E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Advanced solid tumor |
Tumori solidi avanzati |
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E.1.1.1 | Medical condition in easily understood language |
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E.1.1.2 | Therapeutic area | Diseases [C] - Cancer [C04] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10065252 |
E.1.2 | Term | Solid tumor |
E.1.2 | System Organ Class | 100000004864 |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
Part 1: To assess safety and tolerability, describe the dose-limiting toxicities (DLTs), and determine the maximum tolerated dose (MTD) or the highest protocol-defined dose level in the absence of establishing an MTD of durvalumab in combination with monalizumab in subjects with advanced solid tumors.
Part 2: To assess further the safety and tolerability of either the MTD or the highest protocol-defined dose level, in the absence of establishing a MTD, of durvalumab in combination with monalizumab in subjects with selected advanced solid tumors.
Part 3: To assess safety and tolerability of durvalumab in combination with monalizumab plus chemotherapy with or without a biologic agent, as clinically indicated in subjects with MSS-CRC. Please refer to the protocol for a full list of the Primary objectives |
Parte 1: Valutare la sicurezza e la tollerabilita, descrivere le DLT (tossicita limitanti la dose) e determinare la MTD (dose massima tollerata) o il livello di dosaggio piu alto definito dal protocollo, se non viene stabilita la MTD di durvalumab in combinazione con monalizumab nei soggetti con tumori solidi avanzati.
Parte 2: Valutare ulteriormente la sicurezza e tollerabilita della MTD o del livello di dosaggio piu elevato definito dal protocollo, qualora non sia stata stabilita una MTD, di durvalumab in associazione a monalizumab in soggetti con tumori solidi avanzati selezionati.
Parte 3: Valutare la sicurezza e tollerabilita di durvalumab associato a monalizumab piu chemioterapia, con o senza un agente biologico, come clinicamente indicato, nei soggetti con MMS-CRC.
Si prega di fare riferimento al protocollo per la lista completa degli obiettivi primari |
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E.2.2 | Secondary objectives of the trial |
Secondary objectives: • To evaluate preliminary anti-tumor activity • To further evaluate the anti-tumor activity • To describe the pharmacokinetics (PK) of each agent in the combinations under investigation • To describe the immunogenicity • To characterise the association between clinical and/or pre-treatment expression of PD-L1 and human leukocyte antigen (HLA-E) within the tumor microenvironment Please refer to the protocol for a full list of the secondary objectives. |
Obiettivi secondari: 1. Determinare l'attivita antitumorale preliminare 2. Determinare ulteriormente l'attività antitumorale 3. Descrivere la PK (farmacocinetica) di ciascun agente nelle combinazioni in sperimentazione 4. Descrivere l'immunogenicita 5. Caratterizzare l’associazione tra l’espressione clinica e/o precedente al trattamento del PD-L1 e dell’antigene leucocitario umano (HLA-E) nell’ambito del microambiente tumorale
Si prega di fare riferimento al protocollo per l'elenco completo degli obiettivi secondari |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Subjects must have histologic documentation of advanced recurrent or metastatic cancer. 2. Subjects must be at the recurrent/metastatic setting, with selected advanced solid tumors. 3) Subjects must have at least one lesion that is measurable by RECIST v1.1 4) Part 3, Dose exploration, CRC subjects can be treatment naïve but should not have received more than two lines of systemic therapy in the recurrent/metastatic setting.
Please refer to the protocol for a full list of the inclusion criteria. |
1. I soggetti devono avere una documentazione istologica del carcinoma recidivante o metastatico avanzato. 2. i soggetti devo avere una condizione ricorrente-metastatico con tumori solidi avanzati selezionati. 3) I soggetti devono avere almeno una lesione misurabile da RECIST v1.1 4) Parte 3, esplorazione della dose, i soggetti con CRC possono essere trattati in modo naïve, ma non dovrebbero aver ricevuto più di due linee di terapia sistemica nel contesto ricorrente / metastatico.
Si prega di fare riferimento al protocollo per l'elenco completo dei criteri di inclusione. |
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E.4 | Principal exclusion criteria |
1. Prior treatment with immunotherapy agents. Prior treatment with antitumor vaccines may be permitted upon discussion with the medical monitor.
2. Prior participation in clinical studies that include durvalumab alone or in combination, where the study has registrational intent and the analyses for the primary endpoint have not yet been completed
3. Receipt of any conventional or investigational anticancer therapy within 4 weeks prior to the first dose of study treatment
4. Any concurrent chemotherapy, immunotherapy, biologic or hormonal therapy for cancer treatment. Concurrent use of hormones for non-cancer-related conditions is acceptable
Please refer to the protocol for a full list of the exclusion criteria. |
1. Precedente trattamento con agenti immunoterapici . Un trattamento precedente con vaccini antitumorali è consentito, previa discussione con il responsabile del monitoraggio medico.
