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临床试验/EUCTR2017-001311-36-AT
EUCTR2017-001311-36-AT进行中(未招募)1 期

A Two-Part Randomized, Phase 3 Study of Combinations ofCemiplimab(Anti-PD-1 Antibody) and Platinum-based DoubletChemotherapy in First-line Treatment of Patients with Advanced orMetastatic Non-Small Cell Lung Cancer

Regeneron Pharmaceuticals, Inc.0 个研究点目标入组 500 人开始时间: 2018年4月9日最近更新:
适应症
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
500

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • 1. Men and women =18 years of age.
  • 2. Patients with histologically or cytologically documented squamous or
  • non-squamous NSCLC with stage IIIB disease who are not candidates
  • for treatment with definitive concurrent chemoradiation or patients with
  • stage IV disease if they have not received prior systemic treatment for
  • recurrent or metastatic NSCLC.
  • 3. Availability of an archival (=5 months) or on-study obtained formalinfixed,
  • paraffinembedded
  • tissue sample from a metastatic/recurrent site, which has not
  • irradiated.
  • Part 1 only: Expression of PD-L1 in <50% of tumor cells determined
  • the commercially available
  • assay performed by the central laboratory.
  • At least 1 radiographically measureable lesion by computed
  • resonance imaging (MRI) per RECIST 1.1 criteria. Target
  • may be located in a previously irradiated field if there is
  • (radiographic)
  • disease progression in that site.
  • ECOG performance status of =1.
  • Anticipated life expectancy of at least 3 months.
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 585
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 225

排除标准

  • 1. Part 1 only: Patients who have never smoked, defined as smoking =
  • 100 cigarettes in a lifetime.
  • 2. Active or untreated brain metastases or spinal cord compression.
  • Patients are eligible if
  • central nervous system (CNS) metastases are adequately treated and
  • patients have
  • neurologically returned to baseline (except for residual signs or
  • symptoms related to the
  • CNS treatment) for at least 2 weeks prior to enrollment. Patients must
  • (immunosuppressive doses of) corticosteroid therapy (see exclusion
  • criteria 7) for details
  • on timing of discontinuation of steroids).
  • 3. Patients with tumors tested positive for EGFR gene mutations, ALK
  • gene translocations,
  • or ROS1 fusions. All patients will have tumor evaluated for EGFR
  • mutations, ALK
  • rearrangement, and ROS1 fusions.
  • 4. Encephalitis, meningitis, or uncontrolled seizures in the year prior to
  • informed consent.
  • 5. History of interstitial lung disease (eg, idiopathic pulmonary fibrosis
  • or organizing
  • pneumonia), of active, noninfectious pneumonitis that required immunesuppressive
  • of glucocorticoids to assist with management, or of pneumonitis
  • years. A history of radiation pneumonitis in the radiation field is
  • pneumonitis
  • resolved =6months prior to enrollment.
  • Ongoing or recent evidence of significant autoimmune disease that
  • systemic immunosuppressive treatments, which may suggest risk
  • immune-related
  • treatment-emergent
  • adverse events (irTEAEs). The following are not
  • exclusionary:
  • childhood asthma that has resolved, residual hypothyroidism
  • required only
  • replacement, or psoriasis that does not require systemic
  • 7. Patients with a condition requiring corticosteroid therapy (>10 mg
  • prednisone/day or
  • equivalent) within 14 days of randomization. Physiologic replacement
  • doses are allowed
  • even if they are >10 mg of prednisone/day or equivalent, as long as they
  • are not being
  • administered for immunosuppressive intent. Inhaled or topical steroids
  • are permitted,
  • provided that they are not for treatment of an autoimmune disorder.

研究者

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