- ICH GCP
- Yhdysvaltain kliinisten tutkimusten rekisteri
- Kliininen tutkimus NCT03737643
Durvalumabihoito yhdistettynä kemoterapiaan ja bevasitsumabiin, jota seuraa ylläpito Durvalumabi-, bevasitsumabi- ja olaparibihoito pitkälle edenneillä munasarjasyöpäpotilailla (DUO-O)
Vaiheen III satunnaistettu, kaksoissokkoutettu, lumekontrolloitu, monikeskustutkimus durvalumabista yhdistelmänä kemoterapian ja bevasitsumabin kanssa, jota seurasi ylläpito Durvalumabi-, bevasitsumabi- ja olaparibihoitona vastadiagnoosoiduilla, pitkälle edenneillä munasarjasyöpäpotilailla (DUO-O).
Tutkimuksen yleiskatsaus
Tila
Yksityiskohtainen kuvaus
Tukikelpoisia potilaita ovat potilaat, joilla on äskettäin diagnosoitu, histologisesti vahvistettu edennyt (Fédération Internationale de Gynécologie et d'Obstétrique [FIGO], vaihe III-IV) munasarjasyöpä, primaarinen vatsakalvosyöpä ja/tai munanjohdinsyöpä. Kaikkien potilaiden tulee olla ehdokkaita sytoreduktiiviseen leikkaukseen, joka voidaan suorittaa välittömästi diagnoosin jälkeen tapahtuvana primaarileikkauksena tai platinapohjaisen neoadjuvanttikemoterapian aloittamisen jälkeen. Kaikkien potilaiden tulee olla kelvollisia aloittamaan ensimmäisen linjan platinapohjainen kemoterapia yhdessä bevasitsumabin kanssa.
Tutkimuksen tavoitteena on arvioida normaalihoidon (SoC) platinapohjaisen kemoterapian ja bevasitsumabin tehokkuutta ja turvallisuutta, jota seuraa ylläpitobevasitsumabi joko monoterapiana tai yhdessä durvalumabin kanssa tai yhdessä durvalumabin ja olaparibin kanssa. Siksi tämän tutkimuksen tavoitteena on selvittää, mikä yhdistelmä antaa potilaille mahdollisuuden elää pidempään ilman, että syöpä palaa tai pahenee. Tutkimuksessa tarkastellaan myös, mikä yhdistelmä pidentää potilaiden elämää ja miten hoito ja syöpä vaikuttavat heidän elämänlaatuunsa.
Opintotyyppi
Ilmoittautuminen (Todellinen)
Vaihe
- Vaihe 3
Yhteystiedot ja paikat
Opiskelupaikat
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Aalst, Belgia, 9300
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Leuven, Belgia, 3000
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Namur, Belgia, 5000
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Ostend, Belgia, 8400
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Sint-Niklaas, Belgia, 9100
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Barretos, Brasilia, 14784-400
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Florianópolis, Brasilia, 88034-000
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Fortaleza, Brasilia, 60810-180
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Londrina, Brasilia, 86015-520
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Porto Alegre, Brasilia, 90020-090
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Porto Alegre, Brasilia, 90110-270
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Rio de Janeiro, Brasilia, 20220-410
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São Paulo, Brasilia, 01317-000
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São Paulo, Brasilia, 04014-002
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Burgas, Bulgaria, 8000
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Plovdiv, Bulgaria, 4004
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Sofia, Bulgaria, 1330
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Varna, Bulgaria, 9000
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Córdoba, Espanja, 14004
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Madrid, Espanja, 28034
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Madrid, Espanja, 28041
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Madrid, Espanja, 28040
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Madrid, Espanja, 28033
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Terrassa(Barcelona), Espanja, 08221
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Vigo, Espanja, 36312
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Goyang-si, Etelä -Korea, 10408
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Seongnam-si, Etelä -Korea, 13620
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Seoul, Etelä -Korea, 03080
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Seoul, Etelä -Korea, 03722
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Seoul, Etelä -Korea, 06351
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Suwon, Etelä -Korea, 16499
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Brescia, Italia, 25123
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Lecce, Italia, 73100
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Lecco, Italia, 23900
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Milan, Italia, 20141
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Milan, Italia, 20132
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Mirano, Italia, 30035
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Naples, Italia, 80131
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Reggio Calabria, Italia, 89100
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Reggio Emilia, Italia, 42100
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Roma, Italia, 00168
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Torino, Italia, 10126
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Torino, Italia, 10128
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Graz, Itävalta, 8036
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Innsbruck, Itävalta, 6020
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Linz, Itävalta, 4020
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Vienna, Itävalta, 1090
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Fukuoka, Japani, 811-1395
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Kashiwa-shi, Japani, 277-8567
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Kobe, Japani, 650-0047
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Kurume-shi, Japani, 830-0011
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Kyoto, Japani, 606-8507
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Kōtoku, Japani, 135-8550
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Minatoku, Japani, 105-8471
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Nagoya, Japani, 464-8681
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Niigata, Japani, 951-8520
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Okayama, Japani, 700-8558
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Sapporo, Japani, 003-0804
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Sendai, Japani, 980-8574
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Shinjuku-ku, Japani, 160-8582
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Sunto-gun, Japani, 411-8777
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Toyoake-shi, Japani, 470-1192
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Alberta
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Calgary, Alberta, Kanada, T2N 5G2
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Ontario
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Barrie, Ontario, Kanada, L4M 6M2
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Greater Sudbury, Ontario, Kanada, P3E 5J1
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Toronto, Ontario, Kanada, M5G 2M9
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Quebec
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Montreal, Quebec, Kanada, H4A 3J1
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Montreal, Quebec, Kanada, H3T 1E2
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Montreal, Quebec, Kanada, H2X 3E4
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Québec, Quebec, Kanada, G1J 1Z4
