This is a randomized, open-label, multi-center, global, Phase III study to determine the efficacy and safety of durvalumab + tremelimumab combination therapy versus platinum-based SoC chemotherapy in the first-line treatment of patients with epidermal growth factor receptor (EGFR) and anaplastic lymphoma kinase (ALK) wild-type advanced or metastatic NSCLC.
Eligibility
Sex
ALL
Min age
18 Years
Max age
130 Years
Healthy volunteers
No
Inclusion Criteria:
For inclusion in the study, patients should fulfill the following criteria:
* Aged at least 18 years
* Documented evidence of Stage IV NSCLC
* No activating EGFR mutation or ALK rearrangement
* No prior chemotherapy or any other systemic therapy for recurrent/metastatic NSCLC
* World Health Organization (WHO) Performance Status of 0 or 1
* No Prior exposure to Immune Mediated Therapy (IMT), including, but not limited to, other antiCTLA4, antiPD1, anti PDL1,or antiPDL2 antibodies, excluding therapeutic anticancer vaccines
Exclusion Criteria:
Patients should not enter the study if any of the following exclusion criteria are fulfilled:
* Mixed small cell lung cancer and NSCLC histology, sarcomatoid variant
* Brain metastases or spinal cord compression unless the patient is stable (asymptomatic; no evidence of new or emerging brain metastases) and off steroids for at least 14 days prior to start of study treatment.
* Active or prior documented autoimmune or inflammatory disorders (e.g., Crohn's disease, ulcerative colitis)
Primary outcome measure(s)
Overall Survival (OS); Global Cohort: Blood Tumor Mutational Burden (bTMB) ≥20 Mutations Per Megabase (Mut/Mb) Analysis Set — From baseline (Day 1, Week 0) until death due to any cause, assessed up to the Global cohort DCO date (a maximum of approximately 44 months). The OS was defined as the time from the date of randomization until death due to any cause (ie, date of death or censoring - date of randomization + 1). Any participant not known to have died at the time of analysis was censored based on the last recorded date on which the participant was known to be alive. Median OS was calculated using the Kaplan-Meier technique.
OS; China Cohort: China Programmed Cell Death Ligand 1 (PD-L1) Negative NSCLC Analysis Set — From baseline (Day 1, Week 0) until death due to any cause, assessed up to the China cohort DCO date (a maximum of approximately 44 months). The OS was defined as the time from the date of randomization until death due to any cause (ie, date of death or censoring - date of randomization + 1). Any participant not known to have died at the time of analysis was censored based on the last recorded date on which the participant was known to be alive. Median OS was calculated using the Kaplan-Meier technique.
Trial sites (210)
Facility
City
Region
Status
Research Site
Anaheim
California
Research Site
San Diego
California
Research Site
Santa Rosa
California
Research Site
Louisville
Kentucky
Research Site
Florham Park
New Jersey
Research Site
Albuquerque
New Mexico
Research Site
East Setauket
New York
Research Site
Fresh Meadows
New York
Research Site
Poughkeepsie
New York
Research Site
Stony Brook
New York
Research Site
Canton
Ohio
Research Site
Columbus
Ohio
Research Site
Zanesville
Ohio
Research Site
Pittsburgh
Pennsylvania
Research Site
Houston
Texas
Research Site
Berazategui
Argentina
Research Site
CABA
Argentina
Research Site
Ciudad de Buenos Aires
Argentina
Research Site
Córdoba
Argentina
Research Site
La Rioja
Argentina
Research Site
Rosario
Argentina
Research Site
San Salvador de Jujuy
Argentina
Research Site
Santa Rosa
Argentina
Research Site
Barretos
Brazil
Research Site
Belo Horizonte
Brazil
Research Site
Belo Horizonte
Brazil
Research Site
Fortaleza
Brazil
Research Site
Ijuí
Brazil
Research Site
Itajaí
Brazil
Research Site
Porto Alegre
Brazil
Research Site
Porto Alegre
Brazil
Research Site
Porto Alegre
Brazil
Research Site
São José do Rio Preto
Brazil
Research Site
São Paulo
Brazil
Research Site
São Paulo
Brazil
Research Site
São Paulo
Brazil
Research Site
São Paulo
Brazil
Research Site
Plovdiv
Bulgaria
Research Site
Shumen
Bulgaria
Research Site
Sofia
Bulgaria
+ 170 more sites — see the full list on the official registry below.
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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