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NCT03043872 · FLOW

Participant flow

Durvalumab ± Tremelimumab in Combination With Platinum Based Chemotherapy in Untreated Extensive-Stage Small Cell Lung Cancer (CASPIAN) · Source last updated 2026-07-16

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

groups
  1. description
    During Chemotherapy: Patients received durvalumab (D) 1500 milligrams (mg) in combination with tremelimumab (T) 75 mg intravenous (IV) infusion every 3 weeks (Q3W) for 4 doses/cycles (Weeks 0, 3, 6 and 9). For chemotherapy (EP), patients received etoposide (80-100 mg/meters squared \[m\^2\]) with either carboplatin (area under the curve 5-6) or cisplatin (75-80 mg/m\^2) IV infusion Q3W for 4 doses/cycles (Weeks 0, 3, 6 and 9). Post-Chemotherapy: Patients then continued to receive durvalumab 1500 mg IV infusion every 4 weeks (Q4W) from Week 12 until progressive disease (PD), unless there was unacceptable toxicity, withdrawal of consent, or another discontinuation criterion was met. Patients also received an additional dose of tremelimumab 75 mg IV infusion post-chemotherapy (in combination with durvalumab) at Week 16 if they completed all 4 doses of durvalumab + tremelimumab during chemotherapy.
    id
    FG000
    title
    All Patients: D + T + EP
  2. description
    During Chemotherapy: Patients received durvalumab (D) 1500 mg IV infusion Q3W for 4 doses/cycles (Weeks 0, 3, 6 and 9). For chemotherapy (EP), patients received etoposide (80-100 mg/m\^2) with either carboplatin (area under the curve 5-6) or cisplatin (75-80 mg/m\^2) IV infusion Q3W for 4 doses/cycles (Weeks 0, 3, 6 and 9). Post-Chemotherapy: Patients then continued to receive durvalumab 1500 mg IV infusion Q4W from Week 12 until PD, unless there was unacceptable toxicity, withdrawal of consent, or another discontinuation criterion was met.
    id
    FG001
    title
    All Patients: D + EP
  3. description
    For chemotherapy (EP), patients received etoposide (80-100 mg/m\^2) with either carboplatin (area under the curve 5-6) or cisplatin (75-80 mg/m\^2) IV infusion Q3W for 4 doses/cycles (Weeks 0, 3, 6 and 9). An additional 2 doses of EP (at Weeks 12 and 15) could be given at the investigators' discretion if clinically indicated.
    id
    FG002
    title
    All Patients: EP
periods
  1. drop Withdraws
    1. reasons
      1. group Id
        FG000
        num Subjects
        6
      2. group Id
        FG001
        num Subjects
        6
      3. group Id
        FG002
        num Subjects
        15
      type
      Withdrawal by Subject
    2. reasons
      1. group Id
        FG000
        num Subjects
        2
      2. group Id
        FG001
        num Subjects
        1
      3. group Id
        FG002
        num Subjects
        1
      type
      Lost to Follow-up
    3. reasons
      1. group Id
        FG000
        num Subjects
        270
      2. group Id
        FG001
        num Subjects
        269
      3. group Id
        FG002
        num Subjects
        296
      type
      Death
    milestones
    1. achievements
      1. group Id
        FG000
        num Subjects
        329
      2. group Id
        FG001
        num Subjects
        328
      3. group Id
        FG002
        num Subjects
        330
      comment
      Randomized in overall study
      type
      STARTED
    2. achievements
      1. group Id
        FG000
        num Subjects
        268
      2. group Id
        FG001
        num Subjects
        268
      3. group Id
        FG002
        num Subjects
        269
      type
      Randomized and Included in Global Cohort Analysis
    3. achievements
      1. group Id
        FG000
        num Subjects
        266
      2. group Id
        FG001
        num Subjects
        265
      3. group Id
        FG002
        num Subjects
        266
      type
      Received Treatment in Global Cohort
    4. achievements
      1. group Id
        FG000
        num Subjects
        65
      2. group Id
        FG001
        num Subjects
        61
      3. group Id
        FG002
        num Subjects
        62
      type
      Randomized and Included in China Cohort Analysis
    5. achievements
      1. group Id
        FG000
        num Subjects
        65
      2. group Id
        FG001
        num Subjects
        61
      3. group Id
        FG002
