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Clinical Trial Details — Status: Active, not recruiting

Administrative data

NCT number NCT03875235
Other study ID # D933AC00001
Secondary ID 2018-004688-30
Status Active, not recruiting
Phase Phase 3
First received
Last updated
Start date April 16, 2019
Est. completion date March 31, 2025

Study information

Verified date February 2024
Source AstraZeneca
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Durvalumab or Placebo in Combination With Gemcitabine/Cisplatin in Patients With 1st Line Advanced Biliary Tract Cancer (TOPAZ-1)


Description:

A Phase III Randomized, Double-Blind Placebo Controlled, Multi-Regional, International Study of Durvalumab in Combination with Gemcitabine Plus Cisplatin Versus Placebo in Combination with Gemcitabine Plus Cisplatin for Patients With First-Line Advanced Biliary Tract Cancers.


Recruitment information / eligibility

Status Active, not recruiting
Enrollment 810
Est. completion date March 31, 2025
Est. primary completion date August 11, 2021
Accepts healthy volunteers No
Gender All
Age group 18 Years to 130 Years
Eligibility Inclusion 1. Histologically confirmed, unresectable advanced or metastatic biliary tract, including cholangiocarcinoma (intrahepatic or extrahepatic) and gallbladder carcinoma. 2. Patients with previously untreated disease if unresectable or metastatic at initial diagnosis will be eligible. 3. Patient with recurrent disease >6 months after curative surgery or >6 months after the completion of adjuvant therapy (chemotherapy and/or radiation) will be eligible. 4. WHO/ECOG PS of 0 or 1 Exclusion 1. History of another primary malignancy 2. Brain metastases or spinal cord compression 3. Uncontrolled intercurrent illness 4. Major surgical procedure within 28 days prior to the first dose of IP. 5. Prior locoregional therapy such as radioembolization

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Durvalumab
IV infusion every 3 weeks with gemcitabine plus cisplatin up to 8 cycles followed by monotherapy every 4 weeks until disease progression or other discontinuation criteria.
Placebo
IV infusion every 3 weeks with gemcitabine plus cisplatin up to 8 cycles followed by monotherapy every 4 weeks until disease progression or other discontinuation criteria.

