Overview
Sponsor-declared trial summary
First-line patients with extensive disease small-cell lung cancer (SCLC)
To evaluate the efficacy of AZD2811 + durvalumab by assessment of the proportion of participants alive and progression free at 12 months (APF12) who have not progressed during EP-durvalumab based induction therapy
Key facts
- Sponsor
- AstraZeneca AB
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Neoplasms [C04]
- Trial duration
- 14 Sep 2021 → ongoing
- Decision date (initial)
- 2024-07-16
- Transition trial
- Yes
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- Yes
- Funding sources
- AstraZeneca AB
External identifiers
- EU CT number
- 2024-511887-10-00
- EudraCT number
- 2020-004091-18
- ClinicalTrials.gov
- NCT04745689
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Therapy, Pharmacogenetic, Safety, Pharmacodynamic, Efficacy, Pharmacokinetic
To evaluate the efficacy of AZD2811 + durvalumab by assessment of the proportion of participants alive and progression free at 12 months (APF12) who have not progressed during EP-durvalumab based induction therapy
Secondary objectives 4
- To evaluate efficacy of AZD2811 + durvalumab: -proportion of participants alive at 12 months (OS12), 15 months (OS15), and 18 months (OS18) who have not progressed during induction; -proportion of participants alive and progression free at 6 months (APF6) and 9 months (APF9) who have not progressed during induction; -assessment of Objective response rate (ORR): a.in all participants in induction, b.in participants who had not progressed during induction; -assessment of PFS in participants who had not progressed during induction; -assessment of OS in participants who had not progressed during induction
- To assess the safety and tolerability profile of study intervention in SCLC
- To evaluate the PK of durvalumab and AZD2811
- To evaluate the effect of AZD2811 + durvalumab on SCLC symptoms and health-related QoL using EORTC QLQ-C30 and QLQ-LC13
Conditions and MedDRA coding
First-line patients with extensive disease small-cell lung cancer (SCLC)
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 21.1 | PT | 10041068 | Small cell lung cancer extensive stage | 100000004864 |
Study design 1 period
| # | Title | Allocation | Blinding | Roles blinded | Arms |
|---|---|---|---|---|---|
| 1 | D6132C00001 A Phase II Multicenter, Open-Label, Single Arm Study to Determine the Efficacy, Safety and Tolerability of AZD2811 and Durvalumab Combination as Maintenance Therapy After Induction with Platinum-Based Chemotherapy Combined with Durvalumab, for the First-Line Treatment of Patients with Extensive Stage Small-Cell Lung Cancer.
|
2 | None | Single arm: AZD2811 + durvalumab |
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 5
- Documented evidence of extensive stage SCLC (ES-SCLC)
- Participants must be considered suitable to receive a platinum-based chemotherapy regimen, combined with durvalumab, as first-line treatment for ES-SCLC
- No prior exposure to immune-mediated therapy
- Life expectancy ≥12 weeks
- ECOG 0 or 1 at enrolment
Exclusion criteria 5
- Any history of radiotherapy to the chest prior to systemic therapy or planned consolidation chest radiation therapy
- Has a paraneoplastic syndrome (PNS) of autoimmune systemic steroids or immunosuppressive agents) or has a clinical symptomatology suggesting worsening of PNS
- Active infection including tuberculosis, HIV, hepatitis B and C
- Active or prior documented autoimmune or inflammatory disorders
- Uncontrolled intercurrent illness, including but not limited to interstitial lung disease
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- Maintenance participants alive and progression free (APF12)
Secondary endpoints 8
- Maintenance participants alive at 12 months (OS12), 15 months (OS15), and 18 months (OS18)
- Maintenance participants alive and progression free at 6 months (APF6) and 9 months (APF9) using investigator assessments according to RECIST 1.1
- Objective response rate (ORR) for all participants using investigator assessments according to RECIST 1.1
- Maintenance participants Progression-free survival (PFS) using investigator assessments according to RECIST 1.1
- Overall survival (OS) in maintenance participants
- The safety and tolerability profile of study intervention in SCLC
- The pharmacokinetics of durvalumab and AZD2811
- Disease-related symptoms & Health-related QoL measured by EORTC QLQ-LC30 & EORTC QLQ-LC13
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 2
IMFINZI 50 mg/mL concentrate for solution for infusion.
