Adults 18 to 96, any sex, with Recurrent/Metastatic Squamous Cell Carcinoma of Head & Neck. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Objective Response Rate at 6 MonthsPrimary· After 6 months
Objective response rate, primary analysis, based on BICR assessments according to RECIST v1.1. The number (%) of patients with a response excludes unconfirmed responses
Group
Value
95% CI
MEDI4736 + Tremelimumab
7.7
3.75 – 13.69
MEDI4736
9.2
3.46 – 19.02
Tremelimumab
1.6
0.04 – 8.53
Objective Response Rate at 12 MonthsPrimary· After 12 months
Objective response rate (per RECIST 1.1 as assessed by blinded independent central review \[BICR\]) is defined as the number (%) of patients with a confirmed complete response or confirmed partial response and will be based on all treated patients who are PD-L1-positive with measurable disease at baseline per BICR. Response Evaluation Criteria in Solid Tumors \[RECIST\] 1.1. criteria are: Complete response \[CR\] = disappearance of all target lesions since baseline; and partial response \[PR\] = at least a 30% decrease in the sum of the diameters of target lesions.
Overall
Group
Value
95% CI
MEDI4736 + Tremelimumab
7.8
3.78 – 13.79
MEDI4736
9.2
3.46 – 19.02
Tremelimumab
1.6
0.04 – 8.53
Current smoking/nicotine status - Total
Group
Value
95% CI
MEDI4736 + Tremelimumab
13.6
2.91 – 34.91
MEDI4736
14.3
0.36 – 57.87
Tremelimumab
14.3
0.36 – 57.87
Current smoking/nicotine status - >10 pack years
Group
Value
95% CI
MEDI4736 + Tremelimumab
15.0
3.21 – 37.89
MEDI4736
14.3
0.36 – 57.87
Tremelimumab
16.7
0.42 – 64.12
Current smoking/nicotine status - ≤10 pack years
Group
Value
95% CI
MEDI4736 + Tremelimumab
0
0.00 – 84.19
Tremelimumab
0
0.00 – 97.50
Former smoking/nicotine status -Total
Group
Value
95% CI
MEDI4736 + Tremelimumab
6.8
2.54 – 14.25
MEDI4736
8.2
2.27 – 19.60
Tremelimumab
0
0.00 – 8.04
Former smoking/nicotine status - >10 pack years
Group
Value
95% CI
MEDI4736 + Tremelimumab
5.2
1.08 – 14.38
MEDI4736
9.1
1.92 – 24.33
Tremelimumab
0
0.00 – 10.89
Former smoking/nicotine status - ≤10 pack years
Group
Value
95% CI
MEDI4736 + Tremelimumab
10.0
2.11 – 26.53
MEDI4736
6.3
0.16 – 30.23
Tremelimumab
0
0.00 – 26.46
Smoking/nicotine status - Never
Group
Value
95% CI
MEDI4736 + Tremelimumab
5.3
0.13 – 26.03
MEDI4736
11.1
0.28 – 48.25
Tremelimumab
0
0.00 – 26.46
Best Objective ResponseSecondary· After 12 months
The best response a patient has had during their time in the study
Response - Total
Group
Value
95% CI
MEDI4736 + Tremelimumab
7.8
MEDI4736
9.2
Tremelimumab
1.6
Total
6.6
Response - Complete response (CR)
Group
Value
95% CI
MEDI4736 + Tremelimumab
0
MEDI4736
0
Tremelimumab
0
Total
0
Response - Partial response (PR)
Group
Value
95% CI
MEDI4736 + Tremelimumab
7.8
MEDI4736
9.2
Tremelimumab
1.6
Total
6.6
Non-response (NR) - Total
Group
Value
95% CI
MEDI4736 + Tremelimumab
92.2
MEDI4736
90.8
Tremelimumab
98.4
Total
93.4
NR - Stable disease (SD) >=6 months (24 weeks)
Group
Value
95% CI
MEDI4736 + Tremelimumab
5.4
MEDI4736
6.2
Tremelimumab
0
Total
4.3
NR - Unconfirmed complete or partial response (PR)
Group
Value
95% CI
MEDI4736 + Tremelimumab
1.6
MEDI4736
0
Tremelimumab
0
Total
0.8
NR - Stable disease
Group
Value
95% CI
MEDI4736 + Tremelimumab
3.9
MEDI4736
6.2
Tremelimumab
0
Total
3.5
NR - Progression
Group
Value
95% CI
MEDI4736 + Tremelimumab
64.3
MEDI4736
64.6
Tremelimumab
69.8
Total
65.8
Duration of Response - Participants Remaining in ResponseSecondary· After 12 months
Participants remaining in response - based on BICR assessments according to RECIST v1.1. An ongoing response was defined as a patient who had documented objective response and was still alive and progression-free at the time of the data cut-off.
