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First real-world data on unresectable stage III NSCLC patients treated with durvalumab after chemoradiotherapy in Asia Area
Study Design: The study is an observational review of medical records of patients diagnosed with unresectable stage III NSCLC in Taiwan, participating in an early access program (EAP). Physicians having treated patients in the EAP will be asked to recruit these patients to have their data abstracted from their medical records. Data will only be collected from routine clinical care.
Data Source(s): Centre staff will extract de-identified data from patient's medical charts. All collected data will be retrospective at time of extractions.
Study Population: Patients diagnosed with an unresectable stage III NSCLC, having not progressed after a CRT and who have received at least one dose of durvalumab following the CRT within the EAP will be the target population.
Exposure(s): Clinical characteristics, details of treatments (previous therapies, subsequent therapies), durvalumab exposure and serious AESIs Primary Outcome(s): PFS and OS. Sample Size Estimations: A target of 140 patients is estimated in the study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| EAP patients | The PACIFIC-AA is designed to enroll stage III unresectable NSCLC patients who received durvalumab after completion of chemoradiation therapy within an early access program in Taiwan during 2018 to 2019. |
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| Measure | Description | Time Frame |
|---|---|---|
| Progression free survival (PFS) | Defined as the time from initiation of the durvalumab therapy (index date) until earliest record of disease progression (including metastatic disease) determined by physicians' assessment, metastatic recurrence or death (if no progression) or end of follow-up (for censored observations) | time from initiation of the durvalumab therapy (index date) until earliest record of disease progression (estimate assessed up to 3 years) |
| Overall survival (OS) | Defined as the time from durvalumab initiation date up to death or last date the patient was known to be alive (for censored observations). | time from durvalumab initiation date up to death or last date the patient was known to be alive (estimate assessed up to 5 years) |
| Measure | Description | Time Frame |
|---|---|---|
| Safety measures with retrospective collection of AESIs |
| time from initiation of durvalumab therapy until stop treatment (assessed up to 3 years) |
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Inclusion Criteria:
Exclusion Criteria:
1. Patients treated with durvalumab in clinical studies prior to the index date (first dose of durvalumab received within the EAP).
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The study will include all patients who have participated in the EAP between 1 September 2017 until the end of EAP enrolment (5 Nov 2018 in Taiwan) and have received at least 1 dose of durvalumab prior to the present study start. Patients may participate in other clinical trials during this follow-up period.
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| Name | Affiliation | Role |
|---|---|---|
| Reto Huggenberger | AstraZeneca | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| National Taiwan University Hospital-Hsinchu Branch | Hsinchu | Taiwan | ||||
| Chang Gung Medical Foundation-Kaohsiung Branch |
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| Label | URL |
|---|---|
| CSR Synopsis Redacted | View source |
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| ID | Term |
|---|---|
| D002289 | Carcinoma, Non-Small-Cell Lung |
| ID | Term |
|---|---|
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D008175 | Lung Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
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| Kaohsiung City |
| Taiwan |
| Chang Gung Medical Foundation-Keelung Branch | Keelung | Taiwan |
| China Medical University Hospital | Taichung | Taiwan |
| Chung Shan Medical University Hospital | Taichung | Taiwan |
| Taichung Veterans General Hospital | Taichung | Taiwan |
| National Cheng Kung University Hospital | Tainan | Taiwan |
| Mackay Memorial Hospital | Taipei | Taiwan |
| National Taiwan University Hospital | Taipei | Taiwan |
| Taipei Veterans General Hospital | Taipei | Taiwan |
| Tri-Service General Hospital | Taipei | Taiwan |
| Chang Gung Medical Foundation-Linkou Branch | Taoyuan | Taiwan |
| D013899 |
| Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |