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临床试验/JPRN-jRCTs031210013
JPRN-jRCTs031210013进行中(未招募)3 期

JCOG2007: A Multicenter Randomized Phase III Study comparing Pembrolizumab + Platinum Combination Chemotherapy with Nivolumab + Ipilimumab + Platinum Combination Chemotherapy for Treatment-naive Advanced Non-Small Cell Lung Cancer without Driver Gene alteration - Pembro + Chemo vs Nivo + Ipi + Chemo Phase III (NIPPON)

OKAMOTO Isamu0 个研究点目标入组 422 人开始时间: 2021年4月6日最近更新:
适应症

试验速览

阶段
3 期
状态
进行中(未招募)
发起方
入组人数
422

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
>= 20age old 至 ot applicable(—)
性别
All

入选标准

  • (1) Cytologically (including biopsy) or histologically confirmed non-small cell lung cancer.
  • (2) Clinical stage III without indication of definitive thoracic radiotherapy, stage IV, postoperative recurrent disease, or recurrence after radiation therapy.
  • (3) No prior systemic chemotherapy.
  • (4) No prior drug therapy that specifically target the T cell co-stimulation or checkpoint pathway, such as anti-PD-1 antibody, anti-PD-L1 antibody, and anti-CTLA-4 antibody.
  • (5) No EGFR gene mutations for non-squamous cell carcinoma.
  • (6) Negative or unknown ALK fusion gene, ROS1 fusion gene, BRAF (V600E) gene mutation, MET exon 14 skipping mutation, RET fusion gene, or NTRK fusion gene.
  • (7) Over 20 years old.
  • (8) Performance status 0 or 1.
  • (9) Eligible regardless of PD-L1 (22C3) expression.
  • (10) Measureable or non-measureable.
  • (i) No prior palliative radiation therapy for non-central nervous system metastases within 7 days
  • (ii) No prior stereotactic irradiation and Gamma-knife for central nervous system metastases within 7 days
  • (iii) No prior whole-brain irradiation within 14 days
  • (iv) No prior pleural drainage within 7 days
  • (v) No prior surgery with general anesthesia within 14 days
  • (12) No symptomatic brain metastasis, leptomeningeal metastasis, or spinal cord metastasis requiring radiotherapy or surgical operation.
  • (13) No active autoimmune disease.
  • (14) No findings suggestive of interstitial lung disease or pulmonary fibrosis on the chest computed tomography.
  • (15) Adequate organ funcion.
  • (16) Written informed consent for this study.
  • (17) Written informed consent for pretreatment stool collection for ancillary studies.

排除标准

  • (1) Synchronous double or multiple cancer or metachronous double or multiple cancer within 2 years.
  • (2) Infectious disease requiring systemic treatment.
  • (3) Pyrexia of 38 degrees centigrade or higher.
  • (4) During pregnancy, within 28 days of postparturition, or during lactation.
  • (5) Psychological disorder difficult to participate in this clinical study.
  • (6) Receiving continuous systemic corticosteroid or immunosuppressant treatment.
  • (7) Diabetes mellitus uncontrollable with the appropriate treatment.
  • (8) History of stroke within 1 year or frequent transient ischemic attacks.
  • (9) Symptomatic congestive heart failure, unstable angina, or a history of myocardial infarction within 6 months.
  • (10) Clinically serious arrhythmia on the electrocardiogram.
  • (11) Positive for serum hepatitis B surface antigen.
  • (12) HIV antibody positive.
  • (13) Grade 2 or higher peripheral neuropathy.
  • (14) Hypersensitivity to the ingredients / additives of carboplatin, pemetrexed, paclitaxel, nab-paclitaxel, pembrolizumab, nivolumab, and ipilimumab.

研究者

发起方
OKAMOTO Isamu

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