- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02516241
Study of MEDI4736 (Durvalumab) With or Without Tremelimumab Versus Standard of Care Chemotherapy in Urothelial Cancer
A Phase III, Randomized, Open-Label, Controlled, Multi-Center, Global Study of First-Line MEDI4736 (Durvalumab) Monotherapy and MEDI4736 (Durvalumab) in Combination With Tremelimumab Versus Standard of Care Chemotherapy in Patients With Unresectable Stage IV Urothelial Cancer
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Phase 3
Contacts and Locations
Study Locations
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Box Hill, Australia, 3128
- Research Site
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Elizabeth Vale, Australia, 5112
- Research Site
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Macquarie University, Australia, 2109
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St Leonards, Australia, 2065
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Waratah, Australia, 2298
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Linz, Austria, 4010
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Wien, Austria, 1090
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Wien, Austria, 1140
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Brussels, Belgium, 1000
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Bruxelles, Belgium, 1200
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Leuven, Belgium, 3000
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Liège, Belgium, 4000
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Barretos, Brazil, 14784-400
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Belo Horizonte, Brazil, 30380-472
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Ijui, Brazil, 98700-000
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Itajai, Brazil, 88310-110
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Porto Alegre, Brazil, 90035-003
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Porto Alegre, Brazil, 90610-000
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Porto Alegre, Brazil, 91350-200
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Rio de Janeiro, Brazil, 22793-080
- Research Site
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Rio de Janeiro, Brazil, 20231-050
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Sao Paulo, Brazil, 01321-001
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Sao Paulo, Brazil, 01509-900
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Sao Paulo, Brazil, 01209-000
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São José do Rio Preto, Brazil, 15090-000
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Quebec, Canada, G1R 3S1
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Alberta
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Calgary, Alberta, Canada, T2N 4N2
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Edmonton, Alberta, Canada, T6G 1Z2
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British Columbia
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Kelowna, British Columbia, Canada, V1Y 5L3
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Vancouver, British Columbia, Canada, V5Z 4E6
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Nova Scotia
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Halifax, Nova Scotia, Canada, B3H 1V7
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Ontario
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Hamilton, Ontario, Canada, L8V 5C2
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Newmarket, Ontario, Canada, L3Y 2P9
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Oshawa, Ontario, Canada, L1G 2B9
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Ottawa, Ontario, Canada, K1H 1C4
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Toronto, Ontario, Canada, M5G 2M9
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Toronto, Ontario, Canada, M4N 3M5
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Quebec
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Sherbrooke, Quebec, Canada, J1H 5N4
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Beijing, China, 100034
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Beijing, China, 100191
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Beijing, China, 100039
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Changchun, China, 130012
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Changsha, China, 410013
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Chongqing, China, 400038
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Hangzhou, China, 310009
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Hangzhou, China, 310014
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Nanjing, China, 210008
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Shanghai, China, 200032
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Shanghai, China, 200080
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Shanghai, China, 200072
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Shanghai, China, 200000
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Shanghai, China, 200127
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Shenyang, China, 110001
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Tianjin, China, 300211
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Xi'an, China, 710061
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Xiamen, China, 361003
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Herlev, Denmark, 2730
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København Ø, Denmark, 2100
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Odense C, Denmark, 5000
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Århus C, Denmark, 8000
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Bordeaux, France, 33076
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Bordeaux, France, 33000
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Caen Cedex, France, 14076
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Lyon Cedex 08, France, 69008
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Marseille cedex 09, France, 13273
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Paris Cedex 10, France, 75475
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Poitiers Cedex, France, 86021
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Suresnes Cedex, France, 92151
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Toulouse, France, 31059
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Villejuif, France, 94805
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Düsseldorf, Germany, 40225
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Erlangen, Germany, 91054
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Hannover, Germany, 30625
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Heidelberg, Germany, 69120
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Jena, Germany, 07747
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München, Germany, 81675
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Münster, Germany, 48149
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Athens, Greece, 11528
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Heraklion, Greece, 71110
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Holargos, Athens, Greece, 155 62
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Kaliftaki, N.Kifissia, Athens, Greece, 14564
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Maroussi, Athens, Greece, 15125
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Patras, Greece, 26500
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Thessaloniki, Greece, 56 429
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Haifa, Israel, 31096
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Jerusalem, Israel, 91120
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Petach-Tikva, Israel, 4941492
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Ramat Gan, Israel, 5265601
