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NCT03703297 · FLOW

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Study of Durvalumab + Tremelimumab, Durvalumab, and Placebo in Limited Stage Small-Cell Lung Cancer in Patients Who Have Not Progressed Following Concurrent Chemoradiation Therapy · Source last updated 2025-11-21

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

groups
  1. description
    Participants received durvalumab monotherapy (1500 milligram \[mg\] for participants \>30 kilogram \[kg\] in weight and a weight-based dosing equivalent to 20 mg/kg for participants \<=30 kg in weight) via intravenous (IV) infusion once every 4 weeks (q4w), until clinical/Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1)-defined radiological progression, intolerable toxicity, or for a maximum of 24 months, whichever occurred first.
    id
    FG000
    title
    Durvalumab
  2. description
    Participants received durvalumab in combination with tremelimumab (1500 mg durvalumab in combination with 75 mg tremelimumab for participants \>30 kg in weight and a weight-based dosing equivalent to 20 mg/kg durvalumab in combination with 1 mg/kg tremelimumab for participants \<=30 kg in weight) via IV infusion once q4w, until clinical/RECIST 1.1-defined radiological progression, intolerable toxicity, or for a maximum of 24 months, whichever occurred first.
    id
    FG001
    title
    Durvalumab Plus Tremelimumab
  3. description
    Participants received matching placebo via IV infusion once q4w for 4 doses/cycles each, until clinical/RECIST 1.1-defined radiological progression, intolerable toxicity, or for a maximum of 24 months, whichever occurred first.
    id
    FG002
    title
    Placebo
periods
  1. drop Withdraws
    1. reasons
      1. group Id
        FG000
        num Subjects
        115
      2. group Id
        FG001
        num Subjects
        0
      3. group Id
        FG002
        num Subjects
        144
      type
      Death
    2. reasons
      1. group Id
        FG000
        num Subjects
        9
      2. group Id
        FG001
        num Subjects
        0
      3. group Id
        FG002
        num Subjects
        11
      type
      Withdrawal by Subject
    3. reasons
      1. group Id
        FG000
        num Subjects
        140
      2. group Id
        FG001
        num Subjects
        200
      3. group Id
        FG002
        num Subjects
        111
      type
      Ongoing at the time of DCO
    milestones
    1. achievements
      1. group Id
        FG000
        num Subjects
        264
      2. group Id
        FG001
        num Subjects
        200
      3. group Id
        FG002
        num Subjects
        266
      type
      STARTED
    2. achievements
      1. group Id
        FG000
        num Subjects
        262
      2. group Id
        FG001
        num Subjects
        0
      3. group Id
        FG002
        num Subjects
        265
      type
      Safety Population
    3. achievements
      1. group Id
        FG000
        num Subjects
        0
      2. group Id
        FG001
        num Subjects
        0
      3. group Id
        FG002
        num Subjects
        0
      type
      COMPLETED
    4. achievements
      1. group Id
        FG000
        num Subjects
        264
      2. group Id
        FG001
        num Subjects
        200
      3. group Id
        FG002
        num Subjects
        266
      type
      NOT COMPLETED
    title
    Overall Study
pre Assignment Details
Based on the results of the secondary objectives at the interim analysis (reviewed by an unblinded independent data monitoring committee \[IDMC\]), data for the D+T arm were to remain blinded to the Sponsor as pre-specified in the study's unblinding plan. Since the D+T arm was blinded at the time of posting the results from this interim analysis, results for that arm will be posted at the time of final analysis.
recruitment Details
This Phase III, double-blind, placebo-controlled trial studied participants with limited stage small-cell lung cancer who had not progressed after concurrent chemoradiation therapy at 164 sites in 19 countries. Interim results are based on data cut-off (DCO) date of 15 January 2024. 730 participants were randomized; the first 600 in a 1:1:1 ratio to durvalumab monotherapy (D), durvalumab plus tremelimumab combination therapy (D+T) or placebo (P), the remaining in a 1:1 ratio to D or P.
Complete source fields
groups
  1. description
    Participants received durvalumab monotherapy (1500 milligram \[mg\] for participants \>30 kilogram \[kg\] in weight and a weight-based dosing equivalent to 20 mg/kg for participants \<=30 kg in weight) via intravenous (IV) infusion once every 4 weeks (q4w), until clinical/Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1)-defined radiological progression, intolerable toxicity, or for a maximum of 24 months, whichever occurred first.
    id
    FG000
    title
    Durvalumab
  2. description
    Participants received durvalumab in combination with tremelimumab (1500 mg durvalumab in combination with 75 mg tremelimumab for participants \>30 kg in weight and a weight-based dosing equivalent to 20 mg/kg durvalumab in combination with 1 mg/kg tremelimumab for participants \<=30 kg in weight) via IV infusion once q4w, until clinical/RECIST 1.1-defined radiological progression, intolerable toxicity, or for a maximum of 24 months, whichever occurred first.
    id
    FG001
    title
    Durvalumab Plus Tremelimumab
  3. description
    Participants received matching placebo via IV infusion once q4w for 4 doses/cycles each, until clinical/RECIST 1.1-defined radiological progression, intolerable toxicity, or for a maximum of 24 months, whichever occurred first.
    id
    FG002
    title
    Placebo
periods
  1. drop Withdraws
    1. reasons
      1. group Id
        FG000
        num Subjects
        115
      2. group Id
        FG001
        num Subjects
        0
      3. group Id
        FG002
        num Subjects
        144
      type
      Death
    2. reasons
      1. group Id
        FG000
        num Subjects
        9
      2. group Id
        FG001
        num Subjects
        0
      3. group Id
        FG002
        num Subjects
        11
      type
      Withdrawal by Subject
    3. reasons
      1. group Id
        FG000
        num Subjects
        140
      2. group Id
        FG001
        num Subjects
        200
      3. group Id
        FG002
        num Subjects
        111
      type
      Ongoing at the time of DCO
    milestones
    1. achievements
      1. group Id
        FG000
        num Subjects
        264
      2. group Id
        FG001
        num Subjects
        200
      3. group Id
        FG002
        num Subjects
        266
      type
      STARTED
    2. achievements
      1. group Id
        FG000
        num Subjects
        262
      2. group Id
        FG001
        num Subjects
        0
      3. group Id
        FG002
        num Subjects
        265
      type
      Safety Population
    3. achievements
      1. group Id
        FG000
        num Subjects
        0
      2. group Id
        FG001
        num Subjects
        0
      3. group Id
        FG002
        num Subjects
        0
      type
      COMPLETED
    4. achievements
      1. group Id
        FG000
        num Subjects
        264
      2. group Id
        FG001
        num Subjects
        200
      3. group Id
        FG002
        num Subjects
        266
      type
      NOT COMPLETED
    title
    Overall Study
pre Assignment Details
Based on the results of the secondary objectives at the interim analysis (reviewed by an unblinded independent data monitoring committee \[IDMC\]), data for the D+T arm were to remain blinded to the Sponsor as pre-specified in the study's unblinding plan. Since the D+T arm was blinded at the time of posting the results from this interim analysis, results for that arm will be posted at the time of final analysis.
recruitment Details
This Phase III, double-blind, placebo-controlled trial studied participants with limited stage small-cell lung cancer who had not progressed after concurrent chemoradiation therapy at 164 sites in 19 countries. Interim results are based on data cut-off (DCO) date of 15 January 2024. 730 participants were randomized; the first 600 in a 1:1:1 ratio to durvalumab monotherapy (D), durvalumab plus tremelimumab combination therapy (D+T) or placebo (P), the remaining in a 1:1 ratio to D or P.

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Preserved source evidence · Not medical advice