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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/study/NCT02576574




Registration number
NCT02576574
Ethics application status
Date submitted
13/10/2015
Date registered
15/10/2015
Date last updated
25/03/2025

Titles & IDs
Public title
Avelumab in First-line NSCLC (JAVELIN Lung 100)
Scientific title
A Phase III, Open-label, Multicenter Trial of Avelumab (MSB0010718C) Versus Platinum-based Doublet as a First-line Treatment of Recurrent or Stage IV PD-L1+NSCLC
Secondary ID [1] 0 0
2015-001537-24
Secondary ID [2] 0 0
EMR 100070-005
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
First Line Non-Small Cell Lung Cancer 0 0
Condition category
Condition code
Cancer 0 0 0 0
Lung - Non small cell

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - Avelumab
Treatment: Drugs - Pemetrexed
Treatment: Drugs - Paclitaxel
Treatment: Drugs - Gemcitabine
Treatment: Drugs - Gemcitabine
Treatment: Drugs - Carboplatin
Treatment: Drugs - Cisplatin
Treatment: Drugs - Carboplatin
Treatment: Drugs - Avelumab Weekly

Experimental: Avelumab Biweekly -

Experimental: Avelumab Weekly -

Active comparator: Chemotherapy -


Treatment: Drugs: Avelumab
Participants received Avelumab at a dose of 10 milligrams per kilogram (mg/kg) as a 1-hour (-10/+20 minutes) intravenous (IV) infusion once every 2 weeks until disease progression or unacceptable toxicities.

Treatment: Drugs: Pemetrexed
Participants received Pemetrexed 500 milligrams per square meter (mg/m\^2) by IV infusion on Day 1 of 3-Week cycle up to a maximum of 6 cycles of IV injection until disease progression or unacceptable toxicities.

Treatment: Drugs: Paclitaxel
Participants received Paclitaxel 200 mg/m\^2 by IV infusion on Day 1 of 3-Week cycle up to a maximum of 6 cycles of IV injection until disease progression or unacceptable toxicities.

Treatment: Drugs: Gemcitabine
Participants received Gemcitabine 1250 mg/m\^2 on Day 1 and Day 8 by IV infusion in 3-Week cycle up to a maximum of 6 cycles when combined with cisplatin of IV injection until disease progression or unacceptable toxicities.

Treatment: Drugs: Gemcitabine
Participants received Gemcitabine 1000 mg/m\^2 on Day 1 and Day 8 by IV infusion in 3-Week cycle up to a maximum of 6 cycles of IV injection when combined with carboplatin until disease progression or unacceptable toxicities.

Treatment: Drugs: Carboplatin
Participants received Carboplatin area under concentration curve (AUC) 5 mg/mL\*min in 3-Week cycle up to a maximum of 6 cycles of IV injection when combined with gemcitabine until disease progression or unacceptable toxicities.

Treatment: Drugs: Cisplatin
Participants received Cisplatin 75 mg/m\^2 by IV infusion in 3-Week cycle up to a maximum of 6 cycles of IV injection until disease progression or unacceptable toxicities.

Treatment: Drugs: Carboplatin
Carboplatin AUC 6 mg/mL\*min by IV infusion in 3-Week cycle up to a maximum of 6 cycles of IV injection when combined with pemetrexed, or paclitaxel until disease progression or unacceptable toxicities.

Treatment: Drugs: Avelumab Weekly
Participants received Avelumab at a dose of 10 mg/kg as a 1-hour (-10/+20 minutes) IV infusion every week for 12 consecutive weeks.

Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Progression Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) Assessed by Independent Review Committee (IRC) in High Programmed Death Ligand 1 (PD-L1) + Full Analysis Set (FAS)
Assessment method [1] 0 0
PFS is defined as the time from date of randomization until date of the first documentation of progressive disease (PD) or death due to any cause in the absence of documented PD, whichever occurs first. PD is defined as at least a 20 percent (%) increase in the sum of the longest diameter (SLD), taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. PFS was measured using Kaplan-Meier (KM) estimates.
Timepoint [1] 0 0
Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Primary outcome [2] 0 0
Progression Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) Assessed by Independent Review Committee (IRC) in High Programmed Death Ligand 1 (PD-L1) + Modified Full Analysis Set (mFAS)
Assessment method [2] 0 0
PFS is defined as the time from date of randomization until date of the first documentation of progressive disease (PD) or death due to any cause in the absence of documented PD, whichever occurs first. PD is defined as at least a 20 percent (%) increase in the sum of the longest diameter (SLD), taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. PFS was measured using Kaplan-Meier (KM) estimates.
Timepoint [2] 0 0
Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Primary outcome [3] 0 0
Overall Survival (OS) in High Programmed Death Ligand 1 (PD-L1) + Full Analysis Set (FAS)
Assessment method [3] 0 0
OS is defined as the time from randomization to the date of death, regardless of the actual cause of the participant's death. The participants who were still alive at the time of data analysis or who were lost to follow-up OS time was censored at the last recorded date that the participant was known to be alive before the data cutoff date. OS was measured using Kaplan-Meier (KM) estimates.
Timepoint [3] 0 0
Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Primary outcome [4] 0 0
Overall Survival (OS) in High Programmed Death Ligand 1 (PD-L1)+ Modified Full Analysis Set (mFAS)
Assessment method [4] 0 0
OS is defined as the time from randomization to the date of death, regardless of the actual cause of the participant's death. The participants who were still alive at the time of data analysis or who were lost to follow-up OS time was censored at the last recorded date that the participant was known to be alive before the data cutoff date. OS was measured using Kaplan-Meier (KM) estimates.
Timepoint [4] 0 0
Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Secondary outcome [1] 0 0
Progression Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) Assessed by Independent Review Committee (IRC) in Moderate and High Programmed Death Ligand 1 (PD-L1)+ Full Analysis Set (FAS)
Assessment method [1] 0 0
PFS is defined as the time from date of randomization until date of the first documentation of progressive disease (PD) or death due to any cause in the absence of documented PD, whichever occurs first. PD is defined as at least a 20 percent (%) increase in the sum of the longest diameter (SLD), taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. PFS was measured using Kaplan-Meier (KM) estimates.
Timepoint [1] 0 0
Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Secondary outcome [2] 0 0
Progression Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) Assessed by Independent Review Committee (IRC) in Moderate and High Programmed Death Ligand 1 (PD-L1)+ Modified Full Analysis Set (mFAS)
Assessment method [2] 0 0
PFS is defined as the time from date of randomization until date of the first documentation of progressive disease (PD) or death due to any cause in the absence of documented PD, whichever occurs first. PD is defined as at least a 20 percent (%) increase in the sum of the longest diameter (SLD), taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. PFS was measured using Kaplan-Meier (KM) estimates.
Timepoint [2] 0 0
Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Secondary outcome [3] 0 0
Overall Survival (OS) in Moderate and High Programmed Death Ligand 1 (PD-L1)+ Full Analysis Set (FAS)
Assessment method [3] 0 0
OS is defined as the time from randomization to the date of death, regardless of the actual cause of the participant's death. The participants who were still alive at the time of data analysis or who were lost to follow-up OS time was censored at the last recorded date that the participant was known to be alive before the data cutoff date. OS was measured using Kaplan-Meier (KM) estimates.
Timepoint [3] 0 0
Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Secondary outcome [4] 0 0
Overall Survival (OS) in Moderate and High Programmed Death Ligand 1 (PD-L1)+ Modified Full Analysis Set (mFAS)
Assessment method [4] 0 0
OS is defined as the time from randomization to the date of death, regardless of the actual cause of the participant's death. The participants who were still alive at the time of data analysis or who were lost to follow-up OS time was censored at the last recorded date that the participant was known to be alive before the data cutoff date. OS was measured using Kaplan-Meier (KM) estimates.
Timepoint [4] 0 0
Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Secondary outcome [5] 0 0
Overall Survival (OS) in Full Analysis Set (FAS)
Assessment method [5] 0 0
OS is defined as the time from randomization to the date of death, regardless of the actual cause of the participant's death. The participants who were still alive at the time of data analysis or who were lost to follow-up OS time was censored at the last recorded date that the participant was known to be alive before the data cutoff date. OS was measured using Kaplan-Meier (KM) estimates.
Timepoint [5] 0 0
Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Secondary outcome [6] 0 0
Overall Survival (OS) in Modified Full Analysis Set (mFAS)
Assessment method [6] 0 0
OS is defined as the time from randomization to the date of death, regardless of the actual cause of the participant's death. The participants who were still alive at the time of data analysis or who were lost to follow-up OS time was censored at the last recorded date that the participant was known to be alive before the data cutoff date. OS was measured using Kaplan-Meier (KM) estimates.
Timepoint [6] 0 0
Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Secondary outcome [7] 0 0
Percentage of Participants With Confirmed Objective Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Independent Review Committee (IRC) in High PD-L1+ Full Analysis Set
Assessment method [7] 0 0
Confirmed objective response was defined as the percentage of participants with a confirmed objective response of complete response (CR) or partial response (PR). CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30% reduction from baseline in the sum of the longest diameter (SLD) of all lesions.
Timepoint [7] 0 0
Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Secondary outcome [8] 0 0
Percentage of Participants With Confirmed Objective Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Independent Review Committee (IRC) in High PD-L1+ Modified Full Analysis Set
Assessment method [8] 0 0
Confirmed objective response was defined as the percentage of participants with a confirmed objective response of complete response (CR) or partial response (PR). CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30% reduction from baseline in the sum of the longest diameter (SLD) of all lesions.
Timepoint [8] 0 0
Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Secondary outcome [9] 0 0
Percentage of Participants With Confirmed Objective Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Independent Review Committee (IRC) in Moderate and High PD-L1+ Full Analysis Set