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Rimouski, Quebec, Kanada, G5L 5T1
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Beijing, Kiina, CN-100730
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Beijing, Kiina, 100026
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Bengbu, Kiina, 233004
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Changchun, Kiina, 130021
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Changsha, Kiina, 410008
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Changsha, Kiina, 430033
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Chengdu, Kiina, 610041
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Chongqing, Kiina, 400030
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Dalian, Kiina, 116001
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Guangzhou, Kiina, 510080
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Guangzhou, Kiina, 510060
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Hangzhou, Kiina, 310022
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Hangzhou, Kiina, 310009
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Harbin, Kiina, 150081
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Hefei, Kiina, 230031
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Jinhua, Kiina, 321099
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Kunming, Kiina, 650118
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Lanzhou, Kiina, 730030
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Luzhou, Kiina, 646099
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Nanchong, Kiina, 637000
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Nanjing, Kiina, 2100008
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Nanning, Kiina, 530021
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Nantong, Kiina, 226361
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Shanghai, Kiina, 200011
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Shanghai, Kiina, 200032
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Wuhan, Kiina, 430030
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Wuhan, Kiina, 430060
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Xi'an, Kiina, 710061
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Zhengzhou, Kiina, 450008
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Zhengzhou, Kiina, 450002
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Zhuhai, Kiina, 519099
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Bellavista, Peru, CALLAO 2
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La Libertad, Peru, 13013
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Lima, Peru, Lima 34
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Lima, Peru, LIMA 41
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Lima, Peru, LIMA 31
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Lima, Peru, Lima 32
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San Isidro, Peru, 27
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Gdynia, Puola, 81-519
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Lodz, Puola, 93-513
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Szczecin, Puola, 70-111
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Warsaw, Puola, 02-781
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Warsaw, Puola, 04-141
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Besançon, Ranska, 25000
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Bordeaux, Ranska, 33076
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Limoges, Ranska, 87042
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Lyon, Ranska, 69373
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Marseille, Ranska, 13273
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Nantes, Ranska, 44202
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Paris, Ranska, 75012
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Paris, Ranska, 75015
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Paris, Ranska, 75674
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Saint-Herblain, Ranska, 44805
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Vandœuvre-lès-Nancy, Ranska, 54519
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Floreşti, Romania, 407280
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Bad Homburg, Saksa, 61352
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Berlin, Saksa, 10117
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Bielefeld, Saksa, 33604
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Bonn, Saksa, 53105
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Brandenburg, Saksa, 14770
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Cologne, Saksa, 50935
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Dresden, Saksa, 1307
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Düsseldorf, Saksa, 40489
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Essen, Saksa, 45136
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Essen, Saksa, 45147
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Esslingen am Neckar, Saksa, 73730
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Frankfurt, Saksa, 60590
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Freiburg im Breisgau, Saksa, 79106
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Fürth, Saksa, 90766
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Greifswald, Saksa, 17475
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Gütersloh, Saksa, 33332
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Hamburg, Saksa, 20246
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Hamburg, Saksa, 20357
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Hamburg, Saksa, 22457
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Hanover, Saksa, 30625
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Hanover, Saksa, 30177
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Jena, Saksa, 07747
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Karlsruhe, Saksa, 76135
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Karlsruhe, Saksa, 76133
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Kassel, Saksa, 34125
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Kiel, Saksa, 24105
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Leipzig, Saksa, 04103
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Ludwigsburg, Saksa, 71640
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Lübeck, Saksa, 23538
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Mainz, Saksa, 55131
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Mannheim, Saksa, 68167
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München, Saksa, 81377
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Offenbach, Saksa, 63069
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Oldenburg, Saksa, 26133
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Rosenheim, Saksa, 83022
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Rostock, Saksa, 18057
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Saalfeld, Saksa, 07318
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Schweinfurt, Saksa, 97422
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Tübingen, Saksa, 72016
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Ulm, Saksa, 89075
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Worms, Saksa, 67550
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Kuopio, Suomi, 70210
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Oulu, Suomi, 90029
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Turku, Suomi, 20521
