A Phase III, Randomized, Open-Label, Controlled, Multi-Center, Global Study of First-Line Durvalumab in Combination With Standard of Care Chemotherapy and Durvalumab in Combination With Tremelimumab and Standard of Care Chemotherapy Versus Standard of Care Chemotherapy Alone in Patients With Unresectable Locally Advanced or Metastatic Urothelial Cancer.

Who is this study for? Adult patients with Unresectable, Locally Advanced or Metastatic Transitional Cell Carcinoma of the Urothelium that have not been treated with first-line chemotherapy but have received radiotherapy
What treatments are being studied? Durvalumab
Status: Recruiting
Closest Recruiting Location:
Research Site
Changchun, China (6532.8 mi away)
See all (231) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 3
SUMMARY

This is a randomized, open-label, controlled, multi-center, global Phase III study to determine the efficacy and safety of combining durvalumab ± tremelimumab with standard of care (SoC) chemotherapy (cisplatin + gemcitabine or carboplatin + gemcitabine doublet) followed by durvalumab monotherapy versus SoC alone as first-line chemotherapy in patients with histologically or cytologically documented, unresectable, locally advanced or metastatic transitional cell carcinoma of the urothelium (including renal pelvis, ureters, urinary bladder, and urethra).

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 130
Healthy Volunteers: No
View:

• Patients with histologically or cytologically documented, unresectable, locally advanced or metastatic transitional cell carcinoma (transitional cell and mixed transitional/non-transitional cell histologies) of the urothelium (including renal pelvis, ureters, urinary bladder, and urethra)

• Patients who have not been previously treated with first-line chemotherapy. Patients who have received prior definitive chemoradiation, adjuvant or neoadjuvant treatment for locally advanced disease are eligible provided that progression to locally advanced or metastatic disease has occurred >12 months from the last therapy [for chemoradiation and adjuvant treatment] or >12 months from the last surgery [for neoadjuvant treatment].

• At least 1 lesion, not previously irradiated, that qualifies as a RECIST 1.1 target lesion at baseline.

• World Health Organization (WHO)/Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1 at enrolment

• Adequate organ and marrow function as defined in the protocol

• Life expectancy ≥12 weeks in the opinion of the investigator

• Evidence of post-menopausal status, or negative urinary or serum pregnancy test for female pre-menopausal patients.

