NCT03840902

Brief Summary

The main purpose of this study was to evaluate safety and efficacy in participants treated with concomitant chemoradiation therapy (cCRT) plus M7824 followed by M7824 compared to cCRT plus placebo followed by durvalumab.

Trial Health

68
Monitor

Trial Health Score

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

Strong global presence with extensive site network
Enrollment
153

participants targeted

Target at P75+ for phase_2 nonsmall-cell-lung-cancer

Timeline
Completed

Started Apr 2019

Typical duration for phase_2 nonsmall-cell-lung-cancer

Geographic Reach
15 countries

104 active sites

Status
terminated

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

February 12, 2019

Completed
3 days until next milestone

First Posted

Study publicly available on registry

February 15, 2019

Completed
2 months until next milestone

Study Start

First participant enrolled

April 16, 2019

Completed
3.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 17, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 17, 2023

Completed
11 months until next milestone

Results Posted

Study results publicly available

January 16, 2024

Completed
Last Updated

January 16, 2024

Status Verified

January 1, 2024

Enrollment Period

3.8 years

First QC Date

February 12, 2019

Results QC Date

December 5, 2023

Last Update Submit

January 12, 2024

Conditions

Keywords

Non-small Cell Lung CancerBintrafusp alfa (proposed INN)M7824DurvalumabStage IIIINTR@PID LUNG 005

Outcome Measures

Primary Outcomes (1)

  • Progression-Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors (RECIST Version 1.1) Assessed by Investigator

    PFS was defined as the time from randomization to the date of first documentation of disease progression (PD) or death due to any cause, whichever occurred first. PD: At least a 20 percent (%) increase in the sum of the longest diameter (SLD) taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. PFS was analyzed by using the Kaplan-Meier method.

    Time from randomization to the date of first documentation of PD or death, assessed approximately up to 27 months

Secondary Outcomes (7)

  • Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Treatment-Related Adverse Events

    Time from randomization up to data cut off (assessed up to 27 months)

  • Overall Survival (OS)

    Time from randomization to the date of death due to any cause, assessed up to 27 months

  • Objective Response Rate (ORR) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Investigator

    Time from randomization up to data cut off (assessed up to 27 months)

  • Duration of Response (DOR) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Investigator

    Time from first documentation of objective response to the date of first documentation of PD or death due to any cause, assessed approximately up to 27 months

  • Immediate Observed Serum Concentration at End of Infusion (Ceoi) of M7824

    Pre-dose, 30 minutes after end of infusion on Day 1, 15, 29, 57, 85, 127, 157, 343

  • +2 more secondary outcomes

Study Arms (2)

cCRT plus M7824 followed by M7824

EXPERIMENTAL

Participants received cCRT: Cisplatin/Etoposide or Carboplatin/Paclitaxel or Cisplatin/Pemetrexed concomitant with Intensity Modulated Radiation Therapy (IMRT) along with M7824 followed by M7824.

Drug: M7824Drug: EtoposideDrug: PemetrexedDrug: CarboplatinDrug: PaclitaxelDrug: CisplatinRadiation: Intensity Modulated Radiation Therapy (IMRT)

cCRT plus placebo followed by durvalumab

ACTIVE COMPARATOR

Participants received cCRT: Cisplatin/Etoposide or Carboplatin/Paclitaxel or Cisplatin/Pemetrexed concomitant with Intensity Modulated Radiation Therapy (IMRT) along with placebo matched to M7824 followed by durvalumab.

Drug: PlaceboDrug: DurvalumabDrug: EtoposideDrug: PemetrexedDrug: CarboplatinDrug: PaclitaxelDrug: CisplatinRadiation: Intensity Modulated Radiation Therapy (IMRT)

Interventions

M7824DRUG

Participants received intravenous infusion of 1200 milligram (mg) M7824 over 1 hour every 2 weeks (q2w) during cCRT and up to 1 year after cCRT until unacceptable toxicity, confirmed disease progression assessed by investigator.

cCRT plus M7824 followed by M7824

Participants received intravenous infusion of placebo matched to M7824 over 1 hour q2w during cCRT until unacceptable toxicity, confirmed disease progression assessed by investigator.