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Aalborg, Tanska, 9000
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Aarhus N, Tanska, 8200
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Odense, Tanska, 5000
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Roskilde, Tanska, 4000
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Vejle, Tanska, 7100
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Adana, Turkki (Türkiye), 1260
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Ankara, Turkki (Türkiye), 06230
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Ankara, Turkki (Türkiye), 06490
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Istanbul, Turkki (Türkiye), 34093
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Istanbul, Turkki (Türkiye), 34384
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Izmir, Turkki (Türkiye), 35100
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Budapest, Unkari, 1122
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Budapest, Unkari, 1062
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Debrecen, Unkari, 4032
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Győr, Unkari, 9024
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Kaposvár, Unkari, 7400
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Szeged, Unkari, 6725
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Zalaegerszeg, Unkari, 8900
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California
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Foothill Ranch, California, Yhdysvallat, 92610
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Los Angeles, California, Yhdysvallat, 90095
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Orange, California, Yhdysvallat, 92868-3298
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San Francisco, California, Yhdysvallat, 94158
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Florida
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Tampa, Florida, Yhdysvallat, 33612
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Georgia
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Augusta, Georgia, Yhdysvallat, 30912
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Illinois
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Hinsdale, Illinois, Yhdysvallat, 60521
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Indiana
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Indianapolis, Indiana, Yhdysvallat, 46202
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Maryland
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Towson, Maryland, Yhdysvallat, 21204
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Michigan
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Detroit, Michigan, Yhdysvallat, 48202
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Missouri
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Springfield, Missouri, Yhdysvallat, 65807
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New Jersey
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Middletown, New Jersey, Yhdysvallat, 07748
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Montvale, New Jersey, Yhdysvallat, 07645
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New York
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Albany, New York, Yhdysvallat, 12208
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New York, New York, Yhdysvallat, 10065
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Uniondale, New York, Yhdysvallat, 11553
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North Carolina
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Durham, North Carolina, Yhdysvallat, 27710
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Ohio
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Cleveland, Ohio, Yhdysvallat, 44195
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Dayton, Ohio, Yhdysvallat, 45429
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Hilliard, Ohio, Yhdysvallat, 43026
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Oklahoma
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Tulsa, Oklahoma, Yhdysvallat, 74134
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Pennsylvania
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Lancaster, Pennsylvania, Yhdysvallat, 17601
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Philadelphia, Pennsylvania, Yhdysvallat, 19104
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Philadelphia, Pennsylvania, Yhdysvallat, 19107-5097
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Pittsburgh, Pennsylvania, Yhdysvallat, 15224
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Utah
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Salt Lake City, Utah, Yhdysvallat, 84112
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Osallistumiskriteerit
Kelpoisuusvaatimukset
Opintokelpoiset iät
Hyväksyy terveitä vapaaehtoisia
Kuvaus
Tärkeimmät osallistumiskriteerit:
Naispotilaat, joilla on äskettäin diagnosoitu, histologisesti vahvistettu, pitkälle edennyt (vaihe III–IV) korkealaatuinen epiteelisyöpä, mukaan lukien korkea-asteinen vakava, korkealaatuinen endometriodi, kirkassoluinen munasarjasyöpä tai karsinosarkooma, primaarinen peritoneaalisyöpä ja/tai munanjohdinsyöpä
- Potilaiden tulee olla vähintään 18-vuotiaita. Japaniin ilmoittautuneille potilaille, jotka ovat iäkkäitä
- Kaikkien potilaiden tulee olla ehdokkaita sytoreduktiiviseen leikkaukseen joko: etukäteisleikkaus TAI aikovat käydä kemoterapiassa intervallileikkauksella
- Todisteet BRCA1/2-mutaation olemassaolosta tai puuttumisesta kasvainkudoksessa
- Pakollinen kasvainnäytteen toimittaminen keskitettyä tBRCA-testausta varten
- ECOG-suorituskykytila 0-1
- Potilaiden elinten ja luuytimen toiminnan on oltava säilynyt
- Postmenopausaaliset tai todisteet synnyttämättömästä asemasta hedelmällisessä iässä oleville naisille: negatiivinen virtsan tai seerumin raskaustesti
Tärkeimmät poissulkemiskriteerit:
Ei-epiteelinen munasarjasyöpä, rajakasvaimet, matala-asteiset epiteelikaumorit tai limakalvon histologia
- Aikaisempi systeeminen syövän vastainen hoito munasarjasyövän hoitoon
- Kyvyttömyys määrittää haitallisen tai epäillyn haitallisen BRCA-mutaation olemassaoloa tai puuttumista
- Aiempi hoito PARP-estäjällä tai immuunivälitteisellä hoidolla
- Suunniteltu intraperitoneaalinen sytotoksinen kemoterapia
- Aktiiviset tai aiemmin dokumentoidut autoimmuuni- tai tulehdussairaudet
- Potilaat pitivät huonona lääketieteellisenä riskinä vakavan, hallitsemattoman välitaudin vuoksi
- Kliinisesti merkittävä sydän- ja verisuonisairaus
- Potilaat, joilla tunnetaan aivometastaaseja
Toisen primaarisen pahanlaatuisuuden historia paitsi:
- Pahanlaatuinen kasvain, jota on hoidettu parantavalla tarkoituksella ja jolla ei ole tunnettua aktiivista sairautta ≥ 5 vuotta ennen ensimmäistä tutkimushoitoannosta ja jonka uusiutumisen riski on alhainen (potilaat, jotka ovat saaneet aiemmin adjuvanttia kemoterapiaa varhaisen vaiheen rintasyövän hoitoon, voivat olla kelvollisia, jos se on suoritettu loppuun ≥3 vuotta ennen rekisteröintiä ja että potilaalla ei ole toistuvaa tai metastaattista sairautta)
- Riittävästi hoidettu ei-melanooma-ihosyöpä tai lentigo maligna ilman taudin merkkejä
- Riittävästi hoidettu karsinooma in situ ilman merkkejä taudista
- Endometriumin syöpä FIGO-vaihe IA, aste 1 tai aste 2
- Pysyvät toksisuudet CTCAE Grade >2, jotka johtuvat aikaisemmasta syöpähoidosta
- Potilaat, joiden tiedetään olevan yliherkkiä olaparibille, durvalumabille tai jollekin näiden valmisteiden apuaineista ja yhdistelmä-/vertailuaineille
- Imettävät naiset
Opintosuunnitelma
Miten tutkimus on suunniteltu?
