ClinicalTrials.gg
Active, not recruitingNCT02519348Updated Aug 5, 2026Results posted

A Study of Durvalumab or Tremelimumab Monotherapy, or Durvalumab in Combination With Tremelimumab or Bevacizumab in Advanced Hepatocellular Carcinoma

A Phase 2 interventional study of Tremelimumab and Durvalumab in Hepatocellular Carcinoma, sponsored by MedImmune LLC. Active, not recruiting at 44 sites in 9 countries. Open to participants aged 18 Years to 99 Years. Per ClinicalTrials.gov, last updated 2026-08-05.

Sponsored by MedImmune LLC (part of AstraZeneca) · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
433
Allocation
Randomized
Ages
18 Years to 99 Years
Sex
All
01

Study summary

This is a multicenter, open-label, stratified, randomized study to evaluate the safety, tolerability, antitumor activity, pharmacokinetics, pharmacodynamics, and immunogenicity of durvalumab or tremelimumab monotherapy, or durvalumab in combination with tremelimumab or bevacizumab in advanced hepatocellular carcinoma.

Read the detailed description

The study will comprise of 6 parts. Participants in Part 1A (safety run-in cohort), Part 1B (efficacy-gating cohort), Part 2A, and Part 4 will receive weight-based dosing regimens; and participants in Part 2B and Part 3 will receive fixed dosing regimens. Part 1A Stage 2 of the study may start after the first 3 participants in Stage 1 have been observed on study for at least 4 weeks. In addition, a separate cohort of participants will be enrolled in mainland China (China cohort) once global recruitment in Part 2A will be closed.

  • In Part 1 (both 1A and 1B), participants will receive tremelimumab 1 mg/kg intravenous (IV) every 4 weeks (Q4W) 4 doses and durvalumab 20 mg/kg Q4W.
  • In Part 2A, participants will be randomized in a 1:1:1 ratio to receive:

    • Durvalumab 20 mg/kg Q4W
    • Tremelimumab 10 mg/kg Q4W × 7 doses followed by every 12 weeks (Q12W)
    • Tremelimumab 1 mg/kg Q4W × 4 doses + durvalumab 20 mg/kg Q4W, followed by durvalumab 20 mg/kg Q4W
  • In China cohort, Part 2A study design will be followed.
  • In Part 2B, participants will receive tremelimumab 300 mg × 1 dose + durvalumab 1500 mg Q4W.
  • In Part 3, participants will be randomized in a 2:2:1:2 ratio to receive:

    • Durvalumab 1500 mg Q4W
    • Tremelimumab 300 mg × 1 dose + durvalumab 1500 mg Q4W
    • Tremelimumab 750 mg Q4W for 7 doses followed by Q12W
    • Tremelimumab 75 mg Q4W × 4 doses + durvalumab 1500 mg Q4W, followed by durvalumab 1500 mg Q4W.

Following protocol amendment 5, enrollment into 'Tremelimumab 75 mg Q4W × 4 doses + durvalumab 1500 mg' arm will close. Participants will be randomized at a ratio of 2:1:2 in 'Durvalumab 1500 mg Q4W', 'Tremelimumab 750 mg Q4W for 7 doses followed by Q12W', and 'Tremelimumab 300 mg × 1 dose + durvalumab 1500 mg Q4W' arms, respectively.

  • In Part 4, participants will receive durvalumab 1120 mg (15 mg/kg) + bevacizumab 15 mg/kg every 3 weeks (Q3W).

Participants will receive the treatment until confirm progressive disease, withdrawal of consent, lost to follow-up, or development of other reason for treatment discontinuation, whichever occurs first.

All participants will be followed for survival until the end of study visit (last participant discontinues the study treatment).

02

Conditions studied

  • Hepatocellular Carcinoma

Keywords

  • Hepatocellular Carcinoma
  • Immunotherapy
  • Antibodies, Monoclonal
  • Tremelimumab
  • MEDI4736
  • Durvalumab
03

In context

Carcinoma, Hepatocellular

3,648 studies on the registry are indexed under Carcinoma, Hepatocellular; 1,061 are open to participants now.

This study's enrollment of 433 is above the median of 54 across 2,618 interventional studies indexed under Carcinoma, Hepatocellular.

Browse Carcinoma, Hepatocellular studies →

Lead sponsor

MedImmune LLC is the lead sponsor of 270 studies on the registry; none are open to participants now.

Of its 52 completed or terminated interventional studies of FDA-regulated products, 29 (56%) have results posted.

First submitted after MedImmune LLC became part of AstraZeneca.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 99 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Male or female participants
  2. 18 years and older (Japan-20 years and older)
  3. Confirmed hepatocellular carcinoma (HCC) based on histopathological findings from tumor tissues. Advanced HCC with diagnosis confirmed pathologically or with noninvasive methods.
  4. Immunotherapy-naïve
  5. Have either progressed on, are intolerant to, or refused treatment with sorafenib or another approved TKI. For arm 5 only: Have not received any prior systemic therapy for HCC.

Exclusion criteria

Exclusion Criteria:

  1. Prior exposure to immune-mediated therapy
  2. Hepatic encephalopathy within past 12 months or requirement for medications to prevent or control encephalopathy
  3. Gastrointestinal bleeding (eg, esophageal varices or ulcer bleeding) within 12 months
  4. Ascites requiring non-pharmacologic intervention (eg, paracentesis) to maintain symptomatic control, within 6 months prior to the first scheduled dose.
  5. Main portal vein thrombosis (Vp4) as documented on imaging
  6. Any concurrent chemotherapy, immunotherapy, or biologic or hormonal therapy for cancer treatment
  7. Active or prior documented or inflammatory disease with some exceptions
  8. Current or prior use of medication within 14 days with some exceptions
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
433 participants (actual)

Study arms

  • Experimental
    Part 1: Tremelimumab 1 mg/kg + Durvalumab 20 mg/kg

    Participants in Part 1A (safety run-in cohort) and Part 1 B (efficacy-gating cohort) will receive tremelimumab 1 mg/kg every 4 weeks (Q4W) 4 doses and durvalumab 20 mg/kg Q4W until confirmed progressive disease, withdrawal of consent, lost to follow-up, or development of other reason for treatment discontinuation, whichever occurs first.

    Biological: Tremelimumab · Biological: Durvalumab

  • Experimental
    Parts 2 and 3: Durvalumab 1500 mg

    Participants will receive durvalumab 1500 mg Q4W until confirmed progressive disease, withdrawal of consent, lost to follow-up, or development of other reason for treatment discontinuation, whichever occurs first.

    Biological: Durvalumab

  • Experimental
    Parts 2 and 3: Tremelimumab 300 mg + Durvalumab 1500 mg

    Participants will receive tremelimumab 300 mg 1 dose and durvalumab 1500 mg Q4W until confirmed progressive disease, withdrawal of consent, lost to follow, or development of other reason for treatment discontinuation, whichever occurs first.

