A Phase 1b/2 Safety and Tolerability Study of MEDI6469 in Combination With Therapeutic Immune Agents or Monoclonal Antibodies

NCT ID: NCT02205333

Last Updated: 2017-06-28

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

48 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-08-13

Study Completion Date

2016-04-08

Brief Summary

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The main purpose of this study is to determine the best dose of MEDI6469 that is safe and tolerable when given as monotherapy and in combination with tremelimumab, MEDI4736 (durvalumab), or rituximab in participants with either advanced solid tumors or diffuse large B-cell lymphoma (DLBCL). Tremelimumab and MEDI4736 (durvalumab) will be tested with MEDI6469 in a set of participants with advanced solid tumors while rituximab will be tested with MEDI6469 in participants with DLBCL. MEDI6469 will be tested as monotherapy in participants with advanced solid tumors.

Detailed Description

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Conditions

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Advanced Solid Tumors Aggressive B-cell Lymphomas

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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MEDI6469 6 mg/kg

Participants received MEDI6469 6 milligram/kilogram (mg/kg) as a single intravenous (IV) administration on Day 1

Group Type EXPERIMENTAL

MEDI6469 Monotherapy

Intervention Type BIOLOGICAL

single intravenous (IV) administration of MEDI6469

MEDI6469 10 mg/kg

Participants received MEDI6469 10 mg/kg as a single IV administration on Day 1

Group Type EXPERIMENTAL

MEDI6469 Monotherapy

Intervention Type BIOLOGICAL

single intravenous (IV) administration of MEDI6469

MEDI6469 2 mg/kg+Tremelimumab 3 mg/k

Participants received MEDI6469 2 mg/kg as a single IV administration on Day 1 plus tremelimumab 3 mg/kg as IV administration on Day 1 then every 4 weeks (Q4W) for 6 doses, after which every 12 weeks (Q12W) for 2 doses or until PD

Group Type EXPERIMENTAL

MEDI6469 Plus Tremelimumab

Intervention Type BIOLOGICAL

MEDI6469 in combination with Tremelimumab

MEDI6469 2 mg/kg+Tremelimumab 10 mg/kg

Participants received MEDI6469 2 mg/kg as a single IV administration on Day 1 plus tremelimumab 10 mg/kg as IV administration on Day 1 then Q4W for 6 doses after which Q12W for 2 doses or until progression of disease (PD)

Group Type EXPERIMENTAL

MEDI6469 Plus Tremelimumab

Intervention Type BIOLOGICAL

MEDI6469 in combination with Tremelimumab

MEDI6469 2 mg/kg+Durvalumab 3 mg/kg

Participants received MEDI6469 2 mg/kg as a single IV administration on Day 1 plus durvalumab 3 mg/kg as IV administration on Day 1 then every 2 weeks (Q2W) for 12 months or until PD

Group Type EXPERIMENTAL

MEDI6469 Plus Durvalumab

Intervention Type BIOLOGICAL

MEDI6469 in combination with Durvalumab

MEDI6469 2 mg/kg+Durvalumab 10 mg/kg

Participants received MEDI6469 2 mg/kg as a single IV administration on Day 1 plus durvalumab 10 mg/kg as IV administration on Day 1, then Q2W for 12 months or until PD

Group Type EXPERIMENTAL

MEDI6469 Plus Durvalumab

Intervention Type BIOLOGICAL

MEDI6469 in combination with Durvalumab

MEDI6469 10 mg/kg+Durvalumab 10 mg/kg

Participants received MEDI6469 10 mg/kg as a single IV administration on Day 1 plus durvalumab 10 mg/kg as IV administration on Day 1, then Q2W for 12 months or until PD

Group Type EXPERIMENTAL

MEDI6469 Plus Durvalumab

Intervention Type BIOLOGICAL

MEDI6469 in combination with Durvalumab

MEDI6469 2 mg/kg+Rituximab 375 mg/m^2

Participants received MEDI6469 2 mg/kg as a repeat IV administration on Day 3 then Q4W for 11 doses, or until confirmed complete response (CR) plus 1 cycle, or PD plus rituximab 375 mg/m\^2 as IV administration on Days 1, 8, and 29; then Q4W for 10 doses, or until confirmed CR plus 1 cycle, or PD

Group Type EXPERIMENTAL

MEDI6469 plus Rituximab

Intervention Type BIOLOGICAL

MEDI6469 in combination with Rituximab

MEDI6469 10 mg/kg+Rituximab 375 mg/m^2

Participants received MEDI6469 10 mg/kg as a repeat IV administration on Day 3 then Q4W for 11 doses, or until confirmed CR plus 1 cycle, or PD plus rituximab 375 mg/m2 as IV administration on Days 1, 8, and 29; then Q4W for 10 doses, or until confirmed CR plus 1 cycle, or PD

Group Type EXPERIMENTAL

MEDI6469 plus Rituximab

Intervention Type BIOLOGICAL

MEDI6469 in combination with Rituximab

Interventions

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MEDI6469 Monotherapy

single intravenous (IV) administration of MEDI6469

Intervention Type BIOLOGICAL

MEDI6469 Plus Tremelimumab

MEDI6469 in combination with Tremelimumab

Intervention Type BIOLOGICAL

MEDI6469 Plus Durvalumab

MEDI6469 in combination with Durvalumab

Intervention Type BIOLOGICAL

MEDI6469 plus Rituximab

MEDI6469 in combination with Rituximab

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Adults \>/= 18 years old
* Histologically or cytologically confirmed advanced solid tumors that are refractory to standard therapy or for which no standard therapy exists (Monotherapy and in Cohorts A and B)
* At least one lesion measurable by RECIST not previously irradiated (Monotherapy and in Cohorts A and B)
* Histologically confirmed DLBCL(Cohort C)
* Adequate organ and marrow function
* ECOG performance status of 0 or 1
* Willingness to provide consent for biopsy samples

Exclusion Criteria

* Prior exposure to immunotherapy (either as a single agent or in combination) including but not limited to CD137 or OX40 agonists, anti-CTLA-4, anti-PD-1, or anti-PD-L1, anti-PD-L2 antibody or pathway-targeting agents
* History of organ transplant that requires use of immunosuppressives
* History of primary immunodeficiency or tuberculosis
* Active or prior documented autoimmune disease within the past 3 years
* Active or chronic viral hepatitis or history of any type of hepatitis within the last 6 months
* Major surgical procedure within 30 days prior to the first dose of investigational product or still recovering from prior surgery
* Women who are pregnant or lactating
Minimum Eligible Age

18 Years

Maximum Eligible Age

99 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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MedImmune LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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MedImmune, LLC

Role: STUDY_DIRECTOR

MedImmune LLC

Locations

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Research Site

Scottsdale, Arizona, United States

Site Status

Research Site

Sacramento, California, United States

Site Status

Research Site

Santa Monica, California, United States

Site Status

Research Site

Washington D.C., District of Columbia, United States

Site Status

Research Site

Tampa, Florida, United States

Site Status

Research Site

Chicago, Illinois, United States

Site Status

Research Site

Detroit, Michigan, United States

Site Status

Research Site

Las Vegas, Nevada, United States

Site Status

Research Site

Hackensack, New Jersey, United States

Site Status

Research Site

Huntersville, North Carolina, United States

Site Status

Research Site

Portland, Oregon, United States

Site Status

Research Site

Memphis, Tennessee, United States

Site Status

Research Site

Houston, Texas, United States

Site Status

Countries

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United States

Other Identifiers

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D4981C00001

Identifier Type: -

Identifier Source: org_study_id

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