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AzTrials

NSCLCNCT03798535

First Real-world Data on Unresectable Stage III NSCLC Patients Treated With Durvalumab After Chemoradiotherapy

An observational study of NSCLC, run by AstraZeneca at 254 sites in 10 countries.

Completed

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

Official record
Search all trials

Trial summary

This is a non-interventional/observational cohort of unresectable Stage III NSCLC patients treated with durvalumab. The study will be carried out as a retrospective review of established medical records of unresectable Stage III NSCLC patients treated with durvalumab. Read more about this study

Who is it for?
Ages 18 to 130 years
Conditions the study is for
NSCLC
How many people
1,156 participants
Where
254 sitesin 10 countries
Study dates
19 Dec 2018to 16 Jul 2024
Phase
Observational
Are there results?
None posted in the registry

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 130 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients were selected from the following participating countries: Australia, Belgium, Israel, Netherlands, Norway, France, Germany, Italy, Switzerland, Spain* and the United Kingdom. Data will be collected from those patients who have received at least one dose of durvalumab between Sep 2017 through 21 Dec 2018. Patients may participate in other clinical trials during this follow-up period. Patients must have completed a platinum-based chemotherapy concurrently or sequentially with radiation therapy without evidence of disease progression. There is no fixed max duration for durvalumab treatment and it continues until the physician determines that it is in the patient's best interest to stop therapy. Later EAP protocol was amended to allow durvalumab treatment duration of no more than 12 months. *Spain only contributed to DE1 and DE2.

Who may be able to join

  • Written informed consent or any locally required authorisation obtained from the patient prior to performing any protocol-related procedures
  • Age ≥ 18 years at time of study entry or adult according to each country regulations for age of majority
  • Patients must have histologically or cytologically documented diagnosis of NSCLC with a locally advanced, or locally recurrent, unresectable (stage III) disease (according to American Joint Committee on Cancer [AJCC] lung cancer edition 7 or 8)
  • Patients must have been enrolled in one of the durvalumab EAPs Patients must have been treated with at least one dose of durvalumab within the EAP prior to the study entry and between start of EAP in the country, from September 2017 or later up to end of EAP enrolment or MA + three months (estimated as maximum to 30 December 2018) (whichever occurs earlier).
  • Patients who die during the EAP are eligible to enter in the study when local laws allow for a consent waiver, if all other inclusion/exclusion criteria are met.

Who cannot join

  • -Patients treated with durvalumab in clinical studies prior to the index date (first dose of durvalumab received within the EAP).

Trial locations and contacts

254 sites in 10 countries.

