NCT04269200 · OUTCOME
Progression-free Survival (PFS) According to RECIST 1.1, Based on Investigator Assessments
Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.
- Measure
- MEDIAN
- Unit
- Months
- Interval / dispersion
- 95% Confidence Interval
- Time frame
- At baseline, every 9 weeks (wks) up to 18 wks, then every 12 wks until objective radiological disease progression. Assessed until 12 Apr 2023 DCO (08 Jul 2024 DCO for China cohort), up to 50 months
What was measured
To demonstrate the efficacy of durvalumab in combination with platinum-based chemotherapy (paclitaxel and carboplatin) followed by maintenance durvalumab or durvalumab with olaparib when compared to platinum-based chemotherapy by assessment of PFS (using investigator assessment according to Response Evaluation Criteria in Solid Tumours version 1.1 \[RECIST 1.1\]) in patients with newly diagnosed advanced or recurrent endometrial cancer
Analysis population: Full Analysis Set (FAS) consisting of all patients randomised as part of global enrolment including patients from China who were randomised before the global recruitment was closed (up to and including 20 Apr 2022). China FAS includes all patients who were randomised at sites in China and Hong Kong.
Groups in this outcome
Global Cohort - SoC
Platinum-based chemotherapy (paclitaxel and carboplatin) Q3W for a maximum of 6 cycles with durvalumab placebo (IV) Q3W. Following completion of chemotherapy treatment, patients without objective disease progression received durvalumab placebo (IV) Q4W and olaparib placebo (tablets) twice bd orally as maintenance treatment until disease progression.
Global Cohort - SoC + Durvalumab
Platinum-based chemotherapy (paclitaxel and carboplatin) Q3W for a maximum of 6 cycles with 1120 mg durvalumab (IV) Q3W. Following completion of chemotherapy treatment, patients without objective disease progression received 1500 mg durvalumab (IV) Q4W with olaparib placebo (tablets) bd orally as maintenance treatment until disease progression.
Global Cohort - SoC + Durvalumab + Olaparib
Platinum-based chemotherapy (paclitaxel and carboplatin) Q3W for a maximum of 6 cycles with 1120 mg durvalumab (IV) Q3W. Following completion of chemotherapy treatment, patients without objective disease progression received 1500 mg durvalumab (IV) Q4W with 300 mg olaparib (tablets) bd orally as maintenance treatment until disease progression.
China Cohort - SoC
Platinum-based chemotherapy (paclitaxel and carboplatin) Q3W for a maximum of 6 cycles with durvalumab placebo (IV) Q3W. Following completion of chemotherapy treatment, patients without objective disease progression received durvalumab placebo (IV) Q4W and olaparib placebo (tablets) twice bd orally as maintenance treatment until disease progression.
China Cohort - SoC + Durvalumab
Platinum-based chemotherapy (paclitaxel and carboplatin) Q3W for a maximum of 6 cycles with 1120 mg durvalumab (IV) Q3W. Following completion of chemotherapy treatment, patients without objective disease progression received 1500 mg durvalumab (IV) Q4W with olaparib placebo (tablets) bd orally as maintenance treatment until disease progression.
China Cohort - SoC + Durvalumab + Olaparib
Platinum-based chemotherapy (paclitaxel and carboplatin) Q3W for a maximum of 6 cycles with 1120 mg durvalumab (IV) Q3W. Following completion of chemotherapy treatment, patients without objective disease progression received 1500 mg durvalumab (IV) Q4W with 300 mg olaparib (tablets) bd orally as maintenance treatment until disease progression.
| Group | Source count |
|---|---|
| Global Cohort - SoC | 241 |
| Global Cohort - SoC + Durvalumab | 238 |
| Global Cohort - SoC + Durvalumab + Olaparib | 239 |
| China Cohort - SoC | 44 |
| China Cohort - SoC + Durvalumab | 43 |
| China Cohort - SoC + Durvalumab + Olaparib | 42 |
Reported measurements
Source class 1
| Group | Value | Spread | Lower | Upper | Comment |
|---|---|---|---|---|---|
| Global Cohort - SoC | 9.6 | Not reported | 9.0 | 9.9 | Not reported |
| Global Cohort - SoC + Durvalumab | 10.2 | Not reported | 9.7 | 14.7 | Not reported |
| Global Cohort - SoC + Durvalumab + Olaparib | 15.1 | Not reported | 12.6 | 20.7 | Not reported |
| China Cohort - SoC | 9.7 | Not reported | 7.6 | 12.3 | Not reported |
| China Cohort - SoC + Durvalumab | 9.9 | Not reported | 8.2 | 20.6 | Not reported |
| China Cohort - SoC + Durvalumab + Olaparib | 9.9 | Not reported | 7.1 | 12.6 | Not reported |
Source statistical analyses
- ci Lower Limit
- 0.57
- ci Num Sides
- TWO_SIDED
- ci Pct Value
- 95
- ci Upper Limit
- 0.89
- estimate Comment
- A hazard ratio less than 1 favours SoC + Durvalumab.
