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CompletedNCT02549651Updated Feb 27, 2019

MEDI4736 Alone and in Combination With Tremelimumab or AZD9150 in Adult Subjects With Relapsed/Refractory DLBCL (D4190C00023)

A Phase 1 interventional study of MEDI4736 and tremelimumab in Diffuse Large B-Cell Lymphoma, sponsored by MedImmune LLC. Completed at 13 sites in 4 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-02-27.

Sponsored by MedImmune LLC · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Feb 2019, 7 years 8 months ago, and no results have been posted to the registry.
Phase
Phase 1
Study type
Interventional
Enrollment
32
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate the safety, tolerability, and efficacy of MEDI4736 (durvalumab) alone and in combination with either tremelimumab or AZD9150 in adult subjects with relapsed or refractory dIffuse large B-cell lymphoma.

Read the detailed description

This is a multicenter, open-label, dose-escalation and dose-expansion study of MEDI4736 (durvalumab) as monotherapy or in combination with either tremelimumab or AZD9150. The objectives are to describe any dose-limiting toxicities, determine the maximum tolerated dose, and evaluate the safety, tolerability, efficacy, immunogenicity, pharmacokinetics, and pharmacodynamics of MEDI4736 as monotherapy or in combination with either tremelimumab or AZD9150 in adult subjects with relapsed or refractory diffuse large B-cell lymphoma.

02

Conditions studied

  • Diffuse Large B-Cell Lymphoma

Keywords

  • DLBCL
  • MEDI4736
  • durvalumab
  • tremelimumab
  • AZD9150
  • anti-PD-L1
  • anti-CTLA-4
  • immunotherapy
  • IMTC
  • STAT3
03

In context

Lymphoma

5,578 studies on the registry are indexed under Lymphoma; 825 are open to participants now.

This study's enrollment of 32 is below the median of 40 across 4,508 interventional studies indexed under Lymphoma.

Browse Lymphoma studies →

Lead sponsor

MedImmune LLC is the lead sponsor of 265 studies on the registry; none are open to participants now.

Of its 50 completed or terminated interventional studies of FDA-regulated products, 28 (56%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Age ≥ 18 years
  2. Subjects with histologically confirmed relapsed or refractory DLBCL who have received at least 1 prior rituximab containing chemotherapy regimen but no more than 5 prior lines of therapy
  3. Eastern Cooperative Group (ECOG) performance status of 0 or 1
  4. Measurable disease by International Working Group (IWG) response criteria for lymphoma
  5. Adequate organ and marrow function

Exclusion criteria

Exclusion Criteria:

  1. Previous immune-mediated therapy
  2. Subjects with prior ASCT or allogenic HCT. Subjects ineligible for available curative options after failing ASCT and have met the hematologic criteria are eligible to participate in this study. Subjects with prior allogenic HCT will be excluded.
  3. Documented current central nervous system involvement
  1. Active or prior documented autoimmune or inflammatory disease within 3 years, with some exceptions 4. Concurrent or prior conventional or investigational anticancer therapy, within 28 days prior to the first dose of study medication(s)
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Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
32 participants (actual)

Study arms

  • Experimental
    MEDI4736

    Drug: MEDI4736

  • Experimental
    MEDI4736 and tremelimumab

    Drug: MEDI4736 · Drug: tremelimumab

  • Experimental
    MEDI4736 and AZD9150

    Drug: MEDI4736 · Drug: AZD9150

Interventions

  • DrugMEDI4736

    MEDI4736 is an anti-PD-L1 monoclonal antibody (MAb) administered via intravenous infusion

  • Drugtremelimumab

    Tremelimumab is an anti-CTLA4 monoclonal antibody (MAb) administered via intravenous infusion

  • DrugAZD9150

    AZD9150 is an antisense oligonucleotide (ASO) administered via intravenous infusion

