Non-squamous Metastatic Non-Small-Cell Lung CarcinomaNAUTICNCT06494540
NIS to Examine the Effectiveness of TDC in Patients With Metastatic Non-squamous NSCLC and High-risk Genetic Alterations
An observational study of Non-squamous Metastatic Non-Small-Cell Lung Carcinoma, run by AstraZeneca at 30 sites in Germany.
Trial summary
This prospective, multicenter, non-interventional study (NIS) in Germany aims to collect real-life data of patients with non-squamous (NSQ) metastatic non-small cell lung cancer (mNSCLC) (incl. Read more about this study
- Who is it for?
- Ages 18 to 120 years
- Conditions the study is for
- Non-squamous Metastatic Non-Small-Cell Lung Carcinoma
- How many people
- 600 participants
- Where
- 30 sitesGermany
- Study dates
- 28 Jun 2024to 31 Dec 2029
- Phase
- Observational
- 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 120 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Adult patients (≥18 years) with a histologically or cytologically confirmed NSQ mNSCLC (incl. LCNEC if considered NSCLC-like by the treating physician), planned treatment initiation with TDC according to applicable Summary of product characteristics (SmPCs) within routine clinical practice and initiated molecular gene panel analysis (including KRAS, STK11, KEAP1, and TP53) as well as PD-L1 and TTF-1 expression analyses are eligible for enrolment. Eligible patients will be included into the study after and independently of the treating physician's treatment and diagnostic decisions but no later than 21 days after application of the first TDC treatment cycle.
Who may be able to join
- Aged ≥ 18 years
- Decision to start first-line (1L) treatment with TDC according to the current SmPCs
- Histologically or cytologically confirmed diagnosis of NSQ mNSCLC (incl. LCNEC if considered NSCLC-like by the treating physician)
- No sensitizing epidermal growth factor receptor (EGFR) mutations or anaplastic lymphoma kinase (ALK) alterations
- Molecular Next Generation Sequencing (NGS) panel as per institutional standard has been initiated (including the following genes: KRAS, STK11, KEAP1, and TP53)
- TTF-1 expression analysis has been initiated
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- PD-L1 expression analysis has been initiated
- Women of childbearing potential must use effective contraception during treatment with durvalumab and for at least 3 months after the last dose of durvalumab
- Ability to understand the study concept
- Provision of signed informed consent form in accordance with applicable local provisions
Who cannot join
- Current participation in interventional clinical trials
- Contraindications according to current SmPCs
- Any active tumor other than metastatic NSCLC*
- Mixed histology NSCLC with both adenocarcinoma and squamous cell carcinoma components (adenosquamous carcinoma or any mixed NSQ- squamous tumor), regardless of the predominant component
- determined by investigator as likely to influence the prognosis or management of mNSCLC
Trial locations and contacts
30 sites in 1 country. Contact the study team or a site near you to ask about taking part.
AstraZeneca Clinical Study Information Center contact
30 sites in 1 country
Germany30 sites, 27 recruiting
- Recruiting
Research Site
Bad Homburg
- Recruiting
Research Site
Berlin
- Recruiting
Research Site
Bremen
- Withdrawn
Research Site
Celle
- Recruiting
Research Site
Chemnitz
- Recruiting
Research Site
Cologne
- Recruiting
Research Site
Deggendorf
- Recruiting
Research Site
Frankfurt
- Recruiting
Research Site
Georgsmarienhütte
- Withdrawn
Research Site
Gera
- Recruiting
Research Site
Goslar
- Recruiting
Research Site
Greifswald
- Recruiting
Research Site
Halle-Dolau
- Recruiting
Research Site
Hanover
- Recruiting
Research Site
Herne
- Recruiting
Research Site
Hösbach
- Recruiting
Research Site
Koblenz
- Recruiting
Research Site
Koln-Mehrheim
- Recruiting
Research Site
Mainz
- Recruiting
Research Site
Marburg
- Recruiting
Research Site
Münnerstadt
- Recruiting
Research Site
Neuss
- Recruiting
Research Site
Offenbach
- Recruiting
Research Site
Querfurt
- Recruiting
Research Site
Ravensburg
- Withdrawn
Research Site
Rüsselsheim am Main
- Recruiting
Research Site
Treuenbrietzen
- Recruiting
Research Site
Ulm
- Recruiting
Research Site
Wiesbaden
- Recruiting
Research Site
Zwickau
About this study
Official title: Prospective Non-interventional Study (NIS) to Examine the Effectiveness of Tremelimumab + Durvalumab + Platinum Chemotherapy (TDC) in Patients With Metastatic Non-squamous NSCLC and High-risk Genetic Alterations
