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ResectablePhase 2NCT03794544

Neoadjuvant Durvalumab Alone or in Combination With Novel Agents in Resectable Non-Small Cell Lung Cancer

A Phase 2 study testing Durvalumab, Oleclumab and Monalizumab in people with Resectable and Early-stage, run by MedImmune LLC at 18 sites in 7 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Study D9108C00002 (NeoCOAST) is a platform study assessing the effectiveness and safety of neoadjuvant durvalumab alone or in combination with novel agents in participants with resectable, early-stage (Stage I [>2cm] to IIIA) non-small cell lung cancer (NSCLC). Read more about this study

Who is it for?
Ages 18 to 102 years
Conditions the study is for
Resectable, Early-stage, NSCLC
What is being tested?
Durvalumab, Oleclumab and Monalizumab
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
84 participants
Where
18 sitesin 7 countries
Study dates
8 Mar 2019to 13 Jan 2021
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 102 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Cytologically and/or histologically-documented NSCLC
  • Stage I (> 2 cm) to IIIA (for participants with N2 disease, only those with 1 single nodal station ≤ 3 cm are eligible) NSCLC according to the 8th edition of American Joint Committee on Cancer staging classification
  • Amenable to complete surgical resection
  • Have not received any other therapy for this condition
  • Predicted forced expiratory volume in one second (FEV1) ≥ 50%
  • Predicted diffusing capacity of the lungs for carbon monoxide (DLCO) ≥ 50%
  • ECOG 0 or 1
  • Adequate organ function

Who cannot join

  • Participants with small-cell lung cancer or mixed small-cell lung cancer
  • Participants who require or may require pneumonectomy
  • Prior treatment with programmed cell death ligand-1 (PD-L1), PD-L1, or cytotoxic T-lymphocyte antigen 4 (CTLA-4) inhibitors
  • Current or prior use of immunosuppressive medication within 14 days before the first dose of study drug.
  • Active or prior documented autoimmune or inflammatory disorders. The following are exceptions to this criterion:
  • Participants with vitiligo or alopecia
Show all 20Show fewer
  • Participants with hypothyroidism on hormone replacement
  • Any chronic skin condition that does not require systemic therapy
  • Participants without active disease in the last 5 years may be included but only after consultation with the study physician
  • Participants with celiac disease controlled by diet alone
  • Pregnant or breast-feeding female
  • Major surgical procedure within prior 30 days
  • History of active primary immunodeficiency
  • Active infection including tuberculosis, hepatitis B, hepatitis C, or HIV
  • QTc interval (QTc) ≥ 470 ms
  • Uncontrolled intercurrent illness that would limit compliance with study requirement, substantially increase risk of incurring AEs or compromise the ability of the participant to give written informed consent
  • Receipt of live attenuated vaccination within 30 days prior to study entry
  • History of another primary malignancy except for:
  • Curative-treated malignancy with no known active disease > 2 years before enrollment on the study
  • Curative-treated non-melanoma skin cancer and/or carcinoma in-situ

Trial locations and contacts

18 sites in 7 countries.

18 sites in 7 countries

United States10 sites
  • Research Site

    Baltimore, Maryland, 21231

  • Research Site

    Buffalo, New York, 14263

  • Research Site

    Chattanooga, Tennessee, 37404

  • Research Site

    Fairfax, Virginia, 22031

  • Research Site

    Fort Myers, Florida, 33901

  • Research Site

    Houston, Texas, 77030

  • Research Site

    La Jolla, California, 92093

  • Research Site

    Leesburg, Florida, 34748

  • Research Site

    Nashville, Tennessee, 37203

  • Research Site

    New York, New York, 10016

Other trials in United States

France2 sites
  • Research Site

    Marseille, 13009

  • Research Site

    Toulouse, 31059

Other trials in France

Spain2 sites
  • Research Site

    A Coruña, 15001

  • Research Site

    Barcelona, 08916

Other trials in Spain

Canada1 site
  • Research Site

    Montreal, Quebec, H4A 3J1

Other trials in Canada

Italy1 site
  • Research Site

    Orbassano, 10043

Other trials in Italy

Portugal1 site
  • Research Site

    Porto, 4200-072

Other trials in Portugal

Switzerland1 site
  • Research Site

    Zurich, 8091

Other trials in Switzerland

About this study

Official title: A Phase 2 Open-label, Multicenter, Randomized, Multidrug Platform Study of Neoadjuvant Durvalumab Alone or in Combination With Novel Agents in Subjects With Resectable, Early-stage (I [> 2 cm] to IIIA) Non-small Cell Lung Cancer (NeoCOAST)

