Study of Durvalumab Versus Placebo in Combination With Definitive Chemoradiation Therapy in Patient With ESCC

NCT ID: NCT04550260

Last Updated: 2025-10-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

640 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-10-19

Study Completion Date

2026-06-02

Brief Summary

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This is a Phase III, randomized, double-blind, placebo-controlled, multi-center international study to assess the efficacy and safety of durvalumab administered concurrently with dCRT in patients with locally advanced, unresectable esophageal squamous cell carcinoma (ESCC).

Detailed Description

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Approximately 600 patients with locally advanced, unresectable ESCC (AJCC 8th cStage II-IVA) will be randomized in a 2:1 ratio to receive either durvalumab + dCRT or placebo + dCRT. The primary objectives of this study are to assess the efficacy of durvalumab + dCRT compared with placebo + dCRT in terms of progression free survival (PFS, per RECIST 1.1 as assessed by BICR) in PD-L1 High population.

Conditions

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Esophageal Squamous Cell Carcinoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
Sponsor, excluding supply chain management personnel, will remain blinded.

Study Groups

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Arm 1: Durvalumab + definitive CRT

Durvalumab + concurrent chemoradiation

Group Type EXPERIMENTAL

Durvalumab

Intervention Type DRUG

Durvalumab intravenous infusion

cisplatin + fluorouracil

Intervention Type DRUG

cisplatin + fluorouracil, as per Standard of Care

cisplatin + capecitabine

Intervention Type DRUG

cisplatin + capecitabine, as per Standard of Care

Radiation

Intervention Type RADIATION

50-64Gy in total

Arm 2: Placebo + definitive CRT

Placebo + concurrent chemoradiation

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Durvalumab matching placebo for intravenous infusion

cisplatin + fluorouracil

Intervention Type DRUG

cisplatin + fluorouracil, as per Standard of Care

cisplatin + capecitabine

Intervention Type DRUG

cisplatin + capecitabine, as per Standard of Care

Radiation

Intervention Type RADIATION

50-64Gy in total

Interventions

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Durvalumab

Durvalumab intravenous infusion

Intervention Type DRUG

Placebo

Durvalumab matching placebo for intravenous infusion

Intervention Type DRUG

cisplatin + fluorouracil

cisplatin + fluorouracil, as per Standard of Care

Intervention Type DRUG

cisplatin + capecitabine

cisplatin + capecitabine, as per Standard of Care

Intervention Type DRUG

Radiation

50-64Gy in total

Intervention Type RADIATION

Other Intervention Names

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MEDI4736

Eligibility Criteria

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Inclusion Criteria

* 18 years or older at the time of signing the ICF.
* Histologically or cytologically confirmed esophageal squamous cell carcinoma, and present with locally advanced disease (Stage II-IVA).
* Unresectable or refusing surgery, and has been deemed suitable for definitive chemoradiation therapy.
* Patients with at least an evaluable lesion per RECIST 1.1.
* Mandatory provision of available tumor tissue for PD-L1 expression analysis.
* ECOG PS 0 or 1.
* Adequate organ and marrow function.
* Life expectancy of more than 3 months.

Exclusion Criteria

* Histologically or cytologically confirmed small cell esophageal carcinoma, esophageal adenocarcinoma or other mixed carcinoma.
* Prior anti-cancer treatment for ESCC.
* Patient with a great risk of perforation and massive bleeding.
* History of allogeneic organ transplantation.
* Active or prior documented autoimmune or inflammatory disorders.
* Uncontrolled intercurrent illness.
* History of another primary malignancy.
* Active infection including tuberculosis, hepatitis B, hepatitis C, or human immunodeficiency virus.
* Known allergy or hypersensitivity to any of the study drugs or any of the study drug excipients.
Minimum Eligible Age

18 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

Principal Investigators

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Luhua Wang, MD

Role: PRINCIPAL_INVESTIGATOR

Cancer Hospital of Chinese Academy of Medical Science

Nabil Saba, MD

Role: PRINCIPAL_INVESTIGATOR

Department of Hematology and Medical Oncology, Emory University

Locations

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Research Site

Atlanta, Georgia, United States

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Louisville, Kentucky, United States

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Dallas, Texas, United States