254 sites in 10 countries

France65 sites
  • Research Site

    Abbeville, 80100

  • Research Site

    Aix-en-Provence, 13100

  • Research Site

    Albi, 81013

  • Research Site

    Antony, 92160

  • Research Site

    Avignon, 84918

  • Research Site

    Bayonne, 64100

  • Research Site

    Béthune, 62408

  • Research Site

    Béziers, 34500

  • Research Site

    Bobigny, 93009

  • Research Site

    Bordeaux, 33030

  • Research Site

    Bordeaux, 33300

  • Research Site

    Boulogne-Billancourt, 92104

  • Research Site

    Brest, 29609

  • Research Site

    Carcassonne, 11010

  • Research Site

    Chauny, 02303

  • Research Site

    Clermont-Ferrand, 63000

  • Research Site

    Colmar, 68024

  • Research Site

    Contamine-sur-Arve, 74130

  • Research Site

    Créteil, 94010

  • Research Site

    Dijon, 21033

  • Research Site

    Dijon, 21079

  • Research Site

    Gap, 5007

  • Research Site

    Grenoble, 38700

  • Research Site

    La Roche-sur-Yon, 85925

  • Research Site

    La Rochelle, 17019

  • Research Site

    Le Mans, 72037

  • Research Site

    Levallois-Perret, 92300

  • Research Site

    Libourne, 33505

  • Research Site

    Lille, 59037

  • Research Site

    Limoges, 87000

  • Research Site

    Lorient, 56322

  • Research Site

    Lyon, 69373

  • Research Site

    Mâcon, 71018

  • Research Site

    Marseille, 13003

  • Research Site

    Marseille, 13015

  • Research Site

    Metz-Tessy, 74370

  • Research Site

    Montpellier, 34070

  • Research Site

    Montpellier, 34298

  • Research Site

    Morlaix, 29572

  • Research Site

    Muret

  • Research Site

    Nancy, 54100

  • Research Site

    Nîmes, 30029

  • Research Site

    Paris, 75005

  • Research Site

    Paris, 75014

  • Research Site

    Paris, 75018

  • Research Site

    Paris, 75020

  • Research Site

    Paris, 75475

  • Research Site

    Pau, 6400

  • Research Site

    Périgueux, 24000

  • Research Site

    Perpignan, 66046

  • Research Site

    Pierre-Bénite, 69495

  • Research Site

    Poitiers, 86021

  • Research Site

    Rennes, 35033

  • Research Site

    Rouen, 76031

  • Research Site

    Saint-Aubin-lès-Elbeuf, 76410

  • Research Site

    Saint-Nazaire, 44606

  • Research Site

    Saint-Priest-en-Jarez, 42270

  • Research Site

    Saint-Quentin, 02321

  • Research Site

    Tarbes, 65000

  • Research Site

    Toulon, 83041

  • Research Site

    Toulouse, 31059

  • Research Site

    Tours, 37044

  • Research Site

    Valence, 26000

  • Research Site

    Vantoux, 57070

  • Research Site

    Villefranche-sur-Saône, 69400

Other trials in France

Italy47 sites
  • Research Site

    Alessandria, 15100

  • Research Site

    Ancona, 60122

  • Research Site

    Arezzo, 52100

  • Research Site

    Aviano, 33081

  • Research Site

    Bari, 70124

  • Research Site

    Bolzano, 39100

  • Research Site

    Brescia, 25100

  • Research Site

    Brescia, 25123

  • Research Site

    Catanzaro, 88100

  • Research Site

    Feltre, 32032

  • Research Site

    Florence, 50141

  • Research Site

    Genova, 16121

  • Research Site

    Genova, 16132

  • Research Site

    Imola, 40026

  • Research Site

    L’Aquila, 67100

  • Research Site

    La Spezia, 19124

  • Research Site

    Lecce, 73100

  • Research Site

    Lido di Camaiore, 55041

  • Research Site

    Meldola, 47014

  • Research Site

    Messina, 98158

  • Research Site

    Milan, 20132

  • Research Site

    Milan, 20133

  • Research Site

    Milan, 20141

  • Research Site

    Mirano, 30035

  • Research Site

    Modena, 41124

  • Research Site

    Monza, 20900

  • Research Site

    Naples, 80131

  • Research Site

    Padova, 35128

  • Research Site

    Parma, 43126

  • Research Site

    Pavia, 27100

  • Research Site

    Perugia, 06132

  • Research Site

    Pisa, 56124

  • Research Site

    Pistoia, 51100

  • Research Site

    Ravenna, 48121

  • Research Site

    Reggio Emilia, 42100

  • Research Site

    Rimini, 47923

  • Research Site

    Rionero in Vulture, 85028

  • Research Site

    Roma, 00161

  • Research Site

    Roma, 00189

  • Research Site

    Rozzano, 20089

  • Research Site

    Sora, 03039

  • Research Site

    Terni, 05100

  • Research Site

    Treviglio, 24047

  • Research Site

    Trieste, 34100

  • Research Site

    Udine, 33100

