Phase II Umbrella Study of Novel Anti-cancer Agents in Participants With NSCLC Who Progressed on an Anti-PD-1/PD-L1 Containing Therapy
NCT ID: NCT03334617
Last Updated: 2025-10-27
Study Results
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View full resultsBasic Information
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ACTIVE_NOT_RECRUITING
PHASE2
528 participants
INTERVENTIONAL
2017-12-18
2026-09-11
Brief Summary
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Detailed Description
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This protocol has a modular design, with the potential for future treatment arms to be added via protocol amendment.
Conditions
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Study Design
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NON_RANDOMIZED
PARALLEL
Within each module, there will be treatment cohorts.
TREATMENT
NONE
Study Groups
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Module 1 Cohort A.1.HRR: Durvalumab 1500 mg + Olaparib 300 mg
Participants with detectable aberrations, mutation detected in a homologous recombination repair gene (HRRm) will receive IV infusion of durvalumab 1500 mg every 4 weeks (Q4W) in combination with oral olaparib 300 mg (2 × 150 mg) tablets twice a day (BD) until disease progression is confirmed.
Durvalumab
Participants will receive IV infusion of durvalumab as stated in arm description.
Olaparib
Participants will receive oral tablets of olaparib as stated in arm description.
Module 1 Cohort A.1.LKB: Durvalumab 1500 mg + Olaparib 300 mg
Participants with detectable aberrations in liver kinase B1 (LKB1) will receive IV infusion of durvalumab 1500 mg Q4W in combination with oral olaparib 300 mg (2 × 150 mg) tablets BD until disease progression is confirmed.
Durvalumab
Participants will receive IV infusion of durvalumab as stated in arm description.
Olaparib
Participants will receive oral tablets of olaparib as stated in arm description.
Module 1 Cohort B.1.PRI: Durvalumab 1500 mg + Olaparib 300 mg
Participants who had anti-programmed cell death-1 (PD-1)/programmed cell death ligand 1 (PD-L1) containing therapy but had progression of disease within ≤ 24 weeks from the start of treatment (primary resistance; PRI) will receive IV infusion of durvalumab 1500 mg Q4W in combination with oral olaparib 300 mg (2 × 150 mg) tablets BD until disease progression is confirmed.
Durvalumab
Participants will receive IV infusion of durvalumab as stated in arm description.
Olaparib
Participants will receive oral tablets of olaparib as stated in arm description.
Module 1 Cohort B.1.ACQ: Durvalumab 1500 mg + Olaparib 300 mg
Participants who had progressive disease \> 24 weeks from the start of anti PD-1/PD-L1 containing therapy while still on that treatment (acquired resistance; ACQ) will receive IV infusion of durvalumab 1500 mg Q4W in combination with oral olaparib 300 mg (2 × 150 mg) tablets BD until disease progression is confirmed.
Durvalumab
Participants will receive IV infusion of durvalumab as stated in arm description.
Olaparib
Participants will receive oral tablets of olaparib as stated in arm description.
Module 2 Cohort B.2.PRI: Durvalumab 1500 mg + Danvatirsen 200 mg
Participants who had anti-PD-1/PD-L1 containing therapy but had progression of disease within ≤ 24 weeks from the start of treatment (PRI) will receive IV infusion of AZD9150 (danvatirsen) 200 mg as loading dose on Days 1, 3, 5 of Cycle 0 (7-day-lead-in period). Thereafter, participants will receive AZD9150 200 mg every week (QW) on Days 1, 8, 15, and 22 of each 28-day cycle in combination with IV infusion of durvalumab 1500 mg Q4W, until objective radiological disease progression, as long as, in the investigator's opinion, they were benefiting from treatment and did not meet any other discontinuation criteria.
Durvalumab
Participants will receive IV infusion of durvalumab as stated in arm description.
Danvatirsen
Participants will receive IV infusion of danvatirsen as stated in arm description.
Module 2 Cohort B.2.ACQ: Durvalumab 1500 mg + Danvatirsen 200 mg
Participants who had progressive disease \> 24 weeks from the start of anti PD-1/PD-L1 containing therapy while still on that treatment (ACQ) will receive IV infusion of AZD9150 (danvatirsen) 200 mg as loading dose on Days 1, 3, 5 of Cycle 0 (7-day-lead-in period). Thereafter, participants will receive AZD9150 200 mg every week (QW) on Days 1, 8, 15, and 22 of each 28-day cycle in combination with IV infusion of durvalumab 1500 mg Q4W, until objective radiological disease progression, as long as, in the investigator's opinion, they were benefiting from treatment and did not meet any other discontinuation criteria.
