NCT03830866

Brief Summary

This is a randomized, multi-center, double-blind, placebo-controlled, global, Phase III study to determine the efficacy and safety of durvalumab + Chemoradiotherapy versus Chemoradiotherapy alone as treatment in Women With Locally Advanced Cervical Cancer

Trial Health

98
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Strong global presence with extensive site network
Enrollment
770

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Feb 2019

Typical duration for phase_3

Geographic Reach
15 countries

117 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

December 4, 2018

Completed
2 months until next milestone

First Posted

Study publicly available on registry

February 5, 2019

Completed
10 days until next milestone

Study Start

First participant enrolled

February 15, 2019

Completed
2.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 20, 2022

Completed
1.1 years until next milestone

Results Posted

Study results publicly available

March 6, 2023

Completed
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

July 3, 2023

Completed
Last Updated

July 26, 2024

Status Verified

June 1, 2024

Enrollment Period

2.9 years

First QC Date

December 4, 2018

Results QC Date

January 13, 2023

Last Update Submit

June 28, 2024

Conditions

Keywords

DurvalumabChemoradiotherapyLocally Advanced Cervical Cancer

Outcome Measures

Primary Outcomes (1)

  • Progression-free Survival (PFS) Based on the Investigator Assessment According to RECIST 1.1 or Histopathologic Confirmation of Local Tumour Progression

    PFS defined as time from date of randomisation until date of tumour progression or death by any cause, regardless of whether the patient withdrew from randomized therapy or received another anticancer therapy prior to progression

    Tumor assessments start 20 weeks after randomisation then every 12 weeks up to 164 weeks, then every 24 weeks until date of RECIST1.1 defined radiological progression. Assessed up to date of DCO (20-Jan-2022) to a maximum of 32.6 months

Secondary Outcomes (6)

  • Progression-free Survival (PFS) Based on the Investigator Assessment According to RECIST 1.1 or Histopathologic Confirmation of Local Tumour Progression, PD-L1 Expression >= 1%

    Tumor assessments start 20 weeks after randomisation then every 12 weeks up to 164 weeks, then every 24 weeks until date of RECIST1.1 defined radiological progression. Assessed up to date of DCO (20-Jan-2022) to a maximum of 32.6 months

  • Overall Survival (Count)

    Time from date of randomisation until date of death by any cause, assessed up to the data cut-off date (3rd July 2023), assessed up to a maximum of 51.7 months

  • Overall Survival (Duration)

    Time from date of randomisation until date of death by any cause, assessed up to the data cut-off date (3rd July 2023), assessed up to a maximum of 51.7 months

  • Objective Response Rate (ORR)

    Tumor assessments start 20 weeks after randomisation then every 12 weeks up to 164 weeks, then every 24 weeks until date of RECIST1.1 defined radiological progression. Assessed up to date of DCO (20-Jan-2022) to a maximum of 32.6 months

  • Complete Response Rate

    Tumor assessments start 20 weeks after randomisation then every 12 weeks up to 164 weeks, then every 24 weeks until date of RECIST1.1 defined radiological progression. Assessed up to date of DCO (20-Jan-2022) to a maximum of 32.6 months

  • +1 more secondary outcomes

Study Arms (2)

Durvalumab (intravenous infusion)

EXPERIMENTAL

durvalumab + standard of care concurrent chemoradiation therapy(SoC CCRT) followed by durvalumab monotherapy up to 24 months or until PD from the date of randomization

Biological: DurvalumabDrug: CisplatinDrug: CarboplatinRadiation: external beam radiation therapy (EBRT) + brachytherapy

Placebo (matching placebo for intravenous infusion)

PLACEBO COMPARATOR

placebo + standard of care concurrent chemoradiation therapy(SoC CCRT)

Drug: CisplatinDrug: CarboplatinRadiation: external beam radiation therapy (EBRT) + brachytherapy

Interventions

DurvalumabBIOLOGICAL

IV infusion every 4 weeks

Durvalumab (intravenous infusion)

Platinum based Standard of Care Chemotherapy administered concurrent with radiation therapy

Durvalumab (intravenous infusion)Placebo (matching placebo for intravenous infusion)

For patients enrolled under CSP v2 and prior - platinum based Standard of Care Chemotherapy administered concurrent with radiation therapy

Durvalumab (intravenous infusion)Placebo (matching placebo for intravenous infusion)

Radiation therapy per standard of care

Durvalumab (intravenous infusion)Placebo (matching placebo for intravenous infusion)

Eligibility Criteria

Age18 Years - 130 Years
Sexfemale(Gender-based eligibility)
Gender Eligibility DetailsFemale: only female participants are being studied
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Female
  • Aged at least 18 years
  • Documented evidence of cervical adenocarcinoma or squamous carcinoma FIGO (2009) Stages IB2 to IIB node positive or FIGO (2009) IIIA-IVA any node
  • No prior chemotherapy or radiotherapy for cervical cancer
  • WHO/ECOG performance status of 0-1
  • At least 1 lesion, not previously irradiated, that qualifies as a RECIST 1.1 Target Lesion at baseline.

You may not qualify if:

  • Diagnosis of small cell (neuroendocrine) histology or mucinous adenocarcinoma cervical cancer
  • Intent to administer a fertility-sparing treatment regimen
  • Undergone a previous hysterectomy
  • Evidence of metastatic disease per RECIST 1.1 including lymph nodes ≥15 mm (short axis) above the L1 cephalad body, in the inguinal region or outside the planned radiation field.
  • History of allogeneic organ transplantation
  • Active or prior documented autoimmune or inflammatory disorders
  • Uncontrolled intercurrent illness
  • History of another primary malignancy and active primary immunodeficiency

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (117)

Research Site

Phoenix, Arizona, 85016, United States

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La Jolla, California, 92093, United States

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Orange, California, 92868, United States

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Fort Myers, Florida, 33905, United States

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Miami, Florida, 33136, United States

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Augusta, Georgia, 30912, United States

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Ann Arbor, Michigan, 48109, United States

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Lake Success, New York, 11042, United States

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The Bronx, New York, 10461, United States

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Cleveland, Ohio, 44111, United States

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Cleveland, Ohio, 44124, United States

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Cleveland, Ohio, 44195, United States

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Nashville, Tennessee, 37203, United States

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Dallas, Texas, 75235, United States

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Dallas, Texas, 75390, United States

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Spring, Texas, 77380, United States

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Barretos, 14784-400, Brazil

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Fortaleza, 60336-045, Brazil

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Londrina, 86015-520, Brazil

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Porto Alegre, 90050-170, Brazil

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Porto Alegre, 90110-270, Brazil

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Porto Alegre, 90610-000, Brazil

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Porto Alegre, 91350-200, Brazil

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Rio de Janeiro, 20220-410, Brazil

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São José do Rio Preto, 15090-000, Brazil

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São Paulo, 01246-000, Brazil

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São Paulo, 01317-000, Brazil

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São Paulo, 01509-900, Brazil

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São Paulo, 03102-002, Brazil

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Antofagasta, 1267348, Chile

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Santiago, 7500921, Chile

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Santiago, 7630370, Chile

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Santiago, 8380455, Chile

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Temuco, 4810218, Chile

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Temuco, 4810469, Chile

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Viña del Mar, 2540488, Chile

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Changchun, 130021, China

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Changsha, 410013, China

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Chengdu, 610041, China

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Chongqing, 400030, China

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Guangzhou, 510000, China

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Hangzhou, 310022, China

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Hefei, 230001, China

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Hefei, 230031, China

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Shanghai, 200032, China

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Shenyang, 100003, China

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Shenyang, 110016, China

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Tianjin, 300052, China

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Wuhan, 430022, China

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Wuhan, 430079, China

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Budapest, 1122, Hungary

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Debrecen, 4032, Hungary

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Győr, 9024, Hungary

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Kaposvár, 7400, Hungary

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Szeged, 6725, Hungary

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Ahmedabad, 380015, India

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Gūrgaon, 122001, India

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Madurai, 625107, India

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Mumbai, 400012, India

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Nagpur, 440026, India

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Nashik, 422002, India

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New Delhi, 110063, India

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Visakhapatnam, 530017, India

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Fukuoka, 811-1395, Japan

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Kagoshima, 890-8520, Japan

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Kōtoku, 135-8550, Japan

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Kyoto, 606-8507, Japan

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Nakagami-gun, 903-0215, Japan

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Osaka, 541-8567, Japan

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Sapporo, 003-0804, Japan

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Sendai, 980-8574, Japan

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Shinjuku-ku, 160-8582, Japan

