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Locally Advanced Cervical CancerPhase 3CALLANCT03830866

Study of Durvalumab With Chemoradiotherapy for Women With Locally Advanced Cervical Cancer (CALLA)

A Phase 3 study testing Durvalumab, Cisplatin and Carboplatin in people with Locally Advanced Cervical Cancer, run by AstraZeneca at 117 sites in 15 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 randomized, multi-center, double-blind, placebo-controlled, global, Phase III study to determine the efficacy and safety of durvalumab + Chemoradiotherapy versus Chemoradiotherapy alone as treatment in Women With Locally Advanced Cervical Cancer Read more about this study

Who is it for?
Ages 18 to 130 years, women only
Conditions the study is for
Locally Advanced Cervical Cancer
What is being tested?
Durvalumab, Cisplatin and Carboplatin
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
770 participants
Where
117 sitesin 15 countries
Study dates
15 Feb 2019to 3 Jul 2023
Phase
Phase 3
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 130 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • For inclusion in the study, patients should fulfill the following criteria:
  • Female
  • Aged at least 18 years
  • Documented evidence of cervical adenocarcinoma or squamous carcinoma FIGO (2009) Stages IB2 to IIB node positive or FIGO (2009) IIIA-IVA any node
  • No prior chemotherapy or radiotherapy for cervical cancer
  • WHO/ECOG performance status of 0-1
  • At least 1 lesion, not previously irradiated, that qualifies as a RECIST 1.1 Target Lesion at baseline.

Who cannot join

  • Patients should not enter the study if any of the following exclusion criteria are fulfilled:
  • Diagnosis of small cell (neuroendocrine) histology or mucinous adenocarcinoma cervical cancer
  • Intent to administer a fertility-sparing treatment regimen
  • Undergone a previous hysterectomy
  • Evidence of metastatic disease per RECIST 1.1 including lymph nodes ≥15 mm (short axis) above the L1 cephalad body, in the inguinal region or outside the planned radiation field.
  • History of allogeneic organ transplantation
Show all 9Show fewer
  • Active or prior documented autoimmune or inflammatory disorders
  • Uncontrolled intercurrent illness
  • History of another primary malignancy and active primary immunodeficiency

Trial locations and contacts

117 sites in 15 countries.