Durvalumab
Participants will receive IV infusion of durvalumab as stated in arm description.
Danvatirsen
Participants will receive IV infusion of danvatirsen as stated in arm description.
Module 3 Cohort A.3.ATM: Durvalumab 1500 mg + AZD6738 240 mg
Participants who are ataxia telangiectasia mutated (ATM)-deficiecy will receive oral AZD6738 240 mg tablet BD for 7 days in Cycle 0 (Days 1 to 7). Thereafter, participants will receive IV infusion of durvalumab 1500 mg Q4W in combination with oral AZD6738 240 mg tablet BD in each cycle between Days 22 and 28 in each 28-day cycle, until objective radiological disease progression, however, participants may continue treatment if benefiting from treatment in the investigator opinion or did not meet any other discontinuation criteria.
Durvalumab
Participants will receive IV infusion of durvalumab as stated in arm description.
Ceralasertib
Participants will receive oral tablet of ceralasertib as stated in arm description.
Module 3 Cohort B.3.PRI: Durvalumab 1500 mg + AZD6738 240 mg
Participants who had anti-PD-1/PD-L1 containing therapy but had progression of disease within ≤ 24 weeks from the start of treatment (PRI) will receive oral AZD6738 240 mg tablet BD for 7 days in Cycle 0 (Days 1 to 7). Thereafter, participants will receive IV infusion of durvalumab 1500 mg Q4W in combination with oral AZD6738 240 mg tablet BD between Days 22 and 28 in each 28-day cycle, until objective radiological disease progression, however, participants may continue treatment if benefiting from treatment in the investigator opinion or did not meet any other discontinuation criteria.
Durvalumab
Participants will receive IV infusion of durvalumab as stated in arm description.
Ceralasertib
Participants will receive oral tablet of ceralasertib as stated in arm description.
Module 3 Cohort B.3.ACQ: Durvalumab 1500 mg + AZD6738 240 mg
Participants who had progressive disease \> 24 weeks from the start of anti PD-1/PD-L1 containing therapy while still on that treatment (ACQ) will receive oral AZD6738 240 mg tablet BD for 7 days in Cycle 0 (Days 1 to 7). Thereafter, participants will receive IV infusion of durvalumab 1500 mg Q4W in combination with oral AZD6738 240 mg tablet BD between Days 22 and 28 in each 28-day cycle, until objective radiological disease progression, however, participants may continue treatment if benefiting from treatment in the investigator opinion or did not meet any other discontinuation criteria.
Durvalumab
Participants will receive IV infusion of durvalumab as stated in arm description.
Ceralasertib
Participants will receive oral tablet of ceralasertib as stated in arm description.
Module 4 Cohort A.4.RIC: Durvalumab 1500 mg + Vistusertib 125 mg
Participants with detectable genetic amplifications in rapamycin-insensitive companion of mechanistic target of rapamycin complex-2 (RICTOR) will receive IV infusion of durvalumab 1500 mg Q4W in combination with oral vistusertib 125 mg tablets BD on an intermittent dosing schedule of 2 days on, 5 days off, until objective radiological disease progression, however, participants may continue treatment if benefiting from treatment in the investigator opinion or did not meet any other discontinuation criteria.
Durvalumab
Participants will receive IV infusion of durvalumab as stated in arm description.
Vistusertib
Participants will receive oral tablets of vistusertib as stated in arm description.
Module 5 Cohort A.5.73H: Durvalumab 1500 mg + Oleclumab 3000 mg
Participants with high expression of cluster of differentiation 73 (CD73) will receive IV infusion of oleclumab 3000 mg every 2 weeks (Q2W) for 2 cycles and then Q4W thereafter in combination with IV infusion of durvalumab 1500 mg Q4W, until objective radiological disease progression, as long as, in the investigator's opinion, they were benefiting from treatment and did not meet any other discontinuation criteria.
Durvalumab
Participants will receive IV infusion of durvalumab as stated in arm description.
Oleclumab
Participants will receive IV infusion of oleclumab as stated in arm description.
Module 5 Cohort B.5.PRI: Durvalumab 1500 mg + Oleclumab 3000 mg
Participants who had anti-PD-1/PD-L1 containing therapy but had progression of disease within ≤ 24 weeks from the start of treatment (PRI) will receive IV infusion of oleclumab 3000 mg Q2W for 2 cycles and then Q4W thereafter in combination with IV infusion of durvalumab 1500 mg Q4W, until objective radiological disease progression, as long as, in the investigator's opinion, they were benefiting from treatment and did not meet any other discontinuation criteria.
