Durvalumab and Tremelimumab for Pediatric Malignancies
Part of paid clinical trials in Baltimore, Maryland.
- Sponsor
- AstraZeneca
- Study ID
- NCT03837899
- Phase
- PHASE1/PHASE2
- Status
- Active Not Recruiting
Conditions
- Hematological Malignancies
- Pediatric Cancer
- Solid Tumor Pediatric
Eligibility Criteria
- Sex
- ALL
- Age
- 0 Years - 18 Years
- Healthy Volunteers
- Not accepted
Interventions
- Durvalumab / Tremelimumab Combination Therapy — DRUGStarting dose: durvalumab: 20mg/kg tremelimumab: 1mg/kg at cycles 2 to 5 only co-administered with durvalumab. The Recommended Phase 2 dose will be used for the dose expansion phase.
Study Details
The purpose of the study is to determine the recommended dose of durvalumab and tremelimumab (immunotherapy drugs) in pediatric patients with advanced solid and hematological cancers and expand in a second phase to test the efficacy of these drugs once this dose is determined.
Key Dates
- Start date
- Mar 7, 2019
- Status verified
- Apr 2026
- Primary completion
- Feb 28, 2023
- Completion
- Dec 31, 2026
Study Design
- Enrollment
- 50 participants (actual)
- Allocation
- NON_RANDOMIZED
- Intervention model
- SINGLE_GROUP
- Primary purpose
- TREATMENT
Arms
- Experimental: Durvalumab / Tremelimumab Combination TherapyPart 1 (dose finding) Durvalumab + tremelimumab Combination Treatment. Durvalumab and tremelimumab are initially administered at dose level 1 and dose escalated based on results from PK modeling and tolerance to determine the RP2D. Both drugs are administered every 4 weeks as intravenous infusions. Tremelimumab is only administered with durvavalumab for 4 doses, from cycles 2-5. (sarcoma, NB and NHL) Part 2 (dose expansion phase) Durvalumab + tremelimumab Combination Treatment. Durvalumab and tremelimumab are administered at the RP2D, every 4 weeks as intravenous infusions. Tremelimumab is only administered with durvalumab for 4 doses, from cycles 1-4. Tremelimumab may be added for 4 doses at time of progressive disease. Cohorts: solid tumors, sarcomas, NHL restricted to PMBCL and ALCL subtypes)
Primary Outcome Measure
Dose-Finding Phase: Maximum Serum Concentration (Cmax) of Durvalumab [ Time Frame: Pre-infusion and post-infusion on Cycle 1 Day 1, Cycle 1 Day 8, Cycle 1 Day 15, pre-infusion and post-infusion on Cycle 2 Day 1, pre-infusion and post-infusion in Cycle 3, 4, 6, 8, 10 and 12 ]
Locations (5)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| Research Site | Baltimore | Maryland | 21231 | - |
| Research Site | Boston | Massachusetts | 02115 | - |
| Research Site | New Hyde Park | New York | 11040 | - |
| Research Site | Oklahoma City | Oklahoma | 73104 | - |
| Research Site | Charleston | South Carolina | 29425 | - |
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