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Wee1 Inhibitor

MEDI4736 for Bladder Cancer (BISCAY Trial)

Phase 1
Waitlist Available
Led By Thomas Powles, MBBS, MRCP, MD
Research Sponsored by AstraZeneca
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
2nd/3rd line
Confirmation of FGFR3 mutation or FGFR fusion
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 1 year
Awards & highlights

BISCAY Trial Summary

This trial is for patients with bladder cancer who have progressed on prior treatment. It is designed to study the safety and tolerability of multiple agents as monotherapy or in combination.

Who is the study for?
This trial is for adults over 25 with muscle invasive bladder cancer who've had prior treatment fail within a year. They must have at least one measurable lesion, be in good physical condition (WHO performance status 0-1), and not have certain genetic mutations or severe organ dysfunction. Participants need to use effective contraception during and after the study for specified periods.Check my eligibility
What is being tested?
The trial tests multiple drugs (MEDI4736, Olaparib, AZD1775, etc.) alone or in combination against bladder cancer. It's an early-phase study assessing safety, tolerability, how the body processes these drugs, and their effectiveness against tumors.See study design
What are the potential side effects?
Potential side effects include immune system reactions that can cause inflammation in various organs; blood disorders; fatigue; digestive issues like nausea or diarrhea; increased risk of infections due to lowered immunity; possible liver function changes.

BISCAY Trial Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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My treatment is in the 2nd or 3rd round.
Select...
My cancer has a FGFR3 mutation or fusion.
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My blood tests show normal white blood cells, neutrophils, and platelets.
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My tumor has specific genetic changes.
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My bladder cancer has spread to other parts of my body.
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I am 25 years old or older.
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My cancer has a harmful change in DNA repair genes.

BISCAY Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~1 year
This trial's timeline: 3 weeks for screening, Varies for treatment, and 1 year for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
All Modules: Change from baseline in ECG findings.
All Modules: Change from baseline in clinical chemistry parameters.
All Modules: Change from baseline in coagulation parameters
+14 more
Secondary outcome measures
Disease control rate (DCR)
Duration of response (DoR)
Objective response rate (ORR)
+13 more
Other outcome measures
Biomarker Analysis of Blood and Tissue
Correlation of biomarkers to response and/or development of cancer
Estimate overall survival (OS)
+2 more

Side effects data

From 2023 Phase 3 trial • 713 Patients • NCT02125461
36%
Cough
24%
Fatigue
22%
Dyspnoea
18%
Diarrhoea
17%
Arthralgia
17%
Radiation pneumonitis
15%
Pyrexia
15%
Decreased appetite
14%
Nausea
13%
Pruritus
13%
Rash
12%
Upper respiratory tract infection
12%
Constipation
11%
Asthenia
11%
Hypothyroidism
11%
Headache
11%
Back pain
10%
Productive cough
10%
Pneumonia
9%
Pneumonitis
9%
Nasopharyngitis
9%
Insomnia
8%
Musculoskeletal pain
8%
Vomiting
8%
Oedema peripheral
8%
Myalgia
8%
Dry skin
7%
Hyperthyroidism
7%
Anaemia
7%
Bronchitis
7%
Dizziness
7%
Non-cardiac chest pain
7%
Pain in extremity
6%
Urinary tract infection
5%
Hypertension
5%
Hypokalaemia
5%
Paraesthesia
5%
Musculoskeletal chest pain
1%
Lung infection
1%
Atrial fibrillation
1%
Myocardial infarction
1%
Cardiac failure congestive
1%
Sepsis
1%
Herpes zoster
1%
Chronic obstructive pulmonary disease
1%
Acute kidney injury
100%
80%
60%
40%
20%
0%
Study treatment Arm
Durvalumab (MEDI4736)
Placebo

BISCAY Trial Design

8Treatment groups
Experimental Treatment
Group I: Module G: MEDI4736 + SelumetinibExperimental Treatment2 Interventions
Group II: Module F: MEDI4736 (durvaluamb) + AZD9150Experimental Treatment2 Interventions
AZD9150 will be given as monotherapy on Days -7, -5, and -3 of a one week lead-in period. Combination dosing with IV AZD9150 followed by IV MEDI4736 (durvalumab) begins on Day 1 of each 28 day cycle. Thereafter AZD9150 is given weekly and MEDI4736 is given once every 4 weeks.
Group III: Module E: MEDI4736 (durvalumab) + VistusertibExperimental Treatment2 Interventions
MEDI4736 (durvalumab) will be given by IV infusion once every 4 weeks. Vistusertib will be given orally twice per day on an intermittent schedule (2 days on, 5 days off).
Group IV: Module D: MEDI4736 (durvalumab) monotherapyExperimental Treatment1 Intervention
MEDI 4736 (durvalumab) will be given by IV infusion once every 4 weeks.
Group V: Module C: MEDI4736 (durvaluamb) + AZD1775Experimental Treatment2 Interventions
MEDI4736 (durvalumab) will be given by IV infusion once every 4 weeks. AZD1775 will be given orally in approximate 12 hour intervals over 3 days (6 doses) on Days 1-3, 8-10, and 15-17 of 28 day cycles.
Group VI: Module B: MEDI4736 (durvalumab) + OlaparibExperimental Treatment2 Interventions
MEDI4736 (durvalumab) will be given by IV infusion once every 4 weeks. Olaparib will be given orally twice daily.
Group VII: Module A: MEDI4736 (durvalumab) + AZD4547Experimental Treatment2 Interventions
AZD4547 will be given orally twice daily until disease progression. Patients will also receive MEDI 4736 (durvalumab) by IV infusion once every 4 weeks.
Group VIII: Module A: AZD4547 MonotherapyExperimental Treatment1 Intervention
AZD4547 will be given orally twice daily until disease progression. Patients who receive AZD4547 as monotherapy will have the option to cross over to durvalumab as monotherapy at the point of objective progression, as long as the following criteria are met: The investigator believes it is in the patient's interest to receive durvalumab; The patient consents to the continued treatment; It is clinically appropriate for the patient to continue on durvalumab treatment; The patient satisfies the key eligibility criteria for receiving durvalumab treatment.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
MEDI4736
2016
Completed Phase 3
~5560
Olaparib
2007
Completed Phase 4
~2140
AZD1775
2015
Completed Phase 2
~400
AZD4547
2010
Completed Phase 2
~1190
AZD9150
2018
Completed Phase 1
~120
Selumetinib
2010
Completed Phase 2
~2050

