- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05211895
A Global Study to Assess the Effects of Durvalumab + Domvanalimab Following Concurrent Chemoradiation in Participants With Stage III Unresectable NSCLC (PACIFIC-8)
A Phase III, Randomised, Double-blind, Placebo-controlled, Multicentre, International Study of Durvalumab Plus Domvanalimab(AB154) in Participants With Locally Advanced (Stage III), Unresectable Non-small Cell Lung Cancer Whose Disease Has Not Progressed Following Definitive Platinum-based Concurrent Chemoradiation Therapy
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Phase 3
Contacts and Locations
Study Locations
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Brussels, Belgium, 1160
- Research Site
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Edegem, Belgium, 2650
- Research Site
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Haine-Saint-Paul, Belgium, 7100
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Leuven, Belgium, 3000
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Liège, Belgium, 4000
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Sint-Niklaas, Belgium, 9100
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Barretos, Brazil, 14784-400
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Londrina, Brazil, 86015-520
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Porto Alegre, Brazil, 91350200
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Porto Velho, Brazil, 76834-899
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Rio de Janeiro, Brazil, 20231-050
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Santo André, Brazil, 09060-650
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São Paulo, Brazil, 01221-900
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Taubaté, Brazil, 12030-200
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Alberta
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Calgary, Alberta, Canada, T2N 5G2
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British Columbia
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Kelowna, British Columbia, Canada, V1Y 5L3
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Quebec
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Laval, Quebec, Canada, H7M 3L9
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Montreal, Quebec, Canada, H4A 3J1
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Las Condes, Chile, 7560908
- Research Site
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Port Montt, Chile, 5500243
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Santiago, Chile, 7500713
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Santiago, Chile, 7630370
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Santiago, Chile, 8241479
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Santiago, Chile, 7520426
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Temuco, Chile, 4810218
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Aix-en-Provence, France, 13616
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Angers, France, 49055
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Bobigny, France, 93000
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Lille, France, 59000
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Paris, France, 75014
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Pau, France, 6400
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Quimper, France, 29000
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Saint-Grégoire, France, 35760
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Saint-Quentin, France, 02321
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Vantoux, France, 57070
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Villeurbanne, France, 69100
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Berlin, Germany, 12351
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Berlin-Zehlendorf, Germany, 14165
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Braunschweig, Germany, 38114
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Chemnitz, Germany, 09116
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Cologne, Germany, 51109
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Erlangen, Germany, 91054
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Essen, Germany, 45147
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Giessen, Germany, 35392
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Halle, Germany, 06120
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Koblenz, Germany, 56073
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Krefeld, Germany, 47805
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Löwenstein, Germany, 74245
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Moers, Germany, 47441
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Regensburg, Germany, 93053
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Regensburg, Germany, 93049
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Tübingen, Germany, 72076
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Athens, Greece, 11527
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Athens, Greece, 18547
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Athens, Greece, 12462
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Athens, Greece, 11526
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Holargos, Athens, Greece, 155 62
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Thessaloniki, Greece, 56 429
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Thessaloniki, Greece, 57001
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Thessaloniki, Greece, 55236
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Hong Kong, Hong Kong, 150001
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Budapest, Hungary, 1121
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Budapest, Hungary, 1122
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Deszk, Hungary, 6772
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Győr, Hungary, 9024
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Salgótarján, Hungary, 3100
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Székesfehérvár, Hungary, 8000
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Törökbálint, Hungary, 2045
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Ahmedabad, India, 380054
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Bangalore, India, 560027
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Bangalore, India, 560064
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Delhi, India, 110085
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Howrah, India, 711103
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Hyderabad, India, 500032
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Jaipur, India, 302004
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Jaipur, India, 302022
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Kolkata, India, 700160
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Marg Jaipur, India, 302004
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Mohali, India, 160055
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Namakkal, India, 637001
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New Delhi, India, 110029
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New Delhi, India, 110005
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Varanasi, India, 221005
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Bergamo, Italy, 24127
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Roma, Italy, 00144
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Rozzano, Italy, 20089
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Bunkyō City, Japan, 113-8431
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Bunkyō City, Japan, 113-8603
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Bunkyō City, Japan, 113-8677
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Chiba, Japan, 260-8717
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Fukuoka, Japan, 812-8582
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Hidaka-shi, Japan, 350-1298
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Hirosaki-shi, Japan, 036-8563
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Itabashi-ku, Japan, 173-0003
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Kashihara-shi, Japan, 634-8522
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Kumamoto, Japan, 860-8556
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Kōtoku, Japan, 135-8550
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Matsuyama, Japan, 791-0280
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Nagoya, Japan, 464-8681
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Osaka, Japan, 545-8586
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Osakasayama-shi, Japan, 589-8511
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Sapporo, Japan, 003-0804
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Sunto-gun, Japan, 411-8777
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Tokyo, Japan, 104-0045
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Yokohama, Japan, 241-8515
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Yokohama, Japan, 221-0855
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Johor Bahru, Malaysia, 81100
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Kuala Lumpur, Malaysia, 59100
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Kuala Selangor, Malaysia, 46050
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Kuching, Malaysia, 93586
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Chihuahua City, Mexico, 31207
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Guadalajara, Mexico, 44638
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Mexico City, Mexico, 03810
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Oaxaca City, Mexico, 68020
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Bodø, Norway, 8092
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Gjøvik, Norway, 2819
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Oslo, Norway, 0379
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Trondheim, Norway, 0730
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City of Muntinlupa, Philippines, 1780
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Iloilo City, Philippines, 5000
