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临床试验/NL-OMON53740
NL-OMON53740尚未招募不适用

A PHASE I-III, MULTICENTER STUDY EVALUATING THE EFFICACY AND SAFETY OF MULTIPLE THERAPIES IN COHORTS OF PATIENTS SELECTED ACCORDING TO BIOMARKER STATUS, WITH LOCALLY ADVANCED, UNRESECTABLE, STAGE III NON-SMALL CELL LUNG CANCER - not available

Roche Nederland B.V.0 个研究点目标入组 3 人开始时间: 待定最近更新:

试验速览

阶段
不适用
状态
尚未招募
入组人数
3

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

  • Age >=18 years Body weight >=30 kg Whole-body positron emission
  • tomography/computed tomography scan (PET/CT) performed prior and within 42 days
  • of the first dose of cCRT or sCRT Histologically or cytologically documented
  • locally advanced, unresectable Stage III NSCLC of either squamous or
  • non-squamous histology (Version 8, American Joint Committee on Cancer/Union for
  • International Cancer Control NSCLC staging system (Amin et al. 2017). Prior
  • receipt of at least two prior cycles of platinum-based chemotherapy given
  • concurrently with radiotherapy (cCRT); or at least two prior cycles of
  • platinum-based chemotherapy given prior to radiotherapy (sCRT) The RT component
  • in the cCRT or sCRT must have been at a total dose of radiation of 60 (± 10%)
  • Gy (54 Gy to 66 Gy) administered by intensity-modulated radiotherapy
  • (preferred) or three dimension (3D)-conforming technique No disease progression
  • during or following platinum-based cCRT or sCRT Life expectancy >= 12 weeks
  • Documented tumor PD-L1 status Eastern Cooperative Oncology Group Performance
  • Status of 0, 1, or 2 • Adequate hematologic and end-organ function • For women
  • of childbearing potential: agreement to remain abstinent (refrain from
  • heterosexual intercourse) or use contraception, and agreement to refrain from
  • donating eggs, during the treatment period and for at least 90 days after the
  • final dose of alectinib or durvalumab (Cohort A1 only) Confirmed availability
  • of a representative formalin-fixed, paraffin-embedded (FFPE) tumor specimen
  • Documented ALK fusion positivity (Cohort A1 only)

排除标准

  • Any history of previous NSCLC and/or any history of prior treatment for NSCLC
  • Any evidence of Stage IV disease If pleural effusion is present the following
  • criteria must be met to exclude malignant involvement (T4 disease): When
  • pleural fluid is visible on both the computed tomography scan and chest X-ray,
  • a pleuracentesis is required to confirm that the pleural fluid is cytologically
  • negative. Patients with exudative pleural effusions are excluded regardless of
  • cytology. Patients with effusions that are minimal (i.e., not visible on chest
  • X-ray) that are too small to safely tap are eligible NSCLC known to have one or
  • more of the following ALK point mutations, as identified by site local testing
  • or Sponsor central testing: I1171X (where X is any other amino acid), V1180L,
  • G1202R (Cohort A1). NSCLC known to have a known or likely oncogenic-driver
  • mutation in the EGFR gene, as identified by site local testing or Sponsor
  • central testing Liver disease Positive hepatitis B surface antigen test at
  • screening Patients known to be positive for hepatitis C virus antibody HIV
  • infection, patients are excluded if HIV is not adequately controlled (specific
  • criteria apply). Known active tuberculosis Presence of clinically symptomatic
  • interstitial lung disease or interstitial pneumonitis, including radiation
  • pneumonitis Grade >= 2 pneumonitis from prior cCRT or sCRT Symptomatic
  • bradycardia (Cohort A1) Any gastrointestinal (GI) disorder that may affect
  • absorption of oral medications Any other disease, metabolic dysfunction,
  • physical examination finding, or clinical laboratory finding that
  • contraindicates the use of an investigational drug, may affect the
  • interpretation of the results, or may render the patient at high risk from
  • treatment complications Active or history of autoimmune disease or immune
  • deficiency History of idiopathic pulmonary fibrosis, organizing pneumonia,
  • drug-induced pneumonitis, or idiopathic pneumonitis, or evidence of active
  • pneumonitis on the screening chest CT scan History of malignancy other than
  • NSCLC within 5 years prior to screening Any concurrent chemotherapy,
  • immunotherapy, biologic, or hormonal therapy for cancer Major surgical
  • procedure, within 4 weeks prior to initiation of study treatment, or
  • anticipation of need for a major surgical procedure during the study Severe
  • infection within 4 weeks prior to initiation of study treatment, including, but
  • not limited to, hospitalization for complications of infection, bacteremia, or
  • severe pneumonia Treatment with systemic immunostimulatory agents Treatment
  • with live, attenuated vaccine Treatment with investigational therapy within 28
  • days prior to initiation of study treatment Treatment with therapeutic oral or
  • IV antibiotics within 2 weeks prior to initiation of study treatment Treatment
  • with systemic immunosuppressive medication Prior treatment with ALK inhibitors.
  • Prior treatment with CD137 agonists or immune checkpoint blockade therapies
  • Prior allogeneic stem cell or solid organ transplantation History of
  • hypersensitivity to alectinib, durvalumab, or any of their excipients.
  • Concurrent enrollment in another clinical study, unless it is an observational
  • (non-interventional) clinical study or the follow-up period of an
  • interventional study Any condition that, in the opinion of the investigator,

研究者

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