Percentage remaining in response-3 months
Group
Value
95% CI
MEDI4736 + Tremelimumab
90.0
MEDI4736
100
Tremelimumab
100
Total
94.1
Percentage remaining in response-6 months
Group
Value
95% CI
MEDI4736 + Tremelimumab
70.0
MEDI4736
66.7
Tremelimumab
100
Total
70.6
Percentage remaining in response-9 months
Group
Value
95% CI
MEDI4736 + Tremelimumab
58.3
MEDI4736
66.7
Tremelimumab
NA
Total
64.2
Percentage remaining in response-12 months
Group
Value
95% CI
MEDI4736 + Tremelimumab
46.7
MEDI4736
NA
Tremelimumab
NA
Total
53.5
Percentage of ongoing response
Group
Value
95% CI
MEDI4736 + Tremelimumab
50.0
MEDI4736
66.7
Tremelimumab
100
Total
58.8
Time to ResponseSecondary· After 12 months
Time to response in patients with objective response based on BICR assessments according to RECIST 1.1
Number of responders
Group
Value
95% CI
MEDI4736 + Tremelimumab
100
MEDI4736
100
Tremelimumab
100
Total
100
Week 8, where response is first observed
Group
Value
95% CI
MEDI4736 + Tremelimumab
10.0
MEDI4736
0
Tremelimumab
0
Total
5.9
Week 9, where response is first observed
Group
Value
95% CI
MEDI4736 + Tremelimumab
50.0
MEDI4736
16.7
Tremelimumab
100
Total
41.2
Week 16, where response is first observed
Group
Value
95% CI
MEDI4736 + Tremelimumab
10.0
MEDI4736
16.7
Tremelimumab
0
Total
11.8
Week 17, where response is first observed
Group
Value
95% CI
MEDI4736 + Tremelimumab
10.0
MEDI4736
16.7
Tremelimumab
0
Total
11.8
Week 20, where response is first observed
Group
Value
95% CI
MEDI4736 + Tremelimumab
0
MEDI4736
16.7
Tremelimumab
0
Total
5.9
Week 24, where response is first observed
Group
Value
95% CI
MEDI4736 + Tremelimumab
10.0
MEDI4736
16.7
Tremelimumab
0
Total
11.8
Week 25, where response is first observed
Group
Value
95% CI
MEDI4736 + Tremelimumab
10.0
MEDI4736
16.7
Tremelimumab
0
Total
11.8
Time to Onset of Response From First DoseSecondary· After 12 months
Time to onset of response in patients with objective response based on BICR assessments according to RECIST 1.1
Group
Value
95% CI
MEDI4736 + Tremelimumab
2.0
2 – 6
MEDI4736
4.1
2 – 6
Tremelimumab
1.8
1.8 – 2
Total
3.5
2 – 6
Disease Control Rate (DCR)Secondary· After 6 months
Disease control rate (DCR) at 6 months based on BICR assessments according to RECIST v1.1. DCR at 6 months was evaluated using 2 different approaches to the length of stable disease (SD). -Method 1: Patients who had a best objective response of complete response (CR) or partial response (PR) within 24 weeks or had demonstrated SD for a minimum interval of 24 weeks following randomization. -Method 2: Patients who had a best objective response of CR or PR in the first 24 weeks or who had demonstrated SD for a minimum interval of 16 weeks following randomization.
