<clinical_study>
  <!-- This xml conforms to an XML Schema at:
    https://clinicaltrials.gov/ct2/html/images/info/public.xsd -->
  <required_header>
    <download_date>ClinicalTrials.gov processed this data on September 20, 2023</download_date>
    <link_text>Link to the current ClinicalTrials.gov record.</link_text>
    <url>https://clinicaltrials.gov/ct2/show/NCT03005002</url>
  </required_header>
  <id_info>
    <org_study_id>16423</org_study_id>
    <secondary_id>NCI-2016-02001</secondary_id>
    <secondary_id>16423</secondary_id>
    <nct_id>NCT03005002</nct_id>
  </id_info>
  <brief_title>Durvalumab and Tremelimumab in Treating Patients With Microsatellite Stable Metastatic Colorectal Cancer to the Liver</brief_title>
  <official_title>A Pilot Feasibility Study of Durvalumab (MEDI4736) and Tremelimumab Following Radioembolization in Patients With Metastatic Microsatellite Stable (MSS) Colorectal Cancer to the Liver</official_title>
  <sponsors>
    <lead_sponsor>
      <agency>City of Hope Medical Center</agency>
      <agency_class>Other</agency_class>
    </lead_sponsor>
    <collaborator>
      <agency>National Cancer Institute (NCI)</agency>
      <agency_class>NIH</agency_class>
    </collaborator>
  </sponsors>
  <source>City of Hope Medical Center</source>
  <oversight_info>
    <has_dmc>Yes</has_dmc>
    <is_fda_regulated_drug>Yes</is_fda_regulated_drug>
    <is_fda_regulated_device>No</is_fda_regulated_device>
  </oversight_info>
  <brief_summary>
    <textblock>
      This pilot clinical trial studies the side effects and how well durvalumab and tremelimumab&#xD;
      work in treating patients with microsatellite stable colorectal cancer that has spread to the&#xD;
      liver. Monoclonal antibodies, such as durvalumab and tremelimumab, may interfere with the&#xD;
      ability of tumor cells to grow and spread.&#xD;
    </textblock>
  </brief_summary>
  <detailed_description>
    <textblock>
      PRIMARY OBJECTIVES:&#xD;
&#xD;
      I. Establish the safety of durvalumab and tremelimumab following radioembolization with&#xD;
      selective internal radiation (SIR)-Spheres in patients with microsatellite stable (MSS)&#xD;
      metastatic colorectal cancer to the liver.&#xD;
&#xD;
      II. Determine the hepatic response rate of SIR-Spheres followed by durvalumab and&#xD;
      tremelimumab in patients with MSS metastatic colorectal cancer to the liver.&#xD;
&#xD;
      SECONDARY OBJECTIVES:&#xD;
&#xD;
      I. Estimate the progression free survival (PFS) and overall survival (OS) of the overall&#xD;
      treated population.&#xD;
&#xD;
      II. Describe the overall response rate of the treated population. III. Describe the&#xD;
      extra-hepatic response in the treated population (abscopal responses).&#xD;
&#xD;
      TERTIARY OBJECTIVES:&#xD;
&#xD;
      I. Describe intra-tumor immune alterations following SIR-Spheres, and following durvalumab&#xD;
      plus tremelimumab in comparison to baseline through serial hepatic metastases biopsies.&#xD;
&#xD;
      II. Describe the immune alterations in the blood following SIR-Spheres and following&#xD;
      durvalumab plus tremelimumab.&#xD;
&#xD;
      OUTLINE:&#xD;
&#xD;
      Patients receive durvalumab intravenously (IV) over 60 minutes and tremelimumab IV over 60&#xD;
      minutes on day 1. Treatment repeats every 4 weeks for up to 4 courses in the absence of&#xD;
      disease progression or unacceptable toxicity. Beginning at week 17, patients receive&#xD;
      durvalumab IV over 60 minutes on day 1. Treatment repeats every 4 weeks for up to 9 courses&#xD;
      in the absence of disease progression or unacceptable toxicity.&#xD;
&#xD;
      After completion of study treatment, patients are followed up periodically.&#xD;
    </textblock>
  </detailed_description>
  <overall_status>Completed</overall_status>
  <start_date type="Actual">June 28, 2017</start_date>
  <completion_date type="Actual">November 26, 2019</completion_date>
  <primary_completion_date type="Actual">November 26, 2019</primary_completion_date>
  <phase>Phase 1</phase>
  <study_type>Interventional</study_type>
  <has_expanded_access>No</has_expanded_access>
  <study_design_info>
    <allocation>N/A</allocation>
    <intervention_model>Single Group Assignment</intervention_model>
    <primary_purpose>Treatment</primary_purpose>
    <masking>None (Open Label)</masking>
  </study_design_info>
  <primary_outcome>
    <measure>Hepatic tumor response as assessed by Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1</measure>
    <time_frame>Up to 1 year</time_frame>
    <description>Will be summarized using a 90% exact Clopper-Pearson confidence interval</description>
  </primary_outcome>
  <primary_outcome>
    <measure>Incidence of adverse events assessed by NCI CTCAE version 4.03</measure>
    <time_frame>Up to 1 year</time_frame>
    <description>Toxicities observed will be summarized in terms of type and severity.</description>
  </primary_outcome>
  <secondary_outcome>
    <measure>Extrahepatic disease response assessed by RECIST 1.1</measure>
    <time_frame>Up to 1 year</time_frame>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Hepatic PFS</measure>