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Zerifin, Israel, 70300
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Arezzo, Italy, 52100
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Meldola, Italy, 47014
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Milano, Italy, 20132
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Milano, Italy, 20133
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Napoli, Italy, 80131
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Orbassano, Italy, 10043
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Pavia, Italy, 27100
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Roma, Italy, 00152
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San Giovanni Rotondo, Italy, 71013
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Akita-shi, Japan, 010-8543
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Bunkyo-ku, Japan, 113-8603
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Fukuoka-shi, Japan, 811-1347
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Hakata-shi, Japan, 812-0033
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Hirosaki-shi, Japan, 036-8563
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Hiroshima-shi, Japan, 730-8518
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Izumo-shi, Japan, 693-8501
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Kagoshima-shi, Japan, 890-8520
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Kanazawa-shi, Japan, 920-8641
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Kita-gun, Japan, 761-0793
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Kobe-shi, Japan, 650-0047
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Koshigaya-shi, Japan, 343-8555
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Koto-ku, Japan, 135-8550
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Kumamoto-shi, Japan, 860-0008
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Kyoto-shi, Japan, 606-8507
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Matsuyama-shi, Japan, 791-0280
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Morioka-shi, Japan, 028-3695
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Nagasaki-shi, Japan, 852-8501
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Nagoya-shi, Japan, 466-8560
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Nagoya-shi, Japan, 460-0001
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Osaka-shi, Japan, 541-8567
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Osaka-shi, Japan, 545-8586
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Osakasayama-shi, Japan, 589-8511
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Saga-shi, Japan, 840-8571
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Sagamihara-shi, Japan, 252-0315
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Sakura-shi, Japan, 285-8741
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Sapporo-shi, Japan, 060-8648
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Suita-shi, Japan, 565-0871
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Takatsuki-shi, Japan, 569-8686
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Yokohama-shi, Japan, 232-0024
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Yokohama-shi, Japan, 236-0004
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Incheon, Korea, Republic of, 21565
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Seongnam-si, Korea, Republic of, 13620
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Seoul, Korea, Republic of, 03722
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Seoul, Korea, Republic of, 05505
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Seoul, Korea, Republic of, 03080
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Seoul, Korea, Republic of, 02841
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Seoul, Korea, Republic of, 6351
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Guadalajara, Mexico, 44280
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León, Mexico, 37000
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Mexico, Mexico, 06760
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Mexico, D.F, Mexico, 01120
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Monterrey, Mexico, 64460
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México, Mexico, 04739
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Amsterdam, Netherlands, 1066 CX
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Amsterdam, Netherlands, 1081 HV
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Breda, Netherlands, 4819 EV
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Enschede, Netherlands, 7512 KZ
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Groningen, Netherlands, 9713 GZ
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Leiden, Netherlands, 2333 ZA
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Maastricht, Netherlands, 6229 HX
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Nijmegen, Netherlands, 6525 GA
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Gdańsk, Poland, 80-214
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Gdańsk, Poland, 80-462
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Gdynia, Poland, 81-519
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Gliwice, Poland, 44-101
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Olsztyn, Poland, 10-228
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Otwock, Poland, 05-400
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Szczecin, Poland, 70-111
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Warszawa, Poland, 02-781
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Lisboa, Portugal, 1649-035
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Loures, Portugal, 2674-514
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Porto, Portugal, 4099-001
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Moscow, Russian Federation, 115478
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Moscow, Russian Federation, 105229
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Murmansk, Russian Federation, 183047
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Nizhnyi Novgorod, Russian Federation, 603001
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Obninsk, Russian Federation, 249036
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Omsk, Russian Federation, 644013
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Saint Petersburg, Russian Federation, 191015
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Saint-Petersburg, Russian Federation, 197758
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St. Petersburg, Russian Federation, 194354
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St. Petersburg, Russian Federation, 199178
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St.Petersburg, Russian Federation, 191014
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Ufa, Russian Federation, 450054
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Yaroslavl, Russian Federation, 150054
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Badajoz, Spain, 06008
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Badalona, Spain, 08916
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Barcelona, Spain, 08003
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Barcelona, Spain, 08243
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Elche(Alicante), Spain, 03202
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Madrid, Spain, 28041
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Madrid, Spain, 28040
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Madrid, Spain, 08035
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Madrid, Spain, 28050
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Madrid, Spain, 28007
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Pozuelo de Alarcon, Spain, 28223
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Santiago de Compostela, Spain, 15706