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Quezon City, Philippines, 1112
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Quezon City, Philippines, 1100
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Bialystok, Poland, 15-027
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Gliwice, Poland, 44-102
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Katowice, Poland, 40-074
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Lodz, Poland, 93-513
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Warsaw, Poland, 02-781
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Wroclaw, Poland, 53-413
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Bucharest, Romania, 050098
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Bucharest, Romania, 022328
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Craiova, Romania, 200542
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Floreşti, Romania
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Iași, Romania, 700483
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Oradea, Romania, 410001
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Sibiu, Romania, 550245
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Suceava, Romania, 720214
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Parktown, South Africa, 2193
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Pretoria, South Africa, 0084
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eManzimtoti, South Africa, 4126
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Daegu, South Korea, 42415
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Goyang-si, South Korea, 10408
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Incheon, South Korea, 21565
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Incheon, South Korea, 21431
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Jinju, South Korea, 52727
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Seoul, South Korea, 03722
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Seoul, South Korea, 06273
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Seoul, South Korea, 06351
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Seoul, South Korea, 07061
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Suwon, South Korea, 16247
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Bilbao (Vizcaya), Spain, 48013
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Castellon, Spain, 12002
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Córdoba, Spain, 14004
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El Palmar, Spain, 30120
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Palma de Mallorca, Spain, 07010
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Sabadell (Barcelona), Spain, 08208
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Basel, Switzerland, 4031
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Bern, Switzerland, CH-3010
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Lausanne, Switzerland, 1011
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Hsinchu, Taiwan, 300
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New Taipei City, Taiwan, 220216
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Taichung, Taiwan, 40705
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Taichung, Taiwan, 40447
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Tainan, Taiwan, 704
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Taipei, Taiwan, 10002
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Taipei, Taiwan, 10449
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Taipei, Taiwan, 11217
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Taoyuan, Taiwan, 333
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Bangkok, Thailand, 10300
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Bangkok, Thailand, 10400
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Bangkok, Thailand, 10700
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Hat Yai, Thailand, 90110
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Adapazarı, Turkey (Türkiye), 54290
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Ankara, Turkey (Türkiye), 06340
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Ankara, Turkey (Türkiye), 6100
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Antalya, Turkey (Türkiye), 07058
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Edirne, Turkey (Türkiye), 22030
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Istanbul, Turkey (Türkiye), 34098
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Istanbul, Turkey (Türkiye), 34662
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Izmir, Turkey (Türkiye), 35360
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Konya, Turkey (Türkiye), 42080
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Çankaya, Turkey (Türkiye), 06680
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Birmingham, United Kingdom, B9 5SS
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Brighton, United Kingdom, BN2 5BE
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Cardiff, United Kingdom, CF14 2TL
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Cheltenham, United Kingdom, GL53 7AN
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Edinburgh, United Kingdom, EH4 2XR
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High Heaton/Newcastle Upon Tyn, United Kingdom, NE7 7DN
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Leeds, United Kingdom, LS 9 7TF
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London, United Kingdom, SE1 9RT
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Nottingham, United Kingdom, NG5 1PB
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Truro, United Kingdom, TR1 3LJ
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Arizona
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Chandler, Arizona, United States, 85224
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Phoenix, Arizona, United States, 85054
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California
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Fountain Valley, California, United States, 92708
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Santa Rosa, California, United States, 95403
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District of Columbia
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Washington D.C., District of Columbia, United States, 20016
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Florida
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Jacksonville, Florida, United States, 32224
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Orlando, Florida, United States, 32804
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Saint Augustine, Florida, United States, 32086
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Georgia
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Macon, Georgia, United States, 31217
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Illinois
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Elmhurst, Illinois, United States, 60126
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Kentucky
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Louisville, Kentucky, United States, 40202
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Maryland
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Baltimore, Maryland, United States, 21224
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Silver Spring, Maryland, United States, 20910
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Michigan
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Ann Arbor, Michigan, United States, 48106-0995
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Detroit, Michigan, United States, 48202
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Minnesota
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Minneapolis, Minnesota, United States, 55407
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Rochester, Minnesota, United States, 55905
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Nevada
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Reno, Nevada, United States, 89511
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New Jersey
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East Brunswick, New Jersey, United States, 08816
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Ohio
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Columbus, Ohio, United States, 43214
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Maumee, Ohio, United States, 43537
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Oklahoma
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Oklahoma City, Oklahoma, United States, 73102
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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, 29401
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Tennessee
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Chattanooga, Tennessee, United States, 37404
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Nashville, Tennessee, United States, 37203
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Nashville, Tennessee, United States, 37232
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Texas
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Fort Sam Houston, Texas, United States, 78234
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Virginia
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Fairfax, Virginia, United States, 22031
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Fort Belvoir, Virginia, United States, 22060
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Washington
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Spokane Valley, Washington, United States, 99216
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Wisconsin
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Appleton, Wisconsin, United States, 54911
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Hanoi, Vietnam, 100000
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Hanoi, Vietnam, 10000
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Ho Chi Minh City, Vietnam, 700000
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
INCLUSION CRITERIA:
- Participant must be ≥ 18 years at the time of screening.
