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Efficacy, Safety and Pharmacokinetics of BCD-100 (Anti-PD-1) Monotherapy as Second Line Treatment in Patients With Non-Small Cell Lung Cancer (DOMINUS)

Phase 2
Conditions
Non Small Cell Lung Cancer Stage IIIB
Non-Small Cell Carcinoma of Lung, TNM Stage 4
Interventions
Registration Number
NCT03288870
Lead Sponsor
Biocad
Brief Summary

International multi-center open-label randomized clinical trial of efficacy, safety and pharmacokinetics of BCD-100 (JSC BIOCAD, Russia) monotherapy compared to docetaxel as second-line therapy of patients with advanced inoperable or metastatic non-small cell lung cancer

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
218
Inclusion Criteria
  • Verified diagnosis of non-small cell lung cancer
  • Verified progression of the disease after or during first-line chemotherapy based on platinum drugs
  • Absence of mutation of EGFR and ALK genes
  • ECOG score 0-1
  • At least one lesion, that is measurable according to RECIST 1.1 criteria
  • Absence of severe organ pathology
  • Anticipated live duration more that 12 weeks after screening
  • Brain metastases with clinical symptoms requiring glucocorticoids and/or anticonvulsant drugs
Exclusion Criteria
  • EGFR and/or ALK mutations
  • Patients with severe of live-threatening acute complications of the disease
  • Intersticial lung diseases or pneumonitis
  • Concomitant diseases that affect safety evaluation
  • Autoimmune diseases
  • Endocrine diseases that could not be compensated by hormonal therapy
  • Patient needs glucocorticoids
  • Significant liver or renal diseases
  • Lactate dehydrogenase exceeds upper limit of normal more that 2-fold
  • More that 1 chemotherapy lines for advanced/metastatic non-small cell lung cancer treatment
  • Anti-tumor treatment ending less then 28 days before screening
  • Prior therapy with anti-CTLA4 and/or anti-PD-1/PD-L1/PD-L2 drugs
  • Prior therapy with docetaxel
  • Concomitant oncological diseases except treated cervical carcinoma in situ or radically resected squamous-cell carcinoma
  • Allergy to drugs based on monoclonal antibodies or docetaxel or polysorbate 80, severe reactions to paclitaxel
  • Pregnancy and lactation

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
BCD-100 monotherapyBCD-100Patients will receive solution of BCD-100 in a dose 3 mg/kg every 3 weeks as intravenous infusion until progression of the disease or signs of intolerable toxicity
Docetaxel monotherapyDocetaxelPatients will receive solution of docetaxel in a dose 75 mg per square meter every 3 weeks as intravenous infusion until progression of the disease or signs of intolerable toxicity, maximum 6 cycles
Primary Outcome Measures
NameTimeMethod
Overall survival1 year

Percent of patients who are alive after 1 year of therapy

Secondary Outcome Measures
NameTimeMethod
Overall response rate1 year

Percent of patients who have complete or partial response to therapy

Progression-free survival1 year

Percent of patients who are alive after 1 year of therapy

Trial Locations

Locations (8)

Arkhangelsk District Clinical Oncology Dispensary

🇷🇺

Arkhangelsk, Russian Federation

Gomel Regional Clinical Oncology Dispensary

🇧🇾

Gomel, Belarus

N.N.Petrov Oncology Research Center

🇷🇺

St.Petersburg, Russian Federation

Clinical Oncology Dispensary N1

🇷🇺

Krasnodar, Russian Federation

N.N. Burdenko General Military Clinical Hospital

🇷🇺

Moscow, Russian Federation

Pyatigorsk Oncology Center

🇷🇺

Pyatigorsk, Russian Federation

Saint Petersburg City Clinical Oncology Center

🇷🇺

Saint Petersburg, Russian Federation

Republican Clinical Oncology Dispensary of Ministry of Health republic Bashkortostan

🇷🇺

Ufa, Russian Federation

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