Suunnittelun yksityiskohdat
- Ensisijainen käyttötarkoitus: Hoito
- Jako: Satunnaistettu
- Inventiomalli: Rinnakkaistehtävä
- Naamiointi: Nelinkertaistaa
Aseet ja interventiot
Osallistujaryhmä / Arm |
Interventio / Hoito |
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Active Comparator: Käsivarsi 1
Platinapohjainen kemoterapia yhdistettynä bevasitsumabin ja durvalumabin lumelääkkeeseen (suolaliuos IV-infuusio), jota seuraa ylläpitobevasitsumabi, durvalumabi lumelääke (suolaliuos-infuusio) ja olaparib-plasebo (tabletit).
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Bevasitsumabi suonensisäisenä infuusiona.
tBRCAm-kohortissa bevasitsumabi on valinnainen paikallisen käytännön mukaan.
Olaparibia vastaavat lumetabletit
Vastaava lumelääke suonensisäiseen infuusioon
Hoidon kemoterapian standardi
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Kokeellinen: Käsivarsi 2
Platinapohjainen kemoterapia yhdessä bevasitsumabin ja durvalumabin kanssa, jota seuraa ylläpitobevasitsumabi, durvalumabi ja olaparib-plasebo.
|
Bevasitsumabi suonensisäisenä infuusiona.
tBRCAm-kohortissa bevasitsumabi on valinnainen paikallisen käytännön mukaan.
Olaparibia vastaavat lumetabletit
Hoidon kemoterapian standardi
Durvalumabi suonensisäisenä infuusiona
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Kokeellinen: Käsivarsi 3
Platinapohjainen kemoterapia yhdessä bevasitsumabin ja durvalumabin kanssa, jota seuraa ylläpitohoito bevasitsumabi, durvalumabi ja olaparibi.
|
Olaparib-tabletit
Bevasitsumabi suonensisäisenä infuusiona.
tBRCAm-kohortissa bevasitsumabi on valinnainen paikallisen käytännön mukaan.
Hoidon kemoterapian standardi
Durvalumabi suonensisäisenä infuusiona
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Kokeellinen: tBRCAm-kohortti
Platinapohjainen kemoterapia yhdessä bevasitsumabin ja durvalumabin kanssa, jota seuraa ylläpitohoito bevasitsumabi, durvalumabi ja olaparibi.
Bevasitsumabi on valinnainen paikallisen käytännön mukaan.
|
Olaparib-tabletit
Bevasitsumabi suonensisäisenä infuusiona.
tBRCAm-kohortissa bevasitsumabi on valinnainen paikallisen käytännön mukaan.
Hoidon kemoterapian standardi
Durvalumabi suonensisäisenä infuusiona
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Mitä tutkimuksessa mitataan?
Ensisijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
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Progression-free Survival (PFS) by Investigator Assessment Using Modified RECIST 1.1 - Full Analysis Set
Aikaikkuna: At baseline, within 3 weeks of last dose of chemotherapy, then every 12 weeks for 3 years and thereafter every 24 weeks. Assessed until primary analysis - (05DEC2022 for Global cohort, 17MAR2025 for China cohort) - upto 46 months
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To determine the efficacy of durvalumab in combination with platinum based chemotherapy and bevacizumab and continued as maintenance in combination with bevacizumab and olaparib versus SoC platinum based chemotherapy in combination with bevacizumab by assessment of PFS (using investigator assessment according to Response Evaluation Criteria in Solid Tumours version 1.1 [RECIST 1.1]) in the first line treatment of patients with newly diagnosed advanced ovarian cancer. Per MTP, the comparison of SoC+D+O v SoC in the Non-tbRCAm patients is a primary endpoint. SoC+D v SoC is reported separately as a secondary endpoint. Results for tBRCAm SoC+D+O are not presented as this was prespecified to be assessed only in the Non-tBRCAm patients. |
At baseline, within 3 weeks of last dose of chemotherapy, then every 12 weeks for 3 years and thereafter every 24 weeks. Assessed until primary analysis - (05DEC2022 for Global cohort, 17MAR2025 for China cohort) - upto 46 months
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Progression-free Survival (PFS) by Investigator Assessment Using Modified RECIST 1.1 - (Full Analysis Set, HRD Positive)
Aikaikkuna: At baseline, within 3 weeks of last dose of chemotherapy, then every 12 weeks for 3 years and thereafter every 24 weeks. Assessed until DCO1 - (05DEC2022 for Global cohort, 17MAR2025 for China cohort) - upto 46 months
|
To determine the efficacy of durvalumab and olaparib assessed by PFS in the first line treatment of patients with newly diagnosed advanced ovarian cancer. Per MTP, the comparison of SoC+D+O v SoC in the Non-tBRCAm HRD positve population is a primary endpoint. SoC+D v SoC is reported separately as a secondary endpoint. Results for tBRCAm SoC+D+O are not presented as as this was prespecified to be assessed only in the Non-tBRCAm patients. |
At baseline, within 3 weeks of last dose of chemotherapy, then every 12 weeks for 3 years and thereafter every 24 weeks. Assessed until DCO1 - (05DEC2022 for Global cohort, 17MAR2025 for China cohort) - upto 46 months
|
Toissijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
|
Progression-free Survival (PFS) by Investigator Assessment Using Modified RECIST 1.1 - Full Analysis Set
Aikaikkuna: At baseline, within 3 weeks of last dose of chemotherapy, then every 12 weeks for 3 years and thereafter every 24 weeks. For global cohort, assessed until DCO2 (18SEP2023) - up to 55 months. For China cohort assessed until DCO1 (17MAR2025) - 46 months.
