A Phase II, Multi-Center Study to Evaluate the Efficacy and Safety of Volrustomig as Monotherapy or in Combination With Anti-cancer Agents in Participants With Advanced/Metastatic Solid Tumors

Bookmark
Investigational drug late phase More information Active drug More information Moderate burden on patient More information

Trial Details

Sponsor: AstraZeneca (industry)

Phase: 2

Start date: Aug. 22, 2024

Planned enrollment: 110

Trial ID: NCT06535607
Copy trial ID
More trial details at ClinicalTrials.gov More info

chevron Show Summary from Sponsor

Investigational Drug AI Analysis

chevron Show for: Volrustomig (MEDI5752, PD-1/CTLA-4 DuetMab, MEDI-5752)

HealthScout AI Analysis

Goal: Assess the antitumor activity and safety of the bispecific checkpoint inhibitor volrustomig given as monotherapy or combined with standard chemotherapy in advanced/metastatic solid tumors, with a focus on cervical cancer and head and neck squamous cell carcinoma (HNSCC).

Patients: Adults (≥18 years) with ECOG 0–1, measurable disease by RECIST 1.1, adequate organ function, and life expectancy ≥12 weeks. Sub-study 1 enrolls previously treated recurrent/metastatic cervical cancer (squamous, adeno, or adenosquamous) after 1–2 prior lines. Sub-study 2 enrolls recurrent/metastatic HNSCC (oropharynx, oral cavity, hypopharynx, larynx); treatment-naive R/M patients require PD-L1 positivity, and platinum-refractory patients are eligible. Sub-study 3 enrolls untreated R/M HNSCC ineligible for curative local therapy. Key exclusions include active CNS disease requiring steroids, autoimmune disease, uncontrolled infections (HBV/HCV/HIV not well controlled), prior immune-mediated therapy, recent anticancer therapy or major surgery, and contraindications to 5-FU, paclitaxel, or carboplatin for the combination cohort.

Design: Phase 2, multi-center, randomized study with three sub-studies evaluating volrustomig as monotherapy in cervical cancer (approximately 30 evaluable) and HNSCC (approximately 20 evaluable), and volrustomig plus chemotherapy in HNSCC (approximately 60 evaluable). Primary purpose is treatment; allocation is randomized; total planned enrollment is about 110.

Treatments: Volrustomig (MEDI5752) is a monovalent bispecific antibody targeting PD-1 and CTLA-4. It fully blocks PD-1 and preferentially inhibits CTLA-4 on activated PD-1–positive intratumoral T cells, aiming to concentrate CTLA-4 blockade in the tumor microenvironment and reduce peripheral toxicity. The bispecific format promotes PD-1 internalization and degradation, differentiating it from conventional PD-1 plus CTLA-4 combinations. Early phase data across solid tumors, including first-line renal cell carcinoma, have shown objective response rates around 45%–48% with median duration of response of 11–17 months at doses ≤750 mg every 3 weeks; toxicity is dose-dependent with fewer grade 3–4 events at doses below 1500 mg. In Sub-studies 1 and 2, volrustomig is administered as monotherapy. In Sub-study 3, volrustomig is combined with standard platinum-based chemotherapy regimens used in R/M HNSCC: either carboplatin plus paclitaxel or a 5-FU plus platinum regimen (cisplatin or carboplatin).

Outcomes: Primary endpoints are confirmed objective response rate by RECIST 1.1 and safety, including adverse and serious adverse events, labs, ECGs, vitals, and clinical observations. Secondary endpoints include duration of response, progression-free survival, time to response, overall survival, pharmacokinetics of volrustomig, anti-drug antibodies, disease control rate, and PFS/OS landmark rates at prespecified time points.

Burden on patient: Moderate. Requirements include provision of tumor tissue for PD-L1 assessment, regular imaging per RECIST 1.1, safety labs, vitals, and ECGs typical of immunotherapy trials. As a phase 2 study with PK sampling and immunogenicity assessments, additional blood draws are expected at multiple time points. Monotherapy cohorts resemble standard checkpoint inhibitor visit schedules, while the combination HNSCC cohort adds the higher visit frequency and infusion time associated with multi-agent chemotherapy (carboplatin/paclitaxel or 5-FU plus platinum), with potential need for antiemetic premedication and management of chemotherapy-related toxicities. Travel burden aligns with q3–4 week infusion schedules and more frequent early visits for safety and PK; no mandatory invasive serial biopsies are specified beyond baseline tissue, which helps limit procedural burden.

