Study on Durvalumab with or without Tremelimumab and Chemotherapy for Untreated Extensive-Stage Small Cell Lung Cancer

Sponsor: AstraZeneca

Sponsor score: 40

ClinicalTrials ID:NCT03043872

This clinical trial is testing the effectiveness and safety of combining the drugs durvalumab and tremelimumab with chemotherapy as a first treatment for patients with extensive-stage small cell lung cancer. The study compares this combination to chemotherapy alone.

Patient Parameters

Program Overview

The purpose of this study is to find out if adding the drugs durvalumab and tremelimumab to standard chemotherapy can improve treatment outcomes for patients with extensive-stage small cell lung cancer (SCLC). The study will compare three groups: one receiving durvalumab and tremelimumab with chemotherapy, another receiving durvalumab with chemotherapy, and a third receiving only chemotherapy. Researchers will monitor patients to see how well the treatments work and how safe they are.

Description

This study aims to evaluate how well the combination of durvalumab and tremelimumab with chemotherapy works compared to chemotherapy alone in treating extensive-stage small cell lung cancer (SCLC). Patients will be randomly assigned to one of three groups:

  • Group 1 will receive durvalumab, tremelimumab, and chemotherapy.
  • Group 2 will receive durvalumab and chemotherapy.
  • Group 3 will receive only chemotherapy, which is the standard treatment.

Patients in Groups 1 and 2 will continue treatment until their cancer progresses, while those in Group 3 will receive up to 6 cycles of chemotherapy and possibly preventive brain radiation if needed. All patients will be monitored for cancer progression and survival.

The study is open to adults aged 18 and older with extensive-stage SCLC, who are in good overall health and have not received prior immune therapy. Tumor assessments will be conducted at the start of the study, at 6 weeks, 12 weeks, and then every 8 weeks until the cancer progresses. An independent committee will review the safety of the treatments during the study.

Eligibility Criteria

Inclusion Criteria

  • Diagnosed with extensive-stage small cell lung cancer.
  • Brain metastases must be treated and stable without steroids or anti-seizure medication for at least 1 month.
  • Suitable for platinum-based chemotherapy as the first treatment.
  • Life expectancy of at least 12 weeks.
  • Good overall health with an ECOG performance status of 0 or 1.
  • No previous immune therapy, except for cancer vaccines.

Exclusion Criteria

  • Previous chest radiation before starting chemotherapy or planned chest radiation (except for palliative care outside the chest).
  • Autoimmune-related paraneoplastic syndrome requiring treatment or worsening symptoms.
  • Active infections like tuberculosis, HIV, or hepatitis B and C.
  • Active or past autoimmune or inflammatory disorders.
  • Uncontrolled illnesses, including lung diseases like interstitial lung disease.

Locations

FACILITYZIPCITYSTATE
Research Site35235BirminghamAlabama
Research Site85259ScottsdaleArizona
Research Site72758RogersArkansas
Research Site90404Santa MonicaCalifornia
Research Site06520New HavenConnecticut
Research Site30607AthensGeorgia
Research Site46804Fort WayneIndiana
Research Site47303MuncieIndiana
Research Site66209LeawoodKansas
Research Site67214WichitaKansas

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