https://m2.mtmt.hu/ hun 2026-05-25 21:17 JournalArticle 31810953 ADMIN_APPROVED true 0 false 2026-05-20T12:31:15.206+0000 2026-04-09T14:13:56.537+0000 2021-01-14T13:47:58.620+0000 true 10070075 Nádas Orsolya /api/admin/10070075 Admin true 2026-04-09T14:13:57.275+0000 2026-04-09T14:13:57.275+0000 2026-01-13T09:24:10.581+0000 true 10101957 Pirmann Tamás /api/admin/10101957 Admin true Admin 10099440 /api/admin/10099440 Csernyik Rita true true 2026-03-02T07:06:36.426+0000 true false true 24 24 /api/publicationtype/24 PublicationType 1 true 24 JournalArticle true 10000359 Study Group true 24 24 /api/publicationtype/24 PublicationType 1 true 24 JournalArticle /api/subtype/10000359 Sokszerzős vagy csoportos szerzőségű szakcikk SubType 104 true 10000359 true 1 /api/category/1 Category true 1 Goldman, Jonathan W Durvalumab, with or without tremelimumab, plus platinum-etoposide versus platinum-etoposide alone in first-line treatment of extensive-stage small-cell lung cancer (CASPIAN): updated results from a randomised, controlled, open-label, phase 3 trial true true /api/journal/10001287 REVIEWED true false 10001287 false 10001287 true 1470-2045 1474-5488 Journal FOREIGN 22 1 51 65 51 15 2021 First-line durvalumab plus etoposide with either cisplatin or carboplatin (platinum-etoposide) showed a significant improvement in overall survival versus platinum-etoposide alone in patients with extensive-stage small-cell lung cancer (ES-SCLC) in the CASPIAN study. Here we report updated results, including the primary analysis for overall survival with durvalumab plus tremelimumab plus platinum-etoposide versus platinum-etoposide alone.CASPIAN is an ongoing, open-label, sponsor-blind, randomised, controlled phase 3 trial at 209 cancer treatment centres in 23 countries worldwide. Eligible patients were aged 18 years or older (20 years in Japan) and had treatment-naive, histologically or cytologically documented ES-SCLC, with a WHO performance status of 0 or 1. Patients were randomly assigned (1:1:1) in blocks of six, stratified by planned platinum, using an interactive voice-response or web-response system to receive intravenous durvalumab plus tremelimumab plus platinum-etoposide, durvalumab plus platinum-etoposide, or platinum-etoposide alone. In all groups, patients received etoposide 80-100 mg/m2 on days 1-3 of each cycle with investigator's choice of either carboplatin area under the curve 5-6 mg/mL/min or cisplatin 75-80 mg/m2 on day 1 of each cycle. Patients in the platinum-etoposide group received up to six cycles of platinum-etoposide every 3 weeks and optional prophylactic cranial irradiation (investigator's discretion). Patients in the immunotherapy groups received four cycles of platinum-etoposide plus durvalumab 1500 mg with or without tremelimumab 75 mg every 3 weeks followed by maintenance durvalumab 1500 mg every 4 weeks. The two primary endpoints were overall survival for durvalumab plus platinum-etoposide versus platinum-etoposide and for durvalumab plus tremelimumab plus platinum-etoposide versus platinum-etoposide in the intention-to-treat population. Safety was assessed in all patients who received at least one dose of study treatment. This study is registered at ClinicalTrials.gov, NCT03043872.Between March 27, 2017, and May 29, 2018, 972 patients were screened and 805 were randomly assigned (268 to durvalumab plus tremelimumab plus platinum-etoposide, 268 to durvalumab plus platinum-etoposide, and 269 to platinum-etoposide). As of Jan 27, 2020, the median follow-up was 25·1 months (IQR 22·3-27·9). Durvalumab plus tremelimumab plus platinum-etoposide was not associated with a significant improvement in overall survival versus platinum-etoposide (hazard ratio [HR] 0·82 [95% CI 0·68-1·00]; p=0·045); median overall survival was 10·4 months (95% CI 9·6-12·0) versus 10·5 months (9·3-11·2). Durvalumab plus platinum-etoposide showed sustained improvement in overall survival versus platinum-etoposide (HR 0·75 [95% CI 0·62-0·91]; nominal p=0·0032); median overall survival was 12·9 months (95% CI 11·3-14·7) versus 10·5 months (9·3-11·2). The most common any-cause grade 3 or worse adverse events were neutropenia (85 [32%] of 266 patients in the durvalumab plus tremelimumab plus platinum-etoposide group, 64 [24%] of 265 patients in the durvalumab plus platinum-etoposide group, and 88 [33%] of 266 patients in the platinum-etoposide group) and anaemia (34 [13%], 24 [9%], and 48 [18%]). Any-cause serious adverse events were reported in 121 (45%) patients in the durvalumab plus tremelimumab plus platinum-etoposide group, 85 (32%) in the durvalumab plus platinum-etoposide group, and 97 (36%) in the platinum-etoposide group. Treatment-related