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临床试验/NL-OMON48406
NL-OMON48406招募中2 期

Imaging tumor-infiltrating CD8+ T-cells in non-small cell lung cancer upon neo-adjuvant treatment with Durvalumab (MEDI4736). - Donan trial

Radboud Universitair Medisch Centrum0 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
招募中
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 99(—)

入选标准

  • All patients must meet all of the following criteria:;1. Male or female subjects aged >50 years at time of study entry
  • 2. Histopathological proven primary non-small cell lung cancer, with fully evaluable histological biopsies available
  • 3. ECOG performance status of 0 or 1
  • 4. AJCC stage I, II or IIIa as determined by contrast-enhanced CT chest-abdomen and F-18-FDG PET/CT: cT1cN0-1M0, cT2aN0-1M0 en cT3N0-1M0 (T3 separate nodule)
  • 5. Solid appearance of the tumor on contrast-enhanced CT
  • 6. Scheduled for resection with curative intent
  • 7. Patients should be medically operable defined by:
  • 8. Sufficient cardiopulmonary function
  • 9. Major contra-indications for surgery.
  • 10. No underlying immune disease (neutro- or lymphopenia, coagulation disorders) that could interfere with T-cell isolation
  • 11. Life expectancy at least 6 months
  • 12. Written informed consent and comply with study protocol for the duration of the study and follow-up
  • 13. Adequate laboratory values (refer to study protocol)

排除标准

  • A patient will be excluded from participation in the trial if one or more of the following criteria are met:;1. Inability to lie supine for more than 30 minutes
  • 2. Documented previous severe allergic reaction to iodine-based contrast media, despite adequate pre-medication.
  • 3. Indication for cervical mediastinoscopy
  • 4. Participation in another clinical study with an investigational product during the past 6 months
  • 5. Concurrent enrolment in another clinical study, unless it is an observational (non-interventional) clinical study or during the follow-up period of an interventional study
  • 6. Receipt of the last dose of anticancer therapy (chemotherapy, immunotherapy, endocrine therapy, targeted therapy, biologic therapy, tumour embolization, monoclonal antibodies) <6 months prior to the first dose of study drug
  • 7. Any unresolved toxicity NCI CTCAE Grade >=2 from previous anticancer therapy with the exception of alopecia, vitiligo, and the laboratory values defined in the inclusion criteria
  • 8. Patients with Grade >=2 neuropathy will be evaluated on a case-by-case basis after consultation with the Study Physician.
  • 9. Patients with irreversible toxicity not reasonably expected to be exacerbated by treatment with durvalumab (MEDI4736) may be included only after consultation with the Study Physician.
  • 10. Any concurrent chemotherapy, IP, biologic, or hormonal therapy for cancer treatment. Concurrent use of hormonal therapy for non-cancer-related conditions (e.g., hormone replacement therapy) is acceptable.
  • 11. Radiotherapy treatment to more than 30% of the bone marrow or with a wide field of radiation within 6 months of the first dose of study drug
  • 12. Major surgical procedure (as defined by the Investigator) within 28 days prior to the first dose of IP.
  • 13. History of allogenic organ transplantation.
  • 14. Active or prior documented autoimmune or inflammatory disorders (including inflammatory bowel disease [e.g., colitis or Crohn's disease], diverticulitis [with the exception of diverticulosis], systemic lupus erythematosus, Sarcoidosis syndrome, or Wegener syndrome [granulomatosis with polyangiitis, Graves' disease, rheumatoid arthritis, hypophysitis, uveitis, etc]).
  • 15. History of another primary malignancy except for: Malignancy treated with curative intent and with no known active disease >=5 years before the first dose of IP and of low potential risk for recurrence, Adequately treated non-melanoma skin cancer or lentigo maligna without evidence of disease, Adequately treated carcinoma in situ without evidence of disease
  • 16. History of active primary immunodeficiency
  • 17. Active infection including: tuberculosis, hepatitis B (known positive HBV surface antigen (HBsAg) result), hepatitis C, human immunodeficiency virus (positive HIV 1/2 antibodies), Epstein Barr Virus (EBV, positive IgM antibodies), cytomegalo virus (CMV, positive IgM antibodies)
  • 18. Current or prior use of immunosuppressive medication within 14 days before the first dose of durvalumab (MEDI4736); exceptions apply.
  • 19. Receipt of live attenuated vaccine within 30 days prior to the first dose of durvalumab (MEDI4736). Note: Patients, if enrolled, should not receive live vaccine whilst receiving durvalumab (MEDI4736) and up to 30 days after the last dose of durvalumab (MEDI4736).
  • 20. Female patients who are pregnant or breastfeeding or male or female patients of reproductive potential who are not wil

研究者

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