Assessment method [9] 0 0
Confirmed objective response was defined as the percentage of participants with a confirmed objective response of complete response (CR) or partial response (PR). CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30% reduction from baseline in the sum of the longest diameter (SLD) of all lesions.
Timepoint [9] 0 0
Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Secondary outcome [10] 0 0
Percentage of Participants With Confirmed Objective Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Independent Review Committee (IRC) in Moderate and High PD-L1+ Modified Full Analysis Set
Assessment method [10] 0 0
Confirmed objective response was defined as the percentage of participants with a confirmed objective response of complete response (CR) or partial response (PR). CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30% reduction from baseline in the sum of the longest diameter (SLD) of all lesions.
Timepoint [10] 0 0
Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Secondary outcome [11] 0 0
Duration of Response (DOR) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Independent Review Committee (IRC) in High Programmed Death Ligand 1 (PD-L1)+ Full Analysis Set (FAS)
Assessment method [11] 0 0
DOR was defined for participants with confirmed response, as the time from first documentation of objective response (Complete Response \[CR\] or Partial Response \[PR\]) to the date of first documentation of progression disease (PD) or death due to any cause, whichever occurred first. CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30% reduction from baseline in the SLD of all lesions. PD: At least a 20 percent (%) increase in the sum of the longest diameter (SLD), taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions.
Timepoint [11] 0 0
Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Secondary outcome [12] 0 0
Duration of Response (DOR) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Independent Review Committee (IRC) in High Programmed Death Ligand 1 (PD-L1)+ Modified Full Analysis Set (mFAS)
Assessment method [12] 0 0
DOR was defined for participants with confirmed response, as the time from first documentation of objective response (Complete Response \[CR\] or Partial Response \[PR\]) to the date of first documentation of progression disease (PD) or death due to any cause, whichever occurred first. CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30% reduction from baseline in the SLD of all lesions. PD: At least a 20 percent (%) increase in the sum of the longest diameter (SLD), taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions.
Timepoint [12] 0 0
Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Secondary outcome [13] 0 0
Change From Baseline in European Quality Of Life 5-dimensions (EQ-5D-5L) Visual Analog Scale (VAS) in High PD-L1+ Health-related Quality of Life (HRQoL) Analysis Set at End of Treatment
Assessment method [13] 0 0
EQ-5D-5L is comprised of the following 5 participant-reported dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems, and extreme problems. The responses are used to derive overall score using a visual analog scale (VAS) that ranged from 0 to 100 millimeter (mm), where 0 is the worst health you can imagine and 100 is the best health you can imagine.
Timepoint [13] 0 0
Baseline, End of treatment (up to Week 283.9)
Secondary outcome [14] 0 0
Change From Baseline in European Quality Of Life 5-dimensions (EQ-5D-5L) Visual Analog Scale (VAS) in High Programmed Death Ligand 1 (PD-L1)+ Modified HRQoL Analysis Set
Assessment method [14] 0 0
EQ-5D-5L is comprised of the following 5 participant-reported dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems, and extreme problems. The responses are used to derive overall score using a visual analog scale (VAS) that ranged from 0 to 100 millimeter (mm), where 0 is the worst health you can imagine and 100 is the best health you can imagine.
Timepoint [14] 0 0
Baseline, End of treatment (Week 283.9)
Secondary outcome [15] 0 0
Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) Global Health Status at End of Treatment (EOT) in High Programmed Death Ligand 1 (PD-L1)+ HRQoL Analysis Set
Assessment method [15] 0 0
EORTC QLQ-C30 was a 30-question tool used to assess the overall quality of life (QoL) in cancer participants. It consisted of 15 domains: 1 global health status (GHS) scale, 5 functional scales (Physical, role, cognitive, emotional, social), and 9 symptom scales/items (Fatigue, nausea and vomiting, pain, dyspnea, sleep disturbance, appetite loss, constipation, diarrhea, financial impact). The EORTC QLQ-C30 GHS/QoL score ranged from 0 to 100; High score indicated better GHS/QoL. Score 0 represents: very poor physical condition and QoL. Score 100 represents: excellent overall physical condition and QoL.
Timepoint [15] 0 0
Baseline, End of treatment (up to Week 283.9)
Secondary outcome [16] 0 0
Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) Global Health Status at End of Treatment (EOT) in High Programmed Death Ligand 1 (PD-L1)+ Modified HRQoL Analysis Set
Assessment method [16] 0 0
EORTC QLQ-C30 was a 30-question tool used to assess the overall quality of life (QoL) in cancer participants. It consisted of 15 domains: 1 global health status (GHS) scale, 5 functional scales (Physical, role, cognitive, emotional, social), and 9 symptom scales/items (Fatigue, nausea and vomiting, pain, dyspnea, sleep disturbance, appetite loss, constipation, diarrhea, financial impact). The EORTC QLQ-C30 GHS/QoL score ranged from 0 to 100; High score indicated better GHS/QoL. Score 0 represents: very poor physical condition and QoL. Score 100 represents: excellent overall physical condition and QoL.
Timepoint [16] 0 0
Baseline, End of treatment (Week 283.9)
Secondary outcome [17] 0 0
Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Lung Cancer 13 (EORTC QLQ-LC13) at End of Treatment (EOT) in High Programmed Death Ligand 1 (PD-L1)+ HRQoL Analysis Set
Assessment method [17] 0 0
EORTC QLQ-LC13 consisted of 13 questions relating to disease symptoms specific to lung cancer and treatment side effects typical of treatment with chemotherapy and radiotherapy. The EORTC QLQ-LC13 module generated one multiple-item score assessing dyspnea and a series of single item scores assessing coughing, hemoptysis, sore mouth, dysphagia, peripheral neuropathy, alopecia, pain in chest, pain in arms or shoulder and pain in other parts. Score range: 0 (no burden of symptom domain or single symptom item) to 100 (highest burden of symptoms for symptom domains and single items).
Timepoint [17] 0 0
Baseline, End of treatment (up to Week 283.9)
Secondary outcome [18] 0 0
Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Lung Cancer 13 (EORTC QLQ-LC13) at End of Treatment (EOT) in High Programmed Death Ligand 1 (PD-L1)+ Modified HRQoL Analysis Set
Assessment method [18] 0 0
EORTC QLQ-LC13 consisted of 13 questions relating to disease symptoms specific to lung cancer and treatment side effects typical of treatment with chemotherapy and radiotherapy. The EORTC QLQ-LC13 module generated one multiple-item score assessing dyspnea and a series of single item scores assessing coughing, hemoptysis, sore mouth, dysphagia, peripheral neuropathy, alopecia, pain in chest, pain in arms or shoulder and pain in other parts. Score range: 0 (no burden of symptom domain or single symptom item) to 100 (highest burden of symptoms for symptom domains and single items).
Timepoint [18] 0 0
Baseline, End of treatment (up to Week 283.9)
Secondary outcome [19] 0 0
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and AEs of Special Interest (AESIs)
Assessment method [19] 0 0
