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Non Small Cell Lung Cancer Squamous (NSCLC-Sq)Phase 1NCT03811652

A Multiple Ascending Dose Study of MEDI7247 in Advanced or Metastatic Solid Tumors

A Phase 1 study testing MEDI7247 in people with Non Small Cell Lung Cancer Squamous (NSCLC-Sq) and Head and Neck Squamous Cell Carcinoma (HNSCC), run by MedImmune LLC at 3 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

To assess safety and tolerability, describe the dose-limiting toxicities, assess the preliminary antitumor activity, determine the maximum tolerated dose (MTD) or the highest protocol-defined dose (maximum administered dose) in the absence of establishing the MTD, and a recommended dose for further evaluation of… Read more about this study

Who is it for?
Ages 18 to 101 years
What is being tested?
MEDI7247
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
8 participants
Where
3 sitesin 2 countries
Study dates
20 Dec 2018to 10 Dec 2019
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 101 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Confirmed diagnosis of advanced or metastatic select solid tumors and either progression on or documented intolerance to standard therapies
  • Age ≥ 18 years at the time of screening.
  • Written informed consent and any locally required authorization
  • Eastern Cooperative Oncology Group (ECOG) performance status 0-1
  • At least 1 measurable target lesion by CT or MRI per RECIST Version 1.1 (excluding mCRPC)
  • Adequate Liver Function: Aspartate Aminotransferase (AST) and Alanine Aminotransferase (ALT) ≤ 2.5 × ULN (upper limit normal), Albumin > 3 g/dL, and serum total bilirubin (TBL) ≤ 1.5 × ULN; (unless bilirubin rise is due to Gilbert's syndrome, hepatic metastases or of non-hepatic origin, in which case TBL ≤ 3 × ULN is allowed)
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  • Creatinine Clearance (CrCL) ≥ 40 mL/min
  • Adequate Hematopoesis: Absolute Neutrophil Count (ANC) ≥ 1,500/μL, Platelets ≥ 100,000/μL, and Hgb ≥ 9 g/dL unassisted by transfusion or growth factor within 14 days of screening
  • Provision of archival or fresh tumor tissue at screening
  • Female patients of childbearing potential who are sexually active with a nonsterilized male partner must use at least one highly effective method of contraception, and must agree to continue using such precautions for 90 days after the last dose of investigational product.
  • Nonsterilized male patients who are sexually active with a female partner of childbearing potential must use a male condom plus spermicide from 7 days post-screening and for 90 days after receipt of the last dose of investigational product.

Who cannot join

  • Active central nervous system (CNS) metastases, unless adequately treated and patients have neurologically returned to baseline (except for residual signs or symptoms related to the CNS treatment) and prednisolone 10 mg or less for more than 2 weeks prior to enrollment. For SCLC, a brain MRI scan that was conducted ≤ 28 days from Day 1 is required.
  • Residual toxicity from prior anticancer therapy not resolved to NCI CTCAE v4.03 Grade 1, with the exception of alopecia/vitiligo at the time of first dose of investigational product. For patients previously receiving immunotherapy, toxicities that are unlikely to recover to Grade 1.
  • Royal Marsden Hospital (RMH) prognostic score 2 and 3 at baseline.
  • Treatment with anticancer therapy including chemotherapy, radiation therapy, immunotherapy, biologic, or any investigational therapy within 21 days, or prior palliative radiotherapy within 2 weeks of the first dose of investigational product.
  • 5 Prior treatment with other Pyrrolobenzodiazepine-Antibody Drug Conjugates.
  • 6 History of previous malignancies (except for locally curable cancers) unless a complete remission was achieved at least 3 years prior to study entry AND no additional therapy is required during the study period (except adjuvant hormonal therapy and bisphosphonate).
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  • 7. Failure to recover from major surgery or significant traumatic injury within 21 days of first dose of study treatment.
  • 8 History of hepatic sinusoidal obstruction syndrome, also called veno-occlusive disease 9. History of capillary leak syndrome. 10 Blood transfusion within 14 days of study entry except when needed for disease related anemia.
  • 11. New York Heart Association classes III-IV congestive heart failure or serious cardiac arrhythmia requiring treatment, history of myocardial infarction, unstable angina, vascular stent, or coronary artery bypass graft within 6 months of the first dose of investigational product. 12. Active human immunodeficiency virus (HIV), hepatitis B virus (HBV) or hepatitis C virus (HCV) infections at the time of screening.
  • 13. Current severe active systemic disease including active concurrent malignancy 14. Pregnancy and/or breastfeeding at time of screening 15. Concurrent enrollment in anther clinical study involving an investigational treatment that is not an extension of another MedImmune study with the same investigational product.

