RecruitingPhase 3NCT06284317

A Study to Evaluate the Benefit of Adding Durvalumab After Chemotherapy, Durvalumab and Surgery in Patients With Early-stage, Operable, Non-small Cell Lung Cancer.

An International, Multicentre, Open-label Randomised Phase III Trial to Evaluate the Benefit of Adding Adjuvant Durvalumab After Neoadjuvant Chemotherapy Plus Durvalumab in Patients With Stage IIB-IIIB (N2) Resectable NSCLC


Sponsor

ETOP IBCSG Partners Foundation

Enrollment

290 participants

Start Date

Jan 15, 2025

Study Type

INTERVENTIONAL

Summary

ADOPT-lung is an international, multicentre, open-label randomised phase III trial. Protocol treatment consists of 3-4 cycles of neoadjuvant durvalumab in combination with platinum-based doublet chemotherapy, followed by surgery. Patients with R0 and R1 only resection will be randomised to receive either adjuvant durvalumab for 12 cycles (experimental arm) or observation (control arm). The primary objective of the study is to determine whether additional adjuvant immunotherapy with durvalumab after neoadjuvant chemo-immunotherapy has an effect on disease-free survival (DFS) in patients who do not achieve complete pathological response (pCR) as per local assessment according to the IASLC recommendations.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study is testing whether adding durvalumab (an immunotherapy drug) after chemotherapy and surgery improves outcomes for people with early-stage non-small cell lung cancer (NSCLC) that can be surgically removed. **You may be eligible if...** - You have been diagnosed with non-small cell lung cancer (NSCLC) confirmed by biopsy - Your cancer is stage IIB to IIIB and is considered operable - Your tumor's PD-L1 status has been tested - You do not have specific gene mutations (EGFR or ALK) that would direct you to other treatments - You are in good enough health to undergo surgery and chemotherapy **You may NOT be eligible if...** - Your cancer has spread beyond the lung region or is not resectable - You have EGFR mutations or ALK gene changes - Your tumor is T4 for reasons other than size Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGAdjuvant durvalumab

Durvalumab is given at a fixed dose of 1500 mg i.v. every 4 weeks (±1 week) until relapse or unacceptable toxicity, for a maximum of 12 cycles after surgery.


Locations(42)

Chris O'Brien Lifehouse

Camperdown, New South Wales, Australia

Nepean Hospital

Penrith, New South Wales, Australia

Royal North Shore Hospital

St Leonards, New South Wales, Australia

Princess Alexandra Hospital

Woolloongabba, Queensland, Australia

Flinders Medical Centre

Bedford Park, South Australia, Australia

Royal Hobart Hospital

Hobart, Tasmania, Australia

Eastern Health

Box Hill, Victoria, Australia

Alfred Hospital

Melbourne, Victoria, Australia

Peter MacCallum Cancer Centre

Parkville, Victoria, Australia

Sir Charles Gairdner Hospital

Nedlands, Western Australia, Australia

Wien AKH

Vienna, Austria

Institut Jules Bordet - HUB

Anderlecht, Belgium

Antwerp University Hospital

Antwerp, Belgium

North Estonia Medical Centre Foundation

Talinn, Estonia

CHU Angers

Angers, France

Institut Bergonié

Bordeaux, France

Le Mans - CHG

Le Mans, France

Lyon - Centre Léon Bérard

Lyon, France

Beaumont Hospital

Dublin, Ireland

St James's Hospital

Dublin, Ireland

SS Antonio e Biagio e Cesare Arrigo Hospital

Alessandria, Italy

Istituto Oncologico Veneto

Padova, Italy

Perugia Hospital

Perugia, Italy

Istituto Nazionale Tumori "Regina Elena"

Rome, Italy

AOUS Policlinico Le Scotte

Siena, Italy

Universita di Verona - Department of Medicine

Verona, Italy

NKI

Amsterdam, Netherlands

UMCU

Utrecht, Netherlands

Kantonsspital Baden

Baden, Switzerland

Universitätsspital Basel

Basel, Switzerland

Eoc - Iosi

Bellinzona, Switzerland

Inselspital Bern

Bern, Switzerland

HFR Hôpital Fribourgeois

Fribourg, Switzerland

CHUV

Lausanne, Switzerland

Kantonsspital St.Gallen

Sankt Gallen, Switzerland

Kantonsspital Winterthur

Winterthur, Switzerland

University Hospital Zurich

Zurich, Switzerland

Barts Health NHS Trust

London, United Kingdom

Royal Marsden Hospital (Chelsea)

London, United Kingdom

Royal Marsden Hospital (Sutton)

London, United Kingdom

Maidstone and Tunbridge Wells NHS Trust

Maidstone, United Kingdom

Wythenshawe Hospital, Manchester University NHS Foundation Trust

Manchester, United Kingdom

View Full Details on ClinicalTrials.gov

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NCT06284317