Description:
This is an open-label, multicenter Phase 1/2 study of the CTLA-4 antibody, tremelimumab, and
the PD-L1 antibody, durvalumab (MEDI4736), in combination with the tumor microenvironment
(TME) modulator polyICLC, a TLR3 agonist, in subjects with advanced, measurable,
biopsy-accessible cancers.
Title
- Brief Title: A Phase 1/2 Study of In Situ Vaccination With Tremelimumab and IV Durvalumab Plus PolyICLC in Subjects With Advanced, Measurable, Biopsy-accessible Cancers
- Official Title: A Phase 1/2 Study of In Situ Vaccination With Tremelimumab and IV Durvalumab (MEDI4736) Plus the Toll-like Receptor Agonist PolyICLC in Subjects With Advanced, Measurable, Biopsy-accessible Cancers
Clinical Trial IDs
- ORG STUDY ID:
LUD2014-011
- NCT ID:
NCT02643303
Conditions
- Head and Neck Squamous Cell Carcinoma
- Breast Cancer
- Sarcoma
- Merkel Cell Carcinoma
- Cutaneous T-Cell Lymphoma
- Melanoma
- Renal Cancer
- Bladder Cancer
- Prostate Cancer
- Testicular Cancer
- Solid Tumor
Interventions
Drug | Synonyms | Arms |
---|
Durvalumab | MEDI4736 | Phase 1, Cohort 1A |
Tremelimumab | | Phase 1, Cohort 1B |
Poly ICLC | Hiltonol | Phase 1, Cohort 1A |
Purpose
This is an open-label, multicenter Phase 1/2 study of the CTLA-4 antibody, tremelimumab, and
the PD-L1 antibody, durvalumab (MEDI4736), in combination with the tumor microenvironment
(TME) modulator polyICLC, a TLR3 agonist, in subjects with advanced, measurable,
biopsy-accessible cancers.
Trial Arms
Name | Type | Description | Interventions |
---|
Phase 1, Cohort 1A | Experimental | IV Durvalumab + IT/IM polyICLC | |
Phase 1, Cohort 1B | Experimental | IV Durvalumab + IV Tremelimumab + IT/IM polyICLC | - Durvalumab
- Tremelimumab
- Poly ICLC
|
Phase 1, Cohort 1C | Experimental | IV Durvalumab + IT Tremelimumab + IT/IM polyICLC | - Durvalumab
- Tremelimumab
- Poly ICLC
|
Phase 2 Cohort | Experimental | Once the recommended combination doses of the triplet dosing regimen has been determined in Cohort 1C, subsequent subjects will be enrolled into Cohort 2 to receive the recommended combination doses of both checkpoint antibodies in combination with polyICLC. | - Durvalumab
- Tremelimumab
- Poly ICLC
|
Eligibility Criteria
Inclusion Criteria:
1. Subjects must have histologic confirmation of advanced, biopsy-accessible, measurable
cancers of the following histologies:
- Non-viral-associated head and neck squamous cell carcinoma (HNSCC) or
HPV-associated HNSCC after failure of prior therapy
- Locally recurrent or metastatic breast cancer
- Sarcoma
- Merkel Cell Carcinoma (MCC)
- Cutaneous T cell Lymphoma (CTCL)
- Melanoma after failure of available therapies
- GU cancers with accessible metastases (e.g., bladder, renal)
- Any solid tumors with masses that are accessible
2. Subjects with measurable disease, must have at least 2 lesions (1 measurable lesion
and 1 biopsy/injectable lesion, which will not need to be measurable).
3. Any number of prior systemic therapies.
4. ECOG performance status 0-1.
5. Laboratory parameters for vital functions should be in the normal range or not
clinically significant.
Exclusion Criteria:
1. Prior treatment with combination CTLA-4 and PD-1/PD-L1 blockade, with the exception of
subjects with melanoma.
2. Participants may not have been treated intratumorally with polyICLC.
3. Subjects with history or evidence upon physical examination of central nervous system
(CNS) disease, including primary brain tumor, seizures not controlled with standard
medical therapy, any active brain metastases, or, within 6 months of the first date of
treatment on this study, history of cerebrovascular accident (CVA, stroke), transient
ischemic attack (TIA) or subarachnoid hemorrhage.
4. Active, suspected or prior documented autoimmune disease, clinically significant
cardiovascular disease or clinically uncontrolled hypertension.
5. History of pneumonitis or interstitial lung disease or any unresolved immune-related
adverse events following prior biological therapy.
6. Other malignancy within 2 years prior to entry into the study, except for those
treated with surgical therapy only (e.g., localized low-grade cervical or prostate
cancers).
7. Subjects with clinical symptoms or signs of gastrointestinal obstruction and/or who
require drainage gastrostomy tube and/or parenteral hydration or nutrition.
8. Known immunodeficiency or HIV, Hepatitis B, or Hepatitis C positivity. Antibody to
Hepatitis B or C without evidence of active infection may be allowed.
9. History of severe allergic reactions to any unknown allergens or any components of the
study drugs.
10. Other serious illnesses (e.g., serious infections requiring antibiotics, bleeding
disorders).
11. History of allogeneic organ transplant.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Progression-Free Survival (PFS) at 24 weeks |
Time Frame: | up to 24 weeks |
Safety Issue: | |
Description: | Analyzed by irRECIST |
Secondary Outcome Measures
Measure: | Safety and tolerability |
Time Frame: | up to 15 months |
Safety Issue: | |
Description: | Adverse events according to CTCAE V4.03 |
Measure: | Clinical Efficacy by objective response rate (ORR) |
Time Frame: | up to 15 months |
Safety Issue: | |
Description: | assessed by irRECIST |
Measure: | Clinical Efficacy by progression-free survival (PFS) |
Time Frame: | up to 15 months |
Safety Issue: | |
Description: | assessed by irRECIST |
Measure: | Clinical Efficacy by overall survival (OS) |
Time Frame: | up to 15 months |
Safety Issue: | |
Description: | assessed by irRECIST |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Active, not recruiting |
Lead Sponsor: | Ludwig Institute for Cancer Research |
Trial Keywords
- Durvalumab
- MEDI4736
- Tremelimumab
- PolyICLC
- Hiltonol
- Locally Recurrent Breast Cancer
- Metastatic Melanoma
- In Situ
- CTLA-4 Antibody
- PD-L1 Antibody
- TLR3 Agonist
- CTCL
Last Updated
July 13, 2021