Trial locations and contacts

3 sites in 2 countries.

3 sites in 2 countries

United States2 sites
  • Research Site

    Huntersville, North Carolina, 28078

  • Research Site

    Nashville, Tennessee, 37203

Other trials in United States

Canada1 site
  • Research Site

    Toronto, Ontario, M5G 2M9

Other trials in Canada

About this study

Official title: A Phase 1/1b Multicenter, Open-label, Dose-escalation, and Dose-expansion Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Immunogenicity, and Antitumor Activity of MEDI7247 in Patients With Advanced or Metastatic Disease in Selected Solid Tumors

To assess safety and tolerability, describe the dose-limiting toxicities, assess the preliminary antitumor activity, determine the maximum tolerated dose (MTD) or the highest protocol-defined dose (maximum administered dose) in the absence of establishing the MTD, and a recommended dose for further evaluation of MEDI7247 in patients with selected advanced or metastatic solid tumor malignancies that have received at least 1 prior line of treatment.

Being tested
MEDI7247
Keywords
Medi7247, non small cell lung cancer, head and neck cancer, small cell lung cancer, colorectal cancer, prostate cancer, pancreatic adenocarcinoma
Medical subject headings
Squamous Cell Carcinoma of Head and Neck, Small Cell Lung Carcinoma, Colorectal Neoplasms, Carcinoma, Non-Small-Cell Lung, Head and Neck Neoplasms, Prostatic Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • MEDI7247Drug

    Subjects with advanced solid tumors will enroll into the respective arms to receive Medi7247 IV at prescribed dose and schedule

Study groups in NCT03811652
Study groupRoleWhat they receive
NSCLC-Sq/HNSCCExperimentalPatients with advanced or metastatic NSCLC-Sq or HNSCC who have recurrence after, or are refractory or intolerant to standard therapy, including at least one prior standard of care regimen (platinum-based for HNSCC). PDL-1 positive patients should have received previous PD-1 or PD-L1 inhibitor where available.
Receives: Drug: MEDI7247
Small Cell Lung CancerExperimentalPatients with advanced SCLC who have recurrence after, or are refractory or intolerant to standard therapy, including at least one prior standard of care regimen.
Receives: Drug: MEDI7247
Colorectal CancerExperimentalPatients with metastatic adenocarcinoma of the colon or rectum who have received and have progressed, or have documented intolerance, on prior thymidylate synthase inhibitor (eg, 5-fluorouracil (5-FU), capecitabine, raltitrexed, tegafur-uracil (UFT), irinotecan, and oxaliplatin for metastatic disease. If patients progress within 6 months of their last dose of adjuvant therapy this should be considered as a line of therapy in the metastatic setting. Patients with known RAS wildtype tumors must have received and progressed, or have documented intolerance, on anti-EGFR antibody. Patients with microsatellite instability-high or deficient mismatch repair tumors, must have received and progressed, or have documented intolerance on a PD-1 inhibitor, or PD-1 inhibitor plus cytotoxic T-lymphocyte antigen-4 inhibitor treatment where available.
Receives: Drug: MEDI7247
Pancreatic Ductal AdenocarcinomaExperimentalPatients with unresectable, locally advanced or metastatic PDAC who have recurrence after, or are refractory or intolerant to standard therapy, including at least one prior line of treatment.
Receives: Drug: MEDI7247
Metastatic Castration-Resistant Prostate CancerExperimentalPatients with mCRPC who have received prior treatment with abiraterone or enzalutamide, with or without a prior taxane-based chemotherapy in the mCRPC setting.
Receives: Drug: MEDI7247
Other advanced/metastatic target expressing solid tumorsExperimentalPatients with advanced or metastatic solid tumors not defined by other treatment arms who have positive expression of the protein target and have exhausted all approved therapies
Receives: Drug: MEDI7247

