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Non-small Cell Lung CancerPhase 2DUARTNCT04249362

Study of Durvalumab Following Radiation Therapy in Patients With Stage 3 Unresectable NSCLC Ineligible for Chemotherapy

A Phase 2 study testing Durvalumab in people with Non-small Cell Lung Cancer, run by AstraZeneca at 35 sites in 6 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This is a Phase II open-label, single-arm, multicenter, international study to evaluate the clinical activity of durvalumab in patients with Stage III unresectable NSCLC who are deemed to be ineligible for chemotherapy per Investigator assessment. Read more about this study

Who is it for?
Ages 18 to 130 years
Conditions the study is for
Non-small Cell Lung Cancer
What is being tested?
Durvalumab
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
102 participants
Where
35 sitesin 6 countries
Study dates
26 Nov 2020to 25 Nov 2024
Phase
Phase 2
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 to 130 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Capable of giving signed informed consent.
  • Age ≥ 18 years at study entry.
  • Histologically or cytologically documented NSCLC with locally-advanced, unresectable Stage III disease.
  • Deemed ineligible for chemotherapy per Investigator assessment.
  • Receipt of radiation therapy that was completed within 42 days prior to first study drug administration.
  • Must have received a total dose of radiation of 40 to 66 Gy (standard or hypofractionated BED).
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  • Must not have progressed following radiation therapy, as per Investigator assessed RECIST 1.1 criteria: a) Patients with measurable disease and/or nonmeasurable and/or no evidence of disease assessed at baseline by computed tomography /magnetic resonance imaging will be eligible for this study. b) Prior irradiated lesions may be considered measurable and selected as target lesions (TLs) providing they fulfill the other criteria for measurability.
  • World Health Organization/ECOG performance status of ≤2.
  • No prior exposure to immune-mediated therapy including, but not limited to, anti-CTLA-4, anti-PD-1, anti-PD-L1, and antiprogrammed cell death ligand 2 (anti-PD-L2) antibodies, excluding therapeutic anticancer vaccines.
  • Patients must have adequate organ and marrow function as defined below:
  • Hemoglobin ≥ 9.0 g/dL
  • Absolute neutrophil count ≥ 1.0 × 109 /L
  • Platelet count ≥ 75 × 109/L
  • Serum bilirubin ≤ 1.5 × the upper limit of normal (ULN). This will not apply to patients with confirmed Gilbert's syndrome.
  • Alanine aminotransferase and aspartate aminotransferase ≤ 2.5 × ULN
  • Measured creatinine clearance > 30 mL/min or calculated CL > 30 mL/min as determined by Cockcroft-Gault
  • Life expectancy of greater than 12 weeks.
  • Body weight greater than 30 kg at study entry and at first study drug administration

Who cannot join

  • Patients with locally-advanced NSCLC whose disease has progressed following radiation therapy.
  • Mixed small cell lung cancer and NSCLC histology.
  • History of allogeneic organ transplantation.
  • Active or prior documented inflammatory bowel disease (e.g., Crohn's disease, ulcerative, systemic lupus erythematosus, Sarcoidosis syndrome, or Wegener syndrome).
  • Uncontrolled intercurrent illness (e.g., ongoing or active infection, symptomatic congestive heart failure, uncontrolled hypertension, unstable angina pectoris)
  • History of another primary malignancy except for (a) malignancy treated with curative intent and with no known active disease ≥ 5 years before the first study drug administration, (b) adequately treated nonmelanoma skin cancer or lentigo maligna without evidence of disease, and c) treated carcinoma in situ without evidence of disease.
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  • History of leptomeningeal carcinomatosis
  • History of active primary immunodeficiency
  • Active infection including tuberculosis, hepatitis B, hepatitis C, or human immunodeficiency virus
  • Any unresolved toxicity NCI CTCAE Grade ≥ 2 from previous anticancer therapy with the exception of alopecia, vitiligo, lymphopenia, and the laboratory values defined in the inclusion criteria
  • Known allergy or hypersensitivity to any of the study drugs or any of the study drug excipients.
  • Receipt of live attenuated vaccine within 30 days prior to the first dose of durvalumab
  • Major surgical procedure (as defined by the Investigator) within 28 days prior to the first dose of durvalumab.
  • Current or prior use of immunosuppressive medication within 14 days before the first dose of durvalumab.
  • Participation in another clinical study with an IP administered in the last 4 weeks.
  • Concurrent enrollment in another clinical study, unless it is an observational (noninterventional) clinical study or during the follow-up period of an interventional study
  • Prior randomization or treatment in a previous durvalumab clinical study regardless of treatment arm assignment
  • Patients who refuse chemotherapy by their own decision.
  • Involvement in the planning and/or conduct of the study
  • Female patients who are pregnant or breastfeeding or male or female patients of reproductive potential who are not willing to employ effective birth control.
  • Judgment by the Investigator that the patient should not participate in the study
  • Genetics research study (optional):
  • Exclusion criteria for participation in the optional genetics research component of the study include: a) Previous allogeneic bone marrow transplant b)Nonleukocyte-depleted whole blood transfusion within 120 days of genetic sample collection.

