MedPath

Durvalumab

Generic Name
Durvalumab
Brand Names
Imfinzi
Drug Type
Biotech
CAS Number
1428935-60-7
Unique Ingredient Identifier
28X28X9OKV
Background

Durvalumab is a human immunoglobulin G1 kappa (IgG1κ) monoclonal antibody and a novel immune-checkpoint inhibitor for cancer treatment. Produced by recombinant DNA technology in Chinese Hamster Ovary (CHO) cell suspension culture, durvalumab is a programmed death-ligand 1 (PD-L1) blocking antibody that works to promote normal immune responses that attack tumour cells.

Durvalumab is marketed under the brand name Imfinzi, which is available for intravenous injections. It was granted accelerated approval by the FDA in May 2017 for the treatment of selected patients with locally advanced or metastatic urothelial carcinoma. In September 2018, durvalumab was approved by the EMA for the treatment of adult patients with locally advanced, unresectable non-small cell lung cancer (NSCLC), only if PD-L1 is expressed in ≥ 1% of tumour cells and there was no observable disease progression following platinum-based chemoradiation therapy. On March 27, 2020, durvalumab was approved by the FDA for use in combination with etoposide and either carboplatin or cisplatin as first-line treatment of patients with extensive-stage small cell lung cancer (ES-SCLC).

Indication

Durvalumab is indicated for the treatment of adults with the following conditions:

Associated Conditions
Extensive-stage Small Cell Lung Cancer (SCLC), Locally Advanced Biliary Tract Cancer, Metastatic Biliary Tract Cancer, Metastatic Non-Small Cell Lung Cancer, Unresectable Hepatocellular Carcinoma (HCC), Unresectable Stage III Non-small Cell Lung Cancer, Unresectable, locally advanced PD-L1 positive Lung Cancer Non-Small Cell Cancer (NSCLC)
Associated Therapies
First Line Chemotherapy

A Study Evaluating the Association of Hypofractionated Stereotactic Radiation Therapy and Durvalumab for Patients With Recurrent Glioblastoma

Phase 1
Completed
Conditions
Glioblastoma
Interventions
Radiation: Hypofractionated stereotactic radiation therapy
First Posted Date
2016-08-15
Last Posted Date
2024-12-04
Lead Sponsor
Institut Claudius Regaud
Target Recruit Count
108
Registration Number
NCT02866747
Locations
🇫🇷

Hopital Avicenne, Bobigny, France

🇫🇷

Institut de Cancerologie de L'Ouest, Angers, France

🇫🇷

Centre Georges Francois Leclerc, Dijon, France

and more 7 locations

Adjuvant PVX-410 Vaccine and Durvalumab in Stage II/III Triple Negative Breast Cancer

Phase 1
Active, not recruiting
Conditions
Breast Cancer
Interventions
First Posted Date
2016-07-11
Last Posted Date
2023-11-14
Lead Sponsor
Massachusetts General Hospital
Target Recruit Count
22
Registration Number
NCT02826434
Locations
🇺🇸

New York University School of Medicine, New York, New York, United States

🇺🇸

Massachusetts general Hospital, Boston, Massachusetts, United States

🇺🇸

Beth Israel Deaconess Medical Center, Boston, Massachusetts, United States

and more 2 locations

Durvalumab Before Surgery in Treating Patients With Oral Cavity or Oropharynx Cancer

Early Phase 1
Terminated
Conditions
Stage II Oropharyngeal Squamous Cell Carcinoma
Stage III Oral Cavity Squamous Cell Carcinoma
Stage IVC Oropharyngeal Squamous Cell Carcinoma
Stage I Oropharyngeal Squamous Cell Carcinoma
Human Papillomavirus Infection
Stage IVA Oral Cavity Squamous Cell Carcinoma
Stage IVB Oropharyngeal Squamous Cell Carcinoma
Stage I Oral Cavity Squamous Cell Carcinoma
Stage II Oral Cavity Squamous Cell Carcinoma
Stage III Oropharyngeal Squamous Cell Carcinoma
Interventions
Other: Laboratory Biomarker Analysis
Procedure: Therapeutic Conventional Surgery
First Posted Date
2016-07-11
Last Posted Date
2025-03-17
Lead Sponsor
Wake Forest University Health Sciences
Target Recruit Count
17
Registration Number
NCT02827838
Locations
🇺🇸

Comprehensive Cancer Center of Wake Forest University, Winston-Salem, North Carolina, United States

A Pilot Study of Combined Immune Checkpoint Inhibition in Combination With Ablative Therapies in Subjects With Hepatocellular Carcinoma (HCC) or Biliary Tract Carcinomas (BTC)

