UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000028561
Receipt number R000032567
Scientific Title A phase II study of Nivolumab re-challenge therapy in patients with advanced non-small cell lung cancer who responded to prior PD-1/L1 inhibitors (WJOG9616L)
Date of disclosure of the study information 2017/08/08
Last modified on 2023/05/17 11:00:00

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Basic information

Public title

A phase II study of Nivolumab re-challenge therapy in patients with advanced non-small cell lung cancer who responded to prior PD-1/L1 inhibitors (WJOG9616L)

Acronym

Nivolumab re-challenge study (WJOG9616L)

Scientific Title

A phase II study of Nivolumab re-challenge therapy in patients with advanced non-small cell lung cancer who responded to prior PD-1/L1 inhibitors (WJOG9616L)

Scientific Title:Acronym

Nivolumab re-challenge study (WJOG9616L)

Region

Japan


Condition

Condition

Pre-treated lung cancer

Classification by specialty

Pneumology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the efficacy of nivolumab in NSCLC patients those who were benefit from prior PD-1/L1 inhibitors.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase

Phase II


Assessment

Primary outcomes

To evaluate the efficacy of nivolumab in NSCLC patients those who were benefit from prior PD-1/L1 inhibitors.

Key secondary outcomes

Disease control rate, progression-free survival, overall survival, safety


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Nivolumab 240mg/body, every 2 weeks

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Pathologically proven NSCLC
2. Clinical stage IIIB, C, IV, or post-operative relapse based on the classification of Lung Cancer ver8
3. Without symptomatic brain metastasis
4. With targetable lesion based on RECIST ver1.1
5. Those who were benefit from PD-1/L1 monotherapy such as CR, PR, SD lasting more than 6 months
6. ECOG PS of 0-1

Key exclusion criteria

1. Prior history of serious immune related adverse event
2. With active auto-immune disease
3. With interstitial lung disease confirmed by chest CT
4. Those receive steroid therapy more than prednisolone more than 10mg/day

Target sample size

60


Research contact person

Name of lead principal investigator

1st name Shunsuke
Middle name
Last name Teraoka

Organization

Wakayama Medical Univercity

Division name

Respiratory Medicine and Clinical Oncology

Zip code

641-8509

Address

811-1, Kimiidera, Wakayama-city

TEL

073-447-2300

Email

teraoka@wakayama-med.ac.jp


Public contact

Name of contact person

1st name Shinichiro
Middle name
Last name Nakamura

Organization

West Japan Oncology Group

Division name

WJOG datacenter

Zip code

556-0016

Address

Namba Plaza Bldg. 304-1-5-7, Motomachi Naniwa-ku, Osaka 556-0016 JAPAN

TEL

06-6633-7400

Homepage URL


Email

datacenter@wjog.jp


Sponsor or person

Institute

West Japan Oncology Group

Institute

Department

Personal name



Funding Source

Organization

Ono Pharmatheutical co.Bristol Meiyers Squibb

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Wakayama Medical University Certified Review Board

Address

811-1 Kimiidera, Wakayama, Wakayama Prefecture 641-8509, Japan

Tel

073-441-0896

Email

wa-rinri@wakayama-med.ac.jp


Secondary IDs

Secondary IDs

YES

Study ID_1

jRCTs051180019

Org. issuing International ID_1

Ministry of Health, Labour and Welfare

Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2017 Year 08 Month 08 Day


Related information

URL releasing protocol

https://jrct.niph.go.jp/latest-detail/jRCTs051180019

Publication of results

Published


Result

URL related to results and publications

https://pubmed.ncbi.nlm.nih.gov/35617519/

Number of participants that the trial has enrolled

61

Results

The primary endpoint was not met.

Results date posted

2023 Year 05 Month 17 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results

2022 Year 05 Month 26 Day

Baseline Characteristics

Advanced NSCLC patients who responded to prior PD-1/L1 inhibitors.

Participant flow

Sixty-one patients were included between Oct 2017 and Feb 2020.

Adverse events

There was no treatment related death. Severe adverse events leading to hospitalization were 11 cases. Nine cases were reported to be recovered and two cases which were not reported to be recovered were not related to study treatment.

Outcome measures

ORR 8.5% 95%CI 2.8-18.7%
DCR 50.8% 95%CI 37.5-64.1%
PFS median 2.6 months 95%CI 1.6-2.8
OS median 11.0 months 95%CI 9.0-14.5
Safety Grade 3-5 Adverse Event 20%

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2017 Year 08 Month 06 Day

Date of IRB

2017 Year 09 Month 07 Day

Anticipated trial start date

2017 Year 10 Month 17 Day

Last follow-up date

2021 Year 08 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2017 Year 08 Month 07 Day

Last modified on

2023 Year 05 Month 17 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000032567


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name