UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000029854
Receipt number R000033998
Scientific Title Phase 1 study of immune checkpoint inhibitor Nivolumab in combination with Bezafibrate in pretreated advanced non-small cell lung cancer
Date of disclosure of the study information 2017/11/07
Last modified on 2020/04/09 17:49:21

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Basic information

Public title

Phase 1 study of immune checkpoint inhibitor Nivolumab in combination with Bezafibrate in pretreated advanced non-small cell lung cancer

Acronym

Phase 1 study of Nivolumab and Bezafibrate in pretreated advanced non-small cell lung cancer

Scientific Title

Phase 1 study of immune checkpoint inhibitor Nivolumab in combination with Bezafibrate in pretreated advanced non-small cell lung cancer

Scientific Title:Acronym

Phase 1 study of Nivolumab and Bezafibrate in pretreated advanced non-small cell lung cancer

Region

Japan


Condition

Condition

Advanced non-small cell lung cancer
(Stage III/IV or postoperative recurrent)

Classification by specialty

Pneumology Hepato-biliary-pancreatic surgery

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

To evaluate the safety of Nivolumab in combination with Bezafibrate and determine a recommended dose (RD) of bezafibrate in patients with pretreated advanced non-small cell lung cancer (NSCLC)

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase

Phase I


Assessment

Primary outcomes

Percentage of patients with dose-limiting toxicity (DLT)

Key secondary outcomes

Percentage of patients with at least 1 adverse event
Response rate (RR)
Progression-free survival (PFS)


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

Two weeks of the following regimen consist of one course. Administer Nivolumab (240mg) by DIV on day 1, and oral dose of Bezafibrate at 100 mg BID. or 200 mg BID on day 1, 5, 8 and 12, and continue treatment up to 3 courses unless any of the discontinuation criteria of protocol treatment is applicable.

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.confirmed histologically or cytologically as NSCLC
2. Eastern Cooperative Oncology Group (ECOG) performance status: 0 or 1
3.Clinical stage III or IV or postoperative recurrent NSCLC that has been previously treated with at least one cytotoxic drug-included regimen.
4.About patients with NSCLCs harbouring driver oncogenes such as EGFR, they need to have been treated with at least one appropriate TKI.
5. Aged 20 years or older at the time of informed consent.
6. All of the following criteria are met based on the latest data obtained within 14 days before enrollment
1) Leucocyte count >= 2,000/microliter
2) Neutrophil count >= 1,000/microliter
3) Hemoglobin >= 8.0 g/dL
(Transfusion is not performed within 14 days before enrollment.)
4) Platelet count >= 10X10^4/microliter
5) Total bilirubin <= 1.5 mg/dL
6) AST (GOT) <= 100 IU/L
7) ALT (GPT) <= 100 IL/L
8) Serum creatinine <=1.5 mg/dL
9) SpO2 >= 92% at room air. Patients with SpO2 < 92% are eligible if PaO2 is >= 60 torr.
7. Able to swallow oral medications.

Key exclusion criteria

1. Patients with an infection requiring systemic treatment.
2. Patients with the history of hypersensitivity to Bezafibrate, Polysorbate 80 that is the component of Nivolumab, and other drugs.
3. Patients with clinically significant psychiatric disease or symptom that would interfere with participation in this study.
4. Patients treated with administration of steroid equivalent to more than 10 mg /day predonine, or an immune suppressor (oral or intravenous) within 14 days before enrollment. Patients who do not suffer from current autoimmune diseases and are treated with inhalation or topical administration of steroid or patients with steroid equivalent to more than 10 mg /day predonine as adrenal cortex hormone replacement are eligible.
5. Patients with current or suspicious autoimmune diseases.
6. Patients with symptomatic brain metastases.
7. Patients with carcinomatous meningitis.
8. Active double cancer
9. Patients with unstable angina or poorly controlled hypertension or diabetes mellitus.
10. Patients with positive for hepatitis B surface (HBs) antigen or positive hepatitis C virus (HCV) antibody.
11. Patients with distinct interstitial pneumonitis or pulmonary fibrosis based on chest CT.
12 Patients whose withdrawal of HMG-CoA inhibitors during this trial are not allowed.
13. Patients with history of previous immune checkpoint inhibitor treatment including Nivolumab.
14. Pregnant or lactating females. Females of child-bearing potential with the positive result of the urine pregnancy test that was carried out within 14 days before enrollment.

Target sample size

18


Research contact person

Name of lead principal investigator

1st name Isamu
Middle name
Last name Okamoto

Organization

Kyushu University Hospital

Division name

Research Institute for Diseases of the Chest

Zip code

812-8582

Address

3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan

TEL

092-642-5378

Email

okamotoi@kokyu.med.kyushu-u.ac.jp


Public contact

Name of contact person

1st name Isamu
Middle name
Last name Okamoto

Organization

Kyushu University Hospital

Division name

Research Institute for Diseases of the Chest

Zip code

812-8582

Address

3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan

TEL

092-642-5378

Homepage URL


Email

okamotoi@kokyu.med.kyushu-u.ac.jp


Sponsor or person

Institute

Kyushu University Hospital

Institute

Department

Personal name



Funding Source

Organization

Japan Agency for Medical Research and Development:AMED

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Kyushu University Institutional Review Board

Address

3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan

Tel

092-642-5774

Email

ishida.eik@iberica.co.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

九州大学病院(福岡県)Kyushu University Hospital
熊本大学病院(熊本県)Kumamoto University Hospital


Other administrative information

Date of disclosure of the study information

2017 Year 11 Month 07 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

18

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2017 Year 09 Month 27 Day

Date of IRB

2017 Year 10 Month 26 Day

Anticipated trial start date

2017 Year 12 Month 01 Day

Last follow-up date

2019 Year 10 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 11 Month 07 Day

Last modified on

2020 Year 04 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000033998


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name