Locations
United States
Alabama
Research Site
Active, not recruiting
Birmingham
California
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Active, not recruiting
Bakersfield
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Active, not recruiting
Fullerton
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Active, not recruiting
Los Angeles
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Active, not recruiting
Salinas
Research Site
Completed
Santa Barbara
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Terminated
Truckee
Connecticut
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Active, not recruiting
New Haven
Washington, D.c.
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Active, not recruiting
Washington
Florida
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Active, not recruiting
Orlando
Illinois
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Terminated
Chicago
Indiana
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Active, not recruiting
Fort Wayne
Kansas
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Active, not recruiting
Kansas City
Kentucky
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Active, not recruiting
Louisville
Louisiana
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Active, not recruiting
New Orleans
Michigan
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Active, not recruiting
Grand Rapids
Montana
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Active, not recruiting
Bozeman
New York
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Active, not recruiting
New Hyde Park
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Active, not recruiting
New York
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Active, not recruiting
New York
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Active, not recruiting
Rochester
South Dakota
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Withdrawn
Sioux Falls
Tennessee
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Active, not recruiting
Germantown
Texas
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Active, not recruiting
Fort Worth
Other Locations
Argentina
Research Site
Active, not recruiting
Buenos Aires
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Active, not recruiting
Buenos Aires
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Active, not recruiting
Ciudad De Buenos Aires
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Active, not recruiting
Ciudad De Buenos Aires
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Active, not recruiting
Rosario
Australia
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Active, not recruiting
Box Hill
Research Site
Active, not recruiting
Elizabeth Vale
Research Site
Terminated
Kogarah
Research Site
Active, not recruiting
Macquarie University
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Active, not recruiting
Murdoch
Research Site
Active, not recruiting
Orange
Research Site
Terminated
South Brisbane
Research Site
Active, not recruiting
St Albans
Brazil
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Active, not recruiting
Curitiba
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Active, not recruiting
Fortaleza
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Completed
Porto Alegre
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Active, not recruiting
Porto Alegre
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Active, not recruiting
Porto Alegre
Research Site
Active, not recruiting
Ribeirão Preto
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Completed
Rio De Janeiro
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Active, not recruiting
Rio De Janeiro
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Active, not recruiting
Salvador
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Active, not recruiting
Santa Maria
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Active, not recruiting
São José Do Rio Preto
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Active, not recruiting
Sao Paulo
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Active, not recruiting
São Paulo
Bulgaria
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Completed
Pleven
Research Site
Completed
Plovdiv
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Completed
Sofia
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Active, not recruiting
Sofia
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Completed
Sofia
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Active, not recruiting
Sofia
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Active, not recruiting
Varna
Canada
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Active, not recruiting
Calgary
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Completed
Edmonton
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Completed
Hamilton
Research Site
Active, not recruiting
Montreal
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Active, not recruiting
Ottawa
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Active, not recruiting
Toronto
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Active, not recruiting
Vancouver
China
Research Site
Recruiting
Beijing
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Recruiting
Beijing
Research Site
Withdrawn
Beijing
Research Site
Recruiting
Beijing
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Withdrawn
Beijing
Research Site
Recruiting
Beijing
Research Site
Recruiting
Changchun
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Recruiting
Changsha
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Recruiting
Changsha
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Recruiting
Chongqing
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Recruiting
Chongqing
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Recruiting
Dalian
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Recruiting
Guangzhou
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Recruiting
Guangzhou
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Recruiting
Guangzhou
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Recruiting
Hangzhou
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Recruiting
Hangzhou
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Recruiting
Hangzhou
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Recruiting
Hangzhou
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Recruiting
Jinan
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Recruiting
Nanchang
Research Site
Recruiting
Nanjing
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Withdrawn
Shanghai
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Recruiting
Shanghai
Research Site
Recruiting
Shanghai
Research Site
Withdrawn
Shanghai
Research Site
Recruiting
Shenyang
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Recruiting
Suzhou
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Recruiting
Tianjin
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Recruiting
Tianjin
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Recruiting
Urumqi
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Recruiting
Wuhan
Research Site
Recruiting
Xi'an
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Recruiting
Xiamen
Hungary
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Active, not recruiting
Budapest
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Active, not recruiting
Budapest
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Active, not recruiting
Budapest
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Active, not recruiting
Debrecen
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Active, not recruiting
Győr
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Active, not recruiting
Kecskemét
Research Site
Active, not recruiting
Szolnok
India
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Withdrawn
Ahmedabad
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Withdrawn
Ahmedabad
Research Site
Withdrawn
Calicut
Research Site
Completed
Gurgaon
Research Site
Completed
Hubli
Research Site
Withdrawn
Hyderabad
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Active, not recruiting
Kolkata
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Completed
Mysuru
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Active, not recruiting
Nagpur
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Completed
Nasik
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Active, not recruiting
New Delhi
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Withdrawn
New Delhi
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Completed
New Delhi
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Active, not recruiting
Pune
Israel
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Active, not recruiting
Haifa
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Active, not recruiting
Jerusalem
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Active, not recruiting
Kfar Saba
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Active, not recruiting
Petach-tikva
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Active, not recruiting
