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临床试验/CTRI/2018/06/014392
CTRI/2018/06/014392招募中3 期

A phase III, multicenter, randomized, double blind, placebo controlledstudy evaluating the efficacy and safety of canakinumab versus placebo as adjuvant therapy in adult subjects with stages AJCC/UICC v. 8 II-IIIA and IIIB (T5cmN2) completely resected (R0) non-small cell lung cancer(NSCLC)

ovartis Healthcare Pvt Ltd0 个研究点目标入组 0 人开始时间: 待定最近更新:

试验速览

阶段
3 期
状态
招募中
发起方

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

入选标准

  • 1. Written informed consent must be obtained prior to any screening
  • procedures.
  • 2. Age more than 18 years
  • 3. Completely resected (R0) AJCC/UICC v. 8 stage IIA with T less than 4-5 cm
  • and N0 (no nodal involvement), if no adjuvant chemotherapy is given,
  • must be randomized within 70 days post complete surgical resection of
  • their NSCLC.
  • 4. Subjects with completely resected (R0) AJCC/UICC v. 8 stages IIA,
  • IIB, IIIA or IIIB (T less than 5 cm N2) disease NSCLC, who received
  • chemotherapy and no radiation therapy must be randomized within
  • 182 days post complete surgical resection of their NSCLC.
  • 5. Subjects with completely resected (R0) AJCC/UICC v. 8 stage IIIA N2
  • (T less than or equal to 5 cm only) or stage IIIB (Tless than 5cm N2) disease who receive radiation
  • therapy along with chemotherapy detailed in inclusion criterion 6, must
  • be randomized within 259 days of complete surgical resection.
  • 6. Adjuvant chemotherapy is mandatory with stage AJCC/UICC v. 8
  • stage II-IIIA and stage IIIB (T less than 5cm N2) disease for 4 cycles (21 or 28
  • day cycles) as per local/national guidelines (except if not tolerated, in
  • which case at least 2 cycles of adjuvant chemotherapy are required).
  • Adjuvant chemotherapy is mandatory (at least 2 cycles) for all
  • subjects except those who have stage IIA disease with T(less than 4-5 cm).
  • Chemotherapy must be cisplatin based. Combination partners may include vinorelbine, etoposide, docetaxel or gemcitabine
  • for any histology. For non-squamous carcinomas only, the combination partner may be pemetrexed.
  • 7. Subjects must have recovered from all toxicities related to prior
  • systemic therapy to grade less than or equal to 1 (CTCAE v 4.03). Exception to this criterion: subjects with any grade of alopecia and grade 2 or lessneuropathy are allowed to enter the study.
  • 8. Subjects must have adequate organ function including the following laboratory values at the screening visit:
  • Absolute neutrophil count (ANC) more than or equal to 1.5 x 109/L
  • Platelets more than or equal to 100 x 109/L
  • Hemoglobin (Hgb) more than 9 g/dL
  • Creatinine clearance greater than 45 ml/min using Cockcroft-Gault formula
  • Total bilirubin mess than or equal to 1.5 x ULN
  • Aspartate transaminase (AST) less than or equal to 3 x ULN
  • Alanine transaminase (ALT) less than or equal 3 x ULN
  • 9. ECOG performance status (PS) of 0 or 1.
  • 10. Willing and able to comply with scheduled visits, treatment plan and
  • laboratory tests.

排除标准

  • 1. Subjects with unresectable or metastatic disease, positive microscopic
  • margins on the pathology report, and/or gross disease remaining at
  • the time of surgery.
  • 2. Subjects who received neoadjuvant chemotherapy or neoadjuvant
  • radiotherapy.
  • 3. Presence or history of a malignant disease, other than the resected
  • NSCLC, that has been diagnosed and/or required therapy within the
  • past 3 years. Exceptions to this exclusion include the following:
  • completely resected basal cell and squamous cell skin cancers, and
  • completely resected carcinoma in situ of any type.
  • 4. History of interstitial lung disease.
  • 5. History or current diagnosis of cardiac disease, including any of the
  • recent myocardial infarction or coronary artery bypass graft
  • (CABG) surgery within last 6 months,
  • uncontrolled congestive heart failure,
  • unstable angina (within last 6 months),
  • clinically significant (symptomatic) cardiac arrhythmias (e.g.,
  • sustained ventricular tachycardia, and clinically significant second
  • or third degree AV block without a pacemaker).
  • 6. Thoracic radiotherapy to lung fields ââ?°Â¤ 4 weeks prior to starting cycle 1
  • day 1 or subjects who have not recovered from radiotherapy-related
  • toxicities. Radiation therapy is suggested, but not required to be given
  • to subjects with completely resected (R0) AJCC/UICC v. 8 stage IIIA
  • or IIIB with T greater than 5cm N2 disease, (mediastinal radiation).
  • 7. Major surgery (e.g., intra-thoracic, intra-abdominal or intra-pelvic)
  • within 4 weeks prior to randomization or who have not recovered from
  • side effects of such procedure. Video-assisted thoracic surgery
  • (VATS) and mediastinoscopy will not be counted as major surgery and
  • subjects can be enrolled in the study greater than or equal to 1 week after the procedure.
  • 8. Uncontrolled diabetes as defined by the investigator.
  • 9. Known active or recurrent hepatic disorder including cirrhosis, hepatitis
  • B and C (positive or indeterminate central laboratory results).
  • 10. Subjects with a history of tuberculosis (TB) infection, active or latent,
  • or one of the following risk factors:
  • History of any of the following: residence in a
  • congregate setting: jail or prison, homeless shelter or
  • chronic care facility, substance abuse (injected or noninjected);
  • health care workers with unprotected
  • exposure to subjects who are at high risk of TB or
  • subjects with TB disease before identification and
  • correct airborne precautions of the infected subject.
  • Close contact (i.e. sharing the same air space in a household or other enclosed environment for
  • prolonged period (days or weeks, not hours or
  • Novartis Confidential Page 14
  • Oncology Protocol (Version No. 00) Protocol No. CACZ885T2301 minutes) with a person with active TB disease within
  • the past 12 months. Evidence of TB infection, active or latent, at screening
  • as determined by purified protein derivative (PPD)
  • skin test and /or QuantiFERONÃ?®-TB Gold (QFT-g)
  • assay as defined by country guidelines (refer to
  • Determination of TB status to be further defined in full
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研究者

发起方
ovartis Healthcare Pvt Ltd

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