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Mobile Devices to Detect Early Pneumonitis in Stage III NSCLC Patients on Durvalumab.

Prospective, Interventional Pilot Study of Mobile Devices and Digital Applications to Detect Early Pneumonitis and Other Pulmonary Adverse Events in Unresectable Stage III Non-Small Cell Lung Cancer Patients on Durvalumab

Status
Terminated
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04381494
Acronym
ON TRAX
Enrollment
40
Registered
2020-05-08
Start date
2020-04-27
Completion date
2022-01-27
Last updated
2023-06-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Unresectable Stage III NSCLC

Keywords

NSCLC, Non-Small Cell Lung Cancer, durvalumab, Stage III, Stage IIIA, Spirometer, Spirometry, PROs, Mobile Applications, Digital Applications, Stage IIIB, Stage IIIC, Device, Parametric, Pneumonitis

Brief summary

A study of whether mobile devices can improve the detection of pulmonary AEs (including pneumonitis) in stage III NSCLC patients post-CRT, while on durvalumab.

Detailed description

Patients undergoing post-CRT treatment for lung cancer with consolidation durvalumab can experience pulmonary AEs that could become severe if not recognized and treated in time. Data collected will be used to evaluate the likelihood of early detection of pulmonary AEs in unresectable Stage III NSCLC patients on durvalumab. This project seeks to understand if multiparametric mobile technology collecting patient reported outcomes, vital signs, and respiratory function, integrate well into a patients daily life and aid physicians in early detection of pulmonary AEs.

Interventions

DEVICEMultiparametric Mobile Technology

Using a spirometer, an armband, and a tablet to collect data.

Sponsors

AstraZeneca
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 130 Years
Healthy volunteers
No

Inclusion criteria

Select Inclusion Criteria: * Patient has unresectable Stage III NSCLC that has not progressed following concurrent platinum-based chemotherapy and radiation therapy and is eligible to receive durvalumab according to the US FDA approved package insert. * Patient is able and willing to use the mobile application and connected devices. * Patient is able to complete QoL assessments. Select

Exclusion criteria

* Patient is currently oxygen dependent. * Patient has comorbidities that will prevent consistent and reliable measurement assessments with multiparametric mobile technology including severe chronic obstructive pulmonary disorder (COPD), severe asthma, congestive heart failure \[CHF\], interstitial lung disease \[ILD\], and others. * Patients on other immunotherapy or systemic immunosuppressants. * Patients with active or prior autoimmune disease or history of immunodeficiency. * Currently pregnant women.

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Treatment-Emergent Adverse Event (TEAE) of Pneumonitis by GradeTEAEs were reported from the first dose of durvalumab up to 30 days after the last dose of durvalumab, a maximum of approximately 13 monthsAn AE was occurrence of an undesirable medical condition or the deterioration of a pre-existing medical condition following or during exposure to a pharmaceutical product or device, whether or not considered causally related to the product or device medical occurrence in a participant. The TEAEs of pneumonitis were defined as any pneumonitis event that occurred or worsened at any time after the start of administration of the first dose of durvalumab and through 30 days after the last dose of durvalumab. Severity (intensity of any event) was assessed using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse events (CTCAE) v5. The AEs were assigned to a Grade from 1 through 5 as follows: Grade 1: Mild; Grade 2: Moderate; Grade 3: Severe or medically significant but not immediately life-threatening requiring hospitalization; Grade 4: Life-threatening consequences; Grade 5: Death due to any AE.