deaths occurred in 12 (5%) patients in the durvalumab plus tremelimumab plus platinum-etoposide group (death, febrile neutropenia, and pulmonary embolism [n=2 each]; enterocolitis, general physical health deterioration and multiple organ dysfunction syndrome, pneumonia, pneumonitis and hepatitis, respiratory failure, and sudden death [n=1 each]), six (2%) patients in the durvalumab plus platinum-etoposide group (cardiac arrest, dehydration, hepatotoxicity, interstitial lung disease, pancytopenia, and sepsis [n=1 each]), and two (1%) in the platinum-etoposide group (pancytopenia and thrombocytopenia [n=1 each]).First-line durvalumab plus platinum-etoposide showed sustained overall survival improvement versus platinum-etoposide but the addition of tremelimumab to durvalumab plus platinum-etoposide did not significantly improve outcomes versus platinum-etoposide. 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/api/publicationsource/90 PublicationSourceType 10007 /api/publicationsourcetype/10007 true true true SZTE Publicatio SZTE Publicatio http://publicatio.bibl.u-szeged.hu/@@@ true true 90 true CLOSED IDENTICAL 29976 http://publicatio.bibl.u-szeged.hu/29976 false true Classification 12125 /api/classification/12125 true true Classification 12141 /api/classification/12141 true true Classification 12306 /api/classification/12306 true true SjrRating 11231565 /api/sjrrating/11231565 4 0.1 journal RatingType 10002 /api/ratingtype/10002 sjr true true ClassificationExternal 2730 /api/classificationexternal/2730 true 2730 true D1 DIRECT true true /api/publication/31810953 <div class="JournalArticle Publication long-list"> <div class="authors"> <img title="Forrásközlemény" style="float: left" src="/frontend/resources/grid/publication-core-icon.png"> <img title="Idézőközlemény" style="float: left" src="/frontend/resources/grid/publication-citation-icon.png"> <div class="autype autype0"> <span class="author-name" >Goldman Jonathan W </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Dvorkin Mikhail </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Chen Yuanbin </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Reinmuth Niels </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Hotta Katsuyuki </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Trukhin Dmytro </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Statsenko Galina </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Hochmair Maximilian J </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Özgüroğlu Mustafa </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Ji Jun Ho </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Garassino Marina Chiara </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Voitko Oleksandr </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Poltoratskiy Artem </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Ponce Santiago </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Verderame Francesco </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Havel Libor </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Bondarenko Igor </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Każarnowicz Andrzej </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10004124"><a href="/gui2/?type=authors&mode=browse&sel=10004124" target="_blank">Losonczy György (<span class="authorship-author-name">Losonczy György</span> <span class="authorAux-mtmt"> Pulmonológia, klinikai onkológia</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/Pulmonológiai Klinika</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Conev Nikolay V </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Armstrong Jon </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Byrne Natalie </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Thiyagarajah Piruntha </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Jiang Haiyi </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Paz-Ares Luis<sup>**</sup> ✉ </span> </div> <div class="autype autype-11"> Kollaborációs közreműködő: <span class="author-name" >Dvorkin Mikhail </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10004124"><a href="/gui2/?type=authors&mode=browse&sel=10004124" target="_blank">Losonczy György (<span class="authorship-author-name">Losonczy György</span> <span class="authorAux-mtmt"> Pulmonológia, klinikai onkológia</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/Pulmonológiai Klinika</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10026959"><a href="/gui2/?type=authors&mode=browse&sel=10026959" target="_blank">Horváth Zsolt (<span class="authorship-author-name">Horváth Zsolt</span> <span class="authorAux-mtmt"> Onkológia</span>) </a> </span> <span