117 sites in 15 countries

United States16 sites
  • Research Site

    Ann Arbor, Michigan, 48109

  • Research Site

    Augusta, Georgia, 30912

  • Research Site

    Cleveland, Ohio, 44111

  • Research Site

    Cleveland, Ohio, 44124

  • Research Site

    Cleveland, Ohio, 44195

  • Research Site

    Dallas, Texas, 75235

  • Research Site

    Dallas, Texas, 75390

  • Research Site

    Fort Myers, Florida, 33905

  • Research Site

    La Jolla, California, 92093

  • Research Site

    Lake Success, New York, 11042

  • Research Site

    Miami, Florida, 33136

  • Research Site

    Nashville, Tennessee, 37203

  • Research Site

    Orange, California, 92868

  • Research Site

    Phoenix, Arizona, 85016

  • Research Site

    Spring, Texas, 77380

  • Research Site

    The Bronx, New York, 10461

Other trials in United States

China14 sites
  • Research Site

    Changchun, 130021

  • Research Site

    Changsha, 410013

  • Research Site

    Chengdu, 610041

  • Research Site

    Chongqing, 400030

  • Research Site

    Guangzhou, 510000

  • Research Site

    Hangzhou, 310022

  • Research Site

    Hefei, 230001

  • Research Site

    Hefei, 230031

  • Research Site

    Shanghai, 200032

  • Research Site

    Shenyang, 100003

  • Research Site

    Shenyang, 110016

  • Research Site

    Tianjin, 300052

  • Research Site

    Wuhan, 430022

  • Research Site

    Wuhan, 430079

Other trials in China

Brazil13 sites
  • Research Site

    Barretos, 14784-400

  • Research Site

    Fortaleza, 60336-045

  • Research Site

    Londrina, 86015-520

  • Research Site

    Porto Alegre, 90050-170

  • Research Site

    Porto Alegre, 90110-270

  • Research Site

    Porto Alegre, 90610-000

  • Research Site

    Porto Alegre, 91350-200

  • Research Site

    Rio de Janeiro, 20220-410

  • Research Site

    São José do Rio Preto, 15090-000

  • Research Site

    São Paulo, 01246-000

  • Research Site

    São Paulo, 01317-000

  • Research Site

    São Paulo, 01509-900

  • Research Site

    São Paulo, 03102-002

Other trials in Brazil

Japan11 sites
  • Research Site

    Fukuoka, 811-1395

  • Research Site

    Kagoshima, 890-8520

  • Research Site

    Kōtoku, 135-8550

  • Research Site

    Kyoto, 606-8507

  • Research Site

    Nakagami-gun, 903-0215

  • Research Site

    Osaka, 541-8567

  • Research Site

    Sapporo, 003-0804

  • Research Site

    Sendai, 980-8574

  • Research Site

    Shinjuku-ku, 160-8582

  • Research Site

    Toon-shi, 791-0204

  • Research Site

    Yokohama, 236-0004

Other trials in Japan

India8 sites
  • Research Site

    Ahmedabad, 380015

  • Research Site

    Gūrgaon, 122001

  • Research Site

    Madurai, 625107

  • Research Site

    Mumbai, 400012

  • Research Site

    Nagpur, 440026

  • Research Site

    Nashik, 422002

  • Research Site

    New Delhi, 110063

  • Research Site

    Visakhapatnam, 530017

Other trials in India

Chile7 sites
  • Research Site

    Antofagasta, 1267348

  • Research Site

    Santiago, 7500921

  • Research Site

    Santiago, 7630370

  • Research Site

    Santiago, 8380455

  • Research Site

    Temuco, 4810218

  • Research Site

    Temuco, 4810469

  • Research Site

    Viña del Mar, 2540488

Other trials in Chile

Mexico7 sites
  • Research Site

    Alc. Cuauhtémoc, 06700

  • Research Site

    Deleg. Tlalpan, 14080

  • Research Site

    Guadalajara, 44680

  • Research Site

    Guadalajara Jalisco, 44280

  • Research Site

    Mérida, 97134

  • Research Site

    San Luis Potosí City, 78250

  • Research Site

    Veracruz, 91900

Other trials in Mexico

Russia7 sites
  • Research Site

    Arkhangelsk, 163045

  • Research Site

    Chelyabinsk, 454087

  • Research Site

    Kaluga, 248007

  • Research Site

    Moscow, 115533

  • Research Site

    Moscow, 117997

  • Research Site

    Moscow, 125367

  • Research Site

    Novosibirsk, 630055

Other trials in Russia

Taiwan7 sites
  • Research Site

    Taichung, 40705

  • Research Site

    Tainan, 704

  • Research Site

    Taipei, 10002

  • Research Site

    Taipei, 10449

  • Research Site

    Taipei, 11217

  • Research Site

    Taipei, 11490

  • Research Site

    Taoyuan City, 333

Other trials in Taiwan

Philippines6 sites
  • Research Site

    Baguio City, 2600

  • Research Site

    Cebu, 6000

  • Research Site

    Iloilo City, 5000

  • Research Site

    Makati, 1229

  • Research Site

    Manila, 1015

  • Research Site

    Quezon City, 1112

Other trials in Philippines

Hungary5 sites
  • Research Site

    Budapest, 1122

  • Research Site

    Debrecen, 4032

  • Research Site

    Győr, 9024

  • Research Site

    Kaposvár, 7400

  • Research Site

    Szeged, 6725

Other trials in Hungary

Peru5 sites
  • Research Site

    Lima, L27

  • Research Site

    Lima, LIMA 27

  • Research Site

    Lima, LIMA 31

  • Research Site

    Lima, LIMA 34

  • Research Site

    Lima, LIMA 41

Other trials in Peru

Poland5 sites
  • Research Site

    Bialystok, 15-027

  • Research Site

    Gdansk, 80-214

  • Research Site

    Gliwice, 44-101

  • Research Site

    Lodz, 90-513

  • Research Site

    Lublin, 20-090

Other trials in Poland

South Korea4 sites
  • Research Site

    Seoul, 03722

  • Research Site

    Seoul, 05505

  • Research Site

    Seoul, 06351

  • Research Site

    Seoul, 08826

Other trials in South Korea

South Africa2 sites
  • Research Site

    Parktown, 2193

  • Research Site

    Port Elizabeth, 6045

Other trials in South Africa

About this study

Official title: A Phase III, Randomized, Multi-Center, Double-Blind, Global Study to Determine the Efficacy and Safety of Durvalumab in Combination With and Following Chemoradiotherapy Compared to Chemoradiotherapy Alone for Treatment in Women With Locally Advanced Cervical Cancer

