- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03800134
A Study of Neoadjuvant/Adjuvant Durvalumab for the Treatment of Patients With Resectable Non-small Cell Lung Cancer (AEGEAN)
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)
Study Overview
Status
Conditions
Study Type
Enrollment (Actual)
Phase
- Phase 3
Contacts and Locations
Study Locations
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Buenos Aires, Argentina, C1118AAT
- Research Site
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Caba, Argentina, C1012AAR
- Research Site
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Caba, Argentina, C1280AEB
- Research Site
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La Plata, Argentina, 1900
- Research Site
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Pergamino, Argentina, B2700CPM
- Research Site
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Rosario, Argentina, S2000DEJ
- Research Site
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San Salvador de Jujuy, Argentina, 4600
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Viedma, Argentina, R8500ACE
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Graz, Austria, 8036
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Innsbruck, Austria, 6020
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Rankweil, Austria, 6830
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Wien, Austria, 1090
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Wien, Austria, 1210
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Gent, Belgium, 9000
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Liège, Belgium, 4000
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Mons, Belgium, 7000
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Barretos, Brazil, 14784-400
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Belo Horizonte, Brazil, 30380-090
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Campinas, Brazil, 13060-904
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Curitiba, Brazil, 81520-060
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Florianópolis, Brazil, 88034-000
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Natal, Brazil, 59075-740
- Research Site
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Porto Alegre, Brazil, 90610-000
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Santa Maria, Brazil, 97015-450
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Sao Paulo, Brazil, 01323-903
- Research Site
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São José do Rio Preto, Brazil, 15090-000
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São Paulo, Brazil, 01246-000
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Teresina, Brazil, 64049-200
- Research Site
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Vitoria, Brazil, 29043-260
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Plovdiv, Bulgaria, 4004
- Research Site
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Sofia, Bulgaria, 1407
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Sofia, Bulgaria, 1797
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Sofia, Bulgaria, 1330
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Quebec, Canada, G1V 4G5
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Alberta
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Edmonton, Alberta, Canada, T6G 1Z2
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Ontario
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Kitchener, Ontario, Canada, N2G 1G3
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Quebec
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Levis, Quebec, Canada, G6V 3Z1
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Montreal, Quebec, Canada, H4J 1C5
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Montreal, Quebec, Canada, H1T 2M4
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Saskatchewan
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Saskatoon, Saskatchewan, Canada, S7N 4H4
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Santiago, Chile, 7500713
- Research Site
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Santiago, Chile, 7500921
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Temuco, Chile, 4810469
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Viña del Mar, Chile, 2540488
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Beijing, China, 100021
- Research Site
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Beijing, China, 101149
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Beijing, China, 100029
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Beijing, China, 100191
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Changsha, China, 410013
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Changsha, China, 410008
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Changzhou, China, 213000
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Chengdu, China, 610041
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Guangzhou, China, 510515
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Guangzhou, China, 510095
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Guiyang, China, 550002
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Hangzhou, China, 310022
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Hangzhou, China, 310003
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Hangzhou, China, 310052
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Hangzhou, China, 310030
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Hefei, China, 230001
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Kunming, China, 650118
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Linhai, China, 317000
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Nanchang, China, 330006
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Ningbo, China, 315000
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Shanghai, China, 200433
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Shanghai, China, 200052
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Shenyang, China, 110042
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Shenyang, China, 110044
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Shenzhen, China, 518035
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Shenzhen, China, 518036
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Tianjin, China, 300060
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Urumqi, China, 830000
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Wuhan, China, 430079
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Wuhan, China, 430060