This prospective, multicenter, non-interventional study (NIS) in Germany aims to collect real-life data of patients with non-squamous (NSQ) metastatic non-small cell lung cancer (mNSCLC) (incl. large cell neuroendocrine carcinoma (LCNEC) if considered NSCLC-like by the treating physician) for whom 1st line treatment initiation with tremelimumab and durvalumab in combination with a platinum-based chemotherapy (TDC) according to marketing authorization was scheduled. The study aims to describe the effectiveness with respect to mutations in Kirsten rat sarcoma viral oncogene homolog (KRAS), Serine/threonine kinase 11 (STK11), Kelch-like ECH-associated protein 1 (KEAP1), and Tumor protein p53 (TP53) as well as expression of Thyroid transcription factor 1 (TTF-1) and Programmed death-ligand 1 (PD-L1) in routine clinical practice. The generated data aims to deepen the understanding of optimal, biomarker-guided treatment strategies for NSQ mNSCLC in distinct subgroups with a high medical need.
- Keywords
- NSCLC,, mNSCLC,, KRAS,, STK11,, KEAP1,, TP53,, POSEIDON,, Tremelimumab,, Durvalumab
- Medical subject headings
- Carcinoma, Non-Small-Cell Lung, Hereditary Sensory and Autonomic Neuropathies
What is being measured
The primary outcome is the main question the study is designed to answer.
Two-year real-world overall survival (rwOS) rate of patients with NSQ mNSCLC in the total study population
rwOS rate (percentage of patients being alive derived by Kaplan-Meier methods) at 24 months in the total study population. Patients without a date of death will be censored at last activity in the database, or the end of the study period, whichever occurs first.
Measured: Time from patient's index date until death by any cause, up to 24 months
Two-year real-world overall survival (rwOS) rate of patients with NSQ mNSCLC in patients with mutations in KRAS
rwOS rate (percentage of patients being alive derived by Kaplan-Meier methods) at 24 months in patients with mutations in KRAS. Patients without a date of death will be censored at last activity in the database, or the end of the study period, whichever occurs first.
Measured: Time from patient's index date until death by any cause, up to 24 months
Two-year real-world overall survival (rwOS) rate of patients with NSQ mNSCLC in patients with mutations in STK11
rwOS rate (percentage of patients being alive derived by Kaplan-Meier methods) at 24 months in patients with mutations in STK11. Patients without a date of death will be censored at last activity in the database, or the end of the study period, whichever occurs first.
Measured: Time from patient's index date until death by any cause, up to 24 months
Secondary outcomes (10)
Real-world overall survival (rwOS) in the total study population
rwOS rate (percentage of patients being alive derived by Kaplan-Meier methods) at 6, 12 and 18 months
Measured: 6, 12 and 18 months
Median overall survival (mOS) in the total study population
OS is defined as the time from the date of first documented dose of TDC until death due to any cause. Any patient not known to have died at the time of analysis will be censored based on the last recorded date on which the patient was known to be alive. Median OS will be calculated using the Kaplan-Meier technique.
Measured: up to 24 months
Real-world overall survival (rwOS) in a subgroup of patients with mutation in KRAS
rwOS rate (percentage of patients being alive derived by Kaplan-Meier methods) at 6, 12 and 18 months
Measured: 6, 12 and 18 months
Median overall survival (mOS) in a subgroup of patients with mutation in KRAS
OS is defined as the time from the date of first documented dose of TDC until death due to any cause. Any patient not known to have died at the time of analysis will be censored based on the last recorded date on which the patient was known to be alive. Median OS will be calculated using the Kaplan-Meier technique.
Measured: up to 24 months
Real-world overall survival (rwOS) in a subgroup of patients with mutation in STK11
rwOS rate (percentage of patients being alive derived by Kaplan-Meier methods) at 6, 12 and 18 months
Measured: 6, 12 and 18 months
Median overall survival (mOS) in a subgroup of patients with mutation in STK11
OS is defined as the time from the date of first documented dose of TDC until death due to any cause. Any patient not known to have died at the time of analysis will be censored based on the last recorded date on which the patient was known to be alive. Median OS will be calculated using the Kaplan-Meier technique.
