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Small Cell Lung Carcinoma Extensive DiseasePhase 3CANTABRICONCT04712903

Durvalumab Plus Chemotherapy in Untreated Patients With Extensive-Stage Small Cell Lung Cancer

A Phase 3 study testing Durvalumab, Cisplatin and Etoposide in people with Small Cell Lung Carcinoma Extensive Disease, run by AstraZeneca at 34 sites in Spain.

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

This is a Phase IIIb, interventional, single arm, multicentre study to evaluate safety, effectivenees, use of resources and patient reporting outcomes in patients with ES-SCLC treated with durvalumab in combination with platinum-etoposide as first-line treatment in Spain. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
What is being tested?
Durvalumab, Cisplatin and Etoposide
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
101 participants
Where
34 sitesSpain
Study dates
16 Dec 2020to 21 Jun 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 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Histologically or cytologically documented Small cell Lung Cancer with extensive disease.
  • Patients who had received chemoradiotherapy for LS-SCLC and have experienced a treatment-free interval of at least 6 months since last chemotherapy, radiotherapy, or chemoradiotherapy cycle, can be included under investigator criteria.
  • Brain metastases; must be asymptomatic or have been treated at least 2 weeks prior to study treatment and are currently receiving 10 mg/day or less of prednisone or equivalent.
  • Patients must be considered suitable to receive a platinum-based chemotherapy regimen as 1st line treatment for ES-SCLC.
  • ECOG Performance Status of 0-2 at enrolment.
  • No prior exposure to immune-mediated therapy for cancer.
Show all 9Show fewer
  • Adequate hematologic and organ function.
  • Life expectancy of at least 12 weeks.
  • Body weight >30 kg.

Who cannot join

  • Any history of radiotherapy to the chest prior to systemic therapy or planned consolidation chest radiation therapy (except paliative care outside of the chest).
  • Paraneoplastic syndrome of autoimmune nature, requiring systemic treatment or clinical symptomatology suggesting worsening of PNS
  • Active infection including tuberculosis, HIV, hepatitis B anc C
  • Active or prior documented autoimmune or inflammatory disorders
  • Uncontrolled intercurrent illness, including but not limited to interstitial lung disease.

Trial locations and contacts

34 sites in 1 country.

34 sites in 1 country

Spain34 sites
  • Research Site

    A Coruña, 15006

  • Research Site

    Alicante, 03010

  • Research Site

    Badajoz, 6006

  • Research Site

    Badalona, 08916

  • Research Site

    Barcelona, 08036

  • Research Site

    Barcelona, 08908

  • Research Site

    Barcelona, 8003

  • Research Site

    Barcelona, ?08041

  • Research Site

    Castellon, 12004

  • Research Site

    Córdoba, 14004

  • Research Site

    Galdakao, 48960

  • Research Site

    Granada, 18014

  • Research Site

    Jaén, 23007

  • Research Site

    León, 24071

  • Research Site

    Madrid, 28027

  • Research Site

    Madrid, 28034

  • Research Site

    Madrid, 28040

  • Research Site

    Madrid, 28041

  • Research Site

    Majadahonda, 28222

  • Research Site

    Málaga, 29011

  • Research Site

    Mataró, 08304

  • Research Site

    Murcia, 30008

  • Research Site

    Ourense, 32005

  • Research Site

    Oviedo, 33011

  • Research Site

    Palma, 07198

  • Research Site

    Reus,Tarragona, 43204

  • Research Site

    San Cristóbal de La Laguna, 38320

  • Research Site

    San Sebastián, 20014

  • Research Site

    Santander, 39008

  • Research Site

    Santiago de Compostela, 15706

  • Research Site

    Toledo, 45004

  • Research Site

    Valencia, 46026

  • Research Site

    Valladolid, 47003

  • Research Site

    Zaragoza, 50009

Other trials in Spain

About this study

Official title: A Phase IIIB, Single Arm Study, of Durvalumab in Combination With Platinum-Etoposide for Untreated Patients With Extensive-Stage Small Cell Lung Cancer Reflecting Real World Clinical Practice in Spain (CANTABRICO).

This is a Phase IIIb, interventional, single arm, multicentre study to evaluate safety, effectivenees, use of resources and patient reporting outcomes in patients with ES-SCLC treated with durvalumab in combination with platinum-etoposide as first-line treatment in Spain.

