An Open-label Phase 1 Study to Assess the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics and Preliminary Efficacy of MEDI5395 in Combination With Durvalumab in Subjects With Select Advanced Solid Tumors.
Overview
- Phase
- Phase 1
- Intervention
- Not specified
- Conditions
- Advanced Solid Tumors
- Sponsor
- MedImmune LLC
- Enrollment
- 39
- Locations
- 1
- Primary Endpoint
- Number of Participants with TEAEs Resulting in Permanent Discontinuation of Durvalumab
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
The reason for the study is to find out if MEDI5395 and durvalumab will work and be safe for the treatment of solid tumors.
Detailed Description
This is an Phase 1, first-in-human, open-label, dose-escalation, and dose-expansion study to assess the safety, tolerability, pharmacokinetics (PK), pharmacodynamics and preliminary efficacy of MEDI5395 in combination with durvalumab in participants with selected advanced solid tumors.
Investigators
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Number of Participants with TEAEs Resulting in Permanent Discontinuation of Durvalumab
Time Frame: From first dose of durvalumab through 14.4 months (corresponding to maximum observed duration)
Number of participants with TEAEs resulting in permanent discontinuation of durvalumab are reported.
Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs)
Time Frame: From first dose of MEDI5395 through 14.4 months (corresponding to maximum observed duration)
An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A serious adverse event (SAE) is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. The TEAEs are defined as events present at baseline that worsened in intensity after administration of study drug or events absent at baseline that emerged after administration of study drug.
Number of Participants With Abnormal Electrocardiogram (ECG) Parameters Reported as TEAEs
Time Frame: From first dose of MEDI5395 through 14.4 months (corresponding to maximum observed duration)
Number of participants with abnormal ECG parameters reported as TEAEs are reported.
Change From Baseline in Left Ventricular Ejection Fraction (LVEF)
Time Frame: From first dose of MEDI5395 through 14.4 months (corresponding to maximum observed duration)
Change from baseline in LVEF values are reported.
Number of Participants with TEAEs Resulting in Permanent Discontinuation of MEDI5395
Time Frame: From first dose of MEDI5395 through 14.4 months (corresponding to maximum observed duration)
Number of participants with TEAEs resulting in permanent discontinuation of MEDI5395 are reported.
Maximum Reduction From Baseline in Global Longitudinal Strain (GLS) Values
Time Frame: From first dose of MEDI5395 through 14.4 months (corresponding to maximum observed duration)
Maximum reduction from baseline in GLS values are reported. The GLS \< 16% is abnormal, GLS \> 18% is normal, and GLS 16% to 18% is borderline.
Number of Participants with Dose-limiting Toxicities (DLT)
Time Frame: Day 1 to Day 28 of first dose of MEDI5395
A DLT is defined as any toxicity not clearly and directly related to the primary disease or to another etiology and included: any Grade 3 or higher toxicity that occurs during the DLT evaluation period, aspartate aminotransferase or alanine aminotransferase \>= 3 × upper limit of normal (ULN) together with total bilirubin \>= 2 × ULN, where no other reason other than the study drugs, can be found to explain the combination of increases, Grade ≥ 2 myocarditis, Grade 2 non infectious pneumonitis that does not resolve to Grade ≤ 1 within 7 days of the initiation of maximal supportive care, any Grade \>= 2 MEDI5395 related toxicity that prevents administration of more than 1 dose of MEDI5395 within the 18-day dosing period, in sequential dosing cohorts, any Grade \>= 2 MEDI5395 related toxicity that prevents administration of the first dose of durvalumab, and any AE that, after consultation with the Sponsor and investigators, is deemed a DLT.
Number of Participants With Abnormal Vital Signs Reported as TEAEs
Time Frame: From first dose of MEDI5395 through 14.4 months (corresponding to maximum observed duration)
Number of participants with abnormal vital signs (blood pressure, pulse rate, respiration rate, oxygen saturation, and body temperature) reported as TEAEs are reported.
Number of Participants With Abnormal Laboratory Parameters Reported as TEAEs
Time Frame: From first dose of MEDI5395 through 14.4 months (corresponding to maximum observed duration)
Laboratory assessment included hematology, clinical chemistry, coagulation, cardiac parameters, and urinalysis. Participants with abnormal laboratory parameters reported as TEAEs are reported.
Number of Participants With at Least 1-Grade Shift From Baseline to Worst Post-baseline in Eastern Co-operative Oncology Group Performance Status (ECOG-PS) Score
Time Frame: From first dose of MEDI5395 through 14.4 months (corresponding to maximum observed duration)
ECOG performance status is used by doctors and researchers to assess how a participant's disease is progressing, assess how the disease affects the daily living activities of the participant and determine appropriate treatment and prognosis. The scores are: 0 = Fully Active, able to carry out all pre-disease performance without restrictions; 1 = Restricted activity but ambulatory and able to carry out light work or work of a sedentary nature; 2 = Ambulatory and capable of self-care but unable to carry out work activities; 3 = Capable of only limited self-care, confined to bed or chair more than 50% of waking hours; 4 = Completely Disabled, unable to carry out any self-care and totally confined to bed or chair; 5 = Dead.
Secondary Outcomes
- Percentage of Participants with Disease Control (DC) per RECIST v1.1(Baseline (Day -28 to Day -1) through 24.5 months (corresponding to maximum observed duration))
- Percentage of Programmed Cell Death Ligand 1 (PD-L1) Positivity in Tumor Cells(Baseline (Pre-treatment) and on the Day of Dose 4 of MEDI5395 (Post-treatment))
- Duration of Response (DoR) per RECIST v1.1(Baseline (Day -28 to Day -1) through 24.5 months (corresponding to maximum observed duration))
- Tumoral Cluster of Differentiation 8 Positive (CD8+) Cell Density in Tumor Tissue(Baseline (Pre-treatment) and on the Day of Dose 4 of MEDI5395 (Post-treatment))
- Percentage of PD-L1 Positvity in Whole Biopsy Sample(Baseline (Pre-treatment) and on the Day of Dose 4 of MEDI5395 (Post-treatment))
- Percentage of Participants with Objective Response per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)(Baseline (Day -28 to Day -1) through 24.5 months (corresponding to maximum observed duration))
- Progression-Free Survival (PFS) per RECIST v1.1(Baseline (Day -28 to Day -1) through 24.5 months (corresponding to maximum observed duration))
- Time to Response (TTR) per RECIST v1.1(Baseline (Day -28 to Day -1) through 24.5 months (corresponding to maximum observed duration))
- Overall Survival (OS)(Baseline (Day -28 to Day -1) through 24.5 months (corresponding to maximum observed duration))
- Viral Genome Concentration of MEDI5395 in Whole Blood(Predose and end of infusion; on dose 1,2,3,4,5,6, 1 day(D) post Dose 1 and 6, 7 D post Dose 6 of MEDI5395/Cycle(C)1D15, C2D1, C3D1,C4D1, and C5D1 pre dose of durvalumab in both sequential and concurrent dosing; C1D1, C1D8, and C1D15 in sequential dosing)
- Number of Participants With Positive Neutralizing Antibodies (nAbs) to MEDI5395(Day (D) of MEDI5395 (MEDI) Dose 1, 4, 6, D1 C1 and C2 of durvalumab in sequential dosing; on day of MEDI Dose 1, 4, 6; C1D15, C2D1 C3D1, C4D1 of durvalumab dose in concurrent dosing; within 28 days of last dose (LD) and 90 days post LD (14.4 months))