    Biological: Tremelimumab · Biological: Durvalumab

  • Experimental
    Parts 2 and 3: Tremelimumab 750 mg

    Participants will receive tremelimumab 750 mg Q4W 7 doses followed by every 12 weeks (Q12W) until confirmed progressive disease, withdrawal of consent, lost to follow-up, or development of other reason for treatment discontinuation, whichever occurs first.

    Biological: Tremelimumab

  • Experimental
    Parts 2 and 3: Tremelimumab 75 mg + Durvalumab 1500 mg

    Participants will receive tremelimumab 75 mg Q4W 4 doses and durvalumab 1500 mg Q4W until confirmed progressive disease, withdrawal of consent, lost to follow-up, or development of other reason for treatment discontinuation, whichever occurs first. Participant recruitment to this arm was closed following protocol amendment 5.

    Biological: Tremelimumab · Biological: Durvalumab

  • Experimental
    Part 4: Durvalumab 1120 mg + Bevacizumab 15 mg/kg

    Participants will receive durvalumab 1120 mg and bevacizumab 15 mg/kg every 3 weeks (Q3W) until confirmed progressive disease, withdrawal of consent, lost to follow-up, or development of other reason for treatment discontinuation, whichever occurs first

    Biological: Durvalumab · Biological: Bevacizumab

  • Experimental
    China Cohort: Durvalumab 20 mg/kg

    Participants will receive durvalumab 20 mg/kg Q4W until confirmed progressive disease, withdrawal of consent, lost to follow-up, or development of other reason for treatment discontinuation, whichever occurs first.

    Biological: Durvalumab

  • Experimental
    China Cohort: Tremelimumab 10 mg/kg

    Participants will receive tremelimumab 10 mg/kg Q4W 7 doses followed by Q12W until confirmed progressive disease, withdrawal of consent, lost to follow-up, or development of other reason for treatment discontinuation, whichever occurs first.

    Biological: Tremelimumab

  • Experimental
    China Cohort: Tremelimumab 1 mg/kg + Durvalumab 20 mg/kg

    Participants will receive tremelimumab 1 mg/kg Q4W 4 doses and durvalumab 20 mg/kg Q4W until confirmed progressive disease, withdrawal of consent, lost to follow-up, or development of other reason for treatment discontinuation, whichever occurs first.

    Biological: Tremelimumab · Biological: Durvalumab

Interventions

  • BiologicalTremelimumab

    Tremelimumab will be administered by IV infusion according to doses and frequency mentioned in arms' description.

  • BiologicalDurvalumab

    Durvalumab will be administered by IV infusion according to doses and frequency mentioned in arms' description.

    Also known as: MEDI4736

  • BiologicalBevacizumab

    Bevacizumab 15 mg/kg will be administered by IV infusion every 3 weeks until confirmed progressive disease, withdrawal of consent, lost to follow-up, or development of other reason for treatment discontinuation, whichever occurred first.

06

What researchers measure

Primary outcomes

  1. Number of Participants With Dose Limiting Toxicities (DLTs)

    A DLT was defined as treatment-related toxicity that occurred during DLT evaluation period including: any Grade 4 immune-related adverse event (irAE), any Grade 3 colitis or any Grade 3 noninfectious pneumonitis irrespective of duration, any \>= Grade 2 pneumonitis that does not resolve to \<= Grade 1 within 7 days of initiation of maximal supportive care, any other Grade 3 irAE (excluding colitis or pneumonitis) that does not downgrade to Grade 2 within 7 days after onset of the event despite optimal medical management including systemic corticosteroids or does not downgrade to \<= Grade 1 or baseline within 14 days, liver transaminase elevation \> 8 × upper limit of normal (ULN) or total bilirubin \> 5 × ULN, aspartate aminotransferase or alanine aminotransferase \> 3 × ULN with concurrent increase in total bilirubin \> 2 × ULN without evidence of cholestasis or alternative explanations, and any \>= Grade 3 non-irAE (except for the protocol stated conditions).

    Time frame: From Day 1 to Day 28 after first dose of study drug

  2. Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs)

    An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A serious adverse event (SAE) is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. The TEAEs are defined as events present at baseline that worsened in intensity after administration of study drug or events absent at baseline that emerged after administration of study drug. There will be no updated results for this outcome measure at the time of end of study.

    Time frame: From Day 1 through the 12 months after the first dose of study drug given to the last participant enrolled in the study (approximately 61 months)

  3. Number of Participants With Clinically Important Changes in Hematology and Clinical Chemistry Parameters

    Participants with clinically important Common Terminology Criteria for Adverse Events (CTCAE) grade changes to 3 or 4 in hematology and chemistry parameters are reported. There will be no updated results for this outcome measure at the time of end of study.

    Time frame: From Day 1 through the 12 months after the first dose of study drug given to the last participant enrolled in the study (approximately 61 months)

  4. Number of Participants With Abnormal Vital Signs Reported as TEAEs

    Vital sign assessment included pulse rate, blood pressure, temperature, weight, and respiratory rate. Vital signs abnormalities recorded as TEAEs are reported. There will be no updated results for this outcome measure at the time of end of study.

    Time frame: From Day 1 through the 12 months after the first dose of study drug given to the last participant enrolled in the study (approximately 61 months)

  5. Number of Participants With Electrocardiogram (ECG) Abnormalities Reported as Treatment-Emergent Adverse Events

    Number of participants with ECG abnormalities recorded as TEAEs are reported. There will be no updated results for this outcome measure at the time of end of study.

    Time frame: From Day 1 through the 12 months after the first dose of study drug given to the last participant enrolled in the study (approximately 61 months)

Secondary outcomes

  1. Overall Objective Response Rate (ORR) Based on Investigator Assessments and Blinded Independent Central Review (BICR)

    Disease assessments based on investigator assessments and BICR review were determined by using Response Evaluation Criteria in Solid Tumours Version 1.1 (RECIST v1.1) guidelines. The ORR is defined as best overall response (BOR) of confirmed complete response (CR) or confirmed partial response (PR). The CR is defined as disappearance of all target and non-target lesions and no new lesions. The PR is defined as \>= 30% decrease in the sum of diameters of target lesions (compared to baseline) and no new non-target lesion. A confirmed CR or PR is defined as 2 CRs or 2 PRs that were separated by at least 4 weeks with no evidence of progression in-between. There will be no updated results for this outcome measure at the time of end of study.