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Sevilla, Spain, 41013
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Kaohsiung, Taiwan
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Taichung, Taiwan, 00407
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Tainan, Taiwan, 704
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Taipei, Taiwan, 10002
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Taipei, Taiwan, 112
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Taoyuan City, Taiwan, 333
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Ankara, Turkey, 06230
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Edirne, Turkey, 22030
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Izmir, Turkey, 35100
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Cambridge, United Kingdom, CB2 0QQ
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Cardiff., United Kingdom, CF14 2TL
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Glasgow, United Kingdom, G12 0YN
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Leeds, United Kingdom, LS9 7TF
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London, United Kingdom, SE1 9RT
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London, United Kingdom, E1 1BB
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Manchester, United Kingdom, M20 4BX
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Sheffield, United Kingdom, S10 2SJ
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Southampton, United Kingdom, SO16 6YD
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Wirral, United Kingdom, CH63 4JY
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California
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Los Angeles, California, United States, 90095
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Stanford, California, United States, 94305
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Colorado
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Aurora, Colorado, United States, 80045
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Connecticut
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New Haven, Connecticut, United States, 06520
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Florida
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Tampa, Florida, United States, 33612
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Georgia
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Atlanta, Georgia, United States, 30322
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Kentucky
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Louisville, Kentucky, United States, 40202
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Massachusetts
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Boston, Massachusetts, United States, 02215
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Michigan
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Ann Arbor, Michigan, United States, 48109
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Detroit, Michigan, United States, 48201
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Nebraska
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Omaha, Nebraska, United States, 68130
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New York
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New York, New York, United States, 10021
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New York, New York, United States, 10029
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Tennessee
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Memphis, Tennessee, United States, 38120
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Nashville, Tennessee, United States, 37203
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Washington
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Seattle, Washington, United States, 98101
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patients with histologically or cytologically documented, unresectable, Stage IV transitional cell carcinoma of the urothelium who have not been previously treated with first-line chemotherapy.
- Patients eligible or ineligible for cisplatin-based chemotherapy. Cisplatin ineligibility is defined as meeting 1 of the following criteria: • Creatinine clearance (calculated or measured) <60 mL/min calculated by Cockcroft-Gault equation (using actual body weight) or by measured 24-hour urine collection for determination • Common Terminology Criteria for Adverse Events (CTCAE) Grade ≥2 audiometric hearing loss • CTCAE Grade ≥2 peripheral neuropathy • New York Heart Association ≥Class III heart failure.
- Tumor PD-L1 status, with Immunohistochemical (IHC) assay confirmed by a reference laboratory, must be known prior to randomization.
Exclusion Criteria:
- Prior exposure to immune-mediated therapy, including but not limited to, other anti cytotoxic T-lymphocyte-associated protein 4 (CTLA 4), anti-PD-1, anti-PD-L1, or anti-PD-L2 antibodies, including therapeutic anticancer vaccines. Prior local intervesical chemotherapy or immunotherapy is allowed if completed at least 28 days prior to the initiation of study treatment.
- History of allogenic organ transplantation that requires use of immunosuppressive agents.
- Active or prior documented autoimmune or inflammatory disorders. The following are exceptions to this criterion: • Patients with vitiligo or alopecia • Patients with hypothyroidism (eg, following Hashimoto syndrome) stable on hormone replacement • Any chronic skin condition that does not require systemic therapy • Patients without active disease in the last 3 years may be included but only after consultation with AstraZeneca • Patients with celiac disease controlled by diet alone may be included but only after consultation with AstraZeneca.
- Brain metastases or spinal cord compression unless the patient's condition is stable and off steroids for at least 14 days prior to the start of study treatment. Patients with suspected or known brain metastases at screening should have an MRI (preferred)/CT, preferably with IV contrast to access baseline disease status.
- Active infection including tuberculosis, hepatitis B, hepatitis C, or human immunodeficiency virus (HIV).
- Current or prior use of immunosuppressive medication within 14 days before the first dose of investigational product (IP). The following are exceptions to this criterion: • Intranasal, inhaled, topical steroids, or local steroid injections (eg, intra articular injection) • Systemic corticosteroids at physiologic doses not to exceed 10 mg/day of prednisone or its equivalent • Steroids as premedication for hypersensitivity reactions (eg, CT scan premedication).
- Receipt of live attenuated vaccine within 30 days prior to the first dose of IP. Note: Patients, if enrolled, should not receive live vaccine during the study and up to 30 days after the last dose of IP.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: Combination Therapy
MEDI4736 (Durvalumab) + Tremelimumab
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IV infusion
IV infusion
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Experimental: Monotherapy
MEDI4736 (Durvalumab)
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IV infusion
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Active Comparator: Standard of Care
Standard of Care Chemotherapy Treatment
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IV infusion
IV infusion
IV infusion
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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To Assess the Efficacy of Durvalumab + Tremelimumab Combination Therapy Versus SoC in Terms of OS in Full Analysis Set
Time Frame: From randomization date until death due to any cause, assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
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The OS was defined as the time from the date of randomization until death due to any cause (ie, date of death or censoring - date of randomization + 1).
