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Perioperative Immunotherapy for NSCLC (ECTOP-1030)

Phase 2
Not yet recruiting
Conditions
Lung Cancer
Interventions
Registration Number
NCT06572722
Lead Sponsor
Fudan University
Brief Summary

This trial is a randomized, multicenter, open label phase II clinical study. The main objective is to evaluate the efficacy of three perioperative immunotherapy modalities (atezolizumab adjuvant therapy, nivolumab neoadjuvant therapy, pembrolizumab neoadjuvant+adjuvant therapy) in early-stage resectable NSCLC patients. The enrolled patients are randomly assigned in a 1:1:1 ratio to receive relevant treatment in the three perioperative immunotherapy groups mentioned above, and undergoing short-term pathological efficacy evaluation and long-term prognosis follow-up after surgery.

Detailed Description

Not available

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
200
Inclusion Criteria
  1. Patients who sign the informed consent form and are willing to complete the study according to the plan;
  2. Aged from 18 to 80 years old;
  3. ECOG equals 0 or 1;
  4. Not receiving lung cancer surgery before;
  5. Resectable cIB-IIIA tumors;
  6. Not receiving chemotherapy or radiotherapy before.
Exclusion Criteria
  1. Not cIB-IIIA tumors;
  2. Nodules not suitable for resection;
  3. Not lung adenocarcinoma diagnosed cytologically or pathologically;
  4. Receiving lung cancer surgery before;
  5. Receiving radiotherapy or chemotherapy.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PembrolizumabPembrolizumab-
NivolumabNivolumab-
AtezolizumabAtezolizumab-
Primary Outcome Measures
NameTimeMethod
Disease-free survival2 years

the time from randomisation to the date of first recurrence, occurrence of new primary lung cancer, or death from any cause

Secondary Outcome Measures
NameTimeMethod
Major pathological response2 years

≤10% residual viable tumor cells in the primary tumor and sampled lymph nodes

Overall survival2 years

the time from randomisation to the date of death from any cause

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