    Time frame: From Day 1 through the 12 months after the first dose of study drug given to the last participant enrolled in the study (approximately 61 months)

  2. Disease Control Rate (DCR) Based on Investigator Assessments and BICR

    Disease assessments based on investigator assessments and BICR review were determined by using RECIST v1.1 guidelines. The DCR is defined as a BOR of confirmed CR, confirmed PR, or stable disease (SD). A confirmed CR is defined as two CRs (disappearance of all target and non-target lesions and no new lesions) that were separated by at least 4 weeks with no evidence of progression in-between. A confirmed PR is defined as two PRs (\>= 30% decrease in the sum of diameters of target lesions compared to baseline and no new non-target lesion) that were separated by at least 4 weeks with no evidence of progression in-between. The SD is defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for disease progression. There will be no updated results for this outcome measure at the time of end of study.

    Time frame: From Day 1 through the 12 months after the first dose of study drug given to the last participant enrolled in the study (approximately 61 months)

  3. Time to Response (TTR) Based on Investigator Assessments and BICR

    Disease assessments based on investigator assessments and BICR review were determined by using RECIST v1.1 guidelines. The TTR is defined as the time from randomization for Parts 2A and 3, and time from first dose for Parts 1, 2B, and 4 until the first documentation of a subsequently confirmed OR (confirmed CR or confirmed PR). A confirmed CR is defined as two CRs (disappearance of all target and non-target lesions and no new lesions) that were separated by at least 4 weeks with no evidence of progression in-between. A confirmed PR is defined as two PRs (\>= 30% decrease in the sum of diameters of target lesions compared to baseline and no new non-target lesion) that were separated by at least 4 weeks with no evidence of progression in-between. The TTR was estimated using Kaplan-Meier method. There will be no updated results for this outcome measure at the time of end of study.

    Time frame: From Day 1 through the 12 months after the first dose of study drug given to the last participant enrolled in the study (approximately 61 months)

  4. Duration of Response (DoR) Based on Investigator Assessments and BICR

    The DoR is defined as the time from the date of first documented OR (confirmed CR or confirmed PR) until date of documented progression (PD) based on investigator assessments and BICR review by using RECIST v1.1 or death in absence of disease progression. A confirmed CR is defined in above outcome measures. The PD is defined at least 20% increase in sum of diameters of target lesions (compared with nadir at 2 consecutive visits with an absolute increase of 5 mm), unequivocal progression of existing non-target lesions or new lesion. For participants who were alive and no documented PD at the time of data cutoff for analysis, DoR was censored at the last evaluable disease assessment date. The DoR was estimated using Kaplan-Meier method. There will be no updated results for this outcome measure at the time of end of study.

    Time frame: From Day 1 through the 12 months after the first dose of study drug given to the last participant enrolled in the study (approximately 61 months)

  5. Time to Progression (TTP) Based on Investigator Assessments and BICR

    Disease assessments based on investigator assessments and BICR review were determined by using RECIST v1.1 guidelines. The TTP was defined as the time from randomization for Parts 2A and 3, and time from first dose for Parts 1, 2B, and 4 to the first documentation of radiographic disease progression. However, if the participant died without tumor progression, they were censored at the time of death. Participants with no documented PD by the data cutoff date for TTP analysis were censored at the date of their last evaluable disease assessment. The TTP was estimated using Kaplan-Meier method. There will be no updated results for this outcome measure at the time of end of study.

    Time frame: From Day 1 through the 12 months after the first dose of study drug given to the last participant enrolled in the study (approximately 61 months)

  6. Progression Free Survival (PFS) Based on Investigator Assessments and BICR

    Disease assessments based on investigator assessments and BICR review were determined by using RECIST v1.1 guidelines. The PFS is defined as the time from randomization for Parts 2A and 3, and time from first dose for Parts 1, 2B, and 4 until the first documentation of radiographic disease progression or death due to any cause, whichever occurs first. The PD is defined at least 20% increase in the sum of diameters of target lesions (compared with the nadir at 2 consecutive visits with an absolute increase of 5 mm), unequivocal progression of existing non-target lesions or new lesion. Participants who were alive with no documented PD by the data cutoff date for PFS analysis were censored at the date of their last evaluable disease assessment. The PFS was estimated using Kaplan-Meier method. There will be no updated results for this outcome measure at the time of end of study.

    Time frame: From Day 1 through the 12 months after the first dose of study drug given to the last participant enrolled in the study (approximately 61 months)

  7. Overall Survival (OS)

    The OS is defined as the time from randomization for Parts 2A and 3, and time from first dose for Parts 1, 2B, and 4 until death due to any cause. If there was no death reported for a participant by the data cut-off date for overall survival analysis, OS was censored at the last known alive date. The OS was estimated using Kaplan-Meier method. There will be no updated results for this outcome measure at the time of end of study.

    Time frame: From Day 1 through the 12 months after the first dose of study drug given to the last participant enrolled in the study (approximately 61 months)

07

Results

Posted Dec 6, 2021

Participant flow

Participant flow — Overall Study
MilestonePart 1: Tremelimumab 1 mg/kg + Durvalumab 20 mg/kgParts 2 and 3: Durvalumab 1500 mgParts 2 and 3: Tremelimumab 300 mg + Durvalumab 1500 mgParts 2 and 3: Tremelimumab 750 mgParts 2 and 3: Tremelimumab 75 mg + Durvalumab 1500 mgPart 4: Durvalumab 1120 mg + Bevacizumab 15 mg/kgChina Cohort: Durvalumab 20 mg/kgChina Cohort: Tremelimumab 10 mg/kgChina Cohort: Tremelimumab 1 mg/kg + Durvalumab 20 mg/kg
Started4010475698447356
Treated4010174698247355
Completed000000000
Not completed4010475698447356
Withdrew: Death317447546318255
Withdrew: Withdrawal by subject474332001
Withdrew: Lost to follow-up001021100
Withdrew: Other030010000
Withdrew: Ongoing at the time of data cut-off date52023121526000

Outcome measures

PrimaryNumber of Participants With Dose Limiting Toxicities (DLTs)

A DLT was defined as treatment-related toxicity that occurred during DLT evaluation period including: any Grade 4 immune-related adverse event (irAE), any Grade 3 colitis or any Grade 3 noninfectious pneumonitis irrespective of duration, any \>= Grade 2 pneumonitis that does not resolve to \<= Grade 1 within 7 days of initiation of maximal supportive care, any other Grade 3 irAE (excluding colitis or pneumonitis) that does not downgrade to Grade 2 within 7 days after onset of the event despite optimal medical management including systemic corticosteroids or does not downgrade to \<= Grade 1 or baseline within 14 days, liver transaminase elevation \> 8 × upper limit of normal (ULN) or total bilirubin \> 5 × ULN, aspartate aminotransferase or alanine aminotransferase \> 3 × ULN with concurrent increase in total bilirubin \> 2 × ULN without evidence of cholestasis or alternative explanations, and any \>= Grade 3 non-irAE (except for the protocol stated conditions).

