Study identifier:D6070C00005
ClinicalTrials.gov identifier:NCT03611556
EudraCT identifier:2018-001028-21
CTIS identifier:N/A
A Phase 1b/2 Study to Evaluate the Safety, Pharmacokinetics, and Clinical Activity of Oleclumab (MEDI9447) with or without Durvalumab in Combination with Chemotherapy in Subjects with Metastatic Pancreatic Ductal Adenocarcinoma
Carcinoma
Phase 1/2
No
Oleclumab, Durvalumab, Gemcitabine, Nab-paclitaxel, Oxaliplatin, Folinic acid, 5-FU
All
213
Interventional
18 Years - 101 Years
Allocation: Randomized
Endpoint Classification: -
Intervention Model: Parallel Assignment
Masking: -
Primary Purpose: Treatment
Verified 01 Sept 2023 by MedImmune, LLC
MedImmune, LLC
-
No locations available
Arms | Assigned Interventions |
---|---|
Experimental: Dose-escalation, Oleclumab 1500 mg + Durvalumab + Gemcitabine + nab-paclitaxel Participants with 1L metastatic disease will receive intravenous (IV) infusions of oleclumab 1500 mg every 2 weeks for 4 doses, then every 4 weeks (Q4W) in combination with durvalumab 1500 mg Q4W plus chemotherapy of gemcitabine 1000 mg/m^2 and nab-paclitaxel 125 mg/m^2, both on Days 1, 8, and 15 and then repeated on Q4W schedule until disease progression, intolerable toxicity, withdrawal of participant consent, or another discontinuation criterion is met. | Drug: Oleclumab Participants will receive IV infusion of oleclumab as stated in arm description. Other Name: MEDI9447 Drug: Durvalumab Participants will receive IV infusion of durvalumab as stated in arm description. Other Name: MEDI4736 Drug: Gemcitabine Participants will receive IV infusion of gemcitabine as stated in arm description. Drug: Nab-paclitaxel Participants will receive IV infusion of nab-paclitaxel as stated in arm description. |
Experimental: Dose-escalation, Oleclumab 3000 mg + Durvalumab + Gemcitabine + nab-paclitaxel Participants with 1L metastatic disease will receive IV infusions of oleclumab 3000 mg every 2 weeks for 4 doses, then Q4W in combination with durvalumab 1500 mg Q4W plus chemotherapy of gemcitabine 1000 mg/m^2 and nab-paclitaxel 125 mg/m^2, both on Days 1, 8, and 15 and then repeated on Q4W schedule until disease progression, intolerable toxicity, withdrawal of participant consent, or another discontinuation criterion is met. | Drug: Oleclumab Participants will receive IV infusion of oleclumab as stated in arm description. Other Name: MEDI9447 Drug: Durvalumab Participants will receive IV infusion of durvalumab as stated in arm description. Other Name: MEDI4736 Drug: Gemcitabine Participants will receive IV infusion of gemcitabine as stated in arm description. Drug: Nab-paclitaxel Participants will receive IV infusion of nab-paclitaxel as stated in arm description. |
Experimental: Dose-escalation, Oleclumab 1500 mg + Durvalumab + mFOLFOX Participants with 2L metastatic disease will receive IV infusions of oleclumab 1500 mg every 2 weeks for 4 doses, then Q4W in combination with durvalumab 1500 mg Q4W plus chemotherapy of mFOLFOX (oxaliplatin 85 mg/m^2 IV; folinic acid 400 mg/m^2 IV; 5-FU 400 mg/m^2 IV bolus followed by 2400 mg/m^2 continuous IV infusion over 46 to 48 hours) on Days 1 and 15 and then repeated on a Q4W schedule, until disease progression, intolerable toxicity, withdrawal of participant consent, or another discontinuation criterion is met. | Drug: Oleclumab Participants will receive IV infusion of oleclumab as stated in arm description. Other Name: MEDI9447 Drug: Durvalumab Participants will receive IV infusion of durvalumab as stated in arm description. Other Name: MEDI4736 Drug: Oxaliplatin Participants will receive IV infusion of oxaliplatin as stated in arm description. Other Name: Modified FOLFOX (oxaliplatin, folinic acid, and 5-FU) Drug: Folinic acid Participants will receive IV infusion of folinic acid as stated in arm description. Other Name: Modified FOLFOX (oxaliplatin, folinic acid, and 5-FU) Drug: 5-FU Participants will receive IV infusion of 5-FU as stated in arm description. Other Name: Modified FOLFOX (oxaliplatin, folinic acid, and 5-FU) |