    <time_frame>From study treatment to first progression in the treated liver or death (whichever occurs first), assessed up to 1 year</time_frame>
    <description>This will be reported for the overall population (safety analysis set) and will be described for liver only (time to hepatic progress or death) and for overall disease burden (progression free survival per se). Progression free survival will be estimated using the product-limit (Kaplan-Meier) method, with any loss to follow-up as censoring.</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>OS</measure>
    <time_frame>From study treatment to death, assessed up to 1 year</time_frame>
    <description>Overall survival will be estimated using the product-limit (Kaplan-Meier) method, with any loss to follow-up as censoring.</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Overall PFS</measure>
    <time_frame>From study treatment to progressive disease (hepatic and extrahepatic) and death, assessed up to 1 year</time_frame>
    <description>This will be reported for the overall population (safety analysis set) and will be described for liver only (time to hepatic progress or death) and for overall disease burden (progression free survival per se). Progression free survival will be estimated using the product-limit (Kaplan-Meier) method, with any loss to follow-up as censoring.</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Overall response rate (both hepatic and extrahepatic disease) assessed by RECIST 1.1</measure>
    <time_frame>Up to 1 year</time_frame>
  </secondary_outcome>
  <other_outcome>
    <measure>Tumor immune profiling</measure>
    <time_frame>Up to 1 year</time_frame>
    <description>Will be summarized using standard statistical summaries.</description>
  </other_outcome>
  <number_of_arms>1</number_of_arms>
  <enrollment type="Actual">9</enrollment>
  <condition>Metastatic Carcinoma in the Liver</condition>
  <condition>MLH1 Gene Mutation</condition>
  <condition>MSH6 Gene Mutation</condition>
  <condition>PMS2 Gene Mutation</condition>
  <condition>Stage IV Colorectal Cancer</condition>
  <condition>Stage IVA Colorectal Cancer</condition>
  <condition>Stage IVB Colorectal Cancer</condition>
  <arm_group>
    <arm_group_label>Treatment (durvalumab, tremelimumab)</arm_group_label>
    <arm_group_type>Experimental</arm_group_type>
    <description>Patients receive durvalumab IV over 60 minutes and tremelimumab IV over 60 minutes on day 1. Treatment repeats every 4 weeks for up to 4 courses in the absence of disease progression or unacceptable toxicity. Beginning at week 17, patients receive durvalumab IV over 60 minutes on day 1. Treatment repeats every 4 weeks for up to 9 courses in the absence of disease progression or unacceptable toxicity.</description>
  </arm_group>
  <intervention>
    <intervention_type>Biological</intervention_type>
    <intervention_name>Durvalumab</intervention_name>
    <description>Given IV</description>
    <arm_group_label>Treatment (durvalumab, tremelimumab)</arm_group_label>
    <other_name>Immunoglobulin G1, Anti-(Human Protein B7-H1) (Human Monoclonal MEDI4736 Heavy Chain), Disulfide with Human Monoclonal MEDI4736 Kappa-chain, Dimer</other_name>
    <other_name>MEDI-4736</other_name>
    <other_name>MEDI4736</other_name>
  </intervention>
  <intervention>
    <intervention_type>Other</intervention_type>
    <intervention_name>Laboratory Biomarker Analysis</intervention_name>
    <description>Correlative studies</description>
    <arm_group_label>Treatment (durvalumab, tremelimumab)</arm_group_label>
  </intervention>
  <intervention>
    <intervention_type>Biological</intervention_type>
    <intervention_name>Tremelimumab</intervention_name>
    <description>Given IV</description>
    <arm_group_label>Treatment (durvalumab, tremelimumab)</arm_group_label>
    <other_name>Anti-CTLA4 Human Monoclonal Antibody CP-675,206</other_name>
    <other_name>CP-675</other_name>
    <other_name>CP-675,206</other_name>
    <other_name>CP-675206</other_name>
    <other_name>Ticilimumab</other_name>
  </intervention>
  <eligibility>
    <criteria>
      <textblock>
        Inclusion Criteria:&#xD;
&#xD;
          -  Documented informed consent of the subject and/or legally authorized representative&#xD;
&#xD;
          -  Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1&#xD;
&#xD;
          -  Life expectancy of &gt; 12 weeks&#xD;
&#xD;
          -  Hemoglobin &gt;= 9.0 g/dL&#xD;
&#xD;
          -  Absolute neutrophil count (ANC) &gt;= 1.5 x 10^9/L (&gt;= 1500 per mm^3)&#xD;
&#xD;
          -  Platelet count &gt;= 75 x 10^9/L (&gt;= 75,000 per mm^3)&#xD;
&#xD;
          -  Serum bilirubin =&lt; 1.5 x institutional upper limit of normal (ULN)&#xD;
&#xD;
          -  Aspartate aminotransferase (AST) (serum glutamic-oxaloacetic transaminase&#xD;
             [SGOT])/alanine aminotransferase (ALT) (serum glutamate pyruvate transaminase [SGPT])&#xD;
             =&lt; 5 x institutional upper limit of normal given that all patients have liver&#xD;
             metastases&#xD;
&#xD;
