Lung Cancer Clinical Trial
A Global Study to Assess the Effects of MEDI4736 (Durvalumab), Given as Monotherapy or in Combination With Tremelimumab Determined by PD-L1 Expression Versus Standard of Care in Patients With Locally Advanced or Metastatic Non Small Cell Lung Cancer
Summary
This study is a Phase III, randomised, open label, multi-centre study assessing the efficacy and safety of MEDI4736 (durvalumab) versus Standard of Care in NSCLC patients with PD-L1 positive tumours and the combination of MEDI4736 (durvalumab) plus tremelimumab (MEDI4736+treme) versus Standard of Care in NSCLC patients with PD-L1-negative tumours in the treatment of male and female patients with locally advanced or metastatic NSCLC (Stage IIIB-IV), who have received at least 2 prior systemic treatment regimens including 1 platinum-based chemotherapy regimen for NSCLC. Patients with known EGFR (Epidermal growth factor receptor) tyrosine kinase (TK) activating mutations and anaplastic lymphoma kinase (ALK) rearrangements are not eligible for the study (prospective testing is not planned within this study). The Standard of Care options are: an EGFR tyrosine kinase inhibitor (erlotinib [TARCEVA®]), gemcitabine or vinorelbine (NAVELBINE®)
Full Description
The study has an umbrella design with 2 sub-studies: sub-study A (randomizing patients with PD-L1 positive tumours 1:1 into MEDI4736 (durvalumab) vs. Standard of Care) and sub-study B (randomizing patients with PD-L1 negative tumours 2:3:1:2 into MEDI4736 (durvalumab) vs. MEDI4736 (durvalumab) plus tremelimumab vs. tremelimumab vs. Standard of Care. The two substudies may have different durations of recruitment periods due to differences in patient population (PD-L1 expression). They may not run concurrently with start and completion of recruitment potentially occurring at different time points.
Eligibility Criteria
Inclusion Criteria:
Aged at least 18 years
Documented evidence of NSCLC (Stage IIIB/ IV disease)
Disease progression or recurrence after both a platinum-based chemotherapy regimen and at least 1 additional regimen for treatment of NSCLC
World Health Organization (WHO) Performance Status of 0 or 1
Estimated life expectancy more than 12 weeks
Exclusion Criteria:
Prior exposure to any anti-PD-1 or anti-PD-L1 antibody or anti-CTLA4
Brain metastases or spinal cord compression unless asymptomatic, treated and stable (not requiring steroids)
Active or prior documented autoimmune disease within the past 2 years
Evidence of severe or uncontrolled systemic disease, including active bleeding diatheses or active infections including hepatitis B, C and HIV
Any unresolved toxicity CTCAE (Common Terminology Criteria of Adverse Events) >Grade 2 from previous anti-cancer therapy
Known EGFR TK activating mutations or ALK rearrangements
Any prior Grade ≥3 immune-related adverse event (irAE) while receiving any previous immunotherapy agent, or any unresolved irAE >Grade 1
Active or prior documented inflammatory bowel disease (eg, Crohn's disease, ulcerative colitis)
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There are 200 Locations for this study
Chandler Arizona, 85224, United States
Anaheim California, 92801, United States
Duarte California, 91010, United States
La Jolla California, 92093, United States
San Diego California, 92123, United States
Aurora Colorado, 80045, United States
Fort Myers Florida, 33901, United States
Orlando Florida, 32804, United States
Port Saint Lucie Florida, 34952, United States
Saint Petersburg Florida, 33705, United States
Athens Georgia, 30607, United States
Atlanta Georgia, 30322, United States
Lawrenceville Georgia, 30046, United States
Chicago Illinois, 60612, United States
Waterloo Iowa, 50701, United States
Ashland Kentucky, 41101, United States
Rockville Maryland, 20850, United States
Battle Creek Michigan, 49017, United States
Saint Louis Missouri, 63156, United States
Lincoln Nebraska, 68506, United States
Bronx New York, 10461, United States
Mineola New York, 11501, United States
New York New York, 10011, United States
New York New York, 10029, United States
Charlotte North Carolina, 28204, United States
Pinehurst North Carolina, 28374, United States
Cincinnati Ohio, 45242, United States
West Chester Ohio, 45069, United States
Chattanooga Tennessee, 37404, United States
Germantown Tennessee, 38138, United States
Nashville Tennessee, 37203, United States
Salt Lake City Utah, 84106, United States
Spokane Washington, 99208, United States
Murdoch , 6150, Australia
Port Macquarie , 2444, Australia
Charleroi , 6000, Belgium
