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A Clinical Trial of Durvalumab and Tremelimumab, Administered With Radiation Therapy or Ablation in Patients With Colorectal Cancer

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT03122509
Recruitment Status : Completed
First Posted : April 20, 2017
Results First Posted : July 6, 2022
Last Update Posted : July 6, 2022
Sponsor:
Collaborators:
MedImmune LLC
AstraZeneca
Information provided by (Responsible Party):
Memorial Sloan Kettering Cancer Center

Study Type Interventional
Study Design Allocation: Non-Randomized;   Intervention Model: Parallel Assignment;   Masking: None (Open Label);   Primary Purpose: Treatment
Condition Metastatic Colorectal Cancer
Interventions Drug: durvalumab
Drug: tremelimumab
Radiation: Radiotherapy (RT)
Procedure: ablation
Enrollment 25
Recruitment Details  
Pre-assignment Details  
Arm/Group Title Durvalumab and Tremelimumab Plus Radiotherapy (RT) Durvalumab and Tremelimumab Plus Ablation
Hide Arm/Group Description

Patients will receive 1500 mg durvalumab via IV infusion q4w for up to 4 doses/cycles and 75 mg tremelimumab via IV infusion q4w for up to 4 doses/cycles, and then continue 1500 mg durvalumab q4w starting on Week 16. Tremelimumab will be administered first. Durvalumab infusion will start approximately 1 hour after the end of tremelimumab infusion. The duration will be approximately 1 hour for each infusion.

RT will be initiated within 7 days after the first of durvalumab and tremelimumab.

Patients will receive 1500 mg durvalumab via IV infusion q4w for up to 4 doses/cycles and 75 mg tremelimumab via IV infusion q4w for up to 4 doses/cycles, and then continue 1500 mg durvalumab q4w starting on Week 16. Tremelimumab will be administered first. Durvalumab infusion will start approximately 1 hour after the end of tremelimumab infusion. The duration will be approximately 1 hour for each infusion.

Ablation will be performed within 7 days after the first of durvalumab and tremelimumab.

Period Title: Overall Study
Started 25 0
Completed 25 0
Not Completed 0 0
Arm/Group Title Durvalumab and Tremelimumab Plus Radiotherapy (RT) or Ablation Durvalumab and Tremelimumab Plus Ablation Total
Hide Arm/Group Description

Patients will receive 1500 mg durvalumab via IV infusion q4w for up to 4 doses/cycles and 75 mg tremelimumab via IV infusion q4w for up to 4 doses/cycles, and then continue 1500 mg durvalumab q4w starting on Week 16. Tremelimumab will be administered first. Durvalumab infusion will start approximately 1 hour after the end of tremelimumab infusion. The duration will be approximately 1 hour for each infusion.

RT will be initiated within 7 days after the first of durvalumab and tremelimumab.

Patients will receive 1500 mg durvalumab via IV infusion q4w for up to 4 doses/cycles and 75 mg tremelimumab via IV infusion q4w for up to 4 doses/cycles, and then continue 1500 mg durvalumab q4w starting on Week 16. Tremelimumab will be administered first. Durvalumab infusion will start approximately 1 hour after the end of tremelimumab infusion. The duration will be approximately 1 hour for each infusion.

Ablation will be performed within 7 days after the first of durvalumab and tremelimumab.

Total of all reporting groups
Overall Number of Baseline Participants 25 0 25
Hide Baseline Analysis Population Description
No participants were assigned to the Durvalumab and Tremelimumab + ablation arm.
Age, Continuous  
Median (Full Range)
Unit of measure:  Years
Number Analyzed 25 participants 0 participants 25 participants
55
(26 to 78)
55
(26 to 78)
Sex: Female, Male  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 25 participants 0 participants 25 participants
Female
12
  48.0%
12
  48.0%
Male
13
  52.0%
13
  52.0%
Ethnicity (NIH/OMB)  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 25 participants 0 participants 25 participants
Hispanic or Latino
1
   4.0%
1
   4.0%
Not Hispanic or Latino
24
  96.0%
24
  96.0%
Unknown or Not Reported
0
   0.0%
0
   0.0%
Race (NIH/OMB)  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 25 participants 0 participants 25 participants
American Indian or Alaska Native
0
   0.0%
0
   0.0%
Asian
4
  16.0%
4
  16.0%
Native Hawaiian or Other Pacific Islander
0
   0.0%
0
   0.0%
Black or African American
1
   4.0%
1
   4.0%
White
19
  76.0%
19
  76.0%
More than one race
0
   0.0%
0
   0.0%
Unknown or Not Reported
1
   4.0%
1
   4.0%
Region of Enrollment  
Measure Type: Count of Participants
Unit of measure:  Participants
United States Number Analyzed 25 participants 0 participants 25 participants
25
 100.0%
25
 100.0%
1.Primary Outcome
Title Overall Response Rate
Hide Description Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.
Time Frame 2 years
Hide Outcome Measure Data
Hide Analysis Population Description
No participants were enrolled on the Durvalumab and Tremelimumab + ablation arm.
Arm/Group Title Durvalumab and Tremelimumab Plus Radiotherapy (RT)
Hide Arm/Group Description:

Patients will receive 1500 mg durvalumab via IV infusion q4w for up to 4 doses/cycles and 75 mg tremelimumab via IV infusion q4w for up to 4 doses/cycles, and then continue 1500 mg durvalumab q4w starting on Week 16. Tremelimumab will be administered first. Durvalumab infusion will start approximately 1 hour after the end of tremelimumab infusion. The duration will be approximately 1 hour for each infusion.