Durvalumab
Participants will receive IV infusion of durvalumab as stated in arm description.
Oleclumab
Participants will receive IV infusion of oleclumab as stated in arm description.
Module 5 Cohort B.5.ACQ: Durvalumab 1500 mg + Oleclumab 3000 mg
Participants who had progressive disease \> 24 weeks from the start of anti PD-1/PD-L1 containing therapy while still on that treatment (ACQ) will receive IV infusion of oleclumab 3000 mg Q2W for 2 cycles and then Q4W thereafter in combination with IV infusion of durvalumab 1500 mg Q4W, until objective radiological disease progression, as long as, in the investigator's opinion, they were benefiting from treatment and did not meet any other discontinuation criteria.
Durvalumab
Participants will receive IV infusion of durvalumab as stated in arm description.
Oleclumab
Participants will receive IV infusion of oleclumab as stated in arm description.
Module 6 Cohort A.6.HER2e: Durvalumab 1120 mg + Trastuzumab deruxtecan 5.4mg/kg
Participants whose tumours express human epidermal growth factor receptor 2 (HER2) mutations will receive IV infusion of trastuzumab deruxtecan (T-DXd) 5.4 mg/kg every 3 weeks (Q3W) in combination with IV infusion of durvalumab 1120 mg Q3W, until objective radiological disease progression, as long as, in the investigator's opinion, they were benefiting from treatment and did not meet any other discontinuation criteria.
Durvalumab
Participants will receive IV infusion of durvalumab as stated in arm description.
Trastuzumab deruxtecan
Participants will receive IV infusion of trastuzumab deruxtecan as stated in arm description.
Module 6 Cohort A.6.HER2m: Durvalumab 1120 mg + Trastuzumab deruxtecan 5.4mg/kg
Participants whose tumours harbour selected HER2 mutations will receive IV infusion of T-DXd 5.4 mg/kg Q3W in combination with IV infusion of durvalumab 1120 mg Q3W, until objective radiological disease progression, as long as, in the investigator's opinion, they were benefiting from treatment and did not meet any other discontinuation criteria.
Durvalumab
Participants will receive IV infusion of durvalumab as stated in arm description.
Trastuzumab deruxtecan
Participants will receive IV infusion of trastuzumab deruxtecan as stated in arm description.
Module 7 Cohort B.7.ACQ: Durvalumab 1500 mg + Cediranib 20 mg
Participants who had progressive disease \> 24 weeks from the start of anti PD-1/PD-L1 containing therapy while still on that treatment (ACQ) will receive IV infusion of durvalumab 1500 mg Q4W in combination with oral cediranib (AZD2171) 20 mg tablets daily for 5 days on, 2 days off (starting on Cycle 1 Day 1 of durvalumab), until objective radiological disease progression, as long as, in the investigator's opinion, they were benefiting from treatment and did not meet any other discontinuation criteria.
Durvalumab
Participants will receive IV infusion of durvalumab as stated in arm description.
Cediranib
Participants will receive oral tablets of cediranib as stated in arm description.
Module 8 Cohort A.8.ATM: Ceralasertib 240 mg
Participants who are ATM-deficient or with detectable aberrations in the ATM gene will receive oral ceralasertib (AZD6738) 240 mg tablets BD from Day 1 to Day 14 of each 28-day cycle, until objective radiological disease progression, as long as, in the investigator's opinion, they were benefiting from treatment and did not meet any other discontinuation criteria.
Ceralasertib
Participants will receive oral tablet of ceralasertib as stated in arm description.
Module 9 Cohort B.9.PRI: Durvalumab 1500 mg + Ceralasertib 240 mg
Participants who had anti-PD-1/PD-L1 containing therapy but had progression of disease within ≤ 24 weeks from the start of treatment (PRI) will receive IV infusion of durvalumab 1500 mg Q4W in combination with oral ceralasertib (AZD6738) 240 mg tablets BD for 14 days from Day 15 to Day 28 of each 28-day cycle, until objective radiological disease progression, as long as, in the investigator's opinion, they were benefiting from treatment and did not meet any other discontinuation criteria.
Durvalumab
Participants will receive IV infusion of durvalumab as stated in arm description.
Ceralasertib
Participants will receive oral tablet of ceralasertib as stated in arm description.
