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AzTrials

Non-small Cell Lung CancerPhase 2MDT-BRIDGENCT05925530

Study to Assess Neoadjuvant Durvalumab (D) and Platinum-Based Chemotherapy (CT), Followed by Either Surgery and Adjuvant D or CRT and Consolidation D, in Resectable or Borderline Resectable Stage IIB-IIIB NSCLC (MDT-BRIDGE)

A Phase 2 study testing Durvalumab in people with Non-small Cell Lung Cancer, run by AstraZeneca at 49 sites in 11 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

The purpose of this study is to assess efficacy and safety of neoadjuvant durvalumab in combination with platinum-based chemotherapy (CT) given as initial therapy after cancer diagnosis followed by either surgery and adjuvant durvalumab or chemoradiotherapy (CRT) and consolidation durvalumab given alone as further… 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
142 participants
Where
49 sitesin 11 countries
Study dates
22 Feb 2024to 27 Aug 2027
Phase
Phase 2
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

  • Deemed resectable or borderline resectable at baseline, confirmed by MDT evaluation at diagnosis.
  • Previously untreated and pathologically confirmed Stage IIB to select [i.e.N2] Stage IIIB by AJCC v8.
  • Nodal status confirmed with whole body FDG-PET and biopsy via endobronchial ultrasound, mediastinoscopy, or thoracoscopy.
  • Mandatory brain MRI.
  • EGFR and ALK wild-type.
  • Medically operable: adequate cardiac and lung function to undergo resection.
Show all 12Show fewer
  • Participant must be ≥ 18 years, at the time of screening.
  • Histologically or cytologically documented NSCLC.
  • Minimum life expectancy of 12 weeks.
  • Minimum body weight of 30 kg.
  • Male and female participants must be willing to use acceptable methods of contraception.
  • Female participants of childbearing potential must have negative pregnancy test.

Who cannot join

  • Unresectable NSCLC confirmed by MDT evaluation at baseline
  • Stage IIIC patients
  • Participants whose planned surgery at enrollment is a wedge resection
  • Known EGFR mutation or ALK translocation
  • Participants contraindicated for surgical intervention due to comorbid conditions
  • Participants who are allergic to study intervention.
Show all 11Show fewer
  • Participants with more than one primary tumour.
  • Known active hepatitis infection, positive HCV antibody, HBsAg or HBV core antibody (anti-HBc), at screening.
  • Female participants who are pregnant or breastfeeding.
  • Judgement by the investigator that the participant should not participate in the study.
  • Previously infected or tested positive for human immunodeficiency virus.

Trial locations and contacts

49 sites in 11 countries.