- Histologically- or cytologically-documented NSCLC and have been treated with concurrent CRT for locally advanced, unresectable (Stage III) disease
- Provision of a tumour tissue sample obtained prior to CRT
- Documented tumour PD-L1 status ≥ 1% by central lab
- Documented EGFR and ALK wild-type status (local or central).
- Patients must not have progressed following definitive, platinum-based, concurrent chemoradiotherapy
- Participants must have received at least 2 cycles of platinum-based chemotherapy concurrent with radiation therapy
- Participants must have received a total dose of radiation of 60 Gy ±10% (54 Gy to 66 Gy) as part of the chemoradiation therapy, to be randomised. Radiation therapy should be administered by intensity modulated RT (preferred) or 3D-conforming technique.
- WHO performance status of 0 or 1 at randomization
- Adequate organ and marrow function
EXCLUSION CRITERIA:
History of another primary malignancy, except for:
- Malignancies treated with curative intent and adequate follow-up with no known active disease and have not required active treatment within the past 3 years before the first dose of study intervention and of low potential risk of recurrence.
- Adequately resected non melanoma skin cancer or lentigo maligna without evidence of disease .
- Adequately treated carcinoma in situ, including Ta tumors without evidence of disease.
- Mixed small cell and non-small cell lung cancer histology.
- Participants who receive sequential (not inclusive of induction) chemoradiation therapy for locally advanced (Stage III) unresectable NSCLC.
- Participants with locally advanced (Stage III) unresectable NSCLC who have progressed during platinum-based cCRT.
- Any unresolved toxicity CTCAE >Grade 2 from the prior chemoradiation therapy (excluding alopecia).
- Participants with ≥ grade 2 pneumonitis from prior chemoradiation therapy.
- History of idiopathic pulmonary fibrosis, drug-induced pneumonitis, or idiopathic pneumonitis - regardless of time of onset prior to randomisation. Evidence of active non-CRT induced pneumonitis (≥ Grade 2), active pneumonia, active ILD, active or recently treated pleural effusion, or current pulmonary fibrosis
- Active or prior documented autoimmune or inflammatory disorders (with exceptions)
- Active EBV infection, or known or suspected chronic active EBV infection at screening
- Current or prior use of immunosuppressive medication within 14 days before the first dose of durvalumab.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
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Experimental: Arm A: Durvalumab + Domvanalimab
Durvalumab and domvanalimab as an IV infusion q4w, starting on Day 1 for up to a maximum of 12 months
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Durvalumab IV (Intravenous infusion)
Domvanalimab IV (Intravenous infusion)
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Active Comparator: Arm B: Durvalumab + Placebo
Durvalumab + placebo as an IV infusion q4w starting on Day 1 for up to a maximum of 12 months
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Durvalumab IV (Intravenous infusion)
Placebo IV (Intravenous infusion)
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Progression Free Survival (PFS)
Time Frame: Up to 5 years after randomization
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Defined as time from randomisation until progression per RECIST 1.1 as assessed by Blinded Independent Central Review (BICR), or death due to any cause in participants with PD-L1 TC ≥ 50%. Outcomes measures were applicable with the previous version of the protocol. The study objectives are considered descriptive rather than confirmatory according to the protocol amendment. |
Up to 5 years after randomization
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Progression Free Survival (PFS)
Time Frame: Up to 5 years after randomization
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Defined as time from randomisation until progression per RECIST 1.1 as assessed by Blinded Independent Central Review (BICR), or death due to any cause in participants with PD-L1 TC ≥ 1% Outcomes measures were applicable with the previous version of the protocol. The study objectives are considered descriptive rather than confirmatory according to the protocol amendment. |
Up to 5 years after randomization
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Overall Survival (OS)
Time Frame: Approximately 5 years after randomization
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Overall Survival (OS) Outcomes measures were applicable with the previous version of the protocol. The study objectives are considered descriptive rather than confirmatory according to the protocol amendment. |
Approximately 5 years after randomization
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Objective Response Rate (ORR)
Time Frame: Approximately 5 years after randomization
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Objective Response Rate (ORR) per RECIST 1.1 as assessed by BICR Outcomes measures were applicable with the previous version of the protocol. The study objectives are considered descriptive rather than confirmatory according to the protocol amendment. |
Approximately 5 years after randomization
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Duration of Response (DoR)
Time Frame: Approximately 5 years after randomization
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Duration of Response (DoR) using BICR assessment according to RECIST 1.1 Outcomes measures were applicable with the previous version of the protocol. The study objectives are considered descriptive rather than confirmatory according to the protocol amendment. |
Approximately 5 years after randomization
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Time from randomization to second progression (PFS2)
Time Frame: Approximately 5 years after randomization
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Time from randomization to second progression (PFS2) Outcomes measures were applicable with the previous version of the protocol. The study objectives are considered descriptive rather than confirmatory according to the protocol amendment. |
Approximately 5 years after randomization
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Time from randomization to first date of distant metastasis or death (TTDM)
Time Frame: Approximately 5 years after randomization
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Time from randomization until the first date of distant metastasis or death in the absence of distant metastasis (TTDM). Outcomes measures were applicable with the previous version of the protocol. The study objectives are considered descriptive rather than confirmatory according to the protocol amendment. |
Approximately 5 years after randomization
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Time to first subsequent therapy (TFST)
Time Frame: Approximately 5 years after randomization
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Time to first subsequent therapy (TFST) Outcomes measures were applicable with the previous version of the protocol. The study objectives are considered descriptive rather than confirmatory according to the protocol amendment. |
Approximately 5 years after randomization
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Concentration of Durvalumab and Domvanalimab
Time Frame: Approximately 12 weeks after last IP dose
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The pharmacokinetics (PK) of Durvalumab and Domvanalimab as determined by concentration Outcomes measures were applicable with the previous version of the protocol. The study objectives are considered descriptive rather than confirmatory according to the protocol amendment. |
Approximately 12 weeks after last IP dose
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PFS6, PFS12, PFS18, PFS24
Time Frame: Approximately 6, 12, 18 and 24 months after randomization
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PFS at 6, 12, 18 and 24 months (proportion per Kaplan-Meier) Outcomes measures were applicable with the previous version of the protocol. The study objectives are considered descriptive rather than confirmatory according to the protocol amendment. |
Approximately 6, 12, 18 and 24 months after randomization
|
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Anti-Drug Antibodies (ADAs)
Time Frame: Approximately 12 weeks after last IP dose.
|
The immunogenicity of Durvalumab and domvanalimab as assessed by presence of Anti-Drug Antibodies (ADAs) Outcomes measures were applicable with the previous version of the protocol. The study objectives are considered descriptive rather than confirmatory according to the protocol amendment. |
Approximately 12 weeks after last IP dose.
|
|
Time to deterioration in pulmonary symptoms (TTFCD)
Time Frame: Approximately 5 years after randomization
|
Time to deterioration in pulmonary symptoms (TTFCD) Outcomes measures were applicable with the previous version of the protocol. The study objectives are considered descriptive rather than confirmatory according to the protocol amendment. |
Approximately 5 years after randomization
|
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PFS investigator
Time Frame: Up to 5 years after randomization
|
Defined as time from randomisation until progression per RECIST 1.1 as assessed by Investigator or death due to any cause in participants Outcomes measures were applicable with the previous version of the protocol. The study objectives are considered descriptive rather than confirmatory according to the protocol amendment. |
Up to 5 years after randomization
|
|
OS 24
Time Frame: Approximately 24 months after randomization
|
Overall Survival (OS) at 24 months Outcomes measures were applicable with the previous version of the protocol. The study objectives are considered descriptive rather than confirmatory according to the protocol amendment. |
Approximately 24 months after randomization
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Hidehito Horinouchi, MD, PhD, National Cancer Center Hospital
- Principal Investigator: Alexander Spira, MD, PhD, Virginia Cancer Specialists Research Institute
- Principal Investigator: Jinming Yu, MD, PhD, Shandong Cancer Hospital And Institute
Publications and 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 (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
Other Study ID Numbers
- D9075C00001
- 2021-004327-32 (EudraCT Number)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.