cCRT plus placebo followed by durvalumab

Participants received intravenous infusion of durvalumab 10 milligram per kilogram (mg/Kg) over 1 hour q2w up to 1 year after cCRT until unacceptable toxicity, confirmed disease progression assessed by investigator.

cCRT plus placebo followed by durvalumab

Participants received etoposide 50 mg/m\^2 intravenously over a minimum of 30 minutes up to 60 minutes daily on Day 1 to 5 and Day 29 to 33 during cCRT.

cCRT plus M7824 followed by M7824cCRT plus placebo followed by durvalumab

Participants received pemetrexed at a dose of 500 mg/m\^2 intravenously over 10 minutes or according to local standards on Days 1, 22, and 43 during cCRT.

cCRT plus M7824 followed by M7824cCRT plus placebo followed by durvalumab

Participants received carboplatin intravenously based on area under curve (AUC) 2 over 30 minutes on Day 1, Day 8, Day 15, Day 22, Day 29, Day 36, and Day 43 during cCRT.

cCRT plus M7824 followed by M7824cCRT plus placebo followed by durvalumab

Participants received paclitaxel intravenously at a dose of 45 mg/m\^2 over 60 minutes on Day 1, Day 8, Day 15, Day 22, Day 29, Day 36, and Day 43 during cCRT.

cCRT plus M7824 followed by M7824cCRT plus placebo followed by durvalumab

In combination with etoposide, participants received cisplatin 50 mg/m\^2 intravenously over 60 minutes on Days 1, 8, 29, and 36 during cCRT. In combination with pemetrexed, participants received cisplatin 75 mg/m2 intravenously over 60 minutes on Days 1, 22, and 43 during cCRT.

cCRT plus M7824 followed by M7824cCRT plus placebo followed by durvalumab

Participants received IMRT 5 fractions per week for about 6 weeks (Total 60 gray \[Gy\]).

cCRT plus M7824 followed by M7824cCRT plus placebo followed by durvalumab

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Participants must have histologically documented NSCLC who present with Stage III locally advanced, unresectable disease (International Association for the Study of Lung Cancer Staging Manual in Thoracic Oncology
  • Participants with tumor harboring an Epidermal growth factor receptor (EGFR) sensitizing (activating) mutation, Anaplastic lymphoma kinase (ALK) translocation, ROS-1 rearrangement are eligible.
  • Participants must have adequate pulmonary function defined as a forced expiratory volume in 1 second (FEV1) greater than equals to (\>=) 1.2 liters or \>= 50% of predicted normal volume measured within 3 weeks prior to randomization.
  • Adequate hematological, hepatic and renal function as defined in the protocol
  • Contraceptive use by males or females will be consistent with local regulations on contraception methods for those participating in clinical studies

You may not qualify if:

  • Participants with Mixed small cell with non-small cell lung cancer histology
  • Recent major surgery within 4 weeks prior to entry into the study
  • Significant acute or chronic infections including human immunodeficiency virus (HIV) or known acquired immunodeficiency syndrome, Active hepatitis B virus (HBV) or hepatitis C virus (HCV) infection and active tuberculosis
  • Chronic Obstructive Pulmonary Disease exacerbation or other respiratory illness requiring hospitalization
  • Active autoimmune disease that has required systemic treatment in past 1 year (i.e., with use of disease-modifying agents, corticosteroids, or immunosuppressive drugs)
  • Any prior systemic cytotoxic chemotherapy for their NSCLC or any antibody or drug targeting T-cell coregulatory proteins

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (104)

