MEDI4736 (Anti PD-L1) Combined With Gefitinib in Subjects With Non-Small Cell Lung Cancer(NSCLC).

NCT ID: NCT02088112

Last Updated: 2022-04-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

56 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-03-24

Study Completion Date

2021-03-09

Brief Summary

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This a Phase I, Open-Label, Multicentre Study to assess the safety, tolerability, pharmacokinetics and preliminary anti-tumour activity of gefitinib in combination with MEDI4736 (anti PD-L1) in Subjects with Non-small cell lung cancer (NSCLC). The study consists of two phases: Escalation phase and an expansion phase to be conducted in locally advanced or metastatic NSCLC subjects

Detailed Description

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In Escalation phase: MEDI4736 and gefitinib in NSCLC subjects In Expansion phase: Subjects with EGFR mutation positive locally advanced or metastatic NSCLC will be enrolled in expansion arms. Initiation of expansion arms with the recommended dose of MEDI4736 in combination with gefitinib will be based on an adequate safety and tolerability profile of the combination from the escalation phase.

Conditions

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Carcinoma, Non-Small-Cell Lung

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Escalation

MEDI4736 will be combined with gefitinib to assess safety and tolerability

Group Type EXPERIMENTAL

Gefitinib

Intervention Type DRUG

Gefitinib QD

MEDI4736

Intervention Type DRUG

MEDI4736 IV Q2W

Expansion Arm

MEDI4736 will be combined with gefitinib

Group Type EXPERIMENTAL

Gefitinib

Intervention Type DRUG

Gefitinib QD

MEDI4736

Intervention Type DRUG

MEDI4736 IV Q2W

Interventions

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Gefitinib

Gefitinib QD

Intervention Type DRUG

MEDI4736

MEDI4736 IV Q2W

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Provision of signed and dated, written informed consent
2. Male or female aged 18 years and older.
3. Subjects must have a. In the escalation phase, locally advanced or metastatic NSCLC subjects who have either failed to respond or relapsed following any line of standard treatment, were unable to tolerate, or were not eligible for standard treatment b. In the expansion phase, histologically or cytologically confirmed locally advanced or metastatic NSCLC that is EGFR mutation positive, naïve to EGFR TKI therapy, and sensitive to EGFR TKIs therapy
4. a.For Escalation Phase: At least one lesion (measurable and/or non-measurable) b.For Expansion Phase: At least one measurable lesion.
5. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.

* For Japan Escalation - the same as the global escalation I/E criteria except patients must be EGFR mutation positive

Exclusion Criteria

1. Any concurrent chemotherapy, immunotherapy, biologic, or hormonal therapy for cancer treatment.
2. Any investigational agent, chemotherapy, immunotherapy, biologic, hormonal within 28 days of the first dose of study treatment
3. Inadequate bone marrow reserve or organ function
Minimum Eligible Age

18 Years

Maximum Eligible Age

130 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AstraZeneca

INDUSTRY

Sponsor Role collaborator

MedImmune LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ben Creelan, MD

Role: PRINCIPAL_INVESTIGATOR

Moffit Cancer Center

Don Gibbons, MD

Role: PRINCIPAL_INVESTIGATOR

M.D. Anderson Cancer Center

Laura Chow, MD

Role: PRINCIPAL_INVESTIGATOR

University of Washington

Sang-We Kim, MD

Role: PRINCIPAL_INVESTIGATOR

Asan Medical Center

Dong-Wan Kim, MD

Role: PRINCIPAL_INVESTIGATOR

Seoul National University Hospital

Shinitaro Kanda, MD

Role: PRINCIPAL_INVESTIGATOR

National Cancer Center

Naoyuki Nogami

Role: PRINCIPAL_INVESTIGATOR

Shikoku Cancer Center

Locations

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Research Site

Tampa, Florida, United States

Site Status

Research Site

Houston, Texas, United States

Site Status

Research Site

Seattle, Washington, United States

Site Status

Research Site

Chūōku, , Japan

Site Status

Research Site

Matsuyama, , Japan

Site Status

Research Site

Seoul, , South Korea

Site Status

Research Site

Seoul, , South Korea

Site Status

Countries

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United States Japan South Korea

References

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Creelan BC, Yeh TC, Kim SW, Nogami N, Kim DW, Chow LQM, Kanda S, Taylor R, Tang W, Tang M, Angell HK, Roudier MP, Marotti M, Gibbons DL. A Phase 1 study of gefitinib combined with durvalumab in EGFR TKI-naive patients with EGFR mutation-positive locally advanced/metastatic non-small-cell lung cancer. Br J Cancer. 2021 Jan;124(2):383-390. doi: 10.1038/s41416-020-01099-7. Epub 2020 Oct 5.

Reference Type DERIVED
PMID: 33012782 (View on PubMed)

Other Identifiers

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D791PC00001

Identifier Type: -

Identifier Source: org_study_id

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