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Completed

NCT Number: NCT02318394

A Phase 1 Study of MEDI0562 in Adult Subjects With Selected Advanced Solid Tumors

To evaluate the safety and tolerability of MEDI0562 in adult subjects with selected advanced solid tumors

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Key information

Age range

18 year–99 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Research Site, Seoul, South Korea

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About this study

This is a first-time-in-human (FTiH) Phase 1, multicenter, open-label, dose-escalation, and dose-expansion study of MEDI0562 to evaluate the safety, tolerability, pharmacokinetics, immunogenicity, pharmacodynamics and preliminary anti-tumor activity in adult subjects with selected advanced solid tumors.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Subjects must have confirmed advanced solid tumor and have progressed, are refractory, or are intolerant to standard therapy appropriate for tumor type. Subjects should not have received more than 3 prior lines of therapy for recurrent or metastatic disease including both standards of care and investigational therapies.
  • Subjects must have at least 1 measurable lesion.
  • Consent to provide archived tumor specimens
  • Willingness to undergo pre-treatment and on-treatment biopsy.
  • Adequate organ function.
  • Use of highly effective contraception (females) or male condom plus spermicide (males).

Exclusion criteria

  • Prior treatment with TNFRSF agonists.
  • Subjects who have received certain prior immunotherapy or had toxicities relating to prior immunotherapy may not be permitted to enroll.

o Must not have required the use of additional immunosuppression other than corticosteroids for the management of an adverse event.

  • History of severe allergic reactions to any unknown allergens or any components of the study drug formulations.
  • Receipt of any conventional or investigational anticancer therapy within 28 days prior to the first dose of MEDI0562.
  • Any concurrent chemotherapy, immunotherapy, or biologic or hormonal therapy for cancer treatment.
  • Unresolved toxicities from prior anticancer therapy.
  • Any condition that, in the opinion of the investigator or sponsor, would interfere with evaluation of the investigational product.

Treatment and study plan

MEDI0562

Biological

Subjects will receive MEDI0562 until unacceptable toxicity, confirmed disease progression or other reason for treatment discontinuation develops.

Primary outcomes

  1. Number and percentage of subjects with adverse events (AEs), serious adverse events (SAEs), and dose-limiting toxicities (DLTs)

    Time frame: From time of informed consent through 12 weeks after last dose of MEDI0562

    The maximum tolerated dose/maximum administered dose will be determined by the number of participants experiencing DLTs. The safety profile will be assessed through number of participants experiencing AEs, SAEs, abnormal laboratory parameters, vital signs and electrocardiogram (ECG) results.

Secondary outcomes

  1. Objective response rate (ORR)

    Time frame: Estimated to be from time of informed consent up to 5 years

    The ORR is defined as the proportion of subjects with confirmed immune related (ir)CR or confirmed irPR

  2. Maximum observed concentration (Cmax), area under the curve (AUC), clearance (CL) and terminal half-life of MEDI0562

    Time frame: From first dose of MEDI0562 through to 30 days after last dose of investigational product

    The endpoints for assessment of PK of MEDI0562 include MEDI0562 concentrations in serum at different timepoints after MEDI0562 administration.

  3. Number and percentage of subjects who develop detectable anti-drug antibodies (ADAs)

    Time frame: From first dose of MEDI0562 through to 30 days after last dose of investigational product

    The immunogenicity of MEDI0562 will be assessed by summarizing the number and percentage of subjects who develop detectable anti-drug antibodies (ADAs)

  4. Induction of proliferation markers on various lymphocyte subsets, immunohistochemistry of tumor biopsies and assessment of programmed death ligand 1 (PD-L1) and tumor-infiltrating lymphocyte phenotypic markers

    Time frame: From time of informed consent through 12 weeks after last dose of investigational product

    The endpoints for assessment of pharmacodynamic activity include induction of proliferation markers in various lymphoctye subsets, immunohistochemistry of tumor biopsies and assessment of programmed death ligand 1 (PD-L1) and tumor-infiltrating lymphocyte phenotypic markers

  5. Disease control rate (DCR)

    Time frame: Estimated to be from time of informed consent up to 5 years

    The DCR is defined as the proportion of subjects with irCR, irPR, or irSD (subjects achieving irSD will be included in the DCR if they maintain irSD for ≥8 weeks)

  6. Duration of response (DoR)

    Time frame: Estimated to be from time of informed consent up to 5 years

    Duration of response will be defined as the duration from the first documentation of objective response to the first documented disease progression or death due to any cause, whichever occurs first.

  7. Progression-free survival (PFS)

    Time frame: Estimated to be from time of informed consent up to 5 years

    Progression-free survival will be measured from the start of treatment with MEDI0562 until the first documentation of confirmed immune-related disease progression or death due to any cause, whichever occurs first.

  8. Overall survival (OS)

    Time frame: Estimated to be from time of informed consent up to 5 years

    Overall survival will be determined as the time from the start of treatment with MEDI0562 until death due to any cause.

Sponsors and collaborators

Lead sponsor

MedImmune LLC

Industry

Registry information

Official study title

A Phase 1 Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Preliminary Clinical Activity of MEDI0562 in Adult Subjects With Selected Advanced Solid Tumors

Important dates

Study start
2015
Primary completion
2018
Study completion
2018
First posted
Dec 17, 2014
Registry last updated
Jan 29, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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