  • Research Site

    Varese, 21100

  • Research Site

    Verona, 37124

Other trials in Italy

Australia35 sites
  • Research Site

    Ballarat, 3350

  • Research Site

    Bankstown, 2200

  • Research Site

    Bedford Park, 5042

  • Research Site

    Bendigo, 3550

  • Research Site

    Bentleigh East, 3165

  • Research Site

    Bowral, 2576

  • Research Site

    Box Hill, 3128

  • Research Site

    Campbelltown, 2560

  • Research Site

    Camperdown, 2050

  • Research Site

    Canberra, 2605

  • Research Site

    Clayton, 3168

  • Research Site

    Coffs Harbour, 2450

  • Research Site

    Douglas, 4814

  • Research Site

    Elizabeth Vale, 5112

  • Research Site

    Frankston, 3199

  • Research Site

    Hamlyn Terrace, 2259

  • Research Site

    Hervey Bay, 4655

  • Research Site

    Hobart, 7000

  • Research Site

    Joondalup, 6027

  • Research Site

    Kingswood, 2747

  • Research Site

    Liverpool, 2170

  • Research Site

    Malvern, 3144

  • Research Site

    Melbourne, 3000

  • Research Site

    Melbourne, 3004

  • Research Site

    Murdoch, 6150

  • Research Site

    Orange, 2800

  • Research Site

    Rockhampton, 4700

  • Research Site

    St Leonards, 2065

  • Research Site

    Subiaco, 6008

  • Research Site

    Traralgon, 3844

  • Research Site

    Tugun, 4224

  • Research Site

    Warrnambool, 3280

  • Research Site

    Wendouree, 3355

  • Research Site

    Westmead, 2145

  • Research Site

    Wollongong, 2500

Other trials in Australia

Germany27 sites
  • Research Site

    Berlin, 12351

  • Research Site

    Bochum, 44791

  • Research Site

    Bremen, 28205

  • Research Site

    Dresden, 1307

  • Research Site

    Erlangen, 91054

  • Research Site

    Essen, 45136

  • Research Site

    Esslingen am Neckar, 73730

  • Research Site

    Fürth, 90766

  • Research Site

    Georgsmarienhütte, 49124

  • Research Site

    Gütersloh, 33334

  • Research Site

    Halle, 06120

  • Research Site

    Hamburg, 20246

  • Research Site

    Hamburg, 20249

  • Research Site

    Hamburg, 21075

  • Research Site

    Immenhausen, 34376

  • Research Site

    Kaiserslautern, 67655

  • Research Site

    Karlsruhe, 76137

  • Research Site

    Kempten, 87439

  • Research Site

    München, 80336

  • Research Site

    Münnerstadt, 97702

  • Research Site

    Oldenburg, 26121

  • Research Site

    Paderborn, 33098

  • Research Site

    Recklinghausen, 45657

  • Research Site

    Regensburg, 93049

  • Research Site

    Regensburg, 93053

  • Research Site

    Rostock, 18057

  • Research Site

    Würselen, 52146

Other trials in Germany

Belgium23 sites
  • Research Site

    Aalst, 9300

  • Research Site

    Bouge, 5004

  • Research Site

    Braine-l'Alleud, 1420

  • Research Site

    Brasschaat, 2930

  • Research Site

    Brussels, 1000

  • Research Site

    Brussels, 1090

  • Research Site

    Brussels, 1200

  • Research Site

    Dendermonde, 9200

  • Research Site

    Ghent, 9000

  • Research Site

    Hasselt, 3500

  • Research Site

    Herstal, 4040

  • Research Site

    Heusden-Zolder, 3550

  • Research Site

    Ieper, 8900

  • Research Site

    Kuringen, 2820

  • Research Site

    Liège, 4000

  • Research Site

    Loverval, 6280

  • Research Site

    Mons, 7000

  • Research Site

    Ottignies, 1340

  • Research Site

    Roeselare, 8800

  • Research Site

    Ronse, 9600

  • Research Site

    Sint-Niklaas, 9100

  • Research Site

    Sint-Truiden, 3800

  • Research Site

    Yvoir, 5530

Other trials in Belgium

Netherlands21 sites
  • Research Site

    's-Hertogenbosch, 5223 GZ

  • Research Site

    Alkmaar, 1815JD

  • Research Site

    Amersfoort, 3813 TZ

  • Research Site

    Amsterdam, 1066 CX

  • Research Site

    Amsterdam, 1091 AC

  • Research Site

    Arnhem, 6815 AD

  • Research Site

    Breda, 4818 CK

  • Research Site

    Ede, 6716 RP

  • Research Site

    Eindhoven, 5631 BM

  • Research Site

    Groningen, 9713 GZ

  • Research Site

    Groningen, 9728 NT

  • Research Site

    Heerlen, 6419 PC

  • Research Site

    Hilversum, 1313 XZ

  • Research Site

    Leiden, 2300 RC

  • Research Site

    Maastricht, 6202 AZ

  • Research Site

    Nieuwegein, 3430EM

  • Research Site

    Nijmegen, 6525 GA

  • Research Site

    Rotterdam, 3015 GD

  • Research Site

    The Hague, 2545 AA

  • Research Site

