Non-Small Cell Lung CancerPhase 3NCT02273375
Double Blind Placebo Controlled Controlled Study of Adjuvant MEDI4736 In Completely Resected NSCLC
A Phase 3 study testing MEDI4736 in people with Non-Small Cell Lung Cancer, run by Canadian Cancer Trials Group at 271 sites in 19 countries.
Trial summary
The purpose of this study is to find out whether it is better to receive a new drug, MEDI4736, or better to receive no further treatment after surgery (and possibly chemotherapy) for lung cancer. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Non-Small Cell Lung Cancer
- What is being tested?
- MEDI4736
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,415 participants
- Where
- 271 sitesin 19 countries
- Study dates
- 24 Feb 2015to 1 Sep 2026
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Histologically confirmed diagnosis of primary non-small cell carcinoma of the lung. according to WHO Classification of Tumours (WHO Classification of Tumours of the Lung, Pleura, Thymus and Heart. WHO/IARC Classification of Tumours, 4th Edition, Volume 7). Patients with large-cell neuroendocrine carcinomas are not eligible.
- Patients must be classified post-operatively as Stage IB (≥ 4cm in the longest diameter), II or IIIA on the basis of pathologic criteria. Note: Although T3N2M0 tumours have been reclassified to stage IIIB in the 8th edition of the IASLC staging system, these patients remain eligible (as stage IIIA under the 7th edition criteria).
- Complete surgical resection of the primary NSCLC is also mandatory. All gross disease must have been removed at the end of surgery. All surgical margins of resection must be negative for tumour. Resection may be accomplished by open or VATS techniques
- Note: Patients with synchronous primary tumours will not be eligible due to the potential uncertainty regarding their appropriate PD-L1 status.
- Prior Systemic Therapy:
- Pre-operative (neo-adjuvant) platinum based or other chemotherapy is not permissible.
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- Patients may have received prior post-operative platinum based chemotherapy as per standard of care.
- No prior anticancer therapy for treatment of NSCLC other than standard post-operative adjuvant chemotherapy is permissible.
- Radiation:
- Patients with N2 disease only who receive adjuvant post-operative radiation therapy are eligible provided they meet the protocol specified timing criteria for surgery, adjuvant chemotherapy and randomization. Pre-operative radiation therapy is not permissible.
- The patient must have an ECOG performance status of 0, 1.
- Hematology: . Absolute neutrophil count ≥ 1.5 x 109/L or ≥ 1,500/µl Platelets ≥ 100 x 109/L or ≥ 100,000/µl
- Biochemistry:
- Total bilirubin ≤ institutional upper limit of normal Alkaline phosphatase ≤ 2.5 x institutional upper limit of normal AST(SGOT) and ALT(SGPT) ≤ 2.5 x institutional upper limit of normal Creatinine Clearance ≥ 40 ml/min
- excluding Gilbert's syndrome
- Creatinine clearance to be measured directly by 24 hour urine sampling or as calculated by Cockcroft Formula:
- Females: GFR = 1.04 x (140-age) x weight in kg serum creatinine in μmol/L Males: GFR = 1.23 x (140-age) x weight in kg serum creatinine in μmol/L
- Patient able and willing to complete the QoL, economics and other questionnaires. The baseline assessment must already have been completed within required timelines prior to randomization. Inability (illiteracy, loss of sight, or other equivalent reason) to complete the questionnaires will not make the patient ineligible for the study. However, ability but unwillingness to complete the questionnaires will make the patient ineligible
- Patient consent must be appropriately obtained in accordance with applicable local and regulatory requirements. Each patient must sign a consent form prior to enrollment in the trial to document their willingness to participate
- Patients must be accessible for treatment and follow-up. Investigators must assure themselves the patients randomized on this trial will be available for complete documentation of the treatment, adverse events, and follow-up
- Protocol treatment is to begin within 2 working days of patient randomization
Who cannot join
- Patients with a history of other malignancies, except:
- adequately treated non-melanoma skin cancer,
- curatively treated in-situ cancer, or
- other malignancies curatively treated with no evidence of disease for ≥ 5 years following the end of treatment and which, in the opinion of the treating physician, do not have a substantial risk of recurrence of the prior malignancy.
- A combination of small cell and non-small cell lung cancer, pulmonary carcinoid tumour or large-cell neuroendocrine carcinoma (LCNEC).
- History of autoimmune disease, including but not limited to myasthenia gravis, myositis, autoimmune hepatitis, systemic lupus erythematosus, rheumatoid arthritis, inflammatory bowel disease, vascular thrombosis associated with antiphospholipid syndrome, Wegener's granulomatosis, Sjögren's syndrome, Guillain-Barré syndrome, multiple sclerosis, vasculitis, or glomerulonephritis. NOTE: patients with Grave's disease and/or psoriasis not requiring systemic therapy within the last two years from randomization and patients with hypothyroidism (e.g. following Hashimoto syndrome) stable on hormone replacement are not excluded.
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- History of primary immunodeficiency, history of allogenic organ transplant that requires therapeutic immunosuppression and the use of immunosuppressive agents within 28 days of randomization* or a prior history of severe (grade 3 or 4) immune mediated toxicity from other immune therapy.
- Live attenuated vaccination administered within 30 days prior to randomization.
- History of hypersensitivity to MEDI4736 or any excipient.
- Patients who have experienced untreated and/or uncontrolled cardiovascular conditions and/or have symptomatic cardiac dysfunction (unstable angina, congestive heart failure, myocardial infarction within the previous year or cardiac ventricular arrhythmias requiring medication, history of 2nd or 3rd degree atrioventricular conduction defects). Patients with a significant cardiac history, even if controlled, must have a LVEF > 50% within 12 weeks prior to randomization.
