ClinicalTrials.gg
RecruitingNCT06494540NAUTICUpdated Sep 28, 2026

NIS to Examine the Effectiveness of TDC in Patients With Metastatic Non-squamous NSCLC and High-risk Genetic Alterations

An observational study in Non-squamous Metastatic Non-Small-Cell Lung Carcinoma, sponsored by AstraZeneca. Recruiting at 30 sites in Germany. Open to participants aged 18 Years to 120 Years. Per ClinicalTrials.gov, last updated 2026-09-28.

Sponsored by AstraZeneca · Observational

From the registry’s dates

  • Started Jun 2024; still recruiting 2 years 4 months later.
Updated Sep 28, 2026Site recruiting status changedGo to Updates ↓

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Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
600
Ages
18 Years to 120 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 209 studies in Carcinoma, Non-Small-Cell Lung by AstraZeneca — 25 open to participants now, 78 under way, 28 of them phase 3. Carcinoma, Non-Small-Cell Lung · AstraZeneca.

Planned enrollment
21st of 67
600 · median 350
Started
2024
with 19 others
Observational
67 of 209
10 open now
Primary completion
2029-12
later than 68 of 77 live
Registered
186th of 209
by date

Among the 209 studies in Carcinoma, Non-Small-Cell Lung by AstraZeneca, this one is the 21st largest by planned enrollment of the 67 observational ones that give a count, is one of 20 that started in 2024, is one of 67 observational ones, reaches primary completion later than 68 of the 77 other live ones, and was the 186th registered.

Carcinoma, Non-Small-Cell Lung

7,624 studies on the registry are indexed under Carcinoma, Non-Small-Cell Lung; 1,837 are open to participants now.

Browse Carcinoma, Non-Small-Cell Lung studies →

Open to participants now

25 of the 209 studies in Carcinoma, Non-Small-Cell Lung by AstraZeneca are open now, in 12 countries. Recruiting first, the newest first:

19 more — sign in →

By country, each count listing its studies:

All 25 open studies →

Who these studies take

Of the 1,326 Carcinoma, Non-Small-Cell Lung studies recruiting now, 988 (75%) set no upper age limit and 225 (17%) stop at 75 or younger; 34 take children under 18; 40 take healthy volunteers.

This study: 18 Years to 120 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 209 studies in Carcinoma, Non-Small-Cell Lung by AstraZeneca, or all of them as a file.
02

Study summary

This prospective, multicenter, non-interventional study (NIS) in Germany aims to collect real-life data of patients with non-squamous (NSQ) metastatic non-small cell lung cancer (mNSCLC) (incl. large cell neuroendocrine carcinoma (LCNEC) if considered NSCLC-like by the treating physician) for whom 1st line treatment initiation with tremelimumab and durvalumab in combination with a platinum-based chemotherapy (TDC) according to marketing authorization was scheduled. The study aims to describe the effectiveness with respect to mutations in Kirsten rat sarcoma viral oncogene homolog (KRAS), Serine/threonine kinase 11 (STK11), Kelch-like ECH-associated protein 1 (KEAP1), and Tumor protein p53 (TP53) as well as expression of Thyroid transcription factor 1 (TTF-1) and Programmed death-ligand 1 (PD-L1) in routine clinical practice. The generated data aims to deepen the understanding of optimal, biomarker-guided treatment strategies for NSQ mNSCLC in distinct subgroups with a high medical need.

03

Conditions studied

  • Non-squamous Metastatic Non-Small-Cell Lung Carcinoma

Keywords

  • NSCLC,
  • mNSCLC,
  • KRAS,
  • STK11,
  • KEAP1,
  • TP53,
  • POSEIDON,
  • Tremelimumab,
  • Durvalumab
04

Who can participate

Ages eligible
18 Years to 120 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adult patients (≥18 years) with a histologically or cytologically confirmed NSQ mNSCLC (incl. LCNEC if considered NSCLC-like by the treating physician), planned treatment initiation with TDC according to applicable Summary of product characteristics (SmPCs) within routine clinical practice and initiated molecular gene panel analysis (including KRAS, STK11, KEAP1, and TP53) as well as PD-L1 and TTF-1 expression analyses are eligible for enrolment.