Read the detailed description

This trial will provide an opportunity to further evaluate the safety profile and efficacy of durvalumab + EP in patient population that is reflective of real-world clinical practice, Durvalumab will be concurrently administered with first-line chemotherapy (EP) on an every 3 week (q3w) schedule for 4 to 6 cycles, and will continue to be administered as monotherapy post-chemotherapy on an every 4 week (q4w) schedule until confirmed progressive disease (PD) or unacceptable toxicity.

Prophylactic cranial irradiation (PCI) is allowed in patients showing complete or partial responses after the durvalumab + EP combination cycles, at the discretion of the investigator according to their local clinical practice.

Keywords
Extensive-Stage, ICI, SCLC, Durvalumab

What participants receive

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

  • DurvalumabDrug

    Durvalumab 1500 mg via IV infusion over 60 minutes on Day 1 of each cycle.

  • CisplatinDrug

    Cisplatin as an IV infusion per local standards (usually over 60 to 120 minutes on Day 1) of each cycle.

  • EtoposideDrug

    Etoposide sequentially administered per local standards (usually over 30 to 60 minutes IV infusion) on Days 1, 2, and 3 of each cycle.

  • CarboplatinDrug

    Carboplatin as an IV infusion per local standards (usually over 30 to 60 minutes on Day 1) of each cycle.

Study groups in NCT04712903
Study groupRoleWhat they receive
Durvalumab in Combination with Platinum-EtoposideExperimentalDurvalumab 1500 mg via IV infusion will be concurrently administered with first-line chemotherapy (EP) on an every 3 week (q3w) schedule for 4 to 6 cycles, and will continue to be administered post-chemotherapy on an every 4 week (q4w) schedule until confirmed progressive disease (PD) or unacceptable toxicity.
Receives: Drug: Durvalumab; Drug: Cisplatin; Drug: Etoposide; Drug: Carboplatin

What is being measured

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

  1. Number of Patients With Adverse Events (AEs) Grade ≥ 3

    Patients with AEs grade ≥ 3 acording to NCI CTCAE v5.0

    Measured: During study treatment, until disease progression (median 6 months)

  2. Number of Patients With Immune-mediated Adverse Events (imAE)

    Patients with immune-mediated adverse events (imAE) per patient

    Measured: During study treatment, until disease progression (median 6 months)

Secondary outcomes (36)
  1. Progression Free Survival (PFS).

    PFS: Defined as the time from the first date of treatment until the date of objective disease progression or death (by any cause in the absence of progression) regardless of whether the patient withdraws from investigational product or receives another anticancer therapy prior to progression. Patients who have not progressed or died at the time of analysis will be censored at the time of the latest date of assessment from their last evaluable assessment.

    Measured: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 2 years

  2. Objetive Response Rate (ORR)

    Per Response Evaluation Criteria In Solid Tumors (RECIST v1.0) Criteria for target lesions: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR

    Measured: At least every 12 weeks, up to 18 monts

  3. Duration of Response (DoR)

    DoR: Defined as the time from the date of first documented response per RECIST1.1 until the first date of documented progression per RECIST1.1 or death in the absence of disease progression.

    Measured: From the date of first documented response until the first date of documented progression or death in the absence of disease progression, assessed up to 2 years.

  4. Time to Treatment Discontinuation (TTD)

    TTD: Defined as the time from the first date of treatment until the end of treatment date.

    Measured: From the first date of treatment until the end of treatment date, assessed up to 2 years.

  5. Overal Survival (OS)

    OS: Defined as the time from the first date of treatment until death due to any cause. Any patient not known to have died at the time of analysis will be censored based on the last recorded date on which the patient was known to be alive.

    Measured: From date of inclusion until the date of death, assessed up to 30 months

  6. PFS Rate at 6 Months

    Percentage of participants remaining alive without disease progression at 6 months after initiation of study treatment.

    Measured: Every 12 weeks

  7. PFS Rate at 12 Months

    Percentage of participants remaining alive without disease progression at 12 months after initiation of study treatment.

    Measured: Every 12 weeks

  8. DoR Rate at 12 Months

    Percentage of responders remaining alive without disease progression at 12 months after first response.

    Measured: Every 12 weeks

  9. OS Rate at 6 Months

    Percentage of participants remaining alive at 6 months after initiation of study treatment.