Secondary

MeasureTime frameDescription
Duration of Durvalumab TreatmentUp to Month 12The overall duration of durvalumab treatment, while participants were a part of this wearable study, was calculated as end date of durvalumab treatment minus first dose of durvalumab (Day 1) plus 1.
Number of Participants With Early Discontinuation of DurvalumabUp to Month 12Number of participants who discontinued durvalumab early due to any reason are reported.
Number of Participants With Treatment InterruptionsUp to Month 12Treatment interruptions were defined as at least 1 temporary withholding of durvalumab treatment. Treatment withheld was defined as temporarily withheld of durvalumab recorded in case report form. Short interruptions defined as the durvalumab infusion interruption during the administration recorded in CRF in a single visit were excluded from the analysis. Due to data issue, the reason for treatment withheld was not captured in the database.
Duration of Durvalumab Treatment InterruptionUp to Month 12The overall duration of durvalumab treatment interruption was calculated as the sum of the duration of each treatment withheld/resumed. The duration of interruption included only treatment withheld. Short interruption which resumed during the same visit was not included in the calculation for duration of interruption.
Number of Participants With Pulmonary TEAEs Excluding PneumonitisTEAEs were reported from the first dose of durvalumab up to 30 days after the last dose of durvalumab, a maximum of approximately 13 monthsPulmonary TEAEs were defined as any pulmonary AEs that occurred or worsened at any time after the start of administration of the first dose of durvalumab and through 30 days after the last dose of durvalumab.
Number of Participants With Permanent Discontinuation of Durvalumab Due to Pulmonary TEAEsTEAEs were reported from the first dose of durvalumab up to 30 days after the last dose of durvalumab, a maximum of approximately 13 monthsPulmonary TEAEs were defined as any pulmonary AEs that occurred or worsened at any time after the start of administration of the first dose of durvalumab and through 30 days after the last dose of durvalumab. Number of participants with permanent discontinuation of durvalumab due to pulmonary TEAEs including pneumonitis are reported.
Number of Participants Who Received Prescription Medication to Manage Pneumonitis TEAEsUp to Month 12Pneumonitis TEAEs were defined as any pneumonitis AEs that occurred or worsened at any time after the start of administration of the first dose of durvalumab and through 30 days after the last dose of durvalumab.
Duration of Prescription Medication Received by Participants to Manage Pneumonitis TEAEsUp to Month 12Pneumonitis TEAEs were defined as any pneumonitis AEs that occurred or worsened at any time after the start of administration of the first dose of durvalumab and through 30 days after the last dose of durvalumab.
Duration of Development of Grade 3 to Grade 5 TEAEs, Including PneumonitisTEAEs were reported from the first dose of durvalumab up to 30 days after the last dose of durvalumab, a maximum of approximately 13 monthsDuration of development of Grade 3 to 5 pneumonitis AEs is defined as the period from Day 1 to earliest of each grade of pneumonitis AE (grade 3, grade 4, and grade 5). Severity (intensity of an event) was assessed using the NCI-CTCAE v5. AEs were assigned to a Grade from 1 through 5 as follows: Grade 1: Mild; Grade 2: Moderate; Grade 3: Severe or medically significant but not immediately life-threatening requiring hospitalization; Grade 4: Life-threatening consequences; Grade 5: Death due to any AE.
Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30) in Participants With Pneumonitis TEAEsBaseline visit (Day 1), every 2 weeks for the first 3 months and once monthly thereafter, and at End-of-Study visit (Month 12)The EORTC QLQ-C30 consisted of 30 questions and included functional scales (FS) (items 1-7 and items 20-27), symptom scales (items 8-19 and item 28) and global measure of health status (GHS) (items 29-30). The scale ranged from 1-4 for most outcome measures of systems, with 1 rated as not at all and 4 rated as very much. Scores were averaged and transformed to 0 to 100, a high score for functional scales/GHS represented better functioning ability/QoL, whereas a high score for symptom scales represented stronger symptoms/worse QoL. Participants with pneumonitis TEAEs with causal relationship with durvalumab are presented. Time point 1: prior to occurrence of initial pneumonitis AE; Time point 2: at same time point as initial pneumonitis AE; Time point 3: when highest CTCAE grade of pneumonitis AE occurred. Baseline was defined as the date of informed consent for this parameter.
Change From Baseline in EORTC QLQ-Lung Cancer (LC)13 in Participants With Pneumonitis TEAEsBaseline visit (Day 1), every 2 weeks for the first 3 months and once monthly thereafter, and at End-of-Study visit (Month 12)The EORTC QLQ-LC13 was a disease-specific 13-item questionnaire for lung cancer used in conjunction with the EORTC QLQ-C30. It comprised both multi-item and single-item measures of lung cancer associated symptoms (LCAS) (items 31-35 and items 40-42), treatment related side effects (TREF) (items 36-39) and pain medication (item 43). The scale ranged from 1-4 for most outcome measures of systems, 1 rated as not at all and 4 rated as very much. Scores were averaged and transformed to 0 to 100, higher scores for LCAS and TREF: greater level of symptoms/worse QoL and higher scores for pain medication: better pain relief from medication. Participants with pneumonitis TEAEs with causal relationship with durvalumab are presented. Time point 1: prior to occurrence of initial pneumonitis AE; Time point 2: at same time point as initial pneumonitis AE; Time point 3: when highest CTCAE grade of pneumonitis AE occurred. Baseline was defined as the date of informed consent for this parameter.
Duration of Pulmonary TEAEs Excluding PneumonitisTEAEs were reported from the first dose of durvalumab up to 30 days after the last dose of durvalumab, a maximum of approximately 13 monthsPulmonary TEAEs were defined as any pulmonary AEs that occurred or worsened at any time after the start of administration of the first dose of durvalumab and through 30 days after the last dose of durvalumab. Duration of pulmonary TEAEs was calculated as end date of pulmonary TEAE minus onset date of pulmonary TEAE plus 1. For AEs that were missing an end date, the data cut-off date was used as the AE end date for calculation of AE duration.