This is a randomized, multi-center, double-blind, placebo-controlled, global, Phase III study to determine the efficacy and safety of durvalumab + Chemoradiotherapy versus Chemoradiotherapy alone as treatment in Women With Locally Advanced Cervical Cancer

Read the detailed description

Women will be randomized in a 1:1 ratio to receive treatment with concurrent durvalumab + standard of care (SoC) or Placebo + Soc, followed by durvalumab/placebo maintenance for 24 months.

Being tested
Durvalumab, Cisplatin, Carboplatin, external beam radiation therapy (EBRT) + brachytherapy
Keywords
Durvalumab, Chemoradiotherapy, Locally Advanced Cervical Cancer

What participants receive

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

  • DurvalumabBiological

    IV infusion every 4 weeks

  • CisplatinDrug

    Platinum based Standard of Care Chemotherapy administered concurrent with radiation therapy

  • CarboplatinDrug

    For patients enrolled under CSP v2 and prior - platinum based Standard of Care Chemotherapy administered concurrent with radiation therapy

  • external beam radiation therapy (EBRT) + brachytherapyRadiation

    Radiation therapy per standard of care

Study groups in NCT03830866
Study groupRoleWhat they receive
Durvalumab (intravenous infusion)Experimentaldurvalumab + standard of care concurrent chemoradiation therapy(SoC CCRT) followed by durvalumab monotherapy up to 24 months or until PD from the date of randomization
Receives: Biological: Durvalumab; Drug: Cisplatin; Drug: Carboplatin; Radiation: external beam radiation therapy (EBRT) + brachytherapy
Placebo (matching placebo for intravenous infusion)Placebo comparatorplacebo + standard of care concurrent chemoradiation therapy(SoC CCRT)
Receives: Drug: Cisplatin; Drug: Carboplatin; Radiation: external beam radiation therapy (EBRT) + brachytherapy

What is being measured

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

  1. Progression-free Survival (PFS) Based on the Investigator Assessment According to RECIST 1.1 or Histopathologic Confirmation of Local Tumour Progression

    PFS defined as time from date of randomisation until date of tumour progression or death by any cause, regardless of whether the patient withdrew from randomized therapy or received another anticancer therapy prior to progression

    Measured: Tumor assessments start 20 weeks after randomisation then every 12 weeks up to 164 weeks, then every 24 weeks until date of RECIST1.1 defined radiological progression. Assessed up to date of DCO (20-Jan-2022) to a maximum of 32.6 months

Secondary outcomes (6)
  1. Progression-free Survival (PFS) Based on the Investigator Assessment According to RECIST 1.1 or Histopathologic Confirmation of Local Tumour Progression, PD-L1 Expression >= 1%

    PFS defined as time from date of randomisation until date of tumour progression or death by any cause, regardless of whether the patient withdrew from randomized therapy or received another anticancer therapy prior to progression

    Measured: Tumor assessments start 20 weeks after randomisation then every 12 weeks up to 164 weeks, then every 24 weeks until date of RECIST1.1 defined radiological progression. Assessed up to date of DCO (20-Jan-2022) to a maximum of 32.6 months

  2. Overall Survival (Count)

    Number of Participants with Overall Survival (OS) where OS was defined as the time from the date of randomisation until death by any cause

    Measured: Time from date of randomisation until date of death by any cause, assessed up to the data cut-off date (3rd July 2023), assessed up to a maximum of 51.7 months

  3. Overall Survival (Duration)

    Time from the date of randomisation until death by any cause

    Measured: Time from date of randomisation until date of death by any cause, assessed up to the data cut-off date (3rd July 2023), assessed up to a maximum of 51.7 months

