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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