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临床试验/NL-OMON49358
NL-OMON49358已完成2 期

Combining SBRT and pembrolizumab in early stage non-small cell lungcancer patients planned for surgery: exploring safety and immunological proof of principle. - Combining radiotherapy and immunotherapy in early stage NSCLC patients

Vrije Universiteit Medisch Centrum0 个研究点目标入组 30 人开始时间: 待定最近更新:
适应症

试验速览

阶段
2 期
状态
已完成
入组人数
30

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

  • Histologically or cytologically confirmed diagnosis of early stage (T1cN0,
  • T2aN0 and T2bN0 ) peripherally located NSCLC, eligible for surgical resection.
  • Highly suspected NSCLC is defined as an a priori change of >85% that the
  • lesion is malignant, according to the publication of Herder et al. (59)
  • Be willing and able to provide written informed consent/assent for the trial.
  • Be 18 years of age or older on day of signing imformed consent.
  • Have measurable disease based on RECIST 1.1.
  • Must provide tissue from a core or excisional biopsy of the primary tumor
  • Have a performance status of 0-1 on the ECOG Performance Scale.
  • Demonstrate adequate organ function as defined in Table 1, all screening labs
  • should be performed within 10 days of treatment initiation.
  • Female subject of childbearing potential should have a negative urine or serum
  • pregnancy within 72 hours prior to receiving the first dose of study
  • medication. If the urine test is positive or cannot be confirmed as negative, a
  • serum pregnancy test will be required.
  • Female subjects of childbearing potential should be willing to use two methods
  • of birth control or be surgically sterile, or abstain from heterosexual
  • activity for the course of the study through 120 days after the last dose of
  • study medication. Subjects of childbearing potential are those who have not
  • been surgically sterilized or have not ben free form menses for >1 year.
  • Male subjects should agree to use an adequate method of contraception starting
  • with the first dose of study therapy through 120 days after the last dose of
  • study therapy.

排除标准

  • Is currently participating in or has participated in a study of an
  • investigational agent or using investigational device within 4 weeks of the
  • first dose of treatment.
  • Has a diagnosis of immunodeficiency or is receiving systemic steroid therapy or
  • any other form of immunosuppressive therapy within 7 days proor to the first
  • dose of trial treatment.
  • Has had a prior monoclonal antibody within 4 weeks prior to study day 1 or who
  • has not recovered (i.e. grade 1 or lower, or at baseling) from adverse events
  • due to agents administered more than 4 weeks earlier.
  • Has had prior chemotherapy, targeted small molecule therapy, or radiation
  • therapy within 2 weeks prior to study day 1 or who has not recovered (i.e.
  • grade 1 or lower at baseline) from adverse events due to a previously
  • administered agent.
  • Has a known additional malignancy that is progressing or requires active
  • treatment. Exceptions include basal cell carcinoma of the skin, squamous cel
  • carcinoma of the skin, or in situ cervical cancer that has undergone
  • potentially curative therapy.
  • Has an active autoimmune disease requiring systemic treatment within the past 3
  • months or a documented histroy of clinically severe autoimmune disease, or a
  • syndrome that requires systemic steroids or immunosuppressive agents. Subjects
  • with vitiligo or resolved childhood asthma/atopy would be an exception to this
  • rule. Subjects that require intermittent use of bronchodilators or local
  • steroid injections would not be excluded from the study. Subjects with
  • hypothyroidism stable on hormone replacement or Sjogren's syndrome will not be
  • excluded from the study.
  • Has a history of (non-infectious) pneumonitis that required steroids, evidence
  • of interstitial lung disease or active, non-infectious pneumonitis.
  • Has an active infection requiring systemic therapy.
  • Has a histroy or current evidence of any condition ,therapy or laboratory
  • abnormality that might confound the results of the trial, interfere with the
  • subject's participation for the full duration of the trial, or is not in the
  • bst interest of the subject to participate, in the opinion of the treating
  • investigator.
  • Has known psychiatric or substance abude disorders that would interfere with
  • cooperation with the requirements of the trial.
  • Is pregnant or breastfeedig, or expecting to conceive or father children within
  • the projected duration of the trial, starting with the pre-screening or
  • screening visit through 120 days after the last dose of trial treatment.
  • Has received prior therapy with an anti-PD-1, anti-PD-L1, anti-PD-L2,
  • anti-CD137, or anti-Cytotoxic T-lymphocyte-associated antigen 4 (CTLA-4)
  • antibody (including ipilimumab or any other antibody or drug specifically
  • targeting T-cell co-stimulation or checkpoint pathways).
  • Has a known history of Human Immunodeficiency Virus (HIV) (HIV 1/2 antibodies).
  • Has known active Hepatitis B (e.g. HBsAg reactive) or Hepatitis C (e.g. HCV RNA
  • [qualitative] is detected).
  • Has received a live vaccine within 30 days prior to the first dose of trial

研究者

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