Adverse event (AE) was defined as any untoward medical occurrence in a participant, which does not necessarily have causal relationship with treatment. A serious AE was defined as an AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged in participant hospitalization; congenital anomaly/birth defect or was otherwise considered medically important. The term TEAEs were those events with onset dates occurring during the on-treatment period or if the worsening of an event is during the on-treatment period TEAEs included both serious TEAEs and non-serious TEAEs. Any AE that was suspicious to be a potential Immune-related adverse event (irAE) including infusion related reactions were considered AESIs. Number of participants with TEAEs and AESIs were reported.
Timepoint [19] 0 0
Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Secondary outcome [20] 0 0
Number of Participants With Shift From Baseline to Greater Than or Equal to (>=) Grade 3 in Laboratory Parameter Values Based on National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE), Version 4.03
Assessment method [20] 0 0
Number of participants with shifts from Baseline values (Grade 0/1/2/3) to abnormal post-baseline values (shift to \>= Grade 4) were reported as per NCI-CTCAE, v4.03 graded from Grade 1 to 5. Grade 1: Mild; Grade 2: Moderate; Grade 3: Severe; Grade 4: Life-threatening; Grade 5: Death. Shifts in laboratory parameter (anemia, lymphocyte count decreased, neutrophil count decreased, platelet count decreased, white blood cell count decreased, alanine aminotransferase increased, alkaline phosphatase increased, aspartate aminotransferase increased, blood bilirubin increased, creatine phosphokinase increased, creatinine increased and Hyperglycemia) were reported.
Timepoint [20] 0 0
Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Secondary outcome [21] 0 0
Number of Participants With Maximal On-Treatment Changes From Baseline in Vital Signs - Maximal Body Temperature Increase
Assessment method [21] 0 0
The number of participants with changes from baseline in increased Body Temperature (degree Celsius \[°C\]) were reported by using criteria: Baseline temperature (temp.) less than (\<) 37°C, on treatment change \<1°C, 1 - \<2°C, 2 - \<3°C, greater than or equal to (\>=)3°C and missing; Baseline temp. 37 - \<38°C, on treatment change \<1°C, 1 - \<2°C, 2 - \<3°C, \>=3°C and missing; Baseline temp. 38 - \<39°C, on treatment change \<1°C, 1 - \<2°C, 2 - \<3°C, \>=3°C and missing; Baseline temp. 39-\<40°C, on treatment change \<1°C, 1 - \<2°C, 2 - \<3°C, \>=3°C and missing; Baseline temp. \>=40°C, on treatment change \<1°C, 1 - \<2°C, 2 - \<3°C, \>=3°C and missing; Baseline temp. missing, on treatment change missing.
Timepoint [21] 0 0
Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Secondary outcome [22] 0 0
Number of Participants With Maximal On-Treatment Changes From Baseline in Vital Signs - Maximal Weight Increase/Decrease
Assessment method [22] 0 0
The number of participants with maximal on-treatment changes from baseline in Increase (Ic.)/Decrease (Dc.) in maximal weight were reported by using criteria: Ic./Dc. From baseline, on treatment (TR) change \<10 percentage (%), \>=10% and missing.
Timepoint [22] 0 0
Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Secondary outcome [23] 0 0
Number of Participants With Maximal On-Treatment Changes From Baseline in Vital Signs - Maximal Heart Rate Increase/Decrease
Assessment method [23] 0 0
The number of participants with maximal on-treatment (TR) changes from baseline (BS) in Increase (Ic.)/Decrease (Dc.) heart rate (HR) (beats per minute \[bpm\]) were reported by using criteria: Ic./Dc. BS HR \<100/\>=100 bpm, on treatment change =\<20 bpm, \>20 - =\<40 bpm, \>40 bpm and missing; Ic./Dc. BS HR missing, on treatment change missing.
Timepoint [23] 0 0
Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Secondary outcome [24] 0 0
Number of Participants With Maximal On-Treatment Changes From Baseline in Vital Signs - Maximal Systolic Blood Pressure Increase/Decrease and Maximal Diastolic Blood Pressure Increase/Decrease
Assessment method [24] 0 0
The number of participants with maximal on-treatment changes from baseline (BS) in Increase (Ic.)/Decrease (Dc.) Systolic Blood Pressure (SBP) and diastolic blood pressure (DBP) (millimeter of mercury \[mmHg\]) were reported by using criteria: Ic./Dc. BS SBP \<140 mmHg and \>=140 mmHg, on maximal treatment (TR) change =\<20 mmHg, \>20 - =\<40 mmHg, \>40 mmHg and missing; Ic./Dc. BS SBP missing, on maximal treatment (TR) change missing; Ic./Dc. BS DBP \<90 mmHg and \>= 90 mmHg, on maximal TR change =\<20 mmHg, \>20 - =\<40 mmHg, \>40 mmHg and missing; Ic./Dc. BS DBP missing on maximal TR change missing.
Timepoint [24] 0 0
Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Secondary outcome [25] 0 0
Number of Participants With Maximal On-Treatment Changes From Baseline in Vital Signs - Maximal Respiration Rate Increase/Decrease
Assessment method [25] 0 0
The number of participants with maximal on-treatment (TR) changes from baseline (BS) in Increase (Ic.)/Decrease (Dc.) maximal Respiration Rate (RR) were reported by using criteria: Ic./Dc. BS RR \<20 breaths per minute (breaths/min), on TR change =\<5 breaths/min, \>5 - =\<10 breaths/min, \>10 breaths/min and missing. Ic./Dc. BS RR missing, on TR change missing. Ic./Dc. BS RR \>=20 breaths/min, on TR change =\<5 breaths/min, \>5 - =\<10 breaths/min, \>10 breaths/min and missing.
Timepoint [25] 0 0
Time from date of randomization up to data cutoff (assessed up to 71.5 months)
Secondary outcome [26] 0 0
Number of Participants With Potentially Clinically Significant Abnormalities (PCSA) in Electrocardiogram (ECG) Parameters
Assessment method [26] 0 0
ECG parameters included heart rate, PR interval, QRS interval, corrected QT interval using Bazett's formula (QTcB) and corrected QT interval using Fridericia's formula (QTcF). PCSA criteria for abnormal value of ECG parameters: any heart rate \<= 50 bpm and decrease from baseline \>=20 bpm , any hear rate \>= 120 bpm and increase from baseline \>= 20 bpm; PR interval: \>= 220 milliseconds (ms) and increase from baseline \>= 20 ms; QRS interval \>= 120 ms; QTcF \> 450 ms, \> 480 ms, \> 500 ms, QTcF increase from baseline \> 30 ms and QTcF increase from baseline \> 60 ms; QTcB \> 450 ms, \> 480 ms, \> 500 ms, QTcB increase from baseline \> 30 ms and QTcB increase from baseline \> 60 ms.
Timepoint [26] 0 0
Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Secondary outcome [27] 0 0
Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance: Baseline Score Versus (Vs) Worst Post-baseline Score
Assessment method [27] 0 0
ECOG performance status measured to assess participant's performance status on a scale of 0 to 5, where 0 = Fully active, able to carry on all pre-disease activities without restriction; 1 = Restricted in physically strenuous activity, ambulatory and able to carry out light or sedentary work; 2 = Ambulatory and capable of all selfcare but unable to carry out any work activities; 3 = Capable of only limited self-care, confined to bed/chair for more than 50 percent of waking hours; 4 = Completely disabled, cannot carry on any self-care, totally confined to bed/chair; 5 = dead. ECOG performance status was reported in terms of number of participants with baseline value vs worst post-baseline value (that is \[i.e.\] highest score).
Timepoint [27] 0 0
Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Secondary outcome [28] 0 0
Number of Participants With At Least One Positive Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) for Avelumab
Assessment method [28] 0 0
Serum samples were analyzed by a validated electrochemiluminesce immunoassay to detect the presence of antidrug antibodies (ADA). Samples that screened positive were subsequently tested in a confirmatory assay were tested for neutralizing antibodies (nAb). Number of participants with ADA or nAb positive results for Avelumab were reported.
Timepoint [28] 0 0
Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)