Study D9108C00002 (NeoCOAST) is a platform study assessing the effectiveness and safety of neoadjuvant durvalumab alone or in combination with novel agents in participants with resectable, early-stage (Stage I [>2cm] to IIIA) non-small cell lung cancer (NSCLC).

Being tested
Durvalumab, Oleclumab, Monalizumab, Danvatirsen
Keywords
Neoadjuvant, Non-small Cell Lung Cancer, Cancer, Lung, Resectable, Early-stage, Stage I, Stage II, Stage IIIA, Durvalumab
Medical subject headings
Carcinoma, Non-Small-Cell Lung, Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • DurvalumabDrug

    Also called MEDI4736

    Durvalumab 1500 mg IV will be administered Q4W (on Week 1 Day 1) until disease progression, unacceptable toxicity, or other reason of treatment discontinuation over a 28-day treatment period.

  • OleclumabCombination product

    Also called MEDI9447

    Oleclumab 3000 mg IV will be administered Q2W (on Week 1 Day 1 and Week 3 Day 1) until disease progression, unacceptable toxicity, or other reason of treatment discontinuation over a 28-day treatment period.

  • MonalizumabCombination product

    Also called IPH2201

    Monalizumab 750 mg IV will be administered Q2W (on Week 1 Day 1 and Week 3 Day 1) until disease progression, unacceptable toxicity, or other reason of treatment discontinuation over a 28-day treatment period.

  • DanvatirsenCombination product

    Also called AZD9150

    Danvatirsen 200 mg IV will be administered on Days 1, 3, and 5 of Week 0 (7-day danvatirsen lead-in period) and later every week (on Week 1 Day 1, Week 2 Day 1, Week 3 Day 1, and Week 4 Day 1) until disease progression, unacceptable toxicity, or other reason of treatment discontinuation over a 28-day treatment period.

Study groups in NCT03794544
Study groupRoleWhat they receive
Durvalumab 1500 mgExperimentalParticipants will receive durvalumab 1500 mg intravenously (IV) every 4 weeks (Q4W; on Week 1 Day 1) until disease progression, unacceptable toxicity, or other reason of treatment discontinuation over a 28-day treatment period. Surgical resection will be planned between Day 29 and Day 42. After surgical resection, participants will be followed up to Day 105 (starting from Week 1 Day 1).
Receives: Drug: Durvalumab
Durvalumab 1500 mg + Oleclumab 3000 mgExperimentalParticipants will receive durvalumab 1500 mg IV Q4W (on Week 1 Day 1) and oleclumab 3000 mg IV every 2 weeks (Q2W; on Week 1 Day 1 and Week 3 Day 1) until disease progression, unacceptable toxicity, or other reason of treatment discontinuation over a 28-day treatment period. Surgical resection will be planned between Day 29 and Day 42. After surgical resection, participants will be followed up to Day 105 (starting from Week 1 Day 1).
Receives: Drug: Durvalumab; Combination Product: Oleclumab
Durvalumab 1500 mg + Monalizumab 750 mgExperimentalParticipants will receive durvalumab 1500 mg IV Q4W (on Week 1 Day 1) and monalizumab 750 mg IV Q2W (on Week 1 Day 1 and Week 3 Day 1) until disease progression, unacceptable toxicity, or other reason of treatment discontinuation over a 28-day treatment period. Surgical resection will be planned between Day 29 and Day 42. After surgical resection, participants will be followed up to Day 105 (starting from Week 1 Day 1).
Receives: Drug: Durvalumab; Combination Product: Monalizumab
Durvalumab 1500 mg + Danvatirsen 200 mgExperimentalParticipants will receive danvatirsen 200 mg IV on Days 1, 3, and 5 of Week 0 (7-day danvatirsen lead-in period), followed by durvalumab 1500 mg IV Q4W (on Week 1 Day 1) and danvatirsen 200 mg IV every week (on Week 1 Day 1, Week 2 Day 1, Week 3 Day 1, and Week 4 Day 1) until disease progression, unacceptable toxicity, or other reason of treatment discontinuation over a 28-day treatment period. Surgical resection will be planned between Day 29 and Day 42. After surgical resection, participants will be followed up to Day 105 (starting from Week 1 Day 1).
Receives: Drug: Durvalumab; Combination Product: Danvatirsen