METHOD 1: Disease control (DC) at 6 months
Group
Value
95% CI
MEDI4736 + Tremelimumab
13.2
MEDI4736
21.5
Tremelimumab
1.6
Total
12.5
METHOD 1: No DC at 6 months
Group
Value
95% CI
MEDI4736 + Tremelimumab
86.8
MEDI4736
78.5
Tremelimumab
98.4
Total
87.5
METHOD 1: No DC at 6 months-Not evaluable/missing
Group
Value
95% CI
MEDI4736 + Tremelimumab
20.2
MEDI4736
20.0
Tremelimumab
22.2
Total
20.6
METHOD 2: DC at 6 months
Group
Value
95% CI
MEDI4736 + Tremelimumab
20.2
MEDI4736
26.2
Tremelimumab
9.5
Total
19.1
METHOD 2: No DC at 6 months
Group
Value
95% CI
MEDI4736 + Tremelimumab
79.8
MEDI4736
73.8
Tremelimumab
90.5
Total
80.9
METHOD 2: No DC at 6 months-Not evaluable/missing
Group
Value
95% CI
MEDI4736 + Tremelimumab
20.2
MEDI4736
20.0
Tremelimumab
22.2
Total
20.6
Disease Control Rate (DCR)Secondary· After 12 months
Disease control rate (DCR) at 12 months based on BICR assessments according to RECIST v1.1. DCR at 6 months was evaluated using 2 different approaches to the length of stable disease (SD). -Method 1: Patients who had a best objective response of complete response (CR) or partial response (PR) within 24 weeks or had demonstrated SD for a minimum interval of 24 weeks following randomization. -Method 2: Patients who had a best objective response of CR or PR in the first 24 weeks or who had demonstrated SD for a minimum interval of 16 weeks following randomization.
DC at 12 months
Group
Value
95% CI
MEDI4736 + Tremelimumab
10.1
MEDI4736
12.3
Tremelimumab
1.6
Total
8.6
No DC at 12 months
Group
Value
95% CI
MEDI4736 + Tremelimumab
89.9
MEDI4736
87.7
Tremelimumab
98.4
Total
91.4
No DC at 12 months-Not evaluable/missing
Group
Value
95% CI
MEDI4736 + Tremelimumab
20.2
MEDI4736
20.0
Tremelimumab
22.2
Total
20.6
Progression-free Survival (PFS)Secondary· After 6 months
Progression status at 6 months based on BICR assessments according to RECIST v1.1 at time of Progression Free Survival (PFS) analysis. Progression was defined as the time from the data of randomization until the date of objective disease progression or death (by any cause in the absence of progression) regardless of whether the patient withdrew from therapy or received another anti-cancer therapy prior to progression. -Target Lesions, Non Target Lesions and New Lesions are not necessarily mutually exclusive categories. -Progression death refers to death in the absence of RECIST 1.1 progression
Progression-Total
Group
Value
95% CI
MEDI4736 + Tremelimumab
82.0
MEDI4736
82.1
Tremelimumab
88.1
Total
83.5
Total-RECIST 1.1 Progression
Group
Value
95% CI
MEDI4736 + Tremelimumab
57.9
MEDI4736
59.7
Tremelimumab
67.2
Total
60.7
RECIST 1.1 progression-Target Lesions
Group
Value
95% CI
MEDI4736 + Tremelimumab
43.6
MEDI4736
43.3
Tremelimumab
55.2
Total
46.4
RECIST 1.1 progression-Non-target lesions
Group
Value
95% CI
MEDI4736 + Tremelimumab
21.1
MEDI4736
26.9
Tremelimumab
32.8
Total
25.5
RECIST 1.1 progression-New lesions
Group
Value
95% CI
MEDI4736 + Tremelimumab
26.3
MEDI4736
20.9
Tremelimumab
26.9
Total
25.1
Progression-Death
Group
Value
95% CI
MEDI4736 + Tremelimumab
24.1
MEDI4736
22.4
Tremelimumab
20.9
Total
22.8
No progression-Total
Group
Value
95% CI
MEDI4736 + Tremelimumab
18.0
MEDI4736
17.9
Tremelimumab
11.9
Total
16.5
No progression-PD free and still being followed
Group
Value
95% CI
MEDI4736 + Tremelimumab
14.3
MEDI4736
13.4
Tremelimumab
4.5
Total
11.6
Progression-free Survival (PFS)Secondary· After 12 months
Progression status at 12 months based on BICR assessments according to RECIST v1.1 at time of Progression Free Survival (PFS) analysis. Progression was defined as the time from the data of randomization until the date of objective disease progression or death (by any cause in the absence of progression) regardless of whether the patient withdrew from therapy or received another anti-cancer therapy prior to progression. -Target Lesions, Non Target Lesions and New Lesions are not necessarily mutually exclusive categories. -Progression death refers to death in the absence of RECIST 1.1 progressio
