Examining the effectiveness of a treatment combination in patients with advanced lung cancer
Official title: Prospective Non-interventional Study (NIS) to Examine the Effectiveness of Tremelimumab + Durvalumab + Platinum Chemotherapy (TDC) in Patients With Metastatic Non-squamous NSCLC and High-risk Genetic Alterations
Run by AstraZeneca · NCT06494540 · Data updated 2026-11-12
This study is testing a new treatment combination for patients with advanced lung cancer to see how well it works based on their specific genetic markers.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 120 Years |
| Sex | All |
| Enrollment | 600 (estimated) |
| Sponsor | AstraZeneca Industry-sponsored |
| Drugs / interventions | durvalumab, tremelimumab, chemotherapy |
| Locations | 30 sites (Bad Homburg and 29 other locations) |
| Status | Recruiting |
| Started | June 28, 2024 |
| Main results expected | December 31, 2029 |
| Study ends | December 31, 2029 |
| Registry record updated | September 28, 2026 |
| Trial ID | NCT06494540 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are adults aged 18 and older with treatment-naïve, histologically confirmed non-squamous metastatic non-small cell lung carcinoma.
✕Probably not a fit
Patients with sensitizing EGFR mutations or ALK alterations may not benefit from this study as they are excluded from participation.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study in Germany aims to gather real-life data on patients with non-squamous metastatic non-small cell lung carcinoma (mNSCLC) who are starting first-line treatment with a combination of tremelimumab, durvalumab, and platinum-based chemotherapy. The study will focus on understanding the effectiveness of this treatment in relation to specific genetic mutations and biomarkers, including KRAS, STK11, KEAP1, TP53, TTF-1, and PD-L1. By collecting and analyzing this data, the study seeks to enhance the understanding of biomarker-guided treatment strategies for patients with high medical needs in this cancer subtype.
Why it matters
Potential benefit: If successful, this study could lead to more effective, personalized treatment strategies for patients with advanced lung cancer based on their genetic profiles.
How similar studies have gone: Other studies have shown promise in using biomarker-guided approaches for treating lung cancer, suggesting that this study's approach is both relevant and potentially impactful.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Aged ≥ 18 years * Decision to start first-line (1L) treatment with TDC according to the current SmPCs * Histologically or cytologically confirmed diagnosis of NSQ mNSCLC (incl. LCNEC if considered NSCLC-like by the treating physician) * No sensitizing epidermal growth factor receptor (EGFR) mutations or anaplastic lymphoma kinase (ALK) alterations * Molecular Next Generation Sequencing (NGS) panel as per institutional standard has been initiated (including the following genes: KRAS, STK11, KEAP1, and TP53) * TTF-1 expression analysis has been initiated * PD-L1 expression analysis has been initiated * Women of childbearing potential must use effective contraception during treatment with durvalumab and for at least 3 months after the last dose of durvalumab * Ability to understand the study concept * Provision of signed informed consent form in accordance with applicable local provisions Exclusion Criteria: * Current participation in interventional clinical trials * Contraindications according to current SmPCs * Any active tumor other than metastatic NSCLC\* * Mixed histology NSCLC with both adenocarcinoma and squamous cell carcinoma components (adenosquamous carcinoma or any mixed NSQ- squamous tumor), regardless of the predominant component * determined by investigator as likely to influence the prognosis or management of mNSCLC
Where it's running
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Research Site
Bad Homburg, Germany Recruiting -
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Berlin, Germany Recruiting -
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Bremen, Germany Recruiting -
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Chemnitz, Germany Recruiting -
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Cologne, Germany Recruiting -
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Deggendorf, Germany Recruiting
Show 24 more locations
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Frankfurt, Germany Recruiting -
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Georgsmarienhütte, Germany Recruiting -
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Goslar, Germany Recruiting -
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Greifswald, Germany Recruiting -
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Halle-Dolau, Germany Recruiting -
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Hanover, Germany Recruiting -
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Herne, Germany Recruiting -
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Hösbach, Germany Recruiting -
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Koblenz, Germany Recruiting -
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Koln-Mehrheim, Germany Recruiting -
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Mainz, Germany Recruiting -
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Marburg, Germany Recruiting -
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Münnerstadt, Germany Recruiting -
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Neuss, Germany Recruiting -
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Offenbach, Germany Recruiting -
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Querfurt, Germany Recruiting -
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Ravensburg, Germany Recruiting -
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Treuenbrietzen, Germany Recruiting -
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Ulm, Germany Recruiting -
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Wiesbaden, Germany Recruiting -
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Zwickau, Germany Recruiting -
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Celle, Germany Withdrawn -
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Gera, Germany Withdrawn -
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Rüsselsheim am Main, Germany Withdrawn
Study contacts
- Study coordinator: AstraZeneca Clinical Study Information Center
- Email: information.center@astrazeneca.com
- Phone: 1-877-240-9479
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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STRIDE combination in advanced liver cancer: a first-line look at tremelimumab plus durvalumab
This study tests tremelimumab plus durvalumab as a first-line treatment in adults with advanced or unresectable hepatocellular carcinoma to see how it affects liver health, quality of life, effectiveness, and safety.
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RBS2418 with tremelimumab and durvalumab for advanced unresectable liver cancer
This trial will test whether adding RBS2418 to tremelimumab plus durvalumab helps adults with advanced, unresectable hepatocellular carcinoma.
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Celecoxib with durvalumab and tremelimumab for advanced liver cancer
This phase II trial tests whether adding the oral drug celecoxib to the immunotherapy drugs durvalumab and tremelimumab helps people with advanced or metastatic liver cancer.
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Y-90 internal liver radiation followed by tremelimumab and durvalumab for liver cancer with portal vein thrombosis
This will test whether Y-90 selective internal radiation (SIRT) followed by tremelimumab and durvalumab helps people with non-resectable hepatocellular carcinoma that involves the portal vein.
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Radiation therapy followed by immune therapy and surgery for hepatocellular carcinoma
This trial tests whether adding durvalumab and tremelimumab to radiation therapy before surgery helps people with resectable liver cancer.
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Photon radiotherapy plus tremelimumab and durvalumab for intermediate or advanced hepatocellular carcinoma
This trial tests whether adding targeted photon radiotherapy to tremelimumab plus durvalumab helps people with unresectable intermediate or advanced (BCLC B or C) hepatocellular carcinoma respond better to treatment.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.