To evaluate MEDI9197 when administered by intratumoral injection to subjects with solid tumors and in combination with durvalumab in subjects with solid tumors.
This is a multicenter, open-label study to evaluate the TLR 7/8 agonist MEDI9197 delivered by IT injection to subjects with solid tumors and in combination with durvalumab in subjects with solid tumors. The study has a dose escalation design using mTPI-2 to evaluate a range of doses.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
53
Subjects will receive MEDI9197 (every 4 weeks) as monotherapy (or MEDI9197 every 8 weeks + durvalumab every 4 weeks)(PA6)
Subjects will receive durvalumab every 4 weeks
Research Site
San Francisco, California, United States
Research Site
Aurora, Colorado, United States
Research Site
Minneapolis, Minnesota, United States
Research Site
St Louis, Missouri, United States
Safety and tolerability as determined by assessment of dose limiting toxicities and the maximum tolerated dose or maximal assessed dose per protocol of MEDI9197 when administered by intratumoral injection to subjects with solid tumor cancers
The primary endpoint will be the number (%) of subjects with dose-limiting toxicities, adverse and serious adverse events and other safety parameters.
Time frame: From time of informed consent through 4 weeks after last dose of investigational product
Safety and tolerability as determined by assessment of dose limiting toxicities and the maximum tolerated dose or maximal assessed dose per protocol of MEDI9197 when administered by intratumoral injection to subjects with CTCL
The primary endpoint will be the number (%) of subjects with dose-limiting toxicities, adverse and serious adverse events and other safety parameters.
Time frame: From time of informed consent through 6 months after last dose of investigational product
Safety & tolerability as determined by dose limiting toxicities and maximum tolerated or assessed dose of MEDI9197 administered by IT injection in combo with durvalumab and durvalumab plus palliative radiation to subjects with solid tumor cancers.
The primary endpoint will be the number (%) of subjects with dose-limiting toxicities, adverse and serious adverse events and other safety parameters.
Time frame: From time of informed consent through 90 days after last dose of investigational product
The maximum concentration of MEDI9197 after the first injection
Time frame: Pre-dose to 24 hours post first dose
The apparent terminal half-life of MEDI9197
Time frame: Pre-dose to 24 hours post first dose
Percent change from baseline in cluster of differentiation 8 tumor infiltrating lymphocytes in tumor tissue
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Research Site
New York, New York, United States
Research Site
Chapel Hill, North Carolina, United States
Research Site
Philadelphia, Pennsylvania, United States
Research Site
Houston, Texas, United States
Research Site
Toronto, Ontario, Canada
Research Site
Villejuif, France
Time frame: Baseline to Day 50
Percent change from baseline in serum inflammatory cytokine levels
Time frame: Pre-dose to end of study, up to 24 months
Percent change from baseline in tumor measurements
Time frame: Pre-dose to disease progression, up to 12 months
Objective response rate
Time frame: Pre-dose to end of study, up to 24 months
Duration of response
Time frame: Pre-dose to end of study, up to 24 months
Percent change from baseline in CAILDS for subjects with CTCL
Time frame: Pre-dose to disease progression, up to 12 months
Percent change from baseline in mSWAT scored for subjects with CTCL
Time frame: Pre-dose to disease progression, up to 12 months
Percent change from baseline in Investigator Global Assessment (IGA) for subjects with CTCL
Time frame: Pre-dose to disease progression, up to 12 months
Percent change from baseline in Subject Global Assessment (SGA) for subjects with CTCL
Time frame: Pre-dose to disease progression, up to 12 months