Randomized, OpenLabel, Phase 3 Trial of Nivolumab Plus Ipilimumab or Nivolumab Plus Platinum Doublet Chemotherapy Versus Platinum Doublet Chemotherapy in Early Stage NSCLC
概览
- 阶段
- 3 期
- 干预措施
- Nivolumab
- 疾病 / 适应症
- Non Small Cell Lung Cancer
- 发起方
- Bristol-Myers Squibb
- 入组人数
- 505
- 试验地点
- 273
- 主要终点
- Event-Free Survival (EFS)
- 状态
- 已完成
- 最后更新
- 3个月前
概览
简要总结
The purpose of this neoadjuvant study is to compare nivolumab plus chemotherapy and chemotherapy alone in terms of safety and effectiveness, and to describe nivolumab plus ipilimumab's safety and effectiveness in treating resectable NSCLC.
This study has multiple primary endpoints.
研究者
入排标准
入选标准
- •Early stage IB-IIIA, operable non-small cell lung cancer, confirmed in tissue
- •Lung function capacity capable of tolerating the proposed lung surgery
- •Eastern Cooperative Oncology Group (ECOG) Performance Status of 0-1
- •Available tissue of primary lung tumor
排除标准
- •Presence of locally advanced, inoperable or metastatic disease
- •Participants with active, known or suspected autoimmune disease
- •Prior treatment with any drug that targets T cell co-stimulations pathways (such as checkpoint inhibitors)
- •Other protocol defined inclusion/exclusion criteria apply
研究组 & 干预措施
Nivolumab plus platinum doublet chemotherapy
Specified dose on specified days
干预措施: Nivolumab
Platinum doublet chemotherapy
Specified dose on specified days
干预措施: Carboplatin
Platinum doublet chemotherapy
Specified dose on specified days
干预措施: Paclitaxel
Platinum doublet chemotherapy
Specified dose on specified days
干预措施: Cisplatin
Platinum doublet chemotherapy
Specified dose on specified days
干预措施: Vinorelbine
Platinum doublet chemotherapy
Specified dose on specified days
干预措施: Gemcitabine
Platinum doublet chemotherapy
Specified dose on specified days
干预措施: Docetaxel
Platinum doublet chemotherapy
Specified dose on specified days
干预措施: Pemetrexed
Nivolumab plus platinum doublet chemotherapy
Specified dose on specified days
干预措施: Cisplatin
Nivolumab plus platinum doublet chemotherapy
Specified dose on specified days
干预措施: Gemcitabine
Nivolumab plus platinum doublet chemotherapy
Specified dose on specified days
干预措施: Pemetrexed
Nivolumab plus platinum doublet chemotherapy
Specified dose on specified days
干预措施: Carboplatin
Nivolumab plus platinum doublet chemotherapy
Specified dose on specified days
干预措施: Paclitaxel
Nivolumab plus Ipilimumab
Specified dose on specified days
干预措施: Nivolumab
Nivolumab plus Ipilimumab
Specified dose on specified days
干预措施: Ipilimumab
结局指标
主要结局
Event-Free Survival (EFS)
时间窗: From randomization to disease progression, reoccurrence, or death due to any cause. (Up to a median of 30 months)
Event-free survival (EFS) is defined as the length of time from randomization to any of the following events: any progression of disease precluding surgery, progression or recurrence disease based on blinded independent central review (BICR) assessment per response evaluation criteria in solid tumors (RECIST) 1.1 after surgery, or death due to any cause. Participants who don't undergo surgery for reason other than progression will be considered to have an event at progression or death. Progression is defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. (Note: the appearance of one or more new lesions is also considered progression).
Pathologic Complete Response (pCR) Rate
时间窗: From randomization up to a median of 30 months after randomization.
Pathologic complete response (pCR) rate is defined as the number of randomized participants with absence of residual tumor in lung and lymph nodes as evaluated by blinded independent pathological review (BIPR).
次要结局
- Major Pathologic Response (MPR) Rate(From randomization up to a median of 30 months after randomization.)
- Overall Survival (OS)(From randomization to the date of death (Up to approximately 93 months))
- Time to Death or Distant Metastases (TTDM)(From randomization to the first date of distant metastasis or the date of death in the absence of distant metastasis (Up to approximately 84 months))