|
To determine the efficacy of durvalumab assessed by PFS in the first line treatment of patients with newly diagnosed advanced ovarian cancer. Per MTP, the comparison of SoC+D v SoC is a secondary endpoint. SoC+D+O v SoC is reported separately as a primary endpoint. Results for tBRCAm SoC+D+O are not presented as this was prespecified to be assessed only in the Non-tBRCAm patients. |
At baseline, within 3 weeks of last dose of chemotherapy, then every 12 weeks for 3 years and thereafter every 24 weeks. For global cohort, assessed until DCO2 (18SEP2023) - up to 55 months. For China cohort assessed until DCO1 (17MAR2025) - 46 months.
|
|
Overall Survival - Full Analysis Set
Aikaikkuna: Survival assessed every 12 weeks after RECIST 1.1 defined progression. For global cohort, assessed until DCO3 (17MAR2025) - up to 73 months. For China cohort assessed until DCO1 (17MAR2025) - up to 46 months.
|
To determine the efficacy of durvalumab and olaparib assessed by OS in the first line treatment patients with newly diagnosed advanced ovarian cancer. Overall survival (OS) is defined as the time from randomisation/allocation to death due to any cause regardless of whether the patient withdraws from randomised therapy or receives another anti-cancer therapy. Results for tBRCAm SoC+D+O are not presented as this was prespecified to be assessed only in the Non-tBRCAm patients. |
Survival assessed every 12 weeks after RECIST 1.1 defined progression. For global cohort, assessed until DCO3 (17MAR2025) - up to 73 months. For China cohort assessed until DCO1 (17MAR2025) - up to 46 months.
|
|
Overall Survival - (Full Analysis Set, HRD-positive)
Aikaikkuna: Survival assessed every 12 weeks after RECIST 1.1 defined progression. For global cohort, assessed until DCO3 (17MAR2025) - up to 73 months. For China cohort assessed until DCO1 (17MAR2025) - up to 46 months.
|
To determine the efficacy of durvalumab and olaparib assessed by OS in the first line treatment patients with newly diagnosed advanced ovarian cancer. Overall survival (OS) is defined as the time from randomisation/allocation to death due to any cause regardless of whether the patient withdraws from randomised therapy or receives another anti-cancer therapy. Results for tBRCAm SoC+D+O are not presented as this was prespecified to be assessed only in the Non-tBRCAm patients. |
Survival assessed every 12 weeks after RECIST 1.1 defined progression. For global cohort, assessed until DCO3 (17MAR2025) - up to 73 months. For China cohort assessed until DCO1 (17MAR2025) - up to 46 months.
|
|
Time to Second Progression or Death Based on Local Standard Clinical Practice (PFS2) - Full Analysis Set
Aikaikkuna: Assessed every 12 weeks after RECIST 1.1 defined progression. For global cohort, assessed until DCO3 (17MAR2025) - up to 73 months. For China cohort assessed until DCO1 (17MAR2025) - 46 months.
|
To assess the efficacy of durvalumab and olaparib in terms of PFS2 in the first line treatment of patients with newly diagnosed advanced ovarian cancer. Time to second progression or death (PFS2) is defined as the time from the date of randomisation/allocation to the earliest of the progression event subsequent to first subsequent therapy or death. Results for tBRCAm SoC+D+O are not presented as this was prespecified to be assessed only in the Non-tBRCAm patients. |
Assessed every 12 weeks after RECIST 1.1 defined progression. For global cohort, assessed until DCO3 (17MAR2025) - up to 73 months. For China cohort assessed until DCO1 (17MAR2025) - 46 months.
|
|
Time to Second Progression or Death Based on Local Standard Clinical Practice (PFS2) - (Full Analysis Set, HRD-positive)
Aikaikkuna: Assessed every 12 weeks after RECIST 1.1 defined progression. For global cohort, assessed until DCO3 (17MAR2025) - up to 73 months. For China cohort assessed until DCO1 (17MAR2025) - 46 months.
|
To assess the efficacy of durvalumab and olaparib in terms of PFS2 in the first line treatment of patients with newly diagnosed advanced ovarian cancer. Time to second progression or death (PFS2) is defined as the time from the date of randomisation/allocation to the earliest of the progression event subsequent to first subsequent therapy or death. Results for tBRCAm SoC+D+O are not presented as this was prespecified to be assessed only in the Non-tBRCAm patients. |
Assessed every 12 weeks after RECIST 1.1 defined progression. For global cohort, assessed until DCO3 (17MAR2025) - up to 73 months. For China cohort assessed until DCO1 (17MAR2025) - 46 months.