          -  Serum creatinine clearance (CL) &gt; 40 mL/min by the Cockcroft-Gault formula or by&#xD;
             24-hour urine collection for determination of creatinine clearance&#xD;
&#xD;
          -  Female subjects must either be of non-reproductive potential (ie, post-menopausal by&#xD;
             history: &gt;= 60 years old and no menses for &gt;= 1 year without an alternative medical&#xD;
             cause; AND/OR history of hysterectomy, AND/OR history of bilateral tubal ligation,&#xD;
             AND/OR history of bilateral oophorectomy) or must have a negative serum pregnancy test&#xD;
             upon study entry&#xD;
&#xD;
          -  Subject is willing and able to comply with the protocol for the duration of the study&#xD;
             including undergoing treatment and scheduled visits and examinations including follow&#xD;
             up&#xD;
&#xD;
          -  Patients must have received at least one prior line of therapy for the treatment of&#xD;
             metastatic disease with a fluoropyrimidine in combination with oxaliplatin and/or&#xD;
             irinotecan; patients with prior adjuvant therapy who progressed within 6 months of&#xD;
             completion of treatment may be eligible&#xD;
&#xD;
          -  Patients must have liver-only metastases or predominant liver metastatic disease&#xD;
&#xD;
          -  Patients should have microsatellite stable (MSS) tumor by polymerase chain reaction&#xD;
             (PCR) assay or mismatch repair protein proficient (MMRP) tumor by immunohistochemistry&#xD;
             as confirmed by the presence of MLH1, MSH2, MSH6, and PMS2; the diagnosis of&#xD;
             colorectal cancer should be confirmed by pathology either on the primary tumor or from&#xD;
             a prior biopsy of a metastatic disease site&#xD;
&#xD;
          -  Patients should have been identified by their respective physicians as candidates for&#xD;
             radioembolization and scheduled to undergo such a procedure&#xD;
&#xD;
          -  Patients should agree to serial liver metastases biopsy pre-treatment,&#xD;
             post-radioembolization, and post-combination immunotherapy&#xD;
&#xD;
          -  Patients should have measurable metastatic disease in the liver, defined (for the&#xD;
             purpose of this study) as at least 1 measurable lesion more than 2 cm in size and&#xD;
             readily accessible to ultrasound (US) or computed tomography (CT)-guided biopsy&#xD;
&#xD;
          -  Patients should not be deemed candidate for curative hepatic resection&#xD;
&#xD;
        Exclusion Criteria:&#xD;
&#xD;
          -  Involvement in the planning and/or conduct of the study (applies to both AstraZeneca&#xD;
             staff and/or staff at the study site) or previous enrollment in the present study&#xD;
&#xD;
          -  Participation in another clinical study with an investigational product during the&#xD;
             last 4 weeks&#xD;
&#xD;
          -  Any previous treatment with a PD1 or PD-L1 inhibitor, including durvalumab or an&#xD;
             anti-CTLA4, including tremelimumab&#xD;
&#xD;
          -  History of another primary malignancy except for:&#xD;
&#xD;
               -  Malignancy treated with curative intent and with no known active disease &gt;= 2&#xD;
                  years before the first dose of study drug and of low potential risk for&#xD;
                  recurrence&#xD;
&#xD;
               -  Adequately treated non-melanoma skin cancer or lentigo maligns without evidence&#xD;
                  of disease&#xD;
&#xD;
               -  Adequately treated carcinoma in situ without evidence of disease eg, cervical&#xD;
                  cancer in situ&#xD;
&#xD;
          -  Receipt of the last dose of chemotherapy or tyrosine kinase inhibitors should be at&#xD;
             least 3 weeks prior to durvalumab and tremelimumab dosing; monoclonal antibodies such&#xD;
             as bevacizumab, ziv-aflibercept, ramucirumab, cetuximab, and panitumumab should be at&#xD;
             least 6 weeks prior to durvalumab and tremelimumab therapy&#xD;
&#xD;
          -  Clinical ascites&#xD;
&#xD;
          -  Liver involvement by &gt; 50% with metastatic disease determined by the investigator&#xD;
&#xD;
          -  Complete portal vein thrombosis on CT scans&#xD;
&#xD;
          -  Failure to satisfy minimum criteria of lung shunting (&gt; 20%) or presence of&#xD;
             extrahepatic gastrointestinal activity on microaggregated albumin (MAA) scan or&#xD;
             angiogram that preclude SIR-Spheres&#xD;
&#xD;
          -  Prior external beam radiation to the liver&#xD;
&#xD;
          -  Mean QT interval corrected for heart rate (QTc) &gt;= 470 ms calculated from 3&#xD;
             electrocardiograms (ECGs) using Fridericia's correction&#xD;
&#xD;
          -  Current or prior use of immunosuppressive medication within 28 days before the first&#xD;
             dose of durvalumab or tremelimumab, with the exceptions of intranasal, topical, and&#xD;
             inhaled corticosteroids or systemic corticosteroids at physiological doses, which are&#xD;
             not to exceed 10 mg/day of prednisone, or an equivalent corticosteroid&#xD;