Ramat Gan
Italy
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Active, not recruiting
Arezzo
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Active, not recruiting
Milano
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Active, not recruiting
Milano
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Active, not recruiting
Napoli
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Orbassano
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Parma
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Active, not recruiting
Pavia
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Active, not recruiting
Roma
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Active, not recruiting
Terni
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Active, not recruiting
Verona
Japan
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Active, not recruiting
Bunkyo-ku
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Active, not recruiting
Chuo-ku
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Active, not recruiting
Fukuoka-shi
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Active, not recruiting
Hirosaki-shi
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Active, not recruiting
Kanazawa-shi
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Active, not recruiting
Kita-gun
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Completed
Koshigaya-shi
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Active, not recruiting
Koto-ku
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Active, not recruiting
Kumamoto-shi
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Active, not recruiting
Kumamoto-shi
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Kyoto-shi
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Miyazaki-city
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Nagasaki-shi
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Nagoya-shi
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Nagoya-shi
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Niigata-shi
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Osaka-shi
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Osaka-shi
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Osakasayama-shi
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Shinjuku-ku
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Suita-shi
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Toyama-shi
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Yokohama-shi
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Active, not recruiting
Yokohama-shi
Philippines
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Terminated
Bacolod
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Active, not recruiting
Baguio City
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Active, not recruiting
Cebu
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Completed
Davao City
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Withdrawn
Iloilo City
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Withdrawn
Legazpi City
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Terminated
Makati
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Active, not recruiting
Manila
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Completed
Quezon City
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Completed
Quezon City
Poland
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Active, not recruiting
Bialystok
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Active, not recruiting
Gdańsk
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Completed
Grudziądz
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Koszalin
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Kraków
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Olsztyn
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Poznan
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Radom
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Warszawa
Republic of Korea
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Goyang-si
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Incheon
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Seoul
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Seoul
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Active, not recruiting
Seoul
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Seoul
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Suwon-si
Russian Federation
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Active, not recruiting
Ivanovo
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Completed
Krasnoyarsk
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Active, not recruiting
Moscow
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Active, not recruiting
Moscow
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Completed
Moscow
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Completed
Moscow
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Completed
Nizhniy Novgorod
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Active, not recruiting
Nizhniy Novgorod
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Active, not recruiting
Omsk
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Active, not recruiting
Rostov-on-don
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Completed
Saint-petersburg
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Active, not recruiting
St. Petersburg
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Active, not recruiting
St. Petersburg
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Completed
Tyumen
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Completed
Vologda
Spain
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Active, not recruiting
Barcelona
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Active, not recruiting
Barcelona
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Barcelona
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Lugo
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Madrid
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Madrid
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Madrid
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Malaga
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Santander
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Active, not recruiting
Sevilla
Taiwan
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Active, not recruiting
Taichung
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Active, not recruiting
Taichung
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Active, not recruiting
Tainan
Research Site
Recruiting
Taipei
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Active, not recruiting
Taipei City
Research Site
Recruiting
Taoyuan
Thailand
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Active, not recruiting
Bangkok
Research Site
Active, not recruiting
Bangkok
Research Site
Active, not recruiting
Khon Kaen
Research Site
Withdrawn
Lampang
Research Site
Completed
Mueang
Research Site
Completed
Songkla
Turkey
Research Site
Completed
Adana
Research Site
Active, not recruiting
Adapazari
Research Site
Active, not recruiting
Ankara
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Active, not recruiting
Edirne
Research Site
Active, not recruiting
Istanbul
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Active, not recruiting
Izmir
Viet Nam
Research Site
Active, not recruiting
Ha Noi
Research Site
Completed
Hanoi
Research Site
Active, not recruiting
Hanoi
Research Site
Terminated
Ho Chi Minh
Contact Information
Primary
AstraZeneca Clinical Study Information Center
information.center@astrazeneca.com
1-877-240-9479
Time Frame
Start Date: September 27, 2018
Estimated Completion Date: October 30, 2025
Participants
Target number of participants: 1292
Treatments
Experimental: Durvalumab in Combination with SoC Chemotherapy
Durvalumab every 3 weeks in concurrence with chemotherapy, followed by durvalumab monotherapy every 4 weeks.~All patients will receive one of the following standard of care chemotherapy regimens every 3 weeks for 6 cycles:~cisplatin+ gemcitabine~If the patient is cisplatin-ineligible, carboplatin + gemcitabine
Experimental: Durvalumab in Combination with Tremelimumab+SoC Chemotherapy
Durvalumab and Tremelimumab every 3 weeks in concurrence with chemotherapy, followed by durvalumab monotherapy every 4 weeks~Tremelimumab will be provided for 4 cycles.~All patients will receive one of the following standard of care chemotherapy regimens every 3 weeks for 6 cycles:~cisplatin+ gemcitabine~If the patient is cisplatin-ineligible, carboplatin + gemcitabine
Active Comparator: SoC Chemotherapy
Patients will receive one of the following standard of care chemotherapy regimens every 3 weeks for 6 cycles:~cisplatin+ gemcitabine~If the patient is cisplatin-ineligible, carboplatin + gemcitabine
Related Therapeutic Areas
Sponsors
Leads: AstraZeneca

This content was sourced from clinicaltrials.gov

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