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Metastatic Non-Small Cell Lung Cancer (NSCLC)Phase 1MAGELLANNCT03819465

A Study of Novel Anti-cancer Agents in Patients With Previously Untreated NSCLC

A Phase 1 study testing Durvalumab, Danvatirsen and Oleclumab in people with Metastatic Non-Small Cell Lung Cancer (NSCLC), run by AstraZeneca at 41 sites in 9 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
Search all trials

Trial summary

This study is designed to determine the efficacy and safety of durvalumab and/or novel oncology therapies, with or without chemotherapy, for first-line Stage IV Non-Small Cell Lung Cancer (NSCLC) Read more about this study

Who is it for?
Ages 18 to 130 years
What is being tested?
Durvalumab, Danvatirsen and Oleclumab
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
175 participants
Where
41 sitesin 9 countries
Study dates
27 Dec 2018to 1 Jul 2026
Phase
Phase 1
Are there results?
Not yet: the study is under way

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 to 130 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Histologically or cytologically documented Stage IV NSCLC not amenable to curative surgery or radiation
  • No prior chemotherapy or any other systemic therapy for metastatic NSCLC
  • Prior platinum-containing adjuvant, neoadjuvant, or definitive chemoradiation for advanced disease are eligible, if progression has occurred >12 months from end of last therapy
  • Known tumor PD-L1 status
  • Tumors that lack activating EGFR mutations and ALK fusions or documented local test result for any other known genomic alteration for which a targeted therapy is approved in first line per local standard of care
  • WHO/ECOG status at 0 or 1 at enrollment
  • Life expectancy of at least 12 weeks
  • Troponin I or T ≤ ULN (per institutional guidelines)

Who cannot join

  • Active or prior documented autoimmune or inflammatory disorders
  • History of active primary immunodeficiency
  • Any prior chemotherapy or any other systemic therapy for metastatic NSCLC
  • Untreated CNS metastases

Trial locations and contacts

41 sites in 9 countries.

41 sites in 9 countries

Poland9 sites
  • Research Site

    Bialystok, 15-027

  • Research Site

    Bydgoszcz, 85-796

  • Research Site

    Gdansk, 80-214

  • Research Site

    Grudziądz, 86-300

  • Research Site

    Lodz, 90-302

  • Research Site

    Olsztyn, 10-357

  • Research Site

    Tomaszów Mazowiecki, 97-200

  • Research Site

    Warsaw, 02-781

  • Research Site

    Wroclaw, 53-413

Other trials in Poland

Taiwan8 sites
  • Research Site

    Kaohsiung City, 807

  • Research Site

    Taichung, 402

  • Research Site

    Taichung, 40705

  • Research Site

    Tainan, 70403

  • Research Site

    Taipei, 10002

  • Research Site

    Taipei, 112

  • Research Site

    Taipei, 235

  • Research Site

    Taoyuan, 333

Other trials in Taiwan

South Korea5 sites
  • Research Site

    Cheongju-si, 28644

  • Research Site

    Seoul, 03722

  • Research Site

    Seoul, 05505

  • Research Site

    Seoul, 06351

  • Research Site

    Seoul, 110-744

Other trials in South Korea

Spain5 sites
  • Research Site

    Barcelona, 08025

  • Research Site

    Barcelona, 8003

  • Research Site

    Madrid, 28034

  • Research Site

    Madrid, 28041

  • Research Site

    Seville, 41013

Other trials in Spain

Russia4 sites
  • Research Site

    Krasnoyarsk, 660133

  • Research Site

    Moscow, 115478

  • Research Site

    Saint Petersburg, 191014

  • Research Site

    Saint Petersburg, 197758

Other trials in Russia

Thailand4 sites
  • Research Site

    Bangkok, 10330

  • Research Site

    Bangkok, 10700

  • Research Site

    Chiang Mai, 50200

  • Research Site

    Hat Yai, 90110

Other trials in Thailand

United States3 sites
  • Research Site

    Iowa City, Iowa, 52242

  • Research Site

    Nashville, Tennessee, 37203

  • Research Site

    Pittsburgh, Pennsylvania, 15212

Other trials in United States

Austria2 sites
  • Research Site

    Salzburg, 5020

  • Research Site

    Vienna, 1140

Other trials in Austria

Belgium1 site
  • Research Site

    Edegem, 2650

Other trials in Belgium

About this study

Official title: A Phase IB, Open-Label, Multi-Center Study to Determine the Efficacy and Safety of Durvalumab and/or Novel Oncology Therapies, With or Without Chemotherapy, for First-Line Stage IV Non-Small Cell Lung Cancer (NSCLC) (MAGELLAN)

This study is designed to determine the efficacy and safety of durvalumab and/or novel oncology therapies, with or without chemotherapy, for first-line Stage IV Non-Small Cell Lung Cancer (NSCLC)

Read the detailed description

This is a Phase IB, Open-Label, Multi-Center Study to Determine the Efficacy and Safety of Durvalumab and/or Novel Oncology Therapies, With or Without Chemotherapy, for First-Line Stage IV Non-Small Cell Lung Cancer (NSCLC).