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Fairfax, Virginia, United States

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Morgantown, West Virginia, United States

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Brussels, , Belgium

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Charleroi, , Belgium

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Liège, , Belgium

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Namur, , Belgium

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Barretos, , Brazil

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Fortaleza, , Brazil

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Porto Alegre, , Brazil

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Porto Alegre, , Brazil

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Rio de Janeiro, , Brazil

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São José do Rio Preto, , Brazil

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Vitória, , Brazil

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Barrie, Ontario, Canada

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Greater Sudbury, Ontario, Canada

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Anyang, , China

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Beijing, , China

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Beijing, , China

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Bengbu, , China

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Changsha, , China

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Changzhi, , China

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Chengdu, , China

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Chongqing, , China

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Fuzhou, , China

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Fuzhou, , China

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Guangzhou, , China

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Guangzhou, , China

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Hangzhou, , China

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Hefei, , China

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Huai'an, , China

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Jieyang, , China

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Jinan, , China

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Kunming, , China

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Liangyugang, , China

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Nantong, , China

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Qingdao, , China

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Quanzhou, , China

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Shenzhen, , China

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Tianjin, , China

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Xi'an, , China

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Xuzhou, , China

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Yangzhou, , China

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Zhengzhou, , China

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Zhenjiang, , China

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Besançon, , France

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Lille, , France

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Lyon, , France

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Montpellier, , France

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Reims, , France

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Rouen, , France

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Strasbourg, , France

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Villejuif, , France

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Bunkyō City, , Japan

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Chūōku, , Japan

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Hidaka-shi, , Japan

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Hirakata-shi, , Japan

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Hiroshima, , Japan

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Kashiwa, , Japan

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Kitaadachi-gun, , Japan

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Kōtoku, , Japan

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Kumamoto, , Japan

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Maebashi, , Japan

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Matsuyama, , Japan

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Niigata, , Japan

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Okayama, , Japan

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Osaka, , Japan

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Osaka, , Japan

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Ota-shi, , Japan

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Sendai, , Japan

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Shinagawa-ku, , Japan

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Yokohama, , Japan

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Yokohama, , Japan

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Chihuahua City, , Mexico

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Cuernavaca, , Mexico

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Mérida, , Mexico

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Monterrey, , Mexico

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Veracruz, , Mexico

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Katowice, , Poland

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Krakow, , Poland

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Lodz, , Poland

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Siedlce, , Poland

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Warsaw, , Poland

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Chelyabinsk, , Russia

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Krasnodar, , Russia

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Moscow, , Russia

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Obninsk, , Russia

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Saint Petersburg, , Russia

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Tyumen, , Russia

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Ufa, , Russia

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Yekaterinburg, , Russia

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Daegu, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Suwon, , South Korea

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Barcelona, , Spain

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Córdoba, , Spain

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Madrid, , Spain

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Madrid, , Spain

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Madrid, , Spain

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Pamplona, , Spain

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Santander, , Spain

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Zaragoza, , Spain

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Changhua, , Taiwan

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Kaohsiung City, , Taiwan

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Kaohsiung City, , Taiwan

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Kaohsiung City, , Taiwan

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Taichung, , Taiwan

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Taichung, , Taiwan

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Tainan City, , Taiwan

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Taipei, , Taiwan

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Taipei, , Taiwan

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Taoyuan District, , Taiwan

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Bangkok, , Thailand

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Bangkok, , Thailand

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Bangkok, , Thailand

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Bangkok, , Thailand

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Chanthaburi, , Thailand

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Chiang Mai, , Thailand

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Hat Yai, , Thailand

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Khon Kaen, , Thailand

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Ankara, , Turkey (Türkiye)

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Diyarbakır, , Turkey (Türkiye)

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Erzurum, , Turkey (Türkiye)

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Goztepe Istanbul, , Turkey (Türkiye)

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Izmir, , Turkey (Türkiye)

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Van, , Turkey (Türkiye)

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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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Countries

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United States Belgium Brazil Canada China France Japan Mexico Poland Russia South Korea Spain Taiwan Thailand Turkey (Türkiye) Vietnam

Other Identifiers

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2020-001001-22

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

D910SC00001

Identifier Type: -

Identifier Source: org_study_id

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