Eligible patients will be included into the study after and independently of the treating physician's treatment and diagnostic decisions but no later than 21 days after application of the first TDC treatment cycle.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Aged ≥ 18 years
  • Decision to start (1L) treatment with TDC according to the current SmPCs
  • or cytologically confirmed diagnosis of NSQ mNSCLC (incl. LCNEC if considered NSCLC-like by the treating physician)
  • No sensitizing epidermal growth factor receptor (EGFR) mutations or anaplastic lymphoma kinase (ALK) alterations
  • Molecular Next Generation Sequencing (NGS) panel as per institutional standard has been initiated (including the following genes: KRAS, STK11, KEAP1, and TP53)
  • TTF-1 expression analysis has been initiated
  • expression analysis has been initiated
  • Women of must use effective during treatment with durvalumab and for at least 3 months after the last dose of durvalumab
  • Ability to understand the study concept
  • Provision of signed form in accordance with applicable local provisions

Exclusion criteria

Exclusion Criteria:

  • Current participation in interventional clinical trials
  • according to current SmPCs
  • Any active tumor other than NSCLC*
  • Mixed histology NSCLC with both adenocarcinoma and squamous cell carcinoma components (adenosquamous carcinoma or any mixed NSQ- squamous tumor), regardless of the predominant component

    • determined by investigator as likely to influence the prognosis or management of mNSCLC
Terms in these criteria, in plain language(8)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

PD-1, PD-L1 and checkpoint inhibitors

PD-1, PD-L1 and CTLA-4 are proteins that act as brakes on the immune system. Checkpoint inhibitors, such as pembrolizumab or nivolumab, block them so the immune system can attack a cancer.

PD-L1 can also be measured in a tumour sample. Some scores count stained tumour cells only (TPS); others also count certain immune cells (CPS). The study names the score and the minimum it uses.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
600 participants (estimated)
Patient registry
No

This study also gives Durvalumab, Tremelimumab. No intervention listed here names it: that was found by reading the record.

06

What researchers measure

Primary outcomes

  1. Two-year real-world overall survival (rwOS) rate of patients with NSQ mNSCLC in the total study population

    rwOS rate (percentage of patients being alive derived by Kaplan-Meier methods) at 24 months in the total study population. Patients without a date of death will be censored at last activity in the database, or the end of the study period, whichever occurs first.

    Time frame: Time from patient's index date until death by any cause, up to 24 months

  2. Two-year real-world overall survival (rwOS) rate of patients with NSQ mNSCLC in patients with mutations in KRAS

    rwOS rate (percentage of patients being alive derived by Kaplan-Meier methods) at 24 months in patients with mutations in KRAS. Patients without a date of death will be censored at last activity in the database, or the end of the study period, whichever occurs first.

    Time frame: Time from patient's index date until death by any cause, up to 24 months

  3. Two-year real-world overall survival (rwOS) rate of patients with NSQ mNSCLC in patients with mutations in STK11

    rwOS rate (percentage of patients being alive derived by Kaplan-Meier methods) at 24 months in patients with mutations in STK11. Patients without a date of death will be censored at last activity in the database, or the end of the study period, whichever occurs first.

    Time frame: Time from patient's index date until death by any cause, up to 24 months

Secondary outcomes

  1. Real-world overall survival (rwOS) in the total study population

    rwOS rate (percentage of patients being alive derived by Kaplan-Meier methods) at 6, 12 and 18 months

    Time frame: 6, 12 and 18 months

  2. Median overall survival (mOS) in the total study population

    OS is defined as the time from the date of first documented dose of TDC until death due to any cause. Any patient not known to have died at the time of analysis will be censored based on the last recorded date on which the patient was known to be alive. Median OS will be calculated using the Kaplan-Meier technique.

    Time frame: up to 24 months

  3. Real-world overall survival (rwOS) in a subgroup of patients with mutation in KRAS

    rwOS rate (percentage of patients being alive derived by Kaplan-Meier methods) at 6, 12 and 18 months

    Time frame: 6, 12 and 18 months

  4. Median overall survival (mOS) in a subgroup of patients with mutation in KRAS

    OS is defined as the time from the date of first documented dose of TDC until death due to any cause. Any patient not known to have died at the time of analysis will be censored based on the last recorded date on which the patient was known to be alive. Median OS will be calculated using the Kaplan-Meier technique.

    Time frame: up to 24 months

  5. Real-world overall survival (rwOS) in a subgroup of patients with mutation in STK11

    rwOS rate (percentage of patients being alive derived by Kaplan-Meier methods) at 6, 12 and 18 months

    Time frame: 6, 12 and 18 months

  6. Median overall survival (mOS) in a subgroup of patients with mutation in STK11

    OS is defined as the time from the date of first documented dose of TDC until death due to any cause. Any patient not known to have died at the time of analysis will be censored based on the last recorded date on which the patient was known to be alive. Median OS will be calculated using the Kaplan-Meier technique.

