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NCT04381494: ON TRAX

Mobile Devices to Detect Early Pneumonitis in Stage III NSCLC Patients on Durvalumab.

Terminated Phase 4 Results posted Last updated 22 June 2023
What this trial tests

Phase 4 trial testing Multiparametric Mobile Technology in Unresectable Stage III NSCLC in 40 participants. Terminated before completion.

Timeline
27 April 2020
Primary endpoint
27 January 2022
27 January 2022

Quick facts

Lead sponsorAstraZeneca
PhasePhase 4
StatusTerminated
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposeother
Enrollment40
Start date27 April 2020
Primary completion27 January 2022
Estimated completion27 January 2022
Sites18 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

AstraZeneca — full company profile →

Who can join

Adults 18 to 130, any sex, with Unresectable Stage III NSCLC. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Treatment-Emergent Adverse Event (TEAE) of Pneumonitis by Grade Primary · TEAEs were reported from the first dose of durvalumab up to 30 days after the last dose of durvalumab, a maximum of approximately 13 months

An AE was occurrence of an undesirable medical condition or the deterioration of a pre-existing medical condition following or during exposure to a pharmaceutical product or device, whether or not considered causally related to the product or device medical occurrence in a participant. The TEAEs of pneumonitis were defined as any pneumonitis event that occurred or worsened at any time after the start of administration of the first dose of durvalumab and through 30 days after the last dose of durvalumab. Severity (intensity of any event) was assessed using the National Cancer Institute (NCI) Co

Grade 2
GroupValue95% CI
All Participants2
Grade 3
GroupValue95% CI
All Participants1
Number of Participants With Permanent Discontinuation of Durvalumab Due to Pulmonary TEAEs Secondary · TEAEs were reported from the first dose of durvalumab up to 30 days after the last dose of durvalumab, a maximum of approximately 13 months

Pulmonary TEAEs were defined as any pulmonary AEs that occurred or worsened at any time after the start of administration of the first dose of durvalumab and through 30 days after the last dose of durvalumab. Number of participants with permanent discontinuation of durvalumab due to pulmonary TEAEs including pneumonitis are reported.

GroupValue95% CI
All Participants0
Duration of Durvalumab Treatment Secondary · Up to Month 12

The overall duration of durvalumab treatment, while participants were a part of this wearable study, was calculated as end date of durvalumab treatment minus first dose of durvalumab (Day 1) plus 1.

GroupValue95% CI
All Participants107.51 – 352
Number of Participants With Early Discontinuation of Durvalumab Secondary · Up to Month 12

Number of participants who discontinued durvalumab early due to any reason are reported.

GroupValue95% CI
All Participants3
Number of Participants With Treatment Interruptions Secondary · Up to Month 12

Treatment interruptions were defined as at least 1 temporary withholding of durvalumab treatment. Treatment withheld was defined as temporarily withheld of durvalumab recorded in case report form. Short interruptions defined as the durvalumab infusion interruption during the administration recorded in CRF in a single visit were excluded from the analysis. Due to data issue, the reason for treatment withheld was not captured in the database.

GroupValue95% CI
All Participants9
Duration of Durvalumab Treatment Interruption Secondary · Up to Month 12

The overall duration of durvalumab treatment interruption was calculated as the sum of the duration of each treatment withheld/resumed. The duration of interruption included only treatment withheld. Short interruption which resumed during the same visit was not included in the calculation for duration of interruption.

GroupValue95% CI
All Participants50.8± 50.79
Number of Participants With Pulmonary TEAEs Excluding Pneumonitis Secondary · TEAEs were reported from the first dose of durvalumab up to 30 days after the last dose of durvalumab, a maximum of approximately 13 months

Pulmonary TEAEs were defined as any pulmonary AEs that occurred or worsened at any time after the start of administration of the first dose of durvalumab and through 30 days after the last dose of durvalumab.

GroupValue95% CI
All Participants19
Duration of Pulmonary TEAEs Excluding Pneumonitis Secondary · TEAEs were reported from the first dose of durvalumab up to 30 days after the last dose of durvalumab, a maximum of approximately 13 months

Pulmonary TEAEs were defined as any pulmonary AEs that occurred or worsened at any time after the start of administration of the first dose of durvalumab and through 30 days after the last dose of durvalumab. Duration of pulmonary TEAEs was calculated as end date of pulmonary TEAE minus onset date of pulmonary TEAE plus 1. For AEs that were missing an end date, the data cut-off date was used as the AE end date for calculation of AE duration.