    Measured: Every 12 weeks

  10. OS Rate at 12 Months

    Percentage of participants remaining alive at 12 months after initiation of study treatment.

    Measured: Every 12 weeks

  11. OS Rate at 18 Months

    Percentage of participants remaining alive at 18 months after initiation of study treatment.

    Measured: Every 12 weeks

  12. EORTC QLQ-C30: Global Health Status Domain, Change From Baseline to End of Treatment Visit

    EORTC QLQ-C30 was administered on day 1 and on the final visit (last treatment visit). EORTC QLQ-C30 is a 30-item questionnaire used to assess the overall quality of life in cancer patients. It consists of 15 domains: 1 global health status scale, 5 functional scales (Physical Functioning, Role Functioning, Cognitive Functioning, Emotional Functioning, Social Functioning), and 9 symptom scales/items (Fatigue, Nausea and Vomiting, Pain, Dyspnoea, Insomnia, Appetite Loss, Constipation, Diarrohea, Financial difficulties).

    For each of these scales, scores range from 0 to 100. For the Global Health Status and the 5 functional scales a high score indicates better global health status/functioning and a positive change from baseline indicates improvement.

    Change from baseline is the difference in the score between the end of treatment visit and the first visit.

    Measured: Baseline (cycle 1 day 1) and end of treatment visit.

  13. EORTC QLQ-C30: Physical Functioning Domain, Change From Baseline to End of Treatment Visit

    EORTC QLQ-C30 was administered on day 1 and on the final visit (last treatment visit). EORTC QLQ-C30 is a 30-item questionnaire used to assess the overall quality of life in cancer patients. It consists of 15 domains: 1 global health status scale, 5 functional scales (Physical Functioning, Role Functioning, Cognitive Functioning, Emotional Functioning, Social Functioning), and 9 symptom scales/items (Fatigue, Nausea and Vomiting, Pain, Dyspnoea, Insomnia, Appetite Loss, Constipation, Diarrohea, Financial difficulties).

    For each of these scales, scores range from 0 to 100. For the Global Health Status and the 5 functional scales a high score indicates better global health status/functioning and a positive change from baseline indicates improvement.

    Change from baseline is the difference in the score between the end of treatment visit and the first visit.

    Measured: Baseline (cycle 1 day 1) and end of treatment visit.

  14. EORTC QLQ-C30: Role Functioning Domain, Change From Baseline to End of Treatment Visit

    EORTC QLQ-C30 was administered on day 1 and on the final visit (last treatment visit). EORTC QLQ-C30 is a 30-item questionnaire used to assess the overall quality of life in cancer patients. It consists of 15 domains: 1 global health status scale, 5 functional scales (Physical Functioning, Role Functioning, Cognitive Functioning, Emotional Functioning, Social Functioning), and 9 symptom scales/items (Fatigue, Nausea and Vomiting, Pain, Dyspnoea, Insomnia, Appetite Loss, Constipation, Diarrohea, Financial difficulties).

    For each of these scales, scores range from 0 to 100. For the Global Health Status and the 5 functional scales a high score indicates better global health status/functioning and a positive change from baseline indicates improvement.

    Change from baseline is the difference in the score between the end of treatment visit and the first visit.

    Measured: Baseline (cycle 1 day 1) and end of treatment visit.

  15. EORTC QLQ-C30: Emotional Functioning Domain, Change From Baseline to End of Treatment Visit

    EORTC QLQ-C30 was administered on day 1 and on the final visit (last treatment visit). EORTC QLQ-C30 is a 30-item questionnaire used to assess the overall quality of life in cancer patients. It consists of 15 domains: 1 global health status scale, 5 functional scales (Physical Functioning, Role Functioning, Cognitive Functioning, Emotional Functioning, Social Functioning), and 9 symptom scales/items (Fatigue, Nausea and Vomiting, Pain, Dyspnoea, Insomnia, Appetite Loss, Constipation, Diarrohea, Financial difficulties).

    For each of these scales, scores range from 0 to 100. For the Global Health Status and the 5 functional scales a high score indicates better global health status/functioning and a positive change from baseline indicates improvement.

    Change from baseline is the difference in the score between the end of treatment visit and the first visit.

    Measured: Baseline (cycle 1 day 1) and end of treatment visit.

