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Trial · NCT03298451

Study of Durvalumab and Tremelimumab as First-line Treatment in Patients With Advanced Hepatocellular Carcinoma

NCT03298451, Phase 3, Active not recruiting, AstraZeneca; results first posted 2023-06-18

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Study of Durvalumab and Tremelimumab as First-line Treatment in Patients With Advanced Hepatocellular Carcinoma. Trials, record NCT03298451. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03298451

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Study of Durvalumab and Tremelimumab as First-line Treatment in Patients With Advanced Hepatocellular Carcinoma
NCT number
NCT03298451
Status
Active not recruiting
Phases
Phase 3
Enrollment
1,324 participants, actual
Lead sponsor
AstraZeneca
Conditions
Hepatocellular Carcinoma
Interventions
Durvalumab, Tremelimumab (Regimen 1), Tremelimumab (Regimen 2), Sorafenib, Durvalumab (Regimen 1), Durvalumab (Regimen 2)
First posted
2017-10-02
Last updated
2026-10-07
Other registries' IDs
eudract:2016-005126-11
Results first posted
2023-06-18

Source ClinicalTrials.gov

Registered outcomes17

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryOverall Survival (OS) - Treme 300 mg x1 Dose + Durva 1500 mg vs Sora 400 mgFrom the date of randomization until death due to any cause, assessed up to the data cut-off date (27Aug2021, to a maximum of approximately 46 months).
OS was defined as the time from the date of randomization until death due to any cause, regardless of whether the participant withdrew from randomized therapy or received another anticancer therapy. Any participant not known to have died at the DCO date was censored based on the last recorded date on which the participant was known to be alive. If the last known date alive or if the date of death was after the DCO date, participants were censored at the DCO date. This primary outcome measure presents OS analysis of Treme 300mg x1 dose + Durva 1500 mg vs Sora 400 mg at the time of the final analysis DCO (27Aug2021).
SecondaryOverall Survival (OS) - Durva 1500 mg vs Sora 400 mgFrom the date of randomization until death due to any cause, assessed up to the data cut-off date (27Aug2021, to a maximum of approximately 46 months).
OS was defined as the time from the date of randomization until death due to any cause, regardless of whether the participant withdrew from randomized therapy or received another anticancer therapy. Any participant not known to have died at the DCO date was censored based on the last recorded date on which the participant was known to be alive. If the last known date alive or if the date of death was after the DCO date, participants were censored at the DCO date. This secondary outcome measure presents OS analysis of Durva 1500 mg vs Sora 400 mg at the time of the final analysis DCO (27Aug2021).
SecondaryOverall Survival (OS) at 18, 24, and 36 Months After RandomizationAt 18, 24, and 36 months post-randomization. Assessed at the final analysis DCO (27Aug2021).
Percentage of participants who were alive at fixed time points (18, 24, and 36 months) after randomization. The estimated percentage of survival along with the 95% confidence interval were calculated using Kaplan-Meier technique on the full analysis set.
SecondaryProgression Free Survival (PFS)
Tumor scans performed at baseline, every 8 weeks for the first 48 weeks following randomization, and every 12 weeks thereafter until RECIST 1.1-defined progression. Assessed up to DCO (27Aug2021, to a maximum of approximately 46 months)
PFS (per Response Evaluation Criteria in Solid Tumors, version 1.1 \[RECIST 1.1\] using Investigator assessments) was defined as the time from the date of randomization until the date of objective disease progression or death by any cause in the absence of progression, regardless of whether the patient withdrew from study treatment or received another anticancer therapy prior to progression. Progression (i.e., PD) was defined as a at least 20% increase in the sum of diameters of TLs, taking as reference the smallest previous sum of diameters (nadir) - this includes the baseline sum if that is the smallest on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm from nadir.
SecondaryTime To Progression (TTP)From the date of randomization until objective tumor progression, assessed until the final analysis DCO (27Aug2021, to a maximum of approximately 46 months).TTP was defined as the time from randomization until objective tumor progression in the absence of death. If participants died without tumor progression, they were censored at the time of death.
SecondaryObjective Response Rate (ORR)From the date of randomization until objective tumor progression, assessed until the final analysis DCO (27Aug2021, to a maximum of approximately 46 months).
ORR (per RECIST 1.1 as assessed by the Investigator) was defined as the number (%) of participants with at least 1 confirmed visit response of CR or PR until progression, or the last evaluable assessment in the absence of progression. Participants who go off treatment without progression, receive a subsequent therapy, and then respond will not be included as responders in the ORR. Complete response (ie., CR) was defined as disappearance of all target lesions (TLs) since baseline. Any pathological lymph nodes selected as TLs must have a reduction in short axis diameter to \<10 mm. Partial response (ie., PR) was defined as at least a 30% decrease in the sum of the diameter of TL, taking as reference the baseline sum of diameters.
SecondaryDisease Control Rate (DCR)From the date of randomization until objective tumor progression or date of death, assessed until the final analysis DCO (27Aug2021, to a maximum of approximately 46 months).
Number (%) of participants with a Best Objective Response (BoR) of CR, PR, or SD. Complete response (ie., CR) was defined as disappearance of all target lesions (TLs) since baseline. Any pathological lymph nodes selected as TLs must have a reduction in short axis diameter to \<10 mm. Partial response (ie., PR) was defined as at least a 30% decrease in the sum of the diameter of TL, taking as reference the baseline sum of diameters. Stable disease (ie., SD) was defined as neither sufficient decrease in sum of diameters to qualify for PR nor sufficient increase to qualify for progression.
SecondaryDuration of Objective Response (DoR)From the date of first documented response until the first date of documented progression or death, assessed until the final analysis DCO (27Aug2021, to a maximum of approximately 46 months).
Time from the date of first documented confirmed response (complete or partial response) until the first date of documented progression or death in the absence of disease progression. Complete response (ie., CR) was defined as disappearance of all target lesions (TLs) since baseline. Any pathological lymph nodes selected as TLs must have a reduction in short axis diameter to \<10 mm. Partial response (ie., PR) was defined as at least a 30% decrease in the sum of the diameter of TL, taking as reference the baseline sum of diameters.
SecondaryOverall Survival (OS) by PD-L1From the date of randomization until death due to any cause, assessed until the final analysis DCO (27Aug2021, to a maximum of approximately 46 months).
Overall survival by baseline PD-L1 expression levels (positive vs. negative). PD-L1 expression level is based on the Tumor and Immune Cell Positivity (TIP) score method as: PD-L1 Positive (TIP ≥ 1%) or PD-L1 Negative (TIP \< 1%).
SecondaryEORTC QLQ-C30 Time to Global Health Status/QoL DeteriorationAt baseline and every 8 weeks for the first 48 weeks and then every 12 weeks thereafter until death or the final analysis DCO (27Aug2021), assessed up to approximately 46 months.
European Organisation for Research and Treatment of Cancer (EORTC) 30-item core quality of life questionnaire (QLQ-C30), which consists of 30 questions combined to produce a global health status/QoL scale. Higher scores indicate better health. A clinically meaningful deterioration is defined as a decrease in the score from baseline of ≥10. Time to deterioration is defined as the time from the date of randomization until the date of the first clinically meaningful deterioration that is confirmed at a subsequent visit or death by any cause in the absence of a clinically meaningful deterioration, regardless of whether the patient discontinues study drug(s) or receives another anticancer therapy.