PRD6651398 · Product
- Active substance
- Durvalumab
- Substance synonyms
- MEDI4736
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- INTRAVENOUS USE
- Max daily dose
- 0 mg milligram(s)
- Max total dose
- 0 mg milligram(s)
- Max treatment duration
- 99999 Week(s)
- Authorisation status
- Authorised
- ATC code
- L01XC28 — -
- Marketing authorisation
- EU/1/18/1322/001
- MA holder
- ASTRAZENECA AB
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
PRD11371322 · Product
- Active substance
- Defosbarasertib
- Substance synonyms
- 2-(3-((7-(3-(ETHYL(2-HYDROXYETHYL)AMINO)PROPOXY)QUINAZOLIN-4-YL)AMINO)-1H-PYRAZOL-5-YL)-N-(3-FLUOROPHENYL)ACETAMIDE, AZD-2811, INH-34
- Pharmaceutical form
- SUSPENSION FOR IV INFUSION
- Route of administration
- INTRAVENOUS USE
- Max daily dose
- 0 mg milligram(s)
- Max total dose
- 0 mg milligram(s)
- Max treatment duration
- 9999999 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- ASTRAZENECA AB
- Paediatric formulation
- No
- Orphan designation
- No
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
AstraZeneca AB
- Sponsor organisation
- AstraZeneca AB
- Address
- -
- City
- Sodertalje
- Postcode
- 151 85
- Country
- Sweden
Scientific contact point
- Organisation
- AstraZeneca AB
- Contact name
- AstraZeneca Clinical Study Information Center
Public contact point
- Organisation
- AstraZeneca AB
- Contact name
- AstraZeneca Clinical Study Information Center
Third parties 1
| Organisation | City, country | Duties |
|---|---|---|
| Fortrea Inc. ORG-100012602
|
Durham, United States | On site monitoring, Code 11, Code 12, Code 8, Code 9 |
Locations
1 EU/EEA country · 1 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Spain | Ongoing, recruitment ended | 3 | 1 |
| Rest of world
United States, Korea, Republic of
|
— | 25 | — |
Investigational sites
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment end | Early termination |
|---|---|---|---|---|---|
| Spain | 2021-09-14 | 2021-10-06 | 2021-12-14 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 11 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1_Protocol_D6132C00001_Redacted | 9.0 |
| Protocol (for publication) | D4_Patient facing documents_EORTC QLQ-C30_EN | 3 |
| Protocol (for publication) | D4_Patient facing documents_EORTC QLQ-C30_ES | 3.0 |
| Protocol (for publication) | D4_Patient facing documents_EORTC QLQ-LC13_EN | 1 |
| Protocol (for publication) | D4_Patient facing documents_EORTC QLQ-LC13_ES | 1.0 |
| Recruitment arrangements (for publication) | K_Recruitment arrangements_EU CTR Transition Study_CTIS Placeholder | NA |
| Subject information and informed consent form (for publication) | L1_D6132C00001_SIS and ICF Main_Redacted | 17.0 |
| Subject information and informed consent form (for publication) | L1_D6132C00001_SIS and ICF Optional Genetic Research_Redacted | 1.0 |
| Subject information and informed consent form (for publication) | L1_D6132C00001_SIS and ICF Pregnant Partner_Redacted | 2.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Lay Synopsis_EN_Redacted | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Lay Synopsis_ES_Redacted | 1.0 |
Application history
5 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2024-07-12 | Spain | Acceptable with conditions 2024-07-16
|
2024-07-16 |
| 2 | SUBSTANTIAL MODIFICATION | SM-1 | 2024-08-12 | Spain | Acceptable with conditions | 2024-09-06 |
| 3 | SUBSTANTIAL MODIFICATION | SM-2 | 2024-11-12 | Spain | Acceptable 2024-12-20
|
2024-12-20 |
| 4 | NON SUBSTANTIAL MODIFICATION | NSM-1 | 2025-12-03 | Spain | Acceptable 2024-12-20
|
2025-12-03 |
| 5 | SUBSTANTIAL MODIFICATION | SM-3 | 2025-12-15 | Spain | Acceptable | 2026-02-09 |