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Trial · NCT04269200

Durvalumab With or Without Olaparib as Maintenance Therapy After First-Line Treatment of Advanced and Recurrent Endometrial Cancer

NCT04269200, Phase 3, Active not recruiting, AstraZeneca; results first posted 2025-12-23

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Durvalumab With or Without Olaparib as Maintenance Therapy After First-Line Treatment of Advanced and Recurrent Endometrial Cancer. Trials, record NCT04269200. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04269200

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Trial

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

Title
Durvalumab With or Without Olaparib as Maintenance Therapy After First-Line Treatment of Advanced and Recurrent Endometrial Cancer
NCT number
NCT04269200
Status
Active not recruiting
Phases
Phase 3
Enrollment
805 participants, actual
Lead sponsor
AstraZeneca
Conditions
Endometrial Neoplasms
Interventions
olaparib, durvalumab, durvalumab placebo, olaparib placebo, Carboplatin, Paclitaxel
First posted
2020-02-13
Last updated
2026-11-05
Other registries' IDs
eudract:2019-004112-60
Results first posted
2025-12-23

Source ClinicalTrials.gov

Registered outcomes12

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

ListOutcomeTime frameDescription
PrimaryProgression-free Survival (PFS) According to RECIST 1.1, Based on Investigator AssessmentsAt 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
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
SecondaryOverall Survival (OS) AnalysisSurvival assessed every 2 months after RECIST defined radiological progression; assessed through study completion, up to 83 months
To determine 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 in newly diagnosed advanced or recurrent endometrial cancer patients by assessment of OS
SecondaryTime From Randomisation to Second Progression or Death (PFS2) Based on Local Standard Clinical Practice
At baseline, every 9 to 18 wks, then every 12 wks until objective radiological disease progression. Assessments then per local practice every 12 wks until second progression. Assessed until 12Apr2023 DCO (08Jul2024 DCO for China cohort), up to 50 months
To determine 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 in newly diagnosed advanced or recurrent endometrial cancer patients by assessment of PFS2
SecondaryObjective Response Rate (ORR) Based on Investigator AssessmentAt baseline, every 9 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
To determine 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 in newly diagnosed advanced or recurrent endometrial cancer patients by assessment of ORR
SecondaryDuration of Response (DoR) Based on Investigator AssessmentAt baseline, every 9 wks up to 18 wks, then every 12 wks until objective radiological disease progression. Assessed until 12 Apr 2023 DCO, up to 35 months
To determine 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 in newly diagnosed advanced or recurrent endometrial cancer patients by assessment of DoR
SecondaryTime From Randomisation to First Subsequent Therapy or Death (TFST)Time elapsed from randomisation to first subsequent therapy or death. Assessed every 12 wks following treatment discontinuation, through study completion (up to 83 months)
To determine 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 in newly diagnosed advanced or recurrent endometrial cancer patients by assessment of TFST
SecondaryTime From Randomisation to Second Subsequent Therapy or Death (TSST)Time elapsed from randomisation to second subsequent therapy or death. Assessed every 12 wks following treatment discontinuation, through study completion (up to 83 months)
To determine 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 in newly diagnosed advanced or recurrent endometrial cancer patients by assessment of TSST
SecondaryTime From Randomisation to Discontinuation of Treatment or Death (TDT)Time elapsed from randomisation to study treatment discontinuation or death. Assessed through study completion, up to 83 months
To determine 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 in newly diagnosed advanced or recurrent endometrial cancer patients by assessment of TDT
SecondarySerum Concentration of DurvalumabPK sampling performed on Day 85 pre-dose, Day 183 pre-dose, and 3 months after study treatment discontinuation (up to 36 months)To characterise the pharmacokinetics (PK) of durvalumab and durvalumab in combination with olaparib
SecondaryAnti-drug Antibodies (ADA) to DurvalumabImmunogenicity sampling performed on Day 1 pre-dose, Day 85 pre-dose, Day 183 pre-dose, and 3 and 6 months after study treatment discontinuation (up to 39 months)To characterise the immunogenicity of durvalumab and durvalumab in combination with olaparib

