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Trial · NCT06393816

Registered outcomes12

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

ListOutcomeTime frameDescription
Primary
the efficacy (Progression-Free Rate at 12 months) of durvalumab combined with etoposide and platinum (either cisplatin or carboplatin) for the 1st-line treatment of patients with advanced LCNEC confirmed by centralized expert-pathologist review.
12 months
The Progression-Free Rate at 12 months (12M-PFR) will be defined as the percentage of patients with a LCNEC confirmed by centralized expert-pathologist review and presenting a complete response (CR), a partial response (PR) or a stable disease (SD) 12 months after the date of treatment start, as per the independent central radiological review committee
Secondary12-week Objective Response Rate (ORR)12 weeksproportion of patients with a LCNEC confirmed by centralized expert-pathologist review with a complete response (CR) or partial response (PR), 12 weeks after the date of treatment start
Secondary12-week Disease Control Rate12 weeks
proportion of patients with a LCNEC confirmed by centralized expert-pathologist review with a complete response (CR), partial response (PR) or with stable disease (SD), 12 weeks after the date of treatment start
SecondaryProgression-Free Survival (PFS)From date of the first study treatment administration until the date of first documented radiological progression or date of death from any cause, assessed up to 63 months
time from the date of first study treatment administration to the date of first documented disease progression (reviewed centrally) or the date of death from any cause. Patients without event at the time of analysis will be censored at the date of their last tumor assessment.
SecondaryOverall Survivalfrom the date of first study treatment administration to the date of death from any cause, assessed up to 63 monthstime from the date of first study treatment administration to the date of death from any cause. Patients still alive at the time of the analysis will be censored at the time they are known to be alive
SecondarySafety profile : description of treatment-emergent Adverse Events27 months and 90 daysAll adverse events (AE), all serious adverse events, all immune mediated AE and all Adverse Events of Special Interest will be described using the NCI-CTC version 5.0
OtherTreatment effectiveness of the experimental combination compared to an external control armFrom date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 63 months
PFS and OS will be compared between experimental arm (durvalumab with platinum-etoposide) and an external control arm from the ESME-AMLC real-world database. This comparison will be performed through combined statistical approach using the emulation of a target trial associated with appropriate statistical adjustment techniques to control for confounding biases and thereby reach causal inference capability. The emulation process will consist of outlining key elements of this target trial protocol and then applying them to the ESME data.
OtherHistopathological diagnosis concordance rateThrough central histopathological completion, an average of 6 weeks
The proportion of patients with a histopathological diagnosis confirmed by central review will be described. The proportion of patients with a histopathological diagnosis confirmed by central review will be described.
Other12-week Objective Response Rate as a predictive and prognostic factors12 weeksThe 12W-ORR will be studied as predictive (12M-PFR and ORR) and prognostic factors (OS) of efficacy
OtherOverall Survival in the whole study populationFrom the date of first study treatment administration to the date of death from any cause, assessed up to 63 monthsOverall study as usually published in other studies (in which the diagnosis is not confirmed).
OtherPD-L1 expression as a predictive and prognostic biomarkerFrom the date of first study treatment administration to the date of death from any cause, assessed up to 63 monthsPD-L1 expression on tumor cells (TCs) and immune cells (ICs), will be studied as predictive (12M-PFR and ORR) and prognostic factors (OS) of efficacy.
OtherRetinoblastoma-1-gene (Rb1) mutation as a predictive and prognostic biomarkerFrom the date of first study treatment administration to the date of death from any cause, assessed up to 63 monthsRetinoblastoma-1-gene (Rb1) mutation will be studied as predictive (12M-PFR and ORR) and prognostic factors (OS) of efficacy.

Source ClinicalTrials.govtrials-2026-11-12-0.5.0

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.

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