TREMENDOUS: Study of Durvalumab Plus Tremelimumab as First-line Treatment in Chinese Patients With Unresectable Hepatocellular Carinoma

Sponsor
AstraZeneca (Industry)
Overall Status
Not yet recruiting
CT.gov ID
NCT05557838
Collaborator
(none)
300
2
28

Study Details

Study Description

Brief Summary

This is a prospective, open label, multi-center, interventional study to assess the safety and efficacy of Druvalumab plus Tremelimumab as first-line treatment in Chinese patients with unresectable hepatocellular carcinoma.

Condition or Disease Intervention/Treatment Phase
Phase 3

Study Design

Study Type:
Interventional
Anticipated Enrollment :
300 participants
Allocation:
Non-Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
An Open-label, Multi-center Phase IIIb Study of Durvalumab and Tremelimumab as First-Line Treatment in Patients With Unresectable Hepatocellular Carcinoma
Anticipated Study Start Date :
Nov 30, 2022
Anticipated Primary Completion Date :
Mar 31, 2025
Anticipated Study Completion Date :
Mar 31, 2025

Arms and Interventions

Arm Intervention/Treatment
Experimental: cohort 1

durvalumab in combination with tremelimumab

Drug: Durvalumab
Durvalumab IV (intravenous infusion)
Other Names:
  • MEDI4736
  • Drug: Tremelimumab
    Tremelimumab IV (intravenous infusion)

    Experimental: cohort 2

    durvalumab in combination with tremelimumab

    Drug: Durvalumab
    Durvalumab IV (intravenous infusion)
    Other Names:
  • MEDI4736
  • Drug: Tremelimumab
    Tremelimumab IV (intravenous infusion)

    Outcome Measures

    Primary Outcome Measures

    1. ≥Grade 3 Adverse Events and Adverse Events of Special Interest of Cohort 1 [From the time of signature of informed consent, throughout the treatment period, and up to the follow-up period, assessed up to 29 months]

    Secondary Outcome Measures

    1. ≥Grade 3 Adverse Events and Adverse Events of Special Interest of Cohort 2 [From the time of signature of informed consent, throughout the treatment period, and up to the follow-up period, assessed up to 29 months]

    2. Overall Survival (OS) [From the first dose of treatment to the date of death, regardless of the actual cause of the subject's death, assessed up to 29 months]

    3. Progression Free Survival (PFS) per RECIST v1.1/mRECIST [From first dose of treatment until progression per RECIST 1.1/ mRECIST as assessed by the Investigator or death due to any cause prior to progression, assessed up to 15 months]

    4. Objective Response Rate (ORR) per RECIST 1.1/ mRECIST [Until progression, assessed up to 15 months]

    5. Disease Control Rate (DCR) per RECIST 1.1/ mRECIST [Until progression, assessed up to 15 months]

    6. Rate of Adverse Events [From the time of signature of informed consent, throughout the treatment period, and up to the follow-up period, assessed up to 29 months]

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • HCC based on histopathological confirmation

    • No prior systemic therapy for HCC

    • Barcelona Clinic Liver Cancer (BCLC) stage B (not eligible for locoregional therapy) or stage C

    • Child-Pugh Score class A or B

    • ECOG performance status (PS) of 0-2 at enrollment (Child-Pugh Score class A and ECOG PS of 0-1 will be enrolled in cohort 1 and Child-Pugh Score class B or ECOG PS of 2 will be enrolled in cohort 2)

    • At least 1 measurable lesion per RECSIT 1.1 guidelines

    Exclusion Criteria:
    • Hepatic encephalopathy within past 12 months or requirement for medication to prevent or control encephalopathy

    • Clinically meaningful ascites

    • Main portal vein tumor thrombosis

    • Active or prior documented GI bleeding (eg, esophageal varices or ulcer bleeding) within 12 months

    • HBV and HVC co-infection, or HBV and Hep D co-infection

    Contacts and Locations

    Locations

    No locations specified.

    Sponsors and Collaborators

    • AstraZeneca

    Investigators

    None specified.

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    AstraZeneca
    ClinicalTrials.gov Identifier:
    NCT05557838
    Other Study ID Numbers:
    • D419CR00026
    First Posted:
    Sep 28, 2022
    Last Update Posted:
    Sep 28, 2022
    Last Verified:
    Sep 1, 2022
    Individual Participant Data (IPD) Sharing Statement:
    Yes
    Plan to Share IPD:
    Yes
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    No
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Sep 28, 2022