Neo-Adjuvant Immunotherapy With Nivolumab for Non Small Cell Lung Cancer Patients (NCT03081689) | Clinical Trial Compass
CompletedPhase 2
Neo-Adjuvant Immunotherapy With Nivolumab for Non Small Cell Lung Cancer Patients
Spain46 participantsStarted 2017-04-15
Plain-language summary
Phase II, single-arm, open-label multicenter study that assesses feasibility, safety and efficacy of combined neoadjuvant chemotherapy and immunotherapy with Nivolumab 360 mg IV Q3W + Paclitaxel 200mg/m2 + Carboplatin AUC 6 IV Q3W in resectable stage IIIA N2-NSCLC adult patients followed by adjuvant treatment for 1 year with Nivolumab 240 mg IV Q2W for 4 months and Nivolumab 480mg Q4W for 8 months.
Who can participate
Age range18 Years
SexALL
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Inclusion criteria
✓. The subjects eligible for the study are those with histologically- or cytologically- documented NSCLC who present stage IIIA disease. Locally advanced patients who present stage IIIA by the previous version can be included if are considered potencially resectable. In case of N2 disease suspicion, pathological assessment by EBUS, mediastinoscopy or thoracotomy has to be carried out for N2 confirmation.
✓. Tumor should be considered resectable before study entry
✓. Performance Status of 0 or 1
✓. Screening laboratory values must meet the following criteria and should be obtained within 14 days prior to registration/inclusion i. WBC ≥ 2000/μL ii. Neutrophils ≥ 1500/μL iii. Platelets ≥ 100 x103/μL iv. Hemoglobin \> 9.0 g/dL v. Serum creatinine ≤ 1.5 x ULN or creatinine clearance (CrCl) ≥ 40 mL/min (if using the Cockcroft-Gault formula below): a. Female CrCl = (140 - age in years) x weight in kg x 0.85
✓. 72 x serum creatinine in mg/dL vi. AST/ALT ≤ 3 x ULN vii. Total Bilirubin ≤ 1.5 x ULN (except subjects with Gilbert Syndrome, who can have total bilirubin \< 3.0 mg/dL) viii. INR/APTT within normal limits
Exclusion criteria
✕. All patients carrying activating mutations in the TK domain of EGFR or any variety of alterations in the ALK gene.
✕. Patients with active, known or suspected autoimmune disease.
✕. Patients with a condition requiring systemic treatment with either corticosteroids (\>10 mg daily prednisone equivalent) or other immunosuppressive medications within 14 days of enrollment.
✕
What they're measuring
1
Progression Free Survival
Timeframe: at 24 months from the first dose of neoadjuvant treatment
. Patients with a history of interstitial lung disease cannot be included if they have sympthomatic ILD (Grade 3-4)
✕. Patients with other active malignancy requiring concurrent intervention
✕. Patients with previous malignancies (except non-melanoma skin cancers, and the following in situ cancers: bladder, gastric, colon, endometrial, cervical/dysplasia, melanoma, or breast) are excluded unless a
✕. Any medical, mental or psychological condition which in the opinion of the investigator would not permit the patient to complete the study
✕. Patients who have had prior treatment with an anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CTLA-4 antibody,