Trial locations and contacts

35 sites in 6 countries.

35 sites in 6 countries

Italy12 sites
  • Research Site

    Brescia, 25100

  • Research Site

    Florence, 50134

  • Research Site

    Genova, 16132

  • Research Site

    Meldola, 47014

  • Research Site

    Messina, 98158

  • Research Site

    Modena, 41124

  • Research Site

    Monza, 20900

  • Research Site

    Negrar, 37024

  • Research Site

    Pavia, 27100

  • Research Site

    Pisa, 56124

  • Research Site

    Ravenna, 48121

  • Research Site

    Roma, 00128

Other trials in Italy

Spain7 sites
  • Research Site

    A Coruña, 15006

  • Research Site

    Barcelona, 8035

  • Research Site

    Castellon, 12002

  • Research Site

    Madrid, 28050

  • Research Site

    Oviedo, 33011

  • Research Site

    Pamplona, 31008

  • Research Site

    Sabadell(Barcelona), 08208

Other trials in Spain

France5 sites
  • Research Site

    Limoges, 87000

  • Research Site

    Marseille, 13009

  • Research Site

    Montpellier, 34070

  • Research Site

    Nîmes, 30029

  • Research Site

    Rouen, 76031

Other trials in France

Poland5 sites
  • Research Site

    Bialystok, 15-044

  • Research Site

    Gdansk, 80-214

  • Research Site

    Olsztyn, 10-228

  • Research Site

    Szczecin, 71-730

  • Research Site

    Warsaw, 02-781

Other trials in Poland

United States3 sites
  • Research Site

    Royal Oak, Michigan, 48073

  • Research Site

    Tampa, Florida, 33612

  • Research Site

    Tucson, Arizona, 85704

Other trials in United States

Russia3 sites
  • Research Site

    Saint Petersburg, 197002

  • Research Site

    Saint Petersburg, 197758

  • Research Site

    Ufa, 450054

Other trials in Russia

About this study

Official title: A Phase II, Open-label, Multicenter, International Study of Durvalumab Following Radiation Therapy in Patients With Stage III, Unresectable Non-Small Cell Lung Cancer Who Are Ineligible for Chemotherapy

This is a Phase II open-label, single-arm, multicenter, international study to evaluate the clinical activity of durvalumab in patients with Stage III unresectable NSCLC who are deemed to be ineligible for chemotherapy per Investigator assessment. Patients will be enrolled into 2 cohorts according to radiotherapy pretreatment dose (Cohort A: standard radiation therapy [60 gray (Gy) ± 10% or hypofractionated bioequivalent dose (BED)]; Cohort B: palliative radiation therapy [40 to < 54 Gy or hypofractionated BED])

Read the detailed description

This is a Phase II open-label, single-arm, multicenter, international study to evaluate the clinical activity of durvalumab in patients with Stage III unresectable NSCLC who have an Eastern Cooperative Oncology Group (ECOG) PS of 0 to 2 and who were treated with radiotherapy but are ineligible for chemotherapy. Patients will be enrolled into 2 cohorts according to the dose of radiotherapy received prior to study entry (Cohort A: Standard Radiotherapy [60 Gy ± 10% or hypofractionated BED]; Cohort B: Palliative Radiotherapy [40 to < 54 Gy or hypofractionated BED]). Patients must not have progressed following radiation therapy, and radiation therapy must be completed within 6 weeks (42 days) prior to first study drug administration. The last dose of radiation therapy is defined as the day of the last radiation treatment session. All patients will receive 1500 mg durvalumab via IV infusion every 4 weeks (q4w) for up to a maximum of 12 months (up to 13 doses/cycles)