Outcomes17

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYOverall Survival (OS) - Treme 300 mg x1 Dose + Durva 1500 mg vs Sora 400 mgFrom the date of randomization until death due to any cause, assessed up to the data cut-off date (27Aug2021, to a maximum of approximately 46 months).The FAS included all participants who were randomized. T75+D arm was closed during study.monthsMEDIAN
SECONDARYOverall Survival (OS) - Durva 1500 mg vs Sora 400 mgFrom the date of randomization until death due to any cause, assessed up to the data cut-off date (27Aug2021, to a maximum of approximately 46 months).The FAS included all participants who were randomized. T75+D arm was closed during study.monthsMEDIAN
SECONDARYOverall Survival (OS) at 18, 24, and 36 Months After RandomizationAt 18, 24, and 36 months post-randomization. Assessed at the final analysis DCO (27Aug2021).The FAS included all participants who were randomized. T75+D arm was closed during study.percentage of survivalNUMBER
SECONDARYProgression Free Survival (PFS)
Tumor scans performed at baseline, every 8 weeks for the first 48 weeks following randomization, and every 12 weeks thereafter until RECIST 1.1-defined progression. Assessed up to DCO (27Aug2021, to a maximum of approximately 46 months)
The FAS included all participants who were randomized. T75+D arm was closed during study.monthsMEDIAN
SECONDARYTime To Progression (TTP)From the date of randomization until objective tumor progression, assessed until the final analysis DCO (27Aug2021, to a maximum of approximately 46 months).The FAS included all participants who were randomized. T75+D arm was closed during study.monthsMEDIAN
SECONDARYObjective Response Rate (ORR)From the date of randomization until objective tumor progression, assessed until the final analysis DCO (27Aug2021, to a maximum of approximately 46 months).The FAS included all participants who were randomized. T75+D arm was closed during study.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYDisease Control Rate (DCR)From the date of randomization until objective tumor progression or date of death, assessed until the final analysis DCO (27Aug2021, to a maximum of approximately 46 months).The FAS included all participants who were randomized. T75+D arm was closed during study.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYDuration of Objective Response (DoR)From the date of first documented response until the first date of documented progression or death, assessed until the final analysis DCO (27Aug2021, to a maximum of approximately 46 months).A subset of FAS subjects who achieve confirmed CR or PR as determined per RECIST 1.1 using Investigator assessment. T75+D arm was closed during study.monthsMEDIAN
SECONDARYOverall Survival (OS) by PD-L1From the date of randomization until death due to any cause, assessed until the final analysis DCO (27Aug2021, to a maximum of approximately 46 months).A subset of FAS who had non-missing baseline PD-L1 status. T75+D arm was closed during study.monthsMEDIAN
SECONDARYEORTC QLQ-C30 Time to Global Health Status/QoL DeteriorationAt baseline and every 8 weeks for the first 48 weeks and then every 12 weeks thereafter until death or the final analysis DCO (27Aug2021), assessed up to approximately 46 months.A subset of the FAS who had baseline scores of \>=10. T75+D arm was closed during study.monthsMEDIAN