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Xiamen, China, 361004
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Xintai, China, 54031
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Yangzhou, China, 225001
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Zhengzhou, China, 450008
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San José, Costa Rica, 1000
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San José, Costa Rica, 10108
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Avignon Cedex, France, 84902
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Lyon Cedex 08, France, 69373
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Nice, France, 06100
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Toulon Cedex 9, France, 83800
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Vantoux, France, 57070
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Bielefeld, Germany, 33611
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Frankfurt am Main, Germany, 60431
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Immenstadt, Germany, 87509
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Köln, Germany, 51109
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Budapest, Hungary, 1121
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Gyöngyös - Mátraháza, Hungary, 3200
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Győr, Hungary, 9024
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Székesfehérvár, Hungary, 8000
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Törökbálint, Hungary, 2045
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Ahmedabad, India, 380060
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Gurgaon, India, 122001
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Gurgaon, India, 122002
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Kolkata, India, 700160
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Manipal, India, 576104
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Mumbai, India, 400053
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Mumbai, India, 400012
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Mysuru, India, 570017
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Namakkal, India, 637001
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Nashik, India, 422002
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New Delhi, India, 110085
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New Delhi, India, 110076
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Thane, India, 401107
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Vishakhapatnam, India, 530017
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Ancona, Italy, 60126
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Bari, Italy, 70124
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Bergamo, Italy, 24127
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Firenze, Italy, 50134
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Milano, Italy, 20132
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Monza, Italy, 20900
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Padova, Italy, 35128
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Roma, Italy, 00100
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Verona, Italy, 37126
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Habikino-shi, Japan, 583-8588
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Himeji-shi, Japan, 670-8520
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Hiroshima-shi, Japan, 730-8518
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Hiroshima-shi, Japan, 734-8551
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Iwakuni-shi, Japan, 740-8510
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Kitaadachi-gun, Japan, 362-0806
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Kitakyushu-shi, Japan, 807-8555
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Kurashiki shi, Japan, 701 0192
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Nagoya-shi, Japan, 464-8681
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Niigata-shi, Japan, 951-8566
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Okayama-shi, Japan, 700-8558
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Osakasayama-shi, Japan, 589-8511
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Toyoake-shi, Japan, 470-1192
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Wakayama-shi, Japan, 641-8510
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Busan, Korea, Republic of, 48108
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Cheongju-si, Korea, Republic of, 28644
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Seongnam-si, Korea, Republic of, 13620
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Seoul, Korea, Republic of, 05505
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Seoul, Korea, Republic of, 06591
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Suwon, Korea, Republic of, 442-723
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Suwon-si, Korea, Republic of, 16499
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Aguascalientes, Mexico, 20230
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Chihuahua, Mexico, 31000
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Guadalajara, Mexico, 44680
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Monterrey, Mexico, 64710
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Monterrey, Mexico, 64000
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México, Mexico, 1400
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México, Mexico, 14050
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Pachuca de Soto, Mexico, 42090
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Arnhem, Netherlands, 6815 AD
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Nijmegen, Netherlands, 6525 GA
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Bellavista, Peru, CALLAO 2
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Lima, Peru, LIMA 34
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Lima, Peru, LIMA 31
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Lima, Peru, Lima 32
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Lima, Peru, LIMA 11
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Davao City, Philippines, 8000
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Iloilo City, Philippines, 5000
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Makati, Philippines, 1229
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Quezon City, Philippines, 1100
