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MEDI0639

Phase 1

Solid Tumors | Monoclonal antibody | Oncology |AstraZeneca PLC|Last Updated: May 2, 2017

Success Probability

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Market & Valuation

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Trial Design

CONTROLLED
Total Trials1
Total Enrollment58

FDA Designations

No designations recorded

Clinical trial landscape

MEDI0639 · 1 trial · 1 indication

Phase 1 1
NCT01577745A Phase 1 Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of MEDI0639 in Advanced Solid TumorsSolid Tumors
COMPLETED58 Analytics
PHASE1COMPLETED
A Phase 1 Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of MEDI0639 in Advanced Solid Tumors
Solid TumorsUnlock trial analytics

Study Endpoints

Primary Endpoints

Maximum Tolerated Dose (MTD) of MEDI0639
From the first dose of MEDI0639 to 21 days after the first dose

The MTD evaluation was based on the dose-limiting toxicity (DLT) evaluable population. DLT is defined as any Grade 3 or higher treatment-related toxicity that occurred during the DLT evaluation period (defined as the time from the first dose of MEDI0639 to 21 days after the first dose), except for National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) Grade 3 hypertension that could be controlled within 96 hours; Grade 3 symptomatic hypertension of greater than (\>) 180 millimetre of mercury (mm Hg) systolic or \>120 mm Hg diastolic or asymptomatic hypertension of \>200 mm Hg systolic or \>120 mm Hg diastolic was considered a DLT.

Number of Participants With Treatment-emergent Adverse Events (TEAEs)
From the first dose of MEDI0639 until 90 days after the last dose of MEDI0639. Maximum time frame across participants was 11 months.

An adverse event (AE) is any unfavourable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a study drug, whether or not considered related to the study drug. Treatment-emergent AEs (TEAEs) were 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, for the period extending to 90 days after the last dose of study drug. The AEs were summarized using Medical Dictionary for Regulatory Activities (MedDRA) version 18.1.

Number of Participants With Treatment-emergent Serious Adverse Events (TESAEs)
From the first dose of MEDI0639 until the end of participation in the study. Maximum time frame across participants was 4 years.

A serious AE (SAE) is any AE that results in death (refers to an event, which risk of death at the time of the event; it does not refer to an event that may have led to death), is immediately life threatening, require (or prolong) inpatient hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly or birth defect, or is an important medical event that may jeopardize the participant or may require medical intervention to prevent one of the outcomes listed above. Treatment-emergent SAEs defined as SAEs present at baseline that worsened in intensity after administration of study drug or SAEs absent at baseline that emerged after administration of study drug. The SAEs were summarized using MedDRA version 18.1.

Number of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Laboratory Parameters
From the first dose of MEDI0639 until 90 days after last dose of MEDI0639. Maximum time frame across participants was 11 months.

Laboratory evaluations of blood and urine samples were performed, including hematology (white blood cell \[WBC\] count with differential, red blood cell \[RBC\] count, hematocrit, hemoglobin, platelet count, mean corpuscular volume \[MCV\], and mean corpuscular hemoglobin concentration \[MCHC\]); serum chemistry (calcium, chloride, magnesium, potassium, sodium, bicarbonate, aspartate transaminase \[AST\], alanine transaminase \[ALT\], alkaline phosphatase, total bilirubin, liver function test, gamma glutamyl transferase \[GGT\], lactate dehydrogenase, uric acid, creatinine, blood urea nitrogen \[BUN\], glucose, albumin, total protein, triglycerides, cholesterol, and troponin); and routine urinalysis. The TEAEs related to laboratory evaluations in participants were reported.

Number of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and Physical Examination
From the first dose of MEDI0639 until 90 days after last dose of MEDI0639. Maximum time frame across participants was 11 months.

Vital signs (temperature, blood pressure, pulse rate, and respiratory rate) were performed at baseline and throughout the study. The TEAEs related to vital signs in participants were reported.

Number of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Electrocardiogram (ECG) Evaluations
From the first dose of MEDI0639 until 90 days after last dose of MEDI0639. Maximum time frame across participants was 11 months.

ECG parameters included QT interval and corrected QT (QTc) interval. Electrocardiogram (ECG) parameters were assessed at baseline as well as throughout the study. All 12-lead ECGs performed during the study were obtained in triplicate. The TEAEs related to ECG evaluations in participants were reported.