  4. Objective Response Rate (ORR)

    Percentage of evaluable patients with an Investigator-assessed visit response of complete response (CR) or partial response (PR). CR defined as disappearance of all target and non-target lesions and no new lesions. PR defined as >= 30% decrease in the sum of diameters of target lesions (compared to baseline) and no new non-target lesion

    Measured: Tumor assessments start 20 weeks after randomisation then every 12 weeks up to 164 weeks, then every 24 weeks until date of RECIST1.1 defined radiological progression. Assessed up to date of DCO (20-Jan-2022) to a maximum of 32.6 months

  5. Complete Response Rate

    Percentage of evaluable patients with an overall visit response of Complete Response (disappearance of all target and non-target lesions)

    Measured: Tumor assessments start 20 weeks after randomisation then every 12 weeks up to 164 weeks, then every 24 weeks until date of RECIST1.1 defined radiological progression. Assessed up to date of DCO (20-Jan-2022) to a maximum of 32.6 months

  6. Duration of Response (DoR) in Patients With Complete Response (CR)

    Time from date of first documented CR until date of documented progression or death in the absence of progression. For patients who did not progress their DoR was their Progression-free survival censoring time

    Measured: Tumor assessments start 20 weeks after randomisation then every 12 weeks up to 164 weeks, then every 24 weeks until date of RECIST1.1 defined radiological progression. Assessed up to date of DCO (20-Jan-2022) to a maximum of 32.6 months

Timeline

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

  1. First posted5 Feb 2019
  2. Study start15 Feb 2019
  3. Primary completion20 Jan 2022
  4. Study completion3 Jul 2023

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
770 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03830866
Sponsor's protocol ID
D9100C00001
Other IDs
2018-002872-42, 2018
Acronym
CALLA
Status last verified
Jun 2024
First submitted
4 Dec 2018
Last updated
26 Jul 2024
Data monitoring committee
Yes
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.

Publications

  • Monk BJ, Toita T, Wu X, Vazquez Limon JC, Tarnawski R, Mandai M, Shapira-Frommer R, Mahantshetty U, Del Pilar Estevez-Diz M, Zhou Q, Limaye S, Godinez FJR, Oppermann Kussler C, Varga S, Valdiviezo N, Aoki D, Leiva M, Lee JY, Sulay R, Kreynina Y, Cheng WF, Rey F, Rong Y, Ke G, Wildsmith S, Lloyd A, Dry H, Tablante Nunes A, Mayadev J. Durvalumab versus placebo with chemoradiotherapy for locally advanced cervical cancer (CALLA): a randomised, double-blind, phase 3 trial. Lancet Oncol. 2023 Dec;24(12):1334-1348. doi: 10.1016/S1470-2045(23)00479-5.

    PubMed 38039991
  • Mayadev J, Nunes AT, Li M, Marcovitz M, Lanasa MC, Monk BJ. CALLA: Efficacy and safety of concurrent and adjuvant durvalumab with chemoradiotherapy versus chemoradiotherapy alone in women with locally advanced cervical cancer: a phase III, randomized, double-blind, multicenter study. Int J Gynecol Cancer. 2020 Jul;30(7):1065-1070. doi: 10.1136/ijgc-2019-001135. Epub 2020 May 23.

    PubMed 32447296

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Durvalumab, Cisplatin and Carboplatin in people with Locally Advanced Cervical Cancer, run by AstraZeneca at 117 sites in 15 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 7 inclusion and 9 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 26 Jul 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 117 sites in United States, China, Brazil, Japan, India and 10 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. Some participants in this study may receive a placebo. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 6 Mar 2023). 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?

Progression-free Survival (PFS) Based on the Investigator Assessment According to RECIST 1.1 or Histopathologic Confirmation of Local Tumour Progression (time frame: Tumor assessments start 20 weeks after randomisation then every 12 weeks up to 164 weeks, then every 24 weeks until date of RECIST1.1 defined radiological progression. Assessed up to date of DCO (20-Jan-2022) to a maximum of 32.6 months). 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 NCT03830866, which also lists 2 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 26 Jul 2024.

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