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Białystok, Poland, 15-276
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Olsztyn, Poland, 10-357
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Warszawa, Poland, 02-781
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Warszawa, Poland, 04-141
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Suceava, Romania, 720237
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Kazan, Russian Federation, 420029
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Krasnoyarsk, Russian Federation, 660133
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Moscow, Russian Federation, 121205
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Moscow, Russian Federation, 105229
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Moscow, Russian Federation, 115280
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Moscow, Russian Federation, 115008
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Nizhniy Novgorod, Russian Federation, 603081
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Obninsk, Russian Federation, 249036
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Rostov-on-Don, Russian Federation, 344037
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St. Petersburg, Russian Federation, 197022
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Tomsk, Russian Federation, 634063
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Yaroslavl, Russian Federation, 150054
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Alicante, Spain, 03010
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Barcelona, Spain, 08036
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Madrid, Spain, 28040
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Málaga, Spain, 29010
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Oviedo, Spain, 33011
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Pamplona, Spain, 31008
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San Sebastian, Spain, 20014
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Santiago De Compostela (A Coruña), Spain, 15706
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Changhua, Taiwan, 500
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Taichung, Taiwan, 40705
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Taichung City, Taiwan, 402
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Tainan City, Taiwan, 70403
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Tainan City, Taiwan, 73657
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Taipei, Taiwan, 235
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Taipei, Taiwan, 10002
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Taipei City, Taiwan, 110
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Bangkok, Thailand, 10300
- Research Site
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Bangkok, Thailand, 10330
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Chiang Mai, Thailand, 50200
- Research Site
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Chiang Rai, Thailand, 57000
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Khon Kaen, Thailand, 40002
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Lampang, Thailand, 52000
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Arizona
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Phoenix, Arizona, United States, 85054
- Research Site
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California
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Duarte, California, United States, 91010
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Orange, California, United States, 92868
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Colorado
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Aurora, Colorado, United States, 80012
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Florida
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Boca Raton, Florida, United States, 33486
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Jacksonville, Florida, United States, 32256
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Illinois
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Chicago, Illinois, United States, 60612
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Kansas
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Wichita, Kansas, United States, 67214
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Kentucky
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Ashland, Kentucky, United States, 41101
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Lexington, Kentucky, United States, 40513
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Maryland
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Silver Spring, Maryland, United States, 20910
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Towson, Maryland, United States, 21204
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Minnesota
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Duluth, Minnesota, United States, 55805
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Minneapolis, Minnesota, United States, 55404
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New Jersey
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Morristown, New Jersey, United States, 07962
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New York
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New York, New York, United States, 10065
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New York, New York, United States, 10028
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Shirley, New York, United States, 11967
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North Carolina
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Durham, North Carolina, United States, 27710
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Oregon
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Bend, Oregon, United States, 97701
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Medford, Oregon, United States, 97504
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Pennsylvania
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Pittsburgh, Pennsylvania, United States, 15212
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South Carolina
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Charleston, South Carolina, United States, 29414
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Charleston, South Carolina, United States, 29424
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Texas
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Austin, Texas, United States, 78745