|
|
Objective Response Rate Based on Investigator Assessment (Full Analysis Set)
Aikaikkuna: At baseline, within 3 weeks of last dose of chemotherapy, then every 12 weeks for 3 years and thereafter every 24 weeks. Up to 55 months for global non-tBRCAm (DCO2 18SEP2023). Up to 46 for Global tBRCAm (DCO1 05DEC2022) and China (DCO1 17MAR2025)
|
To assess the efficacy of durvalumab and olaparib in terms of ORR (Complete Response + Partial Response) by investigator assessment by modified RECIST 1.1:
Objective response rate (ORR) is defined similarly for the non-tBRCAm and tBRCAm cohorts as the number (percentage) of patients with at least one investigator-assessed visit response of CR or PR and will be based on a subset of all randomised/allocated patients who have evaluable disease at baseline per the site investigator. |
At baseline, within 3 weeks of last dose of chemotherapy, then every 12 weeks for 3 years and thereafter every 24 weeks. Up to 55 months for global non-tBRCAm (DCO2 18SEP2023). Up to 46 for Global tBRCAm (DCO1 05DEC2022) and China (DCO1 17MAR2025)
|
|
Objective Response Rate Based on Investigator Assessment (Full Analysis Set, HRD-positive)
Aikaikkuna: At baseline, within 3 weeks of last dose of chemotherapy, then every 12 weeks for 3 years and thereafter every 24 weeks. Up to 55 months for global non-tBRCAm (DCO2 18SEP2023). Up to 46 for China (DCO1 17MAR2025)
|
To assess the efficacy of durvalumab and olaparib in terms of ORR (Complete Response + Partial Response) by investigator assessment by modified RECIST 1.1
Objective response rate (ORR) is defined similarly for the non-tBRCAm and tBRCAm cohorts as the number (percentage) of patients with at least one investigator-assessed visit response of CR or PR and will be based on a subset of all randomised/allocated patients who have evaluable disease at baseline per the site investigator. This was prespecified to be assessed only in the non-tBRCAm cohort. |
At baseline, within 3 weeks of last dose of chemotherapy, then every 12 weeks for 3 years and thereafter every 24 weeks. Up to 55 months for global non-tBRCAm (DCO2 18SEP2023). Up to 46 for China (DCO1 17MAR2025)
|
|
Duration of Objective Response Based on Investigator Assessments (Full Analysis Set)
Aikaikkuna: At baseline, within 3 weeks of last dose of chemotherapy, then every 12 weeks for 3 years and thereafter every 24 weeks. Up to 55 months for global non-tBRCAm (DCO2 18SEP2023). Up to 46 for Global tBRCAm (DCO1 05DEC2022)
|
To assess the efficacy of durvalumab and olaparib in terms of duration of response (DoR) in the first line treatment of patients with newly diagnosed advanced ovarian cancer. Duration of response (DoR) is defined similarly for the non-tBRCAm and tBRCAm cohorts using the corresponding FAS among patients with a response (CR or PR), as the time from the date of first documented response (i.e., the first time at which the visit response is PR or CR) according to modified RECIST v1.1 as assessed by the investigator until date of documented progression or death in the absence of disease progression. This was prespecified to be assessed only in the Global patients. |
At baseline, within 3 weeks of last dose of chemotherapy, then every 12 weeks for 3 years and thereafter every 24 weeks. Up to 55 months for global non-tBRCAm (DCO2 18SEP2023). Up to 46 for Global tBRCAm (DCO1 05DEC2022)
|
|
Duration of Objective Response Based on Investigator Assessments (Full Analysis Set, HRD-positive)
Aikaikkuna: At baseline, within 3 weeks of last dose of chemotherapy, then every 12 weeks for 3 years and thereafter every 24 weeks. Up to 55 months for global non-tBRCAm (DCO2 18SEP2023).
|
To assess the efficacy of durvalumab and olaparib in terms of duration of response (DoR) in the first line treatment of patients with newly diagnosed advanced ovarian cancer. Duration of response (DoR) is defined similarly for the non-tBRCAm and tBRCAm cohorts using the corresponding FAS among patients with a response (CR or PR), as the time from the date of first documented response (i.e., the first time at which the visit response is PR or CR) according to modified RECIST v1.1 as assessed by the investigator until date of documented progression or death in the absence of disease progression. This was prespecified to be assessed only in Global Non-tBRCAm patients. |
At baseline, within 3 weeks of last dose of chemotherapy, then every 12 weeks for 3 years and thereafter every 24 weeks. Up to 55 months for global non-tBRCAm (DCO2 18SEP2023).
|
|
Time to First Subsequent Therapy (TFST) - Full Analysis Set
Aikaikkuna: Assessed every 12 weeks following treatment discontinuation. For global cohort, assessed until DCO3 (17MAR2025) - up to 73 months. For China cohort assessed until DCO1 (17MAR2025) - up to 46 months.
|
To assess the efficacy of durvalumab and olaparib in terms of TFST in the first line treatment of patients with newly diagnosed advanced ovarian cancer. Time to start of first subsequent therapy or death (TFST) is defined as the time from randomisation/allocation to the earlier of first subsequent therapy start date following study treatment discontinuation, or death. This was prespecified to be assessed only in Non-tBRCAm patients. |
Assessed every 12 weeks following treatment discontinuation. For global cohort, assessed until DCO3 (17MAR2025) - up to 73 months. For China cohort assessed until DCO1 (17MAR2025) - up to 46 months.
|
|
Time to First Subsequent Therapy (TFST) - (Full Analysis Set, HRD-positive)
Aikaikkuna: Assessed every 12 weeks following treatment discontinuation. For global cohort, assessed until DCO3 (17MAR2025) - up to 73 months. For China cohort assessed until DCO1 (17MAR2025) - up to 46 months.
|
To assess the efficacy of durvalumab and olaparib in terms of TFST in the first line treatment of patients with newly diagnosed advanced ovarian cancer. Time to start of first subsequent therapy or death (TFST) is defined as the time from randomisation/allocation to the earlier of first subsequent therapy start date following study treatment discontinuation, or death. This was prespecified to be assessed only in Non-tBRCAm patients. |
Assessed every 12 weeks following treatment discontinuation. For global cohort, assessed until DCO3 (17MAR2025) - up to 73 months. For China cohort assessed until DCO1 (17MAR2025) - up to 46 months.
