MedPath

Durvalumab

Generic Name
Durvalumab
Brand Names
Imfinzi
Drug Type
Biotech
CAS Number
1428935-60-7
Unique Ingredient Identifier
28X28X9OKV
Background

Durvalumab is a human immunoglobulin G1 kappa (IgG1κ) monoclonal antibody and a novel immune-checkpoint inhibitor for cancer treatment. Produced by recombinant DNA technology in Chinese Hamster Ovary (CHO) cell suspension culture, durvalumab is a programmed death-ligand 1 (PD-L1) blocking antibody that works to promote normal immune responses that attack tumour cells.

Durvalumab is marketed under the brand name Imfinzi, which is available for intravenous injections. It was granted accelerated approval by the FDA in May 2017 for the treatment of selected patients with locally advanced or metastatic urothelial carcinoma. In September 2018, durvalumab was approved by the EMA for the treatment of adult patients with locally advanced, unresectable non-small cell lung cancer (NSCLC), only if PD-L1 is expressed in ≥ 1% of tumour cells and there was no observable disease progression following platinum-based chemoradiation therapy. On March 27, 2020, durvalumab was approved by the FDA for use in combination with etoposide and either carboplatin or cisplatin as first-line treatment of patients with extensive-stage small cell lung cancer (ES-SCLC).

Indication

Durvalumab is indicated for the treatment of adults with the following conditions:

Associated Conditions
Extensive-stage Small Cell Lung Cancer (SCLC), Locally Advanced Biliary Tract Cancer, Metastatic Biliary Tract Cancer, Metastatic Non-Small Cell Lung Cancer, Unresectable Hepatocellular Carcinoma (HCC), Unresectable Stage III Non-small Cell Lung Cancer, Unresectable, locally advanced PD-L1 positive Lung Cancer Non-Small Cell Cancer (NSCLC)
Associated Therapies
First Line Chemotherapy

Ivosidenib Plus Durvalumab and Gemcitabine/Cisplatin as First-Line Therapy in Participants With Locally Advanced or Metastatic Cholangiocarcinoma With an IDH1 Mutation

First Posted Date
2024-07-15
Last Posted Date
2025-04-08
Lead Sponsor
Institut de Recherches Internationales Servier
Target Recruit Count
52
Registration Number
NCT06501625
Locations
🇺🇸

Northwestern Medicine, Chicago, Illinois, United States

🇺🇸

Memorial Sloan Kettering Cancer Center, New York, New York, United States

🇺🇸

Gibbs Cancer Center, Spartanburg, South Carolina, United States

and more 24 locations

Immunotherapy After Surgery for People Who Have No Remaining Cancer Cells After Standard Treatment for Early-Stage Non-Small Cell Lung Cancer, INSIGHT Trial

Phase 3
Recruiting
Conditions
Lung Non-Small Cell Carcinoma
Stage IIIB Lung Cancer AJCC v8
Stage II Lung Cancer AJCC v8
Stage IIIA Lung Cancer AJCC v8
Interventions
Procedure: Biospecimen Collection
Procedure: Computed Tomography
Other: Patient Observation
Other: Questionnaire Administration
First Posted Date
2024-07-12
Last Posted Date
2025-05-21
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
306
Registration Number
NCT06498635
Locations
🇺🇸

NEA Baptist Memorial Hospital and Fowler Family Cancer Center - Jonesboro, Jonesboro, Arkansas, United States

🇺🇸

Hartford Hospital, Hartford, Connecticut, United States

🇺🇸

Midstate Medical Center, Meriden, Connecticut, United States

and more 42 locations

Durvalumab Combined With S-1 as Adjuvant Therapy of Resectable BTC

Phase 2
Active, not recruiting
Conditions
Biliary Tract Cancer
Interventions
First Posted Date
2024-07-08
Last Posted Date
2024-07-08
Lead Sponsor
Cancer Institute and Hospital, Chinese Academy of Medical Sciences
Target Recruit Count
40
Registration Number
NCT06490107
Locations
🇨🇳

Cancer Institute and Hospital, Chinese Academy of Medical Sciences, Beijing, China

IMPT Dose Escalation for NSCLC (HyDose)

Not Applicable
Not yet recruiting
Conditions
Carcinoma, Non-Small-Cell Lung
Interventions
Radiation: Standard-dose intensity-modulated proton therapy (IMPT-60)
Radiation: Dose-escalated intensity-modulated proton therapy (IMPT-74)
First Posted Date
2024-07-03
Last Posted Date
2024-07-03
Lead Sponsor
University Medical Center Groningen
Target Recruit Count
110
Registration Number
NCT06484491
Locations
🇳🇱