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Major Pathological Response Rate

    Major pathological response rate is defined as percentage of participants with <=10% residual viable tumor cells in the resected specimen.

    Measured: Day 1 through Day 42

Secondary outcomes (5)
  1. Pathological Complete Response (pCR) Rate

    The pCR rate is defined as percentage of participants with no residual viable tumor cells in the resected specimen.

    Measured: Day 1 through Day 42

  2. Feasibility to Surgery

    Feasibility to surgery is defined as the percentage of participants who underwent the planned surgery within Days 29 to 42 after Week 1 Day 1.

    Measured: Day 29 to Day 42 after Week 1 Day 1

  3. Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs)

    An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A serious adverse event (SAE) is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. The TEAEs are defined as events present at baseline that worsened in intensity after administration of study drug or events absent at baseline that emerged after administration of study drug.

    Measured: From Day 1 through Day 105

  4. Number of Participants With Grade 3 or Grade 4 Clinical Laboratory Toxicities

    Participants with Grade 3 or Grade 4 clinical laboratory toxicities are reported. Laboratory tests included hematology, coagulation, chemistry, and urinalysis.

    Measured: From Day 1 through Day 105

  5. Number of Participants With Abnormal Vital Signs Reported as TEAEs

    Participants with abnormal vital sign reported as TEAEs are reported.

    Measured: From Day 1 through Day 105

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Jan 2019
  2. Study start8 Mar 2019
  3. Primary completion13 Jan 2021
  4. Study completion13 Jan 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Participants will be enrolled and randomized into a durvalumab monotherapy arm or into a durvalumab plus other novel therapy arms. Up to approximately 25 sites globally will participate in this study. New treatment arms may be added in the future. Participants will be treated with a single durvalumab dose alone or in combination with other agents. After the single cycle treatment period participants will have the standard surgical resection planned. All participants will have a post-resection monitoring visit. Study treatment will be discontinued upon disease progression, unacceptable toxicity, or other investigators' reasons.
Masking
None (open label)
Enrolment
84 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03794544
Sponsor's protocol ID
D9108C00002
Status last verified
Feb 2022
First submitted
10 Dec 2018
Last updated
24 Feb 2022
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: 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.

Publications

  • Cascone T, Kar G, Spicer JD, Garcia-Campelo R, Weder W, Daniel DB, Spigel DR, Hussein M, Mazieres J, Oliveira J, Yau EH, Spira AI, Anagnostou V, Mager R, Hamid O, Cheng LY, Zheng Y, Blando J, Tan TH, Surace M, Rodriguez-Canales J, Gopalakrishnan V, Sellman BR, Grenga I, Soo-Hoo Y, Kumar R, McGrath L, Forde PM. Neoadjuvant Durvalumab Alone or Combined with Novel Immuno-Oncology Agents in Resectable Lung Cancer: The Phase II NeoCOAST Platform Trial. Cancer Discov. 2023 Nov 1;13(11):2394-2411. doi: 10.1158/2159-8290.CD-23-0436.

    PubMed 37707791

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Durvalumab, Oleclumab and Monalizumab in people with Resectable and Early-stage, run by MedImmune LLC at 18 sites in 7 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 20 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 24 Feb 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 18 sites in United States, France, Spain, Canada, Italy and 2 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 24 Feb 2022). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Major Pathological Response Rate (time frame: Day 1 through Day 42). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03794544, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Feb 2022.

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