  16. EORTC QLQ-C30: Cognitive Functioning Domain, Change From Baseline to End of Treatment Visit

    EORTC QLQ-C30 was administered on day 1 and on the final visit (last treatment visit). EORTC QLQ-C30 is a 30-item questionnaire used to assess the overall quality of life in cancer patients. It consists of 15 domains: 1 global health status scale, 5 functional scales (Physical Functioning, Role Functioning, Cognitive Functioning, Emotional Functioning, Social Functioning), and 9 symptom scales/items (Fatigue, Nausea and Vomiting, Pain, Dyspnoea, Insomnia, Appetite Loss, Constipation, Diarrohea, Financial difficulties).

    For each of these scales, scores range from 0 to 100. For the Global Health Status and the 5 functional scales a high score indicates better global health status/functioning and a positive change from baseline indicates improvement.

    Change from baseline is the difference in the score between the end of treatment visit and the first visit.

    Measured: Baseline (cycle 1 day 1) and end of treatment visit.

  17. EORTC QLQ-C30: Social Functioning Domain, Change From Baseline to End of Treatment Visit

    EORTC QLQ-C30 was administered on day 1 and on the final visit (last treatment visit). EORTC QLQ-C30 is a 30-item questionnaire used to assess the overall quality of life in cancer patients. It consists of 15 domains: 1 global health status scale, 5 functional scales (Physical Functioning, Role Functioning, Cognitive Functioning, Emotional Functioning, Social Functioning), and 9 symptom scales/items (Fatigue, Nausea and Vomiting, Pain, Dyspnoea, Insomnia, Appetite Loss, Constipation, Diarrohea, Financial difficulties).

    For each of these scales, scores range from 0 to 100. For the Global Health Status and the 5 functional scales a high score indicates better global health status/functioning and a positive change from baseline indicates improvement.

    Change from baseline is the difference in the score between the end of treatment visit and the first visit.

    Measured: Baseline (cycle 1 day 1) and end of treatment visit.

  18. EORTC QLQ-C30: Fatigue, Change From Baseline to End of Treatment Visit

    EORTC QLQ-C30 was administered on day 1 and on the final visit (last treatment visit). EORTC QLQ-C30 is a 30-item questionnaire used to assess the overall quality of life in cancer patients. It consists of 15 domains: 1 global health status (GHS) scale, 5 functional scales (Physical Functioning, Role Functioning, Cognitive Functioning, Emotional Functioning, Social Functioning), and 9 symptom scales/items (Fatigue, Nausea and Vomiting, Pain, Dyspnoea, Insomnia, Appetite Loss, Constipation, Diarrohea, Financial difficulties).

    For the 9 symptom scales, a high score indicates a higher level of symptoms, and a negative change from Baseline indicates an improvement in symptoms.

    Change from baseline is the difference in the score between the end of treatment visit and the first visit.

    Measured: Baseline (cycle 1 day 1) and end of treatment visit.

  19. . EORTC QLQ-C30: Pain, Change From Baseline to End of Treatment Visit

    EORTC QLQ-C30 was administered on day 1 and on the final visit (last treatment visit). EORTC QLQ-C30 is a 30-item questionnaire used to assess the overall quality of life in cancer patients. It consists of 15 domains: 1 global health status (GHS) scale, 5 functional scales (Physical Functioning, Role Functioning, Cognitive Functioning, Emotional Functioning, Social Functioning), and 9 symptom scales/items (Fatigue, Nausea and Vomiting, Pain, Dyspnoea, Insomnia, Appetite Loss, Constipation, Diarrohea, Financial difficulties).

    For the 9 symptom scales, a high score indicates a higher level of symptoms, and a negative change from Baseline indicates an improvement in symptoms.

    Change from baseline is the difference in the score between the end of treatment visit and the first visit.

    Measured: Baseline (cycle 1 day 1) and end of treatment visit.

  20. EORTC QLQ-C30: Nausea and Vomiting, Change From Baseline to End of Treatment Visit

    EORTC QLQ-C30 was administered on day 1 and on the final visit (last treatment visit). EORTC QLQ-C30 is a 30-item questionnaire used to assess the overall quality of life in cancer patients. It consists of 15 domains: 1 global health status (GHS) scale, 5 functional scales (Physical Functioning, Role Functioning, Cognitive Functioning, Emotional Functioning, Social Functioning), and 9 symptom scales/items (Fatigue, Nausea and Vomiting, Pain, Dyspnoea, Insomnia, Appetite Loss, Constipation, Diarrohea, Financial difficulties).