Progression-Total
Group
Value
95% CI
MEDI4736 + Tremelimumab
88.7
MEDI4736
83.6
Tremelimumab
89.6
Total
87.6
Total-RECIST 1.1 Progression
Group
Value
95% CI
MEDI4736 + Tremelimumab
64.7
MEDI4736
59.7
Tremelimumab
68.7
Total
64.4
RECIST 1.1 progression-Target Lesions
Group
Value
95% CI
MEDI4736 + Tremelimumab
50.4
MEDI4736
47.8
Tremelimumab
56.7
Total
51.3
RECIST 1.1 progression-Non-target lesions
Group
Value
95% CI
MEDI4736 + Tremelimumab
23.3
MEDI4736
28.4
Tremelimumab
32.8
Total
27.0
RECIST 1.1 progression-New lesions
Group
Value
95% CI
MEDI4736 + Tremelimumab
27.1
MEDI4736
23.9
Tremelimumab
23.9
Total
25.5
Progression-Death
Group
Value
95% CI
MEDI4736 + Tremelimumab
24.1
MEDI4736
23.9
Tremelimumab
20.9
Total
23.2
No progression-Total
Group
Value
95% CI
MEDI4736 + Tremelimumab
11.3
MEDI4736
16.4
Tremelimumab
10.4
Total
12.4
No progression-PD free and still being followed
Group
Value
95% CI
MEDI4736 + Tremelimumab
6.8
MEDI4736
11.9
Tremelimumab
3.0
Total
7.1
Overall SurvivalSecondary· After 12 months
Survival status at time of overall survival analysis. 'Still in survival follow-up' includes patients known to be alive at data cut-off. 'Terminated prior to death' includes patients with unknown survival status or patients who were lost to follow-up.
Death
Group
Value
95% CI
MEDI4736 + Tremelimumab
64.7
MEDI4736
65.7
Tremelimumab
76.1
Total
67.8
Still in survival follow-up
Group
Value
95% CI
MEDI4736 + Tremelimumab
30.1
MEDI4736
28.4
Tremelimumab
16.4
Total
26.2
Terminated prior to death
Group
Value
95% CI
MEDI4736 + Tremelimumab
5.3
MEDI4736
6.0
Tremelimumab
7.5
Total
6.0
Terminated prior to death-Voluntary discon.
Group
Value
95% CI
MEDI4736 + Tremelimumab
5.3
MEDI4736
6.0
Tremelimumab
4.5
Total
5.2
Terminated prior to death-Other
Group
Value
95% CI
MEDI4736 + Tremelimumab
0
MEDI4736
0
Tremelimumab
3.0
Total
0.7
Quality of LifeSecondary· After 12 months
Improvement in quality of life was assessed using European Organisation for Research and Treatment of Cancer (EORTC) questionnaires: -The impact of treatment on Health-Related Quality of Life, functioning, and symptoms was evaluated using the EORTC QLQ-C30 v3. -Head and neck cancer-specific symptoms were evaluated using the EORTC QLQ-H\&N35. The symptom and QoL/function improvement rate was defined as the number (%) of patients with 2 consecutive assessments at least 14 days apart that showed a clinically meaningful improvement (a decrease from baseline score ≥10 or EORTC QLQ-C30 scales) in th
EORTC QLQ-C30 Function-Physical
Group
Value
95% CI
MEDI4736 + Tremelimumab
12
6.7 – 20.8
MEDI4736
13.6
6.4 – 26.7
Tremelimumab
5.1
1.4 – 16.9
EORTC QLQ-C30 Function-Role
Group
Value
95% CI
MEDI4736 + Tremelimumab
16.3
10.0 – 25.5
MEDI4736
16.7
8.3 – 30.6
Tremelimumab
11.8
4.7 – 26.6
EORTC QLQ-C30 Function-Cognitive
Group
Value
95% CI
MEDI4736 + Tremelimumab
25
16.2 – 36.4
MEDI4736
29.4
16.8 – 46.2
Tremelimumab
10.7
3.7 – 27.2
EORTC QLQ-C30 Function-Emotional
Group
Value
95% CI
MEDI4736 + Tremelimumab
13.5
7.9 – 22.1
MEDI4736
13.6
6.4 – 26.7
Tremelimumab
2.6
0.5 – 13.2
EORTC QLQ-C30 Function-Social
Group
Value
95% CI
MEDI4736 + Tremelimumab
18.3
11.0 – 28.8
MEDI4736
15.2
6.7 – 30.9
Tremelimumab
16.1
7.1 – 32.6
EORTC QLQ-C30 Symptom-Fatigue
Group
Value
95% CI
MEDI4736 + Tremelimumab
16.8
10.9 – 25.0
MEDI4736
17.3
9.4 – 29.7
Tremelimumab
7.5
3.0 – 17.9
EORTC QLQ-C30 Symptom-Pain
Group
Value
95% CI
MEDI4736 + Tremelimumab
22.8
15.4 – 32.4
MEDI4736
20.8
11.7 – 34.3
Tremelimumab
6.7
2.3 – 17.9
EORTC QLQ-C30 Symptom-Nausea/vomiting
Group
Value
95% CI
MEDI4736 + Tremelimumab
22.2
12.5 – 36.3
MEDI4736
16.7
4.7 – 44.8
Tremelimumab
17.6
6.2 – 41.0
Adverse events — posted to ClinicalTrials.gov
Time frame: AEs and SAEs were collected from time the informed consent was signed through 90 days after the last dose of the last study treatment or until another therapy was initiated..
