NCT05450692

Brief Summary

This study will assess the efficacy and safety of the combination of ceralasertib and durvalumab versus standard of care docetaxel in patients with locally advanced and metastatic NSCLC after progression on prior anti-PD-(L)1 therapy and platinum-based chemotherapy.

Trial Health

87
On Track

Trial Health Score

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

Strong global presence with extensive site network
Enrollment
594

participants targeted

Target at P75+ for phase_3

Timeline
20mo left

Started Sep 2022

Longer than P75 for phase_3

Geographic Reach
23 countries

191 active sites

Status
active not recruiting

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

Study Progress69%
Sep 2022Dec 2027

First Submitted

Initial submission to the registry

July 6, 2022

Completed
5 days until next milestone

First Posted

Study publicly available on registry

July 11, 2022

Completed
2 months until next milestone

Study Start

First participant enrolled

September 15, 2022

Completed
3.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 6, 2025

Completed
2.2 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2027

Expected
Last Updated

April 16, 2026

Status Verified

April 1, 2026

Enrollment Period

3.1 years

First QC Date

July 6, 2022

Last Update Submit

April 15, 2026

Conditions

Keywords

DurvalumabCeralasertibDocetaxelLung cancer

Outcome Measures

Primary Outcomes (1)

  • Overall Survival (OS)

    The superiority of ceralasertib plus durvalumab combination therapy relative to docetaxel will be demonstrated by assessment of OS (HR with 95% CI and p-value) in participants with advanced NSCLC after second- or third-line therapy and without actionable genomic alterations. OS is defined as time from randomisation until the date of death due to any cause.

    Every 3 months (± 1 week) following objective progression of disease (PD) or treatment discontinuation (up to three years)

Secondary Outcomes (11)

  • Progression-Free Survival (PFS)

    Up to 3 years

  • Objective Response Rate (ORR)

    Up to 3 years

  • Duration of Response (DoR)

    Up to 3 years

  • Time To Response (TTR)

    Up to 3 years

  • Disease Control Rate (DCR)

    At Week 18

  • +6 more secondary outcomes

Study Arms (2)

Group A: Ceralasertib plus durvalumab combination therapy

EXPERIMENTAL

Participants will be administered ceralasertib orally followed by durvalumab administered intravenously.

Drug: CeralasertibDrug: Durvalumab

Group B: Docetaxel monotherapy

ACTIVE COMPARATOR

Participants will be administered docetaxel (standard of care) administered intravenously.

Drug: Docetaxel

Interventions

Participants will receive ceralasertib oral tablets.

Group A: Ceralasertib plus durvalumab combination therapy

Participants will receive durvalumab as an intravenous infusion.

Group A: Ceralasertib plus durvalumab combination therapy

Participants will received docetaxel as an intravenous infusion.

Group B: Docetaxel monotherapy

Eligibility Criteria

Age18 Years - 130 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Histologically or cytologically documented NSCLC that is locally advanced or metastatic according to Version 8 of the IASLC Staging Manual in Thoracic Oncology.
  • Documented epidermal growth receptor factor (EGFR) and anaplastic lymphoma kinase (ALK) wild-type status as determined at a local laboratory.
  • Documented radiological PD whilst on or after receiving the most recent treatment regimen.
  • Eligible for second- or third-line therapy and must have received an anti-PD-(L)1 therapy and a platinum doublet containing therapy for locally advanced or metastatic NSCLC either separately or in combination.
  • Eastern Cooperative Oncology Group (ECOG)/World Health Organization (WHO) performance status of 0 or 1.
  • Adequate organ function and marrow reserve
  • Minimum life expectancy of 12 weeks.
  • Body weight \> 30 kg and no cancer-associated cachexia.
  • Negative pregnancy test (serum test) for women of childbearing potential (WOCBP).

You may not qualify if:

  • Participant with mixed SCLC and NSCLC histology.
  • History of another primary malignancy except for malignancy treated with curative intent with no known active disease ≥ 5 years before the first dose of study intervention.
  • Persistent toxicities (CTCAE Grade \> 2) caused by previous anticancer therapy.
  • Active or prior documented autoimmune or inflammatory disorders.
  • Participants who have received more than one line of prior anti-PD-(L)1, either alone or in any combination.
  • Participants:
  • Must not have experienced a toxicity that led to permanent discontinuation of the prior anti-PD(L)1 therapy.
  • All AEs while receiving prior anti-PD(L)1 therapy must have completely resolved.
  • Must not have experienced a Grade ≥ 3 immune-mediated adverse event (imAE) or an immune-related neurologic or ocular AE of any grade while receiving prior anti-PD(L)1 therapy.
  • Must not have required the use of additional immunosuppression other than corticosteroids for the management of an AE, not have experienced recurrence of an AE if re-challenged, and not currently require maintenance doses of \> 10 mg prednisone or equivalent per day.
  • Participants who have received more than one prior line of platinum-based chemotherapy in metastatic setting.
  • Participants who have received a prior ataxia telangiectasia and Rad3-related protein (ATR) inhibitor.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (191)