    For the 9 symptom scales, a high score indicates a higher level of symptoms, and a negative change from Baseline indicates an improvement in symptoms.

    Change from baseline is the difference in the score between the end of treatment visit and the first visit.

    Measured: Baseline (cycle 1 day 1) and end of treatment visit.

  21. EORTC QLQ-C30: Dyspnoea, Change From Baseline to End of Treatment Visit

    EORTC QLQ-C30 was administered on day 1 and on the final visit (last treatment visit). EORTC QLQ-C30 is a 30-item questionnaire used to assess the overall quality of life in cancer patients. It consists of 15 domains: 1 global health status (GHS) scale, 5 functional scales (Physical Functioning, Role Functioning, Cognitive Functioning, Emotional Functioning, Social Functioning), and 9 symptom scales/items (Fatigue, Nausea and Vomiting, Pain, Dyspnoea, Insomnia, Appetite Loss, Constipation, Diarrohea, Financial difficulties).

    For the 9 symptom scales, a high score indicates a higher level of symptoms, and a negative change from Baseline indicates an improvement in symptoms.

    Change from baseline is the difference in the score between the end of treatment visit and the first visit.

    Measured: Baseline (cycle 1 day 1) and end of treatment visit.

  22. EORTC QLQ-C30: Insomnia, Change From Baseline to End of Treatment Visit

    EORTC QLQ-C30 was administered on day 1 and on the final visit (last treatment visit). EORTC QLQ-C30 is a 30-item questionnaire used to assess the overall quality of life in cancer patients. It consists of 15 domains: 1 global health status (GHS) scale, 5 functional scales (Physical Functioning, Role Functioning, Cognitive Functioning, Emotional Functioning, Social Functioning), and 9 symptom scales/items (Fatigue, Nausea and Vomiting, Pain, Dyspnoea, Insomnia, Appetite Loss, Constipation, Diarrohea, Financial difficulties).

    For the 9 symptom scales, a high score indicates a higher level of symptoms, and a negative change from Baseline indicates an improvement in symptoms.

    Change from baseline is the difference in the score between the end of treatment visit and the first visit.

    Measured: Baseline (cycle 1 day 1) and end of treatment visit.

  23. EORTC QLQ-C30: Appetite Loss, Change From Baseline to End of Treatment Visit

    EORTC QLQ-C30 was administered on day 1 and on the final visit (last treatment visit). EORTC QLQ-C30 is a 30-item questionnaire used to assess the overall quality of life in cancer patients. It consists of 15 domains: 1 global health status (GHS) scale, 5 functional scales (Physical Functioning, Role Functioning, Cognitive Functioning, Emotional Functioning, Social Functioning), and 9 symptom scales/items (Fatigue, Nausea and Vomiting, Pain, Dyspnoea, Insomnia, Appetite Loss, Constipation, Diarrohea, Financial difficulties).

    For the 9 symptom scales, a high score indicates a higher level of symptoms, and a negative change from Baseline indicates an improvement in symptoms.

    Change from baseline is the difference in the score between the end of treatment visit and the first visit.

    Measured: Baseline (cycle 1 day 1) and end of treatment visit.

  24. EORCT QLQ-C30: Constipation, Change From Baseline to End of Treatment Visit

    EORTC QLQ-C30 was administered on day 1 and on the final visit (last treatment visit). EORTC QLQ-C30 is a 30-item questionnaire used to assess the overall quality of life in cancer patients. It consists of 15 domains: 1 global health status (GHS) scale, 5 functional scales (Physical Functioning, Role Functioning, Cognitive Functioning, Emotional Functioning, Social Functioning), and 9 symptom scales/items (Fatigue, Nausea and Vomiting, Pain, Dyspnoea, Insomnia, Appetite Loss, Constipation, Diarrohea, Financial difficulties).

    For the 9 symptom scales, a high score indicates a higher level of symptoms, and a negative change from Baseline indicates an improvement in symptoms.

    Change from baseline is the difference in the score between the end of treatment visit and the first visit.

    Measured: Baseline (cycle 1 day 1) and end of treatment visit.