- Concurrent treatment with other investigational drugs or anti-cancer therapy.
- Patients with active or uncontrolled infections or with serious illnesses or medical conditions which would not permit the patient to be managed according to the protocol. This includes but is not limited to:
- known clinical diagnosis of tuberculosis;
- known active hepatitis B infection (positive HBV surface antigen (HBsAg)). Patients with a past or resolved hepatitis B infection (defined as presence of hepatitis B core antibody (anti-HBc) and absence of HBSAg) are eligible;
- known active hepatitis C infection. Patients positive for hepatitis C (HCV) antibody are eligible only if polymerase chain reaction is negative for HCV RNA;
- known human immunodeficiency virus infection (positive HIV antibodies).
- known pneumonitis or pulmonary fibrosis with clinically significant impairment of pulmonary function
- Pregnant or lactating women. Women of childbearing potential must have a urine pregnancy test proven negative within 14 days prior to randomization. Men and women of child-bearing potential must agree to use adequate contraception.
Trial locations and contacts
271 sites in 19 countries.
271 sites in 19 countries
France54 sites
CHU - Angers
Angers, 49033
Centre Hospitalier - Avignon
Avignon, 84000
Institut Sainte Catherine
Avignon, 84000
Bayonne - Centre Hospitalier
Bayonne, 64100
Hopital Jean Minjoz
Besançon, 25030
Hopital Avicenne
Bobigny, CEDEX 93009
Polyclinique Bordeaux Nord
Bordeaux, 33077
Boulogne - Ambroise Pare
Boulogne, 92104
Caen - CHU
Caen, 14000
Centre Hospitalier de Chambery
Chambéry, 73000
Centre Hospitalier de Cholet
Cholet, 49325
HIA Percy
Clamart, 92141
Clermont-Ferrand - CHU
Clermont-Ferrand, 63003
Hopital Louis Pasteur
Colmar, 68024
Annemasse - Centre Hospitalier Alpes Leman
Contamine-sur-Arve, 74130
Centre Hospitalier Sud Francilien
Corbeil-Essonnes, 91100
Centre Hospitalier Intercommunal de Creteil
Créteil, 94000
CHU Hopital du Bocage
Dijon, 21079
Centre Hospitalier Intercommunal - Elbeuf
Elbeuf, 76503
Hopital Albert Michallon
Grenoble, Cedex 9, 38043
Centre Hospitalier departemental
La Roche-sur-Yon, 85925
Versailles - CH Andre Mignot
Le Chesnay, 78157
Centre Hospitalier du Mans
Le Mans, 72037
Lille - Hopital Calmette
Lille, 59037
Hopital de la Croix-Rousse
Lyon, Cedex 04, 69317
Centre Hospitalier Lyon Sud
Lyon, 69495
Centre Hospitalier les Chanaux
Mâcon, 71018
CRLCC - Paoli-Calmette
Marseille, BP, 156
Hopital Europeen
Marseille, 13291
Marseille - Hopital Nord
Marseille, 13915
CH de la Region d'Annecy
Metz-Tessy, 74370
Centre hospitalier universitaire de Montpellier
Montpellier, Cedex 05, 34295
Centre Hospitalier de Mulhouse
Mulhouse, 68070
Centre Antoine Lacassagne - Nice
Nice, 06189
Centre Hospitalier Regional Hopital de la Source
Orléans, 45000
AP-HP Hopital Tenon
Paris, Cedex 20, 75970
Hopital Saint Louis
Paris, 75010
Fondation Hopital Saint Joseph
Paris, 75014
Paris - HEGP
Paris, 75015
Paris - Institut Curie
Paris, 75248
Hopital Bichat
Paris, 75877
Centre Hospitalier General de Pau
Pau, 64000
Centre Hospitalier de Perigueux
Périgueux, 24019
Centre Hospitalier Rene Dubos
Pontoise, 95301
CHU de Rouen
Rouen, 76031
Institut de Cancerologie de la Loire
Saint-Priest-en-Jarez, 42271
Centre Hospitalier de Saint-Quentin
Saint-Quentin, 02100
Nouvel Hopital Civil Hopitaux
Strasbourg, 67091
Suresnes - Foch
Suresnes, 92151
Thonon-les-Bains - Hopital Georges Pianta
Thonon-les-Bains, 74203
CHITS Toulon Sainte Musse
Toulon, 83056
Hopital Larrey
Toulouse, 31059
CHRU de Tours - Hopital Bretonneau
Tours, Tours Cedex 9, 37044
Villefranche sur Saone - CH
Villefranche-sur-Saône, 69655
Canada33 sites
BCCA - Abbotsford Centre
Abbotsford British Columbia, British Columbia, V2S 0C2
Tom Baker Cancer Centre
Calgary, Alberta, T2N 4N2
PEI Cancer Treatment Centre
Charlottetown, Prince Edward Island, C1A 8T5
Cross Cancer Institute
Edmonton, Alberta, T6G 1Z2
Health Sciences North
Greater Sudbury, Ontario, P3E 5J1
QEII Health Sciences Centre
Halifax, Nova Scotia, B3H 1V7
Juravinski Cancer Centre at Hamilton Health Sciences
Hamilton, Ontario, L8V 5C2
Kingston Health Sciences Centre
Kingston, Ontario, K7L 2V7
Study site
Lévis, Quebec, G6V 3Z1
London Regional Cancer Program
London, Ontario, N6A 5W9
