Non-small Cell Lung Cancer NSCLC
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Histologically or cytologically documented Stage IV NSCLC not amenable to curative surgery or radiation. - Patients must have tumors that lack activating EGFR mutations and ALK fusions. - (WHO)/(ECOG) performance status of 0 or 1 - No prior chemotherapy or any other systemic therapy for Stage IV NSCLC - Adequate organ and marrow function without blood transfusions in the past 28 days, - At least 1 tumor lesion, not previously irradiated, that can be accurately measured as per RECIST 1.1. Key Inclusion criteria for randomization to maintenance treatment - Documented radiographic evidence of CR, PR, or Stable Disease (SD) as per Investigator-assessed RECIST 1.1 following 4 cycles of platinum-based chemotherapy. - Creatinine Clearance (CrCl) 51 mL/min or more calculated by Cockcroft-Gault equation or measured by 24-hour urine collection. - Ability to swallow whole oral medications.
Exclusion criteria
Exclusion criteria: - Mixed small-cell lung cancer and sarcomatoid variant NSCLC histology. - Prior exposure to any chemotherapy agents (except chemotherapy or chemoradiation for non-metastatic disease), polyadenosine 5' diphosphoribose [poly(ADP ribose)] polymerase(PARP) therapy, or immunomediated therapy Active or prior documented autoimmune or inflammatory disorders. - Any concurrent chemotherapy, IP, biologic, or hormonal therapy for cancer treatment. - Current or prior use of immunosuppressive medication within 14 days before the first dose of Investigational Product(IP) - untreated(CNS) metastases and/or carcinomatous meningitis - Active infection. Exclusion criteria to be randomized to maintenance treatment: - Inability to complete 4 cycles of platinum-based chemotherapy for any reason or discontinuation of Durvalumab during initial therapy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| efficacy - | — |
Secondary
| Measure | Time frame |
|---|---|
| safety exploratory - | — |
Countries
Asia except Japan, Europe, Japan