Any participant not known to have died at the time of analysis were censored based on the last recorded date on which the participant was known to be alive.
Median OS was calculated using the Kaplan-Meier technique.
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From randomization date until death due to any cause, assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
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To Assess the Efficacy of Durvalumab Monotherapy Versus SoC in Terms of OS in PD-L1-High Analysis Set
Time Frame: From randomization date until death due to any cause, assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
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The OS was defined as the time from the date of randomization until death due to any cause (ie, date of death or censoring - date of randomization + 1).
Any participant not known to have died at the time of analysis were censored based on the last recorded date on which the participant was known to be alive.
Median OS was calculated using the Kaplan-Meier technique.
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From randomization date until death due to any cause, assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
OS, Full Analysis Set - Durvalumab Monotherapy vs SoC
Time Frame: From randomization date until death due to any cause, assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
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The OS was defined as the time from the date of randomization until death due to any cause (ie, date of death or censoring - date of randomization + 1).
Any participant not known to have died at the time of analysis were censored based on the last recorded date on which the participant was known to be alive.
Median OS was calculated using the Kaplan-Meier technique.
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From randomization date until death due to any cause, assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
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OS, PD-L1-High Analysis Set -Durvalumab + Tremelimumab Combination Therapy Versus SoC
Time Frame: From randomization date until death due to any cause, assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
|
The OS was defined as the time from the date of randomization until death due to any cause (ie, date of death or censoring - date of randomization + 1).
Any participant not known to have died at the time of analysis were censored based on the last recorded date on which the participant was known to be alive.
Median OS was calculated using the Kaplan-Meier technique.
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From randomization date until death due to any cause, assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
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OS, PD-L1-Low/Negative Analysis Set -Durvalumab + Tremelimumab Combination Therapy Versus SoC and Durvalumab + Tremelimumab Combination Therapy Versus Durvalumab Monotherapy
Time Frame: From randomization date until death due to any cause, assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
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The OS was defined as the time from the date of randomization until death due to any cause (ie, date of death or censoring - date of randomization + 1).
Any participant not known to have died at the time of analysis were censored based on the last recorded date on which the participant was known to be alive.
Median OS was calculated using the Kaplan-Meier technique.
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From randomization date until death due to any cause, assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
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Alive at 24 Months (OS24), Full Analysis Set
Time Frame: From randomization date until death due to any cause, assessed up to 24 months or the data cut-off date (27JAN2020).
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Alive at 24 months (OS24) is defined as the Kaplan-Meier estimate of OS at 24 months.
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From randomization date until death due to any cause, assessed up to 24 months or the data cut-off date (27JAN2020).
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Alive at 24 Months (OS24), PD-L1-High Analysis Set
Time Frame: From randomization date until death due to any cause, assessed up to 24 months or the data cut-off date (27JAN2020).
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Alive at 24 months (OS24) is defined as the Kaplan-Meier estimate of OS at 24 months.
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From randomization date until death due to any cause, assessed up to 24 months or the data cut-off date (27JAN2020).
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Alive at 24 Months (OS24), PD-L1-Low/Negative Analysis Set
Time Frame: From randomization date until death due to any cause, assessed up to 24 months or the data cut-off date (27JAN2020).
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Alive at 24 months (OS24) is defined as the Kaplan-Meier estimate of OS at 24 months.
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From randomization date until death due to any cause, assessed up to 24 months or the data cut-off date (27JAN2020).
