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NCT03007407

Study of Durvalumab and Tremelimumab After Radiation for Microsatellite Stable Metastatic Colorectal Cancer Progressing on Chemotherapy

Completed Phase 2 Results posted Last updated 5 December 2022
What this trial tests

Phase 2 trial testing durvalumab in Colorectal Cancer Metastatic in 33 participants. Completed in 9 August 2019.

Timeline
31 July 2017
Primary endpoint
18 April 2019
9 August 2019

Quick facts

Lead sponsorNSABP Foundation Inc
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment33
Start date31 July 2017
Primary completion18 April 2019
Estimated completion9 August 2019
Sites18 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

NSABP Foundation Inc

Who can join

18 and older, any sex, with Colorectal Cancer Metastatic. 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.

Overall Objective Response Rate (ORR) of Dual Immune Checkpoint Blockade by RECIST 1.1 Primary · Through treatment, up to 1.3 years

Complete Response (CR): Disappearance of all non-target lesions and normalization of tumor marker level. All lymph nodes must be \<10mm on the short axis. Partial Response (PR): 30% or more decrease in the sum of diameters of target lesions. The reference the baseline sums of diameters. Progressive Disease (PD): 20% or more increase in the sum of diameters of target lesions. The reference is the smallest sum while on study (including the baseline sum if that is the smallest on study). In addition to the relative 20% increase, the sum must also demonstrate an absolute increase 5mm or more. (No

GroupValue95% CI
Durvalumab and Tremelimumab9.521.17 – 30.38
Percentage of Patients Who Have Achieved Clinical Benefit Secondary · At 16 weeks

Percentage of patients who have achieved clinical benefit defined as CR (complete response) and PR (partial response) and stable disease that lasts at least 4 months

GroupValue95% CI
Durvalumab and Tremelimumab14.293.05 – 36.34
Median Duration of Response to mCRC (Metastic Colorectal Cancer) Responds to Study Therapy Secondary · Through study completetion (1.3 years)

Median time from study entry until documentation of progression (years) in half of the patients as determined by RECIST 1.1.

GroupValue95% CI
Durvalumab and Tremelimumab0.850 – NA
Frequency of Adverse Events Assessed by CTCAE 4.0, From Beginning of Treatment to 90 Days After Last Dose Secondary · During treatment (max of 12 cycles; each cycle 28 days) to 90 days after last dose of study therapy

Frequency of adverse events categorized using the NCI Common Terminology Criteria for Adverse Events version 4.0

Total
GroupValue95% CI
Durvalumab and Tremelimumab29
Grade 0
GroupValue95% CI
Durvalumab and Tremelimumab2
Grade 1
GroupValue95% CI
Durvalumab and Tremelimumab3
Grade 2
GroupValue95% CI
Durvalumab and Tremelimumab6
Grade 3
GroupValue95% CI
Durvalumab and Tremelimumab14
Grade 4
GroupValue95% CI
Durvalumab and Tremelimumab3
Grade 5
GroupValue95% CI
Durvalumab and Tremelimumab1

Adverse events — posted to ClinicalTrials.gov

Time frame: From the first dose of study therapy until 90 days after the last dose of study therapy.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Durvalumab and Tremelimumab
Serious: 0/29 (0%)
Deaths: 6/29
Other adverse events (18 terms — click to expand)

ReactionSystemDurvalumab and Tremelimumab
FatigueGeneral disorders
DiarrheaGastrointestinal disorders
NauseaGastrointestinal disorders
FeverGeneral disorders
AnorexiaMetabolism and nutrition disorders
Maculopapular rashSkin and subcutaneous tissue disorders
PruritusSkin and subcutaneous tissue disorders
ConstipationGastrointestinal disorders
Rash maculo-papularSkin and subcutaneous tissue disorders
AnemiaBlood and lymphatic system disorders
Abdominal painGastrointestinal disorders
ItchingSkin and subcutaneous tissue disorders
HypothyroidismEndocrine disorders
Non-cardiac chest painGeneral disorders
Weight lossInvestigations
DehydrationMetabolism and nutrition disorders
CoughRespiratory, thoracic and mediastinal disorders
Dry SkinSkin and subcutaneous tissue disorders

Data from ClinicalTrials.gov NCT03007407 adverse events section.

Sponsor's own description

This study is being done to look at the safety and response to the combination of two investigational drugs, tremelimumab and durvalumab, when given after radiation therapy for patients with microsatellite stable (MSS) metastatic colorectal cancer. Tremelimumab and durvalumab recognize specific proteins on the surface of cancer cells and trigger the immune system to destroy the cancer cells. In order to learn more about certain characteristics of colorectal cancer tumors, this study includes special research tests using samples from diagnostic tumors, fresh tumor samples from an area where the cancer has spread, and blood samples.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Immunotherapy in colorectal cancer: rationale, challenges and potential.
    Ganesh K, Stadler ZK, Cercek A, Mendelsohn RB, et al · · 2019 · cited 1407× · PMID 30886395 · DOI 10.1038/s41575-019-0126-x
  2. Comprehensive review of targeted therapy for colorectal cancer.
    Xie YH, Chen YX, Fang JY. · · 2020 · cited 1162× · PMID 32296018 · DOI 10.1038/s41392-020-0116-z
  3. Improvement of the anticancer efficacy of PD-1/PD-L1 blockade via combination therapy and PD-L1 regulation.
    Wu M, Huang Q, Xie Y, Wu X, et al · · 2022 · cited 336× · PMID 35279217 · DOI 10.1186/s13045-022-01242-2
  4. Immunotherapy in colorectal cancer: current achievements and future perspective.
    Fan A, Wang B, Wang X, Nie Y, et al · · 2021 · cited 321× · PMID 34671202 · DOI 10.7150/ijbs.64077
  5. Advances in immunotherapy for colorectal cancer: a review.
    Golshani G, Zhang Y. · · 2020 · cited 170× · PMID 32536977 · DOI 10.1177/1756284820917527
  6. Perspectives on Treatment of Metastatic Colorectal Cancer with Immune Checkpoint Inhibitor Therapy.
    Morse MA, Hochster H, Benson A. · · 2020 · cited 85× · PMID 31383813 · DOI 10.1634/theoncologist.2019-0176
  7. Immunotherapy with immune checkpoint inhibitors in colorectal cancer: what is the future beyond deficient mismatch-repair tumours?
    Huyghe N, Baldin P, Van den Eynde M. · · 2020 · cited 79× · PMID 32104582 · DOI 10.1093/gastro/goz061
  8. Immunotherapy in microsatellite instability metastatic colorectal cancer: Current status and future perspectives.
    Motta R, Cabezas-Camarero S, Torres-Mattos C, Riquelme A, et al · · 2021 · cited 66× · PMID 34541365

Verify or expand the search:

Other trials of durvalumab

Trials testing the same drug.

Other recruiting trials for Colorectal Cancer Metastatic

Currently open trials in the same condition.

Other NSABP Foundation Inc trials

Trials by the same sponsor.

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