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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02221960
Registration number
NCT02221960
Ethics application status
Date submitted
19/08/2014
Date registered
21/08/2014
Date last updated
13/03/2019
Titles & IDs
Public title
A Phase 1 Study to Evaluate MEDI6383 Alone and in Combination With MEDI4736 in Adult Subjects With Select Advanced Solid Tumors
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Scientific title
A Phase 1 Multicenter, Open-label, Dose-escalation and Dose-expansion Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Immunogenicity, and Antitumor Activity of MEDI6383 Alone and in Combination With MEDI4736 in Adult Subjects With Select Advanced Solid Tumors
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Secondary ID [1]
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D6050C00001
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Recurrent or Metastatic Solid Tumors
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Other - MEDI6383
Treatment: Other - MEDI6383 and MEDI4736
Experimental: Monotherapy Arm - MEDI6383
Experimental: Combination Arm - MEDI6383 and MEDI4736
Treatment: Other: MEDI6383
Subjects will receive MEDI6383 until disease progression or adverse event.
Treatment: Other: MEDI6383 and MEDI4736
Subjects will recieve MEDI6383 and MEDI4736 until disease progression or adverse event.
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Intervention code [1]
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Treatment: Other
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Safety
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Assessment method [1]
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Primary endpoint will be the number (%) of subjects with adverse events and serious adverse events.
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Timepoint [1]
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From time of informed consent through 12 weeks after last dose of investigational product
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Secondary outcome [1]
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Preliminary Antitumor Activity
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Assessment method [1]
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The endpoints for assessment of antitumor activity include objective response (OR), disease control (DC), duration of response (DoR), progression-free survival (PFS), and 3-year overall survival (OS)
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Timepoint [1]
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Duration of Study
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Secondary outcome [2]
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Pharmacokinetics of MEDI6383 or MEDI6383/MEDI4736
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Assessment method [2]
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When MEDI6383 is administered alone, the endpoints for assessment of PK of MEDI6383 include individual subject MEDI6383 concentrations in serum at different time points after MEDI6383 administration. When MEDI6383 is administered together with MEDI4736, the endpoints for assessment of PK of MEDI6383 and MEDI4736 include individual subject MEDI6383 and MEDI4736 concentrations in serum at different time points after MEDI6383 and MEDI4736 administration. PK Parameters that may be modeled may include Cmax, Area Under the concentration-time curve, Clearance, and terminal half-live.
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Timepoint [2]
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From time of informed consent through 12 weeks after last dose of investigational product
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Secondary outcome [3]
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Biomarker Activity
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Assessment method [3]
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The endpoints for assessment of pharmacodynamic activity include immunohistochemistry of tumor biopsies and assessment of tumor-infiltrating lymphocyte phenotypic markers
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Timepoint [3]
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From time of informed consent through 12 weeks after last dose of investigational product
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Secondary outcome [4]
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Immunogenicity
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Assessment method [4]
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The endpoint for for the assessment of immunogenicity will include the number and percentage of subjects that develop anti-drug antibodies.
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Timepoint [4]
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From time of informed consent through 12 weeks after last dose of investigational product
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Eligibility
Key inclusion criteria
1. Male and female subjects; age = 18
2. Written informed consent must be obtained
3. Subjects must meet the following criteria:
1. Have recurrent or metastatic solid tumors
2. Must have received and have progressed, are refractory, or are intolerant to standard therapy appropriate for the specific tumor type. Subjects should not have received more than 5 prior lines of therapy for recurrent or metastatic disease including both standards of care and investigational therapies
4. Subjects must have at least 1 lesion
5. Subjects must consent to provide archived tumor specimens and / or tumor biopsy for correlative biomarker studies.
6. Eastern Cooperative Oncology Group performance score of 0 or 1
7. In the opinion of the invesgator likely to complete = 8 weeks of treatment.
8. Adequate organ function as determined by:
i. Absolute neutrophil count = 1.5 x 109/L (1,500/mm3) ii.Platelet count = 100 x 109/L (100,000/mm3) iii.Hemoglobin = 9.0 g/dL within first 2 weeks prior to first dose of investigational product iv.Calculated creatinine clearance* (CrCl) or 24 hour urine CrCl > 50 mL/min v.Total bilirubin = 1.5× ULN; for subjects with documented/suspected Gilbert's disease, bilirubin = 3× ULN vi.Aspartate transaminase (AST) and alanine transaminase (ALT) = 2.5× ULN vii.Serum Electrolytes within normal limits
9. Females of childbearing potential who are sexually active with a nonsterilized male partner must use 2 methods of highly effective contraception from screening, and must agree to continue using such precautions for 90 days after the final dose of investigational product; 10) Nonsterilized males who are sexually active with a female partner of childbearing potential must use a highly effective method of contraception from Day 1 through 90 days after receipt of the final dose of investigational product
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Minimum age
18
Years
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Maximum age
99
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Prior treatment with TNFRSF agonists including OX40, CD27, CD137 (4-1BB), CD357 (GITR) .
2. Subjects who have received prior therapy with regimens containing CTLA-4, PDL-1, or PD-1 antagonists are NOT permitted to enroll unless all of the following apply:
* Must not have experienced a toxicity that led to permanent discontinuation of prior immunotherapy
* All AEs while receiving prior immunotherapy must have resolved to = Grade 1 or baseline prior to screening for this study.
3. Must not have experienced a = Grade 3 AE or neurologic or ocular AE of any grade while receiving prior immunotherapy
4. History of severe allergic reactions to any unknown allergens or any components of the study drug formulations
5. Active or prior documented autoimmune disease within the past 2 years.
6. Untreated central nervous system metastatic disease l
7. Concurrent enrollment in another clinical study, unless it is an observational (non interventional) clinical study or the follow-up period of an interventional study
8. Receipt of anticancer therapy within 28 days prior to the first dose of Investigational Product
9. Any concurrent chemotherapy, immunotherapy, or biologic or hormonal therapy for cancer treatment.
10. Unresolved toxicities from prior anticancer therapy
11. Systemic anticoagulation or daily aspirin dose exceeding 325 mg per day
12. Current or prior use of immunosuppressive medication within 14 days prior to the first dose of MEDI6383. )
13. History of primary immunodeficiency, solid organ transplantation, or tuberculosis
14. True positive test results for human immunodeficiency virus (HIV) or hepatitis B or C
15. Receipt of live, attenuated vaccine within 28 days prior to the first dose of investigational products )
16. Pregnant or breastfeeding women
17. Major surgery (as defined by the investigator) within 4 weeks prior to first dose of MEDI6383 or still recovering from prior surgery. Local surgery of isolated lesions for palliative intent is acceptable
18. Other invasive malignancy within 2 years
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
15/09/2014
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
3/07/2017
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Sample size
Target
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Accrual to date
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Final
39
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Research Site - Parkville
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Recruitment postcode(s) [1]
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3052 - Parkville
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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California
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United States of America
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State/province [2]
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Connecticut
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United States of America
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State/province [3]
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District of Columbia
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United States of America
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State/province [4]
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Illinois
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Country [5]
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United States of America
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New York
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Country [6]
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United States of America
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State/province [6]
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Oregon
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Country [7]
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United States of America
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State/province [7]
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Tennessee
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
MedImmune LLC
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
To evaluate MEDI6383 when given alone or together with MEDI4736 in adult subjects with recurrent or metastatic solid tumors.
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Trial website
https://clinicaltrials.gov/study/NCT02221960
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Medimmune Medimmune
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Address
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MedImmune LLC
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT02221960
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