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临床试验/NL-OMON52188
NL-OMON52188尚未招募不适用

A Phase 1, Open-label, Dose-escalation and Expansion Study of MEDI1191 Administered Intratumorally as Monotherapy and in Combination with Durvalumab in Subjects with Advanced Solid Tumors. Sub-study title: CD8+ Imaging Sub-study Protocol - D8510C00001 / ICON # 0597/0115

MedImmune, LLC, a wholly owned subsidiary of AstraZeneca PLC0 个研究点目标入组 14 人开始时间: 待定最近更新:
适应症

试验速览

阶段
不适用
状态
尚未招募
发起方
入组人数
14

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
18 至 64(—)

入选标准

  • Please note that due to removing inclusion/ exclusion criteria not relevant for
  • the protocol conducted in The Netherlands, the numbers deviate from those in
  • the Main Protocol.
  • Subjects must meet all of the following criteria:
  • 1. Subjects >= 18 years of age.
  • 2. Have given written informed consent prior to any study prior to performing
  • any protocol related procedures, including screening evaluations.
  • 3. Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1.
  • 4. Have at least 1 measurable lesion, other than the planned injected
  • lesion(s), using standard techniques by RECIST v1.1. Injected tumor lesion(s)
  • must be deemed clinically feasible for injection by the investigator.
  • a. A previously irradiated lesion, or a lesion subjected to other loco-regional
  • therapy, can be considered a target lesion only if the lesion has clearly
  • progressed during or after most recent therapy, and is well defined, measurable
  • per RECIST v1.1.
  • b. Subjects undergoing fresh tumor biopsies must have additional non-target
  • lesions that can be biopsied at acceptable risk as judged by the investigator
  • or if no other lesion is deemed suitable for biopsy, then a RECIST v1.1 target
  • lesion used for biopsy must be >= 2 cm in longest diameter.
  • 5. Adequate bone marrow, renal, and hepatic function
  • a. Hematological (criteria listed cannot be met with recent blood transfusions
  • or require ongoing growth factor support within 2 weeks of starting study
  • treatment):
  • i. Absolute neutrophil count >= 1.5 × 109/L (1,500/mm3).
  • ii. Platelet count >= 100 × 109/L (100,000/mm3).
  • iii. Hemoglobin >= 9.0 g/dL within first 2 weeks prior to first dose.
  • b. Renal: calculated creatinine clearance (CrCL) (Cockcroft-Gault formula will
  • be used to calculate CrCL) or 24-hour urine CrCl > 50 mL/min.
  • c. Hepatic:
  • i. TBL <= 1.5 × ULN; for subjects with documented/suspected Gilbert's syndrome
  • or liver metastases, bilirubin <= 3 × ULN.
  • ii. AST and ALT <= 3 × ULN if no demonstrable liver metastasis; <= 5 x ULN in the
  • presence of liver metastases.
  • iii. Albumin > 3 g/dL.
  • iv. International normalized ratio (INR) and activated partial thromboplastin
  • time (aPTT) < 1.5 × ULN.
  • 6. Prior to the first dose of MEDI1191, subjects with central nervous system
  • (CNS) metastases must have been treated and must be asymptomatic and meet the
  • a. No concurrent treatment, inclusive of but not limited to surgery, radiation,
  • and/or corticosteroids.
  • b. Subjects must be clinically stable with no CNS symptoms following CNS
  • treatment for a period of at least 28 days prior to first dose of MEDI1191.
  • c. At least 7 days since last dose of corticosteroids first dose of MEDI1191.
  • NOTE: Subjects with clinical symptoms or cord compression or with
  • leptomeningeal disease are excluded from the study.
  • 7. Cessation of immunosuppressive medications including systemic
  • corticosteroids at doses exceeding 12 mg/day prednisone or equivalent,
  • methotrexate, azathioprine, ustekinumab (Stelara®), and tumor necrosis factor
  • (TNF) a/IL 6 blockers for at least 7 days prior to the first dose of MEDI1191
  • (corticosteroids at doses of 12 mg/day prednisone equivalent or lower, inhaled,
  • 另有 3 项未显示

排除标准

  • Please note that due to removing inclusion/ exclusion criteria not relevant for
  • the protocol conducted in The Netherlands, the numbers deviate from those in
  • the Main Protocol.
  • Any of the following would exclude the subject from participation in the study:
  • 1. Prior IL-12 either alone or as part of a treatment regimen.
  • 2. Concurrent enrollment in another clinical study within 30 days prior to
  • treatment administration, unless it is an observational (non interventional)
  • clinical study or the follow-up period of an interventional study.
  • 3. Receipt of live attenuated vaccines within 30 days prior to the first dose
  • of study treatment. Subjects who receive study treatment should not receive
  • live or live attenuated vaccine during the study and 30 days after the last
  • dose of investigational products.
  • 4. Known allergy or hypersensitivity to any component of MEDI1191 or durvalumab
  • formulations.
  • 5. Active or prior documented autoimmune disorders within the past 5 years
  • prior to the first scheduled dose of study treatment. The following are
  • exceptions to this criterion:
  • a. Subjects with vitiligo or alopecia.
  • b. Subjects with hypothyroidism (eg, following Hashimoto syndrome) stable on
  • hormone replacement.
  • c. Any chronic skin condition that does not require systemic therapy.
  • d. Subjects with celiac disease controlled by diet alone.
  • 6. History of primary immunodeficiency, other immune-deficiency states (eg,
  • myelodysplastic disorders, marrow failure states, human immunodeficiency virus
  • infection [even if viral load is undetectable], history of solid organ
  • transplant, bone marrow allograft), or active tuberculosis (in settings where
  • there is clinical or radiographic evidence of tuberculosis, active disease must
  • be excluded prior to enrollment in line with local practice).
  • 7. History of coagulopathy resulting in uncontrolled bleeding, eg, hemophilia,
  • von Willebrand's disease. History of other bleeding disorders or a Grade >= 3
  • bleeding event within 3 months prior to first dose of investigational products.
  • 8. Require continuous anticoagulation or antiplatelet therapy (except for <= 100
  • mg acetylsalicylic acid [ASA]) which cannot be interrupted for more than 7 days
  • for IT delivery of MEDI1191.
  • 9. Any concurrent chemotherapy, radiotherapy, immunotherapy, biologic or
  • hormonal therapy for cancer. NOTE: Concurrent use of hormones for
  • noncancer-related conditions (eg, insulin for diabetes and hormone replacement
  • therapy for post-menopausal symptoms) or specific cancer-related conditions
  • (ie, LHRH-based hormonal therapy for prostate cancer with documented
  • progression) is acceptable. Local treatment of isolated lesions for palliative
  • intent is acceptable (eg, by local surgery or radiotherapy)
  • 10. Receipt of any conventional or investigational anticancer therapy within 21
  • days or palliative radiotherapy within 7 days prior to the first dose of study
  • treatment. For subjects who have received prior immunotherapy, the following
  • additional exclusion criteria apply:
  • a. Received only one dose of prior immunotherapy agent alone or as part of a
  • combination regimen within 21 days.
  • b. Experienced a toxicity that led to permanent discontinuation of prior
  • immunotherapy
  • c. All AEs while receiving prior immunotherapy did not resolve to <= Grade 1 or
  • 另有 1 项未显示

研究者

发起方
MedImmune, LLC, a wholly owned subsidiary of AstraZeneca PLC

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