Being tested
Durvalumab, Danvatirsen, Oleclumab, MEDI5752, Pemetrexed
Keywords
First-Line Stage IV Metastatic Non-Small Cell Lung Cancer, Stage IV Metastatic Non-Small Cell Lung Cancer, Metastatic Non-Small Cell Lung Cancer, Non-Small Cell Lung Cancer, Non-Small Cell Lung, Non-Small Cell, NSCLC, Non-Small Cell Lung Carcinoma
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.

  • DurvalumabDrug

    Also called MEDI4736

    Durvalumab IV Cohort A: Every 4 weeks (q4w) Cohort B: Every 3 weeks (q3w) for the first 4 cycles, then every 4 weeks (q4w) starting at Cycle 5 Day 1

  • DanvatirsenDrug

    Also called AZD9150

    Danvatirsen IV Loading dose Cycle 1 Day 1, Cycle 1 Day 3, and Cycle 1 Day 5 then once a week (q1w) starting at Cycle 1 Day 8

  • OleclumabDrug

    Also called MEDI9447

    Oleclumab IV Cohort A: Every 2 weeks (q2w) for first 2 cycles, then every 4 weeks (q4w) starting at Cycle 3 Day 1 Cohort B: Every 3 weeks (q3w) for the first 4 cycles, then every 4 weeks (q4w) starting at Cycle 5 Day 1

  • MEDI5752Drug

    MEDI5752 IV Every 3 weeks (q3w)

  • PemetrexedDrug

    Pemetrexed IV Day 1 of each 21-day cycle Arm B1: Day 1 of each 21-day cycle for the first 4 cycles then either every 3 weeks (q3w) or every 4 weeks (q4w) (per investigator discretion) thereafter Arm B2 and B3: Day 1 of each 21-day cycle for the first 4 cycles then Day 1 of each 28-day cycle (q4w) thereafter Arm B5: Day 1 of each 21-day cycle throughout the study

  • CarboplatinDrug

    Carboplatin IV Day 1 of each 21-day cycle

  • GemcitabineDrug

    Gemcitabine IV Days 1 and 8 of each 21-day cycle

  • CisplatinDrug

    Cisplatin IV Day 1 of each 21-day cycle

  • Nab-paclitaxelDrug

    Nab-paclitaxel IV Days 1, 8, and 15 of each 21-day cycle

  • AZD2936Drug

    AZD2936 IV

Study groups in NCT03819465
Study groupRoleWhat they receive
A1ExperimentalDurvalumab
Receives: Drug: Durvalumab
A2ExperimentalDurvalumab + danvatirsen
Receives: Drug: Durvalumab; Drug: Danvatirsen
A3ExperimentalDurvalumab + oleclumab
Receives: Drug: Durvalumab; Drug: Oleclumab
A4ExperimentalMEDI5752
Receives: Drug: MEDI5752
B1ExperimentalDurvalumab + Investigator's choice of chemotherapy
Receives: Drug: Durvalumab; Drug: Pemetrexed; Drug: Carboplatin; Drug: Gemcitabine; Drug: Cisplatin; Drug: Nab-paclitaxel
B2ExperimentalDurvalumab + Investigator's choice of chemotherapy + danvatirsen
Receives: Drug: Durvalumab; Drug: Danvatirsen; Drug: Pemetrexed; Drug: Carboplatin; Drug: Gemcitabine; Drug: Cisplatin; Drug: Nab-paclitaxel
B3ExperimentalDurvalumab + investigator's choice of chemotherapy + oleclumab
Receives: Drug: Durvalumab; Drug: Oleclumab; Drug: Pemetrexed; Drug: Carboplatin; Drug: Gemcitabine; Drug: Cisplatin; Drug: Nab-paclitaxel
B4ExperimentalMEDI5752
Receives: Drug: MEDI5752
A5ExperimentalAZD2936
Receives: Drug: AZD2936
B5ExperimentalAZD2936 + chemotherapy
Receives: Drug: Pemetrexed; Drug: Carboplatin; Drug: Cisplatin; Drug: AZD2936

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Assessment of AEs by CTCAE v5.0

    Assessment of safety and tolerability of each treatment arm

    Measured: From informed consent until the safety follow-up visit 3 months after the last dose of study drug, or until the final data cut-off (DCO) date, whichever is earlier.