Experimental: Dose-escalation, Oleclumab 3000 mg + Durvalumab + mFOLFOX Participants with 2L metastatic disease will receive IV infusions of oleclumab 3000 mg every 2 weeks for 4 doses, then Q4W in combination with durvalumab 1500 mg Q4W plus chemotherapy of mFOLFOX (oxaliplatin 85 mg/m^2 IV; folinic acid 400 mg/m^2 IV; 5-FU 400 mg/m^2 IV bolus followed by 2400 mg/m^2 continuous IV infusion over 46 to 48 hours) on Days 1 and 15 and then repeated on a Q4W schedule, until disease progression, intolerable toxicity, withdrawal of participant consent, or another discontinuation criterion is met. | Drug: Oleclumab Participants will receive IV infusion of oleclumab as stated in arm description. Other Name: MEDI9447 Drug: Durvalumab Participants will receive IV infusion of durvalumab as stated in arm description. Other Name: MEDI4736 Drug: Oxaliplatin Participants will receive IV infusion of oxaliplatin as stated in arm description. Other Name: Modified FOLFOX (oxaliplatin, folinic acid, and 5-FU) Drug: Folinic acid Participants will receive IV infusion of folinic acid as stated in arm description. Other Name: Modified FOLFOX (oxaliplatin, folinic acid, and 5-FU) Drug: 5-FU Participants will receive IV infusion of 5-FU as stated in arm description. Other Name: Modified FOLFOX (oxaliplatin, folinic acid, and 5-FU) |
Active Comparator: Dose-expansion, Gemcitabine + nab-paclitaxel Participants with 1L metastatic disease will receive IV infusions of chemotherapy of gemcitabine 1000 mg/m^2 and nab-paclitaxel 125 mg/m^2, both on Days 1, 8, and 15 and then repeated on Q4W schedule until disease progression, intolerable toxicity, withdrawal of participant consent, or another discontinuation criterion is met. | Drug: Gemcitabine Participants will receive IV infusion of gemcitabine as stated in arm description. Drug: Nab-paclitaxel Participants will receive IV infusion of nab-paclitaxel as stated in arm description. |
Experimental: Dose-expansion, Oleclumab 3000 mg + Gemcitabine + nab-paclitaxel Participants with 1L metastatic disease will receive IV infusions of oleclumab 3000 mg every 2 weeks for 4 doses, then Q4W in combination with chemotherapy of gemcitabine 1000 mg/m^2 and nab-paclitaxel 125 mg/m^2, both on Days 1, 8, and 15 and then repeated on Q4W schedule until disease progression, intolerable toxicity, withdrawal of participant consent, or another discontinuation criterion is met. | Drug: Oleclumab Participants will receive IV infusion of oleclumab as stated in arm description. Other Name: MEDI9447 Drug: Gemcitabine Participants will receive IV infusion of gemcitabine as stated in arm description. Drug: Nab-paclitaxel Participants will receive IV infusion of nab-paclitaxel as stated in arm description. |
Experimental: Dose-expansion, Oleclumab 3000 mg + Durvalumab + Gemcitabine + nab-paclitaxel Participants with 1L metastatic disease will receive IV infusions of oleclumab 3000 mg every 2 weeks for 4 doses, then Q4W in combination with durvalumab 1500 mg Q4W plus chemotherapy of gemcitabine 1000 mg/m^2 and nab-paclitaxel 125 mg/m^2, both on Days 1, 8, and 15 and then repeated on Q4W schedule until disease progression, intolerable toxicity, withdrawal of participant consent, or another discontinuation criterion is met. | Drug: Oleclumab Participants will receive IV infusion of oleclumab as stated in arm description. Other Name: MEDI9447 Drug: Durvalumab Participants will receive IV infusion of durvalumab as stated in arm description. Other Name: MEDI4736 Drug: Gemcitabine Participants will receive IV infusion of gemcitabine as stated in arm description. Drug: Nab-paclitaxel Participants will receive IV infusion of nab-paclitaxel as stated in arm description. |