절제 불가능한 3기 비소세포폐암 환자에서 동시 화학방사선 요법 후 Durvalumab과 Oleclumab 또는 Durvalumab과 Monalizumab의 효과를 평가하기 위한 글로벌 연구 (PACIFIC-9)
진행되지 않은 국소 진행성(3기), 절제 불가능한 비소세포폐암(NSCLC) 환자를 대상으로 한 Durvalumab + Oleclumab 및 Durvalumab + Monalizumab의 III상, 이중 맹검, 위약 대조, 무작위배정, 다기관, 국제 연구 결정적인 백금 기반 동시 화학방사선 요법 후
This is a Phase III, randomised, double-blind, multicentre, international study assessing the efficacy and safety of durvalumab (MEDI4736) in combination with oleclumab (MEDI9447) or durvalumab (MEDI4736) with monalizumab (IPH2201) in adults with locally advanced (Stage III), unresectable NSCLC, who have not progressed following platinum-based cCRT.
연구 개요
상태
상태
정황
정황
개입 / 치료
개입 / 치료
연구 유형
연구 유형
등록 (실제)
등록
단계
단계
- 3단계
연락처 및 위치
연구 장소
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Hsinchu, 대만, 300
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New Taipei City, 대만, 23561
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Taichung, 대만, 40705
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Taichung, 대만, 402
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Taipei, 대만
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Taipei, 대만, 11490
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Taoyuan City, 대만, 333
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Changwon-si, 대한민국, 51353
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Cheongju-si, 대한민국, 28644
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Seongnam-si, 대한민국, 13620
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Seoul, 대한민국, 03080
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Seoul, 대한민국, 03722
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Seoul, 대한민국, 05505
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Suwon, 대한민국, 16499
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Suwon, 대한민국, 16247
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Erfurt, 독일, 99089
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Erlangen, 독일, 91054
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Essen, 독일, 45147
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Esslingen am Neckar, 독일, 73730
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Georgsmarienhütte, 독일, 49124
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Gütersloh, 독일, 33332
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Hanover, 독일, 30459
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Oldenburg, 독일, 26121
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Würzburg, 독일, 97080
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California
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San Diego, California, 미국, 92123
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Connecticut
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New Haven, Connecticut, 미국, 06510
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Florida
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Stuart, Florida, 미국, 34994
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Illinois
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Urbana, Illinois, 미국, 61801
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Indiana
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New Albany, Indiana, 미국, 47150
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Kentucky
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Lexington, Kentucky, 미국, 40503
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Louisville, Kentucky, 미국, 40241
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Maryland
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Annapolis, Maryland, 미국, 21401
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Baltimore, Maryland, 미국, 21201
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Baltimore, Maryland, 미국, 21229
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Bethesda, Maryland, 미국, 20817
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Michigan
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Grand Rapids, Michigan, 미국, 49503
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Minnesota
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Duluth, Minnesota, 미국, 55805
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Montana
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Billings, Montana, 미국, 59101
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New Jersey
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Ridgewood, New Jersey, 미국, 07450
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New York
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Ithaca, New York, 미국, 14850
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North Carolina
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Greensboro, North Carolina, 미국, 27403
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Ohio
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Cleveland, Ohio, 미국, 44195
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Cleveland, Ohio, 미국, 44124
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Maumee, Ohio, 미국, 43537
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Oregon
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Portland, Oregon, 미국, 97239
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Pennsylvania
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Philadelphia, Pennsylvania, 미국, 19104
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York, Pennsylvania, 미국, 17403
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South Dakota
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Sioux Falls, South Dakota, 미국, 57105
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Texas
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Houston, Texas, 미국, 77030
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Virginia
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Charlottesville, Virginia, 미국, 22908
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Fairfax, Virginia, 미국, 22031
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Fredericksburg, Virginia, 미국, 22408
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Richmond, Virginia, 미국, 23235
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Washington
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Richland, Washington, 미국, 99352
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Spokane, Washington, 미국, 99204
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Tacoma, Washington, 미국, 98405
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Wisconsin