Eligibility
Key inclusion criteria
* Male or female subjects aged greater than or equal to (>=) 18 years
* With Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0 to 1 at trial entry
* At least 1 measurable tumor lesion
* With histologically confirmed metastatic or recurrent (Stage IV) non-small cell lung cancer (NSCLC)
* With availability of a recently-obtained, formalin-fixed, paraffin-embedded (FFPE) tissue sample containing tumor (biopsy from a non-irradiated area preferably within 6 months) or a minimum number of 10 (preferably 25) unstained tumor slides cut within 1 week, and suitable for PD-L1 expression assessment
* Subjects must not have received any treatment for systemic lung cancer, and have an estimated life expectancy of more than 12 weeks
* Other protocol defined criteria could apply
Minimum age
18 Years
Maximum age
No limit
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
* Subjects whose disease harbors a EGFR mutation, or anaplastic lymphoma kinase (ALK) rearrangement are not eligible.
* Other exclusion criteria include prior therapy with any antibody or drug targeting T cell coregulatory proteins, concurrent anticancer treatment, or immunosuppressive agents
* Known severe hypersensitivity reactions to monoclonal antibodies (Grade >= 3 NCI CTCAE v 4.03), history of anaphylaxis, or uncontrolled asthma (that is, 3 or more features of partially controlled asthma), and persisting toxicity related to prior therapy of Grade > 1 NCI-CTCAE v 4.03.
* Subjects with brain metastases are excluded, except those meeting the following criteria: brain metastases that have been treated locally and are clinically stable for at least 2 weeks prior to randomization, subjects must be either off steroids or on a stable or decreasing dose of <= 10 mg daily prednisone (or equivalent), and do not have ongoing neurological symptoms that are related to the brain localization of the disease.
* Other protocol defined criteria could apply