Research Site

Mobile, Alabama, 36607, United States

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Chandler, Arizona, 85224, United States

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Los Alamitos, California, 90720, United States

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Los Angeles, California, 90017, United States

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Whittier, California, 90603, United States

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Jacksonville, Florida, 32256, United States

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Orlando, Florida, 32804, United States

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Tampa, Florida, 33612, United States

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Athens, Georgia, 30607, United States

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Atlanta, Georgia, 30318, United States

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Fort Wayne, Indiana, 46804, United States

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Baltimore, Maryland, 21231, United States

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Bethesda, Maryland, 20817, United States

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Rockville, Maryland, 20852, United States

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Hattiesburg, Mississippi, 39401, United States

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St Louis, Missouri, 63110, United States

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Omaha, Nebraska, 68114, United States

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Reno, Nevada, 89511, United States

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Charlotte, North Carolina, 28204, United States

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Winston-Salem, North Carolina, 27103, United States

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Canton, Ohio, 44718, United States

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Cleveland, Ohio, 44106, United States

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Allentown, Pennsylvania, 18103, United States

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York, Pennsylvania, 17403, United States

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Houston, Texas, 77090, United States

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Huntsville, Texas, 77340, United States

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Kingwood, Texas, 77339, United States

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Appleton, Wisconsin, 54911, United States

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Buenos Aires, 1058, Argentina

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Pergamino, B2700CPM, Argentina

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Rosario, S2000DSV, Argentina

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Rosario, S2000KZE, Argentina

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San Juan, 5400, Argentina

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Elizabeth Vale, 5112, Australia

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Lismore, 2480, Australia

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Murdoch, 6150, Australia

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South Brisbane, 4101, Australia

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Wollongong, 2500, Australia

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Ghent, 9000, Belgium

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Roeselare, 8800, Belgium

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Fortaleza, 60810-180, Brazil

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Porto Alegre, 90110-270, Brazil

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Porto Alegre, 90610-000, Brazil

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Salvador, 40170-110, Brazil

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São Paulo, 01246-000, Brazil

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São Paulo, 09323-900, Brazil

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Vancouver, British Columbia, VSZ 4E6, Canada

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Newmarket, Ontario, L3Y 2P9, Canada

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Chicoutimi, Quebec, G7H 7P2, Canada

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Montreal, Quebec, H2L 4M1, Canada

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Montreal, Quebec, H3G 1A4, Canada

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Québec, Quebec, G1V 4G5, Canada

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Rimouski, Quebec, G5L 5T1, Canada

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Baoding, 071000, China

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Beijing, 100021, China

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Beijing, 100044, China

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Changsha, 410008, China

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Chengdu, 610041, China

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Deyang, 618000, China

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Guangzhou, 510080, China

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Hangzhou, 310009, China

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Hefei, 230001, China

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Jinan, 250013, China

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Linyi, 276000, China

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Nanchang, 330000, China

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Nanjing, 210029, China

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Nanning, 530021, China

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Nashik, 422011, China

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Qingdao, 266071, China

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Taiyuan, 030000, China

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Tianjin, 300052, China

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Tianjin, 300060, China

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Wuhan, 430000, China

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Wuhan, 430022, China

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Wuhan, 430079, China

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Zhanjiang, 524001, China

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Zhengzhou, 450008, China

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Angers, 49933, France

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Clamart, 92140, France

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Clermont-Ferrand, 63011, France

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Créteil, 94010, France

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Lyon, 69373, France

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Montpellier, 34070, France

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Nantes, 44093, France

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Paris, 75014, France

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Pessac, 33604, France

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Saint-Herblain, 44805, France

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Saint-Quentin, 02321, France

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Vantoux, 57070, France

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Villefranche-sur-Saône, 69655, France

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Villejuif, 94805, France

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Berlin, 12351, Germany

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Freiburg im Breisgau, 79106, Germany