&#xD;
          -  Any unresolved toxicity (&gt; Common Terminology Criteria for Adverse Events [CTCAE]&#xD;
             grade 2) from previous anti-cancer therapy; subjects with irreversible toxicity that&#xD;
             is not reasonably expected to be exacerbated by the investigational product may be&#xD;
             included (e.g., hearing loss, peripherally neuropathy)&#xD;
&#xD;
          -  Any prior systemic anti-cancer immunotherapy treatment&#xD;
&#xD;
          -  Active or prior documented autoimmune disease within the past 2 years; NOTE: Subjects&#xD;
             with vitiligo, Grave's disease, or psoriasis not requiring systemic treatment (within&#xD;
             the past 2 years) are not excluded&#xD;
&#xD;
          -  Active or prior documented inflammatory bowel disease (e.g., Crohn's disease,&#xD;
             ulcerative colitis)&#xD;
&#xD;
          -  History of primary immunodeficiency&#xD;
&#xD;
          -  History of allogeneic organ transplant&#xD;
&#xD;
          -  Uncontrolled intercurrent illness including, but not limited to, ongoing or active&#xD;
             infection, symptomatic congestive heart failure, uncontrolled hypertension, unstable&#xD;
             angina pectoris, cardiac arrhythmia, active peptic ulcer disease or gastritis, active&#xD;
             bleeding diatheses including any subject known to have evidence of acute or chronic&#xD;
             hepatitis B, hepatitis C or human immunodeficiency virus (HIV), or psychiatric&#xD;
             illness/social situations that would limit compliance with study requirements or&#xD;
             compromise the ability of the subject to give written informed consent&#xD;
&#xD;
          -  Known history of previous clinical diagnosis of tuberculosis&#xD;
&#xD;
          -  History of leptomeningeal carcinomatosis&#xD;
&#xD;
          -  Receipt of live attenuated vaccination within 30 days prior to study entry or within&#xD;
             30 days of receiving durvalumab or tremelimumab&#xD;
&#xD;
          -  Any condition that, in the opinion of the investigator, would interfere with&#xD;
             evaluation of study treatment or interpretation of patient safety or study results&#xD;
&#xD;
          -  Symptomatic or uncontrolled brain metastases requiring concurrent treatment, inclusive&#xD;
             of but not limited to surgery, radiation and/or corticosteroids&#xD;
&#xD;
          -  Subjects with uncontrolled seizures&#xD;
&#xD;
          -  Patients with symptomatic extrahepatic metastases&#xD;
&#xD;
          -  Female patients who are pregnant or breastfeeding or male or female patients of&#xD;
             reproductive potential who are not willing to employ effective birth control from&#xD;
             screening to 180 days after the last dose of durvalumab + tremelimumab combination&#xD;
             therapy or 90 days after the last dose of durvalumab monotherapy, whichever is the&#xD;
             longer time period&#xD;
&#xD;
          -  Known allergy or hypersensitivity to investigational product (IP) or any excipient&#xD;
      </textblock>
    </criteria>
    <gender>All</gender>
    <minimum_age>19 Years</minimum_age>
    <maximum_age>N/A</maximum_age>
    <healthy_volunteers>No</healthy_volunteers>
  </eligibility>
  <overall_official>
    <last_name>Marwan Fakih, MD</last_name>
    <role>Principal Investigator</role>
    <affiliation>City of Hope Medical Center</affiliation>
  </overall_official>
  <location>
    <facility>
      <name>City of Hope Medical Center</name>
      <address>
        <city>Duarte</city>
        <state>California</state>
        <zip>91010</zip>
        <country>United States</country>
      </address>
    </facility>
  </location>
  <location_countries>
    <country>United States</country>
  </location_countries>
  <verification_date>December 2018</verification_date>
  <study_first_submitted>December 23, 2016</study_first_submitted>
  <study_first_submitted_qc>December 23, 2016</study_first_submitted_qc>
  <study_first_posted type="Estimate">December 29, 2016</study_first_posted>
  <last_update_submitted>December 23, 2019</last_update_submitted>
  <last_update_submitted_qc>December 23, 2019</last_update_submitted_qc>
  <last_update_posted type="Actual">December 26, 2019</last_update_posted>
  <responsible_party>
    <responsible_party_type>Sponsor</responsible_party_type>
  </responsible_party>
  <condition_browse>
    <!-- CAUTION:  The following MeSH terms are assigned with an imperfect algorithm            -->
    <mesh_term>Colorectal Neoplasms</mesh_term>
  </condition_browse>
  <intervention_browse>
    <!-- CAUTION:  The following MeSH terms are assigned with an imperfect algorithm            -->
    <mesh_term>Durvalumab</mesh_term>
    <mesh_term>Ipilimumab</mesh_term>
    <mesh_term>Tremelimumab</mesh_term>
    <mesh_term>Immunoglobulins</mesh_term>
    <mesh_term>Antibodies, Monoclonal</mesh_term>
    <mesh_term>Immunoglobulin G</mesh_term>
  </intervention_browse>
  <!-- Results have not yet been posted for this study                                          -->
</clinical_study>