Gent , 9000, Belgium
Libramont-Chevigny , 6800, Belgium
Mons , 7000, Belgium
Roeselare , 8800, Belgium
Yvoir , 5530, Belgium
Pleven , 5800, Bulgaria
Sofia , 1330, Bulgaria
Sofia , 1407, Bulgaria
Varna , 9010, Bulgaria
Moncton New Brunswick, E1C 6, Canada
Saint John New Brunswick, E2L 4, Canada
Santiago , 75000, Chile
Santiago , 84203, Chile
Temuco , 48104, Chile
Nova Ves pod Plesi , 262 0, Czechia
Praha 2 , 128 0, Czechia
Praha 5 , 150 0, Czechia
Avignon Cedex 9 , 84918, France
Bayonne , 64100, France
Brest Cedex , 29609, France
Creteil , 94010, France
Le Mans , 72000, France
Marseille Cedex 20 , 13915, France
Montpellier Cedex , 34295, France
Nice , 06100, France
Pau Cedex , 64046, France
Saint Herblain , 44805, France
Toulon , 83100, France
Villejuif , 94800, France
Berlin , 10117, Germany
Berlin , 10967, Germany
Berlin , 12351, Germany
Dresden , 01307, Germany
Gauting , 82131, Germany
Halle , 06120, Germany
Hamburg , 22081, Germany
Hannover , 30625, Germany
Homburg , 66421, Germany
Köln , 51109, Germany
Löwenstein , 74245, Germany
Regensburg , 93053, Germany
Trier , 54290, Germany
Ulm , 89081, Germany
Villingen-Schwenningen , 78052, Germany
Athens , 11527, Greece
Thessaloniki , 54645, Greece
Thessaloniki , 57010, Greece
Hong Kong , , Hong Kong
Miskolc , 3529, Hungary
Törökbálint , 2045, Hungary
Zalaegerszeg , 8000, Hungary
Zalaegerszeg , 8900, Hungary
Tel Hashomer , 52621, Israel
Aviano , 33081, Italy
Candiolo , 10060, Italy
Catania , 95123, Italy
Cremona , 26100, Italy
Genova , 16100, Italy
Lucca , 55100, Italy
Milano , 20132, Italy
Milano , 20133, Italy
Milano , 20141, Italy
Monza , 20900, Italy
Napoli , 80131, Italy
Orbassano , 10043, Italy
Parma , 43100, Italy
Pisa , 56124, Italy
Rimini , 47900, Italy
Terni , 05100, Italy
Fukuoka-shi , 812-8, Japan
Habikino-shi , 583-8, Japan
Hidaka-shi , 350-1, Japan
Hirakata-shi , 573-1, Japan
Hirosaki-shi , 036-8, Japan
Hiroshima-shi , 730-8, Japan
Kanazawa , 920-8, Japan
Kobe-shi , 650-0, Japan
Kurume-shi , 830-0, Japan
Matsuyama-shi , 791-0, Japan
Nagoya-shi , 460-0, Japan
Nagoya-shi , 464-8, Japan
Nagoya-shi , 466-8, Japan
Natori-shi , 981-1, Japan
Okayama-shi , 700-8, Japan
Osaka-shi , 541-8, Japan
Osakasayama , 589-8, Japan
Sakai-shi , 591-8, Japan
Sapporo-shi , 003-0, Japan
Sapporo-shi , 060-8, Japan
Sendai-shi , 980-0, Japan
Shinjuku-ku , 160-0, Japan
Shinjuku-ku , 162-8, Japan
Sunto-gun , 411-8, Japan
Takatsuki-shi , 569-8, Japan
Wakayama-shi , 641-8, Japan
Yokohama-shi , 221-0, Japan
Yokohama-shi , 236-0, Japan
Busan , 49201, Korea, Republic of
Cheongju-si , 362-8, Korea, Republic of
Incheon , 405-7, Korea, Republic of
Jeonnam , 58128, Korea, Republic of
Seongnam-si , 13620, Korea, Republic of
Seoul , 02841, Korea, Republic of
Seoul , 05505, Korea, Republic of
Seoul , 06351, Korea, Republic of
Amsterdam , 1081 , Netherlands
Lublin , 20-36, Poland
Poznań , 60-56, Poland
Warszawa , 02-78, Poland
Alba Iulia , 51007, Romania
Baia Mare , 43003, Romania
Cluj Napoca , 40034, Romania
Cluj-Napoca , 40013, Romania
Onesti , 60104, Romania
Oradea , 41046, Romania
Timisoara , 30021, Romania
Arkhangelsk , 16304, Russian Federation
Omsk , 64401, Russian Federation
Saint Petersburg , 19775, Russian Federation
St. Petersburg , 19700, Russian Federation
St. Petersburg , 19702, Russian Federation
St. Petersburg , 19775, Russian Federation
Belgrade , 11000, Serbia
Belgrad , 11000, Serbia
Gornji Matejevac , 18204, Serbia
Kragujevac , 34000, Serbia
Sremska Kamenica , 21204, Serbia
Singapore , 11907, Singapore
Singapore , 16961, Singapore
Singapore , 30843, Singapore
A Coruña , 15006, Spain
Alicante , 03010, Spain
Barcelona , 08003, Spain
Barcelona , 08025, Spain
Girona , 17007, Spain
Jaén , 23007, Spain
Lleida , 25198, Spain
Madrid , 08035, Spain
Madrid , 28005, Spain
Madrid , 28007, Spain
Madrid , 28033, Spain
Madrid , 28046, Spain
Madrid , 28050, Spain
San Sebastian , 20014, Spain
Sevilla , 41013, Spain
Sevilla , 41071, Spain
Valencia , 46014, Spain
Valencia , 46026, Spain
Taichung , 40447, Taiwan
Taichung , 40705, Taiwan
Tainan , 704, Taiwan
Taipei City , 110, Taiwan
Taipei , 10002, Taiwan
Taipei , 112, Taiwan
Taipei , 116, Taiwan
Taipei , 235, Taiwan
Bangkok , 10330, Thailand
Muang , 50200, Thailand
Phitsanulok , 65000, Thailand
Songkla , 90110, Thailand
Birmingham , B15 2, United Kingdom
London , EC1A , United Kingdom
London , W1G 6, United Kingdom
Southampton , SO16 , United Kingdom
Stevenage , SG1 4, United Kingdom
Truro , TR1 3, United Kingdom
Wolverhampton , WV10 , United Kingdom
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