06

What researchers measure

Primary outcomes

  1. Number of subjects reporting adverse events and number (percentage) of subjects reporting serious adverse events

    Time frame: Screening through 90 days after the last dose of study medication

  2. Number of subjects experiencing dose-limiting toxicities

    Changes from baseline in laboratory parameters, vital signs, and ECGs

    Time frame: First dose of study medications through 28 days after the administration of MEDI4736 or MEDI4736 and tremelimumab, 35 days after administration of MEDI4736 and AZD9150

Secondary outcomes

  1. Number of subjects who develop anti-drug antibodies (ADA)

    Time frame: Screening through 90 days after last dose of study medication

  2. Time to Response

    Time frame: Screening though 3 years after the last subject receives the first dose of study medication

  3. Duration of Response

    Time frame: Screening though 3 years after the last subject receives the first dose of study medication

  4. Progression Free survival

    Time frame: Screening though 3 years after the last subject receives the first dose of study medication

  5. Time to progression

    Time frame: Screening though 3 years after the last subject receives the first dose of study medication

  6. Event free survival

    Time frame: Screening though 3 years after the last subject receives the first dose of study medication

  7. Overall survival

    Time frame: Screening though 3 years after the last subject receives the first dose of study medication

  8. MEDI4736 Maximum Plasma Concentration (Cmax)

    Time frame: Measured at defined study visits from time of first dose through end of treatment

  9. Tremelimumab Maximum Plasma Concentration (Cmax)

    Time frame: Measured at defined study visits from time of first dose through end of treatment

  10. AZD9150 Maximum Plasma Concentration (Cmax)

    Time frame: Measured at defined study visits from time of first dose through end of treatment

  11. MEDI4736 Minimum Plasma Concentration (Cmin)

    Time frame: Measured at defined study visits from time of first dose through end of treatment

  12. Tremelimumab Minimum Plasma Concentration (Cmin)

    Time frame: Measured at defined study visits from time of first dose through end of treatment

  13. AZD9150 Minimum Plasma Concentration (Cmin)

    Time frame: Measured at defined study visits from time of first dose through end of treatment

  14. Individual MEDI4736 Concentrations

    Time frame: Measured at defined study visits from time of first dose through 90 days after the end of treatment (approximately 15 months)

  15. Individual tremelimumab Concentrations

    Time frame: Measured at defined study visits from time of first dose through 90 days after the end of treatment (approximately 15 months)

  16. Individual AZD9150 Concentrations

    Time frame: Measured at defined study visits from time of first dose through 90 days after the end of treatment (approximately 15 months)

  17. Change from baseline of STAT3 RNA (signal transducer and activator of transcription)

    Time frame: Measured at defined study visits from time of first dose through 90 days after last dose (approximately 15 months)

  18. Baseline PD-L1 protein expression within the tumor

    Time frame: Measured on tumor samples provided at screening

07

Study locations

13 sites
  • Research Site
    La Jolla, California 92093, United States
  • Research Site
    Baltimore, Maryland 21201, United States
  • Research Site
    Albuquerque, New Mexico 87131, United States
  • Research Site
    Durham, North Carolina 27710, United States
  • Research Site
    Charleston, South Carolina 29425, United States
  • Research Site
    Dallas, Texas 75390, United States
  • Research Site
    Houston, Texas 77030, United States
  • Research Site
    Milwaukee, Wisconsin 53226, United States
  • Research Site
    Marseille, 13273, France
  • Research Site
    Villejuif, 94805, France
  • Research Site
    Dublin 8, Ireland
  • Research Site
    Galway, Ireland
  • Research Site
    Leicester, LE1 5WW, United Kingdom
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 27, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02549651
Lead sponsor
MedImmune LLC
Responsible party
Sponsor
First posted
Sep 15, 2015
Start date
Jul 13, 2016
Primary completion
Feb 4, 2019
Completion
Feb 4, 2019
Last update
Feb 27, 2019

Study contacts

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 ↗

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This study is completed, as verified in Feb 2019. You cannot join it, but the record below documents what was studied.

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