AzTrials
AzTrials

Non-squamous Metastatic Non-Small-Cell Lung CarcinomaNAUTICNCT06494540

NIS to Examine the Effectiveness of TDC in Patients With Metastatic Non-squamous NSCLC and High-risk Genetic Alterations

An observational study of Non-squamous Metastatic Non-Small-Cell Lung Carcinoma, run by AstraZeneca at 30 sites in Germany.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

This prospective, multicenter, non-interventional study (NIS) in Germany aims to collect real-life data of patients with non-squamous (NSQ) metastatic non-small cell lung cancer (mNSCLC) (incl. Read more about this study

Who is it for?
Ages 18 to 120 years
How many people
600 participants
Where
30 sitesGermany
Study dates
28 Jun 2024to 31 Dec 2029
Phase
Observational
Are there results?
Not yet: the study is under way

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

Study population: Adult patients (≥18 years) with a histologically or cytologically confirmed NSQ mNSCLC (incl. LCNEC if considered NSCLC-like by the treating physician), planned treatment initiation with TDC according to applicable Summary of product characteristics (SmPCs) within routine clinical practice and initiated molecular gene panel analysis (including KRAS, STK11, KEAP1, and TP53) as well as PD-L1 and TTF-1 expression analyses are eligible for enrolment. Eligible patients will be included into the study after and independently of the treating physician's treatment and diagnostic decisions but no later than 21 days after application of the first TDC treatment cycle.

Who may be able to join

  • Aged ≥ 18 years
  • Decision to start first-line (1L) treatment with TDC according to the current SmPCs
  • Histologically or cytologically confirmed diagnosis of NSQ mNSCLC (incl. LCNEC if considered NSCLC-like by the treating physician)
  • No sensitizing epidermal growth factor receptor (EGFR) mutations or anaplastic lymphoma kinase (ALK) alterations
  • Molecular Next Generation Sequencing (NGS) panel as per institutional standard has been initiated (including the following genes: KRAS, STK11, KEAP1, and TP53)
  • TTF-1 expression analysis has been initiated
Show all 10Show fewer
  • PD-L1 expression analysis has been initiated
  • Women of childbearing potential must use effective contraception during treatment with durvalumab and for at least 3 months after the last dose of durvalumab
  • Ability to understand the study concept
  • Provision of signed informed consent form in accordance with applicable local provisions

Who cannot join

  • Current participation in interventional clinical trials
  • Contraindications according to current SmPCs
  • Any active tumor other than metastatic NSCLC*
  • Mixed histology NSCLC with both adenocarcinoma and squamous cell carcinoma components (adenosquamous carcinoma or any mixed NSQ- squamous tumor), regardless of the predominant component
  • determined by investigator as likely to influence the prognosis or management of mNSCLC

Trial locations and contacts

30 sites in 1 country. Contact the study team or a site near you to ask about taking part.

AstraZeneca Clinical Study Information Center contact

1-877-240-9479

information.center@astrazeneca.com

30 sites in 1 country

Germany30 sites, 27 recruiting
  • Research Site

    Bad Homburg

    Recruiting
  • Research Site

    Berlin

    Recruiting
  • Research Site

    Bremen

    Recruiting
  • Research Site

    Celle

    Withdrawn
  • Research Site

    Chemnitz

    Recruiting
  • Research Site

    Cologne

    Recruiting
  • Research Site

    Deggendorf

    Recruiting
  • Research Site

    Frankfurt

    Recruiting
  • Research Site

    Georgsmarienhütte

    Recruiting
  • Research Site

    Gera

    Withdrawn
  • Research Site

    Goslar

    Recruiting
  • Research Site

    Greifswald

    Recruiting
  • Research Site

    Halle-Dolau

    Recruiting
  • Research Site

    Hanover

    Recruiting
  • Research Site

    Herne

    Recruiting
  • Research Site

    Hösbach

    Recruiting
  • Research Site

    Koblenz

    Recruiting
  • Research Site

    Koln-Mehrheim

    Recruiting
  • Research Site

    Mainz

    Recruiting
  • Research Site

    Marburg

    Recruiting
  • Research Site

    Münnerstadt

    Recruiting
  • Research Site

    Neuss

    Recruiting
  • Research Site

    Offenbach

    Recruiting
  • Research Site

    Querfurt

    Recruiting
  • Research Site

    Ravensburg

    Recruiting
  • Research Site

    Rüsselsheim am Main

    Withdrawn
  • Research Site

    Treuenbrietzen

    Recruiting
  • Research Site

    Ulm

    Recruiting
  • Research Site

    Wiesbaden

    Recruiting
  • Research Site

    Zwickau

    Recruiting

Other trials in Germany

About this study

Official title: Prospective Non-interventional Study (NIS) to Examine the Effectiveness of Tremelimumab + Durvalumab + Platinum Chemotherapy (TDC) in Patients With Metastatic Non-squamous NSCLC and High-risk Genetic Alterations

This prospective, multicenter, non-interventional study (NIS) in Germany aims to collect real-life data of patients with non-squamous (NSQ) metastatic non-small cell lung cancer (mNSCLC) (incl. large cell neuroendocrine carcinoma (LCNEC) if considered NSCLC-like by the treating physician) for whom 1st line treatment initiation with tremelimumab and durvalumab in combination with a platinum-based chemotherapy (TDC) according to marketing authorization was scheduled. The study aims to describe the effectiveness with respect to mutations in Kirsten rat sarcoma viral oncogene homolog (KRAS), Serine/threonine kinase 11 (STK11), Kelch-like ECH-associated protein 1 (KEAP1), and Tumor protein p53 (TP53) as well as expression of Thyroid transcription factor 1 (TTF-1) and Programmed death-ligand 1 (PD-L1) in routine clinical practice. The generated data aims to deepen the understanding of optimal, biomarker-guided treatment strategies for NSQ mNSCLC in distinct subgroups with a high medical need.