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Open (masking not used)
Who is / are masked / blinded?



Intervention assignment
Parallel
Other design features
Phase
Phase 3
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Completed
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,VIC,WA
Recruitment hospital [1] 0 0
Albury Wodonga Regional Cancer Centre - Albury
Recruitment hospital [2] 0 0
Coffs Harbour Health Campus - Coffs Harbour
Recruitment hospital [3] 0 0
St George Private Hospital - Kogarah
Recruitment hospital [4] 0 0
Lismore Base Hospital - Lismore
Recruitment hospital [5] 0 0
Orange Health Service - Orange
Recruitment hospital [6] 0 0
Royal North Shore Hospital - St Leonards
Recruitment hospital [7] 0 0
Calvary Mater Newcastle - Waratah
Recruitment hospital [8] 0 0
Gallipoli Medical Research Foundation Ltd - Greenslopes
Recruitment hospital [9] 0 0
Gold Coast University Hospital - Southport
Recruitment hospital [10] 0 0
The Queen Elizabeth Hospital - Woodville South
Recruitment hospital [11] 0 0
Ballarat Base Hospital - Ballarat
Recruitment hospital [12] 0 0
Bendigo Hospital - Bendigo
Recruitment hospital [13] 0 0
South West Healthcare - Warrnambool
Recruitment hospital [14] 0 0
Fiona Stanley Hospital - Murdoch
Recruitment postcode(s) [1] 0 0
2640 - Albury
Recruitment postcode(s) [2] 0 0
2450 - Coffs Harbour
Recruitment postcode(s) [3] 0 0
2217 - Kogarah
Recruitment postcode(s) [4] 0 0
2480 - Lismore
Recruitment postcode(s) [5] 0 0
2800 - Orange
Recruitment postcode(s) [6] 0 0
2065 - St Leonards
Recruitment postcode(s) [7] 0 0
2298 - Waratah
Recruitment postcode(s) [8] 0 0
4120 - Greenslopes
Recruitment postcode(s) [9] 0 0
4215 - Southport
Recruitment postcode(s) [10] 0 0
5011 - Woodville South
Recruitment postcode(s) [11] 0 0
3350 - Ballarat
Recruitment postcode(s) [12] 0 0
3550 - Bendigo
Recruitment postcode(s) [13] 0 0
3280 - Warrnambool
Recruitment postcode(s) [14] 0 0
6150 - Murdoch
Recruitment outside Australia
Country [1] 0 0
United States of America
State/province [1] 0 0
Alabama
Country [2] 0 0
United States of America
State/province [2] 0 0
Arizona
Country [3] 0 0
United States of America
State/province [3] 0 0
California
Country [4] 0 0
United States of America
State/province [4] 0 0
Florida
Country [5] 0 0
United States of America
State/province [5] 0 0
Georgia
Country [6] 0 0
United States of America
State/province [6] 0 0
Louisiana
Country [7] 0 0
United States of America
State/province [7] 0 0
Michigan
Country [8] 0 0
United States of America
State/province [8] 0 0
Montana
Country [9] 0 0
United States of America
State/province [9] 0 0
Nevada
Country [10] 0 0
United States of America
State/province [10] 0 0
New Mexico
Country [11] 0 0
United States of America
State/province [11] 0 0
North Carolina
Country [12] 0 0
United States of America
State/province [12] 0 0
Oklahoma
Country [13] 0 0
United States of America
State/province [13] 0 0
Oregon
Country [14] 0 0
United States of America
State/province [14] 0 0
Pennsylvania
Country [15] 0 0
United States of America
State/province [15] 0 0
Tennessee
Country [16] 0 0
United States of America
State/province [16] 0 0
Texas
Country [17] 0 0
United States of America
State/province [17] 0 0
Vermont
Country [18] 0 0
United States of America
State/province [18] 0 0
Washington
Country [19] 0 0
United States of America
State/province [19] 0 0
Wyoming
Country [20] 0 0
Belgium
State/province [20] 0 0
Antwerpen
Country [21] 0 0
Belgium
State/province [21] 0 0
Brasschaat
Country [22] 0 0
Belgium
State/province [22] 0 0
Mons
Country [23] 0 0
Brazil
State/province [23] 0 0
Bahia
Country [24] 0 0
Brazil
State/province [24] 0 0
Ceará
Country [25] 0 0
Brazil
State/province [25] 0 0
Goiás
Country [26] 0 0
Brazil
State/province [26] 0 0
Paraná
Country [27] 0 0
Brazil
State/province [27] 0 0
Rio Grande Do Sul
Country [28] 0 0
Brazil
State/province [28] 0 0
Santa Catarina
Country [29] 0 0
Brazil
State/province [29] 0 0
Sao Paulo
Country [30] 0 0
Brazil
State/province [30] 0 0
Rio de Janeiro
Country [31] 0 0
Bulgaria
State/province [31] 0 0
Ruse
Country [32] 0 0
Bulgaria
State/province [32] 0 0
Sofia
Country [33] 0 0
Canada
State/province [33] 0 0
New Brunswick
Country [34] 0 0
Canada
State/province [34] 0 0
Ontario
Country [35] 0 0
Chile
State/province [35] 0 0
Santiago
Country [36] 0 0
Chile
State/province [36] 0 0
Viña del Mar
Country [37] 0 0
China
State/province [37] 0 0
Beijing
Country [38] 0 0
China
State/province [38] 0 0
Guangdong
Country [39] 0 0
China
State/province [39] 0 0
Heilongjiang
Country [40] 0 0
China
State/province [40] 0 0
Liaoning
Country [41] 0 0
China
State/province [41] 0 0
Shandong
Country [42] 0 0
Colombia
State/province [42] 0 0
Bogotá
Country [43] 0 0
Colombia
State/province [43] 0 0
Floridablanca
Country [44] 0 0
Colombia
State/province [44] 0 0
Medellín
Country [45] 0 0
Colombia
State/province [45] 0 0
Monteria
Country [46] 0 0
Croatia
State/province [46] 0 0
Zagreb
Country [47] 0 0
Cyprus
State/province [47] 0 0
Nicosia
Country [48] 0 0
Czechia
State/province [48] 0 0
Liberec
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Czechia
State/province [49] 0 0
Nova Ves pod Plesi
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Czechia
State/province [50] 0 0
Olomouc
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Czechia
State/province [51] 0 0
Ostrava - Vitkovice
Country [52] 0 0
Czechia
State/province [52] 0 0
Praha 4 - Krc
Country [53] 0 0
Czechia
State/province [53] 0 0
Usti nad Labem
Country [54] 0 0
Denmark
State/province [54] 0 0
Herning
Country [55] 0 0
Denmark
State/province [55] 0 0
Roskilde
Country [56] 0 0
Estonia
State/province [56] 0 0
Tallinn
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France
State/province [57] 0 0
Alpes Maritimes
Country [58] 0 0
France
State/province [58] 0 0
Bas Rhin
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France
State/province [59] 0 0
Bouches-du-Rhône
Country [60] 0 0
France
State/province [60] 0 0
Doubs