Module 9 Cohort B.9.ACQ: Durvalumab 1500 mg + Ceralasertib 240 mg
Participants who had progressive disease \> 24 weeks from the start of anti PD-1/PD-L1 containing therapy while still on that treatment (ACQ) will receive IV infusion of durvalumab 1500 mg Q4W plus oral ceralasertib (AZD6738) 240 mg tablets BD for 14 days from Day 15 to Day 28 of each 28-day cycle, until objective radiological disease progression, as long as, in the investigator's opinion, they were benefiting from treatment and did not meet any other discontinuation criteria.
Durvalumab
Participants will receive IV infusion of durvalumab as stated in arm description.
Ceralasertib
Participants will receive oral tablet of ceralasertib as stated in arm description.
Module 10 Cohort C.10.160: Durvalumab 1500 mg + Ceralasertib 160 mg
Participants, independent of their molecular aberration status, will receive oral ceralasertib (AZD6738) 160 mg tablet BD for 7 days in Cycle 0 (Days 1 to 7). Thereafter, participants will receive IV infusion of durvalumab 1500 mg Q4W in combination with oral ceralasertib 160 mg tablet BD between Days 22 and 28 in each 28-day cycle, until objective radiological disease progression, however, participants may continue treatment if benefiting from treatment in the investigator opinion or did not meet any other discontinuation criteria.
Durvalumab
Participants will receive IV infusion of durvalumab as stated in arm description.
Ceralasertib
Participants will receive oral tablet of ceralasertib as stated in arm description.
Module 10 Cohort C.10.240: Durvalumab 1500 mg + Ceralasertib 240 mg
Participants, independent of their molecular aberration status, will receive oral ceralasertib (AZD6738) 240 mg tablet BD for 7 days in Cycle 0 (Days 1 to 7). Thereafter, participants will receive IV infusion of durvalumab 1500 mg Q4W in combination with oral ceralasertib 240 mg tablet BD between Days 22 and 28 in each 28-day cycle, until objective radiological disease progression, however, participants may continue treatment if benefiting from treatment in the investigator opinion or did not meet any other discontinuation criteria.
Durvalumab
Participants will receive IV infusion of durvalumab as stated in arm description.
Ceralasertib
Participants will receive oral tablet of ceralasertib as stated in arm description.
Module 11 Cohort C.11.240: AZD6738 240 mg
Participants, independent of their molecular aberration status, will receive oral AZD6738 tablet 240 mg for 7 days (Days 1 to 7) in each 28-day cycle until objective radiological disease progression, however, participants may continue treatment if benefiting from treatment in the investigator opinion or did not meet any other discontinuation criteria.
Ceralasertib
Participants will receive oral tablet of ceralasertib as stated in arm description.
Interventions
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Durvalumab
Participants will receive IV infusion of durvalumab as stated in arm description.
Danvatirsen
Participants will receive IV infusion of danvatirsen as stated in arm description.
Ceralasertib
Participants will receive oral tablet of ceralasertib as stated in arm description.
Vistusertib
Participants will receive oral tablets of vistusertib as stated in arm description.
Olaparib
Participants will receive oral tablets of olaparib as stated in arm description.
Oleclumab
Participants will receive IV infusion of oleclumab as stated in arm description.
Trastuzumab deruxtecan
Participants will receive IV infusion of trastuzumab deruxtecan as stated in arm description.
Cediranib
Participants will receive oral tablets of cediranib as stated in arm description.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Participant must have histologically or cytologically confirmed metastatic or locally advanced and recurrent non-small-cell lung cancer (NSCLC) which is progressing.
* Participants eligible for second- or later-line therapy, who must have received an anti-programmed cell death protein-1 (PD-1)/programmed death-ligand 1 (PD-L1) containing therapy and a platinum-doublet regimen for locally advanced or metastatic NSCLC either separately or in combination. Prior durvalumab is acceptable. The participant must have had disease progression on a prior line of anti-PD-1/PD-L1 therapy.
* Eastern Cooperative Oncology Group/World Health Organization (ECOG/WHO) performance status of 0 to 1, and a minimum life expectancy of 12 weeks.
* Participant must have at least 1 lesion that can be accurately measured. A previously irradiated lesion can be considered a target lesion if the lesion has clearly progressed.
* Evidence of post-menopausal status or negative urinary or serum pregnancy test for female pre-menopausal participants.
Exclusion Criteria
* Active or prior documented autoimmune or inflammatory disorders.