Keywords
NSCLC,, mNSCLC,, KRAS,, STK11,, KEAP1,, TP53,, POSEIDON,, Tremelimumab,, Durvalumab
Medical subject headings
Carcinoma, Non-Small-Cell Lung, Hereditary Sensory and Autonomic Neuropathies

What is being measured

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

  1. Two-year real-world overall survival (rwOS) rate of patients with NSQ mNSCLC in the total study population

    rwOS rate (percentage of patients being alive derived by Kaplan-Meier methods) at 24 months in the total study population. Patients without a date of death will be censored at last activity in the database, or the end of the study period, whichever occurs first.

    Measured: Time from patient's index date until death by any cause, up to 24 months

  2. Two-year real-world overall survival (rwOS) rate of patients with NSQ mNSCLC in patients with mutations in KRAS

    rwOS rate (percentage of patients being alive derived by Kaplan-Meier methods) at 24 months in patients with mutations in KRAS. Patients without a date of death will be censored at last activity in the database, or the end of the study period, whichever occurs first.

    Measured: Time from patient's index date until death by any cause, up to 24 months

  3. Two-year real-world overall survival (rwOS) rate of patients with NSQ mNSCLC in patients with mutations in STK11

    rwOS rate (percentage of patients being alive derived by Kaplan-Meier methods) at 24 months in patients with mutations in STK11. Patients without a date of death will be censored at last activity in the database, or the end of the study period, whichever occurs first.

    Measured: Time from patient's index date until death by any cause, up to 24 months

Secondary outcomes (10)
  1. Real-world overall survival (rwOS) in the total study population

    rwOS rate (percentage of patients being alive derived by Kaplan-Meier methods) at 6, 12 and 18 months

    Measured: 6, 12 and 18 months

  2. Median overall survival (mOS) in the total study population

    OS is defined as the time from the date of first documented dose of TDC 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. Median OS will be calculated using the Kaplan-Meier technique.

    Measured: up to 24 months

  3. Real-world overall survival (rwOS) in a subgroup of patients with mutation in KRAS

    rwOS rate (percentage of patients being alive derived by Kaplan-Meier methods) at 6, 12 and 18 months

    Measured: 6, 12 and 18 months

  4. Median overall survival (mOS) in a subgroup of patients with mutation in KRAS

    OS is defined as the time from the date of first documented dose of TDC 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. Median OS will be calculated using the Kaplan-Meier technique.

    Measured: up to 24 months

  5. Real-world overall survival (rwOS) in a subgroup of patients with mutation in STK11

    rwOS rate (percentage of patients being alive derived by Kaplan-Meier methods) at 6, 12 and 18 months

    Measured: 6, 12 and 18 months

  6. Median overall survival (mOS) in a subgroup of patients with mutation in STK11

    OS is defined as the time from the date of first documented dose of TDC 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. Median OS will be calculated using the Kaplan-Meier technique.

    Measured: up to 24 months

  7. Real-world treatment response of TDC, as judged by the treating physician

    Treatment response in terms of overall response rate (ORR), being defined as the proportion of patients with complete response (CR) or partial response (PR) as best overall response, CR or PR, at ≥1 visit during treatment with TDC.

    Measured: up to 24 months

  8. Duration of response (DoR)

    Duration of response (DoR), being defined as time from documented CR or PR until documentation of progressive disease (PD), or death by any cause will be analyzed with Kaplan-Meier methods. Patients without documentation of PD will be censored with their last date in the database known to be without PD, or the end of study date, whichever occurs first. Patients who received a subsequent line mNSCLC therapy after TDC before disease progression or death will be censored with the start date of this new therapy.

    Measured: up to 24 months

  9. Real-world progression-free survival (rwPFS)

    rwPFS is defined as time from patient's index date until first date of PD or death by any cause and will be analyzed by Kaplan-Meier methods.

    Measured: up to 24 months

  10. Safety: Collection of Adverse Events (AE)

    Safety evaluated based on type of Adverse Event (AE), intensity, causal relationship to treatment, duration, handling, outcome, and seriousness.

    Measured: up to 24 months

Timeline

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

  1. First posted10 Jul 2024
  2. Study start28 Jun 2024
  3. Primary completion31 Dec 2029 (estimated)
  4. Study completion31 Dec 2029 (estimated)

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
Prospective
Enrolment
600 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06494540
Sponsor's protocol ID
D419MR00003
Acronym
NAUTIC
Status last verified
Sep 2026
First submitted
20 Jun 2024
Last updated
28 Sep 2026
Results posted
No
Data monitoring committee
No
Individual data sharing
Yes: Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca (AZ) group of companies sponsored clinical trials via the request portal Vivli.org. All requests 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.

Questions about this trial

What is this clinical trial studying?

An observational study of Non-squamous Metastatic Non-Small-Cell Lung Carcinoma, run by AstraZeneca at 30 sites in Germany.

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 10 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: looking for participants now, as of the sponsor's last update on 28 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 30 sites in Germany. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact AstraZeneca Clinical Study Information Center (1-877-240-9479, information.center@astrazeneca.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Two-year real-world overall survival (rwOS) rate of patients with NSQ mNSCLC in the total study population (time frame: Time from patient's index date until death by any cause, up to 24 months). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 28 Sep 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in