Umbrella study structure to independently and simultaneously assess the effects of the association of durvalumab and tazemetostat in multiple solid tumors.
4 independant, multicenter, prospective, signle-arm phase II trials, based on 2-stage Simon's optimal design, will be conducted in parallel to assess the efficacy of durvalumab when prescribed with tazemetostat, separately, in distinct cohorts of solid tumors: * cohort A: patients with pancreatic cancer * cohort B: patients with colorectal cancer not MSI-H or MMR-deficient * cohort C: patients with metastatic solid tumors with positive interferon gamma signature and/or tertiary lymphoid structure positive * cohort D: patients with soft-tissue sarcoma
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
173
Durvalumab will be administered by intraveinous infusion (1120 mg) on day 1, every 3 weeks. Treatment by durvalumab will start on Day 22 (i.e., day 1 of cycle 2)
Tazemetostat will be administered per-os, twice daily (800 mg x 2), continuously. Treatment by tazemetostat will start on day 1 (of cycle1).
Institut Bergonie
Bordeaux, France
CHRU Brest
Brest, France
CHU Poitiers
Poitiers, France
Assessment of antitumor activity of durvalumab combined with tazemetostat for cohort A
Antitumor activity will be assessed in terms of disease control rate, defined as complete response (CR), partial response (PR) and stable disease (SD) as per RECIST v1.1 criteria
Time frame: Within 6 months of treatment onset
Assessment of antitumor activity of durvalumab combined with tazemetostat for cohort B
Antitumor activity will be assessed in terms of disease control rate, defined as CR, PR and SD as per RECIST v1.1 criteria
Time frame: Within 6 months of treatment onset
Assessment of antitumor activity of durvalumab combined with tazemetostat for cohort C
Antitumor activity will be assessed in terms of objective response rate, defined as CR and PR as per RECIST v1.1 criteria
Time frame: Within 6 months of treatment onset
Assessment of antitumor activity of durvalumab combined with tazemetostat for cohort D
Antitumor activity will be assessed in terms of 6-months progression-free rate, defined as CR, PR and SD as per RECIST v1.1 criteria
Time frame: 6 months
Assessment of antitumor activity of durvalumab combined with tazemetostat for cohort D
Antitumor activity will be assessed in terms of objective response rate, defined as CR and PR as per RECIST v1.1 criteria
Time frame: Within 6 months of treatment onset
Assessment of antitumor activity of durvalumab combined with tazemetostat for cohort A
Antitumor activity will be assessed in terms of 6-months progression-free rate, defined as CR, PR and SD as per RECIST v1.1 criteria
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Time frame: 6 months
Assessment of antitumor activity of durvalumab combined with tazemetostat for cohort B
Antitumor activity will be assessed in terms of 6-months progression-free rate, defined as CR, PR and SD as per RECIST v1.1 criteria
Time frame: 6 months
Assessment of antitumor activity of durvalumab combined with tazemetostat for cohort C
Antitumor activity will be assessed in terms of 6-months progression-free rate, defined as CR, PR and SD as per RECIST v1.1 criteria
Time frame: 6 months
6-month objective response (OR) independently for each population
Objective response is defined as the proportion of patients with complete response (CR) or partial response (PR) observed at 6 months, based on RECIST 1.1 criteria
Time frame: 6 months
Best overall response, independently for each population
Best overall response is defined as the best response across all time points (RECIST 1.1). The best overall response is determinded once all the data for the patient is known (RECIST 1.1)
Time frame: Throughout the treatment period, an expected average of 6 months
1-year progression-free survival, independently for each population
Progression-free survival is defined as the delay between the start date of treatment and the date of progression (as per RECIST 1.1) or death (from any cause), whichever occurs first
Time frame: 1 year
1-year overall survival, independently for each population
Overall survival is defined as the delay between the start date of treatment and the date of death (of any cause)
Time frame: 1 year
Safety profile, independently for each population: Common Terminology Criteria for adverse events version 5
Toxicity graded using the Common Terminology Criteria for Adverse Events vers 5
Time frame: Throughout the treatment period, an expected average of 6 months
Tumor immune cell levels
Levels of immune cells in tumors will be measured by immunohistochemistry
Time frame: before treatment onset, cycle 2 day 1 and cycle 3 day 1 (each cycle is 21 days)
Blood cytokines level
Levels of cytokines in blood will be measured by ELISA
Time frame: before treatment onset, cycle 2 day 1, cycle 3 day 1 and treatment discontinuation (each cycle is 21 days)
Blood lymphocytes level
Levels of lymphocytes in blood will be measured by flow cytometry
Time frame: before treatment onset, cycle 2 day 1, cycle 3 day 1 and treatment discontinuation (each cycle is 21 days)
Blood kynurenin level
Levels of kynurenin in blood will be measured by ELISA
Time frame: before treatment onset, cycle 2 day 1, cycle 3 day 1 and treatment discontinuation (each cycle is 21 days)