Lung Cancer Clinical Trial
Durvalumab Alone or in Combination With Novel Agents in Subjects With NSCLC
Summary
The purpose of this study is to compare the clinical activity of durvalumab alone vs durvalumab in combination with novel agents. The overall study goal is early identification of novel durvalumab combinations that are more active than durvalumab alone in the treatment of patients with unresectable, Stage III NSCLC who have not progressed after cCRT.
Full Description
Study D9108C00001 (COAST) is a Phase 2, open-label, multicenter, randomized multidrug platform study assessing the efficacy and safety of durvalumab alone vs durvalumab in combination with novel agents in subjects with locally advanced, unresectable, Stage III non-small cell lung cancer (NSCLC).
Eligibility Criteria
Main Inclusion Criteria:
Written informed consent and any locally required authorization obtained from the subject prior to performing any protocol-related procedures, including screening evaluation
Age 18 years or older
Body weight ≥ 35 kg
Subjects must have histologically or cytologically documented NSCLC who present with locally advanced, unresectable, Stage III disease
Subjects must have completed, without progressing, definitive cCRT within 42 days prior to being randomized into the study:
Provision of tumor tissue sample, when available, from original diagnosis obtained before initiation of chemoradiotherapy
Life expectancy ≥ 12 weeks
Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
Subjects must have at least one previously irradiated tumor lesion that can be measured by RECIST v1.1
Main Exclusion Criteria:
Mixed small cell and non-small cell lung cancer histology
Current or prior use of immunosuppressive medication within 14 days before the first dose of study drug.
Prior exposure to any anti-PD1, anti-PD-L1, or anti-CTLA4 antibody for treatment of NSCLC
Subjects with history of ≥ Grade 2 pneumonitis from prior chemoradiation therapy
Subjects with a history of venous thrombosis within the past 3 months
Subjects with history of myocardial infarction, transient ischemic attack, or stroke in the past 6 months
Congestive heart failure
Active or prior documented autoimmune or inflammatory disorders
History of active primary immunodeficiency
Active infection including tuberculosis, hepatitis B, hepatitis C, or human immunodeficiency virus (HIV)
History of allogenic organ transplantation
QTcF interval ≥ 470 ms
History of another primary malignancy
Concurrent enrollment in another therapeutic clinical study or during the follow-up period of an interventional study. Enrollment in observational studies will be allowed
Females who are pregnant, lactating, or intend to become pregnant during their participation in the study
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There are 72 Locations for this study
Anaheim California, 92801, United States
Duarte California, 91010, United States
Sacramento California, 95825, United States
New Haven Connecticut, 06510, United States
West Haven Connecticut, 06516, United States
Washington District of Columbia, 20007, United States
Orlando Florida, 32804, United States
Winter Haven Florida, 33881, United States
Wichita Kansas, 67214, United States
Lexington Kentucky, 40503, United States
Louisville Kentucky, 40202, United States
Baton Rouge Louisiana, 70809, United States
Covington Louisiana, 70433, United States
Rosedale Maryland, 21237, United States
Lincoln Nebraska, 68510, United States
New York New York, 10029, United States
New York New York, 10065, United States
Portland Oregon, 97227, United States
Gettysburg Pennsylvania, 17325, United States
Lancaster Pennsylvania, 17601, United States
Philadelphia Pennsylvania, 19104, United States
Sioux Falls South Dakota, 57105, United States
Germantown Tennessee, 38138, United States
Memphis Tennessee, 38120, United States
Tyler Texas, 75701, United States
Salt Lake City Utah, 84112, United States
Richmond Virginia, 23230, United States
Tacoma Washington, 98405, United States
Edmonton Alberta, T6G 1, Canada
Toronto Ontario, M5G 2, Canada
Montreal Quebec, H4A 3, Canada
Bordeaux Cedex , 33076, France
Brest , 29609, France
Bron , 69677, France
Creteil , 94010, France
La Rochelle Cedex , 17019, France
Lille , 59037, France
Limoges Cedex , 87042, France
Lyon Cedex 04 , 69004, France
Marseille Cedex 20 , 13015, France
Nice , 06189, France
Pierre Benite , 69495, France
Rennes Cedex 9 , 35033, France
Strasbourg Cedex , 67085, France
Toulouse , 31059, France
Hong Kong , , Hong Kong
Jordan , , Hong Kong
Kowloon , , Hong Kong
Catania , 95125, Italy
Cremona , 26100, Italy
Milano , 20132, Italy
Milano , 20133, Italy
Padova , 35128, Italy
Palermo , 90127, Italy
Palermo , 90146, Italy
Ravenna , 48121, Italy
Siena , 53100, Italy
Gdynia , 81-51, Poland
Lodz , 90-15, Poland
Lodz , 90-24, Poland
Lisboa , 1400-, Portugal
Lisboa , 1500-, Portugal
Porto , 4099-, Portugal
Porto , 4200-, Portugal
A Coruña , 15006, Spain
Badajoz , 06008, Spain
Barcelona , 08035, Spain
Barcelona , 08041, Spain
Barcelona , 08916, Spain
Castelló de la Plana , 12002, Spain
Madrid , 28034, Spain
Málaga , 29010, Spain
Valencia , 46014, Spain
Chiayi , 61363, Taiwan
Taichung , 402, Taiwan
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