RecruitingNCT06494540

NIS to Examine the Effectiveness of TDC in Patients With Metastatic Non-squamous NSCLC and High-risk Genetic Alterations

Prospective Non-interventional Study (NIS) to Examine the Effectiveness of Tremelimumab + Durvalumab + Platinum Chemotherapy (TDC) in Patients With Metastatic Non-squamous NSCLC and High-risk Genetic Alterations


Sponsor

AstraZeneca

Enrollment

600 participants

Start Date

Jun 28, 2024

Study Type

OBSERVATIONAL

Conditions

Summary

This prospective, multicenter, non-interventional study (NIS) in Germany aims to collect real-life data of patients with non-squamous (NSQ) metastatic non-small cell lung cancer (mNSCLC) (incl. large cell neuroendocrine carcinoma (LCNEC) if considered NSCLC-like by the treating physician) for whom 1st line treatment initiation with tremelimumab and durvalumab in combination with a platinum-based chemotherapy (TDC) according to marketing authorization was scheduled. The study aims to describe the effectiveness with respect to mutations in Kirsten rat sarcoma viral oncogene homolog (KRAS), Serine/threonine kinase 11 (STK11), Kelch-like ECH-associated protein 1 (KEAP1), and Tumor protein p53 (TP53) as well as expression of Thyroid transcription factor 1 (TTF-1) and Programmed death-ligand 1 (PD-L1) in routine clinical practice. The generated data aims to deepen the understanding of optimal, biomarker-guided treatment strategies for NSQ mNSCLC in distinct subgroups with a high medical need.


Eligibility

Min Age: 18 YearsMax Age: 120 Years

Inclusion Criteria10

  • Aged ≥ 18 years
  • Decision to start first-line (1L) treatment with TDC according to the current SmPCs
  • Histologically or cytologically confirmed diagnosis of NSQ mNSCLC (incl. LCNEC if considered NSCLC-like by the treating physician)
  • No sensitizing epidermal growth factor receptor (EGFR) mutations or anaplastic lymphoma kinase (ALK) alterations
  • Molecular Next Generation Sequencing (NGS) panel as per institutional standard has been initiated (including the following genes: KRAS, STK11, KEAP1, and TP53)
  • TTF-1 expression analysis has been initiated
  • PD-L1 expression analysis has been initiated
  • Women of childbearing potential must use effective contraception during treatment with durvalumab and for at least 3 months after the last dose of durvalumab
  • Ability to understand the study concept
  • Provision of signed informed consent form in accordance with applicable local provisions

Exclusion Criteria3

  • Current participation in interventional clinical trials
  • Contraindications according to current SmPCs
  • Any active tumor other than metastatic NSCLC

Locations(21)

Research Site

Bad Homburg, Germany

Research Site

Berlin, Germany

Research Site

Celle, Germany

Research Site

Chemnitz, Germany

Research Site

Frankfurt, Germany

Research Site

Georgsmarienhütte, Germany

Research Site

Gera, Germany

Research Site

Goslar, Germany

Research Site

Halle-Dolau, Germany

Research Site

Hanover, Germany

Research Site

Herne, Germany

Research Site

Koln-Mehrheim, Germany

Research Site

Mainz, Germany

Research Site

Marburg, Germany

Research Site

Münnerstadt, Germany

Research Site

Neuss, Germany

Research Site

Ravensburg, Germany

Research Site

Treuenbrietzen, Germany

Research Site

Ulm, Germany

Research Site

Wiesbaden, Germany

Research Site

Zwickau, Germany

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NCT06494540