Clinical trial Recruiting at 27 sites Observational Ages 18 to 120

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.

More Metastatic Lung Non-Small Cell Carcinoma trials

Quick facts

Study typeObservational
Ages18 Years to 120 Years
SexAll
Enrollment600 (estimated)
SponsorAstraZeneca
Industry-sponsored
Drugs / interventionsdurvalumab, tremelimumab, chemotherapy
Locations30 sites (Bad Homburg and 29 other locations)
StatusRecruiting
StartedJune 28, 2024
Main results expectedDecember 31, 2029
Study endsDecember 31, 2029
Registry record updatedSeptember 28, 2026
Trial IDNCT06494540 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

  • Research Site
    Bad Homburg, Germany
    Recruiting
  • Research Site
    Berlin, Germany
    Recruiting
  • Research Site
    Bremen, Germany
    Recruiting
  • Research Site
    Chemnitz, Germany
    Recruiting
  • Research Site
    Cologne, Germany
    Recruiting
  • Research Site
    Deggendorf, Germany
    Recruiting
Show 24 more locations
  • Research Site
    Frankfurt, Germany
    Recruiting
  • Research Site
    Georgsmarienhütte, Germany
    Recruiting
  • Research Site
    Goslar, Germany
    Recruiting
  • Research Site
    Greifswald, Germany
    Recruiting
  • Research Site
    Halle-Dolau, Germany
    Recruiting
  • Research Site
    Hanover, Germany
    Recruiting
  • Research Site
    Herne, Germany
    Recruiting
  • Research Site
    Hösbach, Germany
    Recruiting
  • Research Site
    Koblenz, Germany
    Recruiting
  • Research Site
    Koln-Mehrheim, Germany
    Recruiting
  • Research Site
    Mainz, Germany
    Recruiting
  • Research Site
    Marburg, Germany
    Recruiting
  • Research Site
    Münnerstadt, Germany
    Recruiting
  • Research Site
    Neuss, Germany
    Recruiting
  • Research Site
    Offenbach, Germany
    Recruiting
  • Research Site
    Querfurt, Germany
    Recruiting
  • Research Site
    Ravensburg, Germany
    Recruiting
  • Research Site
    Treuenbrietzen, Germany
    Recruiting
  • Research Site
    Ulm, Germany
    Recruiting
  • Research Site
    Wiesbaden, Germany
    Recruiting
  • Research Site
    Zwickau, Germany
    Recruiting
  • Research Site
    Celle, Germany
    Withdrawn
  • Research Site
    Gera, Germany
    Withdrawn
  • Research Site
    Rüsselsheim am Main, Germany
    Withdrawn

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.