|
|
Time to Second Subsequent Therapy (TSST) - Full Analysis Set
Aikaikkuna: Assessed every 12 weeks following treatment discontinuation. For global cohort, assessed until DCO3 (17MAR2025) - up to 73 months. For China cohort assessed until DCO1 (17MAR2025) - up to 46 months.
|
To assess the efficacy of durvalumab and olaparib in terms of TSST in the first line treatment of patients with newly diagnosed advanced ovarian cancer. Time to second subsequent therapy or death (TSST) is defined as the time from randomisation/allocation to the earlier of the second subsequent anti-cancer therapy start date following study treatment discontinuation, or death. This was prespecified to be assessed only in Non-tBRCAm patients. |
Assessed every 12 weeks following treatment discontinuation. For global cohort, assessed until DCO3 (17MAR2025) - up to 73 months. For China cohort assessed until DCO1 (17MAR2025) - up to 46 months.
|
|
Time to Second Subsequent Therapy (TSST) - (Full Analysis Set, HRD-positive)
Aikaikkuna: Assessed every 12 weeks following treatment discontinuation. For global cohort, assessed until DCO3 (17MAR2025) - up to 73 months. For China cohort assessed until DCO1 (17MAR2025) - up to 46 months.
|
To assess the efficacy of durvalumab and olaparib in terms of TSST in the first line treatment of patients with newly diagnosed advanced ovarian cancer. Time to second subsequent therapy or death (TSST) is defined as the time from randomisation to the earlier of the second subsequent anti-cancer therapy start date following study treatment discontinuation, or death. This was prespecified to be assessed only in Non-tBRCAm patients. |
Assessed every 12 weeks following treatment discontinuation. For global cohort, assessed until DCO3 (17MAR2025) - up to 73 months. For China cohort assessed until DCO1 (17MAR2025) - up to 46 months.
|
|
Time to Treatment Discontinuation (TDT) - Full Analysis Set
Aikaikkuna: Assessed through study completion, up to 73 months for global non-tBRCAm (DCO3 17MAR2025) and up to 46 months for and China (DCO1 17MAR2025)
|
To assess the efficacy of durvalumab and olaparib in terms of TDT in the first line treatment of patients with newly diagnosed advanced ovarian cancer. Time to permanent study treatment discontinuation or death (TDT) is defined as the time from randomisation/allocation to the earlier of the date of permanent study treatment discontinuation or death. This was prespecified to be assessed only in Non-tBRCAm patients. |
Assessed through study completion, up to 73 months for global non-tBRCAm (DCO3 17MAR2025) and up to 46 months for and China (DCO1 17MAR2025)
|
|
Time to Treatment Discontinuation (TDT) - (Full Analysis Set, HRD-positive)
Aikaikkuna: Assessed through study completion, up to 73 months for global non-tBRCAm (DCO3 17MAR2025) and up to 46 months for and China (DCO1 17MAR2025)
|
To assess the efficacy of durvalumab and olaparib in terms of TDT in the first line treatment of patients with newly diagnosed advanced ovarian cancer. Time to permanent study treatment discontinuation or death (TDT) is defined as the time from randomisation/allocation to the earlier of the date of permanent study treatment discontinuation or death. This was prespecified to be assessed only in Non-tBRCAm patients. |
Assessed through study completion, up to 73 months for global non-tBRCAm (DCO3 17MAR2025) and up to 46 months for and China (DCO1 17MAR2025)
|
|
Change From Baseline in Physical Function Score of the EORTC-QLQ-C30 and EORTC-QLQ-OV28 Questionnaires - Full Analysis Set
Aikaikkuna: Assessed at week 96.
|
To determine the effects on HRQoL, global health status and ovarian cancer symptoms of the combination of durvalumab and olaparib in the first line treatment of non-tBRCAm patients with newly diagnosed advanced ovarian cancer. The physical functioning score is a score from 0 to 100. Higher scores on the physical functioning score indicate better health status/function. This was prespecified to be assessed only in Global Non-tBRCAm patients. |
Assessed at week 96.
|
|
Change From Baseline in Physical Function Score of the EORTC-QLQ-C30 and EORTC-QLQ-OV28 Questionnaires - (Full Analysis Set, HRD Positive)
Aikaikkuna: Assessed at week 96.
|
To determine the effects on HRQoL, global health status and ovarian cancer symptoms of the combination of durvalumab and olaparib in the first line treatment of non-tBRCAm patients with newly diagnosed advanced ovarian cancer. The physical functioning score is a score from 0 to 100. Higher scores on the physical functioning score indicate better health status/function. This was prespecified to be assessed only in Global Non-tBRCAm patients. |
Assessed at week 96.
|
|
Change From Baseline in Global Health Status/QoL Score of the EORTC-QLQ-C30 and EORTC-QLQ-OV28 Questionnaires - Full Analysis Set
Aikaikkuna: Assessed at week 96.
|
To determine the effects on HRQoL, global health status and ovarian cancer symptoms of the combination of durvalumab and olaparib in the first line treatment of non-tBRCAm patients with newly diagnosed advanced ovarian cancer. The global health status/quality of life (QoL) is a score from 0 to 100. Higher scores on the global health status/QoL indicate better health status/function. This was prespecified to be assessed only in Global Non-tBRCAm patients. |
Assessed at week 96.