The Moncton Hospital
Moncton, New Brunswick, E1C 6Z8
CHUM-Centre Hospitalier de l'Universite de Montreal
Montreal, Quebec, H2X 3E4
The Jewish General Hospital
Montreal, Quebec, H3T 1E2
The Research Institute of the McGill University
Montreal, Quebec, H4A 3J1
Centre Integre Universitaire De Sante Et De Services
Montreal, Quebec, H4J 1C5
Stronach Regional Health Centre at Southlake
Newmarket, Ontario, L3Y 2P9
Lakeridge Health Oshawa
Oshawa, Ontario, L1G 2B9
Ottawa Hospital Research Institute
Ottawa, Ontario, K1H 8L6
University Institute of Cardiology and
Québec, Quebec, G1V 4G5
Allan Blair Cancer Centre
Regina, Saskatchewan, S4T 7T1
Regional Health Authority B, Zone 2
Saint John, New Brunswick, E2L 4L2
Saskatoon Cancer Centre
Saskatoon, Saskatchewan, S7N 4H4
Algoma District Cancer Program
Sault Ste. Marie, Ontario, P6B 0A8
Niagara Health System
St. Catharines, Ontario, L2S 0A9
Dr. H. Bliss Murphy Cancer Centre
St. John's, Newfoundland and Labrador, A1B 3V6
BCCA - Fraser Valley Cancer Centre
Surrey, British Columbia, V3V 1Z2
Thunder Bay Regional Health Sciences Centre/Thunder
Thunder Bay, Ontario, P7B 6V4
Humber River Hospital
Toronto, Ontario, M3M 0B2
Odette Cancer Centre
Toronto, Ontario, M4N 3M5
Sinai Health System
Toronto, Ontario, M5G 1X5
University Health Network
Toronto, Ontario, M5G 2M9
BCCA - Vancouver Cancer Centre
Vancouver, British Columbia, V5Z 4E6
CancerCare Manitoba
Winnipeg, Manitoba, R3E 0V9
Japan28 sites
Chiba University Hospital
Chiba, Chiba, 260-8677
National Hospital Organization Kyushu Medical Center
Fukuoka, Fukuoka, 810-8563
Kyushu University Hospital
Fukuoka, Fukuoka, 812-8582
Gifu Univiesity Hospital
Gifu, Gifu, 501-1194
Kansai Medical University Hospital
Hirakata, Osaka, 573-1191
Hiroshima City Hiroshima Citizens Hospital
Hiroshima, Hiroshima, 730-8518
Hiroshima University Hospital
Hiroshima, 734-8551
Kanazawa University Hospital
Kanazawa, Ishikawa-ken, 920-8641
National Cancer Center Hospital East
Kashiwa, Chiba, 277-8577
Hospital of the University of Occupational and
Kitakyushu, Fukuoka, 807-8556
Koube University Hospital
Kobe, Hyōgo, 650-0017
Kurashiki Central Hospital
Kurashiki, Okayama-ken, 710-8602
National Hospital Organization Kure Medical Center
Kure, Hiroshima, 737-0023
Gunma University Hospital
Maebashi, Gunma, 371-8511
National Hospital Organization Shikoku Cancer Center
Matsuyama, Ehime, 791-0280
Japanese Red Cross Nagoya Daiichi Hospital
Nagoya, Aichi-ken, 453-8511
Nagoya University Hospital
Nagoya, Aichi-ken, 466-8560
Hyogo College of Medicine
Nishinomiya-shi, Hyōgo, 663-8501
Osaka City General Hospital
Osaka, Osaka, 534-0021
Osaka International Cancer Institute
Osaka, Osaka, 537-8511
Kinki University Hospital Faculty of Medicine
Ōsaka-sayama, Osaka, 589-8511
National Hospital Organization Kinki-Chuo
Sakai, Osaka, 591-8555
Sendai Kousei Hospital
Sendai, Miyagi, 980-0873
Juntendo University Hospital
Tokyo, Tokyo, 113-8431
Tokyo Medical University Hospital
Tokyo, Tokyo, 160-0023
National Hospital Organization Yamaguchi
Ube, Yamaguchi, 755-0241
Kanagawa Cancer Center
Yokohama, 241-0815
Tottori University Hospital
Yonago, Tottori, 683-8504
Australia27 sites
Royal Adelaide Hospital
Adelaide, South Australia, 5000
Flinders Medical Center
Adelaide, 5042
Sunshine Coast University Hospital
Birtinya, Queensland, 4575
Princess Alexandra Hospital
Brisbane, Queensland, 4102
Mater Medical Centre
Brisbane, South, QLD, 4101
Campbelltown Hospital
Campbelltown, New South Wales, 2560
Chris O'Brien Lifehouse
Camperdown, New South Wales, 2050
The Prince Charles Hospital
Chermside, Queensland, 4032
Monash Medical Centre
Clayton, Victoria, 3168
Coffs Habour Health Campus - NCCI
Coffs Harbour, New South Wales, 2450
Frankston Hospital - Peninsula Oncology Centre
Frankston, Victoria, 3199
Canberra Hospital
Garran, ACT 2605
Gosford Hospital
Gosford, New South Wales, 2250
Austin Hospital
Heidelberg, Victoria, 3084
Royal Hobart Hospital
Hobart, Tasmania, 7000
Nepean Hospital
Kingswood, New South Wales, 2751
St. George Hospital, Cancer Care Centre
Kogarah, New South Wales, 2217
Liverpool Cancer Therapy Centre, Liverpool Hospital
Liverpool, New South Wales, 2170
Fiona Stanley Hospital
Murdoch, Western Australia, 6150
Royal Melbourne Hospital Research Foundation
