Evidence map›Paper›PMID 41209621›Full record

ArticleTherapeutic advances in medical oncology2025

Rationale and design for a phase IIIb trial of first-line tremelimumab plus durvalumab versus pembrolizumab, in combination with chemotherapy, in patients with non-squamous metastatic non-small-cell lung cancer and mutations or co-mutations in

Ferdinandos Skoulidis, Hossein Borghaei, Edward B Garon, Ticiana A Leal, Jacob Kaufman, Stephen V Liu, Eric Nadler, Sandip Pravin Patel, Solange Peters, Biagio Ricciuti and 4 more

Registry-linked trialAbstract read
In one paragraph

Article in Therapeutic advances in medical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06008093 (A Phase IIb, Randomized, Multicenter, Open-label Study to Assess the Efficacy of Durvalumab Plus Tremelimumab Versus Pembrolizumab in Combination With Platinum-based Chemotherapy for First-line Treatment in Metastatic Non-small Cell Lung Cancer Patients With Non-squamous Histology Who Have Mutations and/or Co-mutations in STK11, KEAP1, or KRAS), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06008093 phase2active not recruitingnot on this map

A Phase IIb, Randomized, Multicenter, Open-label Study to Assess the Efficacy of Durvalumab Plus Tremelimumab Versus Pembrolizumab in Combination With Platinum-based Chemotherapy for First-line Treatment in Metastatic Non-small Cell Lung Cancer Patients With Non-squamous Histology Who Have Mutations and/or Co-mutations in STK11, KEAP1, or KRAS (TRITON)

TypeinterventionalSponsorAstraZenecaRan2024 to 2028Enrolled103ConditionsCarcinoma, Non-Small-Cell LungArmsDurvalumab, Tremelimumab, Pemetrexed, Pembrolizumab, Carboplatin
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Observational
  2. Current and future immunotherapies for NSCLC.Journal of hematology & oncology · 2026
    Review
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Ferdinandos SkoulidisDepartment of Thoracic/Head and Neck Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030-4000, USA.ORCID https://orcid.org/0000-0002-4676-4503
Hossein BorghaeiHematology and Oncology Department, Fox Chase Cancer Center, Philadelphia, PA, USA.
Edward B GaronDavid Geffen School of Medicine at the University of California, Los Angeles, CA, USA.
Ticiana A LealWinship Cancer Institute of Emory University, Atlanta, GA, USA.
Jacob KaufmanDivision of Medical Oncology, Ohio State University, Columbus, OH, USA.
Stephen V LiuLombardi Comprehensive Cancer Center, Georgetown University, Washington, DC, USA.
Eric NadlerCharles Sammons Cancer Center, Baylor University Medical Center, US Oncology Network, Dallas, TX, USA.
Sandip Pravin PatelDivision of Medical Oncology, University of California San Diego Moores Cancer Center, La Jolla, CA, USA.
Solange PetersDepartment of Oncology, Centre Hospitalier Universitaire Vaudois, Lausanne University, Lausanne, Switzerland.
Biagio RicciutiLowe Center for Thoracic Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Ashish GautamAstraZeneca, Gaithersburg, MD, USA.
Ugochinyere EmeribeAstraZeneca, Gaithersburg, MD, USA.
Luisa Luciani-SilvermanAstraZeneca, Gaithersburg, MD, USA.
John V HeymachDepartment of Thoracic/Head and Neck Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Metastatic non-small-cell lung cancers (mNSCLC) harboring mutations in Objectives: TRITON is an ongoing study comparing tremelimumab plus durvalumab and chemotherapy with pembrolizumab plus chemotherapy as first-line treatment for patients with non-squamous mNSCLC and mutations or co-mutations in Design: Phase IIIb, multicenter, open-label, two-arm parallel randomized trial. Methods and analysis: Approximately 280 eligible patients, aged ⩾18 years, will be randomized 1:1 to receive tremelimumab 75 mg plus durvalumab 1500 mg plus carboplatin AUC 5/6 or cisplatin 75 mg/m Ethics: TRITON will be approved by the independent ethics committee or institutional review board at each study site. All participants will provide written informed consent. Discussion: Results will help to inform clinical practice and establish a biomarker-driven treatment strategy for these subtypes of mNSCLC with high unmet need. Trial registration: ClinicalTrials.gov identifier: NCT06008093 (registration date: August 17, 2023).

Indexed as

CTLA-4durvalumabimmunotherapymetastatic non-small-cell lung cancerPD-L1tremelimumab

Identifiers

PMID41209621
PMCPMC12592654

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.