Phase 2
Completed
Conditions
Bile Duct Cancer
Biliary Tract Neoplasms
Hepatocellular Carcinoma
Cholangiocarcinoma
Liver Cancer
Interventions
Procedure: Cryoablation
Procedure: Trans-arterial Catheter Chemoembolization (TACE)
Procedure: Radiofrequency Ablation (RFA)
First Posted Date
2016-07-04
Last Posted Date
2023-03-28
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
54
Registration Number
NCT02821754
Locations
🇺🇸

National Institutes of Health Clinical Center, Bethesda, Maryland, United States

MEDI4736 Combinations in Metastatic Renal Cell Carcinoma

Phase 2
Completed
Conditions
Renal Clear Cell Carcinoma
Renal Papillary Cell Carcinoma
Interventions
First Posted Date
2016-06-30
Last Posted Date
2024-11-04
Lead Sponsor
Queen Mary University of London
Target Recruit Count
69
Registration Number
NCT02819596
Locations
🇬🇧

Thomas Powles, London, United Kingdom

Multi-Arm Study to Test the Efficacy of Immunotherapeutic Agents in Multiple Sarcoma Subtypes

Phase 2
Completed
Conditions
Advanced and/or Metastatic Sarcoma
Interventions
First Posted Date
2016-06-28
Last Posted Date
2024-06-21
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
56
Registration Number
NCT02815995
Locations
🇺🇸

University of Texas MD Anderson Cancer Center, Houston, Texas, United States

Durvalumab and Tremelimumab in Treating Patients With Muscle-Invasive, High-Risk Urothelial Cancer That Cannot Be Treated With Cisplatin-Based Therapy Before Surgery

Early Phase 1
Active, not recruiting
Conditions
Hydronephrosis
Infiltrating Bladder Urothelial Carcinoma Sarcomatoid Variant
Infiltrating Bladder Urothelial Carcinoma, Micropapillary Variant
Infiltrating Bladder Urothelial Carcinoma, Plasmacytoid Variant
Infiltrating Renal Pelvis Urothelial Carcinoma, Sarcomatoid Variant
Renal Pelvis Urothelial Carcinoma
Stage II Bladder Urothelial Carcinoma AJCC v6 and v7
Stage II Renal Pelvis Cancer AJCC v7
Stage II Ureter Cancer AJCC v7
Stage II Urethral Cancer AJCC v7
Interventions
Procedure: Therapeutic Conventional Surgery
First Posted Date
2016-06-24
Last Posted Date
2025-03-25
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
54
Registration Number
NCT02812420
Locations
🇺🇸

M D Anderson Cancer Center, Houston, Texas, United States

Study of Azacitidine and Durvalumab in Advanced Solid Tumors

Phase 2
Completed
Conditions
Platinum Resistant Epithelial Ovarian Cancer Type II
Estrogen Receptor Positive and HER2 Negative Breast Cancer
Microsatellite Stable Colorectal Carcinoma
Interventions
First Posted Date
2016-06-23
Last Posted Date
2021-04-01
Lead Sponsor
University Health Network, Toronto
Target Recruit Count
28
Registration Number
NCT02811497
Locations
🇨🇦

Princess Margaret Cancer Centre, Toronto, Ontario, Canada

A Study to Determine the Safety and Efficacy for the Combination of Durvalumab and Daratumumab in Relapsed and Refractory Multiple Myeloma

Phase 2
Terminated
Conditions
Multiple Myeloma
Interventions
First Posted Date
2016-06-21
Last Posted Date
2023-02-21
Lead Sponsor
Celgene
Target Recruit Count
37
Registration Number
NCT02807454
Locations
🇺🇸

UCLA Division of Hematology Oncology, Los Angeles, California, United States

🇨🇦

Local Institution - 103, Saint John, New Brunswick, Canada

🇨🇦

Princess Margaret Cancer Centre, Toronto, Ontario, Canada

and more 61 locations

Phase 1/2 Study of Mocetinostat and Durvalumab in Patients With Advanced Solid Tumors and NSCLC

First Posted Date
2016-06-20
Last Posted Date
2021-04-06
Lead Sponsor
Mirati Therapeutics Inc.
Target Recruit Count
83
Registration Number
NCT02805660
Locations
🇺🇸

Southern Cancer Center, PC, Mobile, Alabama, United States

🇺🇸

David Geffen School of Medicine at UCLA, Los Angeles, California, United States

🇺🇸

NorthShore University Health System, Evanston, Illinois, United States

and more 12 locations
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