2. Precedente partecipazione a studi clinici a scopo registrativo che includono durvalumab, da solo o in combinazione, nei quali le analisi per l’endpoint primario non siano ancora state completate.
3. Ricevimento di qualsiasi terapia antitumorale convenzionale o sperimentale entro 4 settimane prima della prima dose del trattamento di studio
4. Qualsiasi chemioterapia concomitante, immunoterapia, terapia biologica o ormonale per il trattamento del cancro. L'uso concomitante di ormoni per condizioni non correlate al cancro è accettabile
Si prega di fare riferimento al protocollo per l'elenco completo dei criteri di esclusione. |
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E.5 End points |
E.5.1 | Primary end point(s) |
Primary endpoint: The primary endpoint is safety as assessed by presence of adverse events (AEs), serious adverse events (SAEs), DLTs, abnormal laboratory parameters, vital signs, and electrocardiogram (ECG) results. AEs will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v4.03.
The primary endpoint for evaluating clinical activity in Part 3 (Cohorts C1A and C1B) is objective response (OR) by investigator assessment per RECIST v1.1. |
Endpoint primario: L’endpoint primario è la sicurezza, valutata mediante la presenza di AE (eventi avversi), SAE (eventi avversi gravi), DLT e anomalie nei parametri di laboratorio, parametri vitali e risultati dell’ECG (elettrocardiogramma). Gli AE saranno classificati secondo gli NCI CTCAE (Criteri comuni di terminologia per gli eventi avversi dell’Istituto nazionale statunitense per il cancro) v4.03.
L'endpoint primario per la valutazione dell'attività clinica nella Parte 3 (Coorti C1A e C1B) è la risposta obiettiva (OR) dalla valutazione dello sperimentatore per RECIST v1.1. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
Monitored throughout the study |
monitorando durante lo studio |
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E.5.2 | Secondary end point(s) |
1. The endpoints for assessment of antitumor activity based on RECIST v1.1 will include objective response (OR [primary endpoint for Cohorts C1A and C1B]), disease control (DC), duration of response (DoR), and progression-free survival (PFS) by investigator assessment per RECIST v1.1. Overall survival (OS) will also be assessed. 2. The endpoints for assessment of PK include individual subjects' investigational product concentrations in serum at different time points after administration of these agents. 3. The endpoints for assessment of immunogenicity include the number and percentage of subjects who develop detectable anti-drug antibodies (ADAs). 4 The endpoints for assessment of biomarkers predicting subject clinical outcomes will include expression of PD-L1 and HLA-E in pre-treatment tumor biopsies. |
1. Gli endpoint per la valutazione dell'attività antitumorale sulla base dei RECIST v1.1 includeranno l'OR (risposta obiettiva), (O end point primario per la Coorte C1A and C1B]), il DC (controllo della malattia), la DoR (durata della risposta), la PFS (sopravvivenza libera da progressione) e l'OS (sopravvivenza complessiva). 2. Gli endpoint per la valutazione della PK includono le concentrazioni sieriche individuali del soggetto in diversi punti temporali successivi alla somministrazione di entrambi gli agenti.
3. Gli endpoint per la valutazione dell'immunogenicità includono il numero e la percentuale di soggetti che sviluppano ADA (anticorpi anti-farmaco) rilevabili.
4. Gli endpoints per la valutazione dei biomarcatori predittivi degli esiti clinici del soggetto includeranno l'espressione di PD-L1 e HLA-E nelle biopsie tumorali. |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
Monitored throughout the study |
Monitorando durante lo studio |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | Yes |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | Yes |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | Yes |
E.7.1.3.1 | Other trial type description |
First administration to cancer subject |
prima somministrazione su soggetti affetti da tumore |
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E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 1 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 2 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 15 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Australia |
Brazil |
Canada |
Korea, Republic of |
New Zealand |
United States |
Belgium |
France |
Hungary |
Italy |
Spain |
United Kingdom |
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E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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5 years after the final subject is enrolled or the date the study is closed by the sponsor, whichever occurs first. |
5 anni dopo l'ultima visita dell'ultimo paziente arruolato oppure la data di chiusura dello studio da parte dello Sponsor, a seconda di quale opzione si verifica per prima. |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 3 |
E.8.9.1 | In the Member State concerned months | 5 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 4 |
E.8.9.2 | In all countries concerned by the trial months | 6 |
E.8.9.2 | In all countries concerned by the trial days | 0 |