Locations

Country Name City State
Argentina Research Site Buenos Aires
Argentina Research Site Buenos Aires
Argentina Research Site Buenos Aires
Argentina Research Site Caba
Argentina Research Site Caba
Argentina Research Site Rosario
Argentina Research Site San Salvador de Jujuy
Bulgaria Research Site Burgas
Bulgaria Research Site Sofia
Bulgaria Research Site Sofia
Bulgaria Research Site Sofia
Bulgaria Research Site Varna
Chile Research Site Puerto Montt
Chile Research Site Santiago
Chile Research Site Temuco
Chile Research Site Viña del Mar
China Research Site Baoding
China Research Site Beijing
China Research Site Beijing
China Research Site Bengbu
China Research Site Chongqing
China Research Site Foshan
China Research Site Guangzhou
China Research Site Hangzhou
China Research Site Hangzhou
China Research Site Harbin
China Research Site Hefei
China Research Site Hefei
China Research Site Jinan
China Research Site Nanchang
China Research Site Nanjing
China Research Site Shandong
China Research Site Shanghai
China Research Site Shenyang
China Research Site Suzhou
China Research Site Xian
China Research Site Zhengzhou
China Research Site Zhuhai
France Research Site Clichy
France Research Site Dijon Cedex
France Research Site Montpellier CEDEX 5
France Research Site Nice
France Research Site PARIS Cedex 12
France Research Site Pessac
France Research Site Poitiers
Hong Kong Research Site Hong Kong
Hong Kong Research Site Hong Kong
Hong Kong Research Site HongKong
Hong Kong Research Site Kowloon
India Research Site Gurgaon
India Research Site Kolkata
India Research Site Mumbai
India Research Site New Delhi
Italy Research Site Faenza
Italy Research Site Firenze
Italy Research Site Milano
Italy Research Site Napoli
Italy Research Site Roma
Italy Research Site Verona
Japan Research Site Chuo-ku
Japan Research Site Kashiwa
Japan Research Site Kitaadachi-gun
Japan Research Site Mitaka-shi
Japan Research Site Osaka-shi
Japan Research Site Suita-shi
Japan Research Site Wakayama-shi
Japan Research Site Yokohama-shi
Korea, Republic of Research Site Seongnam-si
Korea, Republic of Research Site Seoul
Korea, Republic of Research Site Seoul
Korea, Republic of Research Site Seoul
Korea, Republic of Research Site Seoul
Korea, Republic of Research Site Seoul
Poland Research Site Gdansk
Poland Research Site Koscierzyna
Poland Research Site Lódz
Poland Research Site Olsztyn
Poland Research Site Poznan
Poland Research Site Warszawa
Poland Research Site Wroclaw
Russian Federation Research Site Barnaul
Russian Federation Research Site Kostroma
Russian Federation Research Site Moscow
Russian Federation Research Site Moscow
Russian Federation Research Site Moscow
Russian Federation Research Site Omsk
Russian Federation Research Site Saint-Petersburg
Russian Federation Research Site Saint-Petersburg
Taiwan Research Site Chiayi
Taiwan Research Site Kaohsiung
Taiwan Research Site Kaohsiung
Taiwan Research Site Taichung
Taiwan Research Site Tainan
Taiwan Research Site Taipei
Taiwan Research Site Taipei City
Taiwan Research Site Taoyuan
Thailand Research Site Bangkok
Thailand Research Site Bangkok
Thailand Research Site Hat Yai
Thailand Research Site Khon Kaen
Thailand Research Site Muang
Thailand Research Site Sisaket
Turkey Research Site Ankara
Turkey Research Site Istanbul
Turkey Research Site Izmir
Turkey Research Site Mersin
United Kingdom Research Site Bristol
United Kingdom Research Site Cambridge
United Kingdom Research Site London
United Kingdom Research Site London
United Kingdom Research Site Manchester
United Kingdom Research Site Oxford
United Kingdom Research Site Romford
United Kingdom Research Site Sheffield
United States Research Site Burlington Massachusetts
United States Research Site Chapel Hill North Carolina
United States Research Site Chattanooga Tennessee
United States Research Site Fort Myers Florida
United States Research Site Los Angeles California
United States Research Site Louisville Kentucky
United States Research Site Nashville Tennessee
United States Research Site Orange California
United States Research Site Philadelphia Pennsylvania
United States Research Site Portland Oregon
United States Research Site Saint Louis Missouri
United States Research Site Saint Petersburg Florida
United States Research Site Seattle Washington
United States Research Site Washington District of Columbia
United States Research Site Westwood Kansas

Sponsors (1)

Lead Sponsor Collaborator
AstraZeneca

Countries where clinical trial is conducted

United States,  Argentina,  Bulgaria,  Chile,  China,  France,  Hong Kong,  India,  Italy,  Japan,  Korea, Republic of,  Poland,  Russian Federation,  Taiwan,  Thailand,  Turkey,  United Kingdom, 