Countries

United States

Participant flow

Recruitment details

This was a prospective, interventional pilot study of mobile devices and digital applications conducted at 25 sites in the United States to detect early signs of pneumonitis and other pulmonary adverse events (AEs) in participants with unresectable Stage III Non-Small Cell Lung Cancer (NSCLC) whose disease had not progressed following 2 or more cycles of concurrent chemoradiotherapy, treated with durvalumab.

Pre-assignment details

A total of 40 participants were enrolled in this study after their treating physician prescribed durvalumab and before starting durvalumab. Data was collected via Current Wearable Health Monitoring System.

Participants by arm

ArmCount
All Participants
Participants were trained on the mobile applications and received mobile and wearable devices alongside their durvalumab treatment without any additional interventions. Participants received durvalumab for up to 12 months or until confirmed disease progression, permanent discontinuation of durvalumab, the initiation of alternative cancer therapy, unacceptable toxic events, death, or withdrawal of consent, whichever was sooner.
40
Total40

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyDevice-Related Adverse Event2
Overall StudyEarly termination of trial19
Overall StudyInvestigator's discretion1
Overall StudyNSCLC disease progression4
Overall StudyWithdrawal by Subject9

Baseline characteristics

CharacteristicAll Participants
Age, Continuous65.1 years
STANDARD_DEVIATION 8.92
Race and Ethnicity Not Collected— Participants
Sex: Female, Male
Female
16 Participants
Sex: Female, Male
Male
24 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
1 / 40
other
Total, other adverse events
20 / 40
serious
Total, serious adverse events
5 / 40

Outcome results

Primary

Number of Participants With Treatment-Emergent Adverse Event (TEAE) of Pneumonitis by Grade

An AE was occurrence of an undesirable medical condition or the deterioration of a pre-existing medical condition following or during exposure to a pharmaceutical product or device, whether or not considered causally related to the product or device medical occurrence in a participant. The TEAEs of pneumonitis were defined as any pneumonitis event that occurred or worsened at any time after the start of administration of the first dose of durvalumab and through 30 days after the last dose of durvalumab. Severity (intensity of any event) was assessed using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse events (CTCAE) v5. The AEs were assigned to a Grade from 1 through 5 as follows: Grade 1: Mild; Grade 2: Moderate; Grade 3: Severe or medically significant but not immediately life-threatening requiring hospitalization; Grade 4: Life-threatening consequences; Grade 5: Death due to any AE.