49 sites in 11 countries

Italy9 sites
  • Research Site

    Bari, 70124

  • Research Site

    Bologna, 40138

  • Research Site

    Milan, 20132

  • Research Site

    Milan, 20133

  • Research Site

    Milan, 20141

  • Research Site

    Naples, 80131

  • Research Site

    Palermo, 90127

  • Research Site

    Pavia, 27100

  • Research Site

    Peschiera del Garda, 37019

Other trials in Italy

Spain9 sites
  • Research Site

    Barakaldo, 48903

  • Research Site

    Barcelona, 08025

  • Research Site

    L'Hospitalet de Llobregat, 08908

  • Research Site

    Madrid, 28007

  • Research Site

    Madrid, 28027

  • Research Site

    Madrid, 28046

  • Research Site

    Pamplona, 31008

  • Research Site

    Valencia, 46009

  • Research Site

    Zaragoza, 50009

Other trials in Spain

France8 sites
  • Research Site

    La Tronche, 38700

  • Research Site

    Marseille, 13008

  • Research Site

    Montpellier, 34295

  • Research Site

    Mulhouse, 68070

  • Research Site

    Paris, 75005

  • Research Site

    Pessac, 33604

  • Research Site

    Poitiers, 86000

  • Research Site

    Toulouse, 31059

Other trials in France

Germany5 sites
  • Research Site

    Berlin, 13125

  • Research Site

    Cologne, 51109

  • Research Site

    Großhansdorf, 22927

  • Research Site

    Moers, 47441

  • Research Site

    Würzburg, 97074

Other trials in Germany

Czechia4 sites
  • Research Site

    Brno, 625 00

  • Research Site

    Olomouc, 77900

  • Research Site

    Prague, 12808

  • Research Site

    Prague, 150 06

Other trials in Czechia

United States3 sites
  • Research Site

    Charlottesville, Virginia, 22908

  • Research Site

    Houston, Texas, 77030

  • Research Site

    The Bronx, New York, 10467

Other trials in United States

Canada3 sites
  • Research Site

    Chicoutimi, Quebec, G7H 5H6

  • Research Site

    Kingston, Ontario, K7L 2V7

  • Research Site

    Montreal, Quebec, H4A 3J1

Other trials in Canada

Austria2 sites
  • Research Site

    Vienna, 1130

  • Research Site

    Vienna, 1140

Other trials in Austria

Hungary2 sites
  • Research Site

    Budapest, 1122

  • Research Site

    Törökbálint, 2045

Other trials in Hungary

Portugal2 sites
  • Research Site

    Lisbon, 1350-352

  • Research Site

    Lisbon, 1500-650

Other trials in Portugal

Sweden2 sites
  • Research Site

    Solna, 171 64

  • Research Site

    Uppsala, SE-751 85

Other trials in Sweden

About this study

Official title: A Multicentre, Phase II, Single-Arm, Interventional Study of Neoadjuvant Durvalumab and Platinum-based Chemotherapy (CT), Followed by Either Surgery and Adjuvant Durvalumab or Chemoradiotherapy (CRT) and Consolidation Durvalumab, in Participants With Resectable or Borderline Resectable Stage IIB-IIIB Non-small Cell Lung Cancer (NSCLC)

The purpose of this study is to assess efficacy and safety of neoadjuvant durvalumab in combination with platinum-based chemotherapy (CT) given as initial therapy after cancer diagnosis followed by either surgery and adjuvant durvalumab or chemoradiotherapy (CRT) and consolidation durvalumab given alone as further therapy in participants with resectable and borderline resectable stage IIB-IIIB NSCLC.

Read the detailed description

This will be a multicentre, Phase II, single-arm, global study assessing the efficacy and safety of neoadjuvant durvalumab and platinum-based CT, given intravenously, followed by either surgery and adjuvant durvalumab or definitive CRT and consolidation durvalumab in participants with resectable and borderline resectable stage IIB-IIIB NSCLC.

Neoadjuvant Period A:

All participants will initially receive 2 cycles of neoadjuvant durvalumab + CT (investigator's choice platinum-based) every three weeks. Participants will be assessed for resectability by a multidisciplinary team.

Neoadjuvant Period B:

Cohort 1: Participants who are deemed eligible for surgery will receive study intervention every three weeks for an additional one and up to two cycles, followed by surgery.

CRT:

Cohort 2: Participants with unresectable tumours (according to MDT re-assessment) will receive definitive CRT (6 one-week cycles) for approximately six weeks.

Both cohorts will then go on to receive durvalumab every four weeks until disease progression or recurrence or up to one year.

Being tested
Durvalumab
Keywords
Neoadjuvant, Durvalumab, Chemoradiotherapy, Surgery, Adjuvant, Consolidation, Multidisciplinary team (MDT)
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

    Participants that go on to receive surgery, will receive durvalumab for up to four cycles prior to surgery. Participants that go on to receive CRT will receive durvalumab for up to two cycles prior to CRT. All participants will receive durvalumab every four weeks until disease progression or recurrence or up to 12 months following surgery/CRT, unless there is unacceptable toxicity, withdrawal of consent, or another discontinuation criterion is met.

Study groups in NCT05925530
Study groupRoleWhat they receive
DurvalumabExperimentalDurvalumab will be administered to the participants via intravenous infusion (IV)
Receives: Drug: Durvalumab

What is being measured

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

  1. Resection rate

    Resection rate is defined as the proportion of all participants who underwent definitive surgery. Participants who undergo (ie, start) surgery with the goal of complete tumour resection will be counted as meeting this endpoint.

    Measured: At day of surgery (Within 40 days of the last dose of neoadjuvant treatment)

Secondary outcomes (23)
  1. Resection rate

    Resection rate will be further assessed separately in participants deemed resectable at baseline and participants deemed borderline resectable at baseline.

    Measured: At the day of surgery (within 40 days after the last dose of neoadjuvant treatment)

  2. R0, R1, R2 resection rates

    The R0, R1, and R2 resection rates (assessed separately) are defined as the proportion of resected participants with resection margins assessed as R0, R1, and R2 respectively. R0 corresponds to resection for cure or complete remission, R1 to microscopic residual tumour, R2 to macroscopic residual tumour.

    Measured: At the day of surgery (within 40 days after the last dose of neoadjuvant treatment)

  3. Pathological complete response (pCR)

    pCR will be defined as the proportion of participants who undergo surgery and have 0% residual viable tumour cells in resected lung and lymph nodes.

    Measured: At the day of surgery (within 40 days after the last dose of neoadjuvant treatment)

  4. Overall Survival (OS)

    OS will be defined as the time from first dose of study intervention until the date of death due to any cause.

    Measured: From first dose of study intervention until death, withdrawal of consent, or the end of the study (approximately 3.5 years)

  5. Overall Survival (OS) rate

    The proportion of participants alive at 12 and 24 months.

    Measured: At 12 months and 24 months

  6. Event-free survival (EFS)

    EFS is defined as the time from the first dose of study intervention to any of the following events: PD that precludes surgery, progression or recurrence of disease after surgery, PD in the absence of surgery, disease progression, recurrence, or death due to any cause.

    Measured: From first dose of study intervention until progression of disease (PD), recurrence or death, withdrawal of consent, or the end of the study (approximately 3.5 years)

  7. Event-free survival (EFS) rate

    The proportion of participants alive and event-free at 12 and 24 months.

