Description:
This is an open-label, multi-centre, umbrella Phase II study in patients with metastatic
NSCLC who have progressed on an anti-PD-1/PD-L1 containing therapy. This study is modular in
design, allowing initial assessment of the efficacy, safety, and tolerability of multiple
treatment arms.
Title
- Brief Title: Phase II Umbrella Study of Novel Anti-cancer Agents in Patients With NSCLC Who Progressed on an Anti-PD-1/PD-L1 Containing Therapy
- Official Title: An Open-Label, Multi-Drug, Biomarker-Directed, Multi-Centre Phase II Umbrella Study in Patients With Non-Small Cell Lung Cancer, Who Progressed on an Anti-PD-1/PD-L1 Containing Therapy (HUDSON).
Clinical Trial IDs
- ORG STUDY ID:
D6185C00001
- SECONDARY ID:
2017-002208-28
- SECONDARY ID:
138050
- NCT ID:
NCT03334617
Conditions
- Non-Small Cell Lung Cancer
Interventions
Drug | Synonyms | Arms |
---|
Durvalumab | | Durvalumab + AZD6738 |
AZD9150 | | Durvalumab + AZD9150 |
AZD6738 | | Durvalumab + AZD6738 |
Vistusertib | | Durvalumab + vistusertib |
Olaparib | | Durvalumab + olaparib |
Oleclumab | | Durvalumab + Oleclumab |
trastuzumab deruxtecan | | durvalumab + trastuzumab deruxtecan |
cediranib | | durvalumab + cediranib |
AZD6738 (ceralasertib) | | AZD6738 (ceralasertib) monotherapy |
AZD6738 (ceralasertib) | | durvalumab & AZD6738 (ceralasertib) |
Purpose
This is an open-label, multi-centre, umbrella Phase II study in patients with metastatic
NSCLC who have progressed on an anti-PD-1/PD-L1 containing therapy. This study is modular in
design, allowing initial assessment of the efficacy, safety, and tolerability of multiple
treatment arms.
Detailed Description
This is an open-label, multi-centre, umbrella Phase II study in patients with metastatic
non-small cell lung cancer (NSCLC) who have progressed on an anti-programmed cell
death-1/anti-programmed cell death ligand 1 (anti-PD-1/PD-L1) containing therapy. This study
is modular in design, consisting of a number of treatment cohorts, allowing evaluation of the
efficacy, safety, and tolerability of multiple treatment arms. There is currently no
established therapy for patients who have received immune checkpoint inhibitors and
platinum-doublet therapies, and novel treatments are urgently needed.
This protocol has a modular design, with the potential for future treatment arms to be added
via protocol amendment.
Trial Arms
Name | Type | Description | Interventions |
---|
Durvalumab + olaparib | Experimental | Durvalumab given in combination with olaparib . | |
Durvalumab + AZD9150 | Experimental | Durvalumab given in combination with AZD9150. | |
Durvalumab + AZD6738 | Experimental | Durvalumab given in combination with AZD6738. | |
Durvalumab + vistusertib | Experimental | Durvalumab given in combination with Vistusertib (AZD2014). | |
Durvalumab + Oleclumab | Experimental | Durvalumab given in combination with Oleclumab | |
durvalumab + trastuzumab deruxtecan | Experimental | durvalumab given in combination with trastuzumab deruxtecan (DS-8201a) | |
durvalumab + cediranib | Experimental | durvalumab given in combination with cediranib (AZD2171) | |
AZD6738 (ceralasertib) monotherapy | Experimental | AZD6738 (ceralasertib) given as monotherapy | |
durvalumab & AZD6738 (ceralasertib) | Experimental | durvalumab given in combination with AZD6738 (D15-D28) | - Durvalumab
- AZD6738 (ceralasertib)
|
Eligibility Criteria
Inclusion criteria:
- At least 18 years of age at the time of signing the informed consent form.
- Patient must have histologically or cytologically confirmed metastatic or locally
advanced and recurrent NSCLC which is progressing.
- Patients eligible for second- or later-line therapy, who must have received an
antiPD1/PD-L1 containing therapy and a platinum-doublet regimen for locally advanced
or metastatic NSCLC either separately or in combination. Prior durvalumab is
acceptable. The patient must have had disease progression on a prior line of
antiPD1/PD-L1 therapy.
- ECOG/WHO performance status of 0 to 1, and a minimum life expectancy of 12 weeks.
- Patient must have at least 1 lesion that can be accurately measured. A previously
irradiated lesion can be considered a target lesion if the lesion has clearly
progressed.
- Evidence of post-menopausal status or negative urinary or serum pregnancy test for
female pre-menopausal patients.
Exclusion Criteria:
- Patients whose tumour samples have targetable alterations in EGFR and/or ALK are
excluded. In addition, patients whose tumour samples are known to have targetable
alterations in ROS1, BRAF, MET or RET, are to be excluded.
- Active or prior documented autoimmune or inflammatory disorders.
- Active infection including tuberculosis, hepatitis B (known positive HBV surface
antigen [HBsAg] result), hepatitis C, or human immunodeficiency virus (positive HIV
1/2 antibodies).
- Female patients who are pregnant or breastfeeding, or male or female patients of
reproductive potential who are not willing to employ effective birth control.
- Known allergy or hypersensitivity to any of the study drugs or any of the study drug
excipients, or history of severe hypersensitivity reactions to other monoclonal
antibodies.
- Patient has spinal cord compression or symptomatic brain metastases.
- Any concurrent chemotherapy, immunotherapy, biologic or hormonal therapy for cancer
treatment. Patients may receive treatment with bisphosphonates or receptor activator
of nuclear factor kappa-Β ligand (RANKL) inhibitors for the treatment of bone
metastases.
- history of active primary immunodeficiency
Maximum Eligible Age: | 99 Years |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Assessment of the efficacy of each treatment by evaluation of objective response rate |
Time Frame: | 12 weeks |
Safety Issue: | |
Description: | Endpoint based on Response Evaluation Criteria in Solid Tumours (RECIST 1.1)
Objective response rate (ORR) |
Secondary Outcome Measures
Measure: | Disease control rate (DCR) using RECIST 1.1 assessment for the anti-tumour activity of each therapy. |
Time Frame: | Through to study completion, up to 3.5 years. |
Safety Issue: | |
Description: | Assessment of the anti-tumour activity of each therapy. |
Measure: | Best percentage change in tumour size using RECIST 1.1 assessment for the anti-tumour activity of each therapy |
Time Frame: | Through to study completion, up to 3.5 years. |
Safety Issue: | |
Description: | Assessment of the anti-tumour activity of each therapy. |
Measure: | Duration of response (DoR) using RECIST 1.1 assessment for the anti-tumour activity of each therapy. |
Time Frame: | Through to study completion, up to 3.5 years |
Safety Issue: | |
Description: | Assessment of the anti-tumour activity of each therapy. |
Measure: | Progression free survival (PFS) using RECIST 1.1 assessment for the anti-tumour activity of each therapy. |
Time Frame: | Through to study completion, up to 3.5 years. |
Safety Issue: | |
Description: | Assessment of the anti-tumour activity of each therapy. |
Measure: | Overall surival (OS) |
Time Frame: | Through to study completion, up to 4.5 years. |
Safety Issue: | |
Description: | Assessment of the anti-tumour activity of each therapy. |
Details
Phase: | Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | AstraZeneca |
Trial Keywords
- Non-small cell lung cancer
- NSCLC
- anti-PD-1/PD-L1
- umbrella study
- Durvalumab
- MEDI4736
- Olaparib
- AZD2281
- AZD9150
- AZD6738
- Vistusertib
- AZD2014
- Oleclumab
- MEDI9447
- Trastuzumab deruxtecan
- DS-8201a
- cediranib
- AZD2171
Last Updated
August 6, 2021