class="author-affil">Országos Onkológiai Intézet</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10003497"><a href="/gui2/?type=authors&mode=browse&sel=10003497" target="_blank">Bogos Krisztina (<span class="authorship-author-name">Bogos Krisztina</span> <span class="authorAux-mtmt"> Tüdőgyógyászat, Klinikai Onkológia</span>) </a> </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10028618"><a href="/gui2/?type=authors&mode=browse&sel=10028618" target="_blank">Somfay Attila (<span class="authorship-author-name">Somfay Attila</span> <span class="authorAux-mtmt"> Tüdőgyógyászat</span>) </a> </span> <span class="author-affil"><span title="Szegedi Tudományegyetem">SZTE</span>/<span title="Szent-Györgyi Albert Orvostudományi Kar">SZAOK</span>/Tüdőgyógyászati Tanszék</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10008866"><a href="/gui2/?type=authors&mode=browse&sel=10008866" target="_blank">Telekes András (<span class="authorship-author-name">Telekes András</span> <span class="authorAux-mtmt"> onkológia</span>) </a> </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10075905"><a href="/gui2/?type=authors&mode=browse&sel=10075905" target="_blank">Somogyiné Ezer Éva (<span class="authorship-author-name">Somogyiné Ezer Éva</span> <span class="authorAux-mtmt"> Onkológia</span>) </a> </span> ;&nbsp;&nbsp;&nbsp; et al. (228) </div> <div class="autype autype-29"> Kollaborációs szervezet: <span class="author-affil">CASPIAN investigators</span> </div> <div><a target="_blank" href="/api/publication/31810953?labelLang=hun">Összes szerző</a></div> </div> <div class="title"><a href="/gui2/?mode=browse&params=publication;31810953" target="_blank">Durvalumab, with or without tremelimumab, plus platinum-etoposide versus platinum-etoposide alone in first-line treatment of extensive-stage small-cell lung cancer (CASPIAN): updated results from a randomised, controlled, open-label, phase 3 trial</a></div> <div> <span class="journal-title">LANCET ONCOLOGY</span> <span class="journal-issn">(<a target="_blank" href="https://portal.issn.org/resource/ISSN/1470-2045">1470-2045</a> <a target="_blank" href="https://portal.issn.org/resource/ISSN/1474-5488">1474-5488</a>)</span>: <span class="journal-volume">22</span> <span class="journal-issue">1</span> <span class="page"> pp 51-65 </span> <span class="year">(2021)</span> </div> <div class="pub-footer"> <span class="language" xmlns="http://www.w3.org/1999/html">Nyelv: Angol | </span> <span class="identifiers"> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="10.1016/S1470-2045(20)30539-8" target="_blank" href="https://doi.org/10.1016/S1470-2045%2820%2930539-8"> DOI </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="000610553800048" target="_blank" href="https://www.webofscience.com/wos/woscc/full-record/000610553800048"> WoS </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="85097833126" target="_blank" href="http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-85097833126"> Scopus </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="33285097" target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=33285097&dopt=Abstract"> PubMed </a> </span> <span class="id identifier oa_CLOSED" title=" Zárt "> <a style="color:blue" title="29976" target="_blank" href="http://publicatio.bibl.u-szeged.hu/29976"> SZTE Publicatio </a> </span> </span> <OnlyViewableByAuthor><div class="ratings"> <div class="journal-subject">Folyóirat szakterülete: Scopus - Oncology&nbsp;&nbsp;&nbsp;SJR indikátor:&nbsp;D1</div> </div></OnlyViewableByAuthor> <div class="publication-citation" style="margin-left: 0.5cm;"> <span title="Nyilvános idézőközlemények összesen, említések nélkül" class="citingPub-count">Nyilvános idéző összesen: 653</span> | Független: 503 | Függő: 150 | Nem jelölt: 0 | WoS jelölt: 578 | Scopus jelölt:&nbsp;623 | WoS/Scopus jelölt:&nbsp;653 | DOI jelölt:&nbsp;641 </div> <div class="publication-citation"> <a target="_blank" href="/api/publication?cond=citations.related;eq;31810953&sort=publishedYear,desc&sort=title"> Idézett közlemények száma: 2 </a> </div> <div class="mtid"><span class="long-pub-mtid">Közlemény: 31810953</span> | <span class="status-data status-ADMIN_APPROVED"> Admin láttamozott </span> Forrás Idéző | <span class="type-subtype">Folyóiratcikk ( Sokszerzős vagy csoportos szerzőségű szakcikk ) </span> | <span class="pub-category">Tudományos</span> | <span class="publication-sourceOfData">kézi felvitel</span> </div> <div class="lastModified">Utolsó módosítás: 2026.04.09. 16:13 Balázs András (MTMT Központ, admin) </div> <div class="lockedBy">Központi kezelésű 2026.03.02. 08:06 Csernyik Rita (MTMT központi admin) </div> </div></div>