This is a randomized, open-label, multi-center Phase III study to determine the efficacy and safety of durvalumab versus platinum-based SoC chemotherapy in the first-line treatment of advanced NSCLC in patients who are epidermal growth factor receptor (EGFR) and anaplastic lymphoma kinase (ALK) wild-type and with PD-L1 high expression (PEARL)
Eligibility
Sex
ALL
Min age
18 Years
Max age
130 Years
Healthy volunteers
No
Inclusion Criteria
* Aged at least 18 years
* Documented evidence of Stage IV NSCLC
* No sensitizing EGFR mutation and ALK rearrangement
* PD-L1 high expression
* Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
Exclusion Criteria:
* Prior chemotherapy or any other systemic therapy for advanced NSCLC
* Prior exposure to immune-mediated therapy, including, but not limited to, other anti-cytotoxic T-lymphocyte-associated antigen 4 (CTLA-4), anti-programmed cell death1 (PD-1), anti-programmed cell death ligand 1 (PD-L1), or anti PD-L2 antibodies, excluding therapeutic anticancer vaccines
* Brain metastases or spinal cord compression unless the patient is stable and off steroids for at least 14 days prior to start of study treatment
* Mixed small-cell lung cancer and NSCLC histology, sarcomatoid variant
* Active or prior documented autoimmune or inflammatory disorders (e.g., colitis or Crohn's disease\]
Primary outcome measure(s)
Overall Survival (OS) — From date of randomization until death due to any cause. Assessed up to a maximum of approximately 69 months [data cut-off (DCO) 27 October 2022] OS is defined as the time from the date of randomization until death due to any cause (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.
OS in Participants With LREM — From date of randomization until death due to any cause. Assessed up to a maximum of approximately 69 months (DCO 27 October 2022) OS is defined as the time from the date of randomization until death due to any cause (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.
Trial sites (92)
Facility
City
Region
Status
Research Site
Anaheim
California
Research Site
Box Hill
Australia
Research Site
Gosford
Australia
Research Site
Kogarah
Australia
Research Site
St Leonards
Australia
Research Site
Beijing
China
Research Site
Beijing
China
Research Site
Beijing
China
Research Site
Bengbu
China
Research Site
Changchun
China
Research Site
Changsha
China
Research Site
Chengdu
China
Research Site
Chongqing
China
Research Site
Guangzhou
China
Research Site
Guangzhou
China
Research Site
Haikou
China
Research Site
Hangzhou
China
Research Site
Hangzhou
China
Research Site
Hangzhou
China
Research Site
Hangzhou
China
Research Site
Jinan
China
Research Site
Linhai
China
Research Site
Nanchang
China
Research Site
Nanjing
China
Research Site
Ningbo
China
Research Site
Shanghai
China
Research Site
Shenyang
China
Research Site
Shijiazhuang
China
Research Site
Ürümqi
China
Research Site
Ürümqi
China
Research Site
Wanzhou
China
Research Site
Wenzhou
China
Research Site
Wuhan
China
Research Site
Wuhan
China
Research Site
Wuhan
China
Research Site
Xi'an
China
Research Site
Xi'an
China
Research Site
Zhengzhou
China
Research Site
Zhuhai
China
Research Site
Budapest
Hungary
+ 52 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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