2: must have had prior exposure to anti PDL-1
             antibody

          -  Arms B1-B6: Has undergone 1-3 previous regimens of cytoreductive chemo-therapies Arm
             B7 & B8: with no prior exposure to anti-PD-(L)1 therapies and have received no prior
             systemic treatment for RM SCCHN

        Key Exclusion Criteria:

        - Spinal cord compression unless asymptomatic and not requiring steroids for at least 4
        weeks before the start of study treatment. - Presently has a second malignancy other than
        SCCHN, or history of treatment for invasive cancer other than SCCHN in the past 3 years.
        Exceptions are: Previously treated in-situ carcinoma (ie, noninvasive) Cervical carcinoma
        stage 1B or less Noninvasive basal cell and squamous cell skin carcinoma Radically treated
        prostate cancer (prostatectomy or radiotherapy) with normal prostate-specific antigen, and
        not requiring ongoing antiandrogen hormonal therapy

          -  Patients must have completed any previous cancer-related treatments before enrolment.
             Any concurrent chemotherapy [Chemotherapy washout within 21 days or 5 half-lives
             (whichever is shorter) from enrolment], radiotherapy, immunotherapy, or biologic, or
             hormonal therapy for cancer excludes the patient (concurrent use of hormones for
             noncancer-related conditions [eg, insulin for diabetes and hormone replacement
             therapy] is acceptable),

          -  Experiencing CTCAE grade >1 events, experienced immune-related grade ≥3AEs with prior
             immunotherapy

          -  Has active or prior autoimmune disease within the past 2 years

          -  Has active or prior inflammatory bowel disease or primary immunodeficiency

          -  Undergone an organ transplant that requires use of immunosuppressive treatment

          -  Abnormalities in rhythm, conduction or morphology of resting 12-lead ECG

          -  uncontrolled comorbid conditions

          -  Received a live attenuated vaccine within 30 days of first study dose, unable to take
             oral medications

          -  History of allergic reactions to study compounds or excepients Additional exclusion
             criteria Part A: Patients with clinically active brain metastases and prior exposure
             to AZD9150, AZD5069, MEDI4736, or any other anti PD (L)1 antibody.

        Additional exclusion criteria Part B: Patients with brain metastases (known or suspected)
        Additional exclusion criteria Part B: treatment arms B3, B4, B5, B6, B7 and B8: prior
        exposure to AZD9150, AZD5069, MEDI4736, or any other anti PD (L)1 antibody.
      
Maximum Eligible Age:130 Years
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Part A: MTDs (Maximum Tolerated Dose) or recommended doses for dose-expansion
Time Frame:35 days
Safety Issue:
Description:After completion of DLT period (35 days) for the maximum dose cohort. Expected to be achieved within 6 months of first subject dosed

Secondary Outcome Measures

Measure:Part A and B: Evaluation of pharmacokinetics, Pharmacodynamics, immunogenecity and translational biomarkers
Time Frame:during leadin period, and cycles 1 and 2, an average of 1 year
Safety Issue:
Description:
Measure:Part A: Antitumour activity in monotherapy and combination arms of study
Time Frame:assessed at every even numbered cycle with RECIST until disease progression. Expected to be for a period up to 12 months
Safety Issue:
Description:complete response, partial response, stable disease or progressive disease based on RECIST
Measure:Part B: Safety and tolerability in terms of AEs
Time Frame:At every treatment visit and 28 days after last dose. In patients with MedI4736 for IM (Immunogenicity) 90 days after last dose.
Safety Issue:
Description:
Measure:Part B: Secondary measures change in efficacy
Time Frame:Assessed at every even-numbered cycles.assessed at every even numbered cycle with RECIST until disease progression. Expected to be for a period up to 12 months
Safety Issue:
Description:Disease control rate; Duration of overall response; progression-free survival (PFS); overall survival (OS); and proportion of patients alive at 12 months)

Details

Phase:Phase 2
Primary Purpose:Interventional
Overall Status:Active, not recruiting
Lead Sponsor:AstraZeneca

Trial Keywords

  • Carcinoma of the Head and Neck

Last Updated

November 27, 2020