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Clinical Trials

Date: 2015-12-18

Type of information: update on patient enrollment

phase: 2

Announcement: update

Company: AstraZeneca (UK)

Product: durvalumab (MEDI4736)

Action mechanism:

  • monoclonal antibody/immune checkpoint inhibitor. Durvalumab (MEDI4736) is a human monoclonal antibody directed against programmed cell death ligand 1 (PD-L1). Signals from PD-L1 help tumours avoid detection by the immune system. MEDI4736 blocks these signals, countering the tumour’s immune-evading tactics. This antibody is directed against B7-H1, have been shown to block the interaction between B7-H1 and its receptors, PD-1 and CD80 (B7-1). This blockade may help to overcome the immunosuppressive effects of B7-H1 on anti-tumor T cells.

Disease: locally advanced or metastatic programmed death ligand-1 (PD-L1) positive non-small cell lung cancer (NSCLC) that lacks epidermal growth factor receptor (EGFR) or ALK alterations

Therapeutic area: Cancer - Oncology

Country:

Trial details:

  • ATLANTIC is a Phase II, non-comparative, open-label, multi-centre, international trial of durvalumab in patients with locally advanced or metastatic NSCLC (Stage IIIB-IV) who have received at least two prior systemic treatment regimens including one platinum-based chemotherapy regimen. (NCT02087423)

Latest news:

  • • On December 18, 2015, AstraZeneca provided an update on preliminary findings from the ATLANTIC trial of durvalumab as 3rd-line or later stage therapy in patients with locally advanced or metastatic programmed death ligand-1 (PD-L1) positive non-small cell lung cancer (NSCLC) that lacks epidermal growth factor receptor (EGFR) or ALK alterations. An initial analysis supports durvalumab’s clinical activity, with durable responses and an established safety profile in these difficult-to-treat patients. ATLANTIC investigated the efficacy and tolerability of durvalumab in patients who received at least two prior systemic treatment regimens including platinum-based chemotherapy, and who have limited options for further therapy. A full evaluation of the data is ongoing and the results will be presented at a scientific congress in 2016. A comprehensive durvalumab registration programme is underway across multiple tumour types, stages of disease, and lines of therapy both as monotherapy and in combination. This forms part of AstraZeneca’s late-stage immuno-oncology programme and includes more than 9,000 patients in 16 clinical trials in lung, bladder, head & neck, and other cancers, summarised below.
DURVALUMAB DEVELOPMENT PROGRAMME :
LUNG CANCER
Name Phase Line of treatment Population Design Timelines Status
Early disease
Monotherapy
ADJUVANT III N/A Stage Ib-IIIa NSCLC durvalumab vs placebo Data expected 2020 Recruiting
PACIFIC III N/A Stage III unresect-able NSCLC durvalumab vs placebo Data expected 2017 Recruiting
Advanced/metastatic disease
Monotherapy
ATLANTIC II 3rd line PD-L1 pos. NSCLC durvalumab (single arm) Full data 2016 -
Combination therapy
ARCTIC III 3rd line NSCLC durvalumab vs SoC (PD-L1 pos.) or durvalumab vs tremelimumab vs durva + treme vs SoC (PD-L1 neg.) Data expected 2017 Recruiting
MYSTIC III 1st line NSCLC (PFS endpoint) durvalumab vs durva + treme vs SoC Data expected 2017 First patient dosed
NEPTUNE III 1st line NSCLC (OS endpoint) durva + treme vs SoC Data expected 2018 Awaiting first patient dosed
- III 1st line NSCLC durvalumab + chemotherapy +/- tremelimumab In preparation
CAURAL III 2nd line T790M+ NSCLC osimertinib vs osimertinib + durvalumab Data expected 2018 Initiated enrolment; currently on partial clinical hold to characterise incidence of interstitial lung disease
METASTATIC HEAD AND NECK CANCER
Name Phase Line of treatment Population Design Timelines Status
Monotherapy
HAWK II 2nd line PD-L1 pos. SCCHN durvalumab (single arm) Data expected H2 2016 Recruiting Indication granted FDA Fast Track designation
Combination therapy
CONDOR II 2nd line PD-L1 neg. SCCHN durvalumab vs tremelimumab vs durva + treme Data expected 2017 Recruiting
EAGLE III 2nd line SCCHN durvalumab vs durva + treme vs SoC Data expected 2018 In preparation
KESTREL III 1st line SCCHN durvalumab vs durva + treme vs SoC Data expected 2018 In preparation
METASTATIC BLADDER CANCER
Name Phase Line of treatment Population Design Timelines Status
DANUBE III 1st line Cisplatin chemo-therapy-eligible/ineligible durvalumab vs durva + treme vs SoC Data expected 2018 First patient dosed
OTHER TUMOUR TYPES
Name Phase Line of treatment Indication Design Timelines Status
- II 2nd/3rd line Metastatic gastric cancer durvalumab vs tremelimumab vs durva + treme In preparation
- II 2nd line Unresect-able liver cancer durvalumab vs tremelimumab vs durva + treme In preparation
ALPS II 2nd line Unresect-able liver cancer durva + treme (single arm) In preparation

Is general: Yes