    Utrecht, 3584 CX

  • Research Site

    Zutphen, 7207 AE

Other trials in Netherlands

Israel13 sites
  • Research Site

    Ashkelon, 78278

  • Research Site

    Beersheba, 8410101

  • Research Site

    Haifa, 34362

  • Research Site

    Haifa, 91096

  • Research Site

    Holon, 58100

  • Research Site

    Jerusalem, 9112001

  • Research Site

    Kfar Saba, 4428164

  • Research Site

    Nahariya, 22100

  • Research Site

    Nazareth, 16100

  • Research Site

    Petah Tikva, 49100

  • Research Site

    Ramat Gan, 52621

  • Research Site

    Tel Aviv, 62748

  • Research Site

    Tel Aviv, 6423906

Other trials in Israel

United Kingdom12 sites
  • Research Site

    Birmingham, B9 5SS

  • Research Site

    Cardiff, CF14 2TL

  • Research Site

    Colchester, CO4 5JL

  • Research Site

    London, NW3 2QG

  • Research Site

    London, SE1 9RT

  • Research Site

    London, SW17 0QT

  • Research Site

    London, SW3 6JJ

  • Research Site

    London, W6 8RF

  • Research Site

    Manchester, M20 4BX

  • Research Site

    Nottingham, NG5 1PB

  • Research Site

    Poole, BH15 2JB

  • Research Site

    Stoke-on-Trent, ST4 6QG

Other trials in United Kingdom

Switzerland7 sites
  • Research Site

    Altdorf, CH-6460

  • Research Site

    Bülach, 8180

  • Research Site

    Chur, CH-7000

  • Research Site

    Fribourg, 1700

  • Research Site

    Geneva, 1205

  • Research Site

    Lausanne, 1011

  • Research Site

    Neuchâtel, 2000

Other trials in Switzerland

Norway4 sites
  • Research Site

    Arendal, 4809

  • Research Site

    Drammen, 3004

  • Research Site

    Oslo, 450

  • Research Site

    Tromsø, 9038

Other trials in Norway

About this study

This is a non-interventional/observational cohort of unresectable Stage III NSCLC patients treated with durvalumab.

The study will be carried out as a retrospective review of established medical records of unresectable Stage III NSCLC patients treated with durvalumab.

Read the detailed description

This is a non-interventional/observational study including unresectable Stage III NSCLC patients treated with durvalumab. Patients will be selected from the following participating countries: Australia, Belgium, Israel, Netherlands, Norway, France, Germany, Italy, Switzerland, Spain* and the United Kingdom.

Chart abstractions will occur at specified intervals up to five years after the patient had the first dose of durvalumab. A target of four (maximum five) chart extractions is anticipated for each participant. Dates may be adjusted based on local market ethics processes or patient enrolment.

  • First chart extraction will be used to determine which patients meet the inclusion/exclusion criteria for the study and will retrospectively collect all data from diagnosis of unresectable Stage III NSCLC to durvalumab start date (index date).
  • The second chart extraction will be triggered at time of estimated maturity of PFS data.
  • The third chart extraction will be triggered at time of estimated maturity of OS data.
  • The fourth (final) chart extractions will occur 5-years after EAP enrolment to provide final PFS and OS data, together with updated results for all secondary and descriptive endpoints.
  • The dates for the second through fourth chart abstractions may be adjusted, pending data availability. The estimated PFS and OS maturity will be calculated from the actual patient index dates (date of first dose of durvalumab) together with the distribution of PFS and OS observed in the PACIFIC trial.
  • Spain only contributed to DE1 and DE2.
Conditions
NSCLC

What is being measured

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

  1. Real-world progression free survival (rwPFS)

    PFS defined as time from the index date (D first dose date) to the date of investigator-determined disease progression or death (if no progression).

    Measured: Patients are followed up from the index date (durvalumab (D) first dose date) to progressive disease (PD), death (if no PD), or loss to follow up if no PD/death. PFS reported at 1, 2, 3, and 5 years after D initiation.

  2. Overall survival (OS)

    OS defined as time from the index date (D first dose date) to the date of death.

    Measured: Patients are followed up from the index date (D first dose date) to death or loss to follow up in the absence of death. OS reported at 2, 3, and 5 years after D initiation.