Time frame:
From Day 1 to Day 28 after first dose of study drug
Reported as:
Count of participants · Participants
Number of Participants With Dose Limiting Toxicities (DLTs)
ParticipantsPart 1A: Tremelimumab 1 mg/kg + Durvalumab 20 mg/kg
Number of Participants With Dose Limiting Toxicities (DLTs)0
PrimaryNumber of Participants With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs)

An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A serious adverse event (SAE) is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. The TEAEs are defined as events present at baseline that worsened in intensity after administration of study drug or events absent at baseline that emerged after administration of study drug. There will be no updated results for this outcome measure at the time of end of study.

Time frame:
From Day 1 through the 12 months after the first dose of study drug given to the last participant enrolled in the study (approximately 61 months)
Reported as:
Count of participants · Participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs)
ParticipantsPart 1: Tremelimumab 1 mg/kg + Durvalumab 20 mg/kgParts 2 and 3: Durvalumab 1500 mgParts 2 and 3: Tremelimumab 300 mg + Durvalumab 1500 mgParts 2 and 3: Tremelimumab 750 mgParts 2 and 3: Tremelimumab 75 mg + Durvalumab 1500 mgPart 4: Durvalumab 1120 mg + Bevacizumab 15 mg/kgChina Cohort: Durvalumab 20 mg/kgChina Cohort: Tremelimumab 10 mg/kgChina Cohort: Tremelimumab 1 mg/kg + Durvalumab 20 mg/kg
Any TEAEs389573678045355
Any TESAEs224532363717134
PrimaryNumber of Participants With Clinically Important Changes in Hematology and Clinical Chemistry Parameters

Participants with clinically important Common Terminology Criteria for Adverse Events (CTCAE) grade changes to 3 or 4 in hematology and chemistry parameters are reported. There will be no updated results for this outcome measure at the time of end of study.

Time frame:
From Day 1 through the 12 months after the first dose of study drug given to the last participant enrolled in the study (approximately 61 months)
Reported as:
Count of participants · Participants
Number of Participants With Clinically Important Changes in Hematology and Clinical Chemistry Parameters
ParticipantsPart 1: Tremelimumab 1 mg/kg + Durvalumab 20 mg/kgParts 2 and 3: Durvalumab 1500 mgParts 2 and 3: Tremelimumab 300 mg + Durvalumab 1500 mgParts 2 and 3: Tremelimumab 750 mgParts 2 and 3: Tremelimumab 75 mg + Durvalumab 1500 mgPart 4: Durvalumab 1120 mg + Bevacizumab 15 mg/kgChina Cohort: Durvalumab 20 mg/kgChina Cohort: Tremelimumab 10 mg/kgChina Cohort: Tremelimumab 1 mg/kg + Durvalumab 20 mg/kg
Hemoglobin056660011
Leukocytes111121000
Lymphocytes3710482010
Neutrophils011001000
Platelets350243100
Activated Partial Thromboplastin Time000011000
Fibrinogen555253000
Prothrombin Intl. Normalized Ratio013101000
Alanine Aminotransferase37135101000
Albumin150330000
Alkaline Phosphatase3134683101
Aspartate Aminotransferase5251916174011
Bilirubin2124692000
Calcium - Hyper040131000
Calcium - Hypo121110000
Creatinine223000000
Glucose - Hyper4814652000
Glucose - Hypo210101000
Magnesium - Hyper273222000
Magnesium - Hypo020101000
Potassium - Hyper442031000
Potassium - Hypo022210000
Sodium - Hyper000000000
Sodium - Hypo912713116001
PrimaryNumber of Participants With Abnormal Vital Signs Reported as TEAEs

Vital sign assessment included pulse rate, blood pressure, temperature, weight, and respiratory rate. Vital signs abnormalities recorded as TEAEs are reported. There will be no updated results for this outcome measure at the time of end of study.

Time frame:
From Day 1 through the 12 months after the first dose of study drug given to the last participant enrolled in the study (approximately 61 months)
Reported as:
Count of participants · Participants
Number of Participants With Abnormal Vital Signs Reported as TEAEs
ParticipantsPart 1: Tremelimumab 1 mg/kg + Durvalumab 20 mg/kgParts 2 and 3: Durvalumab 1500 mgParts 2 and 3: Tremelimumab 300 mg + Durvalumab 1500 mgParts 2 and 3: Tremelimumab 750 mgParts 2 and 3: Tremelimumab 75 mg + Durvalumab 1500 mgPart 4: Durvalumab 1120 mg + Bevacizumab 15 mg/kgChina Cohort: Durvalumab 20 mg/kgChina Cohort: Tremelimumab 10 mg/kgChina Cohort: Tremelimumab 1 mg/kg + Durvalumab 20 mg/kg
Hypertension144236000
Hypotension040320000
Systolic hypertension010000000
Weight decreased444442001
Weight increased201120000
Palpitations100000100
Pyrexia66149144221
PrimaryNumber of Participants With Electrocardiogram (ECG) Abnormalities Reported as Treatment-Emergent Adverse Events

Number of participants with ECG abnormalities recorded as TEAEs are reported. There will be no updated results for this outcome measure at the time of end of study.

Time frame:
From Day 1 through the 12 months after the first dose of study drug given to the last participant enrolled in the study (approximately 61 months)
Reported as:
Count of participants · Participants
Number of Participants With Electrocardiogram (ECG) Abnormalities Reported as Treatment-Emergent Adverse Events
ParticipantsPart 1: Tremelimumab 1 mg/kg + Durvalumab 20 mg/kgParts 2 and 3: Durvalumab 1500 mgParts 2 and 3: Tremelimumab 300 mg + Durvalumab 1500 mgParts 2 and 3: Tremelimumab 750 mgParts 2 and 3: Tremelimumab 75 mg + Durvalumab 1500 mgPart 4: Durvalumab 1120 mg + Bevacizumab 15 mg/kgChina Cohort: Durvalumab 20 mg/kgChina Cohort: Tremelimumab 10 mg/kgChina Cohort: Tremelimumab 1 mg/kg + Durvalumab 20 mg/kg
Acute myocardial infarction001000000
Angina pectoris000112000
Angina unstable000100000
Atrial fibrillation111031100
Cardiac failure chronic001000000
Cardiac failure congestive011000000
Coronary artery disease010000000
Sinus bradycardia010010000
Tachycardia001010000
Atrioventricular block first degree100000000
Cardiac arrest100000000
Myocardial infarction000001000
SecondaryOverall Objective Response Rate (ORR) Based on Investigator Assessments and Blinded Independent Central Review (BICR)

Disease assessments based on investigator assessments and BICR review were determined by using Response Evaluation Criteria in Solid Tumours Version 1.1 (RECIST v1.1) guidelines. The ORR is defined as best overall response (BOR) of confirmed complete response (CR) or confirmed partial response (PR). The CR is defined as disappearance of all target and non-target lesions and no new lesions. The PR is defined as \>= 30% decrease in the sum of diameters of target lesions (compared to baseline) and no new non-target lesion. A confirmed CR or PR is defined as 2 CRs or 2 PRs that were separated by at least 4 weeks with no evidence of progression in-between. There will be no updated results for this outcome measure at the time of end of study.