Outcomes12

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYProgression-free Survival (PFS) According to RECIST 1.1, Based on Investigator AssessmentsAt 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
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.
MonthsMEDIAN
SECONDARYOverall Survival (OS) AnalysisSurvival assessed every 2 months after RECIST defined radiological progression; assessed through study completion, up to 83 months
SECONDARYTime From Randomisation to Second Progression or Death (PFS2) Based on Local Standard Clinical Practice
At baseline, every 9 to 18 wks, then every 12 wks until objective radiological disease progression. Assessments then per local practice every 12 wks until second progression. Assessed until 12Apr2023 DCO (08Jul2024 DCO for China cohort), up to 50 months
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.
MonthsMEDIAN
SECONDARYObjective Response Rate (ORR) Based on Investigator AssessmentAt baseline, every 9 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
All participants with measurable disease at baseline were included in the analysis. 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. Odds ratio only calculated for Global cohort (per statistical analysis plan \[SAP\]).
Percentage of participantsNUMBER
SECONDARYDuration of Response (DoR) Based on Investigator AssessmentAt baseline, every 9 wks up to 18 wks, then every 12 wks until objective radiological disease progression. Assessed until 12 Apr 2023 DCO, up to 35 months
All participants with confirmed response were included in the analysis. 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). This endpoint was not assessed in the China cohort as it was not prespecified in the statistical analysis plan (SAP).
MonthsMEDIAN
SECONDARYTime From Randomisation to First Subsequent Therapy or Death (TFST)Time elapsed from randomisation to first subsequent therapy or death. Assessed every 12 wks following treatment discontinuation, through study completion (up to 83 months)
SECONDARYTime From Randomisation to Second Subsequent Therapy or Death (TSST)Time elapsed from randomisation to second subsequent therapy or death. Assessed every 12 wks following treatment discontinuation, through study completion (up to 83 months)
SECONDARYTime From Randomisation to Discontinuation of Treatment or Death (TDT)Time elapsed from randomisation to study treatment discontinuation or death. Assessed through study completion, up to 83 months
SECONDARYSerum Concentration of DurvalumabPK sampling performed on Day 85 pre-dose, Day 183 pre-dose, and 3 months after study treatment discontinuation (up to 36 months)
The Overall Number of Participants Analyzed reflects the total number of patients included in the PK Analysis Set, which comprises those treated with durvalumab per protocol and with valid PK data. However, PK concentrations were excluded at the sample level if they do not meet protocol-defined criteria. While some patients may not have any valid samples due to these exclusions, they remain part of the analysis population set by definition.
μg/mLGEOMETRIC_MEAN
SECONDARYAnti-drug Antibodies (ADA) to DurvalumabImmunogenicity sampling performed on Day 1 pre-dose, Day 85 pre-dose, Day 183 pre-dose, and 3 and 6 months after study treatment discontinuation (up to 39 months)ADA Analysis Set. This includes all patients who receive at least 1 dose of durvalumab and have non-missing baseline ADA and at least 1 post-baseline ADA result.Number of participantsNUMBER