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Gauting, 82131, Germany

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Karlsruhe, 76137, Germany

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Kempten, 87439, Germany

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Löwenstein, 74245, Germany

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Moers, 47441, Germany

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Hong Kong, 999077, Hong Kong

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King's Park, 150001, Hong Kong

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Tun Mun, Hong Kong

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Budapest, 1121, Hungary

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Székesfehérvár, 8000, Hungary

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Jaipur, 302017, India

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Pune, 411001, India

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Surat, 395002, India

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Cork, T12 DV56, Ireland

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Dublin, D09 V2N0, Ireland

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Dublin, Ireland

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Limerick, V94 F858, Ireland

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Aviano, 33081, Italy

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Livorno, 57124, Italy

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Meldola, 47014, Italy

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Milan, 20133, Italy

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Monza, 20900, Italy

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Naples, 80131, Italy

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Padova, 35128, Italy

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Parma, 43126, Italy

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Perugia, 06129, Italy

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Roma, 00128, Italy

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Rozzano, 20089, Italy

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Verona, 37126, Italy

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Bunkyō City, 113-8431, Japan

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Bunkyō City, 113-8677, Japan

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Chūōku, 104-0045, Japan

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Kōtoku, 135-8550, Japan

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Kurashiki-shi, 710-8602, Japan

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Kurume-shi, 830-0011, Japan

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Matsuyama, 791-0280, Japan

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Nagoya, 460-0001, Japan

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Niigata, 951-8566, Japan

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Osaka, 541-8567, Japan

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Sakaishi, 591-8555, Japan

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Sapporo, 003-0804, Japan

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Sendai, 980-0873, Japan

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Sunto-gun, 411-8777, Japan

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Toyoake-shi, 470-1192, Japan

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Yokohama, 241-8515, Japan

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Heerlen, 6419 PC, Netherlands

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Tilburg, 5022 GC, Netherlands

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Gdansk, 80-952, Poland

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Krakow, 30-727, Poland

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Krakow, 31-826, Poland

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Poznan, 60-693, Poland

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Skórzewo, 60-185, Poland

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Bucharest, 022328, Romania

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Bucharest, 031422, Romania

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Cluj-Napoca, 400015, Romania

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Cluj-Napoca, 400641, Romania

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Craiova, 200347, Romania

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Craiova, 200385, Romania

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Floreşti, 407280, Romania

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Oradea, 410469, Romania

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Timișoara, 300166, Romania

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Timișoara, 300239, Romania

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Belgrade, 11080, Serbia

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Cheongju-si, 28644, South Korea

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Seoul, 03080, South Korea

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Seoul, 03181, South Korea

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Seoul, 03722, South Korea

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Seoul, 07061, South Korea

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Seoul, 138-736, South Korea

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Suwon, 16247, South Korea

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A Coruña, 15006, Spain

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A Coruña, 15009, Spain

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Barcelona, 08041, Spain

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Barcelona, 8003, Spain

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Barcelona, 8035, Spain

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Castellon, 12002, Spain

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Córdoba, 14004, Spain

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Hospitalet deLlobregat, 08907, Spain

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Madrid, 28040, Spain

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Madrid, 28046, Spain

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Málaga, 29009, Spain

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Ourense, 32005, Spain

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Palma de Mallorca, 07198, Spain

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Pamplona, 31008, Spain

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Pozuelo de Alarcón, 28223, Spain

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Sabadell, 08208, Spain

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Servilla, 41014, Spain

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Zaragoza, 50009, Spain

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Taichung, 40201, Taiwan

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Taichung, 40705, Taiwan

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Tainan, 704, Taiwan

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Taipei, 11217, Taiwan

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Taoyuan District, 333423, Taiwan

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Yunlin, 640, Taiwan

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Guildford, United Kingdom

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Metropolitan Borough of Wirral, CH63 4JY, United Kingdom

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Stevenage, SG1 4AB, United Kingdom

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Sutton, SM2 5PT, United Kingdom

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Related Links

MeSH Terms

Conditions

Carcinoma, Non-Small-Cell LungLung Neoplasms

Interventions

ceralasertibdurvalumabDocetaxel

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

TaxoidsCyclodecanesCycloparaffinsHydrocarbons, AlicyclicHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsDiterpenesTerpenes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 6, 2022

First Posted

July 11, 2022

Study Start

September 15, 2022

Primary Completion

October 6, 2025

Study Completion (Estimated)

December 31, 2027

Last Updated

April 16, 2026

Record last verified: 2026-04

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. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

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 deidentified 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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