Parkville, Victoria, 3050
Sir Charles Gairdner Hospital
Perth, Western Australia, 6009
Epworth HealthCare - Richmond
Richmond, Victoria, 3121
Northern Cancer Institute St Leonards
St Leonards, New South Wales, 2065
St John of God Subiaco
Subiaco, Western Australia, 6008
St. Vincent's Hospital
Victoria Park, Victoria Park, 3065
Westmead Hospital
Westmead, New South Wales, 2145
Border Medical Oncology
Wodonga, Victoria, 3690
Italy27 sites
Azienda Ospedaliera San Giuseppe Moscati
Avellino, AV, 83100
Centro di Riferimento Oncologico - CRO
Aviano, PN, 33081
IRCCS Ospedale Oncologico Giovanni Paolo II
Bari, BA, 70124
U.O. di Oncologia Medica Azienda Ospedaliera G Rummo
Benevento, 82100
PO A Perrino ASL Brindisi - UOC Oncologia Medica
Brindisi, 72100
AOU Policlinico Vittorio Emanuele UOC di Oncologia
Catania, Catania, 95125
U.O. di Oncologia Ospedale Villa Scassi
Genova, 16149
Intstituto Scientifico Romangnolo
Meldola, 47014
Ospedale S. Paolo - U.O. di Oncologia Medica
Milan, MI, 20142
European Institute of Oncology
Milan, 20141
U.O.C. di Oncologia U.L.S.S. 13
Mirano, 30035
Azienda Ospedaliera di Rilievo Nazionale
Naples, 80131
Dott. Fortunato Ciardiello,Cattedra Oncologia Medica
Naples, 80131
Unita Sperimentazioni Cliniche Istituto per lo
Naples, 80131
Universita Federico II UOC Oncologia Medica
Naples, 80131
UOC Oncologia Medica II Instituto Oncologio Veneto
Padova, 35128
Fondazione Salvatore Maugeri Oncologia Medica
Pavia, PV, 27100
Azienda Ospedaliera di Perugia Santa Maria
Perugia, PG, 06129
Azienda USL di Piacenza, Ospedale Gugliemimo Salieto
Piacenza, 29100
OUC Oncologia Medica - Presidio Ospedaliero
Ravenna, RA, 48121
Oncologia Medica IRCCS Arcispedale Maria
Reggio Emilia, RE, 42123
Istituti Fisioterapici Ospitalieri IFO Istituto
Rome, RM, 00144
Azienda Ospedaliera S. Camillo-Forlanin
Rome, 00152
Instituto Clinico Humanitas
Rozzano (MI), Lombardy, 20089
A.O. Busto Arsizio - P.O. Saronno
Saronno, VA, 21047
AOU Ospedali Riuniti Umberto I
Torrette, AN, 60126
AOU Integrata Verona Policlinico GB
Verona, VR, 37134
China17 sites
Beijing Cancer Hospital
Beijing, Beijing Municipality, 100142
The Second Xiangya Hospital of Central South Univer
Changsha, Hunan, 410011
Fujian Province Cancer Hospital
Fuzhou, Fujian, 350014
Guangdong General Hospital
Guangzhou, Guangdong, 510080
Sir run run shaw hospital School of Medicine
Hangzhou, Zhejiang, 310016
Shandong Cancer Hospital
Jinan, Shandong, 250000
Yunnan Provincial Cancer Hospital
Kunming, Yunnan, 650118
Nanjing General Hospital
Nanjing, Jiangsu, 210002
The People Hospital of Guangxi Zhuang Autonomous Reg
Nanning, Guangxi, 530021
The Affiliated Hospital Of Qingdao University
Qingdao, Shandong, 266003
Zhongshan Hospital Fudan University
Shanghai, Shanghai Municipality, 200032
The Second Affiliated Hosp of Shantou Medical Colleg
Shantou, Guangdong, 515041
The Affiliated Hospital Of Xuzhou Medical College
Xuzhou, Jiangsu, 221000
Xuzhou Central Hospital
Xuzhou, Jiangsu, 221000
Northern Jiangsu People Hospital
Yangzhou, Jiangsu, 225000
The First People Hospital of Yueyang
Yueyang, Hunan, 414000
Henan province Cancer Hospital
Zhengzhou, Henan, 450008
Spain17 sites
Hospital Teresa Herrera
A Coruña, Coruna, 15006
Hospital General de Alicante
Alicante, Alicante, 03010
Hospital Germans Trias i Pujol
Badalona, Barcelona, 08916
Hoapital Quiron Dexeus
Barcelona, Barcelona, 08028
Hospital Vall d Hebron
Barcelona, Barcelona, 08035
Hospital de la Santa Creu i Sant Pau
Barcelona, Barcelona, 08041
Hospital Duran i Reynals
Barcelona, Barcelona, 08907
Hospital Insular de Gran Canaria
Las Palmas, Gran Canaria, 35016
Complejo Asistencial Universitario de Leon
León, Leon, 24071
Hospital Universitario la Princesa
Madrid, Madrid, 28006
Hospital Puerta de Hierro
Madrid, Madrid, 28035
Fundacion Jimenez Diaz
Madrid, Madrid, 28040
Hospital Clinico San Carlos
Madrid, Madrid, 28040
Hospital Son Llatzer
Palma de Mallorca, Palma de Mallorca, 07198
Hospital Universitario de Salamanca
Salamanca, Salamanca, 37007
Hospital Mutua de Terrassa
Terrassa, Barcelona, 08221
Hospital General Universitario de Valencia
Valencia, Valencia, 46014
Taiwan11 sites
Chang-Gung Memorial Hospital - Chiayi
Chiayi City, Taiwan, 613
Kaohsiung Medical University
Kaohsiung, Taiwan, 807