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PFS, Full Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Mono Therapy vs SoC
Time Frame: Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
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Progression free survival (PFS) (per RECIST 1.1, as assessed by investigator) was defined as the time from the date of randomization until the date of objective disease progression or death (by any cause in the absence of progression) regardless of whether the patient withdraws from randomized therapy or receives another anticancer therapy prior to progression. Median PFS was calculated using the Kaplan-Meier technique. |
Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
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PFS, PD-L1-High Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Monotherapy vs SoC
Time Frame: Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
|
Progression free survival (PFS) (per RECIST 1.1, as assessed by investigator) was defined as the time from the date of randomization until the date of objective disease progression or death (by any cause in the absence of progression) regardless of whether the patient withdraws from randomized therapy or receives another anticancer therapy prior to progression. Median PFS was calculated using the Kaplan-Meier technique. |
Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
|
PFS, PD-L1-Low/Negative Analysis Set -Durvalumab + Tremelimumab Combination Therapy Versus SoC and Durvalumab + Tremelimumab Combination Therapy Versus Durvalumab Monotherapy
Time Frame: Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
|
Progression free survival (PFS) (per RECIST 1.1, as assessed by investigator) was defined as the time from the date of randomization until the date of objective disease progression or death (by any cause in the absence of progression) regardless of whether the patient withdraws from randomized therapy or receives another anticancer therapy prior to progression. Median PFS was calculated using the Kaplan-Meier technique. |
Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
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Alive and Progression-free at 12 Months (APF12), Full Analysis Set
Time Frame: Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to 12 months or the data cut-off date (27JAN2020).
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Alive and progression-free at 12 months (APF12) was defined as the Kaplan-Meier estimate of PFS (per RECIST 1.1 as assessed by investigator) at 12 months.
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Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to 12 months or the data cut-off date (27JAN2020).
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Alive and Progression-free at 12 Months (APF12), PD-L1-High Analysis Set
Time Frame: Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to 12 months or the data cut-off date (27JAN2020).
|
Alive and progression-free at 12 months (APF12) was defined as the Kaplan-Meier estimate of PFS (per RECIST 1.1 as assessed by investigator) at 12 months.
|
Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to 12 months or the data cut-off date (27JAN2020).
|
Alive and Progression-free at 12 Months (APF12), PD-L1-Low/Negative Analysis Set
Time Frame: Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to 12 months or the data cut-off date (27JAN2020).
|
Alive and progression-free at 12 months (APF12) was defined as the Kaplan-Meier estimate of PFS (per RECIST 1.1 as assessed by investigator) at 12 months.
|
Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to 12 months or the data cut-off date (27JAN2020).
|
PFS2, Full Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Mono Therapy vs SoC
Time Frame: Tumour scans performed at baseline then every 8 weeks since randomization until first confirmed disease progression, disease then assessed per local practice until 2nd progression. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
|
Time from randomization to second progression or death (PFS2) was defined as the time from the date of randomization to the earliest of the progression event subsequent to first subsequent therapy or death (ie, date of PFS2 event or censoring - date of randomization +1). Median PFS2 was calculated using the Kaplan-Meier technique. |
Tumour scans performed at baseline then every 8 weeks since randomization until first confirmed disease progression, disease then assessed per local practice until 2nd progression. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
|
PFS2, PD-L1-High Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Monotherapy vs SoC
Time Frame: Tumour scans performed at baseline then every 8 weeks since randomization until first confirmed disease progression, disease then assessed per local practice until 2nd progression. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
|
Time from randomization to second progression or death (PFS2) was defined as the time from the date of randomization to the earliest of the progression event subsequent to first subsequent therapy or death (ie, date of PFS2 event or censoring - date of randomization +1). Median PFS2 was calculated using the Kaplan-Meier technique. |
Tumour scans performed at baseline then every 8 weeks since randomization until first confirmed disease progression, disease then assessed per local practice until 2nd progression. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
|
PFS2, PD-L1-Low/Negative Analysis Set -Durvalumab + Tremelimumab Combination Therapy Versus SoC and Durvalumab + Tremelimumab Combination Therapy Versus Durvalumab Monotherapy
Time Frame: Tumour scans performed at baseline then every 8 weeks since randomization until first confirmed disease progression, disease then assessed per local practice until 2nd progression. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
|
Time from randomization to second progression or death (PFS2) was defined as the time from the date of randomization to the earliest of the progression event subsequent to first subsequent therapy or death (ie, date of PFS2 event or censoring - date of randomization +1). Median PFS2 was calculated using the Kaplan-Meier technique. |
Tumour scans performed at baseline then every 8 weeks since randomization until first confirmed disease progression, disease then assessed per local practice until 2nd progression. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
|
Objective Response Rate (ORR), Full Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Mono Therapy vs SoC
Time Frame: Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
|
Objective response rate ORR (per RECIST 1.1 as assessed by investigator) is defined as the number (%) of patients with at least 1 visit response of CR or PR.
|
Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
|
Objective Response Rate (ORR), PD-L1-High Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Monotherapy vs SoC
Time Frame: Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
|
Objective response rate ORR (per RECIST 1.1 as assessed by investigator) is defined as the number (%) of patients with at least 1 visit response of CR or PR.