Results by group74

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

OutcomeGroupCategoryValueSpreadUnits
Progression-free Survival (PFS) According to RECIST 1.1, Based on Investigator AssessmentsGlobal Cohort - SoC9.695% Confidence Interval 9.0 to 9.9Months
Progression-free Survival (PFS) According to RECIST 1.1, Based on Investigator AssessmentsGlobal Cohort - SoC + Durvalumab10.295% Confidence Interval 9.7 to 14.7Months
Progression-free Survival (PFS) According to RECIST 1.1, Based on Investigator AssessmentsGlobal Cohort - SoC + Durvalumab + Olaparib15.195% Confidence Interval 12.6 to 20.7Months
Progression-free Survival (PFS) According to RECIST 1.1, Based on Investigator AssessmentsChina Cohort - SoC9.795% Confidence Interval 7.6 to 12.3Months
Progression-free Survival (PFS) According to RECIST 1.1, Based on Investigator AssessmentsChina Cohort - SoC + Durvalumab9.995% Confidence Interval 8.2 to 20.6Months
Progression-free Survival (PFS) According to RECIST 1.1, Based on Investigator AssessmentsChina Cohort - SoC + Durvalumab + Olaparib9.995% Confidence Interval 7.1 to 12.6Months
Time From Randomisation to Second Progression or Death (PFS2) Based on Local Standard Clinical PracticeGlobal Cohort - SoC19.195% Confidence Interval 16.4 to 22.9Months
Time From Randomisation to Second Progression or Death (PFS2) Based on Local Standard Clinical PracticeGlobal Cohort - SoC + Durvalumab22.295% Confidence Interval 18.7 to NAMonths
Time From Randomisation to Second Progression or Death (PFS2) Based on Local Standard Clinical PracticeGlobal Cohort - SoC + Durvalumab + OlaparibNA95% Confidence Interval NA to NAMonths
Time From Randomisation to Second Progression or Death (PFS2) Based on Local Standard Clinical PracticeChina Cohort - SoC24.295% Confidence Interval 15.5 to NAMonths

Participant flow18

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

PeriodMilestoneGroupParticipantsUnits counted
Global CohortSTARTEDStandard of Care (SoC)241
Global CohortSTARTEDSoC + Durvalumab238
Global CohortSTARTEDSoC + Durvalumab + Olaparib239
Global CohortCOMPLETEDStandard of Care (SoC)147
Global CohortCOMPLETEDSoC + Durvalumab159
Global CohortCOMPLETEDSoC + Durvalumab + Olaparib170
Global CohortNOT COMPLETEDStandard of Care (SoC)94
Global CohortNOT COMPLETEDSoC + Durvalumab79
Global CohortNOT COMPLETEDSoC + Durvalumab + Olaparib69
China CohortSTARTEDStandard of Care (SoC)44

Adverse events1,842

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherPneumoniaInfections and infestationsGlobal Cohort - SoC12361
otherPneumoniaInfections and infestationsGlobal Cohort - SoC + Durvalumab02350
otherPneumoniaInfections and infestationsGlobal Cohort - SoC + Durvalumab + Olaparib52385
otherPneumoniaInfections and infestationsChina Cohort - SoC0440
otherPneumoniaInfections and infestationsChina Cohort - SoC + Durvalumab2412
otherPneumoniaInfections and infestationsChina Cohort - SoC + Durvalumab + Olaparib3413
otherUpper respiratory tract infectionInfections and infestationsGlobal Cohort - SoC82368
otherUpper respiratory tract infectionInfections and infestationsGlobal Cohort - SoC + Durvalumab42355
otherUpper respiratory tract infectionInfections and infestationsGlobal Cohort - SoC + Durvalumab + Olaparib1123812
otherUpper respiratory tract infectionInfections and infestationsChina Cohort - SoC7447

Adverse event totals18

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityGlobal Cohort - SoC82241
Total, all-cause mortalityGlobal Cohort - SoC + Durvalumab65238
Total, all-cause mortalityGlobal Cohort - SoC + Durvalumab + Olaparib52239
Total, all-cause mortalityChina Cohort - SoC1244
Total, all-cause mortalityChina Cohort - SoC + Durvalumab1143
Total, all-cause mortalityChina Cohort - SoC + Durvalumab + Olaparib1442
Total, other adverse eventsGlobal Cohort - SoC233236
Total, other adverse eventsGlobal Cohort - SoC + Durvalumab228235
Total, other adverse eventsGlobal Cohort - SoC + Durvalumab + Olaparib236238
Total, other adverse eventsChina Cohort - SoC4444

Papers4

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
37864337DERIVEDPubMed
38431043DERIVEDPubMed
40590327DERIVEDPubMed
41943281DERIVEDPubMed

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/NCT04269200

GET https://conductscience.org/api/trials/v1/NCT04269200/results?page=2