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临床试验/NL-OMON50938
NL-OMON50938撤回2 期

A Two-cohort, Phase 2 Study of FL-101 as Neoadjuvant Therapy in Patients with Surgically Resectable Non-Small Cell Lung Cancer - Phase 2 Study of FL-101 in NSCLC

Flame Biosciences0 个研究点目标入组 20 人开始时间: 待定最近更新:
适应症

试验速览

阶段
2 期
状态
撤回
发起方
入组人数
20

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 64(—)

入选标准

  • 1. Male and female patients *18 years of age.
  • 2. Previously untreated and pathologically confirmed, surgically resectable
  • Stage IA3, IB, II, or IIIA NSCLC of squamous or non-squamous histology. Staging
  • is based on the eighth edition of the AJCC/UICC staging system.
  • 3. *1 radiologically measurable tumor >2 cm in diameter, as defined by RECIST
  • 4. Lung function capacity capable of tolerating the proposed lung surgery.
  • 5. Smoking history *10 pack years.
  • 6. High-sensitivity C-reactive protein (hsCRP) level *2 mg/L
  • 7. Adequate organ function as defined by ALL of the following:
  • * Absolute neutrophil count *1500/µL
  • * Platelets *100,000/µL
  • * Hemoglobin *9 g/dL
  • * Aspartate aminotransferase/alanine aminotransferase *2.5× upper limit of
  • normal (ULN)
  • * Total serum bilirubin *1.5×ULN*
  • *Patients with Gilbert*s disease: *3×ULN
  • * Alkaline phosphatase *2.5×ULN
  • * International normalized ratio (INR) and activated partial thromboplastin
  • time (aPTT) *1.5×ULN unless the patient is on therapeutic anticoagulation.
  • * Serum creatinine *1.5×ULN
  • Creatinine clearance *30 mL/min/1.73 m2 by Cockcroft-Gault estimation. The
  • patient*s estimated CrCl will be calculated by the local laboratory (for
  • eligibility purposes) using screening/baseline height (m), actual weight (kg),
  • and serum creatinine:
  • Males: CrCl <= (140 * age in years) × weight (kg)
  • 72× serum creatinine (mg/dL)
  • Females: CrCl <= (140 * age in years) × weight (kg) ×0.85
  • 72× serum creatinine (mg/dL)
  • 8. Available tissue block for analysis from a core needle biopsy (or similar
  • * Representative formalin-fixed paraffin-embedded (FFPE) tumor specimens in
  • paraffin blocks (blocks are preferred) or at least 10 unstained slides, with an
  • associated pathology report, for central testing.
  • * Acceptable samples include core-needle biopsies for deep tumor tissue
  • (minimum of 3 cores) or excisional, incisional, punch, or forceps biopsies for
  • cutaneous, subcutaneous, or mucosal lesions.
  • 9. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  • 10. Men must agree to use contraception or practice abstinence as well as
  • refrain from donating sperm during the treatment period and for at least 180
  • days after the last dose of study treatment.
  • 11. Women may participate if not pregnant, not breastfeeding, and at least 1 of
  • the following conditions apply:
  • * Not a woman of childbearing potential (WOCBP)
  • * WOCBP who agrees to follow contraceptive guidance during the treatment period
  • and for at least 180 days after the last dose of study treatment.
  • Female patients will be considered of non-reproductive potential (not a WOCBP)
  • if they are either:
  • (1) postmenopausal (defined as at least 12 months with no menses without an
  • alternative medical cause. In women < 45 years of age, a high follicle
  • stimulating hormone (FSH) level in the postmenopausal range may be used to
  • confirm a post-menopausal state in women not using hormonal contraception or
  • 另有 5 项未显示

排除标准

  • 1. Any prior exposure to chemotherapy, radiotherapy or systemic anti-cancer
  • therapy (e.g., monoclonal antibody therapy) for lung cancer
  • 2. Malignancies other than NSCLC within 2 years prior to Cycle 1, Day 1, with
  • the exception of those with a negligible risk of metastasis or death and with
  • expected curative outcome (such as adequately treated carcinoma in situ of the
  • cervix, basal or squamous cell skin cancer, localized prostate cancer treated
  • surgically with curative intent, or ductal carcinoma in situ treated surgically
  • with curative intent) or undergoing active surveillance per standard-of-care
  • management (e.g., chronic lymphocytic leukemia Rai Stage 0, prostate cancer
  • with Gleason score * 6, and prostate specific antigen [PSA] * 10 mg/mL, etc.)
  • 3. Currently participating in, or has participated in, a trial of an
  • investigational agent within 4 weeks prior to the first dose of study treatment
  • or 5 half-lives, whichever is longer without recovery of clinically significant
  • toxicities from that therapy.
  • 4. Any of the following tumor locations/types:
  • * NSCLC involving the superior sulcus
  • * Large cell neuro-endocrine cancer
  • * Sarcomatoid tumor
  • 5. Tumors known to express driver mutations of the EGFR or ALK pathways.
  • Patients whose driver mutation status is unknown may enroll in the study and
  • their tissue will be checked after enrollment. The SAP will describe how the
  • subset of patients who are subsequently found to have one of the 2 drive
  • mutations will be handled.
  • 6. History of non-infectious pneumonitis /interstitial lung disease that
  • required steroids or has current pneumonitis/interstitial lung disease that
  • requires steroids.
  • 7. Had allogenic tissue/solid organ transplant.
  • 8. Known severe hypersensitivity (Grade *3) to FL-101, its active substance, or
  • any of its excipients.
  • 9. Known history of human immunodeficiency virus or active Hepatitis B or
  • Hepatitis C infection.
  • 10. Received radiotherapy within 2 weeks of start of study treatment.
  • 11. Symptomatic herpes zoster within the past 30 days, a serious bacterial
  • infection within the past 6 months or have had other recent or ongoing signs of
  • infections.
  • 12. Received a live or attenuated vaccine within 30 days prior to the first
  • dose of study treatment.
  • 13. Clinically unstable disease in any organ system despite current therapy,
  • including, but not limited to ongoing or active infection including
  • tuberculosis, symptomatic congestive heart failure, unstable angina pectoris,
  • cardiac arrhythmia, or psychiatric illness/social situations.
  • 14. Use of illicit drugs or excess intake of alcohol, based on the judgement of
  • the investigator.
  • Additional Exclusion Criteria for Patients with Stage II and III Disease
  • 1. Prior treatment with anti-PD-1, anti-CTLA-4, or anti-PD-L1 therapeutic
  • antibody or pathway-targeting agents
  • 2. Treatment with systemic immunosuppressive medications (including but not
  • limited to prednisone, cyclophosphamide, azathioprine, methotrexate,
  • thalidomide, and anti-tumor necrosis factor [anti-TNF] agents) within 2 weeks
  • prior to Cycle 1, Day 1
  • 另有 4 项未显示

研究者

发起方
Flame Biosciences

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