Measured: up to 24 months
Real-world treatment response of TDC, as judged by the treating physician
Treatment response in terms of overall response rate (ORR), being defined as the proportion of patients with complete response (CR) or partial response (PR) as best overall response, CR or PR, at ≥1 visit during treatment with TDC.
Measured: up to 24 months
Duration of response (DoR)
Duration of response (DoR), being defined as time from documented CR or PR until documentation of progressive disease (PD), or death by any cause will be analyzed with Kaplan-Meier methods. Patients without documentation of PD will be censored with their last date in the database known to be without PD, or the end of study date, whichever occurs first. Patients who received a subsequent line mNSCLC therapy after TDC before disease progression or death will be censored with the start date of this new therapy.
Measured: up to 24 months
Real-world progression-free survival (rwPFS)
rwPFS is defined as time from patient's index date until first date of PD or death by any cause and will be analyzed by Kaplan-Meier methods.
Measured: up to 24 months
Safety: Collection of Adverse Events (AE)
Safety evaluated based on type of Adverse Event (AE), intensity, causal relationship to treatment, duration, handling, outcome, and seriousness.
Measured: up to 24 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Jul 2024
- Study start28 Jun 2024
- Primary completion31 Dec 2029 (estimated)
- Study completion31 Dec 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Non-squamous Metastatic Non-Small-Cell Lung CarcinomaStudies of the same condition, open and under way.
- More trials run by AstraZenecaThe 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
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 600 participants (estimated)
Sponsor and investigators
- Lead sponsor
- AstraZeneca
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06494540
- Sponsor's protocol ID
- D419MR00003
- Acronym
- NAUTIC
- Status last verified
- Sep 2026
- First submitted
- 20 Jun 2024
- Last updated
- 28 Sep 2026
- Results posted
- No
- Data monitoring committee
- No
- Individual data sharing
- Yes: Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca (AZ) 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 shared.
Study at a glance
From the registry record, last updated by the sponsor on 28 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Prospective Non-interventional Study (NIS) to Examine the Effectiveness of Tremelimumab + Durvalumab + Platinum Chemotherapy (TDC) in Patients With Metastatic Non-squamous NSCLC and High-risk Genetic Alterations
- ClinicalTrials.gov ID
- NCT06494540
- Acronym / sponsor ID
- NAUTIC / D419MR00003
- Keywords
- NSCLC,, mNSCLC,, KRAS,, STK11,, KEAP1,, TP53,, POSEIDON,, Tremelimumab,
- Study type
- Observational
- Recruitment status
- Recruiting
- Enrolment
- 600 participants (estimated)
- Lead sponsor
- AstraZenecaIndustry (pharma, biotech, devices)
- Study start
- 28 Jun 2024 (actual)
- Primary completion
- 31 Dec 2029 (estimated)
- Study completion
- 31 Dec 2029 (estimated)
- First posted
- 10 Jul 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This prospective, multicenter, non-interventional study (NIS) in Germany aims to collect real-life data of patients with non-squamous (NSQ) metastatic non-small cell lung cancer (mNSCLC) (incl. large cell neuroendocrine carcinoma (LCNEC) if considered NSCLC-like by the treating physician) for whom 1st line treatment initiation with tremelimumab and durvalumab in combination with a platinum-based chemotherapy (TDC) according to marketing authorization was scheduled. The study aims to describe the effectiveness with respect to mutations in Kirsten rat sarcoma viral oncogene homolog (KRAS), Serine/threonine kinase 11 (STK11), Kelch-like ECH-associated protein 1 (KEAP1), and Tumor protein p53 (TP53) as well as expression of Thyroid transcription factor 1 (TTF-1) and Programmed death-ligand 1 (PD-L1) in routine clinical practice. The generated data aims to deepen the understanding of optimal, biomarker-guided treatment strategies for NSQ mNSCLC in distinct subgroups with a high medical need.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
Who may qualify
- Ages
- 18 to 120 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Adult patients (≥18 years) with a histologically or cytologically confirmed NSQ mNSCLC (incl. LCNEC if considered NSCLC-like by the treating physician), planned treatment initiation with TDC according to applicable Summary of product characteristics (SmPCs) within routine clinical practice and initiated molecular gene panel analysis (including KRAS, STK11, KEAP1, and TP53) as well as PD-L1 and TTF-1 expression analyses are eligible for enrolment. Eligible patients will be included into the study after and independently of the treating physician's treatment and diagnostic decisions but no later than 21 days after application of the first TDC treatment cycle.