download date: ClinicalTrials.gov processed this data on September 20, 2023
link text: Link to the current ClinicalTrials.gov record.
url: https://clinicaltrials.gov/ct2/show/NCT03005002
org study id: 16423
secondary id: NCI-2016-02001
secondary id: 16423
nct id: NCT03005002
lead sponsor: 
collaborator: 
has dmc: Yes
is fda regulated drug: Yes
is fda regulated device: No
This pilot clinical trial studies the side effects and how well durvalumab and tremelimumab
      work in treating patients with microsatellite stable colorectal cancer that has spread to the
      liver. Monoclonal antibodies, such as durvalumab and tremelimumab, may interfere with the
      ability of tumor cells to grow and spread.
PRIMARY OBJECTIVES:

      I. Establish the safety of durvalumab and tremelimumab following radioembolization with
      selective internal radiation (SIR)-Spheres in patients with microsatellite stable (MSS)
      metastatic colorectal cancer to the liver.

      II. Determine the hepatic response rate of SIR-Spheres followed by durvalumab and
      tremelimumab in patients with MSS metastatic colorectal cancer to the liver.

      SECONDARY OBJECTIVES:

      I. Estimate the progression free survival (PFS) and overall survival (OS) of the overall
      treated population.

      II. Describe the overall response rate of the treated population. III. Describe the
      extra-hepatic response in the treated population (abscopal responses).