        num Subjects
        62
      type
      Received Treatment in China Cohort
    6. achievements
      1. group Id
        FG000
        num Subjects
        4
      2. group Id
        FG001
        num Subjects
        1
      3. group Id
        FG002
        num Subjects
        1
      type
      Included in Both Cohorts (Global + China)
    7. achievements
      1. group Id
        FG000
        num Subjects
        56
      2. group Id
        FG001
        num Subjects
        56
      3. group Id
        FG002
        num Subjects
        31
      type
      Ongoing Study at Global Cohort Final Analysis Data Cut-off (DCO)
    8. achievements
      1. group Id
        FG000
        num Subjects
        16
      2. group Id
        FG001
        num Subjects
        11
      3. group Id
        FG002
        num Subjects
        7
      type
      Ongoing Study at China Cohort Second (Final) Analysis DCO
    9. achievements
      1. group Id
        FG000
        num Subjects
        51
      2. group Id
        FG001
        num Subjects
        52
      3. group Id
        FG002
        num Subjects
        18
      comment
      Ongoing in overall study at long-term follow-up (LTFU) analysis DCO
      type
      COMPLETED
    10. achievements
      1. group Id
        FG000
        num Subjects
        278
      2. group Id
        FG001
        num Subjects
        276
      3. group Id
        FG002
        num Subjects
        312
      type
      NOT COMPLETED
    title
    Overall Study
pre Assignment Details
Patients were randomized in a 1:1:1 ratio to receive treatment with durvalumab + tremelimumab + etoposide and platinum-based chemotherapy (EP), durvalumab + EP or EP alone. 987 participants were randomized in the study overall. Patients included in both cohorts for Started, Completed and Reasons for Not Completed are not double-counted for participant flow.
recruitment Details
Study was conducted in 209 study centers across 23 countries. It included a global cohort (805 patients) and China cohort (188 patients). China cohort comprised 6 patients also in the global cohort and a further 182 patients randomized after end of global cohort recruitment. Results of the global and China cohorts were reported separately.
Complete source fields
groups
  1. description
    During Chemotherapy: Patients received durvalumab (D) 1500 milligrams (mg) in combination with tremelimumab (T) 75 mg intravenous (IV) infusion every 3 weeks (Q3W) for 4 doses/cycles (Weeks 0, 3, 6 and 9). For chemotherapy (EP), patients received etoposide (80-100 mg/meters squared \[m\^2\]) with either carboplatin (area under the curve 5-6) or cisplatin (75-80 mg/m\^2) IV infusion Q3W for 4 doses/cycles (Weeks 0, 3, 6 and 9). Post-Chemotherapy: Patients then continued to receive durvalumab 1500 mg IV infusion every 4 weeks (Q4W) from Week 12 until progressive disease (PD), unless there was unacceptable toxicity, withdrawal of consent, or another discontinuation criterion was met. Patients also received an additional dose of tremelimumab 75 mg IV infusion post-chemotherapy (in combination with durvalumab) at Week 16 if they completed all 4 doses of durvalumab + tremelimumab during chemotherapy.
    id
    FG000
    title
    All Patients: D + T + EP
  2. description
    During Chemotherapy: Patients received durvalumab (D) 1500 mg IV infusion Q3W for 4 doses/cycles (Weeks 0, 3, 6 and 9). For chemotherapy (EP), patients received etoposide (80-100 mg/m\^2) with either carboplatin (area under the curve 5-6) or cisplatin (75-80 mg/m\^2) IV infusion Q3W for 4 doses/cycles (Weeks 0, 3, 6 and 9). Post-Chemotherapy: Patients then continued to receive durvalumab 1500 mg IV infusion Q4W from Week 12 until PD, unless there was unacceptable toxicity, withdrawal of consent, or another discontinuation criterion was met.
    id
    FG001
    title
    All Patients: D + EP
  3. description
    For chemotherapy (EP), patients received etoposide (80-100 mg/m\^2) with either carboplatin (area under the curve 5-6) or cisplatin (75-80 mg/m\^2) IV infusion Q3W for 4 doses/cycles (Weeks 0, 3, 6 and 9). An additional 2 doses of EP (at Weeks 12 and 15) could be given at the investigators' discretion if clinically indicated.
    id
    FG002
    title
    All Patients: EP
periods
  1. drop Withdraws
    1. reasons
      1. group Id
        FG000
