Status:

RECRUITING

Study of Volrustomig as Monotherapy or in Combination With Anti- Cancer Agents in Participants With Advanced/Metastatic Solid Tumors

Lead Sponsor:

AstraZeneca

Conditions:

Cervical Cancer

Head and Neck Squamous Cell Carcinoma

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

eVOLVE-02 study will evaluate the efficacy and safety of volrustomig as monotherapy or in combination with anti-cancer agents in participants with advanced/metastatic solid tumors.

Detailed Description

eVOLVE-02 study will evaluate volrustomig monotherapy or volrustomig-based combination therapy in various advanced or metastatic solid tumors. In sub-study 1, volrustomig will be evaluated as monothe...

Eligibility Criteria

Inclusion

  • Inclusion Criteria:
  • For inclusion in the study, patients should fulfill the following criteria:
  • Age ≥18 at the time of signing the ICF.
  • Provision of tumor sample to assess the PD-L1 expression.
  • Measurable disease according to RECIST 1.1.
  • ECOG performance status of 0 or 1.
  • Life expectancy ≥ 12 weeks.
  • Adequate organ and bone marrow function.
  • Body weight \> 35 kg.
  • Capable of giving signed informed consent.
  • For sub-study 1, participants with R/M cervical cancer with squamous cell, adenocarcinoma or adenosquamous histology, that: have experienced disease progression during or after treatment with standard systematic therapy per local guideline; have received at least 1 line but no more than 2 lines of prior systemic treatment regimens for R/M cervical cancer.
  • For sub-study 2, for participants with OPC must have documented HPV status.
  • For sub-study 2, participants with R/M HNSCC, that: (a) Are histologically or cytologically documented R/M HNSCC of the OP, OC, HP, and LX that is considered incurable by local therapies; (b) Participants that have not been treated in R/M setting must have: (i) a documented PD-L1 positive result, (ii) with no prior systemic anti-cancer therapy for R/M HNSCC; (c) Platinum refractory participants must have relapsed from or are refractory to the first line of prior platinum-containing regimen.
  • For sub-study 3, participants with R/M HNSCC, that: (a) Are histologically or cytologically documented R/M HNSCC of the OP, OC, HP, and LX that is considered incurable by local therapies; (b) Participants that have not been treated in R/M setting
  • Exclusion Criteria
  • Patients should not enter the study if any of the following exclusion criteria are fulfilled:
  • Spinal cord compression.
  • Brain metastases unless asymptomatic, stable, and not requiring steroids for at least 14 days prior to start of study intervention.
  • Participants with primary neuroendocrine, mesenchymal, sarcomatoid histologies, or other histologies not mentioned as part of the inclusion criteria.
  • Have not recovered (ie, ≤ Grade 1 or at baseline) from an AE due to a previously administered anti-cancer therapy.
  • For sub-study 2, have had radiotherapy within 2 weeks prior to enrollment.
  • For sub-study 3, Participants have contraindications to any of the following drugs: 5-FU, paclitaxel and carboplatin
  • History of another primary malignancy except for a) Malignancy treated with curative intent with no known active disease ≥2 years before the first dose of study intervention and of low potential risk for recurrence; b) Adequately treated nonmelanoma skin cancer or lentigo maligna, or carcinoma in situ without evidence of disease.
  • Any evidence of diseases, and/or history of organ transplant or allogenic stem cell transplant, which makes it undesirable for the participant to participate in the study or that would jeopardize compliance with the protocol.
  • Evidence of the following infections: active infection including tuberculosis; known HIV infection. that is not well controlled; active or uncontrolled HBV or HCV; or active hepatitis A.
  • Active or prior documented autoimmune or inflammatory disorders.
  • Participants who are candidates for curative therapy.
  • Prior exposure to any immune-mediated therapy.
  • Current or prior use of immunosuppressive medication within 14 days before the first dose of the study intervention is excluded. The following are exceptions to this criterion: a) Intranasal, inhaled, topical steroids, or local steroid injections (eg, intraarticular injection); b) Steroids as premedication for hypersensitivity reactions (eg, CT scan premedication or chemotherapy premedication) or a single dose for palliative purpose (eg, pain control).
  • Participants are ineligible if they have received any anti-cancer therapy within 28 days prior to the first dose of study intervention or within 5 half-lives of the respective agent, whichever is longer..
  • Any concurrent chemotherapy except study intervention, radiotherapy, investigational, biologic, or hormonal therapy for cancer treatment.
  • Radiotherapy treatment with a wide field of radiation or to more than 30% of the bone marrow within 4 weeks, prior to the first dose of study intervention.
  • Major surgical procedures within 4 weeks prior to the first dose of the study intervention or still recovering from prior surgery.
  • Receipt of live attenuated vaccine within 30 days prior to the first dose of the study intervention.
  • Participants with a known allergy or hypersensitivity to any study intervention, on any excipients of any study intervention.

Exclusion

    Key Trial Info

    Start Date :

    August 22 2024

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    November 30 2028

    Estimated Enrollment :

    110 Patients enrolled

    Trial Details

    Trial ID

    NCT06535607

    Start Date

    August 22 2024

    End Date

    November 30 2028

    Last Update

    October 29 2025

    Active Locations (50)

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    Page 1 of 13 (50 locations)

    1

    Research Site

    Los Angeles, California, United States, 90025

    2

    Research Site

    Baltimore, Maryland, United States, 21201

    3

    Research Site

    Stony Brook, New York, United States, 11794

    4

    Research Site

    Columbus, Ohio, United States, 43210