Time frame:
From Day 1 through the 12 months after the first dose of study drug given to the last participant enrolled in the study (approximately 61 months)
Reported as:
Number · Percentage of participants
Overall Objective Response Rate (ORR) Based on Investigator Assessments and Blinded Independent Central Review (BICR)
Percentage of participantsPart 1: Tremelimumab 1 mg/kg + Durvalumab 20 mg/kgParts 2 and 3: Durvalumab 1500 mgParts 2 and 3: Tremelimumab 300 mg + Durvalumab 1500 mgParts 2 and 3: Tremelimumab 750 mgParts 2 and 3: Tremelimumab 75 mg + Durvalumab 1500 mgPart 4: Durvalumab 1120 mg + Bevacizumab 15 mg/kgChina Cohort: Durvalumab 20 mg/kgChina Cohort: Tremelimumab 10 mg/kgChina Cohort: Tremelimumab 1 mg/kg + Durvalumab 20 mg/kg
ORR based on BICR—11.5 (6.1 to 19.3)24.0 (14.9 to 35.3)7.2 (2.4 to 16.1)9.5 (4.2 to 17.9)21.3 (10.7 to 35.7)———
ORR based on Investigator assessments20.0 (9.1 to 35.6)11.5 (6.1 to 19.3)21.3 (12.7 to 32.3)8.7 (3.3 to 18.0)8.3 (3.4 to 16.4)34.0 (20.9 to 49.3)33.3 (0.8 to 90.6)NA (NA to NA)NA (NA to NA)
SecondaryDisease Control Rate (DCR) Based on Investigator Assessments and BICR

Disease assessments based on investigator assessments and BICR review were determined by using RECIST v1.1 guidelines. The DCR is defined as a BOR of confirmed CR, confirmed PR, or stable disease (SD). A confirmed CR is defined as two CRs (disappearance of all target and non-target lesions and no new lesions) that were separated by at least 4 weeks with no evidence of progression in-between. A confirmed PR is defined as two PRs (\>= 30% decrease in the sum of diameters of target lesions compared to baseline and no new non-target lesion) that were separated by at least 4 weeks with no evidence of progression in-between. The SD is defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for disease progression. There will be no updated results for this outcome measure at the time of end of study.

Time frame:
From Day 1 through the 12 months after the first dose of study drug given to the last participant enrolled in the study (approximately 61 months)
Reported as:
Number · Percentage of participants
Disease Control Rate (DCR) Based on Investigator Assessments and BICR
Percentage of participantsPart 1: Tremelimumab 1 mg/kg + Durvalumab 20 mg/kgParts 2 and 3: Durvalumab 1500 mgParts 2 and 3: Tremelimumab 300 mg + Durvalumab 1500 mgParts 2 and 3: Tremelimumab 750 mgParts 2 and 3: Tremelimumab 75 mg + Durvalumab 1500 mgPart 4: Durvalumab 1120 mg + Bevacizumab 15 mg/kgChina Cohort: Durvalumab 20 mg/kgChina Cohort: Tremelimumab 10 mg/kgChina Cohort: Tremelimumab 1 mg/kg + Durvalumab 20 mg/kg
DCR based on BICR—37.545.349.336.955.3———
DCR based on Investigator assessments60.045.250.747.834.563.833.320.016.7
SecondaryTime to Response (TTR) Based on Investigator Assessments and BICR

Disease assessments based on investigator assessments and BICR review were determined by using RECIST v1.1 guidelines. The TTR is defined as the time from randomization for Parts 2A and 3, and time from first dose for Parts 1, 2B, and 4 until the first documentation of a subsequently confirmed OR (confirmed CR or confirmed PR). A confirmed CR is defined as two CRs (disappearance of all target and non-target lesions and no new lesions) that were separated by at least 4 weeks with no evidence of progression in-between. A confirmed PR is defined as two PRs (\>= 30% decrease in the sum of diameters of target lesions compared to baseline and no new non-target lesion) that were separated by at least 4 weeks with no evidence of progression in-between. The TTR was estimated using Kaplan-Meier method. There will be no updated results for this outcome measure at the time of end of study.

Time frame:
From Day 1 through the 12 months after the first dose of study drug given to the last participant enrolled in the study (approximately 61 months)
Reported as:
Median · Months
Time to Response (TTR) Based on Investigator Assessments and BICR
MonthsPart 1: Tremelimumab 1 mg/kg + Durvalumab 20 mg/kgParts 2 and 3: Durvalumab 1500 mgParts 2 and 3: Tremelimumab 300 mg + Durvalumab 1500 mgParts 2 and 3: Tremelimumab 750 mgParts 2 and 3: Tremelimumab 75 mg + Durvalumab 1500 mgPart 4: Durvalumab 1120 mg + Bevacizumab 15 mg/kgChina Cohort: Durvalumab 20 mg/kgChina Cohort: Tremelimumab 10 mg/kgChina Cohort: Tremelimumab 1 mg/kg + Durvalumab 20 mg/kg
TTR based on BICR—3.65 (2.71 to 5.59)2.28 (1.81 to 3.68)1.81 (1.81 to 1.84)2.86 (1.84 to 3.83)2.10 (1.87 to 4.11)———
TTR based on Investigator assessments2.68 (1.82 to 4.60)3.68 (1.81 to 5.55)1.86 (1.77 to 5.59)2.74 (1.81 to 5.32)3.88 (1.81 to 5.32)2.10 (1.94 to 4.12)5.55 (5.55 to 5.55)——
SecondaryDuration of Response (DoR) Based on Investigator Assessments and BICR

The DoR is defined as the time from the date of first documented OR (confirmed CR or confirmed PR) until date of documented progression (PD) based on investigator assessments and BICR review by using RECIST v1.1 or death in absence of disease progression. A confirmed CR is defined in above outcome measures. The PD is defined at least 20% increase in sum of diameters of target lesions (compared with nadir at 2 consecutive visits with an absolute increase of 5 mm), unequivocal progression of existing non-target lesions or new lesion. For participants who were alive and no documented PD at the time of data cutoff for analysis, DoR was censored at the last evaluable disease assessment date. The DoR was estimated using Kaplan-Meier method. There will be no updated results for this outcome measure at the time of end of study.