        num Subjects
        6
      2. group Id
        FG001
        num Subjects
        6
      3. group Id
        FG002
        num Subjects
        15
      type
      Withdrawal by Subject
    2. reasons
      1. group Id
        FG000
        num Subjects
        2
      2. group Id
        FG001
        num Subjects
        1
      3. group Id
        FG002
        num Subjects
        1
      type
      Lost to Follow-up
    3. reasons
      1. group Id
        FG000
        num Subjects
        270
      2. group Id
        FG001
        num Subjects
        269
      3. group Id
        FG002
        num Subjects
        296
      type
      Death
    milestones
    1. achievements
      1. group Id
        FG000
        num Subjects
        329
      2. group Id
        FG001
        num Subjects
        328
      3. group Id
        FG002
        num Subjects
        330
      comment
      Randomized in overall study
      type
      STARTED
    2. achievements
      1. group Id
        FG000
        num Subjects
        268
      2. group Id
        FG001
        num Subjects
        268
      3. group Id
        FG002
        num Subjects
        269
      type
      Randomized and Included in Global Cohort Analysis
    3. achievements
      1. group Id
        FG000
        num Subjects
        266
      2. group Id
        FG001
        num Subjects
        265
      3. group Id
        FG002
        num Subjects
        266
      type
      Received Treatment in Global Cohort
    4. achievements
      1. group Id
        FG000
        num Subjects
        65
      2. group Id
        FG001
        num Subjects
        61
      3. group Id
        FG002
        num Subjects
        62
      type
      Randomized and Included in China Cohort Analysis
    5. achievements
      1. group Id
        FG000
        num Subjects
        65
      2. group Id
        FG001
        num Subjects
        61
      3. group Id
        FG002
        num Subjects
        62
      type
      Received Treatment in China Cohort
    6. achievements
      1. group Id
        FG000
        num Subjects
        4
      2. group Id
        FG001
        num Subjects
        1
      3. group Id
        FG002
        num Subjects
        1
      type
      Included in Both Cohorts (Global + China)
    7. achievements
      1. group Id
        FG000
        num Subjects
        56
      2. group Id
        FG001
        num Subjects
        56
      3. group Id
        FG002
        num Subjects
        31
      type
      Ongoing Study at Global Cohort Final Analysis Data Cut-off (DCO)
    8. achievements
      1. group Id
        FG000
        num Subjects
        16
      2. group Id
        FG001
        num Subjects
        11
      3. group Id
        FG002
        num Subjects
        7
      type
      Ongoing Study at China Cohort Second (Final) Analysis DCO
    9. achievements
      1. group Id
        FG000
        num Subjects
        51
      2. group Id
        FG001
        num Subjects
        52
      3. group Id
        FG002
        num Subjects
        18
      comment
      Ongoing in overall study at long-term follow-up (LTFU) analysis DCO
      type
      COMPLETED
    10. achievements
      1. group Id
        FG000
        num Subjects
        278
      2. group Id
        FG001
        num Subjects
        276
      3. group Id
        FG002
        num Subjects
        312
      type
      NOT COMPLETED
    title
    Overall Study
pre Assignment Details
Patients were randomized in a 1:1:1 ratio to receive treatment with durvalumab + tremelimumab + etoposide and platinum-based chemotherapy (EP), durvalumab + EP or EP alone. 987 participants were randomized in the study overall. Patients included in both cohorts for Started, Completed and Reasons for Not Completed are not double-counted for participant flow.
recruitment Details
Study was conducted in 209 study centers across 23 countries. It included a global cohort (805 patients) and China cohort (188 patients). China cohort comprised 6 patients also in the global cohort and a further 182 patients randomized after end of global cohort recruitment. Results of the global and China cohorts were reported separately.

Download exact source JSON → · Snapshot ctgov-results-191f4516d4760045304b24a0

Preserved source evidence · Not medical advice