Time frame: TEAEs were reported from the first dose of durvalumab up to 30 days after the last dose of durvalumab, a maximum of approximately 13 months

Population: The SAF included all enrolled participants who took at least 1 dose of durvalumab.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
All ParticipantsNumber of Participants With Treatment-Emergent Adverse Event (TEAE) of Pneumonitis by GradeGrade 22 Participants
All ParticipantsNumber of Participants With Treatment-Emergent Adverse Event (TEAE) of Pneumonitis by GradeGrade 31 Participants
Secondary

Change From Baseline in EORTC QLQ-Lung Cancer (LC)13 in Participants With Pneumonitis TEAEs

The EORTC QLQ-LC13 was a disease-specific 13-item questionnaire for lung cancer used in conjunction with the EORTC QLQ-C30. It comprised both multi-item and single-item measures of lung cancer associated symptoms (LCAS) (items 31-35 and items 40-42), treatment related side effects (TREF) (items 36-39) and pain medication (item 43). The scale ranged from 1-4 for most outcome measures of systems, 1 rated as not at all and 4 rated as very much. Scores were averaged and transformed to 0 to 100, higher scores for LCAS and TREF: greater level of symptoms/worse QoL and higher scores for pain medication: better pain relief from medication. Participants with pneumonitis TEAEs with causal relationship with durvalumab are presented. Time point 1: prior to occurrence of initial pneumonitis AE; Time point 2: at same time point as initial pneumonitis AE; Time point 3: when highest CTCAE grade of pneumonitis AE occurred. Baseline was defined as the date of informed consent for this parameter.

Time frame: Baseline visit (Day 1), every 2 weeks for the first 3 months and once monthly thereafter, and at End-of-Study visit (Month 12)

Population: The SAF included all enrolled participants who took at least 1 dose of durvalumab. For each symptom scale, only those participants with data available were included in the analysis.

ArmMeasureGroupValue (MEAN)
All ParticipantsChange From Baseline in EORTC QLQ-Lung Cancer (LC)13 in Participants With Pneumonitis TEAEsLCAS; Time point 1-4.17 scores on a scale
All ParticipantsChange From Baseline in EORTC QLQ-Lung Cancer (LC)13 in Participants With Pneumonitis TEAEsPain medication; Time point 10 scores on a scale
All ParticipantsChange From Baseline in EORTC QLQ-Lung Cancer (LC)13 in Participants With Pneumonitis TEAEsTREF; Time point 1-8.33 scores on a scale
Secondary

Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30) in Participants With Pneumonitis TEAEs

The EORTC QLQ-C30 consisted of 30 questions and included functional scales (FS) (items 1-7 and items 20-27), symptom scales (items 8-19 and item 28) and global measure of health status (GHS) (items 29-30). The scale ranged from 1-4 for most outcome measures of systems, with 1 rated as not at all and 4 rated as very much. Scores were averaged and transformed to 0 to 100, a high score for functional scales/GHS represented better functioning ability/QoL, whereas a high score for symptom scales represented stronger symptoms/worse QoL. Participants with pneumonitis TEAEs with causal relationship with durvalumab are presented. Time point 1: prior to occurrence of initial pneumonitis AE; Time point 2: at same time point as initial pneumonitis AE; Time point 3: when highest CTCAE grade of pneumonitis AE occurred. Baseline was defined as the date of informed consent for this parameter.

Time frame: Baseline visit (Day 1), every 2 weeks for the first 3 months and once monthly thereafter, and at End-of-Study visit (Month 12)

Population: The SAF included all enrolled participants who took at least 1 dose of durvalumab. For each symptom scale, only those participants with data available were included in the analysis.

