New combo aims to stall lung cancer progression
NCT ID NCT03775486
First seen Jun 24, 2026 · Last updated Sep 11, 2026 · Updated 2 times
Summary
This Phase II trial tests whether adding olaparib to durvalumab helps keep stage IV non-small cell lung cancer from growing after initial chemotherapy. About 400 patients whose cancer did not worsen on standard chemo plus durvalumab will receive either the combination or durvalumab alone as maintenance. The main goal is to see how long the cancer stays controlled.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- durvalumab and olaparib
- What this could lead to
- If it works, this combination could help keep advanced lung cancer from progressing longer than durvalumab alone, offering a new maintenance option.
- What could go wrong
- This is a Phase II trial, so results are still early. The combination may not improve survival and could cause more side effects than the single drug.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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401 people
The number who actually took part.
- Started
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Dec 2018
- Expected to finish
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Sep 2026
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 130 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: \- Histologically or cytologically documented Stage IV NSCLC not amenable to curative surgery or radiation. Patients must have tumors that lack activating EGFR mutations and ALK fusions. * (WHO)/(ECOG) performance status of 0 or 1 * No prior chemotherapy or any other systemic therapy for Stage IV NSCLC * Adequate organ and marrow function without blood transfusions in the past 28 days, * At least 1 tumor lesion, not previously irradiated, that can be accurately measured as per RECIST 1.1. Key Inclusion criteria for randomization to maintenance treatment: * Documented radiographic evidence of CR, PR, or Stable Disease (SD) as per Investigator-assessed RECIST 1.1 following 4 cycles of platinum-based chemotherapy. * Creatinine Clearance (CrCl) ≥51 mL/min calculated by the investigator or designee using the Cockcroft-Gault equation or measured by 24-hour urine collection. * Ability to swallow whole oral medications. * All patients must provide a formalin-fixed, paraffin embedded tumor sample for tissue-based immunohistochemistry staining and DNA sequencing to determine PD-L1 expression, HRRm status, and other correlatives: either newly acquired or archival tumor samples (\<3 years old) are acceptable. If available, a newly acquired tumor biopsy, collected as part of routine clinical practice, is preferred. If not available, an archival sample taken \<3 years prior to screening is acceptable. If both an archival sample and a fresh tumor biopsy sample are available, both samples should be submitted for analysis and must be submitted as different samples using different accession numbers. Slides from different blocks cannot be mixed and submitted with the same kit. Exclusion criteria * Mixed small-cell lung cancer and sarcomatoid variant NSCLC histology. * Prior exposure to any chemotherapy agents (except chemotherapy or chemoradiation for non-metastatic disease), polyadenosine 5'diphosphoribose \[poly (ADP ribose)\] polymerase (PARP) therapy, or immunomediated therapy * Active or prior documented autoimmune or inflammatory disorders. * Any concurrent chemotherapy, IP, biologic, or hormonal therapy for cancer treatment. * Current or prior use of immunosuppressive medication within 14 days before the first dose of Investigational Product (IP) * untreated (CNS) metastases and/or carcinomatous meningitis * Active infection. Exclusion criteria to be randomized to maintenance treatment: • Inability to complete 4 cycles of platinum-based chemotherapy for any reason or discontinuation of Durvalumab during initial therapy.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Research Site
Bonita Springs, Florida, 34135, United States
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Research Site
St. Petersburg, Florida, 33705, United States
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Research Site
Tallahassee, Florida, 32308-5304, United States
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Research Site
West Palm Beach, Florida, 33401, United States
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Research Site
Kansas City, Missouri, 64132, United States
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Research Site
Bethlehem, Pennsylvania, 18015, United States
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Research Site
Chattanooga, Tennessee, 37404, United States
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Research Site
Nashville, Tennessee, 37203, United States
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Research Site
Houston, Texas, 77090, United States
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Research Site
Aalst, 9300, Belgium
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Research Site
Leuven, 3000, Belgium
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Research Site
Roeselare, 8800, Belgium
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Research Site
Budapest, 1088, Hungary
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Research Site
Budapest, 1122, Hungary
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Research Site
Debrecen, 4032, Hungary
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Research Site
Deszk, 6772, Hungary
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Research Site
Farkasgyepü, 8582, Hungary
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Research Site
Törökbálint, 2045, Hungary
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Research Site
Ahmedabad, 380009, India
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Research Site
Ahmedabad, 380053, India
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Research Site
Jamnagar, 361008, India
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Research Site
Kochi, 682026, India
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Research Site
Mysuru, 570021, India
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Research Site
Nashik, 422004, India
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Research Site
Nashik, 422009, India
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Research Site
Pune, 411001, India
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Research Site
Thiruvananthapuram, 695011, India
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Research Site
Chūōku, 104-0045, Japan
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Research Site
Kanazawa, 920-8641, Japan
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Research Site
Kurume-shi,, 830-0011, Japan
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Research Site
Matsuyama, 791-0280, Japan
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Research Site
Nagoya, 460-0001, Japan
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Research Site
Sendai, 980-0873, Japan
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Research Site
Sunto-gun, 411-8777, Japan
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Research Site
Ube-shi, 755-0241, Japan
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Research Site
Chihuahua City, 31200, Mexico
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Research Site
Culiacán, 80230, Mexico
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Research Site
San Luis Potosí City, 78250, Mexico
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Research Site
Blaricum, 1261, Netherlands
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Research Site
Harderwijk, 3844, Netherlands
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Research Site
Tilburg, 5022 GC, Netherlands
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Research Site
Bialystok, 15-540, Poland
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Research Site
Lodz, 90-302, Poland
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Research Site
Poznan, 60-693, Poland
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Research Site
Prabuty, 82-550, Poland
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Research Site
Arkhangelsk, 163045, Russia
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Research Site
Chelyabinsk, 454092, Russia
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Research Site
Kursk, 305524, Russia
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Research Site
Moscow, 115478, Russia
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Research Site
Nal'chik, 360000, Russia
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Research Site
P. Herzen Moscow Oncology Rese, 125284, Russia
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Research Site
Saint Petersburg, 197022, Russia
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Research Site
Sochi, 354000, Russia
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Research Site
Yaroslavl, 150054, Russia
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Research Site
Dongjakgu, 07061, South Korea
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Research Site
Goyang-si, 10408, South Korea
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Research Site
Seodaemun-gu, 03722, South Korea
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Research Site
Seoul, 05505, South Korea
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Research Site
Seoul, 06351, South Korea
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Research Site
Suweonsi Paldalgu, 16247, South Korea
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Research Site
Dnipro, 49102, Ukraine
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Research Site
Kharkiv Region, 61024, Ukraine
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Research Site
Kirovohrad, 25006, Ukraine
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Research Site
Odesa, 65055, Ukraine
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Research Site
Uzhhorod, 88000, Ukraine
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Research Site
Zaporizhzhya, 69059, Ukraine
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Research Site
Dundee, DD1 9SY, United Kingdom
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Research Site
Hull, HU6 7RX, United Kingdom
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Other studies related to the condition(s) this trial covers.
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