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Clinical Trials List

Protocol NumberD4190C00021
NCT Number(ClinicalTrials.gov Identfier)NCT02340975

2015-09-01 - 2018-12-31

Phase II

Terminated3

ICD-10C16

Malignant neoplasm of stomach

A Phase 1b/2 Study of MEDI4736 in Combination with Tremelimumab, MEDI4736 Monotherapy, and Tremelimumab Monotherapy in Subjects with Metastatic or Recurrent Gastric or Gastroesophageal Junction Adenocarcinoma

  • Trial Applicant

    Pharmaceutical Research Associates Taiwan Inc.

  • Sponsor

    MedImmune, LLC

  • Trial scale

    Multi-Regional Multi-Center

  • Update

    2025/08/20

Investigators and Locations

Principal Investigator Yee Chao Division of Hematology & Oncology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

2 Stop recruiting

Audit

None

Principal Investigator Jen-Shi Chen Division of Hematology & Oncology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

7 Stop recruiting

Audit

None

Principal Investigator Chia-Chi Lin Division of Hematology & Oncology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Audit

None

Condition/Disease

Metastatic or Recurrent Gastric or Gastroesophageal Junction Adenocarcinoma

Objectives

Primary Objectives 1. For Phase 1b: To assess the safety and tolerability, describe any dose-limiting toxicity (DLT), and determine the maximum tolerated dose (MTD) or the highest protocol-defined doses (in the absence of exceeding the MTD) for MEDI4736 in combination with tremelimumab in subjects with metastatic or recurrent gastric or GEJ adenocarcinoma. 2. For Phase 2: To determine objective response rate (ORR) and progression-free survival (PFS) at 6 months (PFS-6) based on Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 as primary measures of clinical activity of MEDI4736 in combination with tremelimumab, MEDI4736 monotherapy, and tremelimumab monotherapy in subjects with metastatic or recurrent gastric or GEJ adenocarcinoma

Test Drug

Durvalumab (MEDI4736), Tremelimumab

Active Ingredient

Durvalumab (MEDI4736)
Tremelimumab

Dosage Form

solution
solution

Dosage

500 mg/vial
400 mg/vial

Endpoints

Primary Endpoints
1. For Phase 1b: Safety of MEDI4736 in combination with tremelimumab as assessed by the presence of
adverse events (AEs), serious adverse events (SAEs), DLTs, laboratory parameters, vital signs, physical
examination, and electrocardiogram (ECG) results.
2. For Phase 2: Clinical activity of MEDI4736 in combination with tremelimumab, MEDI4736 monotherapy,
and tremelimumab monotherapy as determined by ORR and PFS-6 based on RECIST v1.1.
Secondary Endpoints
1. For Phase 1b: Clinical activity of MEDI4736 in combination with tremelimumab as determined by ORR,
DCR at 16 weeks (DCR-16w), DCR at 24 weeks (DCR-24w), and PFS-6.
2. For Phase 2: Safety of MEDI4736 in combination with tremelimumab, MEDI4736 monotherapy, and
tremelimumab monotherapy as assessed by the presence of AEs, SAEs, laboratory parameters, vital signs,
physical examination, and ECG results.
3. For Phase 2: Clinical activity of MEDI4736 in combination with tremelimumab, MEDI4736 monotherapy,
and tremelimumab monotherapy as determined by DCR-16w, DCR-24w, DoR, PFS, and PFS at 9 months
(PFS-9) based on RECIST v1.1, and OS and 1-year survival.
4. For Phase 2: PD-L1 expression and localization (by immunohistochemistry or immunofluorescence) within
the tumor microenvironment and how it correlates with clinical activity for MEDI4736 in combination
with tremelimumab, MEDI4736 monotherapy, and tremelimumab monotherapy.

Inclution Criteria

Inclusion Criteria:
1. Male and female participants
2. 18 years and older
3. Histological or cytological confirmation of metastatic or recurrent gastric or gastroesophageal junction adenocarcinoma
4. Participants must have received and have progressed, or are refractory to standard regimens
5. Participants must have at least one lesion amenable to biospy

Exclusion Criteria

Exclusion Criteria:
1. Any concurrent chemotherapy, immunotherapy, biologic, or hormonal therapy for cancer treatment
2. Previous immunotherapy
3. Concurrent or prior use of immunosuppressive medication with 14 days
4. Active or prior documented autoimmune or inflammatory disease within 3 years with some exceptions

The Estimated Number of Participants

  • Taiwan

    35 participants

  • Global

    160 participants