ArmMeasureGroupValue (MEAN)Dispersion
All ParticipantsChange From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30) in Participants With Pneumonitis TEAEsFS; Time point 15.56 scores on a scaleStandard Deviation 4.714
All ParticipantsChange From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30) in Participants With Pneumonitis TEAEsFS; Time point 32.22 scores on a scale
All ParticipantsChange From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30) in Participants With Pneumonitis TEAEsSymptom scale; Time point 1-10.26 scores on a scaleStandard Deviation 3.626
All ParticipantsChange From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30) in Participants With Pneumonitis TEAEsSymptom scale; Time point 3-7.69 scores on a scale
All ParticipantsChange From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30) in Participants With Pneumonitis TEAEsGHS; Time point 14.17 scores on a scaleStandard Deviation 5.893
All ParticipantsChange From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30) in Participants With Pneumonitis TEAEsGHS; Time point 28.33 scores on a scale
All ParticipantsChange From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30) in Participants With Pneumonitis TEAEsFS; Time point 22.22 scores on a scale
All ParticipantsChange From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30) in Participants With Pneumonitis TEAEsSymptom scale; Time point 2-7.69 scores on a scale
All ParticipantsChange From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30) in Participants With Pneumonitis TEAEsGHS; Time point 38.33 scores on a scale
Secondary

Duration of Development of Grade 3 to Grade 5 TEAEs, Including Pneumonitis

Duration of development of Grade 3 to 5 pneumonitis AEs is defined as the period from Day 1 to earliest of each grade of pneumonitis AE (grade 3, grade 4, and grade 5). Severity (intensity of an event) was assessed using the NCI-CTCAE v5. AEs were assigned to a Grade from 1 through 5 as follows: Grade 1: Mild; Grade 2: Moderate; Grade 3: Severe or medically significant but not immediately life-threatening requiring hospitalization; Grade 4: Life-threatening consequences; Grade 5: Death due to any AE.

Time frame: TEAEs were reported from the first dose of durvalumab up to 30 days after the last dose of durvalumab, a maximum of approximately 13 months

Population: Data was not collected due to early termination of the trial.

Secondary

Duration of Durvalumab Treatment

The overall duration of durvalumab treatment, while participants were a part of this wearable study, was calculated as end date of durvalumab treatment minus first dose of durvalumab (Day 1) plus 1.

Time frame: Up to Month 12

Population: The SAF included all enrolled participants who took at least 1 dose of durvalumab.

ArmMeasureValue (MEAN)
All ParticipantsDuration of Durvalumab Treatment107.5 days
Secondary

Duration of Durvalumab Treatment Interruption

The overall duration of durvalumab treatment interruption was calculated as the sum of the duration of each treatment withheld/resumed. The duration of interruption included only treatment withheld. Short interruption which resumed during the same visit was not included in the calculation for duration of interruption.

Time frame: Up to Month 12

Population: The SAF included all enrolled participants who took at least 1 dose of durvalumab.

ArmMeasureValue (MEAN)Dispersion
All ParticipantsDuration of Durvalumab Treatment Interruption50.8 daysStandard Deviation 50.79
Secondary

Duration of Prescription Medication Received by Participants to Manage Pneumonitis TEAEs

Pneumonitis TEAEs were defined as any pneumonitis AEs that occurred or worsened at any time after the start of administration of the first dose of durvalumab and through 30 days after the last dose of durvalumab.

Time frame: Up to Month 12

Population: The SAF included all enrolled participants who took at least 1 dose of durvalumab. Only those participants with pneumonitis TEAEs were analyzed.

