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A Global Study to Assess the Effects of Durvalumab + Domvanalimab Following Concurrent Chemoradiation in Participants With Stage III Unresectable NSCLC

Phase 3
Recruiting
Conditions
Non-Small Cell Lung Cancer
Interventions
Registration Number
NCT05211895
Lead Sponsor
AstraZeneca
Brief Summary

This is a Phase III, randomised, double-blind, placebo-controlled, multicentre, international study assessing the efficacy and safety of durvalumab (MEDI4736) and domvanalimab (AB154) compared with durvalumab plus placebo in adults with locally advanced (Stage III), unresectable NSCLC whose disease has not progressed following definitive platinum-based cCRT.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
860
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Arm B: Durvalumab + PlaceboPlaceboDurvalumab + placebo as an IV infusion q4w starting on Day 1 for up to a maximum of 12 months
Arm A: Durvalumab + DomvanalimabDurvalumabDurvalumab and domvanalimab as an IV infusion q4w, starting on Day 1 for up to a maximum of 12 months
Arm B: Durvalumab + PlaceboDurvalumabDurvalumab + placebo as an IV infusion q4w starting on Day 1 for up to a maximum of 12 months
Arm A: Durvalumab + DomvanalimabDomvanalimabDurvalumab and domvanalimab as an IV infusion q4w, starting on Day 1 for up to a maximum of 12 months
Primary Outcome Measures
NameTimeMethod
Progression Free Survival (PFS)Up to 8 years after randomization

Defined as time from randomisation until progression per RECIST 1.1 as assessed by Blinded Independent Central Review (BICR), or death due to any cause in participants with PD-L1 TC ≥ 50%.

Secondary Outcome Measures
NameTimeMethod
Progression Free Survival (PFS)Up to 8 years after randomization

Defined as time from randomisation until progression per RECIST 1.1 as assessed by Blinded Independent Central Review (BICR), or death due to any cause in participants with PD-L1 TC ≥ 1%

Objective Response Rate (ORR)Approximately 8 years after randomization

Objective Response Rate (ORR) per RECIST 1.1 as assessed by BICR

Duration of Response (DoR)Approximately 8 years after randomization

Duration of Response (DoR) using BICR assessment according to RECIST 1.1

Time from randomization to second progression (PFS2)Approximately 8 years after randomization

Time from randomization to second progression (PFS2)

Time to first subsequent therapy (TFST)Approximately 8 years after randomization

Time to first subsequent therapy (TFST)

Time to deterioration in pulmonary symptoms (TTFCD)Approximately 8 years after randomization

Time to deterioration in pulmonary symptoms (TTFCD)

PFS investigatorUp to 8 years after randomization

Defined as time from randomisation until progression per RECIST 1.1 as assessed by Investigator or death due to any cause in participants

Overall Survival (OS)Approximately 8 years after randomization

Overall Survival (OS)

Concentration of Durvalumab and DomvanalimabApproximately 12 weeks after last IP dose

The pharmacokinetics (PK) of Durvalumab and Domvanalimab as determined by concentration

PFS6, PFS12, PFS18, PFS24Approximately 6, 12, 18 and 24 months after randomization

PFS at 6, 12, 18 and 24 months (proportion per Kaplan-Meier)

Anti-Drug Antibodies (ADAs)Approximately 12 weeks after last IP dose.

The immunogenicity of Durvalumab and domvanalimab as assessed by presence of Anti-Drug Antibodies (ADAs)

Time from randomization to first date of distant metastasis or death (TTDM)Approximately 8 years after randomization

Time from randomization until the first date of distant metastasis or death in the absence of distant metastasis (TTDM).

OS 24Approximately 24 months after randomization

Overall Survival (OS) at 24 months

Trial Locations

Locations (1)

Research Site

🇬🇧

Nottingham, United Kingdom

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