  25. EORTC QLQ-C30: Diarrhoea, Change From Baseline to End of Treatment Visit

    EORTC QLQ-C30 was administered on day 1 and on the final visit (last treatment visit). EORTC QLQ-C30 is a 30-item questionnaire used to assess the overall quality of life in cancer patients. It consists of 15 domains: 1 global health status (GHS) scale, 5 functional scales (Physical Functioning, Role Functioning, Cognitive Functioning, Emotional Functioning, Social Functioning), and 9 symptom scales/items (Fatigue, Nausea and Vomiting, Pain, Dyspnoea, Insomnia, Appetite Loss, Constipation, Diarrohea, Financial difficulties).

    For the 9 symptom scales, a high score indicates a higher level of symptoms, and a negative change from Baseline indicates an improvement in symptoms.

    Change from baseline is the difference in the score between the end of treatment visit and the first visit.

    Measured: Baseline (cycle 1 day 1) and end of treatment visit.

  26. EORTC QLQ-C30: Financial Difficulties, Change From Baseline to End of Treatment Visit

    EORTC QLQ-C30 was administered on day 1 and on the final visit (last treatment visit). EORTC QLQ-C30 is a 30-item questionnaire used to assess the overall quality of life in cancer patients. It consists of 15 domains: 1 global health status (GHS) scale, 5 functional scales (Physical Functioning, Role Functioning, Cognitive Functioning, Emotional Functioning, Social Functioning), and 9 symptom scales/items (Fatigue, Nausea and Vomiting, Pain, Dyspnoea, Insomnia, Appetite Loss, Constipation, Diarrohea, Financial difficulties).

    For the 9 symptom scales, a high score indicates a higher level of symptoms, and a negative change from Baseline indicates an improvement in symptoms.

    Change from baseline is the difference in the score between the end of treatment visit and the first visit.

    Measured: Baseline (cycle 1 day 1) and end of treatment visit.

  27. EORTC QLQ-LC13: Coughing, Change From Baseline to End of Treatment Visit

    EORTC QLQ-LC13 is a 13-items questionnaire used in clinical research to assess health-related quality of life in lung cancer patients. The QLQ-LC13 includes questions assessing lung cancer-associated symptoms (Coughing, haemoptysis, dyspnoea and site specific pain), treatment-related side effects (sore mouth, dysphagia, peripheral neuropathy and alopecia) and pain medication.

    Scores are calculated and transformed to range from 0 to 100. For the disease symptoms and side-effects of treatment scales a higher score represents a higher level of symptoms/problems and a negative change from baseline value indicates reduction (i.e. improvement) in symptoms.

    Change from baseline is the difference in the score between the end of treatment visit and the first visit.

    Measured: Baseline (cycle 1 day 1) and end of treatment visit.

  28. EORTC QLQ-LC13: Haemoptysis, Change From Baseline to End of Treatment Visit

    EORTC QLQ-LC13 is a 13-items questionnaire used in clinical research to assess health-related quality of life in lung cancer patients. The QLQ-LC13 includes questions assessing lung cancer-associated symptoms (Coughing, haemoptysis, dyspnoea and site specific pain), treatment-related side effects (sore mouth, dysphagia, peripheral neuropathy and alopecia) and pain medication.

    Scores are calculated and transformed to range from 0 to 100. For the disease symptoms and side-effects of treatment scales a higher score represents a higher level of symptoms/problems and a negative change from baseline value indicates reduction (i.e. improvement) in symptoms.

    Change from baseline is the difference in the score between the end of treatment visit and the first visit.

    Measured: Baseline (cycle 1 day 1) and end of treatment visit.

  29. EORTC QLQ-LC13: Dyspnoea, Change From Baseline to End of Treatment Visit

    EORTC QLQ-LC13 is a 13-items questionnaire used in clinical research to assess health-related quality of life in lung cancer patients. The QLQ-LC13 includes questions assessing lung cancer-associated symptoms (Coughing, haemoptysis, dyspnoea and site specific pain), treatment-related side effects (sore mouth, dysphagia, peripheral neuropathy and alopecia) and pain medication.

    Scores are calculated and transformed to range from 0 to 100. For the disease symptoms and side-effects of treatment scales a higher score represents a higher level of symptoms/problems and a negative change from baseline value indicates reduction (i.e. improvement) in symptoms.

    Change from baseline is the difference in the score between the end of treatment visit and the first visit.

    Measured: Baseline (cycle 1 day 1) and end of treatment visit.

