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临床试验/NL-OMON50493
NL-OMON50493已完成3 期

A Phase III, Randomized, Multicenter, Open-Label, Comparative Study to Determine the Efficacy of Durvalumab or Durvalumab and Tremelimumab in Combination With Platinum-Based Chemotherapy for the First-Line Treatment in Patients with Extensive Disease Small-Cell Lung Cancer (SCLC) - Caspian

Astra Zeneca0 个研究点目标入组 19 人开始时间: 待定最近更新:
适应症

试验速览

阶段
3 期
状态
已完成
发起方
入组人数
19

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

年龄范围
18 至 99(—)

入选标准

  • -Male or female >=18 years at the time of Screening.
  • -Written informed consent and any locally required authorization obtained from
  • the patient/legal representative prior to performing any protocol-related
  • procedures, including screening evaluations.
  • -Histologically or cytologically documented extensive disease (American Joint
  • Committee on Cancer Stage (7th edition) IV SCLC [T any, N any, M1 a/b]), or T3-
  • 4 due to multiple lung nodules that are too extensive or have tumor/nodal
  • volume that is too large to be encompassed in a tolerable radiation plan.
  • -Patients must be considered suitable to receive a platinum based chemotherapy
  • regimen as 1st line treatment for the ED-SCLC. Chemotherapy must contain either
  • cisplatin or carboplatin in combination with etoposide.
  • -Life expectancy >=12 weeks at Day 1.
  • -World Health Organization (WHO)/Eastern Cooperative Oncology Group (ECOG)
  • Performance Status of 0 or 1 at enrollment
  • -At least 1 lesion, not previously irradiated, that can be accurately measured
  • at baseline as >=10 mm in the longest diameter (except lymph nodes which must
  • have a short axis >=15 mm) with computed tomography (CT) or magnetic resonance
  • imaging (MRI) and that is suitable for accurate repeated measurements as per
  • RECIST 1.1 guidelines.
  • -No prior exposure to immune-mediated therapy including, but not limited to,
  • other anti-CTLA-4, anti-PD-1, anti-PD-L1, and anti-programmed cell death ligand
  • 2 (anti-PD-L2) antibodies, excluding therapeutic anticancer vaccines.
  • - Adequate organ and marrow function

排除标准

  • - Involvement in the planning and/or conduct of the study (applies to both
  • AstraZeneca staff and/or staff at the study site).
  • - Previous IP assignment in the present study.
  • - Concurrent enrollment in another clinical study, unless it is an
  • observational (non-interventional) clinical study or during the follow-up
  • period of an interventional study.
  • - Participation in another clinical study with an IP during the last 4 weeks.
  • - Medical contraindication to etoposide-platinum (carboplatin or
  • cisplatin)-based chemotherapy
  • - Any history of radiotherapy to the chest prior to systemic therapy or planned
  • consolidation chest radiation therapy.
  • - Any concurrent chemotherapy, IP, biologic, or hormonal therapy for cancer
  • - Major surgical procedure (as defined by the investigator) within 28 days
  • prior to the first dose of IP.
  • - History of allogenic organ transplantation.
  • - Has a paraneoplastic syndrome (PNS) of autoimmune nature, requiring systemic
  • treatment (systemic steroids or immunosuppressive agents) or has a clinical
  • symptomatology suggesting worsening of PNS.
  • - Active or prior documented autoimmune or inflammatory disorders
  • - Uncontrolled intercurrent illness.
  • - History of another primary malignancy
  • - History of leptomeningeal carcinomatosis.
  • - History of active primary immunodeficiency.
  • - Active infection including tuberculosis, hepatitis B, hepatitis C, or human
  • immunodeficiency virus (positive HIV 1/2 antibodies).
  • - Current or prior use of immunosuppressive medication within 14 days before
  • the first dose of durvalumab or tremelimumab.
  • - Receipt of live, attenuated vaccine within 30 days prior to the first dose of
  • - Female patients who are pregnant or breastfeeding or male or female patients
  • of reproductive potential who are not willing to employ effective birth control
  • from Screening to 90 days after the last dose of durvalumab monotherapy or 180
  • days after the last dose of durvalumab + tremelimumab combination therapy.
  • - Known allergy or hypersensitivity to durvalumab, tremelimumab, etoposide,
  • carboplatin, cisplatin, or any of their excipients
  • - Prior randomization or treatment in a previous durvalumab and/or tremelimumab
  • clinical study regardless of treatment arm assignment.

研究者

发起方
Astra Zeneca

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