|
|
Change From Baseline in Global Health Status/QoL Score of the EORTC-QLQ-C30 and EORTC-QLQ-OV28 Questionnaires - (Full Analysis Set, HRD Positive)
Aikaikkuna: Assessed at week 96
|
To determine the effects on HRQoL, global health status and ovarian cancer symptoms of the combination of durvalumab and olaparib in the first line treatment of non-tBRCAm patients with newly diagnosed advanced ovarian cancer. The global health status/quality of life (QoL) is a score from 0 to 100. Higher scores on the global health status/QoL indicate better health status/function. This was prespecified to be assessed only in Global Non-tBRCAm patients. |
Assessed at week 96
|
|
Summary of Serum Concentrations (μg/mL) of Durvalumab for Each Treatment - Non-tBRCAm Cohort With Primary Cytoreductive Surgery (Pharmacokinetic Analysis Set)
Aikaikkuna: Assessed at Day 85 pre-dose, Day 183 pre-dose and 3 months after last dose of durvalumab.
|
To characterize the PK of durvalumab in combination with bevacizumab and olaparib. This was prespecified to be assessed only in Global Non-tBRCAm patients. |
Assessed at Day 85 pre-dose, Day 183 pre-dose and 3 months after last dose of durvalumab.
|
|
Summary of Plasma Concentrations (μg/mL) of Olaparib - Non-tBRCAm Cohort With Primary Cytoreductive Surgery (Pharmacokinetic Analysis Set)
Aikaikkuna: Assessed on Day 148 post-dose (1-3 hours, 3-6 hours and 6-12 hours)
|
To determine olaparib plasma concentrations via sparse sampling for population PK analyses. This was prespecified to be assessed only in Global Non-tBRCAm patients. |
Assessed on Day 148 post-dose (1-3 hours, 3-6 hours and 6-12 hours)
|
|
Summary of ADA Responses During the Study for Durvalumab - Non-tBRCAm Cohort With Primary Cytoreductive Surgery (ADA Analysis Set)
Aikaikkuna: Assessed pre-infusion at Cycle 2, Cycle 4, Cycle 6 and the third cycle of the maintenance phase as well as 3 months after last dose of durvalumab
|
To characterize the immunogenicity of durvalumab in combination with bevacizumab and olaparib. This was prespecified to be assessed only in Global Non-tBRCAm patients. |
Assessed pre-infusion at Cycle 2, Cycle 4, Cycle 6 and the third cycle of the maintenance phase as well as 3 months after last dose of durvalumab
|
Muut tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
|
Lääkkeiden turvallisuus ja siedettävyys arvioimalla AE/SAE
Aikaikkuna: Noin 4 vuotta
|
Luokiteltu National Cancer Instituten (NCI CTCAE) mukaan
|
Noin 4 vuotta
|
Yhteistyökumppanit ja tutkijat
Sponsori
Yhteistyökumppanit
Tutkijat
- Päätutkija: Philipp Harter, European Network of Gynaecological Oncological Trial Groups (ENGOT)
- Päätutkija: Carol Aghajanian, GOG
Julkaisuja ja hyödyllisiä linkkejä
Hyödyllisiä linkkejä
Opintojen ennätyspäivät
Opi tärkeimmät päivämäärät
Opiskelun aloitus (Todellinen)
Ensisijainen valmistuminen (Todellinen)
Opintojen valmistuminen (Arvioitu)
Opintoihin ilmoittautumispäivät
Ensimmäinen lähetetty
Ensimmäinen toimitettu, joka täytti QC-kriteerit
Ensimmäinen Lähetetty (Todellinen)
Tutkimustietojen päivitykset
Viimeisin päivitys julkaistu (Todellinen)
Viimeisin lähetetty päivitys, joka täytti QC-kriteerit
Viimeksi vahvistettu
Lisää tietoa
Tähän tutkimukseen liittyvät termit
Muita asiaankuuluvia MeSH-ehtoja
- Urogenitaaliset sairaudet
- Sukuelinten sairaudet
- Endokriinisen järjestelmän sairaudet
- Urogenitaaliset kasvaimet
- Neoplasmat sivustoittain
- Neoplasmat
- Naisten virtsa- ja sukupuolielinten sairaudet
- Naisten virtsa- ja sukupuolielinten sairaudet ja raskauden komplikaatiot
- Sukuelinten sairaudet, naiset
- Endokriinisten rauhasten kasvaimet
- Munasarjan sairaudet
- Adnexaaliset sairaudet
- Sukuelinten kasvaimet, naiset
- Sukurauhasten häiriöt
- Munasarjan kasvaimet
- Aminohapot, peptidit ja proteiinit
- Proteiinit
- Vasta -aineet, monoklonaalinen, humanisoitu
- Vasta -aineet, monoklonaalinen
- Vasta -aineet
- Immunoglobuliinit
- Immunoproteiinit
- Veriproteiinit
- Seerumin globuliinit
- Globuliinit
- Bevasitsumabi
- durvalumabi
- olaparib
- CP -protokolla
Muut tutkimustunnusnumerot
- D081RC00001
- 2017-004632-11 (EudraCT-numero)
Yksittäisten osallistujien tietojen suunnitelma (IPD)
Aiotko jakaa yksittäisten osallistujien tietoja (IPD)?
IPD-suunnitelman kuvaus
IPD-jaon aikakehys
IPD-jaon käyttöoikeuskriteerit
IPD-jakamista tukeva tietotyyppi
- STUDY_PROTOCOL
- MAHLA
Lääke- ja laitetiedot, tutkimusasiakirjat
Tutkii yhdysvaltalaista FDA sääntelemää lääkevalmistetta
Tutkii yhdysvaltalaista FDA sääntelemää laitetuotetta
Yhdysvalloissa valmistettu ja sieltä viety tuote
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