Results by group96

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Overall Survival (OS) - Treme 300 mg x1 Dose + Durva 1500 mg vs Sora 400 mgDurva 1500 mg16.5695% Confidence Interval 14.06 to 19.12months
Overall Survival (OS) - Treme 300 mg x1 Dose + Durva 1500 mg vs Sora 400 mgTreme 300 mg x1 Dose + Durva 1500 mg16.4395% Confidence Interval 14.16 to 19.58months
Overall Survival (OS) - Treme 300 mg x1 Dose + Durva 1500 mg vs Sora 400 mgTreme 75 mg x4 Doses + Durva 1500 mg16.3695% Confidence Interval 12.39 to 19.65months
Overall Survival (OS) - Treme 300 mg x1 Dose + Durva 1500 mg vs Sora 400 mgSora 400 mg13.7795% Confidence Interval 12.25 to 16.13months
Overall Survival (OS) - Durva 1500 mg vs Sora 400 mgDurva 1500 mg16.5695% Confidence Interval 14.06 to 19.12months
Overall Survival (OS) - Durva 1500 mg vs Sora 400 mgTreme 300 mg x1 Dose + Durva 1500 mg16.4395% Confidence Interval 14.16 to 19.58months
Overall Survival (OS) - Durva 1500 mg vs Sora 400 mgTreme 75 mg x4 Doses + Durva 1500 mg16.3695% Confidence Interval 12.39 to 19.65months
Overall Survival (OS) - Durva 1500 mg vs Sora 400 mgSora 400 mg13.7795% Confidence Interval 12.25 to 16.13months
Overall Survival (OS) at 18, 24, and 36 Months After RandomizationDurva 1500 mgSurvival rate at 18 months47.495% Confidence Interval 42.4 to 52.3percentage of survival
Overall Survival (OS) at 18, 24, and 36 Months After RandomizationTreme 300 mg x1 Dose + Durva 1500 mgSurvival rate at 18 months48.795% Confidence Interval 43.6 to 53.5percentage of survival

Participant flow16

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDDurva 1500 mg389
Overall StudySTARTEDTreme 300 mg x1 Dose + Durva 1500 mg393
Overall StudySTARTEDTreme 75 mg x4 Doses + Durva 1500 mg153
Overall StudySTARTEDSora 400 mg389
Overall StudyReceived TreatmentDurva 1500 mg386
Overall StudyReceived TreatmentTreme 300 mg x1 Dose + Durva 1500 mg389
Overall StudyReceived TreatmentTreme 75 mg x4 Doses + Durva 1500 mg153
Overall StudyReceived TreatmentSora 400 mg374
Overall StudyCOMPLETEDDurva 1500 mg104
Overall StudyCOMPLETEDTreme 300 mg x1 Dose + Durva 1500 mg125

Adverse events1,308

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAlanine aminotransferase increasedInvestigationsDurva 1500 mg4238849
otherAlanine aminotransferase increasedInvestigationsTreme 300 mg x1 Dose + Durva 1500 mg3538845
otherAlanine aminotransferase increasedInvestigationsTreme 75 mg x4 Doses + Durva 1500 mg91529
otherAlanine aminotransferase increasedInvestigationsSora 400 mg2037426
otherAmylase increasedInvestigationsDurva 1500 mg938811
otherAmylase increasedInvestigationsTreme 300 mg x1 Dose + Durva 1500 mg2838838
otherAmylase increasedInvestigationsTreme 75 mg x4 Doses + Durva 1500 mg61526
otherAmylase increasedInvestigationsSora 400 mg1037417
otherAspartate aminotransferase increasedInvestigationsDurva 1500 mg5438863
otherAspartate aminotransferase increasedInvestigationsTreme 300 mg x1 Dose + Durva 1500 mg4638853

Adverse event totals12

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityDurva 1500 mg280389
Total, all-cause mortalityTreme 300 mg x1 Dose + Durva 1500 mg262393
Total, all-cause mortalityTreme 75 mg x4 Doses + Durva 1500 mg123153
Total, all-cause mortalitySora 400 mg293389
Total, other adverse eventsDurva 1500 mg299388
Total, other adverse eventsTreme 300 mg x1 Dose + Durva 1500 mg334388
Total, other adverse eventsTreme 75 mg x4 Doses + Durva 1500 mg133152
Total, other adverse eventsSora 400 mg333374
Total, serious adverse eventsDurva 1500 mg115388
Total, serious adverse eventsTreme 300 mg x1 Dose + Durva 1500 mg157388

Papers8

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
37676259DERIVEDPubMed
37678916DERIVEDPubMed
38319892DERIVEDPubMed
38805668DERIVEDPubMed
39089633DERIVEDPubMed
40222621DERIVEDPubMed
41585428DERIVEDPubMed
42108643DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03298451

GET https://conductscience.org/api/trials/v1/NCT03298451/results?page=2