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    Summary
    EudraCT Number:2017-004556-27
    Sponsor's Protocol Code Number:D933IC00003
    National Competent Authority:Spain - AEMPS
    Clinical Trial Type:EEA CTA
    Trial Status:Completed
    Date on which this record was first entered in the EudraCT database:2018-03-14
    Trial results View results
    Index
    A. PROTOCOL INFORMATION
    B. SPONSOR INFORMATION
    C. APPLICANT IDENTIFICATION
    D. IMP IDENTIFICATION
    D.8 INFORMATION ON PLACEBO
    E. GENERAL INFORMATION ON THE TRIAL
    F. POPULATION OF TRIAL SUBJECTS
    G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
    N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
    P. END OF TRIAL
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedSpain - AEMPS
    A.2EudraCT number2017-004556-27
    A.3Full title of the trial
    A Phase II, Randomized, Multi-Center, Double-Blind, Comparative Global Study to Determine the Efficacy and Safety of Durvalumab in Combination With Olaparib for First-Line Treatment in Cisplatin-Ineligible Patients With Unresectable Stage IV Urothelial Cancer
    Ensayo clínico fase II, aleatorizado, multicéntrico, doble ciego, internacional, comparativo para determinar la eficacia y la seguridad de durvalumab en combinación con olaparib para el tratamiento en primera línea, en pacientes con cáncer urotelial irresecable en estadio IV inelegibles para tratamiento con cisplatino
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    A randomized, blinded clinical study comparing the combination durvalumab and olaparib to durvalumab alone for patients with advanced bladder cancer
    Ensayo clínico aleatorizado, doble ciego que compara la combinación de durvalumab y olaparib frente durvalumab solo en pacientes con cáncer urotelial avanzado.
    A.3.2Name or abbreviated title of the trial where available
    BAYOU
    BAYOU
    A.4.1Sponsor's protocol code numberD933IC00003
    A.7Trial is part of a Paediatric Investigation Plan No
    A.8EMA Decision number of Paediatric Investigation Plan
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorAstraZeneca AB
    B.1.3.4CountrySweden
    B.3.1 and B.3.2Status of the sponsorCommercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing supportAstraZeneca AB
    B.4.2CountrySweden
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationAstraZeneca Farmacéutica Spain, S.A.
    B.5.2Functional name of contact pointUnidad de Investigación Clínica
    B.5.3 Address:
    B.5.3.1Street AddressUnidad de Investigación Clínica
    B.5.3.2Town/ cityMadrid
    B.5.3.3Post code28033
    B.5.3.4CountrySpain
    B.5.4Telephone number0034900200444
    B.5.6E-mailinformacionEECC-Spain@astrazeneca.com
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product namedurvalumab
    D.3.2Product code MEDI4736
    D.3.4Pharmaceutical form Concentrate for solution for infusion
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPIntravenous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNdurvalumab
    D.3.9.1CAS number 1428935-60-7
    D.3.9.2Current sponsor codeMEDI4736
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number50
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin No
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) Yes
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product Yes
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 2
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameolaparib 100mg
    D.3.4Pharmaceutical form Film-coated tablet
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNolaparib
    D.3.9.1CAS number 763113-22-0
    D.3.9.2Current sponsor codeAZD2281
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number100
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 3
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameolaparib 150mg
    D.3.4Pharmaceutical form Film-coated tablet
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNolaparib
    D.3.9.1CAS number 763113-22-0
    D.3.9.2Current sponsor codeAZD2281
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number150
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.8 Information on Placebo
    D.8 Placebo: 1
    D.8.1Is a Placebo used in this Trial?Yes
    D.8.3Pharmaceutical form of the placeboFilm-coated tablet
    D.8.4Route of administration of the placeboOral use
    D.8 Placebo: 2
    D.8.1Is a Placebo used in this Trial?Yes
    D.8.3Pharmaceutical form of the placeboFilm-coated tablet
    D.8.4Route of administration of the placeboOral use
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Unresectable Stage IV Urothelial Cancer
    Cáncer urotelial irresecable en estadio IV
    E.1.1.1Medical condition in easily understood language
    Bladder cancer or cancer of the urinary collecting system that has spread to other parts of the body or is not treatable with surgery
    Cáncer de vejiga o cáncer del sistema colector urinario que se ha diseminado a otras partes del cuerpo o no se puede tratar con cirugía
    E.1.1.2Therapeutic area Diseases [C] - Cancer [C04]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 20.0
    E.1.2Level LLT
    E.1.2Classification code 10022880
    E.1.2Term Invasive bladder cancer stage IV
    E.1.2System Organ Class 100000004864
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    To assess the efficacy of durvalumab + olaparib combination therapy compared with durvalumab + placebo in terms of PFS in the subset of patients with HRR mutation (HRRm)
    Evaluar la eficacia del tratamiento combinado con durvalumab + olaparib en comparación con durvalumab + placebo en cuanto a SSP en el subgrupo de pacientes con RRHm.
    E.2.2Secondary objectives of the trial
    Key secondary objective: To assess the efficacy of durvalumab + olaparib combination therapy compared with durvalumab + placebo in the subset of randomized patients with HRRm.
    Endpoint: OS.