University of California Irvine Medical Center

Orange, California, 92868, United States

Location

UCLA Hematology Oncology - Main Site - 2020 Santa Monica

Santa Monica, California, 90404, United States

Location

University of Colorado Health - Memorial Hospital - Memorial Hospital

Colorado Springs, Colorado, 80909, United States

Location

Hematology Oncology Associates

Fort Collins, Colorado, 80528, United States

Location

Lynn Cancer Institute Center

Boca Raton, Florida, 33486, United States

Location

Holy Cross Hospital - Michael and Dianne Bienes CCC

Fort Lauderdale, Florida, 33308, United States

Location

Sylvester Comprehensive Cancer Center - University of Miami Health System

Miami, Florida, 33136, United States

Location

The University of Chicago Medical Center

Chicago, Illinois, 60637, United States

Location

American Health Network of Indiana, LLC

Indianapolis, Indiana, 46202, United States

Location

Franciscan St. Francis Health Cancer Center

Indianapolis, Indiana, 46237, United States

Location

Baptist Health Lexington Oncology Associates

Lexington, Kentucky, 40503, United States

Location

University of Maryland - DUPLICATE/Pediatric Surgery

Baltimore, Maryland, 21201, United States

Location

Henry Ford Health System

Detroit, Michigan, 48202, United States

Location

Mayo Clinic

Rochester, Minnesota, 55902, United States

Location

Columbia University Medical Center

New York, New York, 10032, United States

Location

Hematology Oncology Center of Nyack Hospital

Nyack, New York, 10960, United States

Location

FirstHealth of the Carolinas, Inc.

Pinehurst, North Carolina, 28374, United States

Location

The James Cancer Hospital and Solove Research Institute

Columbus, Ohio, 43210, United States

Location

UPMC Cancer Center

Pittsburgh, Pennsylvania, 15232, United States

Location

Vanderbilt University Medical Center

Nashville, Tennessee, 37232, United States

Location

University of Texas MD Anderson Cancer Center - Unit 432 Thoracic Head and Neck Medical Oncology

Houston, Texas, 77030, United States

Location

Sanatorio Allende

Córdoba, Argentina

Location

Centro Polivalente de Asistencia e Inv. Clinica CER

San Juan, Argentina

Location

Bendigo Hospital

Bendigo, Australia

Location

The Townsville Hospital

Douglas, Australia

Location

Calvary Central Districts Hospital

Elizabeth Vale, Australia

Location

St Vincent's Hospital Melbourne - PARENT

Fitzroy, Australia

Location

University Hospital Geelong - PARENT

Geelong, Australia

Location

Austin Health

Heidelberg Heights, Australia

Location

Centro de Investigacion Pergamino SA

Pergamino, Australia

Location

Prince of Wales Hospital

Randwick, Australia

Location

Sunshine Hospital

St Albans, Australia

Location

Royal North Shore Hospital

St Leonards, Australia

Location

South West Healthcare - South West Oncology

Warrnambool, Australia

Location

UZ Leuven

Leuven, Belgium

Location

Clinique et Maternite St Elisabeth Namur

Namur, Belgium

Location

AZ Delta

Roeselare, Belgium

Location

CHU Mont-Godinne

Yvoir, Belgium

Location

Hospital de Câncer de Barretos - Fundação Pio XII

Barretos, Brazil

Location

Clínica de Neoplasias Litoral Ltda.

Itajaí, Brazil

Location

HGB - Hospital Giovanni Battista - Mãe de Deus Center - Centro de Pesquisa Clínica - Instituto do Câncer

Porto Alegre, Brazil

Location

Hospital São Lucas da PUCRS

Porto Alegre, Brazil

Location

COI - Clínicas Oncológicas Integradas

Rio de Janeiro, Brazil

Location

A. C. Camargo Cancer Center - Fundação Antônio Prudente

São Paulo, Brazil

Location

ICESP - Instituto do Câncer do Estado de São Paulo Octavio Frias de Oliveira

São Paulo, Brazil

Location

BC Cancer Agency Center for the Southern Interior

Kelowna, Canada

Location

Peking University Cancer Hospital

Beijing, China

Location

Jilin Cancer Hospital - Oncology

Changchun, China

Location

Hangzhou First People's Hospital

Hangzhou, China

Location

Fakultni nemocnice Olomouc - Dept of Onkologicka klinika

Olomouc, Czechia

Location

Centre Hospitalier de la Côte Basque - Service de Pneumologie

Bayonne, France

Location

Hôpital Nord - AP-HM Marseille# - Service d'Oncologie Multidisciplinaire

Marseille, France

Location

Institut Curie - Centre de Lutte Contre le Cancer (CLCC) de Paris - Service d'Oncologie Médicale