    Measured: At 12 months and 24 months

  8. Progression Free Survival (PFS)

    PFS is defined as the time from the first dose of study intervention to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1.-defined PD, as assessed by the investigator, or death due to any cause.

    Measured: From first dose of study intervention until disease progression, death, withdrawal of consent, or the end of the study (approximately 3.5 years)

  9. Progression Free Survival (PFS) rate

    The proportion of participants alive without disease progression at 12 and 24 months.

    Measured: At 12 months and 24 months

  10. Objective response rate (ORR) pre-surgery/pre-chemoradiotherapy (CRT)

    ORR is defined as the proportion of participants who have unconfirmed complete response or partial response as assessed by the investigator per RECIST 1.1.

    Measured: From first dose of study intervention until death, surgery/start of CRT

  11. ORR during study intervention and definitive CRT

    ORR is defined as the proportion of participants who have unconfirmed complete response or partial response as assessed by the investigator per RECIST 1.1.

    Measured: From MDT re-assessment timepoint (baseline for this endpoint) until the first tumour assessment after definitive CRT

  12. Percentage of all participants with circulating tumor DNA (ctDNA) clearance

    Circulating tumour DNA clearance (ie, cMR) will be defined as a change from detectable ctDNA to undetectable ctDNA (ctDNA concentration less than limit of detection) at specified timepoints. The percentage of all biomarker-evaluable participants with ctDNA clearance will be assessed.

    Measured: From Cycle 1 Day 1 up to pre-surgery/CRT (within 7 to 14 days pre-surgery/CRT) [Each cycle is of 3 weeks]

  13. Number of participants with adverse events

    Safety and tolerability will be evaluated in terms of adverse events and serious adverse events.

    Measured: From enrollment up to at least 90 days after last dose of study intervention

  14. Surgical safety: Duration of surgical procedure

    The safety of study intervention will be evaluated from start to end of surgery

    Measured: Time from start of surgery to end of surgery

  15. Surgical safety: Length of post operative hospital stay

    The safety of study intervention will be evaluated during post operative hospital stay

    Measured: Time from the beginning of the surgery/procedure to the discharge of hospital

  16. Surgical safety: Intended surgical approach

    Intended surgical approach at baseline (minimally invasive vs open thoracotomy).

    Measured: At baseline

  17. Surgical safety: Actual surgical approach

    Actual surgical approach (minimally invasive vs open thoracotomy).

    Measured: At surgery

  18. Surgical safety: Intended surgical procedure

    Intended surgical procedure (lobectomy vs bilobectomy vs sleeve resection vs pneumonectomy).

    Measured: At baseline

  19. Surgical safety: Actual surgical procedure

    Actual surgical procedure (lobectomy vs bilobectomy vs sleeve resection vs pneumonectomy)

    Measured: At surgery

  20. Number of participants with delayed surgery

    The safety of study intervention will be evaluated for participants with delayed surgery

    Measured: 40 days after last dose of study intervention to surgery

  21. Surgical safety: Length of surgical delays

    The safety of study intervention will be evaluated during the length of the surgical delay

    Measured: 40 days after last dose of study intervention to surgery

  22. Number of participants with reason of surgical delay

    The safety of study intervention will be evaluated for participants with reason of surgical delay

    Measured: 40 days after last dose of study intervention to surgery

  23. Time from last neoadjuvant dose to surgery

    The safety of the study intervention will be evaluated from last neoadjuvant dose to surgery

    Measured: Time from last neoadjuvant dose of study intervention to surgery

Timeline

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

  1. First posted29 Jun 2023
  2. Study start22 Feb 2024
  3. Primary completion12 Jan 2026
  4. Study completion27 Aug 2027 (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 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
142 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05925530
Sponsor's protocol ID
D9106C00002
Other IDs
2023-503357-35-00, 2023
Acronym
MDT-BRIDGE
Status last verified
Sep 2026
First submitted
22 Jun 2023
Last updated
9 Sep 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 Vivli.org. All requests 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 approved.

Publications

  • Reck M, Nadal E, Gay CM, Girard N, Filippi AR, Martin LW, Petersen C, Cairns DA, Majem M, Ardizzoni A, Alvarez RA, Robinson A, Roch B, Boyer A, Attili I, Diehn M, Kurtz D, Emeribe UA, Perez ID, Levra MG, Gale D, Zhu Z, Georgoulia N, Spicer J. Neoadjuvant durvalumab plus chemotherapy in resectable or borderline resectable non-small-cell lung cancer: the phase 2 MDT-BRIDGE trial. Nat Med. 2026 Oct 26. doi: 10.1038/s41591-026-04742-7. Online ahead of print.

    PubMed 42934326

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 49 sites in 11 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 12 inclusion and 11 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 9 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 49 sites in Italy, Spain, France, Germany, Czechia and 6 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 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?

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?

Resection rate (time frame: At day of surgery (Within 40 days of the last dose of neoadjuvant 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 NCT05925530, 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 9 Sep 2026.

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