    Additional secondary objectives: To assess the efficacy of durvalumab + olaparib combination therapy compared with durvalumab + placebo in the subset of randomized patients with HRRm. Endpoint: DoR, ORR, APF6 (patients Alive and Progression Free at 6 months), OS18.

    To assess the PK of durvalumab and olaparib in both treatment arms

    To investigate the immunogenicity of durvalumab in both treatment arms

    To assess disease-related symptoms and HRQoL in patients with UC treated with durvalumab + olaparib combination therapy compared with durvalumab + placebo in the subset of randomized patients with HRRm
    Objetivo secundario fundamental:
    Evaluar la eficacia del tratamiento combinado con durvalumab + olaparib en comparación con durvalumab + placebo en el subgrupo de pacientes aleatorizados con RRHm
    Variable principal: SG

    Objetivos secundarios adicionales:
    Evaluar la eficacia del tratamiento combinado con durvalumab + olaparib en comparación con durvalumab + placebo en el subgrupo de pacientes aleatorizados con RRHm
    Variable principal: DR, TRO y VSP6 (pacientes vivos y libres de progresión a los 6 meses), SG18

    Evaluar la FC de durvalumab y olaparib en ambos grupos de tratamiento

    Investigar la inmunogenicidad de durvalumab en ambos grupos de tratamiento

    Evaluar los síntomas relacionados con la enfermedad y la CVRS en pacientes con CU tratados con durvalumab + olaparib en combinación en comparación con durvalumab + placebo en el subgrupo de pacientes aleatorizados con RRHm
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    1. Provision of signed and dated, written ICF 3. 4
    2. Histologically or cytologically documented TCC/UC of the urothelium (including renal pelvis, ureters, urinary bladder, and urethra) also meeting the following: Unresectable, Stage IV disease; No prior systemic therapy for unresectable, Stage IV disease.
    3. Ineligible for cisplatin-based chemotherapy defined as meeting one of the following criteria: CrCl <60 mL/min calculated by Cockcroft-Gault equation; Common Terminology Criteria for Adverse Events (CTCAE) Grade ≥2 audiometric hearing loss (25 dB in 2 consecutive wave ranges); CTCAE Grade ≥2 peripheral neuropathy; New York Heart Association Class III heart failure; ECOG 2.
    4. Known tumor HRR mutation status prior to randomization.
    5. World Health Organization (WHO)/ECOG performance status of 0, 1, or 2.
    6. Patients with at least 1 RECIST 1.1 target lesion at baseline.
    7. Ability to swallow oral medications.
    8. Evidence of post-menopausal status, or negative urinary or serum pregnancy test for female pre-menopausal patients.
    1. Previsión del Consentimiento Informado fechado y firmado por escrito.
    2. CU/CCT histológicamente o citológicamente documentados del urotelio (incluyendo la pelvis renal, los uréteres, la vejiga urinaria y la uretra) que también cumplen con los siguientes criterios: enfermedad Irresecable Estadio IV; No terapia sistémica previa para la enfermedad irresecable, Estadio IV.
    3. Inelegibles para la quimioterapia basada en cisplatino definida cumpliendo alguno de los siguientes criterios: CrCL <60ml/min calculado por la ecuación de Cockcroft-Gault, Criterios de Terminología Comunes para Eventos Adversos (CTCEA) de pérdida auditiva audiometrica de grado ≥2 (25 dB en 2 rangos de onda consecutivas), CTCEA neuropatía periférica de Grado ≥ 2, insuficiencia cardiaca de clase III de la Asociación del Corazón de Nueva York; ECOG 2.
    4. Tumor con la mutación de RRH conocida antes de la aleatorización.
    5. Organización Mundial de la Salud (OMS)/estado de funcionamiento de la ECOG de 0,1, o 2.
    6. Pacientes con al menos 1 lesión objetivo RECIST 1.1 al inicio del estudio.
    7. Capacidad para tragar medicación oral.
    8. Evidencia del estado post-menopaúsico, o prueba del embarazo urinaria o sérica negativa para las pacientes mujeres pre-menopaúsicas.
    E.4Principal exclusion criteria
    1. Active or prior documented autoimmune or inflammatory disorders.
    2. Other invasive malignancy within 5 years before the first dose of the IP.
    3. Major surgical procedure within 28 days prior to the first dose
    4. Brain metastases or spinal cord compression unless the patient’s condition is stable and off steroid for at least 14 days
    5. History of active primary immunodeficiency.
    6. Active infection including tuberculosis (TB)
    7. History of allogenic organ transplantation.
    8. Uncontrolled intercurrent illness
