Durvalumab With or Without Metformin in Treating Participants With Head and Neck Squamous Cell Carcinoma
Part of paid clinical trials in Philadelphia, Pennsylvania.
- Sponsor
- Sidney Kimmel Comprehensive Cancer Center at Thomas Jefferson University
- Study ID
- NCT03618654
- Phase
- EARLY_PHASE1
- Status
- Completed
Conditions
- Head and Neck Squamous Cell Carcinoma
- Oral Cavity Squamous Cell Carcinoma
- Oropharyngeal Squamous Cell Carcinoma
Eligibility Criteria
- Sex
- ALL
- Age
- 18 Years - N/A
- Healthy Volunteers
- Not accepted
Interventions
- Metformin — DRUGGiven PO
- Durvalumab — BIOLOGICALGiven IV
Study Details
This pilot phase I trial studies how well durvalumab given with or without metformin works in treating participants with head and neck squamous cell carcinoma. Monoclonal antibodies, such as durvalumab, may interfere with the ability of tumor cells to grow and spread. Metformin, a drug typically used for the treatment of diabetes, may help to reduce the metabolic activity of cancer cells and of surrounding supportive tissues. It is not yet known whether giving durvalumab with or without metformin may work better in treating participants with head and neck squamous carcinoma.
Key Dates
- Start date
- Nov 1, 2018
- Status verified
- May 2025
- Primary completion
- Nov 20, 2021
- Completion
- Dec 7, 2022
Study Design
- Enrollment
- 38 participants (actual)
- Allocation
- RANDOMIZED
- Intervention model
- PARALLEL
- Primary purpose
- TREATMENT
Arms
- Experimental: Arm A (durvalumab, metformin)Patients will take Metformin 500mg/day for 3 days. From day 4, 500mg twice daily and then in 3 days (day 7) dose escalation to 1000mg twice daily will be achieved. This will be taken until the day before surgery after dinner. Patients will receive 1500mg durvalumab (MEDI4736) via IV infusion
- Experimental: Arm B (durvalumab)Patients will receive 1500mg durvalumab (MEDI4736) via IV infusion. Participants receive durvalumab as in Arm A in the absence of disease progression or unacceptable toxicity.
Primary Outcome Measure
Immune cell polarization (Th1/Th2; M1/M2) [ Time Frame: Up to 6 months ]
Locations (1)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| Sidney Kimmel Cancer Center at Thomas Jefferson University | Philadelphia | Pennsylvania | 19107 | - |
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