Durvalumab: Durvalumab 1500 mg every 4 weeks \[q4w\] intravenously \[iv\] until clinical progression/ deterioration or confirmed radiological progression.
Placebo: Matching placebo for infusion every 4 weeks iv until clinical progression/deterioration or confirmed radiological progression
Study summary
This is a Phase III, randomised, double-blind, placebo-controlled, multicentre study assessing the efficacy and safety of durvalumab compared with placebo, as consolidation therapy in patients with locally advanced, unresectable, non-small cell lung cancer (Stage III), who have not progressed following definitive, platinum-based, chemoradiation therapy.
Eligibility
Sex
ALL
Min age
18 Years
Max age
130 Years
Healthy volunteers
No
Inclusion Criteria:
1. Age≥18 years
2. Documented NSCLC and present with locally advanced, unresectable (Stage III) disease;
3. Receipt of concurrent or sequential chemoradiation therapy,
4. No progression following definitive, platinum-based, concurrent or sequential chemoradiation therapy
5. World Health Organization (WHO) PS of 0 or 1;
6. No prior exposure to any anti CTLA-4, anti-PD-1, anti-PD-L1, or anti PD L2 antibodies, excluding therapeutic anticancer vaccines
7. Adequate organ and marrow function required
8. Life expectancy of at least 12 weeks
9. Tumor PD-L1 status, with the Ventana SP263 PD-L1 IHC assay determined by a reference laboratory, must be known prior to randomization.
10. Tumour sample requirements are as follows: Provision of a tumour tissue sample (newly acquired sample \<=3 months old is preferred, but an archived sample \<=6 months old is acceptable) in a quantity sufficient to allow for analysis.
Exclusion Criteria:
1. History of allogeneic organ transplantation, or another primary malignancy, or active primary immunodeficiency.
2. Active or prior documented autoimmune or inflammatory disorders
3. Uncontrolled intercurrent illness that would limit compliance with study requirement, substantially increase risk of incurring AEs, or compromise the ability of the patient to give written informed consent
4. Active infection including tuberculosis hepatitis B hepatitis C (HCV), or human immunodeficiency virus (positive human immunodeficiency virus \[HIV\] 1/2 antibodies).
5. Mixed small cell and NSCLC histology, sarcomatoid variant
6. Any unresolved toxicity National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Grade ≥2 from the prior chemoradiation therapy.
7. Receipt of live attenuated vaccine within 30 days prior to the first dose of IP.
8. Major surgical procedure (as defined by the Investigator) within 28 days prior to the first dose of IP.
Primary outcome measure(s)
Progression-Free Survival (PFS) (Modified Intent-to-Treat [mITT] Set) — Tumor scans performed at screening, every 8 weeks ±1 week up to 48 weeks, and then every 12 weeks ±1 week thereafter until confirmed PD. Assessed up to the DCO date 23-Jun-2024 (a maximum of approximately 2035 days) The PFS per Response Evaluation Criteria in Solid Tumors 1.1. (RECIST 1.1) using blinded independent central review (BICR) assessments was defined as the time from the date of randomization until the date of objective disease progression (PD) or death (by any cause in the absence of progression) regardless of whether the participant withdrew from therapy or received another anti-cancer therapy prior to progression. The PD was defined as at least a 20% increase in the sum of diameters of target lesions (TLs) and an absolute increase of \>=5 millimeters (mm), taking as reference the smallest sum of diameters since treatment started including the baseline sum of diameters. Median PFS was calculated using the Kaplan-Meier technique.
Trial sites (87)
Facility
City
Region
Status
Research Site
Beijing
China
Research Site
Beijing
China
Research Site
Beijing
China
Research Site
Beijing
China
Research Site
Bengbu
China
Research Site
Changchun
China
Research Site
Changchun
China
Research Site
Changsha
China
Research Site
Chengdu
China
Research Site
Chengdu
China
Research Site
Chengdu
China
Research Site
Chongqing
China
Research Site
Fuzhou
China
Research Site
Guangzhou
China
Research Site
Hangzhou
China
Research Site
Hangzhou
China
Research Site
Hangzhou
China
Research Site
Harbin
China
Research Site
Linhai
China
Research Site
Nanjing
China
Research Site
Nanning
China
Research Site
Ningbo
China
Research Site
Qingdao
China
Research Site
Shanghai
China
Research Site
Shanghai
China
Research Site
Shanghai
China
Research Site
Shenyang
China
Research Site
Ürümqi
China
Research Site
Wenzhou
China
Research Site
Wuhan
China
Research Site
Yangzhou
China
Research Site
Zhengzhou
China
Research Site
Zhengzhou
China
Research Site
Hong Kong
Hong Kong
Research Site
Bangalore
India
Research Site
Bengaluru
India
Research Site
Karamsad
India
Research Site
Kolkata
India
Research Site
Nashik
India
Research Site
Vadodara
India
+ 47 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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