Time frame:
From Day 1 through the 12 months after the first dose of study drug given to the last participant enrolled in the study (approximately 61 months)
Reported as:
Median · Months
Duration of Response (DoR) Based on Investigator Assessments and BICR
MonthsPart 1: Tremelimumab 1 mg/kg + Durvalumab 20 mg/kgParts 2 and 3: Durvalumab 1500 mgParts 2 and 3: Tremelimumab 300 mg + Durvalumab 1500 mgParts 2 and 3: Tremelimumab 750 mgParts 2 and 3: Tremelimumab 75 mg + Durvalumab 1500 mgPart 4: Durvalumab 1120 mg + Bevacizumab 15 mg/kgChina Cohort: Durvalumab 20 mg/kgChina Cohort: Tremelimumab 10 mg/kgChina Cohort: Tremelimumab 1 mg/kg + Durvalumab 20 mg/kg
DoR based on BICR—14.95 (8.54 to NA)18.43 (5.59 to 23.95)23.95 (4.07 to NA)13.21 (10.15 to NA)NA (6.28 to NA)———
DoR based on Investigator assessments16.66 (8.41 to NA)NA (19.02 to NA)23.95 (5.59 to NA)27.53 (27.53 to NA)13.21 (12.85 to NA)10.51 (10.51 to NA)7.39 (7.39 to 7.39)——
SecondaryTime to Progression (TTP) Based on Investigator Assessments and BICR

Disease assessments based on investigator assessments and BICR review were determined by using RECIST v1.1 guidelines. The TTP was defined as the time from randomization for Parts 2A and 3, and time from first dose for Parts 1, 2B, and 4 to the first documentation of radiographic disease progression. However, if the participant died without tumor progression, they were censored at the time of death. Participants with no documented PD by the data cutoff date for TTP analysis were censored at the date of their last evaluable disease assessment. The TTP was estimated using Kaplan-Meier method. There will be no updated results for this outcome measure at the time of end of study.

Time frame:
From Day 1 through the 12 months after the first dose of study drug given to the last participant enrolled in the study (approximately 61 months)
Reported as:
Median · Months
Time to Progression (TTP) Based on Investigator Assessments and BICR
MonthsPart 1: Tremelimumab 1 mg/kg + Durvalumab 20 mg/kgParts 2 and 3: Durvalumab 1500 mgParts 2 and 3: Tremelimumab 300 mg + Durvalumab 1500 mgParts 2 and 3: Tremelimumab 750 mgParts 2 and 3: Tremelimumab 75 mg + Durvalumab 1500 mgPart 4: Durvalumab 1120 mg + Bevacizumab 15 mg/kgChina Cohort: Durvalumab 20 mg/kgChina Cohort: Tremelimumab 10 mg/kgChina Cohort: Tremelimumab 1 mg/kg + Durvalumab 20 mg/kg
TTP based on BICR—2.10 (1.87 to 3.52)3.71 (1.91 to 5.55)2.76 (1.87 to 5.42)1.87 (1.81 to 3.48)4.30 (2.10 to 6.24)———
TTP based on Investigator assessments3.68 (2.23 to 6.77)3.38 (2.00 to 4.67)3.68 (2.07 to 5.52)2.60 (1.87 to 5.29)1.87 (1.77 to 3.48)7.46 (4.01 to NA)1.81 (1.64 to 12.91)3.75 (1.81 to 3.75)2.68 (1.84 to 3.48)
SecondaryProgression Free Survival (PFS) Based on Investigator Assessments and BICR

Disease assessments based on investigator assessments and BICR review were determined by using RECIST v1.1 guidelines. The PFS is defined as the time from randomization for Parts 2A and 3, and time from first dose for Parts 1, 2B, and 4 until the first documentation of radiographic disease progression or death due to any cause, whichever occurs first. The PD is defined at least 20% increase in the sum of diameters of target lesions (compared with the nadir at 2 consecutive visits with an absolute increase of 5 mm), unequivocal progression of existing non-target lesions or new lesion. Participants who were alive with no documented PD by the data cutoff date for PFS analysis were censored at the date of their last evaluable disease assessment. The PFS was estimated using Kaplan-Meier method. There will be no updated results for this outcome measure at the time of end of study.

Time frame:
From Day 1 through the 12 months after the first dose of study drug given to the last participant enrolled in the study (approximately 61 months)
Reported as:
Median · Months
Progression Free Survival (PFS) Based on Investigator Assessments and BICR
MonthsPart 1: Tremelimumab 1 mg/kg + Durvalumab 20 mg/kgParts 2 and 3: Durvalumab 1500 mgParts 2 and 3: Tremelimumab 300 mg + Durvalumab 1500 mgParts 2 and 3: Tremelimumab 750 mgParts 2 and 3: Tremelimumab 75 mg + Durvalumab 1500 mgPart 4: Durvalumab 1120 mg + Bevacizumab 15 mg/kgChina Cohort: Durvalumab 20 mg/kgChina Cohort: Tremelimumab 10 mg/kgChina Cohort: Tremelimumab 1 mg/kg + Durvalumab 20 mg/kg
PFS based on BICR—2.07 (1.84 to 2.86)2.17 (1.91 to 5.42)2.69 (1.87 to 5.29)1.87 (1.77 to 2.53)4.17 (2.10 to 6.24)———
PFS based on Investigator assessments3.52 (1.87 to 5.29)2.40 (1.91 to 3.65)3.52 (2.07 to 5.42)2.60 (1.87 to 3.71)1.81 (1.77 to 2.40)6.24 (3.94 to 12.55)1.81 (1.64 to 12.91)2.20 (1.81 to 3.75)1.87 (0.66 to 3.48)
SecondaryOverall Survival (OS)

The OS is defined as the time from randomization for Parts 2A and 3, and time from first dose for Parts 1, 2B, and 4 until death due to any cause. If there was no death reported for a participant by the data cut-off date for overall survival analysis, OS was censored at the last known alive date. The OS was estimated using Kaplan-Meier method. There will be no updated results for this outcome measure at the time of end of study.