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Milwaukee, Wisconsin, 미국, 53226
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Haiphong, 베트남, 180000
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Hanoi, 베트남, 100000
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Ho Chi Minh City, 베트남, 700000
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Barretos, 브라질, 14784-400
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Belo Horizonte, 브라질, 30380-090
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Florianópolis, 브라질, 88034-000
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Fortaleza, 브라질, 60336-232
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Jaú, 브라질, 17210-120
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Natal, 브라질, 59075-740
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Porto Alegre, 브라질, 91350-200
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Porto Alegre, 브라질, 90610-001
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Recife, 브라질, 52010-075
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São Paulo, 브라질, 01323-903
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Uberlândia, 브라질, 38408-150
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Vitória, 브라질, 29043-260
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Barcelona, 스페인, 8035
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Barcelona, 스페인, 8003
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Granada, 스페인, 18016
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Madrid, 스페인, 28034
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Madrid, 스페인, 28040
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Santiago de Compostela, 스페인, 15706
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Valencia, 스페인, 46010
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Belfast, 영국, BT9 7AB
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Bristol, 영국, BS2 8ED
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Dundee, 영국, DD1 9SY
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Edinburgh, 영국, EH4 2XR
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London, 영국, W6 8RF
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London, 영국, NW1 2PG
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Middlesbrough, 영국, TS4 3BW
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Poole, 영국, BH15 2JB
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Torquay, 영국, TQ2 7AA
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Truro, 영국, TR1 3LJ
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Wolverhampton, 영국, WV10 OQP
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Brescia, 이탈리아, 25123
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Florence, 이탈리아, 50134
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Lucca, 이탈리아, 55100
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Meldola, 이탈리아, 47014
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Orbassano, 이탈리아, 10043
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Parma, 이탈리아, 43126
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Pavia, 이탈리아, 27100
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Roma, 이탈리아, 00128
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Himeji-shi, 일본, 670-8520
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Hiroshima, 일본, 730-0011
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Kashiwa, 일본, 227-8577
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Kurume-shi, 일본, 830-0011
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Natori-shi, 일본, 981-1293
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Niigata, 일본, 951-8566
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Osaka, 일본, 541-8567
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Sendai, 일본, 980-0873
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Tokushima, 일본, 770-8503
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Toon-shi, 일본, 791-0295
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Wakayama, 일본, 641-8510
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Anyang, 중국, 455000
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Beijing, 중국, 100021
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Changchun, 중국, 130021
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Changsha, 중국, 410013
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Changsha, 중국, 410008
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Guangzhou, 중국, 510060
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Guangzhou, 중국, 510062
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Guangzhou, 중국, 510700
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Hangzhou, 중국, 310022
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Hangzhou, 중국, 310002
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Hefei, 중국, 230031
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Hefei, 중국, 133500
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Kunming, 중국, 650118
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Linhai, 중국, 317000
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Nanchang, 중국, 330006
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Nanning, 중국, 530021
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Nantong, 중국, 226361
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Neijiang, 중국, 641000
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Ningbo, 중국, 315100
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Shaoguan, 중국, 512027
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Tianjin, 중국, 300060
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Wuhan, 중국, 430079
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Wuhan, 중국, 430022
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Wuhan, 중국, 430071
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Zhanjiang, 중국, 524001
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Zhengzhou, 중국, 450008
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Zhengzhou, 중국, 450000
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Zhongshan, 중국, 528403
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Alberta
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Edmonton, Alberta, 캐나다, T6G 1Z2
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Ontario
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Barrie, Ontario, 캐나다, L4M 6M2
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Hamilton, Ontario, 캐나다, L8V 5C2
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Kingston, Ontario, 캐나다, K7L 2V7