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Fort Worth, Texas, United States, 76104
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Houston, Texas, United States, 77030
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Houston, Texas, United States, 77090
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Virginia
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Fairfax, Virginia, United States, 22031
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Washington
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Kirkland, Washington, United States, 98034
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Seattle, Washington, United States, 98109
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Hanoi, Vietnam, 100000
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Ho Chi Minh, Vietnam, 700000
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Ho Chi Minh, Vietnam, 70000
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Ho Chi Minh, Vietnam, 10000
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age ≥18 years
- Newly diagnosed and previously untreated patients with histologically or cytologically documented NSCLC with resectable (Stage IIA to select [ie, N2] Stage IIIB) disease
- World Health Organization (WHO)/ECOG PS of 0 or 1 at enrollment
- At least 1 lesion, not previously irradiated, that qualifies as a RECIST 1.1 Target Lesion (TL) at baseline
- No prior exposure to immune-mediated therapy including, but not limited to, other anti-CTLA-4, anti-PD-1, anti-PD-L1, and anti-PD-L2 antibodies, excluding therapeutic anticancer vaccines
- Adequate organ and marrow function
- Confirmation of a patient's tumour PD-L1 status
- Provision of sufficient tumour biopsy sample for evaluation and confirmation of EGFR and ALK status
- Planned surgery must comprise lobectomy, sleeve resection, or bilobectomy
Exclusion Criteria:
- History of allogeneic organ transplantation
- Active or prior documented autoimmune or inflammatory disorders (including inflammatory bowel disease, diverticulitis, systemic lupus erythematosus, Sarcoidosis syndrome, or Wegener syndrome)
- History of another primary malignancy
- History of active primary immunodeficiency
- Active infection including tuberculosis hepatitis B and C, or human immunodeficiency virus
- Deemed unresectable NSCLC by multidisciplinary evaluation
- Patients who have pre-operative radiotherapy treatment as part of their care plan
- Patients who have brain metastases or spinal cord compression
- Stage IIIB N3 and Stages IIIC, IVA, and IVB NSCLC
- Known allergy or hypersensitivity to any of the study drugs or excipients
- Existence of more than one primary tumour such as mixed small cell and NSCLC histology
- Patients whose planned surgery at enrollment includes any of the following procedures: pneumonectomy, segmentectomies, or wedge resections
- Patients with a documented test result confirming the presence of EGFRm or ALK translocation
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: Arm 1: Durvalumab with platinum-based chemotherapy
Patients will receive durvalumab 1500 mg in combination with platinum-based chemotherapy every 3 weeks for up to 4 cycles prior to surgery, followed by durvalumab 1500 mg monotherapy every 4 weeks for up to 12 cycles after surgery unless disease is deemed unresectable, disease recurrence, or unacceptable toxicity The platinum-based chemotherapy will be based on tumour histology and Investigator discretion:
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1500mg on Day 1 of each 3-week cycle for 4 cycles during the neoadjuvant period and 1500mg on Day 1 of each 4-week cycle for 12 cycles during the adjuvant period
Other Names:
75 mg/m2 on Day 1 of each 3-week cycle, for 4 cycles
500 mg/m2 on Day 1 of each 3-week cycle for 4 cycles.
200mg/m2 on Day 1 of each 3-week cycle for 4 cycles.
1250 mg/m2 on Day 1 and Day 8 of each 3-week cycle, for 4 cycles.
Area under the curve of 5/6 on Day 1 of each 3-week cycle for 4 cycles
Expected within 40 days from the last dose of Investigational Product following the completion of neoadjuvant treatment.
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Placebo Comparator: Arm 2: Placebo with platinum-based chemotherapy
Patients will receive placebo in combination with platinum-based chemotherapy every 3 weeks for up to 4 cycles prior to surgery, followed by placebo monotherapy every 4 weeks for up to 12 cycles after surgery unless disease is deemed unresectable, disease recurrence, or unacceptable toxicity The platinum-based chemotherapy will be based on tumour histology and Investigator discretion:
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75 mg/m2 on Day 1 of each 3-week cycle, for 4 cycles
500 mg/m2 on Day 1 of each 3-week cycle for 4 cycles.
200mg/m2 on Day 1 of each 3-week cycle for 4 cycles.
1250 mg/m2 on Day 1 and Day 8 of each 3-week cycle, for 4 cycles.
Day 1 of each 3-week cycle for 4 cycles during the neoadjuvant period and Day 1 of each 4-week cycle for 12 cycles during the adjuvant period
Area under the curve of 5/6 on Day 1 of each 3-week cycle for 4 cycles
Expected within 40 days from the last dose of Investigational Product following the completion of neoadjuvant treatment.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Pathological Complete Response (pCR) in modified intent-to-treat (mITT) population
Time Frame: Up to approximately 15 weeks after randomization
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Defined as the lack of any viable tumour cells after complete evaluation in the resected lung cancer specimen and all sampled regional lymph nodes.
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Up to approximately 15 weeks after randomization
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Event-Free Survival (EFS) in modified intent to treat (mITT) population
Time Frame: Up to 5.5 years after first patient randomized.
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An event is defined as documented RECIST 1.1 local or distant recurrence of lung cancer; death due to any cause; disease progression that precludes surgery or discovered upon attempting surgery that prevents completion of surgery.
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Up to 5.5 years after first patient randomized.
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Presence of ADA for durvalumab
Time Frame: From date of randomization to 3 months after last dose of IP
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To evaluate the presence of antibodies following treatment with study medications.