Reporting threshold: 5%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
MEDI4736 AND TREMELIMUMAB COMBINATION
Serious: 59/133 (44%)
Deaths: 86/133
MEDI4736
Serious: 18/65 (28%)
Deaths: 44/67
Tremelimumab
Serious: 25/65 (38%)
Deaths: 51/67
Serious adverse events (111 terms)
Reaction
System
MEDI4736 AND TREMELIMUMAB …
MEDI4736
Tremelimumab
Pneumonia
Infections and infestations
—
—
—
Diarrhoea
Gastrointestinal disorders
—
—
—
Lung infection
Infections and infestations
—
—
—
Dehydration
Metabolism and nutrition disorders
—
—
—
Hypercalcaemia
Metabolism and nutrition disorders
—
—
—
Dyspnoea
Respiratory, thoracic and mediastinal disorders
—
—
—
Nausea
Gastrointestinal disorders
—
—
—
Pyrexia
General disorders
—
—
—
Decreased appetite
Metabolism and nutrition disorders
—
—
—
Pneumonia aspiration
Respiratory, thoracic and mediastinal disorders
—
—
—
Anaemia
Blood and lymphatic system disorders
—
—
—
Colitis
Gastrointestinal disorders
—
—
—
Dysphagia
Gastrointestinal disorders
—
—
—
Small intestinal obstruction
Gastrointestinal disorders
—
—
—
Vomiting
Gastrointestinal disorders
—
—
—
Pneumonia bacterial
Infections and infestations
—
—
—
Hypernatraemia
Metabolism and nutrition disorders
—
—
—
Tumour pain
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
The purpose of this study is to determine the efficacy and safety of investigational medical products (MEDI4736 monotherapy, tremelimumab monotherapy, and MEDI4736 + tremelimumab combination therapy) in the treatment of patients with recurrent or metastatic carcinoma of the head and neck who have progressed during or after treatment with a platinum containing regimen for recurrent/metastatic disease.
Publications & conference data
8 peer-reviewed publications reference this trial (live from Europe PMC):
NCT02546661 — Open-Label, Randomised, Multi-Drug, Biomarker-Directed, Phase 1b Study in Pts w/ Muscle Invasive Bladder Cancer
· Phase 1
· active not recruiting
NCT02669914 — MEDI4736 (Durvalumab) in Patients With Brain Metastasis From Epithelial-derived Tumors
· Phase 2
· terminated
NCT02868632 — Study of Immune Checkpoint Inhibition With Radiation Therapy in Unresectable, Non-metastatic Pancreatic Cancer
· Phase 1
· withdrawn
NCT02549651 — MEDI4736 Alone and in Combination With Tremelimumab or AZD9150 in Adult Subjects With Relapsed/Refractory DLBCL (D4190C0
· Phase 1
· completed
NCT02592551 — MEDI4736 Or MEDI4736 + Tremelimumab In Surgically Resectable Malignant Pleural Mesothelioma
· Phase 2
· completed
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Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by AstraZeneca
Last refreshed: 29 September 2020
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02319044.