    9. Prior exposure to a PARP inhibitor or immune-mediated therapy.
    10. Any concurrent chemotherapy, IP, biologic, or hormonal therapy for cancer treatment.
    11. Current or prior use of immunosuppressive medication within 14 days before the first
    dose of the IP.
    12. No radiation therapy is allowed, unless it is (1) definitive radiation that had been administered at least 12 months prior; (2) palliative radiation to the brain, with associated criteria for stability or lack of symptoms; or (3) palliative radiation to painful bony lesions (this must comprise less than 30% of the bone marrow) or symptomatic pelvic soft tissue mass(es).
    13. Receipt of live attenuated vaccine within 30 days prior to the first dose of the IP.
    14. Patients with a known hypersensitivity to durvalumab, olaparib, or any of the excipients of the products.
    15. Female patients who are pregnant or breastfeeding or male or female patients of reproductive potential who are not willing to employ effective birth control from screening to 90 days after the last dose of durvalumab.
    1. Enfermedades autoinmunes o inflamatorias activas o documentadas previamente.
    2. Otra neoplasia maligna invasiva dentro de los 5 años anteriores de la primera dosis del PI.
    3. Procedimientos quirúrgico importante dentro de los 28 dias previos a la primera dosis.
    4. Metástasis cerebral o compresión de la medula espinal al menos que la condición del paciente sea estable y fuera de esteroides al menos 14 dias.
    5. Antecedentes de inmunodeficiencia primaria activa.
    6. Infección activa incluyendo tuberculosis (TB).
    7. Antecedentes de un trasplante de órgano alogénico.
    8. Enfermedades intercurrentes no controlada.
    9. Exposición previa a un inhibidor de PRAP o terapia mediada por inmunidad.
    10. Cualquier quimioterapia concurrente, PI, biológica, o terapia hormonal para el tratamiento del cáncer.
    11. Uso actual o previo de medicación inmunosupresora dentro de los 14 dias anteriores de la primera dosis del PI.
    12. La terapia radioactiva no está permitida, a menos que (1) la radiación definitiva haya sido administrada al menos 12 meses antes; (2) radiación paliativa para el cerebro, criterios asociados con la estabilidad o ausencia de síntomas; o (3)radiación paliativa al lesiones oseas dolorosas (tiene que comprender menos del 30% de la medula ósea) o masa del tejido blando pélvico sintomático.
    13. Haber recibido una vacuna viva atenuada dentro de los 30 dias previos a la primera dosis de PI.
    14. Pacientes con hipersensibilidad conocida a durvalumab, olaparib, o cualquiera de los excipientes de los productos.
    15. Pacientes mujeres que estén embarazadas o dando el pecho o pacientes masculinos o femeninos con potencial reproductivo que no están dispuestos a utilizar métodos anticonceptivos eficaces desde el cribado hasta 90 días después de la última dosis de durvalumab.
    E.5 End points
    E.5.1Primary end point(s)
    Progression-free survival (PFS)
    Supervivencia sin progresión (SSP)
    E.5.1.1Timepoint(s) of evaluation of this end point
    Patient level:

    Assessment for treatment will be made every 4 weeks during the treatment period.
    Nivel del paciente:

    Se debe evaluar el tratamiento cada 4 semanas durante el período de tratamiento.
    E.5.2Secondary end point(s)
    Main secondary end point is:
    OS (overall survival)

    Other secondary efficacy endpoints include:
    Duration of response (DoR)
    Objective Response Rate (ORR)
    Progression-free at 6 months (APF6)
    Patients alive at 18 months (OS18)
    Concentration of durvalumab and olaparib
    Presence of anti-drug antibodies (ADA) for durvalumab
    Patient reported outcome (PRO)including Global health status/QoL, assessed through questionnaire - EORTC QLQ-C30
    Variable secundaria:
    SG (Supervivencia global)

    Otras variables secundarias incluidas:
    Duración de la respuesta (DR)
    Tasa de repuesta objetiva (TRO)
    Sin progresión a los 6 meses (VSP6)
    Pacientes vivos a los 18 meses (SG18)
    Concentración de durvalumab y olaparib
    Presencia de anticuerpos contra el fármaco (ACF) dirigidos contra durvalumab
    Resultados comunicados por los pacientes(RCP) incluidos estado general de salud/calidad de vida, evaluados a través de un cuestionario QLQ-LC30 de la EORTC
    E.5.2.1Timepoint(s) of evaluation of this end point
    OS (overall survival) and OS18
    Assessment every month until 4 months post-treatment discontinuation; every 2 months thereafter.

