Description:
The objective of this study is to evaluate the safety, tolerability, and antitumor activity
of oleclumab (MEDI9447) in combination with or without durvalumab plus chemotherapy in
subjects with metastatic pancreatic cancer.
Title
- Brief Title: MEDI9447(Oleclumab) Pancreatic Chemotherapy Combination Study.
- Official Title: A Phase 1b/2 Study to Evaluate the Safety, Pharmacokinetics, and Clinical Activity of Oleclumab (MEDI9447) With or Without Durvalumab in Combination With Chemotherapy in Subjects With Metastatic Pancreatic Ductal Adenocarcinoma
Clinical Trial IDs
- ORG STUDY ID:
D6070C00005
- SECONDARY ID:
D6070C00005
- NCT ID:
NCT03611556
Conditions
- Carcinoma
- Metastatic Pancreatic Adenocarcinoma
Interventions
Drug | Synonyms | Arms |
---|
oleclumab | MEDI9447 | Arm A2 |
durvalumab | MEDI4736 | Arm A3 |
Purpose
The objective of this study is to evaluate the safety, tolerability, and antitumor activity
of oleclumab (MEDI9447) in combination with or without durvalumab plus chemotherapy in
subjects with metastatic pancreatic cancer.
Detailed Description
This is a Phase 1b/2, multicenter, open-label, dose-escalation, and dose-expansion study to
assess the safety, preliminary antitumor activity, immunogenicity, and PK of oleclumab with
or without durvalumab in combination with chemotherapy administered in subjects with
metastatic PDAC. Subjects with previously untreated metastatic PDAC (1L metastatic PDAC) with
be enrolled in Cohort A. Subjects with metastatic PDAC previously treated with
gemcitabine-based chemotherapy (without exposure to 5-FU, capecitabine, or oxaliplatin, 2L
metastatic PDAC) will be enrolled in Cohort B. The study consists of 2 parts, dose escalation
(part 1) and dose expansion (Part 2).
Trial Arms
Name | Type | Description | Interventions |
---|
Arm A1 | Active Comparator | gemcitabine and nab-paclitaxel | |
Arm A2 | Experimental | oleclumab (MEDI9447), gemcitabine and nab-paclitaxel | |
Arm A3 | Experimental | oleclumab (MEDI9447), durvalumab (MEDI4736), and gemcitabine/nab-paclitaxel | |
Arm B1 | Active Comparator | mFOLFOX (oxaliplatin, leucovorin, 5-FU) | |
Arm B2 | Experimental | oleclumab (MEDI9447) and mFOLFOX (oxaliplatin, leucovorin, 5-FU) | |
Arm B3 | Experimental | oleclumab (MEDI9447), durvalumab (MEDI4736), and mFOLFOX (oxaliplatin, leucovorin, 5-FU) | |
Eligibility Criteria
Inclusion Criteria:
1. Age ≥ 18
2. Written and signed informed consent must be obtained
3. ECOG Performance Status 0 or 1
4. Weight ≥ 35 kg
5. Subjects must have histologically or cytologically, confirmed pancreatic
adenocarcinoma:
Cohort A: Subjects with previously untreated metastatic pancreatic adenocarcinoma (1st
line metastatic disease) not previously treated with systemic therapies.
Cohort B: Subjects with metastatic pancreatic adenocarcinoma previously treated with
gemcitabine-based chemotherapy (without exposure to 5-FU, capecitabine, oxaliplatin)
2nd line metastatic disease
6. Subjects must have at least 1 measurable lesion according to RECIST v1.1
7. All subjects must consent to providing archival tumor specimens
Exclusion Criteria:
1. Receipt of any conventional or investigational anticancer therapy within 21 days or
palliative radiotherapy within 14 days prior to the scheduled first dose of study
treatment.