- group Ids
- OG000
- OG001
- non Inferiority Type
- SUPERIORITY
- p Value
- 0.003
- p Value Comment
- Determined using a log-rank test stratified by mismatch repair (MMR) status (proficient versus deficient) and disease status (recurrent versus newly diagnosed).
- param Type
- Hazard Ratio (HR)
- param Value
- 0.71
- statistical Comment
- Model was stratified by MMR status (proficient versus deficient) and disease status (recurrent versus newly diagnosed).
- statistical Method
- Regression, Cox
- ci Lower Limit
- 0.43
- ci Num Sides
- TWO_SIDED
- ci Pct Value
- 95
- ci Upper Limit
- 0.69
- estimate Comment
- A hazard ratio less than 1 favours SoC + Durvalumab + Olaparib.
- group Ids
- OG000
- OG002
- non Inferiority Type
- SUPERIORITY
- p Value
- <0.0001
- p Value Comment
- Determined using a log-rank test stratified by MMR status (proficient versus deficient) and disease status (recurrent versus newly diagnosed).
- param Type
- Hazard Ratio (HR)
- param Value
- 0.55
- statistical Comment
- Model was stratified by MMR status (proficient versus deficient) and disease status (recurrent versus newly diagnosed).
- statistical Method
- Regression, Cox
- ci Lower Limit
- 0.42
- ci Num Sides
- TWO_SIDED
- ci Pct Value
- 95
- ci Upper Limit
- 1.25
- estimate Comment
- A hazard ratio less than 1 favours SoC + Durvalumab.
- group Ids
- OG003
- OG004
- non Inferiority Type
- SUPERIORITY
- p Value Comment
- China cohort designed to provide descriptive analysis only.
- param Type
- Hazard Ratio (HR)
- param Value
- 0.73
- statistical Comment
- Model was stratified by disease status (recurrent versus newly diagnosed).
- statistical Method
- Regression, Cox
- ci Lower Limit
- 0.57
- ci Num Sides
- TWO_SIDED
- ci Pct Value
- 95
- ci Upper Limit
- 1.61
- estimate Comment
- A hazard ratio less than 1 favours SoC + Durvalumab + Olaparib.
- group Ids
- OG003
- OG005
- non Inferiority Type
- SUPERIORITY
- p Value Comment
- China cohort designed to provide descriptive analysis only.
- param Type
- Hazard Ratio (HR)
- param Value
- 0.96
- statistical Comment
- Model was stratified by disease status (recurrent versus newly diagnosed).
- statistical Method
- Regression, Cox
Complete source fields
- analyses
- ci Lower Limit
- 0.57
- ci Num Sides
- TWO_SIDED
- ci Pct Value
- 95
- ci Upper Limit
- 0.89
- estimate Comment
- A hazard ratio less than 1 favours SoC + Durvalumab.
- group Ids
- OG000
- OG001
- non Inferiority Type
- SUPERIORITY
- p Value
- 0.003
- p Value Comment
- Determined using a log-rank test stratified by mismatch repair (MMR) status (proficient versus deficient) and disease status (recurrent versus newly diagnosed).
- param Type
- Hazard Ratio (HR)
- param Value
- 0.71
- statistical Comment
- Model was stratified by MMR status (proficient versus deficient) and disease status (recurrent versus newly diagnosed).
- statistical Method
- Regression, Cox
- ci Lower Limit
- 0.43
- ci Num Sides
- TWO_SIDED
- ci Pct Value
- 95
- ci Upper Limit
- 0.69
- estimate Comment
- A hazard ratio less than 1 favours SoC + Durvalumab + Olaparib.
- group Ids
- OG000
- OG002
- non Inferiority Type
- SUPERIORITY
- p Value
- <0.0001
- p Value Comment
- Determined using a log-rank test stratified by MMR status (proficient versus deficient) and disease status (recurrent versus newly diagnosed).
- param Type
- Hazard Ratio (HR)
- param Value
- 0.55
- statistical Comment
- Model was stratified by MMR status (proficient versus deficient) and disease status (recurrent versus newly diagnosed).
- statistical Method
- Regression, Cox
- ci Lower Limit
- 0.42
- ci Num Sides
- TWO_SIDED
- ci Pct Value
- 95
- ci Upper Limit
- 1.25
- estimate Comment
- A hazard ratio less than 1 favours SoC + Durvalumab.
- group Ids
- OG003
- OG004
- non Inferiority Type
- SUPERIORITY
- p Value Comment
- China cohort designed to provide descriptive analysis only.
- param Type
- Hazard Ratio (HR)
- param Value
- 0.73
- statistical Comment
- Model was stratified by disease status (recurrent versus newly diagnosed).
- statistical Method
- Regression, Cox
- ci Lower Limit
- 0.57
- ci Num Sides
- TWO_SIDED
- ci Pct Value
- 95
- ci Upper Limit
- 1.61
- estimate Comment
- A hazard ratio less than 1 favours SoC + Durvalumab + Olaparib.
- group Ids
- OG003
- OG005
- non Inferiority Type
- SUPERIORITY
- p Value Comment
- China cohort designed to provide descriptive analysis only.
