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Table 4 Ongoing phase III trials for durvalumab in early-stage and advanced-stage lung cancer

From: Emerging therapies for non-small cell lung cancer

Objectives

Identifier

Title

Intervention

Study design

Population

Primary endpoint

Secondary endpoint

Status

Primary completion

Early-stage

NCT03703297

A phase III, randomized, double-blind, placebo-controlled, multi-center, international study of durvalumab or durvalumab and tremelimumab as consolidation treatment for patients with stagei-iii limited disease small-cell lung cancer who have not progressed following concurrent chemoradiation therapy (ADRIATIC)

• Durvalumab+placebo

• Durvalumab tremelimuab, placebo+placebo

Randomized parallel trial

Limited-stage SCLC without progression after definitive concurrent chemoradiation

PFS, OS

ORR, TTD/TTM, PFS2

Recruiting

Jun 2021

NCT03800134

A phase III, double-blind, placebo-controlled, multi-center international study of neoadjuvant/adjuvant durvalumab for the treatment of patients with resectable stages II and III non-small cell lung cancer (AEGEAN)

• Durvalumab+platinum-based chemotherapy

• Placebo+platinum-based chemotherapy

Randomized parallel trial

Resectable stage IIA-IIIB NSCLC

MPR

pCR, OS, DFS

Recruiting

Jul 2020

NCT03519971

A phase III, randomized, placebo-controlled, double-blind, multi-center, international study of durvalumab given concurrently with platinum-based chemoradiation therapy in patients with locally advanced, unresectable non-small cell lung cancer (StageIII) (PACIFIC2)

• Durvalumab+platinum-based chemotherapy and radiation

• Placebo+platinum-based chemotherapy and radiation

Randomized parallel trial

Unresectable locally advanced stage III NSCLC

PFS, ORR

OS, DOR, PFS2

Recruiting

Sep 2020

NCT02273375

A phase III prospective double blind placebo controlled randomized study of adjuvant MEDI4736 in completely resected non-small cell lung cancer

• Durvalumab

• Placebo

Randomized parallel trial

Stage IB (> 4 cm) to IIIA NSCLC after complete surgical resection

DFS

OS, LCSS

Recruiting

Jan 2023

NCT03706690

A phase III, randomized,double-blind,placebo-controlled,study of durvalumab as consolidation therapy in patients with locally advanced, unresectable NSCLC, who have not progressed following definitive, platinum-based chemoradiation therapy (PACIFIC5)

• Durvalumab

• Placebo

Randomized parallel trial

Unresectable locally advanced stage III NSCLC

PFS

OS, ORR, DOR

Recruiting

Mar 2021

Advanced-stage

NCT03164616

A phase III, randomized, multi-center, open-label, comparative global study to determine the efficacy of durvalumab or durvalumab and tremelimumab in combination with platinum-based chemotherapy for first-line treatment in patients with metastatic non small-cell lung cancer (NSCLC) (POSEIDON)

• Durvalumab+tremelimumab

• Durvalumab monotherapy+SoC

• SoC chemotherapy alone

Randomized parallel trial

Untreated advanced NSCLC without activating EGFR mutation or ALK fusions

PFS, OS

ORR, DOR, PFS2

Recruiting

Sep 2019

NCT03003962

A phase III randomized, open-label, multi-center study of durvalumab (MEDI4736) versus standard of care (SoC) platinum-based chemotherapy as first line treatment in patients with PD-L1-high expression advanced non small-cell lung cancer

• Durvalumab

• SoC chemotherapy

Randomized parallel trial

Untreated advanced PD-L1 positive NSCLC without EGFR mutation and ALK rearrangement

OS

ORR, DOR, PFS

Recruiting

Sep 2019

NCT02453282

A phase III randomized, open-label, multi-center, global study of MEDI4736 in combination with tremelimumab therapy or MEDI4736 monotherapy versus standard of careplatinum-based chemotherapy in first line treatment of patients with advanced or metastatic non small-cell lung cancer (MYSTIC)

• Durvalumab

• Durvalumab+tremelimumab

• SoC chemotherapy

Randomized parallel trial

Untreated advanced NSCLC without activating EGFR mutation or ALK fusions

OS, PFS

ORR

Active, not recruiting

Oct 2018

NCT03043872

A phase III, randomized, multicenter,open-label, comparative study to determine the efficacy of durvalumab or durvalumab and tremelimumab in combination with platinum-based chemotherapy for the first-line treatment in patients with extensive disease small-cell lung cancer (SCLC) (CASPIAN)

• Durvalumab+tremelimumab+EP

• Durvalumab+EP

• EP

Randomized parallel trial

Untreated extensive stage SCLC

OS, PFS

ORR, EORTC QLQ-C30

Active, not recruiting

Sep 2019

NCT02542293

A phase III randomized, open-label, multi-center, global study of medi4736 in combination with tremelimumab therapy versus standard of care platinum-based chemotherapy in first-line treatment of patients with advanced or metastatic non small-cell lung cancer (NSCLC)

• Durvalumab+tremelimumab

• SoC chemotherapy

Randomized parallel trial

Untreated advanced NSCLC without activating EGFR mutation or ALK fusions

OS

PFS, ORR, DOR

Active, not recruiting

Mar 2019

NCT02352948

A phase III, open label, randomized, multi-centre, international study of MEDI4736, given as monotherapy or in combination with tremelimumab determinedby PD-L1 expression versus standard of care in patients with locally advanced or metastatic non-small cell lung cancer (stage IIIB-IV) who have received at least two prior systemic treatment regimens including one platinum based chemotherapy regimen and do not have known EGFR activating mutations or ALK rearrangements (ARCTIC)

• Durvalumab

• Durvalumab+tremelimumab

• Tremelimumab

• Vinorelbine/gemcitabine/erlotinib

Randomized parallel trial

Advanced NSCLC without EGFR mutations and ALK rearrangment after progression of chemotherapy and at least one prior regimens treatment

OS, PFS

ORR, DOR

Active, not recruiting

Feb 2018

  1. DCR disease control rate, LCSS lung cancer-specific survival, PFS2 time from randomization to second progression, TTD/TTM time to death/time to distant metastasis, MPR major pathological response, pCR pathological complete response, DFS disease-free survival