Last updated: Oct 2025

Eligibility More information

chevron Show Criteria

Sites (50)

Sort by distance to:
Clear

Research Site

Londrina, 86015-520, Brazil

No email / No phone

Status: Not yet recruiting

Research Site

Vitória, 29043-260, Brazil

No email / No phone

Status: Not yet recruiting

Research Site

São Caetano do Sul, 09541-270, Brazil

No email / No phone

Status: Not yet recruiting

Research Site

Ijuí, 98700-000, Brazil

No email / No phone

Status: Not yet recruiting

Research Site

Tianjin, 300060, China

No email / No phone

Status: Not yet recruiting

Research Site

Shanghai, 200120, China

No email / No phone

Status: Recruiting

Research Site

Shenyang, 110004, China

No email / No phone

Status: Recruiting

Research Site

Tianjin, 300060, China

No email / No phone

Status: Active, not recruiting

Research Site

Wuhan, 430022, China

No email / No phone

Status: Recruiting

Research Site

Wuhan, 430022, China

No email / No phone

Status: Active, not recruiting

Research Site

Wuhan, 430040, China

No email / No phone

Status: Not yet recruiting

Research Site

Wuhan, 430048, China

No email / No phone

Status: Not yet recruiting

Research Site

Wuhan, 430079, China

No email / No phone

Status: Recruiting

Research Site

Wuhou District, 610041, China

No email / No phone

Status: Not yet recruiting

Research Site

Beijing, 100142, China

No email / No phone

Status: Recruiting

Research Site

Beijing, 100730, China

No email / No phone

Status: Recruiting

Research Site

Beijing, CN-100730, China

No email / No phone

Status: Recruiting

Research Site

Bengbu, 233004, China

No email / No phone

Status: Recruiting

Research Site

Changchun, 130021, China

No email / No phone

Status: Withdrawn

Research Site

Changsha, 410003, China

No email / No phone

Status: Not yet recruiting

Research Site

Changsha, 410008, China

No email / No phone

Status: Active, not recruiting

Research Site

Changsha, 410008, China

No email / No phone

Status: Not yet recruiting

Research Site

Changsha, 410013, China

No email / No phone

Status: Active, not recruiting

Research Site

Chengdu, 610041, China

No email / No phone

Status: Active, not recruiting

Research Site

Chengdu, 610041, China

No email / No phone

Status: Recruiting

Research Site

Chengdu, 610072, China

No email / No phone

Status: Not yet recruiting

Research Site

Chongqing, 400030, China

No email / No phone

Status: Recruiting

Research Site

Dongguan, 523009, China

No email / No phone

Status: Recruiting

Research Site

Dongguan, 523009, China

No email / No phone

Status: Not yet recruiting

Research Site

Fuzhou, 350011, China

No email / No phone

Status: Recruiting

Research Site

Fuzhou, 350014, China

No email / No phone

Status: Not yet recruiting

Research Site

Hangzhou, 310022, China

No email / No phone

Status: Active, not recruiting

Research Site

Hangzhou, 310022, China

No email / No phone

Status: Not yet recruiting

Research Site

Jining, 272029, China

No email / No phone

Status: Recruiting

Research Site

Kunming, 650118, China

No email / No phone

Status: Recruiting

Research Site

Nanchang, 330006, China

No email / No phone

Status: Recruiting

Research Site

Nanning, 530021, China

No email / No phone

Status: Active, not recruiting

Research Site

Nanning, 530021, China

No email / No phone

Status: Not yet recruiting

Research Site

Shandong, China

No email / No phone

Status: Recruiting

Research Site

Shandong, China

No email / No phone

Status: Active, not recruiting

Research Site

Shanghai, 200120, China

No email / No phone

Status: Active, not recruiting

Research Site

Namdong-gu, 21565, South Korea

No email / No phone

Status: Not yet recruiting

Research Site

Seoul, 03722, South Korea

No email / No phone

Status: Not yet recruiting

Research Site

Taipei, 112, Taiwan

No email / No phone

Status: Not yet recruiting

Research Site

Taichung, Taiwan

No email / No phone

Status: Not yet recruiting

Research Site

Baltimore, Maryland, 21201, United States

No email / No phone

Status: Not yet recruiting

Research Site

Stony Brook, New York, 11794, United States

No email / No phone

Status: Not yet recruiting

Research Site

Columbus, Ohio, 43210, United States

No email / No phone

Status: Not yet recruiting

Research Site

Ho Chi Minh City, 700000, Vietnam

No email / No phone

Status: Not yet recruiting

Research Site

Hanoi, 100000, Vietnam

No email / No phone

Status: Not yet recruiting

Back to trials list