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MEDI0457

Phase 1

Head and Neck Cancer | Small molecule | Oncology |AstraZeneca PLC|Last Updated: Aug 25, 2022

Success Probability

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Market & Valuation

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Trial Design

CONTROLLEDDMC
Total Trials1
Total Enrollment35

FDA Designations

No designations recorded

Clinical trial landscape

MEDI0457 · 1 trial · 2 indications

Phase 1 1
NCT03162224Safety and Efficacy of MEDI0457 and Durvalumab in Participants With Human Papilloma Virus (HPV) Associated Recurrent/Metastatic Head and Neck CancerHead and Neck Cancer
COMPLETED35 Analytics
PHASE1COMPLETED
Safety and Efficacy of MEDI0457 and Durvalumab in Participants With Human Papilloma Virus (HPV) Associated Recurrent/Metastatic Head and Neck Cancer
Head and Neck CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs)
Day 1 through 90 days after the last dose of study drug (approximately 45 months)

An 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 measures at the time of end of study.

Number of Participants With Abnormal Laboratory Parameters Reported as TEAEs
Day 1 through 90 days after the last dose of study drug (approximately 45 months)

Any laboratory abnormality during analysis of hematology, clinical chemistry, thyroid function tests, and urinalysis that was new in onset or worsened in severity or frequency from the baseline condition and required therapeutic intervention or diagnostic tests, led to discontinuation of study treatment, had accompanying or inducing symptoms or signs, or judged by the Investigator as clinically significant was recorded as AE. Participants with abnormal laboratory parameters reported as TEAEs are reported.

Number of Participants With Abnormal Electrocardiogram (ECG) Reported as TEAEs
Day 1 through 90 days after the last dose of study drug (approximately 45 months)

Participants with ECG abnormalities reported as TEAEs are reported.

Number of Participants With Abnormal Vital Signs and/or Physical Examination Reported as TEAEs
Day 1 through 90 days after the last dose of study drug (approximately 45 months)

Vital sign assessment included body temperature, respiration rate, pulse oximetry, blood pressure, heart rate, and weight. Participants with abnormal vital sign and/or abnormal physical examination reported as TEAEs are reported.

Number of Participants Who Received Any Concomitant Medications During the Study
Day 1 through 90 days after the last dose of study drug (approximately 45 months)

Participants who received concomitant medications which were ongoing at the start of treatment or started after the study treatment are included.

Number of Participants With Shift >=3 Changed From Baseline in Eastern Cooperative Oncology Group Performance (ECOG) Status
Day 1 through 90 days after the last dose of study drug (approximately 45 months)

Participants with shift \>=3 changed from baseline in ECOG status are reported. ECOG performance status is used by doctors and researchers to assess how a participant's disease is progressing, assess how the disease affects the daily living activities of the participant and determine appropriate treatment and prognosis. The scores are: 0 = Fully Active, able to carry out all pre-disease performance without restrictions; 1 = Restricted activity but ambulatory and able to carry out light work or work of a sedentary nature; 2 = Ambulatory and capable of self-care but unable to carry out work activities; 3 = Capable of only limited self-care, confined to bed or chair more than 50% of waking hours; 4 = Completely Disabled, unable to carry out any self-care and totally confined to bed or chair; 5 = Dead.

Percentage of Participants With Objective Response by Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 in Response-evaluable Population
Day 1 through end of study (approximately 45 months)

The objective response is defined as confirmed complete response (CR) or confirmed partial response (PR) based on Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) guidelines. The CR is defined as disappearance of all target and non-target lesions, no new lesions, and normalization of tumor marker level. The PR is defined as \>= 30% decrease in the sum of the 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 or not evaluable response in-between. Percentage of participants with objective response is reported.