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London, Ontario, 캐나다, N6A 5W9
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Mississauga, Ontario, 캐나다, L5M 2N1
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Toronto, Ontario, 캐나다, M5G 2M9
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Quebec
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Rimouski, Quebec, 캐나다, G5L 5T1
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Barranquilla, 콜롬비아, 080020
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Bogota D.C., 콜롬비아, 110131
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Medellín, 콜롬비아, 050034
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Valledupar, 콜롬비아, 200001
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Bangkok, 태국, 10300
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Bangkok, 태국, 10700
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Hat Yai, 태국, 90110
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Khon Kaen, 태국, 40002
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Khon Kaen, 태국, 40000
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Lampang, 태국, 52000
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Muang, 태국, 50200
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Muang, 태국, 22000
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Mueang, 태국, 20000
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Naimuang, 태국, 30000
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Ankara, 터키 (Türkiye), 06230
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Ankara, 터키 (Türkiye), 06800
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Ankara, 터키 (Türkiye), 06010
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Cordaleo, 터키 (Türkiye), 35575
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Diyarbakır, 터키 (Türkiye), 21280
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Goztepe Istanbul, 터키 (Türkiye)
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Lima, 페루, Lima 32
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Lima, 페루, 15038
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Lima, 페루, Lima 34
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Lisbon, 포르투갈, 1998-018
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Lisbon, 포르투갈, 1769-001
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Lisbon, 포르투갈, 1099-023
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Lisbon, 포르투갈, 1400-038
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Loures, 포르투갈, 2674-514
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Porto, 포르투갈, 4200-319
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Bydgoszcz, 폴란드, 85-796
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Gdansk, 폴란드, 80-952
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Koszalin, 폴란드, 75-581
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Poznan, 폴란드, 60-569
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Siedlce, 폴란드, 08-110
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Tomaszów Mazowiecki, 폴란드, 97-200
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Warsaw, 폴란드, 02-781
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Avignon, 프랑스, 84918
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Besançon, 프랑스, 25030
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Bordeaux, 프랑스, 33075
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Clermont-Ferrand, 프랑스, 63000
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Créteil, 프랑스, 94010
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Lorient, 프랑스, 56322
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Marseille, 프랑스, 13015
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Montpellier, 프랑스, 34298
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Rennes, 프랑스, 35033
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Rouen, 프랑스, 76031
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Toulouse, 프랑스, 31059
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Villejuif, 프랑스, 94805
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Box Hill, 호주, 3128
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East Melbourne, 호주, 3002
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Elizabeth Vale, 호주, 5112
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Gosford, 호주, 2250
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Heidelberg, 호주, 3084
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Kogarah, 호주, 2217
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South Brisbane, 호주, 4101
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St Albans, 호주, 3021
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Westmead, 호주, 2145
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참여기준
자격 기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
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 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 malignancy treated with curative intent with no known active disease ≥5 years before the first dose of study intervention and of low potential risk for recurrence, adequately resected non-melanoma skin cancer and curatively treated in situ disease, or adequately treated carcinoma in situ or Ta tumours 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 - diagnosed in the past 6 months prior to randomization.
- Active or prior documented autoimmune or inflammatory disorders (with exceptions)
- Current or prior use of immunosuppressive medication within 14 days before the first dose of durvalumab.
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 네 배로
팔의 수
무기와 개입
참가자 그룹 / 팔참가자 그룹 / 팔 |
개입 / 치료개입 / 치료 |
|---|---|
|
실험적: Arm A: Durvalumab and Oleclumab
Durvalumab on Day 1 of each 28-day cycle + Oleclumab on Days 1 and 15 of cycles 1 and 2, then on Day 1 of each subsequent 28-day cycle for up to 12 months |
Durvalumab IV (intravenous infusion) Oleclumab IV (intravenous infusion) |
|
실험적: Arm B: Durvalumab and Monalizumab
Durvalumab + Monalizumab on Day 1 of each 28-day cycle for up to 12 months. Placebo infusion will be administered on Day 15 of cycles 1 and 2 only |
Durvalumab IV (intravenous infusion) Monalizumab IV (intravenous infusion) Placebo IV (intravenous infusion) |
|
활성 비교기: Arm C: Durvalumab and Placebo
Durvalumab on Day 1 of each 28-day cycle + Placebo on Days 1 and 15 of cycles 1 and 2, then on Day 1 of each subsequent 28-day cycle for up to 12 months |
Durvalumab IV (intravenous infusion) Placebo IV (intravenous infusion) |
연구는 무엇을 측정합니까?