Chang-Gung Memorial Hospital - Kaohsiung
Kaohsiung, Taiwan, 833
E-Da Hospital
Kaohsiung City, Taiwan, 82445
Taipei Medical University - Shuang Ho Hospital
New Taipei City, Taiwan, 235
Far Eastern Memorial Hospital
New Taipei City;, Taiwan, 220
China Medical University Hospital
Taichung, 404
Mackay Memorial Hospital
Taipei, Taiwan, 104
Veterans General Hospital - Taipei
Taipei, Taiwan, 112
Tri-Service General Hospital
Taipei, 114
Chang-Gung Memorial Hospital - Linkou
Taoyuan, Taiwan, 333
Brazil10 sites
Cetus Hospital Dia Oncologia
Belo Horizonte, Minas Gerais, 30110-022
Instituto Tacchini de Pesquisa em Saude
Bento Gonçalves, Rio Grande do Sul, 95700068
Hospital Evangelico de Cachoeiro de Itapemirim
Cachoeiro de Itapemirim, Espírito Santo, 29308020
Suporte Nutricional e Quimioterapia LTDA PRONUTRIR
Fortaleza, Ceará, 60810180
Clinica de Neoplasias Litoral
Itajaí, Santa Catarina, 88301220
Liga Norte Riograndense Contra o Cancer
Natal, Rio Grande do Norte, 59075740
Centro de Oncologia e Radioterapia (COR) Mae de Deus
Porto Alegre, Rio Grande do Sul, 90110270
Instituto Nacional de Cancer (INCA)
Rio de Janeiro, Rio de Janeiro, 20231050
Fundacao Faculdade Regional de Medicina
São José do Rio Preto, São Paulo, 15090-000
Faculdade de Medicina do ABC
São Paulo, Santo Andre, 09060870
United States9 sites
National Jewish Health
Denver, Colorado, 80206
Hematology and Oncology Associates of NEPA
Dunmore, Pennsylvania, 18512
Duke University Medical Center
Durham, North Carolina, 27710
University of Florida
Gainesville, Florida, 32610-0277
Banner MD Anderson Cancer Center
Gilbert, Arizona, 85234
USC Norris/Comprehensive Cancer Centre
Los Angeles, California, 9003308
Thomas Jefferson University
Philadelphia, Pennsylvania, 19107
H. Lee Moffitt Cancer Center
Tampa, Florida, 33612
The Reading Hospital Medical Center
West Reading, Pennsylvania, 19611
Netherlands9 sites
Free University Hospital
Amsterdam, Netherlands
Netherlands Cancer Institute
Amsterdam, 1066 CX
Amphia ziekenhuis
Breda, North Brabant, 4818 CK BREDA
UMC Groningen
Groningen, Provincie Groningen, 9713 GZ
Tergooi locatie Hilversum
Hilversum, North Holland, 1213XZ
Academical Hospital Maastricht
Maastricht, 622G HX
Universitair medisch centrum Nijmegen st Radboud
Nijmegen, Gelderland, 6525 GA
Erasmus Medical Center (EMC)
Rotterdam, Netherlands
Isala
Zwolle, Overijssel, 8025 AB
South Korea9 sites
The Catholic University of Korea Bucheon
Bucheon-si, Gyeonggi-do, 420-717
Chungbuk National University Hospital
Cheongju-si, North Chungcheong, 362-711
Keimyung University Dongsan Medical Center
Daegu, Dalseogu, 42601
Uijeongbu ST Marys Hospital
Gyeonggi-do, Gyeonggi-do, 11765
Chung Ang University Hospital
Seoul, Dongjak gu, 156-755
Veterans Health Service Medical Center
Seoul, Gangdong-gu, 134-791
Kangbuk Samsung Hospital
Seoul, Seoul, 03181
The Catholic University of Korea,
Seoul, 137-701
Ajou University Hospital
Suwon, Gyeonggi-do, 443-380
Romania8 sites
Conformal Med Terra HIFU
Bucharest, 031864
Spitalul de Psihiatrie Dr. Constantin Gorgos
Bucharest, 30447
Oncology Institute Bucharest
Bucharest
Oncological Institute "Ion Chiricuta"
Cluj-Napoca, 3400
OCH - Ovidius Clinical Hospital
Constanța, 905900
Centrul de Oncologie Sf Nectarie
Craiova, 200347
SC Oncolab SRL
Craiova, 200385
Spital Lotus SRL
Ploieşti, 100011
Bulgaria3 sites
MHAT Serdika - Medical Oncology Clinic
Sofia, 1003
MHAT Nadezhda Hospital
Sofia, 1330
Medical Centre Synexus
Sofia, 1784
Poland3 sites
Klinika Onkologii i Radioterapii Uniwersyteckie
Gdansk, 80-214
Specjalistyczny Szpital im
Szczecin, 70 891
Samodzielny Publiczny Szpital Specjalistyczny
Zakopane, 34 500
Ukraine3 sites
Dnipropetrovsk City Clinical Hospital No.4
Dnipropetrovsk, 49102
Regional Oncology Center
Sumy, 40004
Vinnytsia Regional Clinical Oncology Dispensary
Vinnitsia, 21029
Hungary1 site
Semmelweis University Pulmonology Department
Budapest, Budapest, 1125
About this study
Official title: A Phase III Prospective Double Blind Placebo Controlled Randomized Study of Adjuvant MEDI4736 In Completely Resected Non-Small Cell Lung Cancer
The purpose of this study is to find out whether it is better to receive a new drug, MEDI4736, or better to receive no further treatment after surgery (and possibly chemotherapy) for lung cancer.