Outcome

Type Measure Description Time frame Safety issue
Primary Overall Survival (OS) Overall Survival (OS) was defined as the time from the date of randomization until death due to any cause. Any patient not known to have died at the time of analysis was censored based on the last recorded date on which the patient was known to be alive. Median OS was calculated using the Kaplan-Meier technique. The second interim analysis was pre-specified after approximately 397 OS events occurred in both arms (59% maturity). From date of randomization until death due to any cause. Assessed up to maximum of approximately 27 months (from date of randomization to primary analysis data cut-off)
Primary Overall Survival (OS) Rate at 18 Months Overall Survival (OS) was defined as the time from the date of randomization until death due to any cause. Any patient not known to have died at the time of analysis was censored based on the last recorded date on which the patient was known to be alive. Median OS was calculated using the Kaplan-Meier technique. The second interim analysis was pre-specified after approximately 397 OS events occurred in both arms (59% maturity). From date of randomization until death due to any cause. Calculated at 18 months using the Kaplan-Meier technique.
Primary Overall Survival (OS) Rate at 24 Months Overall Survival (OS) was defined as the time from the date of randomization until death due to any cause. Any patient not known to have died at the time of analysis was censored based on the last recorded date on which the patient was known to be alive. Median OS was calculated using the Kaplan-Meier technique. The second interim analysis was pre-specified after approximately 397 OS events occurred in both arms (59% maturity). From date of randomization until death due to any cause. Calculated at 24 months using the Kaplan-Meier technique.
Secondary Progression-free Survival (PFS) PFS based on investigator assessments according to RECIST version 1.1 was defined as time from date of randomization until date of objective disease progression or death (by any cause in the absence of progression), regardless of whether the patient withdrew from randomized therapy or received another anticancer therapy prior to progression. Progression (i.e., PD) was defined as at least a 20% increase in the sum of diameters of target lesions (TLs) and an absolute increase of =5mm, taking as reference the smallest sum of diameters since treatment started including the baseline sum of diameters, or a measurable increase in a non-target lesion, or the appearance of new lesions. Median PFS was calculated using the Kaplan-Meier technique. Tumor assessments every 6 weeks after randomization for the first 24 weeks and then every 8 weeks thereafter until date of RECIST 1.1 defined radiological progressive disease or death. Assessed up to maximum of approximately 27 months.
Secondary Progression-free Survival (PFS) Rate at 9 Months PFS based on investigator assessments according to RECIST version 1.1 was defined as time from date of randomization until date of objective disease progression or death (by any cause in the absence of progression), regardless of whether the patient withdrew from randomized therapy or received another anticancer therapy prior to progression. Progression (i.e., PD) was defined as at least a 20% increase in the sum of diameters of target lesions (TLs) and an absolute increase of =5mm, taking as reference the smallest sum of diameters since treatment started including the baseline sum of diameters, or a measurable increase in a non-target lesion, or the appearance of new lesions. Median PFS was calculated using the Kaplan-Meier technique. Tumor assessments every 6 weeks after randomization for the first 24 weeks and then every 8 weeks thereafter until date of RECIST 1.1 defined radiological progressive disease or death. Calculated at 9 months using the Kaplan-Meier technique.
Secondary Progression-free Survival (PFS) Rate at 12 Months PFS based on investigator assessments according to RECIST version 1.1 was defined as time from date of randomization until date of objective disease progression or death (by any cause in the absence of progression), regardless of whether the patient withdrew from randomized therapy or received another anticancer therapy prior to progression. Progression (i.e., PD) was defined as at least a 20% increase in the sum of diameters of target lesions (TLs) and an absolute increase of =5mm, taking as reference the smallest sum of diameters since treatment started including the baseline sum of diameters, or a measurable increase in a non-target lesion, or the appearance of new lesions. Median PFS was calculated using the Kaplan-Meier technique. Tumor assessments every 6 weeks after randomization for the first 24 weeks and then every 8 weeks thereafter until date of RECIST 1.1 defined radiological progressive disease or death. Calculated at 12 months using the Kaplan-Meier technique
Secondary Objective Response Rate (ORR) Disease assessments based on investigator assessments were determined by using RECIST version 1.1 guidelines. The ORR was defined as the percentage of patients with confirmed complete response (CR) or confirmed partial response (PR). The CR was defined as disappearance of all target and non-target lesions and no new lesions. The PR was defined as >= 30% decrease in the sum of diameters of target lesions (compared to baseline) and no new non-target lesion. A confirmed CR or PR was defined as 2 CRs or 2 PRs with no evidence of progression in-between. Patients who discontinued randomized treatment without progression, received a subsequent anti-cancer therapy and then responded were not included as responders for ORR. Tumor assessments (per RECIST 1.1) every 6 weeks for the first 24 weeks relative to the date of randomization and then every 8 weeks thereafter. Assessed up to maximum of approximately 27 months.