주요 결과 측정
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Progression Free Surival (PFS)
기간: Up to 5 years after first patient randomized.
|
Progression Free Survival (PFS) as assessed by BICR, per RECIST 1.1. |
Up to 5 years after first patient randomized.
|
2차 결과 측정
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Overall Survival (OS)
기간: Up to 9 years after first patient randomized
|
Overall survival (OS) |
Up to 9 years after first patient randomized
|
|
Objective response rate (ORR)
기간: Up to 5 years after first patient randomized
|
Objective response rate (ORR) per RECIST 1.1 as assessed by BICR |
Up to 5 years after first patient randomized
|
|
Overall survival (OS) at 24 months
기간: Up to 9 years after first patient randomized
|
Overall survival (OS) at 24 months |
Up to 9 years after first patient randomized
|
|
Duration of response (DoR)
기간: Up to 5 years after first patient randomized
|
Duration of response (DoR) per RECIST 1.1 as assessed by BICR |
Up to 5 years after first patient randomized
|
|
Progression free survival (PFS) at 6, 12, 18, and 24 months
기간: From date of randomization until 24 months
|
Progression free survival (PFS) at 6, 12, 18, and 24 months respectively, per RECIST 1.1 as assessed by BICR |
From date of randomization until 24 months
|
|
Time from randomization to second progression (PFS2)
기간: Up to 5 years after first patient randomized
|
Time from randomization to second progression (PFS2) |
Up to 5 years after first patient randomized
|
|
Time from randomization to first date of distant metastasis or death (TTDM)
기간: Up to 5 years after first patient randomized
|
Time from randomization to first date of distant metastasis or death (TTDM) |
Up to 5 years after first patient randomized
|
|
Time from randomization to start date of first subsequent therapy (TFST)
기간: Up to 9 years after first patient randomized
|
Time from randomization to start date of first subsequent therapy (TFST) |
Up to 9 years after first patient randomized
|
|
Progression free survival (PFS) as assessed by Investigator
기간: Up to 5 years after first patient randomized
|
Progression free survival (PFS) as assessed by Investigator |
Up to 5 years after first patient randomized
|
|
IHC analysis of PD-L1 TC expression
기간: Up to 5 years after first patient randomized
|
IHC analysis of PD-L1 TC expression relative to efficacy outcomes |
Up to 5 years after first patient randomized
|
|
Concentration of Durvalumab
기간: From date of randomization until 3 months after date of last IP dose
|
To assess the Pharmacokinetics of Durvalumab when in combination with Monalizumab or Oleclumab - serum peak and trough concentrations |
From date of randomization until 3 months after date of last IP dose
|
|
Anti-drug antibodies (ADAs)
기간: From date of randomization until 3 months after date of last IP dose
|
The immunogenicity of durvalumab, oleclumab, and monalizumab as assessed by presence of anti-drug antibodies (ADAs) |
From date of randomization until 3 months after date of last IP dose
|
|
Time to deterioration in pulmonary symptoms (TTFCD)
기간: Up to 5 years after last patient randomized
|
Time to deterioration in pulmonary symptoms (TTFCD) |
Up to 5 years after last patient randomized
|
|
Concentration of Oleclumab
기간: From date of randomization until 3 months after last dose of IP
|
To assess the Pharmacokinetics of Oleclumab when in combination with Durvulumab - serum peak and trough concentrations |
From date of randomization until 3 months after last dose of IP
|
|
Concentration of Monalizumab
기간: From date of randomization until 3 months after last dose of IP
|
To assess the Pharmacokinetics of Monalizumab when in combination with Durvalumab - serum peak and trough concentrations |
From date of randomization until 3 months after last dose of IP
|
공동 작업자 및 조사자
수사관
수사관
- 수석 연구원: Fabrice Barlesi, MD, Gustave Roussy, Cancer Campus, Grand Paris
간행물 및 유용한 링크
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
연구 시작
기본 완료 (추정된)
기본 완료
연구 완료 (추정된)
연구 완료
연구 등록 날짜
최초 제출
최초 제출
QC 기준을 충족하는 최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
처음 게시됨
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
마지막 업데이트 게시됨
QC 기준을 충족하는 마지막 업데이트 제출
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
추가 관련 MeSH 약관
기타 연구 ID 번호
기타 연구 ID 번호
- D9078C00001
- 2021-004346-37 (EudraCT 번호)
- 2023-503999-24-00 (레지스트리 식별자: Clinical Trial Information System (CTIS))
- 2023 (미국 NIH 보조금/계약)
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
IPD 계획 설명
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 공유 기간
AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA PhRMA Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
IPD 공유 액세스 기준
When a request has been approved AstraZeneca will provide access to the anonymized individual patient-level data via secure research environment Vivli.org. Signed Data Usage Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information.
IPD 공유 지원 정보 유형
- 연구_프로토콜
- 수액
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
미국 FDA 규제 기기 제품 연구
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .