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一线 Dato-DXd 联合 Rilvegostomig 治疗 PD-L1 高表达 (TC ≥ 50%) 且无可操作基因组改变的晚期非鳞状 NSCLC 的 III 期、开放标签研究 (TROPION-Lung10)

2026年10月27日 更新者:AstraZeneca

Datopotamab Deruxtecan (Dato-DXd) 联合 Rilvegostomig 或 Rilvegostomig 单药治疗与 Pembrolizumab 单药治疗一线治疗局部晚期或转移性非鳞状 NSCLC 患者的 III 期、随机、开放标签全球研究PD-L1 表达 (TC ≥ 50%) 且无可操作的基因组改变 (TROPION-Lung10)

The purpose of this study is to evaluate efficacy and safety of Dato-DXd in combination with rilvegostomig or rilvegostomig monotherapy compared with pembrolizumab monotherapy as a first line therapy in participants with locally advanced or metastatic non-squamous NSCLC with high PD-L1 expression (TC ≥ 50%) and without actionable genomic alterations.

研究概览

详细说明

This is a Phase III, randomized, open-label, Global Study of Datopotamab Deruxtecan (Dato-DXd) in Combination With Rilvegostomig or Rilvegostomig monotherapy compared with Pembrolizumab monotherapy for the first-line treatment of participants with locally-advanced or metastatic non-squamous NSCLC with high PD-L1 expression (TC ≥ 50%) and without actionable genomic alterations.

研究类型

介入性

注册 (估计的)

675

阶段

  • 第三阶段

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习联系方式

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      • Beijing、中国、100142
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      • Beijing、中国、101149
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      • Changchun、中国、130000
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      • Changsha、中国、410013
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      • Chengdu、中国、610000
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      • Chengdu、中国、610041
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      • Chongqing、中国、400030
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      • Fuzhou、中国、350014
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      • Guangzhou、中国、510080
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      • Hangzhou、中国、310006
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      • Hangzhou、中国、310022
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      • Hangzhou、中国、310016
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      • Harbin、中国、150049
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      • Hefei、中国、230601
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      • Hefei、中国、230031
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      • Jinan、中国、250117
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      • Jining、中国、272011
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      • Kunming、中国、650118
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      • Lanzhou、中国、730000
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      • Linhai、中国、317000
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      • Linyi、中国、276001
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      • Nanjing、中国、210009
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      • Nanning、中国、530021
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      • Nanning、中国、530000
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      • Shanghai、中国、200032
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      • Shanghai、中国、200030
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      • Shanghai、中国、200433
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      • Shenyang、中国、110022
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      • Taiyuan、中国、030000
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      • Wuhan、中国、430022
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      • Wuhan、中国、430030
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      • Wuhan、中国、430010
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      • Wuhan、中国、430000
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      • Xi'an、中国、710061
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      • Yangzhou、中国、225001
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      • London、Ontario、加拿大、N6A 4L6
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      • Lévis、Quebec、加拿大、G6V 0B8
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      • Saskatoon、Saskatchewan、加拿大、S7N 4H4
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      • Budapest、匈牙利、1121
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      • Edelény、匈牙利、3780
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      • Gyula、匈牙利、5700
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      • Gyöngyös、匈牙利、3200
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      • Gyöngyös - Mátraháza、匈牙利、3200
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      • Győr、匈牙利、9024
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      • Kecskemét、匈牙利、6000
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      • Salgótarján、匈牙利、3100
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      • Szekszárd、匈牙利、7100
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      • Szolnok、匈牙利、5000
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      • Székesfehérvár、匈牙利、8000
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      • Törökbálint、匈牙利、2045
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      • Chennai、印度、600031
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      • Jaipur、印度、302004
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      • Kolkata、印度、700099
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      • Marg Jaipur、印度、302004
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      • Nagpur、印度、440001
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      • New Delhi、印度、110085
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      • Thiruvananthapuram、印度、695011
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      • Changhua、台湾、500
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      • Kaohsiung City、台湾、80756
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      • New Taipei City、台湾、220
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      • Taichung、台湾、40447
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      • Taichung、台湾、40705
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      • Taipei、台湾、112
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      • Adapazarı、土耳其(türkiye)、54100
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      • Ankara、土耳其(türkiye)、6200
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      • Ankara、土耳其(türkiye)、06560
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      • Diyarbakır、土耳其(türkiye)、21280
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      • Greenville、North Carolina、美国、27834
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        • Research Site
      • Columbus、Ohio、美国、43210
        • 撤销
        • Research Site
      • Maumee、Ohio、美国、43537
        • 招聘中
        • Research Site
      • Toledo、Ohio、美国、43623
        • 招聘中
        • Research Site
    • Oregon
      • Portland、Oregon、美国、97213
        • 撤销
        • Research Site
    • South Carolina
      • Greenville、South Carolina、美国、29607
        • 招聘中
        • Research Site
    • South Dakota
      • Sioux Falls、South Dakota、美国、57105
        • 招聘中
        • Research Site
    • Tennessee
      • Chattanooga、Tennessee、美国、37404
        • 撤销
        • Research Site
      • Knoxville、Tennessee、美国、37920
        • 撤销
        • Research Site
    • Texas
      • Fort Worth、Texas、美国、76104
        • 招聘中
        • Research Site
      • Houston、Texas、美国、77030
        • 招聘中
        • Research Site
      • Houston、Texas、美国、77030
        • 撤销
        • Research Site
      • Houston、Texas、美国、77090
        • 暂停
        • Research Site
      • Kingwood、Texas、美国、77339
        • 招聘中
        • Research Site
      • Odessa、Texas、美国、79761
        • 招聘中
        • Research Site
    • Virginia
      • Fort Belvoir、Virginia、美国、22060
        • 招聘中
        • Research Site
      • Leesburg、Virginia、美国、20176
        • 招聘中
        • Research Site
      • Midlothian、Virginia、美国、23114
        • 招聘中
        • Research Site
      • Richmond、Virginia、美国、23230
        • 招聘中
        • Research Site
    • Washington
      • Tacoma、Washington、美国、98405
        • 招聘中
        • Research Site
      • Vancouver、Washington、美国、98684
        • 招聘中
        • Research Site
      • Wenatchee、Washington、美国、98801
        • 招聘中
        • Research Site
    • Wisconsin
      • Appleton、Wisconsin、美国、54911
        • 招聘中
        • Research Site
      • Cheltenham、英国、GL53 7AN
        • 暂停
        • Research Site
      • Inverness、英国、IV2 3UJ
        • 暂停
        • Research Site
      • London、英国、SW17 0QT
        • 招聘中
        • Research Site
      • London、英国、SW10 9NH
        • 招聘中
        • Research Site
      • London、英国、SE1 9RT
        • 撤销
        • Research Site
      • Norwich、英国、NR4 7UY
        • 招聘中
        • Research Site
      • Preston、英国、PR2 9HT
        • 招聘中
        • Research Site
      • Truro、英国、TR1 3LJ
        • 招聘中
        • Research Site
      • Alicante、西班牙、03010
        • 招聘中
        • Research Site
      • Barcelona、西班牙、08036
        • 招聘中
        • Research Site
      • Barcelona、西班牙、08003
        • 招聘中
        • Research Site
      • Barcelona、西班牙、08041
        • 尚未招聘
        • Research Site
      • Jerez de la Frontera、西班牙、11407
        • 招聘中
        • Research Site
      • Reus、西班牙、43204
        • 招聘中
        • Research Site
      • Salamanca、西班牙、37007
        • 撤销
        • Research Site
      • Da Nang、越南、550000
        • 招聘中
        • Research Site
      • Hanoi、越南、100000
        • 招聘中
        • Research Site
      • Ho Chi Minh City、越南、700000
        • 招聘中
        • Research Site
      • Ho Chi Minh City、越南、700000
        • 撤销
        • Research Site
      • Huế、越南、530000
        • 撤销
        • Research Site
      • Hà Nội、越南、100000
        • 招聘中
        • Research Site
      • Vinh、越南、460000
        • 撤销
        • Research Site
      • Vĩnh Yên、越南、280000
        • 招聘中
        • Research Site
      • Changwon、韩国、51353
        • 招聘中
        • Research Site
      • Incheon、韩国、21565
        • 招聘中
        • Research Site
      • Seongnam-si、韩国、13496
        • 招聘中
        • Research Site
      • Seoul、韩国、03080
        • 招聘中
        • Research Site
      • Seoul、韩国、03722
        • 招聘中
        • Research Site
      • Seoul、韩国、08308
        • 尚未招聘
        • Research Site
      • Seoul、韩国、06973
        • 招聘中
        • Research Site
      • Suwon、韩国、16247
        • 招聘中
        • Research Site
      • Suwon、韩国、16499
        • 招聘中
        • Research Site

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

18年 及以上 (成人、年长者)

接受健康志愿者

不

有资格学习的性别

全部

描述

Inclusion Criteria:

  • Histologically or cytologically documented non-squamous NSCLC.
  • Stage IIIB or IIIC or Stage IV metastatic NSCLC (according to Edition 8 of the AJCC staging manual) not amenable to curative surgery or definitive chemoradiation.
  • Absence of sensitising EGFR mutations, and ALK and ROS1 rearrangements, and absence of documented local test result for any other known genomic alteration for which there are locally approved and available targeted first-line therapies.
  • Must provide tumor sample to determine PD-L1 status, TROP2 status and other biomarkers.
  • Known tumour PD-L1 expression status defined as TC ≥ 50%
  • At least one lesion, not previously irradiated that qualifies as a RECIST 1.1 target lesion at baseline
  • ECOG performance status of 0 or 1
  • Adequate bone marrow reserve and organ function

Exclusion Criteria:

  • Prior systemic therapy for advanced/metastatic NSCLC.
  • Squamous cell histology, or predominantly squamous cell histology NSCLC; mixed small cell lung cancer; NSCLC histology, sarcomatoid variant.
  • History of another primary malignancy within 3 years
  • Active or prior documented autoimmune or inflammatory disorders (with exceptions)
  • Any evidence of severe or uncontrolled disease that makes it undesirable for the participant to participate in the study or that would jeopardies compliance with the protocol.
  • Has clinically significant third-space fluid retention (for example pleural effusion) and is not amenable for repeated drainage.
  • History of any ILD/pneumonitis, including radiation pneumonitis (apart from radiation pneumonitis that did not require steroids), or drug-induced ILD/pneumonitis, has current or suspected ILD/pneumonitis that cannot be ruled out by imaging at screening.
  • Has significant pulmonary function compromise, as determined by the investigator
  • Spinal cord compression, or brain metastases unless participant treated and no longer symptomatic, radiologically stable, and who require no treatment with corticosteroids or anticonvulsants.
  • History of leptomeningeal carcinomatosis
  • Known clinically significant corneal disease
  • Active infection with TB, HBV, HCV, Hepatitis A, or known HIV infection that is not well controlled
  • History of active primary immunodeficiency

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

  • 主要用途:治疗
  • 分配:随机化
  • 介入模型:并行分配
  • 屏蔽:单身的

武器和干预

参与者组/臂
干预/治疗
实验性的:Arm 1: Datopotamab Deruxtecan in Combination With Rilvegostomig

Participants in the Datopotamab Deruxtecan (Dato-DXd) in combination with Rilvegostomig group will receive Dato-DXd plus rilvegostomig as intravenous (IV) infusion every 3 weeks (Q3W) on Day 1 of each 21-day cycle.

Datopotamab Deruxtecan IV (intravenous)

其他名称:
  • 拿督DXd

Rilvegostomig IV (intravenous)

其他名称:
  • AZD2936
实验性的:Arm 2: Rilvegostomig Monotherapy

Participants in the rilvegostomig monotherapy group will receive rilvegostomig as intravenous (IV) infusion every 3 weeks (Q3W) on Day 1 of each 21-day cycle.

Rilvegostomig IV (intravenous)

其他名称:
  • AZD2936
有源比较器:Arm 3: Pembrolizumab Monotherapy

Participants in the pembrolizumab group will receive pembrolizumab as intravenous (IV) infusion every 3 weeks (Q3W) on Day 1 of each 21-day cycle.

Pembrolizumab IV (intravenous)

其他名称:
  • 可瑞达

研究衡量的是什么?

主要结果指标

结果测量
措施说明
大体时间
Progression-Free Survival (PFS) in TROP2 biomarker positive participants.
大体时间:Approximately 4 years

PFS is defined as time from randomisation until progression per RECIST 1.1 as assessed by BICR, or death due to any cause.

The analysis will include all randomised participants, as randomised, regardless of whether the participant withdraws from randomised therapy, receives another anti-cancer therapy or clinically progresses prior to RECIST 1.1 progression, in the following population:

• TROP2 biomarker positive population

The measure of interest is the HR of PFS. PFS by investigator will be reported as a sensitivity analysis.

Approximately 4 years
Overall Survival (OS) in TROP2 biomarker positive participants.
大体时间:Approximately 6 years

OS is defined as the time from randomisation until the date of death due to any cause.

The analysis will include all randomised participants, as randomised, regardless of whether the participant withdraws from randomised therapy or receives another anti-cancer therapy, in the following population:

• TROP2 biomarker positive population The measure of interest is the HR of OS.

Approximately 6 years

次要结果测量

结果测量
措施说明
大体时间
Progression-Free Survival (PFS) in the FAS population.
大体时间:Approximately 4 years

PFS is defined as time from randomisation until progression per RECIST 1.1 as assessed by BICR, or death due to any cause.

The analysis will include all randomised participants, as randomised, regardless of whether the participant withdraws from randomised therapy, receives another anti cancer therapy or clinically progresses prior to RECIST 1.1 progression, in the following population:

• FAS population

The measure of interest is the HR of PFS. PFS by investigator will be reported as a sensitivity analysis.

Approximately 4 years
Overall Survival (OS) in the FAS population.
大体时间:Approximately 6 years

OS is defined as the time from randomisation until the date of death due to any cause.

The analysis will include all randomised participants, as randomised, regardless of whether the participant withdraws from randomised therapy or receives another anti-cancer therapy, in the following population:

• FAS population The measure of interest is the HR of OS.

Approximately 6 years
Assessment of Objective Response Rate (ORR) by BICR in TROP2 biomarker positive and FAS populations
大体时间:Approximately 4 years

ORR is defined as the proportion of participants who have a CR or PR, as determined by BICR per RECIST 1.1.

The analyses will include all randomised participants, as randomised, with measurable disease at baseline, in the following populations:

  • TROP2 biomarker positive population
  • FAS population Data obtained from randomisation up until progression, or the last evaluable assessment in the absence of progression, will be included in the assessment of ORR, regardless of whether the participant withdraws from therapy. Participants who go off treatment without a response or progression, receive a subsequent therapy, and then respond will not be included as responders in the ORR.

The measure of interest is the difference of the ORR. ORR by investigator will be reported as a sensitivity analysis.

Approximately 4 years
Assessment of Duration of Response (DoR) by BICR in TROP2 biomarker positive and FAS populations
大体时间:Approximately 4 years

DoR is defined as the time from the date of first documented response until date of documented progression per RECIST 1.1, as assessed by BICR or death due to any cause.

The analyses will include all randomised participants who have a response, as randomised, regardless of whether the participant withdraws from randomised therapy, receives another anti cancer therapy or clinically progresses prior to RECIST 1.1 progression, in the following populations:

  • TROP2 biomarker positive population
  • FAS population The measure of interest is the median of DoR. DoR by investigator will be reported as a sensitivity analysis.
Approximately 4 years
Participant-reported lung cancer symptoms of NSCLC and participant-reported GHS/QOL in participants treated with Dato-DXd in combination with rilvegostomig relative to pembrolizumab.
大体时间:Approximately 6 years

Time to deterioration in: pulmonary symptoms (dyspnoea, cough, and chest pain) as measured by the NSCLC-SAQ, in overall lung cancer symptoms as measured by the NSCLC-SAQ, and in GHS/QoL as measured by the GHS/QoL scale from EORTC IL172.