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France
State/province [61] 0 0
Finistere
Country [62] 0 0
France
State/province [62] 0 0
Gironde
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France
State/province [63] 0 0
Maine Et Loire
Country [64] 0 0
France
State/province [64] 0 0
Paris
Country [65] 0 0
France
State/province [65] 0 0
Pyrenees Atlantiques
Country [66] 0 0
France
State/province [66] 0 0
Rhone
Country [67] 0 0
France
State/province [67] 0 0
Sarthe
Country [68] 0 0
France
State/province [68] 0 0
Vaculuse
Country [69] 0 0
France
State/province [69] 0 0
Val De Marne
Country [70] 0 0
France
State/province [70] 0 0
Paris Cedex 10
Country [71] 0 0
Germany
State/province [71] 0 0
Baden Wuerttemberg
Country [72] 0 0
Germany
State/province [72] 0 0
Schleswig Holstein
Country [73] 0 0
Greece
State/province [73] 0 0
Athens
Country [74] 0 0
Greece
State/province [74] 0 0
Heraklion
Country [75] 0 0
Greece
State/province [75] 0 0
Patras
Country [76] 0 0
Greece
State/province [76] 0 0
Thessaloniki
Country [77] 0 0
Hungary
State/province [77] 0 0
Budapest
Country [78] 0 0
Hungary
State/province [78] 0 0
Deszk
Country [79] 0 0
Hungary
State/province [79] 0 0
Györ
Country [80] 0 0
Hungary
State/province [80] 0 0
Miskolc
Country [81] 0 0
Hungary
State/province [81] 0 0
Nyiregyhaza
Country [82] 0 0
Hungary
State/province [82] 0 0
Szekszard
Country [83] 0 0
Hungary
State/province [83] 0 0
Torokbalint
Country [84] 0 0
Hungary
State/province [84] 0 0
Zalaegerszeg
Country [85] 0 0
Ireland
State/province [85] 0 0
Cork
Country [86] 0 0
Israel
State/province [86] 0 0
Beer Sheva
Country [87] 0 0
Israel
State/province [87] 0 0
Haifa
Country [88] 0 0
Israel
State/province [88] 0 0
Jerusalem
Country [89] 0 0
Israel
State/province [89] 0 0
Kfar-Saba
Country [90] 0 0
Israel
State/province [90] 0 0
Petach Tikva
Country [91] 0 0
Israel
State/province [91] 0 0
Ramat Gan
Country [92] 0 0
Israel
State/province [92] 0 0
Rechovot
Country [93] 0 0
Israel
State/province [93] 0 0
Rishon Lezion
Country [94] 0 0
Israel
State/province [94] 0 0
Tel Aviv
Country [95] 0 0
Italy
State/province [95] 0 0
Verona
Country [96] 0 0
Italy
State/province [96] 0 0
Brescia
Country [97] 0 0
Italy
State/province [97] 0 0
Catania
Country [98] 0 0
Italy
State/province [98] 0 0
Genova
Country [99] 0 0
Italy
State/province [99] 0 0
Napoli
Country [100] 0 0
Italy
State/province [100] 0 0
Parma
Country [101] 0 0
Italy
State/province [101] 0 0
Pisa
Country [102] 0 0
Japan
State/province [102] 0 0
Chiba-Ken
Country [103] 0 0
Japan
State/province [103] 0 0
Fukuoka-Ken
Country [104] 0 0
Japan
State/province [104] 0 0
Hokkaido
Country [105] 0 0
Japan
State/province [105] 0 0
Hyogo-Ken
Country [106] 0 0
Japan
State/province [106] 0 0
Kanagawa-Ken
Country [107] 0 0
Japan
State/province [107] 0 0
Osaka-Fu
Country [108] 0 0
Japan
State/province [108] 0 0
Tokyo-To
Country [109] 0 0
Japan
State/province [109] 0 0
Toyama-Ken
Country [110] 0 0
Japan
State/province [110] 0 0
Kobe-shi
Country [111] 0 0
Korea, Republic of
State/province [111] 0 0
Chungcheongbuk-do
Country [112] 0 0
Korea, Republic of
State/province [112] 0 0
Gangwon-do
Country [113] 0 0
Korea, Republic of
State/province [113] 0 0
Gyeonggi-do
Country [114] 0 0
Korea, Republic of
State/province [114] 0 0
Daegu
Country [115] 0 0
Korea, Republic of
State/province [115] 0 0
Incheon
Country [116] 0 0
Korea, Republic of
State/province [116] 0 0
Seoul
Country [117] 0 0
Korea, Republic of
State/province [117] 0 0
Ulsan
Country [118] 0 0
Lebanon
State/province [118] 0 0
Beirut
Country [119] 0 0
Lebanon
State/province [119] 0 0
Saida
Country [120] 0 0
Lithuania
State/province [120] 0 0
Kaunas
Country [121] 0 0
Netherlands
State/province [121] 0 0
Groningen
Country [122] 0 0
Netherlands
State/province [122] 0 0
Hoorn
Country [123] 0 0
Netherlands
State/province [123] 0 0
Tilburg
Country [124] 0 0
New Zealand
State/province [124] 0 0
Auckland
Country [125] 0 0
New Zealand
State/province [125] 0 0
Dunedin
Country [126] 0 0
New Zealand
State/province [126] 0 0
Hamilton
Country [127] 0 0
New Zealand
State/province [127] 0 0
Palmerston North
Country [128] 0 0
New Zealand
State/province [128] 0 0
Tauranga
Country [129] 0 0
New Zealand
State/province [129] 0 0
Wellington
Country [130] 0 0
Peru
State/province [130] 0 0
Lima
Country [131] 0 0
Poland
State/province [131] 0 0
Lodz
Country [132] 0 0
Poland
State/province [132] 0 0
Lublin
Country [133] 0 0
Poland
State/province [133] 0 0
Mrozy
Country [134] 0 0
Poland
State/province [134] 0 0
Olsztyn
Country [135] 0 0
Poland
State/province [135] 0 0
Otwock
Country [136] 0 0
Poland
State/province [136] 0 0
Poznan
Country [137] 0 0
Poland
State/province [137] 0 0
Szklarska Poreba
Country [138] 0 0
Poland
State/province [138] 0 0
Warszawa
Country [139] 0 0
Poland
State/province [139] 0 0
Wieliszew
Country [140] 0 0
Portugal
State/province [140] 0 0
Almada
Country [141] 0 0
Portugal
State/province [141] 0 0
Amadora-Lisbon
Country [142] 0 0
Portugal
State/province [142] 0 0
Coimbra
Country [143] 0 0
Portugal
State/province [143] 0 0
Lisboa
Country [144] 0 0
Portugal
State/province [144] 0 0
Porto
Country [145] 0 0
Portugal
State/province [145] 0 0
Santa Maria da Feira
Country [146] 0 0
Portugal
State/province [146] 0 0
Vila Nova de Gaia
Country [147] 0 0
Romania
State/province [147] 0 0
Baia Mare
Country [148] 0 0
Romania
State/province [148] 0 0
Brasov
Country [149] 0 0
Romania
State/province [149] 0 0
Bucuresti
Country [150] 0 0
Romania
State/province [150] 0 0
Cluj Napoca
Country [151] 0 0
Romania
State/province [151] 0 0
Cluj-Napoca
Country [152] 0 0
Romania
State/province [152] 0 0
Comuna Floresti
Country [153] 0 0
Romania
State/province [153] 0 0
Constanta
Country [154] 0 0
Romania
State/province [154] 0 0
Craiova
Country [155] 0 0
Romania
State/province [155] 0 0
Iasi
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Romania
State/province [156] 0 0
Oradea
Country [157] 0 0
Romania
State/province [157] 0 0
Suceava
