Study of Durvalumab + Tremelimumab, Durvalumab, and Placebo in Limited Stage Small-Cell Lung Cancer in Patients Who Have Not Progressed Following Concurrent Chemoradiation Therapy
Tremelimumab: Tremelimumab IV (intravenous infusion)
Placebo: Placebo IV (intravenous infusion)
Study summary
This is a Phase III, Randomized, Double-blind, Placebo-controlled, Multi-center, International Study of Durvalumab or Durvalumab and Tremelimumab as Consolidation Treatment for Patients with LS-SCLC Who Have Not Progressed Following Concurrent Chemoradiation Therapy
Eligibility
Sex
ALL
Min age
18 Years
Max age
130 Years
Healthy volunteers
No
Inclusion criteria:
1. Histologically or cytologically documented limited-stage small cell lung cancer (stage I-III).
2. Received 4 cycles of chemotherapy concurrent with radiotherapy, which must be completed within 1 to 42 days prior to randomization and the first dose of IP. Chemotherapy must contain platinum and IV etoposide. Radiotherapy must be either total 60-66 Gy over 6 weeks for the standard QD regimen or total 45 Gy over 3 weeks for hyperfractionated BD schedules.
3. PCI may be delivered at the discretion of investigator and local standard of care, and must be conducted after the end of cCRT and completed between 1 to 42 days to first dose of IP.
4 .Have not progressed following definitive concurrent chemoradiation 5 .Life expectancy ≥ 12 weeks at Day 1. 6. ECOG 0 or 1 at enrolment.
Exclusion criteria:
1. Extensive-stage SCLC
2. Active or prior documented autoimmune or inflammatory disorders
3. Uncontrolled intercurrent illness, including but not limited to interstitial lung disease.
4. Active infection including tuberculosis, HIV, hepatitis B and C
5. Patients who received sequential chemotherapy and radiotherapy (no overlap of RT with chemotherapy)
Primary outcome measure(s)
Durvalumab Versus Placebo: Progression-Free Survival (PFS) Assessed by Blinded Independent Central Review (BICR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 — Response evaluations performed every 8 weeks (q8w) ± 1 week up to 72 weeks, then every 12 weeks (q12w) ± 1 week up to 96 weeks, and then every 24 weeks (q24w) thereafter until PD, up to DCO date 15 January 2024 (a maximum of approximately 1936 days) PFS per RECIST 1.1 assessed by BICR 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 anticancer therapy prior to progression. PD was defined as at least a 20% increase in the sum of diameters of target lesions (TLs), taking as reference the smallest previous sum of diameters (nadir) - this included the baseline sum if that was the smallest on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 millimeters (mm) from nadir. Median PFS was calculated using Kaplan-Meier method and its confidence interval (CI) using Brookmeyer-Crowley method.
Durvalumab Versus Placebo: Overall Survival (OS) — From date of randomization until death due to any cause, up to DCO date 15 January 2024 (a maximum of approximately 1936 days) OS was defined as the time from the date of randomization until death due to any cause. Median OS was calculated using Kaplan-Meier method and its CI using Brookmeyer-Crowley method.
Trial sites (183)
Facility
City
Region
Status
Research Site
Tucson
Arizona
Research Site
Santa Rosa
California
Research Site
New Haven
Connecticut
Research Site
Fort Myers
Florida
Research Site
Orange City
Florida
Research Site
St. Petersburg
Florida
Research Site
Marietta
Georgia
Research Site
Hines
Illinois
Research Site
Fort Wayne
Indiana
Research Site
Muncie
Indiana
Research Site
Lexington
Kentucky
Research Site
Annapolis
Maryland
Research Site
Baltimore
Maryland
Research Site
Towson
Maryland
Research Site
Boston
Massachusetts
Research Site
Detroit
Michigan
Research Site
Grand Rapids
Michigan
Research Site
Minneapolis
Minnesota
Research Site
Summit
New Jersey
Research Site
New Hyde Park
New York
Research Site
Chapel Hill
North Carolina
Research Site
Portland
Oregon
Research Site
Philadelphia
Pennsylvania
Research Site
Pittsburgh
Pennsylvania
Research Site
Sioux Falls
South Dakota
Research Site
Chattanooga
Tennessee
Research Site
Nashville
Tennessee
Research Site
Nashville
Tennessee
Research Site
Dallas
Texas
Research Site
Kennewick
Washington
Research Site
Tacoma
Washington
Research Site
Charleston
West Virginia
Research Site
Huntington
West Virginia
Research Site
Milwaukee
Wisconsin
Research Site
CABA
Argentina
Research Site
Ciudad de Buenos Aires
Argentina
Research Site
Córdoba
Argentina
Research Site
Mar del Plata
Argentina
Research Site
Rosario
Argentina
Research Site
Aalst
Belgium
+ 143 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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