Description:
This research study is designed to evaluate an experimental drug, MEDI4276, in treating
breast and stomach (gastric) cancer.
Title
- Brief Title: A Phase 1/2 Study of MEDI4276 in Adults Subjects With Select HER2-expressing Advanced Solid Tumors.
- Official Title: A Phase 1/2 Multicenter, Open-label, Dose-escalation, and Dose-expansion Study to Evaluate the Safety, Pharmacokinetics, Immunogencity, and Antitumor Activity of MEDI4276 in Subjects With Select HER2-expressing Advanced Solid Tumors
Clinical Trial IDs
- ORG STUDY ID:
D5760C00001
- NCT ID:
NCT02576548
Conditions
- HER2 Expressing Breast or Gastric/Stomach Cancers
Interventions
Drug | Synonyms | Arms |
---|
MEDI4276 | | MEDI4276 0.05 mg/kg |
Purpose
This research study is designed to evaluate an experimental drug, MEDI4276, in treating
breast and stomach (gastric) cancer.
Trial Arms
Name | Type | Description | Interventions |
---|
MEDI4276 0.05 mg/kg | Experimental | Participants received IV dose of 0.05 mg/kg MEDI4276 every three weeks (Q3W) for 2 years. | |
MEDI4276 0.1 mg/kg | Experimental | Participants received IV dose of 0.1 mg/kg MEDI4276 every three weeks (Q3W) for 2 years. | |
MEDI4276 0.2 mg/kg | Experimental | Participants received IV dose of 0.2 mg/kg MEDI4276 every three weeks (Q3W) for 2 years. | |
MEDI4276 0.3 mg/kg | Experimental | Participants received IV dose of 0.3 mg/kg MEDI4276 every three weeks (Q3W) for 2 years. | |
MEDI4276 0.4 mg/kg | Experimental | Participants received IV dose of 0.4 mg/kg MEDI4276 every three weeks (Q3W) for 2 years. | |
MEDI4276 0.5 mg/kg | Experimental | Participants received IV dose of 0.5 mg/kg MEDI4276 every three weeks (Q3W) for 2 years. | |
MEDI4276 0.6 mg/kg | Experimental | Participants received IV dose of 0.6 mg/kg MEDI4276 every three weeks (Q3W) for 2 years. | |
MEDI4276 0.75 mg/kg | Experimental | Participants received IV dose of 0.75 mg/kg MEDI4276 every three weeks (Q3W) for 2 years. | |
MEDI4276 0.9 mg/kg | Experimental | Participants received IV dose of 0.9 mg/kg MEDI4276 every three weeks (Q3W) for 2 years. | |
Eligibility Criteria
Inclusion Criteria:
1. Age ≥ 18 years.
2. Histologically or cytologically documented unresectable, locally advanced or
metastatic breast cancer or gastric cancer refractory to standard therapy.
1. For subjects with breast cancer:
- Prior treatment with trastuzumab, pertuzumab, and T-DM1, either alone or in
combination, is required.
- Subjects with a primary tumor that is hormone (estrogen, progesterone, or
both) receptor-positive or receptor-negative are eligible.
- Prior hormone therapy is allowed, but last dose must be at least 14 days
prior to first dose of MEDI4276.
2. For subjects with gastric cancer:
- Prior treatment with a trastuzumab containing chemotherapy regimen is
required.
3. HER2 Positive disease documented as FISH-positive and/or 3+ by IHC on previously
collected tumor tissue.
4. At least one lesion measurable by RECIST Version 1.1.
Exclusion Criteria:
1. Receipt of any conventional or investigational anticancer treatment within 28 days
prior to the first dose of MEDI4276.
2. History of exposure to the following cumulative doses of anthracyclines:
1. Doxorubicin or liposomal doxorubicin >350 mg/m².
2. Epirubicin >530 mg/m².
3. Mitoxantrone >90 mg/m² and idarubicin > 70 mg/m².
4. If another anthracycline or more than 1 anthracycline has been used, then the
cumulative dose must not exceed the equivalent of 350 mg/m² of doxorubicin.
3. Known brain metastases that are untreated, symptomatic, or require therapy to control
symptoms; or any radiation, surgery or other therapy to control symptoms from brain
metastases within 2 months prior to first dose of MEDI4276.
Maximum Eligible Age: | 99 Years |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Number and percentage of subjects with adverse events (AEs), serious adverse events (SAEs) and dose-limiting (DLTs). |
Time Frame: | From Time of informed consent through 90 days after last dose of MEDI4276 |
Safety Issue: | |
Description: | The maximum tolerated dose/maximum administered dose will be determined by the number of participants experiencing DLTs. The safety profile will be assessed through number of participants experiencing AEs, SAEs, abnormal laboratory parameters, vital signs and electrocardiogram (ECG) results. |
Secondary Outcome Measures
Measure: | Objective Response Rate (ORR) |
Time Frame: | Time from Informed Consent up to 3 years |
Safety Issue: | |
Description: | The ORR is defined as the proportion of subjects with confirmed CR or confirmed PR |
Measure: | Peak Plasma Concentration (Cmax) |
Time Frame: | From first dose of MEDI4276 thorugh to 30 days after last dose of investigational product |
Safety Issue: | |
Description: | The immunogenicity of MEDI4276 will be assessed by summarizing the number and percentage of subjects who develop detectable anti-drug antibodies (ADAs) |
Measure: | Progression-free survival (PFS) |
Time Frame: | Estimated to be from time of informed consent up to 3 years |
Safety Issue: | |
Description: | Progression-free survival will be measured from the start of treatment with MEDI4276 until the first documentation of confirmed immune-related disease progression or death due to any cause, whichever occurs first. |
Measure: | Overall survival (OS) |
Time Frame: | Estimated to be from time of informed consent up to 3 years |
Safety Issue: | |
Description: | Overall survival will be determined as the time from the start of treatment with MEDI4276 until death due to any cause. |
Measure: | Area under the plasma concentration versus time curve (AUC) |
Time Frame: | From first dose of MEDI4276 through to 30 days after the last dose of investigational product |
Safety Issue: | |
Description: | The immunogencity of MEDI 4276 will be assessed by summarizing the number and percentage of subjects who develop detectable anti-drug antibodies (ADAs). |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Completed |
Lead Sponsor: | MedImmune LLC |
Last Updated
June 18, 2019