  30. EORTC QLQ-LC13: Pain in Arm or Shoulder, Change From Baseline to End of Treatment Visit

    EORTC QLQ-LC13 is a 13-items questionnaire used in clinical research to assess health-related quality of life in lung cancer patients. The QLQ-LC13 includes questions assessing lung cancer-associated symptoms (Coughing, haemoptysis, dyspnoea and site specific pain), treatment-related side effects (sore mouth, dysphagia, peripheral neuropathy and alopecia) and pain medication.

    Scores are calculated and transformed to range from 0 to 100. For the disease symptoms and side-effects of treatment scales a higher score represents a higher level of symptoms/problems and a negative change from baseline value indicates reduction (i.e. improvement) in symptoms.

    Change from baseline is the difference in the score between the end of treatment visit and the first visit.

    Measured: Baseline (cycle 1 day 1) and end of treatment visit.

  31. EORTC QLQ-LC13: Pain in Other Parts, Change From Baseline to End of Treatment Visit

    EORTC QLQ-LC13 is a 13-items questionnaire used in clinical research to assess health-related quality of life in lung cancer patients. The QLQ-LC13 includes questions assessing lung cancer-associated symptoms (Coughing, haemoptysis, dyspnoea and site specific pain), treatment-related side effects (sore mouth, dysphagia, peripheral neuropathy and alopecia) and pain medication.

    Scores are calculated and transformed to range from 0 to 100. For the disease symptoms and side-effects of treatment scales a higher score represents a higher level of symptoms/problems and a negative change from baseline value indicates reduction (i.e. improvement) in symptoms.

    Change from baseline is the difference in the score between the end of treatment visit and the first visit.

    Measured: Baseline (cycle 1 day 1) and end of treatment visit.

  32. EORTC QLQ-LC13: Sore Mouth, Change From Baseline to End of Treatment Visit

    EORTC QLQ-LC13 is a 13-items questionnaire used in clinical research to assess health-related quality of life in lung cancer patients. The QLQ-LC13 includes questions assessing lung cancer-associated symptoms (Coughing, haemoptysis, dyspnoea and site specific pain), treatment-related side effects (sore mouth, dysphagia, peripheral neuropathy and alopecia) and pain medication.

    Scores are calculated and transformed to range from 0 to 100. For the disease symptoms and side-effects of treatment scales a higher score represents a higher level of symptoms/problems and a negative change from baseline value indicates reduction (i.e. improvement) in symptoms.

    Change from baseline is the difference in the score between the end of treatment visit and the first visit.

    Measured: Baseline (cycle 1 day 1) and end of treatment visit.

  33. EORTC QLQ-LC13: Peripheral Neuropathy, Change From Baseline to End of Treatment Visit

    EORTC QLQ-LC13 is a 13-items questionnaire used in clinical research to assess health-related quality of life in lung cancer patients. The QLQ-LC13 includes questions assessing lung cancer-associated symptoms (Coughing, haemoptysis, dyspnoea and site specific pain), treatment-related side effects (sore mouth, dysphagia, peripheral neuropathy and alopecia) and pain medication.

    Scores are calculated and transformed to range from 0 to 100. For the disease symptoms and side-effects of treatment scales a higher score represents a higher level of symptoms/problems and a negative change from baseline value indicates reduction (i.e. improvement) in symptoms.

    Change from baseline is the difference in the score between the end of treatment visit and the first visit.

    Measured: Baseline (cycle 1 day 1) and end of treatment visit.

  34. EORTC QLQ-LC13: Alopecia, Change From Baseline to End of Treatment Visit

    EORTC QLQ-LC13 is a 13-items questionnaire used in clinical research to assess health-related quality of life in lung cancer patients. The QLQ-LC13 includes questions assessing lung cancer-associated symptoms (Coughing, haemoptysis, dyspnoea and site specific pain), treatment-related side effects (sore mouth, dysphagia, peripheral neuropathy and alopecia) and pain medication.

    Scores are calculated and transformed to range from 0 to 100. For the disease symptoms and side-effects of treatment scales a higher score represents a higher level of symptoms/problems and a negative change from baseline value indicates reduction (i.e. improvement) in symptoms.

    Change from baseline is the difference in the score between the end of treatment visit and the first visit.

    Measured: Baseline (cycle 1 day 1) and end of treatment visit.

