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Study of Antitumor Immune Response After cCRT and IO Treatment in Non-resectable III Stage NSCLC Patients

Recruiting
Conditions
Non-small Cell Lung Cancer Stage III
PDL1 Gene Mutation
Interventions
Registration Number
NCT06634199
Lead Sponsor
Fundación GECP
Brief Summary

Observational, multicenter, one-arm, non-comparative study. Data will be recorded in a retrospectively manner. The study will be based on secondary data collected from patient clinical chart completed by the doctor during routine visits. The primary objective is describe the antitumor immune response generated in the context of IO (immunotherapy) treatment after cCRT in patients with unresectable NSCLC treated in real world.

Detailed Description

The study is based on the collection of blood samples and tumor sample analysis, in real world NSCLC stage IIIA/B and IIIC; PD-L1\>1%; non-resectable patients on treatment with IO after cCRT without progression. The patients participating in this study will not receive treatment in relation to the study, no drugs will be provided. Patients will be treated as per standard clinical practice. All data collected for this study will be collected retrospectively from patient clinical chart. Only secondary data collected will be analyzed together will samples analysis information.The duration of the study is expected to be 3 years.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
50
Inclusion Criteria
  • Patients with histologically- or cytologically- documented NSCLC who present unresectable stage IIIA-IIIB-IIIC disease, according to 8th version of the International Association for the Study of Lung Cancer Staging Manual in Thoracic Oncology).
  • ECOG 0-1.
  • PDL1>1%.
  • Age ≥ 18 years at time of study
  • Patients without progression after cCRT, that are going to receive IO treatment (Durvalumab) for 12 months as subsequent treatment as per standard clinical practice
  • Patient capable of proper therapeutic compliance and accessible for correct follow-up.
  • Patients must have signed, dated and IRB/EC-approved written informed consent form in accordance with regulatory and institutional guidelines.
Exclusion Criteria
  • Patients who refuse to sign and date an IRB/IEC-approved written informed consent form.
  • No possibility of venipuncture
  • Any medical, mental, or psychological condition which in the opinion of the investigator would not permit the patient to complete the study or understand the patient information.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Observational Study GroupDurvalumabReal world non-small cell lung cancer (NSCLC) stage IIIA/B and IIIC; PD-L1\>1%; non-resectable patients in treatment with IO after concurrent chemo-radiotherapy without progression.
Primary Outcome Measures
NameTimeMethod
Overall survival (OS)To evaluate the Overall Survival at 12, 18, 24 and 36 months

Defined from the date of diagnosis to death from any cause. Patients alive at the end of follow-up or lost to follow-up are censored at the last contact time. The probability of remaining free of events at specific timepoints

Progression-free survival (PFS)To evaluate the Progression-free survival at 12, 18, 24 and 36 months

Defined from the diagnosis date to the date of investigator-determined disease relapse or death, whichever occurs first. The probability of remaining free of events at specific timepoints

Secondary Outcome Measures
NameTimeMethod
Association between ctDNA clearance (no detection of ctDNA) after IO treatment and Progression free survival (PFS) or Overall survival (OS).From date of end of treatment until the date of last follow up, assessed up to 36 months

Association between the baseline ctDNA and ctDNA clearance with each one of the OS or PFS

Trial Locations

Locations (22)

Complejo Hospitalario Universitario Del Ferrol

🇪🇸

Ferrol, A Coruña, Spain

ICO Badalona, Hospital Germans Trias i Pujol

🇪🇸

Badalona, Barcelona, Spain

Hospitalario Universitario A Coruña

🇪🇸

A Coruña, La Coruña, Spain

Hospital Universitari de Gran Canària Doctor Negrín

🇪🇸

Las Palmas De Gran Canaria, Las Palmas, Spain

Hospital Universitario Puerta de Hierro

🇪🇸

Majadahonda, Madrid, Spain

Hospital General Universitario de Alicante

🇪🇸

Alicante, Spain

Hospital Universitari Vall d' Hebron

🇪🇸

Barcelona, Spain

Hospital de la Santa Creu i Sant Pau

🇪🇸

Barcelona, Spain

Hospital De Basurto

🇪🇸

Bilbao, Spain

Hospital General Universitario de Ciudad Real

🇪🇸

Ciudad Real, Spain

ICO Girona, Hospital Josep Trueta

🇪🇸

Girona, Spain

Hospital Universitario Lucus Augusti

🇪🇸

Lugo, Spain

Hospital Universitario De La Princesa

🇪🇸

Madrid, Spain

Hospital Clínico San Carlos

🇪🇸

Madrid, Spain

Hospital Universitario Fundación Jiménez Díaz

🇪🇸

Madrid, Spain

Hospital Universitario La Paz

🇪🇸

Madrid, Spain

Hospital Universitario Central De Asturias

🇪🇸

Oviedo, Spain

Hospital Universitario Nuestra Señora de Candelaria

🇪🇸

Santa Cruz De Tenerife, Spain

Hospital Virgen del Rocio

🇪🇸

Sevilla, Spain

Hospital Universitario Y Politécnico La Fe

🇪🇸

Valencia, Spain

Hospital Clínico Universitario de Valladolid

🇪🇸

Valladolid, Spain

Complexo Hospitalario Universitario De Vigo

🇪🇸

Vigo, Spain

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