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临床试验/JPRN-jRCT2080224593
JPRN-jRCT2080224593招募中3 期

A Phase III, Randomized, Placebo-controlled, Double-blind, Multi-center, International Study of Durvalumab With Stereotactic Body Radiation Therapy (SBRT) for the Treatment of Patients With Unresected Stage I/II, Lymph-node Negative Non-small Cell Lung Cancer (PACIFIC-4/RTOG-3515)

AstraZeneca KK0 个研究点目标入组 630 人开始时间: 2019年3月14日最近更新:

试验速览

阶段
3 期
状态
招募中
入组人数
630

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
>= 18age old 至 ot applicable(—)
性别
All

入选标准

  • Main Cohort Key Inclusion Criteria:
  • 1. Age 18 years or more
  • 2. Planned SoC SBRT as definitive treatment
  • 3. WHO/ECOG PS of 0, 1 or 2
  • 4. Life expectancy of at least 12 weeks
  • 5. Body weight >30 kg
  • 6. Submission of tumor tissue sample if available
  • 7. Adequate organ and marrow function required
  • 8. Patients with central or peripheral lesions are eligible
  • 9. Staging studies must be done during screening (PET-CT within
  • 10. Patients with a history of metachronous NSCLC and synchronous lesions are eligible with some exceptions
  • Osimertinib Cohort Key Inclusion Criteria
  • 1. Age 18 years or more
  • 2. Planned SoC SBRT as definitive treatment
  • 3. World Health Organization (WHO)/ECOG PS of 0, 1, or 2
  • 4. Patients with central or peripheral lesions are eligible
  • 5. Patients with a history of metachronous NSCLC and synchronous lesions are eligible with some exceptions
  • 6. Staging studies must be done during screening (PET-CT within 10 weeks)
  • 7. Submission of available tumor tissue sample
  • 8. Confirmation by local laboratory that the tumor harbors one of the 2 common EGFR mutations known to be associated with EGFR-TKI sensitivity (Ex19del, L858R)
  • 9. Adequate bone marrow reserve or organ function required
  • 10. Female patients should be using highly effective
  • contraceptive measures
  • 11. Male patients should be asked to use barrier contraceptives (ie, condoms) during sex with all partners during the trial and avoid procreation

排除标准

  • Main Cohort Key Exclusion Criteria:
  • 1. Mixed small cell and non-small cell cancer
  • 2. History of allogeneic organ transplantation
  • 3. History of another primary malignancy with exceptions
  • 4. History of active primary immunodeficiency
  • 5. Epidermal growth factor receptor local testing is mandated prior to enrollment. Patients with a tumor harboring an EGFRm per local testing will be excluded from the main cohort
  • 6. Prior exposure to immune-mediated therapy with exceptions
  • Osimertinib Cohort Key Exclusion Criteria
  • 1. Mixed small cell and non-small cell cancer
  • 2. Patients currently receiving potent inducers of CYP3A4
  • 3. Patients with known or increased risk factor for QTc prolongation
  • 4. Treatment with any of the following:
  • - Preoperative or adjuvant platinum-based or other chemotherapy for the disease under investigation
  • - Prior treatment with neoadjuvant or adjuvant EGFR TKI
  • - Patients currently receiving (or unable to stop use prior to receiving the first dose of study treatment) medications or herbal supplements known to be potent inducers of CYP3A4
  • - Refractory nausea and vomiting, chronic gastrointestinal diseases, inability to swallow the formulated product, or previous significant bowel resection that would preclude adequate absorption of osimertinib
  • 5. Any of the following cardiac criteria
  • - Mean resting corrected QT interval >470 msec, obtained from 3 ECGs
  • - Any clinically important abnormalities in rhythm, conduction, or morphology of resting ECG.
  • - Any factors that increase the risk of QTc prolongation or risk of arrhythmic events, or unexplained -sudden death under 40 years of age in first-degree relatives or any concomitant medication known to prolong the QT interval
  • 6. Past medical history of ILD, drug-induced ILD, radiation pneumonitis which required steroid treatment, or any evidence of clinically active ILD

研究者

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