      TERTIARY OBJECTIVES:

      I. Describe intra-tumor immune alterations following SIR-Spheres, and following durvalumab
      plus tremelimumab in comparison to baseline through serial hepatic metastases biopsies.

      II. Describe the immune alterations in the blood following SIR-Spheres and following
      durvalumab plus tremelimumab.

      OUTLINE:

      Patients receive durvalumab intravenously (IV) over 60 minutes and tremelimumab IV over 60
      minutes on day 1. Treatment repeats every 4 weeks for up to 4 courses in the absence of
      disease progression or unacceptable toxicity. Beginning at week 17, patients receive
      durvalumab IV over 60 minutes on day 1. Treatment repeats every 4 weeks for up to 9 courses
      in the absence of disease progression or unacceptable toxicity.

      After completion of study treatment, patients are followed up periodically.
allocation: N/A
intervention model: Single Group Assignment
primary purpose: Treatment
masking: None (Open Label)
measure: Hepatic tumor response as assessed by Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1
time frame: Up to 1 year
description: Will be summarized using a 90% exact Clopper-Pearson confidence interval
measure: Incidence of adverse events assessed by NCI CTCAE version 4.03
time frame: Up to 1 year
description: Toxicities observed will be summarized in terms of type and severity.
measure: Extrahepatic disease response assessed by RECIST 1.1
time frame: Up to 1 year
measure: Hepatic PFS
time frame: From study treatment to first progression in the treated liver or death (whichever occurs first), assessed up to 1 year
description: This will be reported for the overall population (safety analysis set) and will be described for liver only (time to hepatic progress or death) and for overall disease burden (progression free survival per se). Progression free survival will be estimated using the product-limit (Kaplan-Meier) method, with any loss to follow-up as censoring.
measure: OS
time frame: From study treatment to death, assessed up to 1 year
description: Overall survival will be estimated using the product-limit (Kaplan-Meier) method, with any loss to follow-up as censoring.
measure: Overall PFS
time frame: From study treatment to progressive disease (hepatic and extrahepatic) and death, assessed up to 1 year
description: This will be reported for the overall population (safety analysis set) and will be described for liver only (time to hepatic progress or death) and for overall disease burden (progression free survival per se). Progression free survival will be estimated using the product-limit (Kaplan-Meier) method, with any loss to follow-up as censoring.
measure: Overall response rate (both hepatic and extrahepatic disease) assessed by RECIST 1.1
time frame: Up to 1 year
measure: Tumor immune profiling
time frame: Up to 1 year
description: Will be summarized using standard statistical summaries.
arm group label: Treatment (durvalumab, tremelimumab)
arm group type: Experimental
description: Patients receive durvalumab IV over 60 minutes and tremelimumab IV over 60 minutes on day 1. Treatment repeats every 4 weeks for up to 4 courses in the absence of disease progression or unacceptable toxicity. Beginning at week 17, patients receive durvalumab IV over 60 minutes on day 1. Treatment repeats every 4 weeks for up to 9 courses in the absence of disease progression or unacceptable toxicity.
intervention type: Biological
intervention name: Durvalumab
description: Given IV
arm group label: Treatment (durvalumab, tremelimumab)
other name: Immunoglobulin G1, Anti-(Human Protein B7-H1) (Human Monoclonal MEDI4736 Heavy Chain), Disulfide with Human Monoclonal MEDI4736 Kappa-chain, Dimer
other name: MEDI-4736
other name: MEDI4736
intervention type: Other
intervention name: Laboratory Biomarker Analysis
description: Correlative studies
arm group label: Treatment (durvalumab, tremelimumab)
intervention type: Biological
intervention name: Tremelimumab
description: Given IV
arm group label: Treatment (durvalumab, tremelimumab)
other name: Anti-CTLA4 Human Monoclonal Antibody CP-675,206
other name: CP-675
other name: CP-675,206
other name: CP-675206
other name: Ticilimumab
criteria: 
gender: All
minimum age: 19 Years
maximum age: N/A
healthy volunteers: No
last name: Marwan Fakih, MD
role: Principal Investigator
affiliation: City of Hope Medical Center
facility: 
country: United States
responsible party type: Sponsor
mesh term: Colorectal Neoplasms
mesh term: Durvalumab
mesh term: Ipilimumab
mesh term: Tremelimumab
mesh term: Immunoglobulins
mesh term: Antibodies, Monoclonal
mesh term: Immunoglobulin G