Secondary outcomes (4)
  1. Adverse events of special interest

    Adverse events of special interest assessed in the study included the following:

    • Diarrhoea / colitis and intestinal perforation
    • Pneumonitis / ILD
    • Hepatitis / transaminase increases
    • Endocrinopathies (i.e., events of hypophysitis / hypopituitarism, adrenal insufficiency, hyper- and hypo-thyroidism and type I diabetes mellitus)
    • Rash / dermatitis
    • Nephritis / blood creatinine increases
    • Pancreatitis / serum lipase and amylase increases
    • Myocarditis
    • Myositis / polymyositis
    • Neuropathy / neuromuscular toxicity (Guillain-Barré, and myasthenia gravis)
    • Other inflammatory responses that are rare / less frequent with a potential immune-mediated aetiology include, but are not limited to, pericarditis, sarcoidosis, uveitis, and other events involving the eye, skin, haematological and rheumatological events.

    Measured: Adverse event data are collected from the time of starting durvalumab (D) throughout the D treatment period up to 90 days after last D infusion or at time of next subsequent therapy initiation (whichever occurred earlier).

  2. Time to death or distant metastasis

    Time to death or DM was defined as time from the index date (D first dose date) to DM or death (if no DM).

    Measured: Patients are followed up from the index date (D first dose date) to distant metastasis (DM), death (if no DM), or loss to follow up if no DM/death. Time to death or DM reported at 1, 2, 3, and 5 years after the D initiation.

  3. Time to death or local recurrence

    Time to death or LR is defined as time from the index date (D first dose date) to LR or death (if no LR).

    Measured: Patients are followed up from the index date (D first dose date) to local recurrence (LR), death (if no LR), or loss to follow up if no LR/death. Time to death or LR reported at 1, 2, 3, and 5 years after the D initiation.

  4. Time to first subsequent treatment or death

    Time to first ST or death is defined as time from the index date (D first dose date) to the first ST or death (if no ST).

    Measured: Patients are followed up from the index date (D first dose date) to first subsequent treatment (ST) after D, death (if no ST), or loss to follow up if no ST/death. Time to first ST/death reported at 1, 2, 3, and 5 years after the D initiation.

Timeline

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

  1. First posted10 Jan 2019
  2. Study start19 Dec 2018
  3. Primary completion16 Jul 2024
  4. Study completion16 Jul 2024

Resources

More details

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

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Other
Enrolment
1,156 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03798535
Sponsor's protocol ID
D4194R00005
Status last verified
Jul 2025
First submitted
21 Dec 2018
Last updated
16 Jul 2025
Results posted
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

  • Langberg CW, Horndalsveen H, Helland A, Haakensen VD. Factors associated with failure to start consolidation durvalumab after definitive chemoradiation for locally advanced NSCLC. Front Oncol. 2023 Jul 5;13:1217424. doi: 10.3389/fonc.2023.1217424. eCollection 2023.

    PubMed 37476372
  • Zhao B, Li H, Ma W. Durvalumab After Chemoradiotherapy for Patients With Unresectable Stage III NSCLC: The PACIFIC-R Study. J Thorac Oncol. 2023 Apr;18(4):e38-e39. doi: 10.1016/j.jtho.2022.11.002. No abstract available.

    PubMed 36990576
  • Girard N, Bar J, Garrido P, Garassino MC, McDonald F, Mornex F, Filippi AR, Smit HJM, Peters S, Field JK, Christoph DC, Sibille A, Fietkau R, Haakensen VD, Chouaid C, Markman B, Hiltermann TJN, Taus A, Sawyer W, Allen A, Chander P, Licour M, Solomon B. Treatment Characteristics and Real-World Progression-Free Survival in Patients With Unresectable Stage III NSCLC Who Received Durvalumab After Chemoradiotherapy: Findings From the PACIFIC-R Study. J Thorac Oncol. 2023 Feb;18(2):181-193. doi: 10.1016/j.jtho.2022.10.003. Epub 2022 Oct 25.

    PubMed 36307040

Questions about this trial

What is this clinical trial studying?

An observational study of NSCLC, run by AstraZeneca at 254 sites in 10 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 5 inclusion and 1 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 16 Jul 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 254 sites in France, Italy, Australia, Germany, Belgium and 5 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.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Real-world progression free survival (rwPFS) (time frame: Patients are followed up from the index date (durvalumab (D) first dose date) to progressive disease (PD), death (if no PD), or loss to follow up if no PD/death. PFS reported at 1, 2, 3, and 5 years after D initiation.). The study lists 2 primary outcomes in all. 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 NCT03798535, which also lists 3 linked publications.

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 16 Jul 2025.

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