* Active infection including tuberculosis, hepatitis B (known positive hepatitis B virus \[HBV\] surface antigen \[HBsAg\] result), hepatitis C, or human immunodeficiency virus (positive human immunodeficiency virus \[HIV\] 1/2 antibodies).
* Female participant who are pregnant or breastfeeding, or male or female participants of reproductive potential who are not willing to employ effective birth control.
* Known allergy or hypersensitivity to any of the study drugs or any of the study drug excipients, or history of severe hypersensitivity reactions to other monoclonal antibodies.
* Participant has spinal cord compression or symptomatic brain metastases.
* Any concurrent chemotherapy, immunotherapy, biologic or hormonal therapy for cancer treatment. Participants may receive treatment with bisphosphonates or receptor activator of nuclear factor kappa-Β ligand (RANKL) inhibitors for the treatment of bone metastases.
* History of active primary immunodeficiency.
18 Years
99 Years
ALL
No
Sponsors
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AstraZeneca
INDUSTRY
Responsible Party
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Principal Investigators
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John Heymach, M.D, Ph.D
Role: PRINCIPAL_INVESTIGATOR
The University of Texas MD Anderson Cancer Center
Locations
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Research Site
Duarte, California, United States
Research Site
Fullerton, California, United States
Research Site
La Jolla, California, United States
Research Site
Los Angeles, California, United States
Research Site
Washington D.C., District of Columbia, United States
Research Site
Chicago, Illinois, United States
Research Site
Baltimore, Maryland, United States
Research Site
Baltimore, Maryland, United States
Research Site
Boston, Massachusetts, United States
Research Site
St Louis, Missouri, United States
Research Site
New York, New York, United States
Research Site
Philadelphia, Pennsylvania, United States
Research Site
Pittsburgh, Pennsylvania, United States
Research Site
Nashville, Tennessee, United States
Research Site
Nashville, Tennessee, United States
Research Site
Houston, Texas, United States
Research Site
Fairfax, Virginia, United States
Research Site
Innsbruck, , Austria
Research Site
Salzburg, , Austria
Research Site
Vienna, , Austria
Research Site
Vienna, , Austria
Research Site
Edmonton, Alberta, Canada
Research Site
Brampton, Ontario, Canada
Research Site
Ottawa, Ontario, Canada
Research Site
Toronto, Ontario, Canada
Research Site
Montreal, Quebec, Canada
Research Site
Bordeaux, , France
Research Site
Nantes, , France
Research Site
Paris, , France
Research Site
Villejuif, , France
Research Site
Berlin, , Germany
Research Site
Esslingen a.N., , Germany
Research Site
Großhansdorf, , Germany
Research Site
Heidelberg, , Germany
Research Site
Haifa, , Israel
Research Site
Kfar Saba, , Israel
Research Site
Petah Tikva, , Israel
Research Site
Ramat Gan, , Israel
Research Site
Seoul, , South Korea
Research Site
Seoul, , South Korea
Research Site
Seoul, , South Korea
Research Site
Barcelona, , Spain
Research Site
Madrid, , Spain
Research Site
Madrid, , Spain
Research Site
Seville, , Spain
Countries
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References
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Besse B, Pons-Tostivint E, Park K, Hartl S, Forde PM, Hochmair MJ, Awad MM, Thomas M, Goss G, Wheatley-Price P, Shepherd FA, Florescu M, Cheema P, Chu QSC, Kim SW, Morgensztern D, Johnson ML, Cousin S, Kim DW, Moskovitz MT, Vicente D, Aronson B, Hobson R, Ambrose HJ, Khosla S, Reddy A, Russell DL, Keddar MR, Conway JP, Barrett JC, Dean E, Kumar R, Dressman M, Jewsbury PJ, Iyer S, Barry ST, Cosaert J, Heymach JV. Biomarker-directed targeted therapy plus durvalumab in advanced non-small-cell lung cancer: a phase 2 umbrella trial. Nat Med. 2024 Mar;30(3):716-729. doi: 10.1038/s41591-024-02808-y. Epub 2024 Feb 13.
Provided Documents
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Document Type: Study Protocol
Document Type: Statistical Analysis Plan
Related Links
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Other Identifiers
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138050
Identifier Type: REGISTRY
Identifier Source: secondary_id
2023-509004-15-00
Identifier Type: OTHER
Identifier Source: secondary_id
2017-002208-28
Identifier Type: EUDRACT_NUMBER
Identifier Source: secondary_id
D6185C00001
Identifier Type: -
Identifier Source: org_study_id
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