Number of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Echocardiogram Evaluations
From the first dose of MEDI0639 until 90 days after last dose of MEDI0639. Maximum time frame across participants was 11 months.

Echocardiogram parameters included left ventricular ejection fraction (LVEF) and pulmonary arterial pressure (PAP). The TEAEs related to echocardiogram evaluations in participants were reported.

Secondary Endpoints

Area Under the Concentration-Time Curve From Time 0 to Infinity (AUCinf) After Cycle 1 Treatment Administration of MEDI0639
Days 1 (prior to start of infusion and 30 mins, 2, and 6 hours post end of infusion), 2, 5 , 8, and 15 of Cycle 1
Maximum Observed Concentration (Cmax) After Cycle 1 Treatment Administration of MEDI0639
Days 1 (prior to start of infusion and 30 mins, 2, and 6 hours post end of infusion), 2, 5 , 8, and 15 of Cycle 1
Clearance (CL) After Cycle 1 Treatment Administration of MEDI0639
Days 1 (prior to start of infusion and 30 mins, 2, and 6 hours post end of infusion), 2, 5 , 8, and 15 of Cycle 1
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
MEDI0639 Cohort 1EXPERIMENTALParticipants received MEDI0639 dose level 1 as a 60-minute intravenous (IV) infusion on Day 1 of each 21-day cycle.
MEDI0639 Cohort 2EXPERIMENTALParticipants received MEDI0639 dose level 2 as a 60-minute IV infusion on Day 1 of each 21-day cycle.
MEDI0639 Cohort 3EXPERIMENTALParticipants received MEDI0639 dose level 3 as a 60-minute IV infusion on Day 1 of each 21-day cycle.
MEDI0639 Cohort 4EXPERIMENTALParticipants received MEDI0639 dose level 4 as a 60-minute IV infusion on Day 1 of each 21-day cycle.
MEDI0639 Cohort 5EXPERIMENTALParticipants received MEDI0639 dose level 5 as a 60-minute IV infusion on Day 1 of each 21-day cycle.
MEDI0639 Cohort 6EXPERIMENTALParticipants received MEDI0639 dose level 6 as a 60-minute IV infusion on Day 1 of each 21 day cycle.

Interventions

NameTypeDescription
MEDI0639BIOLOGICALMEDI0639 is an immunoglobulin G1 lambda (IgG1λ) monoclonal antibody. MEDI0639 selectively binds to DLL4 and blocks its ability to bind to and activate signaling through the Notch receptors.
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Eligibility Criteria

Age Range18 Years to 99 Years
SexALL
Healthy VolunteersNo
Study Sites11

Inclusion Criteria: * Histologically or cytologically confirmed solid tumors that are refractory to standard therapy or for which no standard therapy exist * Age ≥ 18 years * ECOG Performance Status of 0 or 1 * LVEF (measured by Echocardiogram) \> 50% * No gastrointestinal bleeding within 1 year of...

Countries:United States
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Competitive Landscape -Other Solid Tumors 9 trials (matched to "Solid Tumors")

Frequently asked questions about MEDI0639

What is MEDI0639 used for?

MEDI0639 is an investigational monoclonal antibody being studied for the treatment of solid tumors. It is currently in Phase 1 clinical development, meaning it has not yet been approved by regulatory authorities and is still being evaluated for safety and efficacy in patients.

Who makes MEDI0639?

MEDI0639 is being developed by AstraZeneca PLC, a biopharmaceutical company traded on the stock exchange under the ticker symbol AZN. The company is conducting clinical trials to evaluate the drug's potential in oncology.

What phase is MEDI0639 in?

MEDI0639 is in Phase 1 clinical development. A Phase 1 study has been completed, which focused on evaluating the safety, tolerability, and pharmacokinetics of the drug in patients with advanced solid tumors. The drug is still investigational and not yet approved.

What clinical trials is MEDI0639 in?

MEDI0639 has one completed clinical trial registered under NCT01577745. This Phase 1 study evaluated the safety, tolerability, and pharmacokinetics of MEDI0639 in 58 patients with advanced solid tumors in the United States. The trial was controlled but not randomized or double-blinded.

Is MEDI0639 FDA approved?

MEDI0639 is not FDA approved. It is an investigational drug currently in Phase 1 clinical development. The completed Phase 1 trial was designed to assess safety and pharmacokinetics, and further studies would be needed before any regulatory approval could be considered.