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Toon-shi, 791-0204, Japan

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Yokohama, 236-0004, Japan

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Alc. Cuauhtémoc, 06700, Mexico

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Deleg. Tlalpan, 14080, Mexico

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Guadalajara, 44680, Mexico

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Guadalajara Jalisco, 44280, Mexico

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Mérida, 97134, Mexico

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San Luis Potosí City, 78250, Mexico

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Veracruz, 91900, Mexico

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Lima, L27, Peru

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Lima, LIMA 27, Peru

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Lima, LIMA 31, Peru

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Lima, LIMA 34, Peru

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Lima, LIMA 41, Peru

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Baguio City, 2600, Philippines

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Cebu, 6000, Philippines

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Iloilo City, 5000, Philippines

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Makati, 1229, Philippines

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Manila, 1015, Philippines

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Quezon City, 1112, Philippines

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Bialystok, 15-027, Poland

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Gdansk, 80-214, Poland

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Gliwice, 44-101, Poland

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Lodz, 90-513, Poland

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Lublin, 20-090, Poland

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Arkhangelsk, 163045, Russia

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Chelyabinsk, 454087, Russia

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Kaluga, 248007, Russia

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Moscow, 115533, Russia

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Moscow, 117997, Russia

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Moscow, 125367, Russia

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Novosibirsk, 630055, Russia

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Parktown, 2193, South Africa

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Port Elizabeth, 6045, South Africa

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Seoul, 03722, South Korea

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Seoul, 05505, South Korea

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Seoul, 06351, South Korea

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Seoul, 08826, South Korea

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Taichung, 40705, Taiwan

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Tainan, 704, Taiwan

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Taipei, 10002, Taiwan

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Taipei, 10449, Taiwan

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Taipei, 11217, Taiwan

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Taipei, 11490, Taiwan

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Taoyuan, 333, Taiwan

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Related Publications (2)

  • Monk BJ, Toita T, Wu X, Vazquez Limon JC, Tarnawski R, Mandai M, Shapira-Frommer R, Mahantshetty U, Del Pilar Estevez-Diz M, Zhou Q, Limaye S, Godinez FJR, Oppermann Kussler C, Varga S, Valdiviezo N, Aoki D, Leiva M, Lee JY, Sulay R, Kreynina Y, Cheng WF, Rey F, Rong Y, Ke G, Wildsmith S, Lloyd A, Dry H, Tablante Nunes A, Mayadev J. Durvalumab versus placebo with chemoradiotherapy for locally advanced cervical cancer (CALLA): a randomised, double-blind, phase 3 trial. Lancet Oncol. 2023 Dec;24(12):1334-1348. doi: 10.1016/S1470-2045(23)00479-5.

  • Mayadev J, Nunes AT, Li M, Marcovitz M, Lanasa MC, Monk BJ. CALLA: Efficacy and safety of concurrent and adjuvant durvalumab with chemoradiotherapy versus chemoradiotherapy alone in women with locally advanced cervical cancer: a phase III, randomized, double-blind, multicenter study. Int J Gynecol Cancer. 2020 Jul;30(7):1065-1070. doi: 10.1136/ijgc-2019-001135. Epub 2020 May 23.

Related Links

MeSH Terms

Interventions

durvalumabCisplatinCarboplatinBrachytherapy

Intervention Hierarchy (Ancestors)

Chlorine CompoundsInorganic ChemicalsNitrogen CompoundsPlatinum CompoundsCoordination ComplexesOrganic ChemicalsRadiotherapyTherapeutics

Results Point of Contact

Title
Global Clinical Lead
Organization
AstraZeneca Clinical Study Information Center

Study Officials

  • Urban Scheuring, M.D., Ph.D.

    AstraZeneca

    STUDY DIRECTOR
  • Bradley Monk, M.D

    University of Arizona, Arizona, USA

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 4, 2018

First Posted

February 5, 2019

Study Start

February 15, 2019

Primary Completion

January 20, 2022

Study Completion

July 3, 2023

Last Updated

July 26, 2024

Results First Posted

March 6, 2023

Record last verified: 2024-06

Data Sharing

IPD Sharing
Will share

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.

Shared Documents
STUDY PROTOCOL, SAP
Time Frame
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.
Access Criteria
When a request has been approved AstraZeneca will provide access to the de-identified 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.
More information

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