- param Type
- Hazard Ratio (HR)
- param Value
- 0.96
- statistical Comment
- Model was stratified by disease status (recurrent versus newly diagnosed).
- statistical Method
- Regression, Cox
- classes
- categories
- measurements
- group Id
- OG000
- lower Limit
- 9.0
- upper Limit
- 9.9
- value
- 9.6
- group Id
- OG001
- lower Limit
- 9.7
- upper Limit
- 14.7
- value
- 10.2
- group Id
- OG002
- lower Limit
- 12.6
- upper Limit
- 20.7
- value
- 15.1
- group Id
- OG003
- lower Limit
- 7.6
- upper Limit
- 12.3
- value
- 9.7
- group Id
- OG004
- lower Limit
- 8.2
- upper Limit
- 20.6
- value
- 9.9
- group Id
- OG005
- lower Limit
- 7.1
- upper Limit
- 12.6
- value
- 9.9
- denoms
- counts
- group Id
- OG000
- value
- 241
- group Id
- OG001
- value
- 238
- group Id
- OG002
- value
- 239
- group Id
- OG003
- value
- 44
- group Id
- OG004
- value
- 43
- group Id
- OG005
- value
- 42
- units
- Participants
- description
- To demonstrate the efficacy of durvalumab in combination with platinum-based chemotherapy (paclitaxel and carboplatin) followed by maintenance durvalumab or durvalumab with olaparib when compared to platinum-based chemotherapy by assessment of PFS (using investigator assessment according to Response Evaluation Criteria in Solid Tumours version 1.1 \[RECIST 1.1\]) in patients with newly diagnosed advanced or recurrent endometrial cancer
- dispersion Type
- 95% Confidence Interval
- groups
- description
- Platinum-based chemotherapy (paclitaxel and carboplatin) Q3W for a maximum of 6 cycles with durvalumab placebo (IV) Q3W. Following completion of chemotherapy treatment, patients without objective disease progression received durvalumab placebo (IV) Q4W and olaparib placebo (tablets) twice bd orally as maintenance treatment until disease progression.
- id
- OG000
- title
- Global Cohort - SoC
- description
- Platinum-based chemotherapy (paclitaxel and carboplatin) Q3W for a maximum of 6 cycles with 1120 mg durvalumab (IV) Q3W. Following completion of chemotherapy treatment, patients without objective disease progression received 1500 mg durvalumab (IV) Q4W with olaparib placebo (tablets) bd orally as maintenance treatment until disease progression.
- id
- OG001
- title
- Global Cohort - SoC + Durvalumab
- description
- Platinum-based chemotherapy (paclitaxel and carboplatin) Q3W for a maximum of 6 cycles with 1120 mg durvalumab (IV) Q3W. Following completion of chemotherapy treatment, patients without objective disease progression received 1500 mg durvalumab (IV) Q4W with 300 mg olaparib (tablets) bd orally as maintenance treatment until disease progression.
- id
- OG002
- title
- Global Cohort - SoC + Durvalumab + Olaparib
- description
- Platinum-based chemotherapy (paclitaxel and carboplatin) Q3W for a maximum of 6 cycles with durvalumab placebo (IV) Q3W. Following completion of chemotherapy treatment, patients without objective disease progression received durvalumab placebo (IV) Q4W and olaparib placebo (tablets) twice bd orally as maintenance treatment until disease progression.
- id
- OG003
- title
- China Cohort - SoC
- description
- Platinum-based chemotherapy (paclitaxel and carboplatin) Q3W for a maximum of 6 cycles with 1120 mg durvalumab (IV) Q3W. Following completion of chemotherapy treatment, patients without objective disease progression received 1500 mg durvalumab (IV) Q4W with olaparib placebo (tablets) bd orally as maintenance treatment until disease progression.
- id
- OG004
- title
- China Cohort - SoC + Durvalumab
- description
- Platinum-based chemotherapy (paclitaxel and carboplatin) Q3W for a maximum of 6 cycles with 1120 mg durvalumab (IV) Q3W. Following completion of chemotherapy treatment, patients without objective disease progression received 1500 mg durvalumab (IV) Q4W with 300 mg olaparib (tablets) bd orally as maintenance treatment until disease progression.
- id
- OG005
- title
- China Cohort - SoC + Durvalumab + Olaparib
- param Type
- MEDIAN
- population Description
- Full Analysis Set (FAS) consisting of all patients randomised as part of global enrolment including patients from China who were randomised before the global recruitment was closed (up to and including 20 Apr 2022). China FAS includes all patients who were randomised at sites in China and Hong Kong.
- reporting Status
- POSTED
- time Frame
- At baseline, every 9 weeks (wks) up to 18 wks, then every 12 wks until objective radiological disease progression. Assessed until 12 Apr 2023 DCO (08 Jul 2024 DCO for China cohort), up to 50 months
- title
- Progression-free Survival (PFS) According to RECIST 1.1, Based on Investigator Assessments
- type
- PRIMARY
- unit Of Measure
- Months
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