UMCG, Groningen, Netherlands

Palliative Hepatectomy Combined With Targeted Therapy and Immunotherapy for Advanced Hepatocellular Carcinoma

Phase 1
Recruiting
Conditions
Advanced Hepatocellular Carcinoma
Interventions
Procedure: Palliative Hepatectomy
First Posted Date
2024-06-24
Last Posted Date
2024-06-24
Lead Sponsor
Zhiyong Huang
Target Recruit Count
50
Registration Number
NCT06470256
Locations
🇨🇳

Tongji Hospital, Wuhan, Hubei, China

Phase 3 Study of T-DXd and Rilvegostomig Versus SoC in Advanced HER2-expressing Biliary Tract Cancer

Phase 3
Recruiting
Conditions
Biliary Tract Cancer
Interventions
Diagnostic Test: Agilent HercepTest™ mAb pharmDx
Diagnostic Test: Ventana PD-L1 SP263 assay
First Posted Date
2024-06-21
Last Posted Date
2025-04-30
Lead Sponsor
AstraZeneca
Target Recruit Count
620
Registration Number
NCT06467357
Locations
🇻🇳

Research Site, Vinh, Vietnam

AGNOSTIC THERAPY IN A PHASE II SINGLE-ARM STUDY IN FIRST-LINE TREATMENT OF DURVALUMAB IN ASSOCIATION WITH CARBOPLATIN OR CISPLATIN AND ETOPOSIDE IN PATIENTS AFFECTED BY EXTENSIVE STAGE - EXTRAPULMONARY SMALL CELL CARCINOMA

Phase 2
Recruiting
Conditions
Extrapulmonary Small Cell Carcinoma
Interventions
First Posted Date
2024-06-18
Last Posted Date
2024-06-18
Lead Sponsor
Gruppo Oncologico Italiano di Ricerca Clinica
Target Recruit Count
66
Registration Number
NCT06464068
Locations
🇮🇹

AUSL-IRCCS of Reggio Emilia, Reggio Emilia, Italy

Durvalumab + Intraductal Radiofrequency Ablation (ID-RFA) in Extrahepatic Cholangiocarcinoma

Phase 2
Not yet recruiting
Conditions
Unresectable Perihilar or Ductal CCA
Extrahepatic Cholangiocarcinoma
Interventions
First Posted Date
2024-06-04
Last Posted Date
2024-06-04
Lead Sponsor
Institut für Klinische Krebsforschung IKF GmbH at Krankenhaus Nordwest
Target Recruit Count
42
Registration Number
NCT06440993
Locations
🇩🇪

Krankenhaus Nordwest, Frankfurt, Germany

🇩🇪

Universitätsklinikum Düsseldorf, Düsseldorf, Germany

🇩🇪

Universitätsklinikum Köln, Köln, Germany

Phase II Study of the Combination of Durvalumab (MEDI4736) (PDL1 Inhibitor) and Olaparib (PARP Inhibitor) in Advanced Cholangiocarcinoma After Initial Chemotherapy and Durvalumab (BIL-PPP)

Phase 2
Recruiting
Conditions
Cholangiocarcinoma
Interventions
First Posted Date
2024-06-04
Last Posted Date
2025-01-15
Lead Sponsor
Australasian Gastro-Intestinal Trials Group
Target Recruit Count
40
Registration Number
NCT06441747
Locations
🇦🇺

Chris O'Brien Lifehouse, Camperdown, New South Wales, Australia

🇦🇺

Monash Medical Centre, Clayton, New South Wales, Australia

🇦🇺

Westmead Hospital, Westmead, New South Wales, Australia

and more 7 locations

Maintenance Durvalumab (MEDI4736) and Olaparib (AZD2281) After Standard 1st Line Treatment (Carboplatin/Cisplatin, Etoposide, Durvalumab) in HRD Positive Extensive Disease (ED) Small-cell Lung Cancer (SCLC)

Phase 2
Conditions
Small Cell Lung Carcinoma
Interventions
First Posted Date
2024-05-17
Last Posted Date
2025-05-20
Lead Sponsor
University of Cologne
Target Recruit Count
29
Registration Number
NCT06419179
Locations
🇩🇪

University Hospital Cologne, Cologne, North Rhine-Westphalia, Germany

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