Phase 2 study in Patients with Recurrent or Metastatic SCCHN

  • Research type

    Research Study

  • Full title

    A Phase II, Randomized, Open-Label, Multi-Center, Global Study of MEDI4736 Monotherapy, Tremelimumab Monotherapy, and MEDI4736 in Combination with Tremelimumab in Patients with Recurrent or Metastatic Squamous Cell Carcinoma of the Head and Neck (SCCHN)

  • IRAS ID

    164909

  • Contact name

    Hisham Mehanna

  • Contact email

    h.mehanna@bham.ac.uk

  • Sponsor organisation

    AstraZeneca AB

  • Eudract number

    2014-003717-29

  • Clinicaltrials.gov Identifier

    NCT02319044

  • Duration of Study in the UK

    2 years, 7 months, 16 days

  • Research summary

    The aim of this phase 2 study is to determine the efficacy and safety of MEDI4736 monotherapy, tremelimumab monotherapy, and MEDI4736 + tremelimumab combination therapy in the treatment of participants with a type of head and neck cancer called squamous cell carcinoma of the head and neck (SCCHN). SCCHN patients whose cancer is recurrent (i.e. returned) or metastatic (i.e. a cancer that has spread) and were previously treated with a platinum-based medicine but their cancer continued to progress during or after treatment will be invited to participate. Participants within this group will be invited to have their cancer analysed to see if their cancer finds to be negative to a protein called PD-L1.
    Participants will be randomised in a stratified manner according to prognostic factors (human papilloma virus status, smoking status, and anatomic location of primary tumour) to achieve a balance between treatments for each of the factors. Participants will be randomised in a 1:1:2 fashion to MEDI4736 monotherapy, tremelimumab monotherapy, or MEDI4736 + tremelimumab combination therapy.
    Approximately 240 participants will take part in approximately 110 clinical study sites across Europe, Canada and USA.
    Treatment with MEDI4736 monotherapy, tremelimumab monotherapy, or MEDI4736 + tremelimumab combination therapy will commence on Day 0 following confirmation of eligibility and randomisation. Participants will be treated with their assigned study medication (MEDI4736 monotherapy, tremelimumab monotherapy, or MEDI4736 + tremelimumab combination therapy) for a maximum of 12 months or until confirmed disease progression (unless, in the Investigator's opinion, the participant continues to receive benefit from the treatment and after discussion with the Sponsor), initiation of alternative cancer therapy, unacceptable toxicity, withdrawal of consent, or other treatment discontinuation criterion is met.
    Following completion or discontinuation of treatment, participants will enter a follow-up period.

  • REC name

    North East - Tyne & Wear South Research Ethics Committee

  • REC reference

    15/NE/0149

  • Date of REC Opinion

    27 May 2015

  • REC opinion

    Further Information Favourable Opinion