    Time frame: up to 24 months

  7. Real-world treatment response of TDC, as judged by the treating physician

    Treatment response in terms of overall response rate (ORR), being defined as the proportion of patients with complete response (CR) or partial response (PR) as best overall response, CR or PR, at ≥1 visit during treatment with TDC.

    Time frame: up to 24 months

  8. Duration of response (DoR)

    Duration of response (DoR), being defined as time from documented CR or PR until documentation of progressive disease (PD), or death by any cause will be analyzed with Kaplan-Meier methods. Patients without documentation of PD will be censored with their last date in the database known to be without PD, or the end of study date, whichever occurs first. Patients who received a subsequent line mNSCLC therapy after TDC before disease progression or death will be censored with the start date of this new therapy.

    Time frame: up to 24 months

  9. Real-world progression-free survival (rwPFS)

    rwPFS is defined as time from patient's index date until first date of PD or death by any cause and will be analyzed by Kaplan-Meier methods.

    Time frame: up to 24 months

  10. Safety: Collection of Adverse Events (AE)

    Safety evaluated based on type of Adverse Event (AE), intensity, causal relationship to treatment, duration, handling, outcome, and seriousness.

    Time frame: up to 24 months

07

Study locations

27 of 30 sites recruiting
  • Research Site
    Bad Homburg, Germany
    Recruiting
  • Research Site
    Berlin, Germany
    Recruiting
  • Research Site
    Bremen, Germany
    Recruiting
  • Research Site
    Celle, Germany
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Chemnitz, Germany
    Recruiting
  • Research Site
    Cologne, Germany
    Recruiting
  • Research Site
    Deggendorf, Germany
    Recruiting
  • Research Site
    Frankfurt, Germany
    Recruiting
  • Research Site
    Georgsmarienhütte, Germany
    Recruiting
  • Research Site
    Gera, Germany
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Goslar, Germany
    Recruiting
  • Research Site
    Greifswald, Germany
    Recruiting
  • Research Site
    Halle-Dolau, Germany
    Recruiting
  • Research Site
    Hanover, Germany
    Recruiting
  • Research Site
    Herne, Germany
    Recruiting
  • Research Site
    Hösbach, Germany
    Recruiting
  • Research Site
    Koblenz, Germany
    Recruiting
  • Research Site
    Koln-Mehrheim, Germany
    Recruiting
  • Research Site
    Mainz, Germany
    Recruiting
  • Research Site
    Marburg, Germany
    Recruiting
  • Research Site
    Münnerstadt, Germany
    Recruiting
  • Research Site
    Neuss, Germany
    Recruiting
  • Research Site
    Offenbach, Germany
    Recruiting
  • Research Site
    Querfurt, Germany
    Recruiting
  • Research Site
    Ravensburg, Germany
    Recruiting
  • Research Site
    Rüsselsheim am Main, Germany
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Treuenbrietzen, Germany
    Recruiting
  • Research Site
    Ulm, Germany
    Recruiting
  • Research Site
    Wiesbaden, Germany
    Recruiting
  • Research Site
    Zwickau, Germany
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca (AZ) group of companies sponsored clinical trials via the request portal Vivli.org. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

Time frame: AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA PhRMA Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.

Access criteria: When a request has been approved AstraZeneca will provide access to the anonymized individual patient-level data via secure research environment Vivli.org. Signed Data Usage Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information.

Data sharing details ↗ · vivli.org

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jun 2024 (actual). Primary completion is estimated for Dec 2029, 66 months after the start.

Of 142 industry-sponsored observational studies under Carcinoma, Non-Small-Cell Lung, half reached primary completion within 49 months of starting (the median), counting those still running; a quarter within 31 and three quarters within 64. This study's planned 66 months is above that.

Counting every sponsor, half of 498 studies reached it within 55 months; a quarter within 35 and three quarters within 83.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 20, 2024
First posted
Jul 10, 2024
StartActual
Jun 28, 2024
Primary completionEst.
Dec 31, 2029
CompletionEst.
Dec 31, 2029
Last update
Sep 28, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Sites
Research Site is now Withdrawn
Sep 28, 2026
Show all 1 update
  1. Sep 28, 2026
    Research Site is now Withdrawn
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06494540
Lead sponsor
AstraZeneca
Responsible party
Sponsor
First posted
Jul 10, 2024
Start date
Jun 28, 2024
Primary completion
Dec 31, 2029 (estimated)
Completion
Dec 31, 2029 (estimated)
Last update
Sep 28, 2026

Study contacts

AstraZeneca Clinical Study Information Center
Contact
information.center@astrazeneca.com
1-877-240-9479

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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