Time to deterioration is defined as the time from randomisation until the date of deterioration. Deterioration is defined as change from baseline that reaches a clinically meaningful deterioration threshold. The analyses will include all randomised participants, in the following populations:

  • TROP2 biomarker positive population
  • FAS population The measure of interest is the HR of time to deterioration in pulmonary symptoms, HR of time to deterioration in overall lung cancer symptoms, and HR of time to deterioration in GHS/QoL.
Approximately 6 years
Participant-reported physical functioning in participants treated with Dato DXd in combination with rilvegostomig relative to pembrolizumab.
大体时间:Approximately 6 years

Time to deterioration in physical functioning as measured by PROMIS Physical Function short form 8c.

Time to deterioration is defined as the time from randomisation until the date of deterioration. Deterioration is defined as change from baseline that reaches a clinically meaningful deterioration threshold. The analyses will include all randomised participants, in the following populations:

  • TROP2 biomarker positive population
  • FAS population The measure of interest is the HR of time to deterioration in physical functioning.
Approximately 6 years
Pharmacokinetics (PK)
大体时间:Approximately 6 years

Concentration of rilvegostomig, Dato-DXd, total anti TROP2 antibody, and MAAA 1181a (payload deruxtecan) in plasma or serum and PK parameters (peak and trough concentrations).

Approximately 6 years
Immunogenicity
大体时间:Approximately 6 years

Presence of ADA for Dato-DXd and rilvegostomig (confirmatory results, titres and neutralising antibodies for confirmed positive samples).

Approximately 6 years
Second Progression-Free Survival (PFS2).
大体时间:Approximately 6 years

PFS2 is defined as the time from randomisation to the earliest of the progression events (following the initial progression), subsequent to first subsequent therapy, or death. Progression event includes radiological (RECIST 1.1) or clinical disease progression.

The date of second progression will be recorded by the investigator in the eCRF and defined according to local standard practice.

The analyses will include all randomised participants, as randomised, regardless of whether the participant withdraws from subsequent therapy and regardless of missed visits, in the following populations:

  • TROP2 biomarker positive population
  • FAS population The measure of interest is the HR of PFS2.
Approximately 6 years

其他结果措施

结果测量
措施说明
大体时间
Safety of Dato-DXd in combination with rilvegostomig and rilvegostomig monotherapy as compared with pembrolizumab.
大体时间:Approximately 6 years

Safety and tolerability will be evaluated in terms of AEs (graded by CTCAE Version 5.0).

Approximately 6 years

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

合作者

调查人员

  • 首席研究员:Suresh S. Ramalingam, MD、Emory University, Atlanta, Georgia, United States of America.

出版物和有用的链接

负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2024年4月11日

初级完成 (估计的)

2029年12月28日

研究完成 (估计的)

2029年12月28日

研究注册日期

首次提交

2024年4月5日

首先提交符合 QC 标准的

2024年4月5日

首次发布 (实际的)

2024年4月10日

研究记录更新

最后更新发布 (实际的)

2026年10月28日

上次提交的符合 QC 标准的更新

2026年10月27日

最后验证

2026年10月1日

更多信息

与本研究相关的术语

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)?

是的

IPD 计划说明

Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal.

All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure

IPD 共享时间框架

AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA Pharma Data Sharing Principles.

For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure

IPD 共享访问标准

When a request has been approved AstraZeneca will provide access to the deidentified individual patient-level data in an approved sponsored tool .

Signed Data Sharing Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information.

Additionally, all users will need to accept the terms and conditions of the SAS MSE to gain access. For additional details, please review the Disclosure Statements at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.

IPD 共享支持信息类型

  • 研究方案
  • 树液

药物和器械信息、研究文件

研究美国 FDA 监管的药品

是的

研究美国 FDA 监管的设备产品

不

此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.

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