2. Prior receipt of any immune-related therapy
3. Concurrent enrollment in another therapeutic clinical study. Enrollment in
observational studies will be allowed
4. Subjects with a history of venous thrombosis within the past 3 months
5. Subjects with prior history of myocardial infarction, transient ischemic attack, or
stroke in the last 3 months prior to start of treatment
6. Active or prior documented autoimmune or inflammatory disorders within the past 3
years prior to the start of treatment
7. Other invasive malignancy within 2 years.
8. Any history of leptomeningeal disease or cord compression.
9. Current or prior use of immunosuppressive medication within 14 days prior to the first
dose
Maximum Eligible Age: | 101 Years |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Incidence of Adverse Events as a measure of safety in dose escalation phase |
Time Frame: | From time of informed consent through treatment period and including the follow-up period 12 weeks after last dose of investigational product, approximately 1 year |
Safety Issue: | |
Description: | The primary endpoint is safety as assessed by the presence of adverse events and serious adverse events |
Secondary Outcome Measures
Measure: | Incidence of Adverse Events as a measure of safety in dose expansion phase |
Time Frame: | From time of informed consent through treatment period and including the follow-up period 12 weeks after last dose of investigational product, approximately 1 year |
Safety Issue: | |
Description: | Safety as assessed by the presence of adverse events and serious adverse events |
Measure: | Objective Response (OR) rate as a measure of antitumor activity in dose escalation phase |
Time Frame: | From start of treatment until documentation of disease progression or initiation of subsequent anticancer therapy or study completion, about 2 years after the last subject dosed, which ever comes first |
Safety Issue: | |
Description: | Best overall response of confirmed CR or confirmed PR according to RECIST version 1.1 in Part 1 (dose escalation) |
Measure: | Overall Survival (OS) |
Time Frame: | From time randomization until death or study completion, about 2 years after the last subject dosed |
Safety Issue: | |
Description: | The time from randomization until death due to any cause in Part 2 (dose expansion) |
Measure: | Progression-Free Survival (PFS) |
Time Frame: | From start of treatment until death or study completion, about 2 years after the last subject dosed, which ever comes first |
Safety Issue: | |
Description: | The time from randomization until the first documentation of disease progression or death due to any cause, whichever occurs first in Part 2 (dose expansion) |
Measure: | Duration of Response (DoR) |
Time Frame: | From time of informed consent through study completion, about 2 years after the last subject dosed |
Safety Issue: | |
Description: | The duration from the first documentation of OR to the first documented disease progression or death due to any cause, whichever occurs first in Part 2 (dose expansion) |
Measure: | Disease control (DC) |
Time Frame: | During treatment through study completion, about 2 years after the last subject dosed |
Safety Issue: | |
Description: | CR, PR, or SD (if subjects maintain SD for ≥ 8 weeks [± 3 days]) in Part 1 (dose escalation) in Part 2 (dose expansion) |
Measure: | Development of detectable anti-drug antibody (ADA) to oleclumab (MEDI9447) |
Time Frame: | From start of treatment through 12 weeks post last dose of investigational product |
Safety Issue: | |
Description: | Immunogenicity of oleclumab |
Measure: | Development of detectable anti-drug antibody(ADA) to durvalumab |
Time Frame: | From start of treatment through 12 weeks post last dose of investigational product |
Safety Issue: | |
Description: | Immunogenicity of durvalumab |
Measure: | Serum oleclumab (MEDI9447) concentration levels |
Time Frame: | During treatment through 12 weeks post last dose of investigational product |
Safety Issue: | |
Description: | Pharmacokinetics of oleclumab |
Measure: | Serum durvalumab concentration levels |
Time Frame: | During treatment through 12 weeks post last dose of investigational product |
Safety Issue: | |
Description: | Pharmacokinetics of durvalumab |
Measure: | Area under the curve (AUC) of selected chemo-therapies and /or their metabolites |
Time Frame: | From start of treatment through the first 16 weeks of treatment |
Safety Issue: | |
Description: | Pharmacokinetics of gemcitabine and nab paclitaxel and their metabolites |
Measure: | Maximun serum concentration (Cmax) of selected chemo-therapies and /or their metabolites |
Time Frame: | From start of treatment through the first 16 weeks of treatment |
Safety Issue: | |
Description: | Pharmacokinetics of gemcitabine and nab paclitaxel and their metabolites |
Measure: | Incidence of clinically significant ECG abnormalities as a measure of safety in dose expansion phase |
Time Frame: | From time of informed consent through treatment period and including the follow-up period 12 weeks after last dose of investigational product, approximately 1 year |
Safety Issue: | |
Description: | 12 lead ECGs will be measured to identify clinical significant abnormalities including ECGs that demonstrate a QTcF value >500ms, 2 additional 12-lead ECGs should be obtained over a 30 minute time period to confirm prolongation based on the average QTcF value |
Measure: | Incidence of clinically significant laboratory values as a measure of safety in dose expansion phase |
Time Frame: | From time of informed consent through treatment period and including the follow-up period 12 weeks after last dose of investigational product, approximately 1 year |
Safety Issue: | |
Description: | Assess the presence of clinically significant laboratory values from baseline |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Active, not recruiting |
Lead Sponsor: | MedImmune LLC |
Trial Keywords
- MEDI9447
- oleclumab
- immunotherapy
- pancreatic cancer
- durvalumab
Last Updated
August 19, 2021