Being tested
Durvalumab
Keywords
Radiation therapy, Phase II, Palliative Radiotherapy
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

    All patients will receive 1500 mg durvalumab via IV infusion q4w for up to a maximum of 12 months.

Study groups in NCT04249362
Study groupRoleWhat they receive
Cohort AExperimentalPatients received standard radiotherapy [60 gray (Gy) ± 10% or hypofractionated BED] prior to study entry.
Receives: Drug: Durvalumab
Cohort BExperimentalPatients received palliative radiotherapy [40 to < 54 Gy or hypofractionated BED] prior to study entry.
Receives: Drug: Durvalumab

What is being measured

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

  1. Number of Patients With Grade 3 and Grade 4 Possibly-related Adverse Events (PRAEs)

    The safety and tolerability profile of durvalumab as defined by Grade 3 and Grade 4 PRAEs within 6 months from the initiation of durvalumab treatment. A PRAE was any TEAE with a possible relatedness to durvalumab, or where the relatedness was missing. If relatedness of a TEAE was missing at the primary DCO (30 March 2023) the TEAE was considered a PRAE.

    Measured: From first dose of durvalumab treatment until 6 months after initiation of durvalumab treatment

Secondary outcomes (11)
  1. Median Progression-free Survival (mPFS)

    Progression-free survival is defined as the time from the date of first dose of durvalumab until the date of objective disease progression or death (by any cause in the absence of progression) regardless of whether the patient discontinues durvalumab or receives another anticancer therapy prior to progression according to RECIST 1.1 as assessed by the Investigator. Patients who had not progressed or died at the time of analysis were censored at the date of their last evaluable tumor assessment. If a patient progressed or died after two or more missed visits, they were censored at the date of the latest evaluable assessment prior to the missed visits.

    Measured: From the first date of treatment until the date of objective disease progression or death or data cut-off date (36 months)

  2. Progression-free Survival at 6 Months (PFS6)

    Progression-free survival is defined as the time from the date of first dose of durvalumab until the date of objective disease progression or death (by any cause in the absence of progression) regardless of whether the patient discontinues durvalumab or receives another anticancer therapy prior to progression according to RECIST 1.1 as assessed by the Investigator. Patients who had not progressed or died at the time of analysis were censored at the date of their last evaluable tumor assessment. If a patient progressed or died after two or more missed visits, they were censored at the date of the latest evaluable assessment prior to the missed visits.

    Measured: From the first date of treatment until the date of objective disease progression or death (6 months)

  3. Progression-free Survival at 12 Months (PFS12)

    Progression-free survival is defined as the time from the date of first dose of durvalumab until the date of objective disease progression or death (by any cause in the absence of progression) regardless of whether the patient discontinues durvalumab or receives another anticancer therapy prior to progression according to RECIST 1.1 as assessed by the Investigator. Patients who had not progressed or died at the time of analysis were censored at the date of their last evaluable tumor assessment. If a patient progressed or died after two or more missed visits, they were censored at the date of the latest evaluable assessment prior to the missed visits.

    Measured: From the first date of treatment until the date of objective disease progression or death (12 months)

  4. Median Overall Survival (mOS)

    The OS is defined as the time from the date of first dose of durvalumab until death due to any cause. Patients who were not known to have died at the time of analysis were censored at the last recorded date when they were known to have been alive.

    Measured: From the first date of treatment until death or data cut-off due to any cause (36 months)

  5. Overall Survival at 12 Months (OS12)

    The OS is defined as the time from the date of first dose of durvalumab until death due to any cause. Patients who were not known to have died at the time of analysis were censored at the last recorded date when they were known to have been alive.