Secondary outcomes (6)
  1. Objective Response Rate (ORR)

    Assessment of the efficacy of each treatment arm according to RECIST 1.1. ORR: The percentage of evaluable patients with a confirmed Investigator-assessed visit response of CR or PR

    Measured: Tumor assessments every 6-9 weeks until week 48-54, then every 12 or 18 weeks, depending on treatment arm until the earliest of radiological progression, death, withdrawal of consent, or final DCO (approximately 4 months after last patient randomized).

  2. Duration of Response (DoR)

    Assessment of the efficacy of each treatment arm according to RECIST 1.1. DoR: Time from date of first detection of objective response until the date of objective radiological disease progression

    Measured: Tumor assessments every 6-9 weeks until week 48-54, then every 12 or 18 weeks, depending on treatment arm until the earliest of radiological progression, death, withdrawal of consent, or final DCO (approximately 4 months after last patient randomized).

  3. Progression Free Survival (PFS)

    Assessment of the efficacy of each treatment arm according to RECIST 1.1. PFS: Time from date of treatment assignment until the date of objective radiological disease progression using RECIST 1.1 or death (by any cause in the absence of progression)

    Measured: Tumor assessments every 6-9 weeks until week 48-54, then every 12/18 weeks based on arm until progression, death, withdrawal or final DCO. Further PFS data will be collected until 6 months after last patient dosed or final DCO

  4. Overall Survival (OS)

    OS: Time from date of treatment assignment until the date of death by any cause

    Measured: OS data will be collected until death, 6 months after last patient dosed, or the final DCO date, whichever is earlier.

  5. Blood concentration of durvalumab and novel oncology therapies

    Drug concentration of durvalumab and novel oncology therapies

    Measured: From Cycle 1 Day 1 until Cycle 6/7 Day 1 (21-28-day cycles) depending on arm, then every 3 cycles (except for Arms A5 & B5), at end of treatment (Arms A4 & B4, A5 & B5 only), and until 3 months following treatment discontinuation, or the final DCO date.

  6. Frequency of anti-drug antibodies (ADAs) for durvalumab and applicable novel oncology therapies

    Investigation of the immunogenicity of durvalumab and each applicable novel oncology therapy in all applicable treatment arms

    Measured: From Cycle 1 Day 1 until Cycle 6/7 Day 1 (21-28-day cycles) depending on arm, then every 3 or 6 cycles (except for arms A5&B5), at end of treatment (arms A4&B4, A5&B5 only), until 3/6 months after treatment discontinuation, or the final DCO date.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Jan 2019
  2. Study start27 Dec 2018
  3. Primary completion23 May 2023
  4. Study completion1 Jul 2026 (estimated)

Resources

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 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Treatment arms for MEDI5752 (Arms A4 and B4) will enroll 42 and 60 patients, respectively. Arm B5 (AZD2936+chemotherapy) will enroll 60 patients. For all other treatment arms, 30 patients will be enrolled into each arm; additional patients may be enrolled in order to have 30 evaluable patients per arm (ie, dosed).
Masking
None (open label)
Enrolment
175 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03819465
Sponsor's protocol ID
D933IC00001
Other IDs
2018-001748-74, 2018
Acronym
MAGELLAN
Status last verified
May 2026
First submitted
13 Dec 2018
Last updated
12 May 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.

Publications

  • Cho BC, Charoentum C, Kim DW, Yang CT, Dziadziuszko R, Geater SL, Mann H, Afshar-Imani B, Lyfar P, Yang JC, Patel SP. MAGELLAN arms B1 and B3: Durvalumab plus chemotherapy with and without oleclumab in treatment-naive metastatic non-small-cell lung cancer. Lung Cancer. 2026 Jan;211:108834. doi: 10.1016/j.lungcan.2025.108834. Epub 2025 Nov 7.

    PubMed 41380462

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Durvalumab, Danvatirsen and Oleclumab in people with Metastatic Non-Small Cell Lung Cancer (NSCLC), run by AstraZeneca at 41 sites in 9 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 8 inclusion and 4 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: under way, not looking for participants, as of the sponsor's last update on 12 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 41 sites in Poland, Taiwan, South Korea, Spain, Russia and 4 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. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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?

Assessment of AEs by CTCAE v5.0 (time frame: From informed consent until the safety follow-up visit 3 months after the last dose of study drug, or until the final data cut-off (DCO) date, whichever is earlier.). 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 NCT03819465, which also lists 1 linked publication.

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 12 May 2026.

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