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From date of randomization to 3 months after last dose of IP
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Disease-free survival (DFS) in modified resected population
Time Frame: From date of randomization to approximately 5.5 years after date of resection
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From date of randomization to approximately 5.5 years after date of resection
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Major Pathological Response (mPR) in modified intent to treat (mITT) population
Time Frame: Up to approximately 15 weeks after randomization
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Up to approximately 15 weeks after randomization
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Overall Survival (OS) in modified intent to treat (mITT) population
Time Frame: From date of randomization to 5.5 years after randomization
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From date of randomization to 5.5 years after randomization
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Event-free survival (EFS) in PD-L1-TC ≥1% patients in modified intent to treat (mITT) population
Time Frame: From date of randomization to 5.5 years after randomization
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From date of randomization to 5.5 years after randomization
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pCR in PD-L1-TC ≥1% patients in modified intent to treat (mITT) population
Time Frame: Up to approximately 15 weeks after randomization
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Up to approximately 15 weeks after randomization
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Disease-Free Survival (DFS) in PD-L1-TC ≥1% patients in modified resected population
Time Frame: From date of randomization to 5.5 years after date of resection
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From date of randomization to 5.5 years after date of resection
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Major Pathological Response (mPR) in PD-L1-TC ≥1% patients in modified intent to treat (mITT) population
Time Frame: Up to approximately 15 weeks after randomization
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Up to approximately 15 weeks after randomization
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Overall Survival (OS) in PD-L1-TC ≥1% patients in modified intent to treat (mITT) population
Time Frame: From date of randomization to 5.5 years after randomization.
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From date of randomization to 5.5 years after randomization.
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To assess disease-related symptoms and HRQoL (EORTC QLQ-C30) in patients treated with durvalumab + chemotherapy prior to surgery followed by durvalumab post-surgery compared with placebo + chemotherapy prior to surgery followed by placebo post-surgery
Time Frame: From date of screening to 6 months after last dose of IP
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To assess disease-related symptoms, functioning, and global health status/quality of life in patients.
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From date of screening to 6 months after last dose of IP
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To assess disease-related symptoms and HRQoL (EORTC QLQ-LC13) in patients treated with durvalumab + chemotherapy prior to surgery followed by durvalumab post-surgery compared with placebo + chemotherapy prior to surgery followed by placebo post-surgery
Time Frame: From date of screening to 6 months after last dose of IP
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To assess disease-related symptoms, functioning, and global health status/quality of life in patients.
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From date of screening to 6 months after last dose of IP
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To assess the PK of durvalumab in blood
Time Frame: From date of randomization to 2 months after resection
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To assess concentration of durvalumab in bloodstream.
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From date of randomization to 2 months after resection
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Other Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Number of participants with adverse events as assessed by CTCAE v5.0
Time Frame: From date of randomization to 3 months after last dose of IP
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From date of randomization to 3 months after last dose of IP
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: John Heymach, MD, UT MD Anderson Cancer Center
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 (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Neoplasms by Site
- Neoplasms
- Respiratory Tract Diseases
- Lung Diseases
- Respiratory Tract Neoplasms
- Thoracic Neoplasms
- Carcinoma, Bronchogenic
- Bronchial Neoplasms
- Lung Neoplasms
- Carcinoma, Non-Small-Cell Lung
- Antineoplastic Agents, Immunological
- Antineoplastic Agents
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Antimetabolites, Antineoplastic
- Antimetabolites
- Folic Acid Antagonists
- Nucleic Acid Synthesis Inhibitors
- Tubulin Modulators
- Antimitotic Agents
- Mitosis Modulators
- Antineoplastic Agents, Phytogenic
- Durvalumab
- Pemetrexed
- Gemcitabine
- Carboplatin
- Paclitaxel
Other Study ID Numbers
- D9106C00001
- 2018-002997-29 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
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 shared.
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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