    Measured: From the first date of treatment until death due to any cause (12 months)

  6. Objective Response Rate (ORR)

    The ORR is the proportion (%) of patients with an overall response of complete response (CR) or partial response (PR) (confirmed by a follow-up scan at least 4 weeks after showing CR or PR) per RECIST 1.1 criteria. CR is disappearance of all target lesions (TLs) since baseline. Any pathological lymph nodes selected as TLs must have a reduction in short axis diameter to < 10 mm. PR is at least a 30% decrease in the sum of the diameters of TL, taking as reference the baseline sum of diameters.

    Measured: From 8 weeks ±1 week after durvalumab treatment initiation and continue every 8 weeks (q8w) ±1 week through 48 weeks and every 12 weeks (q12w) ±1 week until disease progression or data cut-off (36 months)

  7. Duration of Response (DoR)

    The DoR is defined as the time from the date of first documented response (which is subsequently confirmed) until the first date of documented progression per RECIST1.1 or death in the absence of disease progression.

    Measured: From 8 weeks ±1 week after durvalumab treatment initiation and continue every 8 weeks (q8w) ±1 week through 48 weeks and every 12 weeks (q12w) ±1 week until disease progression or data cut-off (36 months)

  8. Lung Cancer Mortality

    The lung cancer mortality (NSCLC-related death) is assessed using the deaths which are reported as 'NSCLC-related' and is defined as the time (days) from the date of first dose of durvalumab until date of death due to lung cancer.

    Measured: From date of treatment start until death due to lung cancer (36 months)

  9. Number of Patients With Events (AEs)

    The safety and tolerability profile of durvalumab treatment, including all adverse events (AEs) was assessed.

    Measured: From screening (Day -28) till data cut-off (36 months)

  10. Number of Patients With Adverse Events of Special Interests (AESIs)

    The safety and tolerability profile of durvalumab treatment, including all adverse events (AEs) was assessed. An AESI is an AE of scientific and medical interest specific to the understanding of durvalumab. AESIs for durvalumab include, but are not limited to, events with a potential inflammatory or immune-mediated mechanism and which may require more frequent monitoring and/or interventions such as steroids, immunosuppressants and/or hormone replacement therapy. Here, number of patients experienced AESIs are presented. Serious adverse event of special interests (SAESIs).

    Measured: From screening (Day -28) till data cut-off (36 months)

  11. Number of Patients With Immune-mediated Adverse Events (imAEs)

    The safety and tolerability profile of durvalumab treatment, including all adverse events (AEs) was assessed. An imAE is defined as an AESI that is associated with drug exposure and is consistent with an immune-mediated mechanism of action and where there is no clear alternate etiology. Here, number of patients experienced imAEs are presented. Immune-mediated serious adverse events (imSAEs)

    Measured: From screening (Day -28) till data cut-off (36 months)

Timeline

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

  1. First posted30 Jan 2020
  2. Study start26 Nov 2020
  3. Primary completion30 Mar 2023
  4. Study completion25 Nov 2024

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 2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
102 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04249362
Sponsor's protocol ID
D4194C00009
Other IDs
2019-004336-31, 2019
Acronym
DUART
Status last verified
Dec 2024
First submitted
29 Jan 2020
Last updated
10 Jan 2025
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 request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

Publications

  • Filippi AR, Dziadziuszko R, Garcia Campelo MR, Paoli JB, Sawyer W, Diaz Perez IE. DUART: durvalumab after radiotherapy in patients with unresectable, stage III NSCLC who are ineligible for chemotherapy. Future Oncol. 2021 Dec;17(34):4657-4663. doi: 10.2217/fon-2021-0952. Epub 2021 Nov 15.

    PubMed 34775804

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Durvalumab in people with Non-small Cell Lung Cancer, run by AstraZeneca at 35 sites in 6 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 18 inclusion and 23 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 10 Jan 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 35 sites in Italy, Spain, France, Poland, United States and 1 more country. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 25 Sep 2024). 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?

Number of Patients With Grade 3 and Grade 4 Possibly-related Adverse Events (PRAEs) (time frame: From first dose of durvalumab treatment until 6 months after initiation of durvalumab treatment). 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 NCT04249362, 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 10 Jan 2025.

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