    Other secondary endpoints
    DoR, ORR, and APF6 will be assessed every 8 weeks (±1 week) for the first 48 weeks; then every 12 weeks (±1 week) thereafter until progression.
    Concentration of durvalumab and olaparib will be assessed three times, in Cycle 1, 2 and 4. Additional assessments at Day 30 post last dose for olaparib, 3 months post last dose for durvalumab.
    ADA for durvalumab will be assessed three times, in Cycle 1, 2 and 4, and 3 and 6 months post last dose of durvalumab.

    PRO:Global health status assessment on day of first dose and every 4 weeks until 3 months post treatment discontinuation.
    SG (Supervivencia global) y SG18
    Evaluación cada mes durante 4 meses después de interrumpir el tratamiento; cada 2 meses después.

    Otras variables secundarias
    DR, TRO y VSP6 se evaluará cada 8 semanas (± 1 semana) durante las primeras 48 semanas; después cada 12 semanas (± 1 semana) hasta progresión.
    Se evaluará la concentración de durvalumab y olaparib tres veces, en los ciclos 1,2 y 4. Evaluaciones adicionales en el Día 30 después de la última dosis de olaparib, 3 meses después de la última dosis de durvalumab.
    Se evaluará ACF para durvalumab 3 veces, en los ciclos 1,2 y 4 y a los 3 y 6 meses después de la última dosis de durvalumab.

    RCP: estado general de salud el día de la primera dosis y cada 4 meses hasta 3 meses después de la interrupción del tratamiento.
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis No
    E.6.3Therapy Yes
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic Yes
    E.6.7Pharmacodynamic Yes
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic No
    E.6.11Pharmacogenomic Yes
    E.6.12Pharmacoeconomic Yes
    E.6.13Others No
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other No
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) Yes
    E.7.3Therapeutic confirmatory (Phase III) No
    E.7.4Therapeutic use (Phase IV) No
    E.8 Design of the trial
    E.8.1Controlled Yes
    E.8.1.1Randomised Yes
    E.8.1.2Open No
    E.8.1.3Single blind No
    E.8.1.4Double blind Yes
    E.8.1.5Parallel group Yes
    E.8.1.6Cross over No
    E.8.1.7Other No
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) No
    E.8.2.2Placebo Yes
    E.8.2.3Other No
    E.8.2.4Number of treatment arms in the trial2
    E.8.3 The trial involves single site in the Member State concerned No
    E.8.4 The trial involves multiple sites in the Member State concerned Yes
    E.8.4.1Number of sites anticipated in Member State concerned6
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA6
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA Yes
    E.8.6.2Trial being conducted completely outside of the EEA No
    E.8.6.3If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned
    Spain
    E.8.7Trial has a data monitoring committee Yes
    E.8.8 Definition of the end of the trial and justification where it is not the last visit of the last subject undergoing the trial
    The end of study is defined as the last expected visit/contact of the last patient undergoing the study.
    El fin del estudio se define como la ultima visita/contacto esperado del último paciente que participó en el estudio.
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years4
    E.8.9.1In the Member State concerned months2
    E.8.9.1In the Member State concerned days
    E.8.9.2In all countries concerned by the trial years7
    E.8.9.2In all countries concerned by the trial months6
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 No
    F.1.1.1In Utero No
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) No
    F.1.1.3Newborns (0-27 days) No
    F.1.1.4Infants and toddlers (28 days-23 months) No
    F.1.1.5Children (2-11years) No
    F.1.1.6Adolescents (12-17 years) No
    F.1.2Adults (18-64 years) Yes
    F.1.2.1Number of subjects for this age range: 64
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 192
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers No
    F.3.2Patients Yes
    F.3.3Specific vulnerable populations Yes
    F.3.3.1Women of childbearing potential not using contraception No
    F.3.3.2Women of child-bearing potential using contraception Yes
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation No
    F.3.3.6Subjects incapable of giving consent personally No
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state46
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 46
    F.4.2.2In the whole clinical trial 256
    F.5 Plans for treatment or care after the subject has ended the participation in the trial (if it is different from the expected normal treatment of that condition)
    Patients who are receiving treatment at the time of the final DCO may continue receiving durvalumab or durvalumab and olaparib if the Investigator judges that they are gaining clinical benefit.
    Pacientes que están recibiendo tratamiento en el momento final DCO que debe continuar recibiendo durvalumab o durvalumab y olaparib si el investigador considera que están teniendo un beneficio clínico.
    G. Investigator Networks to be involved in the Trial
    N. Review by the Competent Authority or Ethics Committee in the country concerned
    N.Competent Authority Decision Authorised
    N.Date of Competent Authority Decision2018-04-29
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2018-04-25
    P. End of Trial
    P.End of Trial StatusCompleted
    P.Date of the global end of the trial2020-10-15
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