- Conditions
- Non-Small Cell Lung Cancer
- Being tested
- MEDI4736, Placebo
- Medical subject headings
- Carcinoma, Non-Small-Cell Lung
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
MEDI4736Drug
PlaceboDrug
| Study group | Role | What they receive |
|---|---|---|
| MEDI4736 | Experimental | MEDI4736 by intravenous infusion. Treatment from Day 1 for a maximum of 12 months or study drug withdrawal if this occurs earlier. Receives: Drug: MEDI4736 |
| Placebo | Placebo comparator | PLACEBO by intravenous infusion. Treatment from Day 1 for a maximum of 12 months or study drug withdrawal if this occurs earlier Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Compare Disease Free Survival (DFS) for Patients With NSCLC That is PD-L1 Expression TC ≥ 25% and Patients Without EGFR Exon 21 L858R Mutation or Exon 19 Deletions or ALK Gene Rearrangements
DFS in months is defined as the time from the date of randomization to the date of first documented disease relapse or the occurrence of a new invasive primary malignancy that was later confirmed or death from any cause, whichever came first. For patients who were determined to have residual disease at study entry after consensus review, the DFS were censored at the date of randomization. Patients who are alive and disease/new invasive primary malignancy-free at the data cut-off date will be censored at their last disease assessment date.
Measured: Up to 8.3 years
Secondary outcomes (7)
Disease-free Survival in Patients With PD-L1 Expression Levels >= 1% and Without Common Activating EGFR Mutations or ALK Gene Rearrangements.
DFS time in months is defined as the time from the date of randomization to the date of first documented disease relapse or the occurrence of a new invasive primary malignancy that was later confirmed or death from any cause, whichever came first. For patients who were determined to have residual disease at study entry after consensus review, the DFS were censored at the date of randomization. Patients who are alive and disease/new invasive primary malignancy-free at the data cut-off date will be censored at their last disease assessment date.
Measured: up to 8.3 years
Disease-free Survival in Patients Without Common Activating EGFR Mutations or ALK Gene Rearrangements.
DFS is defined as the time from the date of randomization to the date of first documented disease relapse or the occurrence of a new invasive primary malignancy that was later confirmed or death from any cause, whichever came first. For patients who were determined to have residual disease at study entry after consensus review, the DFS were censored at the date of randomization. Patients who are alive and disease/new invasive primary malignancy-free at the data cut-off date will be censored at their last disease assessment date.
Measured: up to 8.3 years
Compare Overall Survival (OS) for Patients in Patients With PD-L1 >= 25% and Without EGFR Exon 21 L858R Mutation or Exon 19 Deletion or ALK Gene Rearrangements.
OS is defined as the time from the date of randomization to the date of death of any cause or censored at their last known alive date before or on the data cutoff date. Analysis population is for patients in patients with PD-L1 >= 25% and without EGFR exon 21 L858R mutation or exon 19 deletion or ALK gene rearrangements.
Measured: All randomized patients with a minimum of 5 years follow up and up to 9.7 years.
Compare Overall Survival (OS) for Patients in Patients With PD-L1 >= 1% and Without EGFR Exon 21 L858R Mutation or Exon 19 Deletion or ALK Gene Rearrangements.
OS is defined as the time from the date of randomization to the date of death of any cause or censored at their last known alive date before or on the data cutoff date. Patients population is for patients with PD-L1 >= 1% and without EGFR exon 21 L858R mutation or exon 19 deletion or ALK gene rearrangements.
Measured: All randomized patients with a minimum of 5 years follow up and up to 9.7 years.
Compare Overall Survival (OS) for Patients in Patients Without EGFR Exon 21 L858R Mutation or Exon 19 Deletion or ALK Gene Rearrangements.
OS is defined as the time from the date of randomization to the date of death of any cause or censored at their last known alive date before or on the data cutoff date. Analysis population is all randomized patients without EGFR exon 21 L858R mutation or exon 19 deletion or ALK gene rearrangements.
Measured: All randomized patients with a minimum of 5 years follow up and up to 9.7 years.
Compare Disease Free Survival (DFS) in All Randomized Patients
DFS is defined as the time from the date of randomization to the date of first documented disease relapse or the occurrence of a new invasive primary malignancy that was later confirmed or death from any cause, whichever came first. For patients who were determined to have residual disease at study entry after consensus review, the DFS were censored at the date of randomization. Patients who are alive and disease/new invasive primary malignancy-free at the data cut-off date will be censored at their last disease assessment date.
For a special case, Patient AUAP0005 was found that the original NSCLC diagnosis was erroneous, and the patient had metastatic testicular cancer prior to randomization, confirmed retrospectively by immunophenotyping. Since the patient did not have completely resected NSCLC, the patient was censored at randomization for both DFS and OS.
Measured: up to 8.3 years
Compare Overall Survival (OS) in All Randomized Patients
OS is defined as the time from the date of randomization to the date of death of any cause or censored at their last known alive date before or on the data cutoff date.
Measured: All randomized patients with a minimum of 5 years follow up and up to 9.7 years.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Oct 2014 (estimated)
- Study start24 Feb 2015
- Primary completion23 Jul 2025
- Study completion1 Sep 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Non-Small Cell Lung CancerStudies of the same condition, open and under way.