  35. EORTC QLQ-LC13: Dysphagia, Change From Baseline to End of Treatment Visit

    EORTC QLQ-LC13 is a 13-items questionnaire used in clinical research to assess health-related quality of life in lung cancer patients. The QLQ-LC13 includes questions assessing lung cancer-associated symptoms (Coughing, haemoptysis, dyspnoea and site specific pain), treatment-related side effects (sore mouth, dysphagia, peripheral neuropathy and alopecia) and pain medication.

    Scores are calculated and transformed to range from 0 to 100. For the disease symptoms and side-effects of treatment scales a higher score represents a higher level of symptoms/problems and a negative change from baseline value indicates reduction (i.e. improvement) in symptoms.

    Change from baseline is the difference in the score between the end of treatment visit and the first visit.

    Measured: Baseline (cycle 1 day 1) and end of treatment visit.

  36. EORTC QLQ-LC13: Chest Pain Item Change From Baseline to End of Treatment Visit

    EORTC QLQ-LC13 is a 13-items questionnaire used in clinical research to assess health-related quality of life in lung cancer patients. The QLQ-LC13 includes questions assessing lung cancer-associated symptoms (Coughing, haemoptysis, dyspnoea and site specific pain), treatment-related side effects (sore mouth, dysphagia, peripheral neuropathy and alopecia) and pain medication.

    Scores are calculated and transformed to range from 0 to 100. For the disease symptoms and side-effects of treatment scales a higher score represents a higher level of symptoms/problems and a negative change from baseline value indicates reduction (i.e. improvement) in symptoms.

    Change from baseline is the difference in the score between the end of treatment visit and the first visit.

    Measured: Baseline (cycle 1 day 1) and end of treatment visit.

Timeline

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

  1. First posted15 Jan 2021
  2. Study start16 Dec 2020
  3. Primary completion21 Jun 2023
  4. Study completion21 Jun 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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
101 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04712903
Sponsor's protocol ID
D419QC00005
Other IDs
2020-002328-35
Acronym
CANTABRICO
Status last verified
Dec 2024
First submitted
3 Dec 2020
Last updated
7 Jan 2025
Data monitoring committee
No
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

  • Piedra A, Guinart-Cuadra A, Martinez-Recio S, Mulet M, Zamora C, Osuna-Gomez R, Canto E, Ortiz MA, Alejandre J, Barba A, Sanz-Beltran J, Serra-Lopez J, Isla D, Arriola E, Paz-Ares L, Diz-Tain MP, Moreno AL, Callejo A, Vidal S, Majem M. Baseline PD-L1 expression on circulating immune cells as a predictor of survival and immune-related adverse events in extensive-stage small-cell lung cancer patients treated with durvalumab and carboplatin-etoposide (NCT04712903 Trial). J Transl Med. 2026 Feb 28;24(1):471. doi: 10.1186/s12967-026-07896-7.

    PubMed 41764558
  • Isla D, Zugazagoitia J, Arriola E, Garcia-Campelo R, Marti Blanco C, Diz-Tain MP, Lopez-Brea M, Moreno-Vega AL, Leon-Mateos L, Oramas J, Gutierrez-Calderon V, Majem M, Sanchez-Hernandez A, Aguado C, Alvarez-Cabellos R, Massuti B, Moreno A, Firvida-Perez JL, Valdivia J, Gonzalez-Cordero M, Zafra-Poves M, Domine M, Garcia-Navalon FJ, Villanueva N, Provencio M, Juan-Vidal O, Rivas-Corredor C, Olmedo Garcia ME, Palmero R, Lopez-Castro R, Carcereny E, Lechuga JL, Dominguez M, Callejo A, Paz-Ares L. Durvalumab plus platinum-etoposide in the first-line treatment of extensive-stage small cell lung cancer (CANTABRICO): A single-arm clinical trial. Lung Cancer. 2025 Nov;209:108763. doi: 10.1016/j.lungcan.2025.108763. Epub 2025 Sep 24.

    PubMed 41033130

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Durvalumab, Cisplatin and Etoposide in people with Small Cell Lung Carcinoma Extensive Disease, run by AstraZeneca at 34 sites in Spain.

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 9 inclusion and 5 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 7 Jan 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 34 sites in Spain. 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 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 7 Jan 2025). 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?

Number of Patients With Adverse Events (AEs) Grade ≥ 3 (time frame: During study treatment, until disease progression (median 6 months)). 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 NCT04712903, 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 7 Jan 2025.

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