|
Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
|
Objective Response Rate (ORR), PD-L1-Low/Negative Analysis Set -Durvalumab + Tremelimumab Combination Therapy Versus SoC and Durvalumab + Tremelimumab Combination Therapy Versus Durvalumab Monotherapy
Time Frame: Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
|
Objective response rate ORR (per RECIST 1.1 as assessed by investigator) is defined as the number (%) of patients with at least 1 visit response of CR or PR.
|
Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
|
Objective Response Rate (ORR) Based on BICR Assessment According to RECIST 1.1 - Responses Are Confirmed - Durvalumab Cisplatin Ineligible Population
Time Frame: Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to the data cut-off date (01NOV2017, a maximum of 3 years).
|
Objective response rate ORR (per RECIST 1.1 as assessed by investigator) is defined as the number (%) of patients with at least 1 visit response of CR or PR. unconfirmed responses are excluded. |
Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to the data cut-off date (01NOV2017, a maximum of 3 years).
|
Disease Control Rate (DCR) at 6 Months, Full Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Mono Therapy vs SoC
Time Frame: Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to 6 months or the data cut-off date (27JAN2020).
|
Disease control rate (DCR) at 6 months is defined as the percentage of patients who have a best objective response (BoR) of CR or PR, or who have demonstrated SD for a minimum interval of 24 weeks (-7 days, i.e., 161 days), following the start of study treatment.
|
Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to 6 months or the data cut-off date (27JAN2020).
|
Disease Control Rate (DCR) at 6 Months, PD-L1-High Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Monotherapy vs SoC
Time Frame: Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to 6 months or the data cut-off date (27JAN2020).
|
Disease control rate (DCR) at 6 months is defined as the percentage of patients who have a best objective response (BoR) of CR or PR, or who have demonstrated SD for a minimum interval of 24 weeks (-7 days, i.e., 161 days), following the start of study treatment.
|
Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to 6 months or the data cut-off date (27JAN2020).
|
Disease Control Rate (DCR) at 6 Months, PD-L1-Low/Negative Analysis Set -Durvalumab + Tremelimumab Combination Therapy Versus SoC and Durvalumab + Tremelimumab Combination Therapy Versus Durvalumab Monotherapy
Time Frame: Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to 6 months or the data cut-off date (27JAN2020).
|
Disease control rate (DCR) at 6 months is defined as the percentage of patients who have a best objective response (BoR) of CR or PR, or who have demonstrated SD for a minimum interval of 24 weeks (-7 days, i.e., 161 days), following the start of study treatment.
|
Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to 6 months or the data cut-off date (27JAN2020).
|
Disease Control Rate (DCR) at 12 Months, Full Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Mono Therapy vs SoC
Time Frame: Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to 12 months or the data cut-off date (27JAN2020)
|
Disease control rate (DCR) at 12 months is defined as the percentage of patients who have a best objective response (BoR) of CR or PR, or who have demonstrated SD for a minimum interval of 48 weeks (-7 days, i.e., 329 days), following the start of study treatment.
|
Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to 12 months or the data cut-off date (27JAN2020)
|
Disease Control Rate (DCR) at 12 Months, PD-L1-High Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Monotherapy vs SoC
Time Frame: Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to 12 months or the data cut-off date (27JAN2020).
|
Disease control rate (DCR) at 12 months is defined as the percentage of patients who have a best objective response (BoR) of CR or PR, or who have demonstrated SD for a minimum interval of 48 weeks (-7 days, i.e., 329 days), following the start of study treatment.
|
Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to 12 months or the data cut-off date (27JAN2020).
|
Disease Control Rate (DCR) at 12 Months, PD-L1-Low/Negative Analysis Set -Durvalumab + Tremelimumab Combination Therapy Versus SoC and Durvalumab + Tremelimumab Combination Therapy Versus Durvalumab Monotherapy
Time Frame: Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to 12 months or the data cut-off date (27JAN2020).
|
Disease control rate (DCR) at 12 months is defined as the percentage of patients who have a best objective response (BoR) of CR or PR, or who have demonstrated SD for a minimum interval of 48 weeks (-7 days, i.e., 329 days), following the start of study treatment.
|
Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to 12 months or the data cut-off date (27JAN2020).
|
Duration of Response (DoR), Full Analysis Set
Time Frame: Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
|
Duration of response (DoR) (per RECIST 1.1 as assessed by investigator) was defined as the time from the date of first documented response until the first date of documented progression or death in the absence of disease progression (i.e.
date of PFS event or censoring - date of first response + 1).
|
Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
|
Duration of Response (DoR), PD-L1-High Analysis Set
Time Frame: Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
|
Duration of response (DoR) (per RECIST 1.1 as assessed by investigator) was defined as the time from the date of first documented response until the first date of documented progression or death in the absence of disease progression (i.e.