- More trials run by Canadian Cancer Trials GroupThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 1,415 participants (actual)
Sponsor and investigators
- Lead sponsor
- Canadian Cancer Trials Group
- Sponsor type
- Research network
- Collaborators
- Intergroupe Francophone de Cancerologie Thoracique, Thoracic Oncology Group of Australasia (TOGA), National Health and Medical Research Council, Australia, National Cancer Institute, Naples, Central and Eastern European Oncology Group, Dutch Society of Physicians for Pulmonology and Tuberculosis, Korean Cancer Study Group, Fundación GECP, West Japan Oncology Group, Chinese Thoracic Oncology Group
- Responsible party
- Sponsor
- Investigators
- Glenwood Goss, Study chair, Ottawa Hospital Research Institute, Ontario, Canada
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02273375
- Sponsor's protocol ID
- BR31
- Other IDs
- IFCT1401, ACTRN12615000323527, U1111-1238-5923
- Status last verified
- Sep 2026
- First submitted
- 22 Oct 2014
- Last updated
- 14 Sep 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Glenwood D. Goss, MD, FCP(SA), FRCPC 1; Gail E. Darling, MD, FRCS 2 ; Virginie Westeel, MD 3; Kazuhiko Nakagawa, MD, PhD 4; Bartomeu Massut´ı, MD 5 ; Francesco Perrone, MD 6 ; Sue-Anne McLachlan, MBBS, FRACP 7 ; Jin Hyoung Kang, MD 8 ; Yi-Long Wu, MD 9; Anne-Marie C. Dingemans, MD, PhD 10 ; Rafal Dziadziuszko, MD, PhD 11 ; Laurent Greillier, MD, PhD 12 ; Morihito Okada, MD 13 ; Clarisse Audigier-Valette, MD 14 ; Shunichi Sugawara, MD 15 ; Ernest Nadal, MD, PhD 16 ; Annamaria Catino, MD 17;Anne-Claire Toffart, MD, PhD 18 ; Tetsuya Mitsudomi, MD, PhD 19; Renaud Whittom, MD, FRCPC 20 ; Manuel Domine, MD 21; Nobuyuki Yamamoto, MD 22 ; Olivier Molinier, MD 23 ; Franck Morin, MSc 24 ; Penelope A. Bradbury, MD 25 ; Martin R. Stockler, MBBS, FRACP 26 ; Keyue Ding, PhD 27 ; and Christopher J. O'Callaghan, PhD, DVM 27
Goss GD, Darling GE, Westeel V, Nakagawa K, Massuti B, Perrone F, McLachlan SA, Kang JH, Wu YL, Dingemans AC, Dziadziuszko R, Greillier L, Okada M, Audigier-Valette C, Sugawara S, Nadal E, Catino A, Toffart AC, Mitsudomi T, Whittom R, Domine M, Yamamoto N, Molinier O, Morin F, Bradbury PA, Stockler MR, Ding K, O'Callaghan CJ. Adjuvant Durvalumab in Completely Resected Early-Stage Non-Small Cell Lung Cancer. J Clin Oncol. 2026 Mar;44(7):553-564. doi: 10.1200/JCO-25-01828. Epub 2026 Jan 13.
PubMed 41529222
Study at a glance
From the registry record, last updated by the sponsor on 14 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III Prospective Double Blind Placebo Controlled Randomized Study of Adjuvant MEDI4736 In Completely Resected Non-Small Cell Lung Cancer
- ClinicalTrials.gov ID
- NCT02273375
- Acronym / sponsor ID
- BR31
- Conditions
- Non-Small Cell Lung Cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,415 participants (actual)
- Lead sponsor
- Canadian Cancer Trials GroupResearch network
- Collaborators
- Intergroupe Francophone de Cancerologie Thoracique, Thoracic Oncology Group of Australasia (TOGA), National Health and Medical Research Council, Australia, National Cancer Institute, Naples, Central and Eastern European Oncology Group, Dutch Society of Physicians for Pulmonology and Tuberculosis, Korean Cancer Study Group, Fundación GECP, West Japan Oncology Group, Chinese Thoracic Oncology Group
- Study start
- 24 Feb 2015 (actual)
- Primary completion
- 23 Jul 2025 (actual)
- Study completion
- 1 Sep 2026 (actual)
- First posted
- 24 Oct 2014 (estimated)
- Results
- Posted 14 Sep 2026
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to find out whether it is better to receive a new drug, MEDI4736, or better to receive no further treatment after surgery (and possibly chemotherapy) for lung cancer.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| MEDI4736 | Experimental | Drug: MEDI4736MEDI4736 by intravenous infusion. Treatment from Day 1 for a maximum of 12 months or study drug withdrawal if this occurs earlier. |
| Placebo | Placebo comparator | Drug: PlaceboPLACEBO by intravenous infusion. Treatment from Day 1 for a maximum of 12 months or study drug withdrawal if this occurs earlier |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (21 listed)
- Histologically confirmed diagnosis of primary non-small cell carcinoma of the lung. according to WHO Classification of Tumours (WHO Classification of Tumours of the Lung, Pleura, Thymus and Heart. WHO/IARC Classification of Tumours, 4th Edition, Volume 7). Patients with large-cell neuroendocrine carcinomas are not eligible.
- Patients must be classified post-operatively as Stage IB (≥ 4cm in the longest diameter), II or IIIA on the basis of pathologic criteria. Note: Although T3N2M0 tumours have been reclassified to stage IIIB in the 8th edition of the IASLC staging system, these patients remain eligible (as stage IIIA under the 7th edition criteria).
- Note: Patients with synchronous primary tumours will not be eligible due to the potential uncertainty regarding their appropriate PD-L1 status.
- Pre-operative (neo-adjuvant) platinum based or other chemotherapy is not permissible.
- Patients may have received prior post-operative platinum based chemotherapy as per standard of care.
Key exclusion criteria (18 listed)
- Patients with a history of other malignancies, except:
- A combination of small cell and non-small cell lung cancer, pulmonary carcinoid tumour or large-cell neuroendocrine carcinoma (LCNEC).
- History of autoimmune disease, including but not limited to myasthenia gravis, myositis, autoimmune hepatitis, systemic lupus erythematosus, rheumatoid arthritis, inflammatory bowel disease, vascular thrombosis associated with antiphospholipid syndrome, Wegener's granulomatosis, Sjögren's syndrome, Guillain-Barré syndrome, multiple sclerosis, vasculitis, or glomerulonephritis. NOTE: patients with Grave's disease and/or psoriasis not requiring systemic therapy within the last two years from randomization and patients with hypothyroidism (e.g. following Hashimoto syndrome) stable on hormone replacement are not excluded.