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Occurrence of Adverse Events

    To assess the occurrence of adverse events

    Measured: From time of informed consent through 90 days post end of treatment

  2. Occurrence of Serious Adverse Events

    To assess the occurrence of serious adverse events

    Measured: From time of informed consent through 90 days post end of treatment

  3. Occurrence of Dose Limiting Toxicities

    To assess the occurrence of toxicities and abnormal laboratory results that may limit further dose administration

    Measured: During the evaluation period of 21 days post first dose

  4. Number of patients with changes in laboratory parameters from baseline

    To assess serum chemistry, hematology, urinalysis and coagulation parameters

    Measured: From time of informed consent through 90 days post end of treatment

  5. Number of patients with changes in vital signs parameters from baseline

    to assess changes in vital signs

    Measured: from time of informed consent through 21 days post last dose

  6. Number of patients with changes in electrocardiogram results from baseline

    to assess changes in ECG

    Measured: from time of informed consent through 21 days post last dose

  7. Percentage of patients with changes in laboratory parameters from baseline

    to assess changes in serum chemistry, hematology, urinalysis, and coagulation parameters

    Measured: from time of informed consent through 90 days post end of treatment

Secondary outcomes (12)
  1. MEDI7247 maximum observed concentration (Cmax)

    To characterize MEDI7247 single agent Pharmacokinetics

    Measured: From first dose through 90 days post end of treatment

  2. MEDI7247 terminal half life (t1/2)

    To characterize single agent MEDI7247 pharmacokinetics

    Measured: From first dose through 90 days post end of treatment

  3. MEDI7247 area under the concentration/time curve (AUC)

    To characterize single agent MEDI7247 pharmacokinetics

    Measured: from first dose through 90 days post end of treatment

  4. MEDI7247 clearance

    to characterize the single agent MEDI7247 pharmacokinetics

    Measured: from first dose through 90 days post end of treatment

  5. Number of subjects who develop anti-drug antibodies

    To characterize MEDI7247 immunogenicity

    Measured: first dose through 90 days post end of treatment

  6. Best Overall Response

    To assess antitumor activity of MEDI7247

    Measured: From time of informed consent and up to 90 days post end of treatment

  7. Objective Response Rate (ORR)

    To assess antitumor activity of MEDI7247

    Measured: From time of informed consent and up to 2 years after last subject in

  8. Time to Response (TTR)

    To assess antitumor activity of MEDI7247

    Measured: From time of informed consent and up to 90 days post end of treatment

  9. Duration of Response (DoR)

    To assess antitumor activity of MEDI7247

    Measured: From time of informed consent and up to 2 years after last subject in

  10. Progression Free Survival (PFS)

    To assess the antitumor activity of MEDI7247

    Measured: From time of informed consent and up to 2 years after last subject in

  11. Disease Control (DC)

    To assess antitumor activity of MEDI7247

    Measured: From time of informed consent and up to 2 years after last subject in

  12. Overall Survival (OS)

    To assess antitumor activity of MEDI7247

    Measured: From time of informed consent and up to 2 years after last subject in

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Jan 2019
  2. Study start20 Dec 2018
  3. Primary completion10 Dec 2019
  4. Study completion10 Dec 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
8 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03811652
Sponsor's protocol ID
D8540C00002
Status last verified
Dec 2019
First submitted
21 Dec 2018
Last updated
30 Dec 2019
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing MEDI7247 in people with Non Small Cell Lung Cancer Squamous (NSCLC-Sq) and Head and Neck Squamous Cell Carcinoma (HNSCC), run by MedImmune LLC at 3 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 11 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 30 Dec 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in United States, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Occurrence of Adverse Events (time frame: From time of informed consent through 90 days post end of treatment). The study lists 7 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Dec 2019.

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