date of PFS event or censoring - date of first response + 1).
|
Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
|
Duration of Response (DoR), PD-L1-Low/Negative Analysis Set
Time Frame: Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
|
Duration of response (DoR) (per RECIST 1.1 as assessed by investigator) was defined as the time from the date of first documented response until the first date of documented progression or death in the absence of disease progression (i.e.
date of PFS event or censoring - date of first response + 1).
|
Tumour scans performed at baseline then every 8 weeks since randomization until confirmed disease progression. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
|
Serum Concentrations of Durvalumab, Pharmacokinetic Analysis Set
Time Frame: Pre-dose and within 1 hour after end of infusion at Week 0, 12 and 24, pre-dose at week 4, and at follow-up Month 3.
|
Blood samples were collected to determine the serum concentration of durvalumab.
|
Pre-dose and within 1 hour after end of infusion at Week 0, 12 and 24, pre-dose at week 4, and at follow-up Month 3.
|
Serum Concentrations of Tremelimumab, Pharmacokinetic Analysis Set
Time Frame: Pre-dose and within 1 hour after end of infusion at Week 0, 12 and 24, pre-dose at week 4, and at follow-up Month 3.
|
Blood samples were collected to determine the serum concentration of tremelimumab.
|
Pre-dose and within 1 hour after end of infusion at Week 0, 12 and 24, pre-dose at week 4, and at follow-up Month 3.
|
Number of Participants With Anti-Drug Antibody (ADA) Response to Durvalumab, Safety Analysis Set - ADA Evaluable Patients
Time Frame: At week 0, 4, 12 and 24, and at follow-up Month 3.
|
Serum Samples will be measured for the presence of ADAs and ADA-neutralizing antibodies for Durvalumab using validated assays.
Tiered analysis will be performed to include screening, confirmatory, and titer assay components, and positive-negative cut points previously statistically determined from drug-naïve validation samples will be used.
Persistently positive is defined as having at least 2 post-baseline ADA positive measurements with at least 16 weeks (112 days) between the first and last positive measurements, or an ADA positive result at the last available assessment.
Transiently positive is defined as having at least one post-baseline ADA positive measurement and not fulfilling the conditions for persistently positive.
The category may include patients meeting these criteria who are ADA positive at baseline.
|
At week 0, 4, 12 and 24, and at follow-up Month 3.
|
Number of Participants With Anti-Drug Antibody (ADA) Response to Tremelimumab, Safety Analysis Set - ADA Evaluable Patients
Time Frame: At week 0, 4, 12 and at follow-up Month 3.
|
Serum Samples will be measured for the presence of ADAs and ADA-neutralizing antibodies for Tremelimumab using validated assays.
Tiered analysis will be performed to include screening, confirmatory, and titer assay components, and positive-negative cut points previously statistically determined from drug-naïve validation samples will be used.
Persistently positive is defined as having at least 2 post-baseline ADA positive measurements with at least 16 weeks (112 days) between the first and last positive measurements, or an ADA positive result at the last available assessment.
Transiently positive is defined as having at least one post-baseline ADA positive measurement and not fulfilling the conditions for persistently positive.
The category may include patients meeting these criteria who are ADA positive at baseline.
|
At week 0, 4, 12 and at follow-up Month 3.