Secondary Endpoints

Percentage of Participants With Objective Response by RECIST Version 1.1 in As-treated Population
Day 1 through end of study (approximately 45 months)
Percentage of Participants With Objective Response by Immune-related RECIST (irRECIST) in Response-evaluable Population
Day 1 through end of study (approximately 45 months)
Percentage of Participants With Objective Response by irRECIST in As-treated Population
Day 1 through end of study (approximately 45 months)
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
First-line Recurrent/Metastatic (1L R/M) Platinum Non-refractoryEXPERIMENTALParticipants with recurrent or metastatic disease and were non-refractory to neoadjuvant/adjuvant platinum based chemotherapy, will receive MEDI0457 7 mg intramuscularly followed by electroporation on Day 1 of Weeks 1, 3, 7, 12, and then every 8 weeks (Q8W) and durvalumab 1500 mg intravenously on Day 1 of Week 4 and then every 4 weeks (Q4W) until disease progression, unacceptable toxicity, or withdrawal of consent, whichever occurs first.
1L R/M Platinum RefractoryEXPERIMENTALParticipants with R/M disease and were refractory to neoadjuvant/adjuvant platinum based chemotherapy, will receive MEDI0457 7 mg intramuscularly followed by electroporation on Day 1 of Weeks 1, 3, 7, 12, and then Q8W and durvalumab 1500 mg intravenously on Day 1 of Week 4 and then Q4W until disease progression, unacceptable toxicity, or withdrawal of consent, whichever occurs first.
Second-line (2L) + R/MEXPERIMENTALParticipants with R/M disease and were treated with 1 or more lines of platinum based chemotherapy, will receive MEDI0457 7 mg intramuscularly followed by electroporation on Day 1 of Weeks 1, 3, 7, 12, and then Q8W and durvalumab 1500 mg intravenously on Day 1 of Week 4 and then Q4W until disease progression, unacceptable toxicity, or withdrawal of consent, whichever occurs first.

Interventions

NameTypeDescription
MEDI0457DRUGMEDI0457 7 mg will be administered intramuscularly followed by electroporation (EP) using CELLECTRA®5P device.
CELLECTRA®5P deviceDEVICEMEDI0457 7 mg will be administered intramuscularly followed by EP using CELLECTRA®5P device.
DurvalumabDRUGDurvalumab will be administered intravenously at a dose of 1500 mg every 4 weeks.
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Eligibility Criteria

Age Range18 Years to 99 Years
SexALL
Healthy VolunteersNo
Study Sites14

Inclusion Criteria: 1. Male and female participants 18 years and older 2. Histologically or cytologically confirmed diagnosis of HNSCC associated with HPV by a p16 immunohistochemistry (IHC) assay or HPV-16 or HPV-18 positive by nucleic acid testing. 3. Recurrent or metastatic disease that has been...

Countries:United States
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Frequently asked questions about MEDI0457

What is MEDI0457 used for in head and neck cancer?

MEDI0457 is an investigational small molecule being studied for the treatment of head and neck cancer, specifically in patients with human papillomavirus (HPV) associated recurrent or metastatic disease. It is currently in Phase 1 clinical development and has not been approved by regulatory authorities.

Who makes MEDI0457?

MEDI0457 is being developed by AstraZeneca PLC, a biopharmaceutical company listed on the stock exchange under the ticker symbol AZN. The company is conducting clinical trials to evaluate the safety and efficacy of this investigational drug in patients with HPV-associated head and neck cancer.

What phase is MEDI0457 in?

MEDI0457 is in Phase 1 clinical development. It is an investigational drug, meaning it has not yet been approved for commercial use. The Phase 1 trial has been completed, and the drug remains under investigation for its safety and efficacy in treating HPV-associated recurrent or metastatic head and neck cancer.

What clinical trials is MEDI0457 in?

MEDI0457 has been studied in one clinical trial, identified by the National Clinical Trial number NCT03162224. This Phase 1 trial, titled 'Safety and Efficacy of MEDI0457 and Durvalumab in Participants With Human Papilloma Virus (HPV) Associated Recurrent/Metastatic Head and Neck Cancer,' enrolled 35 participants in the United States and has been completed.

Is MEDI0457 the same as durvalumab?

No, MEDI0457 is not the same as durvalumab. MEDI0457 is an investigational small molecule being developed by AstraZeneca, while durvalumab is a separate drug. In the clinical trial NCT03162224, MEDI0457 was studied in combination with durvalumab to evaluate their safety and efficacy in treating HPV-associated head and neck cancer.