Paris, France

Location

CHU Nantes - Hôpital Guillaume et René Laënnec - Service de Pneumologie

Saint-Herblain, France

Location

Asklepios Klinik Harburg - Medizinische Abteilung I

Hamburg, Germany

Location

Pius-Hospital Oldenburg - Klinik f. Haematologie und Onkologie

Oldenburg, Germany

Location

Nippon Medical School Hospital - Dept of Respiratory Medicine

Bunkyō City, Japan

Location

Tokyo Metropolitan Cancer and Infectious diseases Center Komagome Hospital - Dept of Respiratory Medicine

Bunkyō City, Japan

Location

Saitama Medical University International Medical Center - Dept of Respiratory Medicine

Hidaka-shi, Japan

Location

National Cancer Center Hospital East - Dept of Respiratory Medicine

Kashiwa-shi, Japan

Location

Kobe City Hospital Organization Kobe City Medical Center General Hospital - Dept of Respiratory Medicine

Kobe, Japan

Location

Cancer Institute Hospital of JFCR - Dept of Respiratory Medicine

Kōtoku, Japan

Location

Kurume University Hospital - Dept of Lung Cancer Center

Kurume-shi, Japan

Location

Aichi Cancer Center Hospital - Dept of Respiratory Medicine

Nagoya, Japan

Location

Osaka Medical Center for Cancer and Cardiovascular Diseases

Osaka, Japan

Location

Kindai University Hospital (13859)

Osakasayama-shi, Japan

Location

Shizuoka Cancer Center

Sunto-gun, Japan

Location

Kanagawa Cancer Center - Dept of Respiratory Medicine

Yokohama, Japan

Location

Jeroen Bosch Ziekenhuis

's-Hertogenbosch, Netherlands

Location

Meander Medisch Centrum - Dep of Pulmonology

Amersfoort, Netherlands

Location

Amphia Ziekenhuis - PARENT - Parent

Breda, Netherlands

Location

Martini ziekenhuis

Groningen, Netherlands

Location

Ziekenhuis St. Jansdal

Harderwijk, Netherlands

Location

St. Antonius Ziekenhuis - Dept Pulmonology - Nieuwegein

Nieuwegein, Netherlands

Location

St. Elisabeth Ziekenhuis - Parent

Tilburg, Netherlands

Location

ISALA Klinieken Locatie Sophia

Zwolle, Netherlands

Location

Keimyung University Dongsan Hospital

Daegu, South Korea

Location

Seoul National University Bundang Hospital

Seongnam, South Korea

Location

Asan Medical Center

Seoul, South Korea

Location

Korea University Anam Hospital

Seoul, South Korea

Location

Severance Hospital, Yonsei University

Seoul, South Korea

Location

The Catholic University of Korea, Seoul St. Mary's Hospital

Seoul, South Korea

Location

Hospital del Mar - Servicio de Oncologia

Barcelona, Spain

Location

Hospital Universitari Quiron Dexeus - Servicio de Oncologia Medica

Barcelona, Spain

Location

Hospital Universitari Vall d'Hebron - Dept of Oncology

Barcelona, Spain

Location

ICO l´Hospitalet - Hospital Duran i Reynals - Servicio de Oncologia

L'Hospitalet de Llobregat, Spain

Location

Clinica Universidad de Navarra (MAD) - Oncology Service

Madrid, Spain

Location

Hospital Universitario 12 de Octubre - Servicio de Oncologia

Madrid, Spain

Location

Hospital Universitario Clinico San Carlos - Servicio de Oncologia

Madrid, Spain

Location

Hospital Universitario HM Madrid Sanchinarro - Servicio de Oncologia

Madrid, Spain

Location

Hospital Universitario Puerta de Hierro Majadahonda

Majadahonda, Spain

Location

Hospital Regional Universitario de Malaga

Málaga, Spain

Location

Clinica Universidad de Navarra

Pamplona, Spain

Location

Complejo Hospitalario Universitario de Santiago - Servicio de Oncologia Medica

Santiago de Compostela, Spain

Location

Hospital Universitario Nuestra Señora de Valme - Servicio de Oncologia

Seville, Spain

Location

Hospital Universitario Virgen del Rocio - Servicio de Oncologia

Seville, Spain

Location

Hospital Universitario Virgen Macarena - Servicio de Oncologia

Seville, Spain

Location

Hospital Clinico Universitario de Valencia - Servicio de Hematologia y Oncologia Medica