Time frame:
From Day 1 through the 12 months after the first dose of study drug given to the last participant enrolled in the study (approximately 61 months)
Reported as:
Median · Months
Overall Survival (OS)
MonthsPart 1: Tremelimumab 1 mg/kg + Durvalumab 20 mg/kgParts 2 and 3: Durvalumab 1500 mgParts 2 and 3: Tremelimumab 300 mg + Durvalumab 1500 mgParts 2 and 3: Tremelimumab 750 mgParts 2 and 3: Tremelimumab 75 mg + Durvalumab 1500 mgPart 4: Durvalumab 1120 mg + Bevacizumab 15 mg/kgChina Cohort: Durvalumab 20 mg/kgChina Cohort: Tremelimumab 10 mg/kgChina Cohort: Tremelimumab 1 mg/kg + Durvalumab 20 mg/kg
Overall Survival (OS)12.58 (6.87 to 20.99)12.91 (8.74 to 16.79)17.05 (10.55 to 22.83)17.05 (11.33 to 20.24)11.30 (8.38 to 14.95)NA (12.52 to NA)30.69 (13.96 to NA)3.52 (2.20 to 20.96)6.28 (0.66 to 23.82)

Adverse events

Collected over From Day 1 through the 12 months after the first dose of study drug given to the last participant enrolled in the study (approximately 61 months). Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Part 1: Tremelimumab 1 mg/kg + Durvalumab 20 mg/kg31/40 (77.5%)22/40 (55%)37/40 (92.5%)
Parts 2 and 3: Durvalumab 1500 mg78/104 (75%)45/101 (44.6%)92/101 (91.1%)
Parts 2 and 3: Tremelimumab 300 mg + Durvalumab 1500 mg49/75 (65.3%)32/74 (43.2%)73/74 (98.6%)
Parts 2 and 3: Tremelimumab 750 mg55/69 (79.7%)36/69 (52.2%)66/69 (95.7%)
Parts 2 and 3: Tremelimumab 75 mg + Durvalumab 1500 mg64/84 (76.2%)37/82 (45.1%)80/82 (97.6%)
Part 4: Durvalumab 1120 mg + Bevacizumab 15 mg/kg18/47 (38.3%)17/47 (36.2%)45/47 (95.7%)
China Cohort: Durvalumab 20 mg/kg2/3 (66.7%)1/3 (33.3%)3/3 (100%)
China Cohort: Tremelimumab 10 mg/kg5/5 (100%)3/5 (60%)5/5 (100%)
China Cohort: Tremelimumab 1 mg/kg + Durvalumab 20 mg/kg5/6 (83.3%)4/5 (80%)5/5 (100%)
Most frequent serious events
Showing 10 of 175
Most frequent serious events
EventPart 1: Tremelimumab 1 mg/kg + Durvalumab 20 mg/kgParts 2 and 3: Durvalumab 1500 mgParts 2 and 3: Tremelimumab 300 mg + Durvalumab 1500 mgParts 2 and 3: Tremelimumab 750 mgParts 2 and 3: Tremelimumab 75 mg + Durvalumab 1500 mgPart 4: Durvalumab 1120 mg + Bevacizumab 15 mg/kgChina Cohort: Durvalumab 20 mg/kgChina Cohort: Tremelimumab 10 mg/kgChina Cohort: Tremelimumab 1 mg/kg + Durvalumab 20 mg/kg
AscitesGastrointestinal disorders2/403/1010/740/692/822/470/30/52/5
Hepatic function abnormalHepatobiliary disorders1/409/1010/741/692/820/470/32/51/5
Platelet count decreasedInvestigations0/400/1010/740/690/820/471/30/50/5
JaundiceHepatobiliary disorders0/400/1010/741/690/820/470/30/51/5
Upper respiratory tract infectionInfections and infestations0/400/1011/740/690/820/470/31/50/5
Muscular weaknessMusculoskeletal and connective tissue disorders1/400/1010/740/691/820/470/31/50/5
Haemorrhage intracranialNervous system disorders0/400/1010/740/690/820/470/30/51/5
PneumonitisRespiratory, thoracic and mediastinal disorders1/401/1010/740/690/821/470/31/50/5
DiarrhoeaGastrointestinal disorders0/403/1012/746/690/820/470/30/50/5
Oesophageal varices haemorrhageGastrointestinal disorders1/402/1010/744/691/820/470/30/50/5
Most frequent other events
Showing 10 of 477
Most frequent other events
EventPart 1: Tremelimumab 1 mg/kg + Durvalumab 20 mg/kgParts 2 and 3: Durvalumab 1500 mgParts 2 and 3: Tremelimumab 300 mg + Durvalumab 1500 mgParts 2 and 3: Tremelimumab 750 mgParts 2 and 3: Tremelimumab 75 mg + Durvalumab 1500 mgPart 4: Durvalumab 1120 mg + Bevacizumab 15 mg/kgChina Cohort: Durvalumab 20 mg/kgChina Cohort: Tremelimumab 10 mg/kgChina Cohort: Tremelimumab 1 mg/kg + Durvalumab 20 mg/kg
Alanine aminotransferase increasedInvestigations9/4023/10117/7411/6915/822/473/32/52/5
Aspartate aminotransferase increasedInvestigations9/4026/10123/7419/6921/826/473/33/52/5
HypothyroidismEndocrine disorders2/4012/1018/744/698/824/472/30/51/5
PyrexiaGeneral disorders5/404/10111/749/6911/823/472/32/51/5
Blood alkaline phosphatase increasedInvestigations3/4011/1017/747/696/820/472/31/51/5
PruritusSkin and subcutaneous tissue disorders11/4020/10129/7428/6921/824/470/30/50/5
AnaemiaBlood and lymphatic system disorders2/406/1017/7410/699/822/471/31/52/5
Abdominal distensionGastrointestinal disorders3/4010/1018/746/695/823/471/32/51/5
Abdominal pain upperGastrointestinal disorders2/405/1013/746/693/822/470/31/52/5
Bilirubin conjugated increasedInvestigations0/401/1010/740/691/820/470/32/51/5

Baseline characteristics

Full analysis set included all randomized participants (Parts 2A and 3) or participants who were allocated to treatment (Parts 1A, 1B, 2B, and 4), including participants who were randomized in error.