ArmMeasureValue (MEAN)Dispersion
All ParticipantsDuration of Prescription Medication Received by Participants to Manage Pneumonitis TEAEs17.5 daysStandard Deviation 3.54
Secondary

Duration of Pulmonary TEAEs Excluding Pneumonitis

Pulmonary TEAEs were defined as any pulmonary AEs that occurred or worsened at any time after the start of administration of the first dose of durvalumab and through 30 days after the last dose of durvalumab. Duration of pulmonary TEAEs was calculated as end date of pulmonary TEAE minus onset date of pulmonary TEAE plus 1. For AEs that were missing an end date, the data cut-off date was used as the AE end date for calculation of AE duration.

Time frame: TEAEs were reported from the first dose of durvalumab up to 30 days after the last dose of durvalumab, a maximum of approximately 13 months

Population: The SAF included all enrolled participants who took at least 1 dose of durvalumab. Only those participants with pulmonary TEAEs excluding pneumonitis were included in this analysis.

ArmMeasureValue (MEAN)Dispersion
All ParticipantsDuration of Pulmonary TEAEs Excluding Pneumonitis153.4 daysStandard Deviation 156.26
Secondary

Number of Participants Who Received Prescription Medication to Manage Pneumonitis TEAEs

Pneumonitis TEAEs were defined as any pneumonitis AEs that occurred or worsened at any time after the start of administration of the first dose of durvalumab and through 30 days after the last dose of durvalumab.

Time frame: Up to Month 12

Population: The SAF included all enrolled participants who took at least 1 dose of durvalumab. Only those participants with pneumonitis TEAEs were analyzed.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
All ParticipantsNumber of Participants Who Received Prescription Medication to Manage Pneumonitis TEAEs2 Participants
Secondary

Number of Participants With Early Discontinuation of Durvalumab

Number of participants who discontinued durvalumab early due to any reason are reported.

Time frame: Up to Month 12

Population: The SAF included all enrolled participants who took at least 1 dose of durvalumab.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
All ParticipantsNumber of Participants With Early Discontinuation of Durvalumab3 Participants
Secondary

Number of Participants With Permanent Discontinuation of Durvalumab Due to Pulmonary TEAEs

Pulmonary TEAEs were defined as any pulmonary AEs that occurred or worsened at any time after the start of administration of the first dose of durvalumab and through 30 days after the last dose of durvalumab. Number of participants with permanent discontinuation of durvalumab due to pulmonary TEAEs including pneumonitis are reported.

Time frame: TEAEs were reported from the first dose of durvalumab up to 30 days after the last dose of durvalumab, a maximum of approximately 13 months

Population: The SAF included all enrolled participants who took at least 1 dose of durvalumab.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
All ParticipantsNumber of Participants With Permanent Discontinuation of Durvalumab Due to Pulmonary TEAEs0 Participants
Secondary

Number of Participants With Pulmonary TEAEs Excluding Pneumonitis

Pulmonary TEAEs were defined as any pulmonary AEs that occurred or worsened at any time after the start of administration of the first dose of durvalumab and through 30 days after the last dose of durvalumab.

Time frame: TEAEs were reported from the first dose of durvalumab up to 30 days after the last dose of durvalumab, a maximum of approximately 13 months

Population: The SAF included all enrolled participants who took at least 1 dose of durvalumab.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
All ParticipantsNumber of Participants With Pulmonary TEAEs Excluding Pneumonitis19 Participants
Secondary

Number of Participants With Treatment Interruptions

Treatment interruptions were defined as at least 1 temporary withholding of durvalumab treatment. Treatment withheld was defined as temporarily withheld of durvalumab recorded in case report form. Short interruptions defined as the durvalumab infusion interruption during the administration recorded in CRF in a single visit were excluded from the analysis. Due to data issue, the reason for treatment withheld was not captured in the database.

Time frame: Up to Month 12

Population: The SAF included all enrolled participants who took at least 1 dose of durvalumab.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
All ParticipantsNumber of Participants With Treatment Interruptions9 Participants

Source: ClinicalTrials.gov · Data processed: Feb 9, 2026