Study of Durvalumab Alone or Chemotherapy for Patients With Advanced Non Small-Cell Lung Cancer (PEARL)

NCT ID: NCT03003962

Last Updated: 2025-12-24

Study Results

Results available

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Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

669 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-01-02

Study Completion Date

2026-06-30

Brief Summary

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This is a randomized, open-label, multi-center Phase III study to determine the efficacy and safety of durvalumab versus platinum-based SoC chemotherapy in the first-line treatment of advanced NSCLC in patients who are epidermal growth factor receptor (EGFR) and anaplastic lymphoma kinase (ALK) wild-type and with PD-L1 high expression (PEARL)

Detailed Description

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Patients with stage IV NSCLC will be randomized in a 1:1 ratio to 2 treatment arms (durvalumab or SOC therapy). The dual primary objectives of this study are to assess the efficacy of durvalumab versus SoC in terms of OS (Overall Survival) in all randomized patients and in patients who are at low risk of EM (early mortality)

Conditions

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Non Small Cell Lung Carcinoma NSCLC

Keywords

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NSCLC PD-L1 Durvalumab (MEDI4736) OS

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Arm 1: Durvalumab

Anti-PD-L1 monoclonal Antibody monotherapy

Group Type EXPERIMENTAL

Durvalumab (MEDI4736)

Intervention Type DRUG

Anti-PD-L1 monoclonal Antibody monotherapy

Arm 2: Standard of Care

Standard of Care Platinum-Based chemotherapy

Group Type ACTIVE_COMPARATOR

Paclitaxel + carboplatin

Intervention Type DRUG

Chemotherapy Agents

Gemcitabine + cisplatin

Intervention Type DRUG

Chemotherapy Agents

Gemcitabine + carboplatin

Intervention Type DRUG

Chemotherapy Agents

Pemetrexed + cisplatin

Intervention Type DRUG

Chemotherapy Agent

Pemetrexed + carboplatin

Intervention Type DRUG

Chemotherapy Agent

Interventions

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Durvalumab (MEDI4736)

Anti-PD-L1 monoclonal Antibody monotherapy

Intervention Type DRUG

Paclitaxel + carboplatin

Chemotherapy Agents

Intervention Type DRUG

Gemcitabine + cisplatin

Chemotherapy Agents

Intervention Type DRUG

Gemcitabine + carboplatin

Chemotherapy Agents

Intervention Type DRUG

Pemetrexed + cisplatin

Chemotherapy Agent

Intervention Type DRUG

Pemetrexed + carboplatin

Chemotherapy Agent

Intervention Type DRUG

Other Intervention Names

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Platinum based Standard of Care Chemotherapy Platinum based Standard of Care Chemotherapy Platinum based Standard of Care Chemotherapy Platinum based Standard of Care Chemotherapy Platinum based Standard of Care Chemotherapy

Eligibility Criteria

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Inclusion Criteria

* Aged at least 18 years
* Documented evidence of Stage IV NSCLC
* No sensitizing EGFR mutation and ALK rearrangement
* PD-L1 high expression
* Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1

Exclusion Criteria

* Prior chemotherapy or any other systemic therapy for advanced NSCLC
* Prior exposure to immune-mediated therapy, including, but not limited to, other anti-cytotoxic T-lymphocyte-associated antigen 4 (CTLA-4), anti-programmed cell death1 (PD-1), anti-programmed cell death ligand 1 (PD-L1), or anti PD-L2 antibodies, excluding therapeutic anticancer vaccines
* Brain metastases or spinal cord compression unless the patient is stable and off steroids for at least 14 days prior to start of study treatment
* Mixed small-cell lung cancer and NSCLC histology, sarcomatoid variant
* Active or prior documented autoimmune or inflammatory disorders (e.g., colitis or Crohn's disease\]
Minimum Eligible Age

18 Years

Maximum Eligible Age

130 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AstraZeneca

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Research Site

Anaheim, California, United States

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Box Hill, , Australia

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Gosford, , Australia

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Kogarah, , Australia

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St Leonards, , Australia

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Beijing, , China

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Beijing, , China

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Beijing, , China

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Bengbu, , China

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Changchun, , China

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Changsha, , China

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Chengdu, , China

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Chongqing, , China

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Guangzhou, , China

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Guangzhou, , China

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Haikou, , China

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Hangzhou, , China

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Hangzhou, , China

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Hangzhou, , China

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Hangzhou, , China

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Jinan, , China

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Linhai, , China

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Nanchang, , China

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Nanjing, , China

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Ningbo, , China

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Shanghai, , China

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Shenyang, , China

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Shijiazhuang, , China

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Ürümqi, , China

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Ürümqi, , China

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Wanzhou, , China

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Wenzhou, , China

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Wuhan, , China

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Wuhan, , China

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Wuhan, , China

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Xi'an, , China

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Xi'an, , China

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Zhengzhou, , China

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Zhuhai, , China

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Budapest, , Hungary

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Budapest, , Hungary

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Budapest, , Hungary

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Deszk, , Hungary

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Farkasgyepü, , Hungary

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Gyöngyös - Mátraháza, , Hungary

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Székesfehérvár, , Hungary

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Törökbálint, , Hungary

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Almelo, , Netherlands

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Bialystok, , Poland

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Grudziądz, , Poland

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Koszalin, , Poland

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Lublin, , Poland

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Mrozy, , Poland

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Warsaw, , Poland

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Wroclaw, , Poland

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Arkhangelsk, , Russia

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Moscow, , Russia

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Novosibirsk, , Russia

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Omsk, , Russia

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Rostov-on-Don, , Russia

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Saint Petersburg, , Russia

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Saint Petersburg, , Russia

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Saint Petersburg, , Russia

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Saint Petersburg, , Russia

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Saint Petersburg, , Russia

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Volgograd, , Russia

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Changwon-si, , South Korea

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Cheongju-si, , South Korea

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Daegu, , South Korea

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Incheon, , South Korea

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Jinju, , South Korea

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Seoul, , South Korea

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Suwon, , South Korea

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Taichung, , Taiwan

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Taichung, , Taiwan

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Taipei, , Taiwan

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Taipei, , Taiwan

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Bangkok, , Thailand

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Bangkok, , Thailand

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Muang, , Thailand

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Songkhla, , Thailand

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Ankara, , Turkey (Türkiye)

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Istanbul, , Turkey (Türkiye)

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Istanbul, , Turkey (Türkiye)

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Malatya, , Turkey (Türkiye)

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Pamukkale, , Turkey (Türkiye)

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Can Tho, , Vietnam

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Hanoi, , Vietnam

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Hanoi, , Vietnam

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Ho Chi Minh City, , Vietnam

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Ho Chi Minh City, , Vietnam

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Ho Chi Minh City, , Vietnam

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Countries

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United States Australia China Hungary Netherlands Poland Russia South Korea Taiwan Thailand Turkey (Türkiye) Vietnam

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2018-001375-21

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

D419AC00002

Identifier Type: -

Identifier Source: org_study_id