RT will be initiated within 7 days after the first of durvalumab and tremelimumab.

Overall Number of Participants Analyzed 25
Measure Type: Count of Participants
Unit of Measure: Participants
Complete Response
0
   0.0%
Partial Response
2
   8.0%
Stable Disease
3
  12.0%
Progressive Disease
19
  76.0%
Unevaluable
1
   4.0%
Time Frame 2 years
Adverse Event Reporting Description No participants were assigned to the Durvalumab and Tremelimumab + ablation arm.
 
Arm/Group Title Durvalumab and Tremelimumab Plus Radiotherapy (RT) or Ablation Durvalumab and Tremelimumab Plus Ablation
Hide Arm/Group Description

Patients will receive 1500 mg durvalumab via IV infusion q4w for up to 4 doses/cycles and 75 mg tremelimumab via IV infusion q4w for up to 4 doses/cycles, and then continue 1500 mg durvalumab q4w starting on Week 16. Tremelimumab will be administered first. Durvalumab infusion will start approximately 1 hour after the end of tremelimumab infusion. The duration will be approximately 1 hour for each infusion.

RT will be initiated within 7 days after the first of durvalumab and tremelimumab.

Patients will receive 1500 mg durvalumab via IV infusion q4w for up to 4 doses/cycles and 75 mg tremelimumab via IV infusion q4w for up to 4 doses/cycles, and then continue 1500 mg durvalumab q4w starting on Week 16. Tremelimumab will be administered first. Durvalumab infusion will start approximately 1 hour after the end of tremelimumab infusion. The duration will be approximately 1 hour for each infusion.

Ablation will be performed within 7 days after the first of durvalumab and tremelimumab.

All-Cause Mortality
Durvalumab and Tremelimumab Plus Radiotherapy (RT) or Ablation Durvalumab and Tremelimumab Plus Ablation
Affected / at Risk (%) Affected / at Risk (%)
Total   1/25 (4.00%)   0/0 
Hide Serious Adverse Events
Durvalumab and Tremelimumab Plus Radiotherapy (RT) or Ablation Durvalumab and Tremelimumab Plus Ablation
Affected / at Risk (%) Affected / at Risk (%)
Total   9/25 (36.00%)   0/0 
Gastrointestinal disorders     
Colitis   1/25 (4.00%)  /0 
Gastrointestinal disorders - Other, specify   2/25 (8.00%)  /0 
Ileus   1/25 (4.00%)  /0 
Rectal hemorrhage   1/25 (4.00%)  /0 
General disorders     
Fever   1/25 (4.00%)  /0 
Gen disorders & admin site conditions Other, spec   1/25 (4.00%)  /0 
Infections and infestations     
Biliary tract infection   1/25 (4.00%)  /0 
Enterocolitis infectious   1/25 (4.00%)  /0 
Sepsis   1/25 (4.00%)  /0 
Upper respiratory infection   1/25 (4.00%)  /0 
Investigations     
Blood bilirubin increased   1/25 (4.00%)  /0 
Metabolism and nutrition disorders     
Hyperglycemia   1/25 (4.00%)  /0 
Respiratory, thoracic and mediastinal disorders     
Pneumothorax   1/25 (4.00%)  /0 
Indicates events were collected by systematic assessment
Hide Other (Not Including Serious) Adverse Events
Frequency Threshold for Reporting Other Adverse Events 0%
Durvalumab and Tremelimumab Plus Radiotherapy (RT) or Ablation Durvalumab and Tremelimumab Plus Ablation
Affected / at Risk (%) Affected / at Risk (%)
Total   6/25 (24.00%)   0/0 
Investigations     
Alanine aminotransferase increased   1/25 (4.00%)  /0 
Aspartate aminotransferase increased   1/25 (4.00%)  /0 
Platelet count decreased   1/25 (4.00%)  /0 
Alkaline phosphatase increased   1/25 (4.00%)  /0 
Metabolism and nutrition disorders     
Hyperglycemia   2/25 (8.00%)  /0 
Indicates events were collected by systematic assessment
Certain Agreements
All Principal Investigators ARE employed by the organization sponsoring the study.
Results Point of Contact
Layout table for Results Point of Contact information
Name/Title: Dr. Neil Segal, MD, PhD
Organization: Memorial Sloan Kettering Cancer Center
Phone: 646-888-4187
EMail: segaln@mskcc.org
Layout table for additonal information
Responsible Party: Memorial Sloan Kettering Cancer Center
ClinicalTrials.gov Identifier: NCT03122509    
Other Study ID Numbers: 17-139
First Submitted: April 18, 2017
First Posted: April 20, 2017
Results First Submitted: April 28, 2022
Results First Posted: July 6, 2022
Last Update Posted: July 6, 2022