Age, Customized
Age, Customized(Participants)Part 1: Tremelimumab 1 mg/kg + Durvalumab 20 mg/kgParts 2 and 3: Durvalumab 1500 mgParts 2 and 3: Tremelimumab 300 mg + Durvalumab 1500 mgParts 2 and 3: Tremelimumab 750 mgParts 2 and 3: Tremelimumab 75 mg + Durvalumab 1500 mgPart 4: Durvalumab 1120 mg + Bevacizumab 15 mg/kgChina Cohort: Durvalumab 20 mg/kgChina Cohort: Tremelimumab 10 mg/kgChina Cohort: Tremelimumab 1 mg/kg + Durvalumab 20 mg/kgTotal
< 65 years275234414826355241
>=65 to < 75 years83331182613001130
> 75 years519101010800062
Sex: Female, Male
Sex: Female, Male(Participants)Part 1: Tremelimumab 1 mg/kg + Durvalumab 20 mg/kgParts 2 and 3: Durvalumab 1500 mgParts 2 and 3: Tremelimumab 300 mg + Durvalumab 1500 mgParts 2 and 3: Tremelimumab 750 mgParts 2 and 3: Tremelimumab 75 mg + Durvalumab 1500 mgPart 4: Durvalumab 1120 mg + Bevacizumab 15 mg/kgChina Cohort: Durvalumab 20 mg/kgChina Cohort: Tremelimumab 10 mg/kgChina Cohort: Tremelimumab 1 mg/kg + Durvalumab 20 mg/kgTotal
Female1012101214610065
Male309265577041256368
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Part 1: Tremelimumab 1 mg/kg + Durvalumab 20 mg/kgParts 2 and 3: Durvalumab 1500 mgParts 2 and 3: Tremelimumab 300 mg + Durvalumab 1500 mgParts 2 and 3: Tremelimumab 750 mgParts 2 and 3: Tremelimumab 75 mg + Durvalumab 1500 mgPart 4: Durvalumab 1120 mg + Bevacizumab 15 mg/kgChina Cohort: Durvalumab 20 mg/kgChina Cohort: Tremelimumab 10 mg/kgChina Cohort: Tremelimumab 1 mg/kg + Durvalumab 20 mg/kgTotal
Hispanic or Latino25445001021
Not Hispanic or Latino389971657947346412
Unknown or Not Reported0000000000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Part 1: Tremelimumab 1 mg/kg + Durvalumab 20 mg/kgParts 2 and 3: Durvalumab 1500 mgParts 2 and 3: Tremelimumab 300 mg + Durvalumab 1500 mgParts 2 and 3: Tremelimumab 750 mgParts 2 and 3: Tremelimumab 75 mg + Durvalumab 1500 mgPart 4: Durvalumab 1120 mg + Bevacizumab 15 mg/kgChina Cohort: Durvalumab 20 mg/kgChina Cohort: Tremelimumab 10 mg/kgChina Cohort: Tremelimumab 1 mg/kg + Durvalumab 20 mg/kgTotal
American Indian or Alaska Native1100100003
Asian195544394739356257
Native Hawaiian or Other Pacific Islander0201000003
Black or African American310425100025
White15352726307000140
More than one race1000000001
Unknown or Not Reported1101100004
08

Study locations

44 sites
  • Research Site
    Phoenix, Arizona 85054, United States
  • Research Site
    San Francisco, California 94158, United States
  • Research Site
    New Haven, Connecticut 06510, United States
  • Research Site
    Jacksonville, Florida 32224, United States
  • Research Site
    Tampa, Florida 33612, United States
  • Research Site
    Indianapolis, Indiana 46202, United States
  • Research Site
    Boston, Massachusetts 02114, United States
  • Research Site
    New York, New York 10065, United States
  • Research Site
    Stony Brook, New York 11794, United States
  • Research Site
    Durham, North Carolina 27705, United States
  • Research Site
    Portland, Oregon 97213, United States
  • Research Site
    Philadelphia, Pennsylvania 19107, United States
  • Research Site
    Philadelphia, Pennsylvania 19111, United States
  • Research Site
    Nashville, Tennessee 37203, United States
  • Research Site
    Dallas, Texas 75390, United States
  • Research Site
    Seattle, Washington 98109, United States
  • Research Site
    Hangzhou, 310016, China
  • Research Site
    Nanjing, 210002, China
  • Research Site
    Shanghai, 200032, China
  • Research Site
    Hong Kong, Hong Kong
  • Research Site
    Shatin, Hong Kong
  • Research Site
    Benevento, 82100, Italy
  • Research Site
    Milan, 20133, Italy
  • Research Site
    Roma, 00168, Italy
  • Research Site
    Chūōku, 104-0045, Japan
  • Research Site
    Kashiwa, 277-8577, Japan
  • Research Site
    Osakasayama-shi, 589-8511, Japan
  • Research Site
    Bukit Merah, 169610, Singapore
  • Research Site
    Singapore, 119074, Singapore
  • Research Site
    Singapore, 308433, Singapore
  • Research Site
    Busan, 49241, South Korea
  • Research Site
    Junggu, 41944, South Korea
  • Research Site
    Seongnam-si, 13620, South Korea
  • Research Site
    Seoul, 03080, South Korea
  • Research Site
    Seoul, 05505, South Korea
  • Research Site
    Seoul, 06273, South Korea
  • Research Site
    Seoul, 06351, South Korea
  • Research Site
    Barcelona, 08035, Spain
  • Research Site
    Barcelona, 08036, Spain
  • Research Site
    Córdoba, 14004, Spain
  • Research Site
    Pamplona, 31008, Spain
  • Research Site
    Kaohsiung City, 83301, Taiwan
  • Research Site
    Taipei, 100, Taiwan
  • Research Site
    Taoyuan City, 333, Taiwan
09

References and documents

Publications

  • Kelley RK, Sangro B, Harris W, Ikeda M, Okusaka T, Kang YK, Qin S, Tai DW, Lim HY, Yau T, Yong WP, Cheng AL, Gasbarrini A, Damian S, Bruix J, Borad M, Bendell J, Kim TY, Standifer N, He P, Makowsky M, Negro A, Kudo M, Abou-Alfa GK. Safety, Efficacy, and Pharmacodynamics of Tremelimumab Plus Durvalumab for Patients With Unresectable Hepatocellular Carcinoma: Randomized Expansion of a Phase I/II Study. J Clin Oncol. 2021 Sep 20;39(27):2991-3001. doi: 10.1200/JCO.20.03555. Epub 2021 Jul 22. PubMed 34292792 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared

Supporting information: Study protocol, Statistical analysis plan

Time frame: AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA Pharma Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure

Access criteria: When a request has been approved AstraZeneca will provide access to the de-identified individual patient-level data in an approved sponsored tool . Signed Data Sharing Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information. Additionally, all users will need to accept the terms and conditions of the SAS MSE to gain access. For additional details, please review the Disclosure Statements at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure

Data sharing details ↗ · astrazenecagroup-dt.pharmacm.com

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Oct 2015 to primary completion in Nov 2020, 60 months.

Results were first posted in Dec 2021, 1 year 1 month after primary completion.

Of 80 industry-sponsored phase 2 interventional studies under Carcinoma, Hepatocellular, half reached primary completion within 38 months of starting (the median), counting those still running; a quarter within 23 and three quarters within 50. This study's 60 months is above that.

Counting every sponsor, half of 428 studies reached it within 43 months; a quarter within 30 and three quarters within 71.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 30, 2015
First posted
Aug 10, 2015
StartActual
Oct 19, 2015
Primary completionActual
Nov 6, 2020
CompletionEst.
Dec 18, 2026
Results first posted
Dec 6, 2021
Last update
Aug 5, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 5, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02519348
Lead sponsor
MedImmune LLC
Responsible party
Sponsor
First posted
Aug 10, 2015
Start date
Oct 19, 2015
Primary completion
Nov 6, 2020
Completion
Dec 18, 2026 (estimated)
Results posted
Dec 6, 2021
Last update
Aug 5, 2026

Study contacts

MedImmune, LLC MedImmune, LLC
study director · MedImmune LLC

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drugs tested here: Tremelimumab · Durvalumab

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