- History of primary immunodeficiency, history of allogenic organ transplant that requires therapeutic immunosuppression and the use of immunosuppressive agents within 28 days of randomization* or a prior history of severe (grade 3 or 4) immune mediated toxicity from other immune therapy.
- Live attenuated vaccination administered within 30 days prior to randomization.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| MEDI4736 | Drug | MEDI4736 |
| Placebo | Drug | Placebo |
Primary outcome
Compare Disease Free Survival (DFS) for Patients With NSCLC That is PD-L1 Expression TC ≥ 25% and Patients Without EGFR Exon 21 L858R Mutation or Exon 19 Deletions or ALK Gene Rearrangements
Time frame: Up to 8.3 years
DFS in months is defined as the time from the date of randomization to the date of first documented disease relapse or the occurrence of a new invasive primary malignancy that was later confirmed or death from any cause, whichever came first. For patients who were determined to have residual disease at study entry after consensus review, the DFS were censored at the date of randomization. Patients who are alive and disease/new invasive primary malignancy-free at the data cut-off date will be censored at their last disease assessment date.
7 secondary outcomes
Disease-free Survival in Patients With PD-L1 Expression Levels >= 1% and Without Common Activating EGFR Mutations or ALK Gene Rearrangements.
Time frame: up to 8.3 years
Disease-free Survival in Patients Without Common Activating EGFR Mutations or ALK Gene Rearrangements.
Time frame: up to 8.3 years
Compare Overall Survival (OS) for Patients in Patients With PD-L1 >= 25% and Without EGFR Exon 21 L858R Mutation or Exon 19 Deletion or ALK Gene Rearrangements.
Time frame: All randomized patients with a minimum of 5 years follow up and up to 9.7 years.
Compare Overall Survival (OS) for Patients in Patients With PD-L1 >= 1% and Without EGFR Exon 21 L858R Mutation or Exon 19 Deletion or ALK Gene Rearrangements.
Time frame: All randomized patients with a minimum of 5 years follow up and up to 9.7 years.
Compare Overall Survival (OS) for Patients in Patients Without EGFR Exon 21 L858R Mutation or Exon 19 Deletion or ALK Gene Rearrangements.
Time frame: All randomized patients with a minimum of 5 years follow up and up to 9.7 years.
Compare Disease Free Survival (DFS) in All Randomized Patients
Time frame: up to 8.3 years
Compare Overall Survival (OS) in All Randomized Patients
Time frame: All randomized patients with a minimum of 5 years follow up and up to 9.7 years.
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Sep 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publicationGlenwood D. Goss, MD, FCP(SA), FRCPC 1; Gail E. Darling, MD, FRCS 2 ; Virginie Westeel, MD 3; Kazuhiko Nakagawa, MD, PhD 4; Bartomeu Massut´ı, MD 5 ; Francesco Perrone, MD 6 ; Sue-Anne McLachlan, MBBS, FRACP 7 ; Jin Hyoung Kang, MD 8 ; Yi-Long Wu, MD 9; Anne-Marie C. Dingemans, MD, PhD 10 ; Rafal Dziadziuszko, MD, PhD 11 ; Laurent Greillier, MD, PhD 12 ; Morihito Okada, MD 13 ; Clarisse Audigier-Valette, MD 14 ; Shunichi Sugawara, MD 15 ; Ernest Nadal, MD, PhD 16 ; Annamaria Catino, MD 17;Anne-Claire Toffart, MD, PhD 18 ; Tetsuya Mitsudomi, MD, PhD 19; Renaud Whittom, MD, FRCPC 20 ; Manuel Domine, MD 21; Nobuyuki Yamamoto, MD 22 ; Olivier Molinier, MD 23 ; Franck Morin, MSc 24 ; Penelope A. Bradbury, MD 25 ; Martin R. Stockler, MBBS, FRACP 26 ; Keyue Ding, PhD 27 ; and Christopher J. O'Callaghan, PhD, DVM 27
- Derived from this study: PubMed 41529222Goss GD, Darling GE, Westeel V, Nakagawa K, Massuti B, Perrone F, McLachlan SA, Kang JH, Wu YL, Dingemans AC, Dziadziuszko R, Greillier L, Okada M, Audigier-Valette C, Sugawara S, Nadal E, Catino A, Toffart AC, Mitsudomi T, Whittom R, Domine M, Yamamoto N, Molinier O, Morin F, Bradbury PA, Stockler MR, Ding K, O'Callaghan CJ. Adjuvant Durvalumab in Completely Resected Early-Stage Non-Small Cell Lung Cancer. J Clin Oncol. 2026 Mar;44(7):553-564. doi: 10.1200/JCO-25-01828. Epub 2026 Jan 13.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Glenwood Goss study chair
Ottawa Hospital Research Institute, Ontario, Canada
271 sites in 19 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing MEDI4736 in people with Non-Small Cell Lung Cancer, run by Canadian Cancer Trials Group at 271 sites in 19 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 21 inclusion and 18 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 14 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 271 sites in France, Canada, Japan, Australia, Italy and 14 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 14 Sep 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Compare Disease Free Survival (DFS) for Patients With NSCLC That is PD-L1 Expression TC ≥ 25% and Patients Without EGFR Exon 21 L858R Mutation or Exon 19 Deletions or ALK Gene Rearrangements (time frame: Up to 8.3 years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02273375, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Sep 2026; AzTrials last refreshed its copy on 26 Oct 2026.