GroupValue95% CI
All Participants153.4± 156.26
Number of Participants Who Received Prescription Medication to Manage Pneumonitis TEAEs Secondary · Up to Month 12

Pneumonitis TEAEs were defined as any pneumonitis AEs that occurred or worsened at any time after the start of administration of the first dose of durvalumab and through 30 days after the last dose of durvalumab.

GroupValue95% CI
All Participants2
Duration of Prescription Medication Received by Participants to Manage Pneumonitis TEAEs Secondary · Up to Month 12

Pneumonitis TEAEs were defined as any pneumonitis AEs that occurred or worsened at any time after the start of administration of the first dose of durvalumab and through 30 days after the last dose of durvalumab.

GroupValue95% CI
All Participants17.5± 3.54
Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30) in Participants With Pneumonitis TEAEs Secondary · Baseline visit (Day 1), every 2 weeks for the first 3 months and once monthly thereafter, and at End-of-Study visit (Month 12)

The EORTC QLQ-C30 consisted of 30 questions and included functional scales (FS) (items 1-7 and items 20-27), symptom scales (items 8-19 and item 28) and global measure of health status (GHS) (items 29-30). The scale ranged from 1-4 for most outcome measures of systems, with 1 rated as "not at all" and 4 rated as "very much". Scores were averaged and transformed to 0 to 100, a high score for functional scales/GHS represented better functioning ability/QoL, whereas a high score for symptom scales represented stronger symptoms/worse QoL. Participants with pneumonitis TEAEs with causal relationshi

FS; Time point 1
GroupValue95% CI
All Participants5.56± 4.714
FS; Time point 2
GroupValue95% CI
All Participants2.22± NA
FS; Time point 3
GroupValue95% CI
All Participants2.22± NA
Symptom scale; Time point 1
GroupValue95% CI
All Participants-10.26± 3.626
Symptom scale; Time point 2
GroupValue95% CI
All Participants-7.69± NA
Symptom scale; Time point 3
GroupValue95% CI
All Participants-7.69± NA
GHS; Time point 1
GroupValue95% CI
All Participants4.17± 5.893
GHS; Time point 2
GroupValue95% CI
All Participants8.33± NA
Change From Baseline in EORTC QLQ-Lung Cancer (LC)13 in Participants With Pneumonitis TEAEs Secondary · Baseline visit (Day 1), every 2 weeks for the first 3 months and once monthly thereafter, and at End-of-Study visit (Month 12)

The EORTC QLQ-LC13 was a disease-specific 13-item questionnaire for lung cancer used in conjunction with the EORTC QLQ-C30. It comprised both multi-item and single-item measures of lung cancer associated symptoms (LCAS) (items 31-35 and items 40-42), treatment related side effects (TREF) (items 36-39) and pain medication (item 43). The scale ranged from 1-4 for most outcome measures of systems, 1 rated as "not at all" and 4 rated as "very much". Scores were averaged and transformed to 0 to 100, higher scores for LCAS and TREF: greater level of symptoms/worse QoL and higher scores for pain medi

LCAS; Time point 1
GroupValue95% CI
All Participants-4.17± NA
TREF; Time point 1
GroupValue95% CI
All Participants-8.33± NA
Pain medication; Time point 1
GroupValue95% CI
All Participants0± NA

Adverse events — posted to ClinicalTrials.gov

Time frame: TEAEs were reported from the first dose of durvalumab up to 30 days after the last dose of durvalumab, a maximum of approximately 13 months. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

All Participants
Serious: 5/40 (13%)
Deaths: 1/40

Serious adverse events (8 terms)

ReactionSystemAll Participants
PneumoniaInfections and infestations
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
Disease progressionGeneral disorders
Muscular weaknessMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
HeadacheNervous system disorders
PneumonitisRespiratory, thoracic and mediastinal disorders
Other adverse events (12 terms — click to expand)

ReactionSystemAll Participants
CoughRespiratory, thoracic and mediastinal disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
FatigueGeneral disorders
DiarrhoeaGastrointestinal disorders
PyrexiaGeneral disorders
NauseaGastrointestinal disorders
Non-cardiac chest painGeneral disorders
TachycardiaCardiac disorders
DizzinessNervous system disorders
Abdominal painGastrointestinal disorders
PruritusSkin and subcutaneous tissue disorders
Rash maculo-papularSkin and subcutaneous tissue disorders

Most-reported serious reactions: Pneumonia, Nausea, Vomiting, Disease progression, Muscular weakness, Dizziness, Headache, Pneumonitis.

Data from ClinicalTrials.gov NCT04381494 adverse events section.

Sponsor's own description

A study of whether mobile devices can improve the detection of pulmonary AEs (including pneumonitis) in stage III NSCLC patients post-CRT, while on durvalumab.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

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