Secondary Duration of Response (DoR) The DoR was defined as the time from the date of first documented OR (confirmed CR or confirmed PR) until date of documented progression (PD) based on investigator assessments by using RECIST version 1.1 or death in absence of disease progression (i.e. date of PFS event or censoring - date of first response + 1) . A confirmed CR was defined in above outcome measures. The PD was defined at least 20% increase in sum of diameters of target lesions (compared with nadir at 2 consecutive visits with an absolute increase of 5 mm), unequivocal progression of existing non-target lesions or new lesion. For participants who were alive and no documented PD at the time of data cutoff for analysis, DoR was censored at the last evaluable disease assessment date. Median DoR was calculated using Kaplan-Meier method. Tumor assessments (per RECIST 1.1) every 6 weeks for first 24 weeks relative to the date of randomization and then every 8 weeks thereafter. Assessed up to maximum of approximately 27 months.
Secondary Duration of Response (DoR): Percentage Remaining in Response at 9 Months The DoR was defined as the time from the date of first documented OR (confirmed CR or confirmed PR) until date of documented progression (PD) based on investigator assessments by using RECIST version 1.1 or death in absence of disease progression (i.e. date of PFS event or censoring - date of first response + 1) . A confirmed CR was defined in above outcome measures. The PD was defined at least 20% increase in sum of diameters of target lesions (compared with nadir at 2 consecutive visits with an absolute increase of 5 mm), unequivocal progression of existing non-target lesions or new lesion. For participants who were alive and no documented PD at the time of data cutoff for analysis, DoR was censored at the last evaluable disease assessment date. Median DoR was calculated using Kaplan-Meier method. Tumor assessments (per RECIST 1.1) every 6 weeks for first 24 weeks relative to the date of randomization and then every 8 weeks thereafter. Calculated at 9 months using the Kaplan-Meier technique
Secondary Duration of Response (DoR): Percentage Remaining in Response at 12 Months The DoR was defined as the time from the date of first documented OR (confirmed CR or confirmed PR) until date of documented progression (PD) based on investigator assessments by using RECIST version 1.1 or death in absence of disease progression (i.e. date of PFS event or censoring - date of first response + 1) . A confirmed CR was defined in above outcome measures. The PD was defined at least 20% increase in sum of diameters of target lesions (compared with nadir at 2 consecutive visits with an absolute increase of 5 mm), unequivocal progression of existing non-target lesions or new lesion. For participants who were alive and no documented PD at the time of data cutoff for analysis, DoR was censored at the last evaluable disease assessment date. Median DoR was calculated using Kaplan-Meier method. Tumor assessments (per RECIST 1.1) every 6 weeks for first 24 weeks relative to the date of randomization and then every 8 weeks thereafter. Calculated at 12 months using the Kaplan-Meier technique
Secondary Disease Control Rate (DCR) - Overall Disease control rate based on investigator assessments according to RECIST version 1.1 was defined as the rate of best objective response of complete response (CR), partial response (PR) or stable disease (SD). Tumor assessments (per RECIST 1.1) every 6 weeks for the first 24 weeks relative to the date of randomization and then every 8 weeks thereafter. Assessed up to maximum of approximately 27 months.
Secondary Disease Control Rate (DCR) - 24 Weeks Disease control rate based on investigator assessments according to RECIST version 1.1 was defined as the rate of best objective response of complete response (CR) or partial response (PR) by week 24 or who have stable disease (SD) at least 24 weeks following start of treatment. Tumor assessments (per RECIST 1.1) every 6 weeks for the first 24 weeks relative to the date of randomization.
Secondary Disease Control Rate (DCR) - 32 Weeks Disease control rate based on investigator assessments according to RECIST version 1.1 was defined as the rate of best objective response of complete response (CR) or partial response (PR) by week 32 or who have stable disease (SD) at least 32 weeks following start of treatment. Tumor assessments (per RECIST 1.1) every 6 weeks for the first 24 weeks relative to the date of randomization and then every 8 weeks thereafter.
Secondary Disease Control Rate (DCR) - 48 Weeks Disease control rate based on investigator assessments according to RECIST version 1.1 was defined as the rate of best objective response of complete response (CR) or partial response (PR) by week 48 or who have stable disease (SD) at least 48 weeks following start of treatment. Tumor assessments (per RECIST 1.1) every 6 weeks for the first 24 weeks relative to the date of randomization and then every 8 weeks thereafter.
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