Key inclusion criteria (10 listed)
- Aged ≥ 18 years
- Decision to start first-line (1L) treatment with TDC according to the current SmPCs
- Histologically or cytologically confirmed diagnosis of NSQ mNSCLC (incl. LCNEC if considered NSCLC-like by the treating physician)
- No sensitizing epidermal growth factor receptor (EGFR) mutations or anaplastic lymphoma kinase (ALK) alterations
- Molecular Next Generation Sequencing (NGS) panel as per institutional standard has been initiated (including the following genes: KRAS, STK11, KEAP1, and TP53)
Key exclusion criteria (5 listed)
- Current participation in interventional clinical trials
- Contraindications according to current SmPCs
- Any active tumor other than metastatic NSCLC*
- Mixed histology NSCLC with both adenocarcinoma and squamous cell carcinoma components (adenosquamous carcinoma or any mixed NSQ- squamous tumor), regardless of the predominant component
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Two-year real-world overall survival (rwOS) rate of patients with NSQ mNSCLC in the total study population
Time frame: Time from patient's index date until death by any cause, up to 24 months
rwOS rate (percentage of patients being alive derived by Kaplan-Meier methods) at 24 months in the total study population. Patients without a date of death will be censored at last activity in the database, or the end of the study period, whichever occurs first.
Two-year real-world overall survival (rwOS) rate of patients with NSQ mNSCLC in patients with mutations in KRAS
Time frame: Time from patient's index date until death by any cause, up to 24 months
rwOS rate (percentage of patients being alive derived by Kaplan-Meier methods) at 24 months in patients with mutations in KRAS. Patients without a date of death will be censored at last activity in the database, or the end of the study period, whichever occurs first.
Two-year real-world overall survival (rwOS) rate of patients with NSQ mNSCLC in patients with mutations in STK11
Time frame: Time from patient's index date until death by any cause, up to 24 months
rwOS rate (percentage of patients being alive derived by Kaplan-Meier methods) at 24 months in patients with mutations in STK11. Patients without a date of death will be censored at last activity in the database, or the end of the study period, whichever occurs first.
10 secondary outcomes
Real-world overall survival (rwOS) in the total study population
Time frame: 6, 12 and 18 months
Median overall survival (mOS) in the total study population
Time frame: up to 24 months
Real-world overall survival (rwOS) in a subgroup of patients with mutation in KRAS
Time frame: 6, 12 and 18 months
Median overall survival (mOS) in a subgroup of patients with mutation in KRAS
Time frame: up to 24 months
Real-world overall survival (rwOS) in a subgroup of patients with mutation in STK11
Time frame: 6, 12 and 18 months
Median overall survival (mOS) in a subgroup of patients with mutation in STK11
Time frame: up to 24 months
Real-world treatment response of TDC, as judged by the treating physician
Time frame: up to 24 months
Duration of response (DoR)
Time frame: up to 24 months
Real-world progression-free survival (rwPFS)
Time frame: up to 24 months
Safety: Collection of Adverse Events (AE)
Time frame: up to 24 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Sep 2026.
- Individual participant dataSharing planned: Yes. Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca (AZ) 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 shared.
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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.
AstraZeneca Clinical Study Information Center contact
30 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Non-squamous Metastatic Non-Small-Cell Lung Carcinoma, run by AstraZeneca at 30 sites in Germany.
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 10 inclusion and 5 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: looking for participants now, as of the sponsor's last update on 28 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 30 sites in Germany. 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.
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?
Contact AstraZeneca Clinical Study Information Center (1-877-240-9479, information.center@astrazeneca.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Two-year real-world overall survival (rwOS) rate of patients with NSQ mNSCLC in the total study population (time frame: Time from patient's index date until death by any cause, up to 24 months). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 28 Sep 2026.