Status:

COMPLETED

Durvalumab and SNDX-6532 Following Chemo or Radio-Embolization for Patients With Intrahepatic Cholangiocarcinoma

Lead Sponsor:

Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

Collaborating Sponsors:

Syndax Pharmaceuticals

AstraZeneca

Conditions:

Unresectable Intrahepatic Cholangiocarcinoma

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

The purposed of this research is to study the safety and clinical activity of the combination of durvalumab and a CSF-1R inhibitor (SNDX-6352) in people with Intrahepatic Cholangiocarcinoma.

Eligibility Criteria

Inclusion

  • Have cytologically confirmed intrahepatic cholangiocarcinoma.
  • All disease must be localized to the liver (locally advanced).
  • Subjects must not be deemed surgical candidates.
  • Must be a candidate for conventional transarterial chemoembolization or yttrium-90 radioembolization.
  • Must have measureable disease be mRECIST. Measurable disease will be confirmed by radiological imaging (MRI, CT).
  • Age ≥18 years
  • Body weight \> 30 kg
  • Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
  • Life expectancy ≥12 weeks.
  • Patient must have adequate organ function defined by the study-specified laboratory tests as per the protocol.
  • Child Pugh Class A
  • Measured creatinine clearance (CL) \>40 mL/min or Calculated creatinine clearance CL\>40 mL/min by the Cockcroft-Gault formula.
  • Woman of childbearing potential must have a negative pregnancy test and follow contraceptive guidelines as defined per protocol.
  • Must use acceptable form of birth control while on study.
  • Men must use acceptable form of birth control while on study.
  • Ability to understand and willingness to sign a written informed consent document.
  • Willing and able to comply with the protocol for the duration of the study

Exclusion

  • Candidate for surgical resection
  • Concurrent enrollment in another clinical study, unless it is an observational (non-interventional) clinical study or during the follow-up of an interventional study.
  • Major surgery within 4 weeks prior to initiation of study treatment.
  • Received the last dose of anticancer therapy ≤ 28 days prior to the first dose of study drug.
  • All toxicities NCI CTCAE Grade ≥2 attributed to prior anti-cancer therapy other than alopecia, vitiligo, and neuropathy.
  • Any concurrent chemotherapy, IP, biologic, or hormonal therapy for cancer treatment.
  • History of allogenic organ transplantation.
  • Active or prior documented autoimmune or inflammatory disorders (including inflammatory bowel disease \[e.g., colitis or Crohn's disease\], diverticulitis \[with the exception of diverticulosis\], systemic lupus erythematosus, Sarcoidosis syndrome, checkpoint inhibitor-induced immune mediated reaction or Wegener syndrome \[granulomatosis with polyangiitis, Graves' disease, rheumatoid arthritis, hypophysitis, uveitis, etc.\]).
  • Patient with uncontrolled intercurrent illness including, but not limited to, uncontrolled infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, significant muscle disorders or psychiatric illness/social situations that would limit compliance with study requirements.
  • History of known additional primary malignancies.
  • History of leptomeningeal carcinomatosis.
  • Brain metastases or spinal cord compression.
  • History of active primary immunodeficiency.
  • Infection with Tuberculosis, HIV or hepatitis B or C at screening.
  • Current or prior use of immunosuppressive medication within 14 days before the first dose of treatment.
  • Receipt of live attenuated vaccine within 30 days prior to the first dose of IP.
  • Pregnant or breastfeeding women.
  • Has a history of allergy to study treatments or any of its components of the study.
  • Prior randomization or treatment in a previous durvalumab and/or SNDX-6532 clinical study regardless of treatment arm assignment.
  • Patient has clinically significant heart disease.
  • Any other sound medical, psychiatric, and/or social reason as determined by the Investigator.
  • Unwilling or unable to follow the study schedule for any reason.

Key Trial Info

Start Date :

August 24 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

February 6 2024

Estimated Enrollment :

5 Patients enrolled

Trial Details

Trial ID

NCT04301778

Start Date

August 24 2021

End Date

February 6 2024

Last Update

February 11 2025

Active Locations (1)

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1

Sidney Kimmel Comprehensive Cancer Center

Baltimore, Maryland, United States, 21231