|
Change From Baseline in FACT-BL (Derived NFBlSI-18 Score, FACT-BL TOI, and FACT-BL Total Score) by MMRM Analysis, Full Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Mono Therapy vs SoC
Time Frame: At baseline then every 8 weeks until second progression/death, whichever comes first. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
|
the change from baseline in the following total/index scores will be evaluated as secondary endpoints: FACT-BL TOI (refer to as TOI), FACT-BL Total score, and NFBlSI-18 score. All the 5 subscales (PWB (0-28), FWB (0-28), EWB (0-24), SWB (0-28), and BlCS(0-48)) are summed as the FACT-BL total score (range 0-156), while the sum of PWB, FWB and BICS constitutes the FACT-BL TOI (range 0-104). NFBlSI-18 (range 0-72) is based on the scores of 16 items (GP4, C2, BL1, GP3, GE6, GE1, C6, BL5, GF5, GP2, GP1, GP6, C3, GP5, GF3, GF7) and 2 extra items "I feel weak all overall" and "I feel light-headed (dizzy)". The range of each item is 0-4. Higher score represent worse outcome. |
At baseline then every 8 weeks until second progression/death, whichever comes first. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
|
Change From Baseline in FACT-BL (Derived NFBlSI-18 Score, FACT-BL TOI, and FACT-BL Total Score) by MMRM Analysis, PD-L1-High Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Mono Therapy vs SoC
Time Frame: At baseline then every 8 weeks until second progression/death, whichever comes first. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
|
the change from baseline in the following total/index scores will be evaluated as secondary endpoints: FACT-BL TOI (refer to as TOI), FACT-BL Total score, and NFBlSI-18 score. All the 5 subscales (PWB (0-28), FWB (0-28), EWB (0-24), SWB (0-28), and BlCS(0-48)) are summed as the FACT-BL total score (range 0-156), while the sum of PWB, FWB and BICS constitutes the FACT-BL TOI (range 0-104). NFBlSI-18 (range 0-72) is based on the scores of 16 items (GP4, C2, BL1, GP3, GE6, GE1, C6, BL5, GF5, GP2, GP1, GP6, C3, GP5, GF3, GF7) and 2 extra items "I feel weak all overall" and "I feel light-headed (dizzy)". The range of each item is 0-4. Higher score represent worse |
At baseline then every 8 weeks until second progression/death, whichever comes first. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
|
Change From Baseline in FACT-BL (Derived NFBlSI-18 Score, FACT-BL TOI, and FACT-BL Total Score) by MMRM Analysis, PD-L1-Low/Negative Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Mono Therapy vs SoC
Time Frame: At baseline then every 8 weeks until second progression/death, whichever comes first. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
|
the change from baseline in the following total/index scores will be evaluated as secondary endpoints: FACT-BL TOI (refer to as TOI), FACT-BL Total score, and NFBlSI-18 score. All the 5 subscales (PWB (0-28), FWB (0-28), EWB (0-24), SWB (0-28), and BlCS(0-48)) are summed as the FACT-BL total score (range 0-156), while the sum of PWB, FWB and BICS constitutes the FACT-BL TOI (range 0-104). NFBlSI-18 (range 0-72) is based on the scores of 16 items (GP4, C2, BL1, GP3, GE6, GE1, C6, BL5, GF5, GP2, GP1, GP6, C3, GP5, GF3, GF7) and 2 extra items "I feel weak all overall" and "I feel light-headed (dizzy)". The range of each item is 0-4. Higher score represent worse |
At baseline then every 8 weeks until second progression/death, whichever comes first. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
|
Improvement in Fatigue and Deterioration in Pain Per FACT-BL, Full Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Mono Therapy vs SoC
Time Frame: At baseline then every 8 weeks until second progression/death, whichever comes first. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
|
Fatigue will be based on the question of "I have a lack of energy" and pain will be based on the question of "I have pain", according to GP1 and GP4 in PWB, respectively. Improvement in fatigue is defined at least 1 point improvement from baseline using GP1 of FACT-BL. Deterioration in pain is defined as at least 1 point deterioration from baseline using GP4 of FACT-BL. |
At baseline then every 8 weeks until second progression/death, whichever comes first. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
|
Improvement in Fatigue and Deterioration in Pain Per FACT-BL, PD-L1-High Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Mono Therapy vs SoC
Time Frame: At baseline then every 8 weeks until second progression/death, whichever comes first. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
|
Fatigue will be based on the question of "I have a lack of energy" and pain will be based on the question of "I have pain", according to GP1 and GP4 in PWB, respectively. Improvement in fatigue is defined at least 1 point improvement from baseline using GP1 of FACT-BL. Deterioration in pain is defined as at least 1 point deterioration from baseline using GP4 of FACT-BL. |
At baseline then every 8 weeks until second progression/death, whichever comes first. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
|
Improvement in Fatigue and Deterioration in Pain Per FACT-BL, PD-L1-Low/Negative Analysis Set -Durvalumab + Tremelimumab Combination Therapy vs SoC and Durvalumab Mono Therapy vs SoC
Time Frame: At baseline then every 8 weeks until second progression/death, whichever comes first. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
|
Fatigue will be based on the question of "I have a lack of energy" and pain will be based on the question of "I have pain", according to GP1 and GP4 in PWB, respectively. Improvement in fatigue is defined at least 1 point improvement from baseline using GP1 of FACT-BL. Deterioration in pain is defined as at least 1 point deterioration from baseline using GP4 of FACT-BL. |
At baseline then every 8 weeks until second progression/death, whichever comes first. Assessed up to the data cut-off date (27JAN2020, a maximum of 5 years).
|
Collaborators and Investigators
Sponsor
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimated)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- D419BC00001
- 2015-001633-24 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
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