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NCT03732677 · OUTCOME

Event-free Survival (EFS) Per Central Review Defined as Time From Randomization to Event

Durvalumab+ Gemcitabine/Cisplatin (Neoadjuvant Treatment) and Durvalumab (Adjuvant Treatment) in Patients With MIBC · Source last updated 2026-07-17

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

Measure
MEDIAN
Unit
months
Interval / dispersion
Inter-Quartile Range
Time frame
Up to 48 months

What was measured

EFS is defined as the time from randomization to the first recurrence of disease post radical cystectomy, time of first documented progression in patients who were medically precluded for radical cystectomy, or time of expected surgery in patients who refuse to undergo a radical cystectomy or failure to undergo a radical cystectomy in participants with residual disease, or the time of death due to any cause, whichever occurs first

Analysis population: The full analysis set (FAS) includes all randomized patients

Groups in this outcome

Durvalumab + Gemcitabine + Cisplatin

Treatments and dosing regimens: Durvalumab 1500 mg IV q3w (neoadjuvant) 1500 mg IV q4w (adjuvant post-radical cystectomy) Day 1 and Day 8 (gemcitabine 1000 mg/m2 IV) of each 21-day cycle (neoadjuvant) Day 1 and Day 8 (cisplatin 35mg/m2 IV) or Day 1 (cisplatin 70 mg/m2 IV) each 21-day cycle (neoadjuvant) Dosing will be adjusted based on renal function

Gemcitabine + Cisplatin

Treatments and dosing regimens: Day 1 and Day 8 (gemcitabine1000 mg/m2 IV) of each 21-day cycle (neoadjuvant) Day 1 and Day 8 (cisplatin 35mg/m2 IV) or Day 1 (cisplatin 70 mg/m2 IV) each 21-day cycle (neoadjuvant) Dosing will be adjusted based on renal function

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
Durvalumab + Gemcitabine + Cisplatin533
Gemcitabine + Cisplatin530

Reported measurements

Source class 1
Values in months · Interval/dispersion: Inter-Quartile Range
GroupValueSpreadLowerUpperComment
Durvalumab + Gemcitabine + CisplatinNANot reported13.4NAMedian EFS was not reached due to insufficient number of participants with events 75th percentile EFS was not reached due to insufficient number of participants with events.
Gemcitabine + Cisplatin46.1Not reported8.6NA75th percentile EFS was not reached due to insufficient number of participants with events.

Source statistical analyses

Group order, estimate direction, methods and comments are retained. No treatment ranking is inferred.

  1. ci Lower Limit
    0.554
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95.877
    ci Upper Limit
    0824
    estimate Comment
    The HR and CI were estimated from a stratified Cox proportional hazard model adjusting for renal function (adequate vs borderline), tumor stage (T2N0 vs \>T2N0) and PDL1 status (high vs low/negative)
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    other Analysis Description
    95% CI for hazard ratio: 0.558 - 0.817
    p Value
    <0.0001
    p Value Comment
    Stratified by renal function(adequate vs borderline),tumor stage(T2N0 vs \>T2N0), PDL1 status(high vs low/negative)
    param Type
    Hazard Ratio (HR)
    param Value
    0.68
    statistical Method
    Log Rank
Complete source fields
analyses
  1. ci Lower Limit
    0.554
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95.877
    ci Upper Limit
    0824
    estimate Comment
    The HR and CI were estimated from a stratified Cox proportional hazard model adjusting for renal function (adequate vs borderline), tumor stage (T2N0 vs \>T2N0) and PDL1 status (high vs low/negative)
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    other Analysis Description
    95% CI for hazard ratio: 0.558 - 0.817
    p Value
    <0.0001
    p Value Comment
    Stratified by renal function(adequate vs borderline),tumor stage(T2N0 vs \>T2N0), PDL1 status(high vs low/negative)
    param Type
    Hazard Ratio (HR)
    param Value
    0.68
    statistical Method
    Log Rank
classes
  1. categories
    1. measurements
      1. comment
        Median EFS was not reached due to insufficient number of participants with events 75th percentile EFS was not reached due to insufficient number of participants with events.
        group Id
        OG000
        lower Limit
        13.4
        upper Limit
        NA
        value
        NA
      2. comment
        75th percentile EFS was not reached due to insufficient number of participants with events.
        group Id
        OG001
        lower Limit
        8.6
        upper Limit
        NA
        value
        46.1
denoms
  1. counts
    1. group Id
      OG000
      value
      533
    2. group Id
      OG001
      value
      530
    units
    Participants
description
EFS is defined as the time from randomization to the first recurrence of disease post radical cystectomy, time of first documented progression in patients who were medically precluded for radical cystectomy, or time of expected surgery in patients who refuse to undergo a radical cystectomy or failure to undergo a radical cystectomy in participants with residual disease, or the time of death due to any cause, whichever occurs first
dispersion Type
Inter-Quartile Range
groups
  1. description
    Treatments and dosing regimens: Durvalumab 1500 mg IV q3w (neoadjuvant) 1500 mg IV q4w (adjuvant post-radical cystectomy) Day 1 and Day 8 (gemcitabine 1000 mg/m2 IV) of each 21-day cycle (neoadjuvant) Day 1 and Day 8 (cisplatin 35mg/m2 IV) or Day 1 (cisplatin 70 mg/m2 IV) each 21-day cycle (neoadjuvant) Dosing will be adjusted based on renal function
    id
    OG000
    title
    Durvalumab + Gemcitabine + Cisplatin
  2. description
    Treatments and dosing regimens: Day 1 and Day 8 (gemcitabine1000 mg/m2 IV) of each 21-day cycle (neoadjuvant) Day 1 and Day 8 (cisplatin 35mg/m2 IV) or Day 1 (cisplatin 70 mg/m2 IV) each 21-day cycle (neoadjuvant) Dosing will be adjusted based on renal function
    id
    OG001
    title
    Gemcitabine + Cisplatin
param Type
MEDIAN
population Description
The full analysis set (FAS) includes all randomized patients
reporting Status
POSTED
time Frame
Up to 48 months
title
Event-free Survival (EFS) Per Central Review Defined as Time From Randomization to Event
type
PRIMARY
unit Of Measure
months

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Preserved source evidence · Not medical advice