Find a Location

Who is running the clinical trial?

AstraZenecaLead Sponsor
4,257 Previous Clinical Trials
288,593,630 Total Patients Enrolled
Thomas Powles, MBBS, MRCP, MDPrincipal InvestigatorBarts Cancer Center, Barts and The London School of Medicine and Denistry
Hendrik-Tobias Arkenau, MD, PhDPrincipal InvestigatorSarah Cannon Research Institute, UK
1 Previous Clinical Trials
288 Total Patients Enrolled

Media Library

AZD1775 (Wee1 Inhibitor) Clinical Trial Eligibility Overview. Trial Name: NCT02546661 — Phase 1
Bladder Cancer Research Study Groups: Module A: AZD4547 Monotherapy, Module A: MEDI4736 (durvalumab) + AZD4547, Module B: MEDI4736 (durvalumab) + Olaparib, Module C: MEDI4736 (durvaluamb) + AZD1775, Module D: MEDI4736 (durvalumab) monotherapy, Module E: MEDI4736 (durvalumab) + Vistusertib, Module F: MEDI4736 (durvaluamb) + AZD9150, Module G: MEDI4736 + Selumetinib
Bladder Cancer Clinical Trial 2023: AZD1775 Highlights & Side Effects. Trial Name: NCT02546661 — Phase 1
AZD1775 (Wee1 Inhibitor) 2023 Treatment Timeline for Medical Study. Trial Name: NCT02546661 — Phase 1

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What medical purpose does MEDI4736 serve?

"MEDI4736 is widely used to treat numerous diseases and can be prescribed as a pharmacotherapy option for primary peritoneal cancer, neurofibroma, and further conditions."

Answered by AI

What potential risks do patients face when taking MEDI4736?

"MEDI4736's safety is rated 1 on our scale given the limited clinical evidence of both efficacy and security present in this Phase 1 study."

Answered by AI

What is the scope of healthcare facilities currently engaging in this clinical trial?

"Currently, the trial is enrolling patients at 10 different centres across America. These include locations in Los Angeles, Nashville and New york City with additional sites dispersed throughout the nation. To make participating a little easier on yourself, consider joining a clinical site near you to reduce travel demands."

Answered by AI

How many participants are being monitored as part of this medical investigation?

"This clinical trial is no longer recruiting participants. It was initially listed on October 3rd 2016 and its last update occurred 17 days later. For those seeking out similar studies, 315 trials are presently searching for patients with urinary bladder cancer while 526 other medical experiments are actively looking for individuals eligible to receive MEDI4736."

Answered by AI

Has there been a precedent established for this kind of clinical trial?

"Research of MEDI4736 commenced in 2005, when AstraZeneca sponsored the first trial with 98 participants. Following this study, Phase 1 drug approval was granted. At present, 526 live studies are being conducted in 65 nations and 1952 cities worldwide."

Answered by AI

What results should we anticipate from this research endeavor?

"The primary outcome for this trial is the transformation in haematology parameters from baseline, which will be monitored at screening, on Day 1 of Cycle 1 and every 12 weeks until Cycle 7. Then onwards it will be tracked every 16 weeks relative to first dose administration. Secondary outcomes include plasma concentration levels of MEDI4736 (durvalumab) and AZD9150 as well as anti-drug antibodies (ADA), neutralising ADA's produced against MEDI4736 with concentrations adjusted depending upon data trends."

Answered by AI

Is this investigation presently enrolling participants?

"It is reported that this experiment, first posted on October 3rd 2016 and last amended on October 17th 2022, is not currently recruiting patients. Nonetheless, there are 841 different studies which are actively accepting participants at the present moment."

Answered by AI

Has there been prior research conducted with MEDI4736?

"MEDI4736 was initially studied in 2005 at a Research Site. To date, 259 trials have been completed and there are currently 526 active ones across the world; many of which take place in Los Angeles, California."

Answered by AI

Does this medical experiment have an age restriction, and if so what is it?

"This medical trial is seeking participants between 18 and 130 years old. Separately, there are 35 subsets of the study tailored to people under the age of majority, while 826 studies focus on those over 65."

Answered by AI

Who qualifies to participate in this medical research?

"Eligibility requirements for this clinical trial mandate that applicants have a diagnosis of urinary bladder cancer and lie within the age range between 18 to 130. In total, 156 patients are needed across all sites."

Answered by AI
~18 spots leftby Apr 2025