Country [158] 0 0
Romania
State/province [158] 0 0
Timisoara
Country [159] 0 0
Russian Federation
State/province [159] 0 0
Arkhangelsk
Country [160] 0 0
Russian Federation
State/province [160] 0 0
Chelyabinsk
Country [161] 0 0
Russian Federation
State/province [161] 0 0
Irkutsk
Country [162] 0 0
Russian Federation
State/province [162] 0 0
Ivanovo
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Russian Federation
State/province [163] 0 0
Kaluga
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Russian Federation
State/province [164] 0 0
Kazan
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Russian Federation
State/province [165] 0 0
Kemerovo
Country [166] 0 0
Russian Federation
State/province [166] 0 0
Krasnoyarsk
Country [167] 0 0
Russian Federation
State/province [167] 0 0
Kursk
Country [168] 0 0
Russian Federation
State/province [168] 0 0
Moscow
Country [169] 0 0
Russian Federation
State/province [169] 0 0
Murmansk
Country [170] 0 0
Russian Federation
State/province [170] 0 0
Novosibirsk
Country [171] 0 0
Russian Federation
State/province [171] 0 0
Pyatigorsk
Country [172] 0 0
Russian Federation
State/province [172] 0 0
Saint-Petersburg
Country [173] 0 0
Russian Federation
State/province [173] 0 0
Samara
Country [174] 0 0
Russian Federation
State/province [174] 0 0
Sochi
Country [175] 0 0
Russian Federation
State/province [175] 0 0
St. Petersburg
Country [176] 0 0
Russian Federation
State/province [176] 0 0
Tomsk
Country [177] 0 0
Russian Federation
State/province [177] 0 0
Tyumen
Country [178] 0 0
Russian Federation
State/province [178] 0 0
Yaroslavl
Country [179] 0 0
Serbia
State/province [179] 0 0
Belgrade
Country [180] 0 0
Serbia
State/province [180] 0 0
Gornji Matejevac
Country [181] 0 0
Serbia
State/province [181] 0 0
Kragujevac
Country [182] 0 0
Serbia
State/province [182] 0 0
Sremska Kamenica
Country [183] 0 0
Singapore
State/province [183] 0 0
Singapore
Country [184] 0 0
Slovakia
State/province [184] 0 0
Bardejov
Country [185] 0 0
Slovakia
State/province [185] 0 0
Bratislava
Country [186] 0 0
South Africa
State/province [186] 0 0
Gauteng
Country [187] 0 0
South Africa
State/province [187] 0 0
Western Cape
Country [188] 0 0
Spain
State/province [188] 0 0
Barcelona
Country [189] 0 0
Spain
State/province [189] 0 0
Guipuzcoa
Country [190] 0 0
Spain
State/province [190] 0 0
La Coruña
Country [191] 0 0
Spain
State/province [191] 0 0
Pontevedra
Country [192] 0 0
Spain
State/province [192] 0 0
Girona
Country [193] 0 0
Spain
State/province [193] 0 0
Madrid
Country [194] 0 0
Spain
State/province [194] 0 0
Málaga
Country [195] 0 0
Spain
State/province [195] 0 0
Sevilla
Country [196] 0 0
Spain
State/province [196] 0 0
Vitoria
Country [197] 0 0
Taiwan
State/province [197] 0 0
Kaohsiung
Country [198] 0 0
Taiwan
State/province [198] 0 0
Taichung
Country [199] 0 0
Taiwan
State/province [199] 0 0
Taipei
Country [200] 0 0
Taiwan
State/province [200] 0 0
Taoyuan County
Country [201] 0 0
Thailand
State/province [201] 0 0
Bangkok
Country [202] 0 0
Thailand
State/province [202] 0 0
Chiang Mai
Country [203] 0 0
Thailand
State/province [203] 0 0
Khon Kaen
Country [204] 0 0
Thailand
State/province [204] 0 0
Phitsanulok
Country [205] 0 0
Thailand
State/province [205] 0 0
Songkhla
Country [206] 0 0
Turkey
State/province [206] 0 0
Adana
Country [207] 0 0
Turkey
State/province [207] 0 0
Ankara
Country [208] 0 0
Turkey
State/province [208] 0 0
Antalya
Country [209] 0 0
Turkey
State/province [209] 0 0
Istanbul
Country [210] 0 0
Turkey
State/province [210] 0 0
Izmir
Country [211] 0 0
Turkey
State/province [211] 0 0
Malatya
Country [212] 0 0
Turkey
State/province [212] 0 0
Mersin
Country [213] 0 0
Turkey
State/province [213] 0 0
Sakarya
Country [214] 0 0
Turkey
State/province [214] 0 0
Tekirdag
Country [215] 0 0
Ukraine
State/province [215] 0 0
Chernivtsi
Country [216] 0 0
Ukraine
State/province [216] 0 0
Dnipro
Country [217] 0 0
Ukraine
State/province [217] 0 0
Ivano-Frankivsk
Country [218] 0 0
Ukraine
State/province [218] 0 0
Kharkiv
Country [219] 0 0
Ukraine
State/province [219] 0 0
Kherson
Country [220] 0 0
Ukraine
State/province [220] 0 0
Kropyvnytskyi
Country [221] 0 0
Ukraine
State/province [221] 0 0
Kryvyi Rih, Dnipropetrovsk Region
Country [222] 0 0
Ukraine
State/province [222] 0 0
Kyiv
Country [223] 0 0
Ukraine
State/province [223] 0 0
Lutsk
Country [224] 0 0
Ukraine
State/province [224] 0 0
Lviv
Country [225] 0 0
Ukraine
State/province [225] 0 0
Odesa
Country [226] 0 0
Ukraine
State/province [226] 0 0
Sumy
Country [227] 0 0
Ukraine
State/province [227] 0 0
Uzhgorod
Country [228] 0 0
Ukraine
State/province [228] 0 0
Vinnytsia
Country [229] 0 0
United Kingdom
State/province [229] 0 0
Essex
Country [230] 0 0
United Kingdom
State/province [230] 0 0
Gloucestershire
Country [231] 0 0
United Kingdom
State/province [231] 0 0
Greater London
Country [232] 0 0
United Kingdom
State/province [232] 0 0
Hertfordshire
Country [233] 0 0
United Kingdom
State/province [233] 0 0
Merseyside
Country [234] 0 0
United Kingdom
State/province [234] 0 0
Staffordshire

Funding & Sponsors
Primary sponsor type
Commercial sector/industry
Name
EMD Serono Research & Development Institute, Inc.
Country
Other collaborator category [1] 0 0
Commercial sector/industry
Name [1] 0 0
Merck KGaA, Darmstadt, Germany
Country [1] 0 0

Ethics approval
Ethics application status

Summary
Brief summary
Trial website
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Medical Responsible
Address 0 0
EMD Serono Inc., an affiliate of Merck KGaA, Darmstadt, Germany
Country 0 0
Phone 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Email 0 0
Contact person for scientific queries

No information has been provided regarding IPD availability


What supporting documents are/will be available?

TypeOther DetailsAttachment
Study protocol
Statistical analysis plan



Results publications and other study-related documents

TypeCitations or Other Details
Journal Reck M, Barlesi F, Yang JC, Westeel V, Felip E, Oz... [More Details]