Valencia, Spain

Location

Hospital Universitari i Politecnic La Fe - Servicio de Oncologia Medica

Valencia, Spain

Location

Hospital Alvaro Cunqueiro - Servicio de Oncologia

Vigo, Spain

Location

Taichung Veterans General Hospital

Taichung, Taiwan

Location

Chi Mei Medical Center, Liou Ying

Tainan, Taiwan

Location

National Taiwan University Hospital

Taipei, Taiwan

Location

Tri-Service General Hospital

Taipei, Taiwan

Location

Related Publications (1)

  • Huang Y, Zhao JJ, Soon YY, Wong A, Aminkeng F, Ang Y, Asokumaran Y, Low JL, Lee M, Choo JRE, Chan G, Kee A, Tay SH, Goh BC, Soo RA. Real-world experience of consolidation durvalumab after concurrent chemoradiotherapy in stage III non-small cell lung cancer. Thorac Cancer. 2022 Nov;13(22):3152-3161. doi: 10.1111/1759-7714.14667. Epub 2022 Sep 30.

Related Links

MeSH Terms

Conditions

Carcinoma, Non-Small-Cell Lung

Interventions

durvalumabEtoposidePemetrexedCarboplatinPaclitaxelCisplatinRadiotherapy, Intensity-Modulated

Condition Hierarchy (Ancestors)

Carcinoma, BronchogenicBronchial NeoplasmsLung NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsNeoplasms by SiteNeoplasmsLung DiseasesRespiratory Tract Diseases

Intervention Hierarchy (Ancestors)

PodophyllotoxinTetrahydronaphthalenesNaphthalenesPolycyclic Aromatic HydrocarbonsHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsPolycyclic CompoundsGlucosidesGlycosidesCarbohydratesGuanineHypoxanthinesPurinonesPurinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic CompoundsGlutamatesAmino Acids, AcidicAmino AcidsAmino Acids, Peptides, and ProteinsAmino Acids, DicarboxylicCoordination ComplexesTaxoidsCyclodecanesCycloparaffinsHydrocarbons, AlicyclicDiterpenesTerpenesChlorine CompoundsInorganic ChemicalsNitrogen CompoundsPlatinum CompoundsRadiotherapy, ConformalRadiotherapy, Computer-AssistedRadiotherapyTherapeutics

Results Point of Contact

Title
Communication Center
Organization
Merck Healthcare KGaA, Darmstadt Germany, an affiliate of Merck KGaA, Darmstadt, Germany

Study Officials

  • Medical Responsible

    Merck KGaA, Darmstadt, Germany

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 12, 2019

First Posted

February 15, 2019

Study Start

April 16, 2019

Primary Completion

February 17, 2023

Study Completion

February 17, 2023

Last Updated

January 16, 2024

Results First Posted

January 16, 2024

Record last verified: 2024-01

Data Sharing

IPD Sharing
Will share

We are committed to enhancing public health through responsible sharing of clinical trial data. Following approval of a new product or a new indication for an approved product in both the US and European Union, the study sponsor and/or its affiliated companies will share study protocols, anonymized patient data and study level data, and redacted clinical study reports with qualified scientific and medical researchers, upon request, as necessary for conducting legitimate research. Further information on how to request data can be found on our website bit.ly/IPD21

Shared Documents
STUDY PROTOCOL, SAP, CSR
Time Frame
Within six months after the approval of a new product or a new indication for an approved product in both the United States and the European Union
Access Criteria
Qualified scientific and medical researchers can request the data. Such requests must be submitted in writing to the company's portal and will be internally reviewed regarding criteria for researchers' qualification and legitimacy of the research proposal.
More information

Locations