UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000036856
Receipt number R000041170
Scientific Title Phase II study of immunotherapy and cytotoxic agent in combination with palliative radiotherapy in patients with advanced non-small cell lung cancer
Date of disclosure of the study information 2019/07/05
Last modified on 2023/12/03 11:42:00

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Basic information

Public title

Phase II study of immunotherapy and cytotoxic agent in combination with palliative radiotherapy in patients with advanced non-small cell lung cancer

Acronym

Phase II study of immunotherapy and cytotoxic agent in combination with palliative radiotherapy in patients with advanced non-small cell lung cancer

Scientific Title

Phase II study of immunotherapy and cytotoxic agent in combination with palliative radiotherapy in patients with advanced non-small cell lung cancer

Scientific Title:Acronym

Phase II study of immunotherapy and cytotoxic agent in combination with palliative radiotherapy in patients with advanced non-small cell lung cancer

Region

Japan


Condition

Condition

non-small cell lung cancer

Classification by specialty

Pneumology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the efficacy of immunotherapy and cytotoxic agent in combination with palliative radiotherapy for untreated patients with advanced non-small cell lung cancer

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase

Phase II


Assessment

Primary outcomes

1-year progression-free survival rate

Key secondary outcomes

Response rate, 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

Historical

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine Device,equipment

Interventions/Control_1

Palliative radiotherapy (30Gy/10fr)
(a)If lung leasion, V20 equal or less
than 20%
(b)Planning target volume(PTV)volume
equal or more than 50 cm3 and equal
or less than 400 cm3

Start following regimen within 7 days from the start of irradiation.

Non-squamos cell lung cancer
CDDP(day1 75mg/m2) or CBDCA(day1 AUC5)/PEM(day1 500mg/m2)/Pembrolizumab(day1 200mg/body)
every three weeks for up to four cycles
followed by PEM/Pembrolizumab
every three weeks

Squamos cell lung cancer
CBDCA(day1 AUC6)/Paclitacxel(day1 200mg/m2) or nab-paclitacxel(day1,8,15 100mg/m2)/Pembrolizumab(day1 200mg/body)
every three weeks for up to four cycles
followed by Pembrolizumab
every three 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)Cytologically or histologically confirmed non-small cell lung cancer
2)Clinical stage IIIB, IIIC without indication of definitive thoracic radiotherapy, stage IV, or postoperative recurrent disease
3)EGFR mutation status is not active and ALK fusion gene is negative
4)Administrate pembrolizumab and cytotoxic agents for 1st-line therapy
5)Leasions suitable for palliative radiotherapy (30Gy/10fr)
(a)If lung leasion, V20 equal or less than 20%
(b)PTV(planning target volume)volume
equal or more than 50 cm3
equal or less than 400 cm3
6)Aged 20 or older
7)Eastern Cooperative Oncology Group Performance Status (ECOG PS) is 0 or 1
8)At least one measurable lesions except radiation site (RECIST ver1.1)
9)Patients with adequate organ function
10)Patients expected to survive for more than 3 months
11)Have given written consent to participate in the study

Key exclusion criteria

1)Presence of EGFR mutation, ALK fusion gene, ROS1 fusion gene or BRAF mutation
2)Prior immunotherapy or radiotherapy
3)Symptomatic brain metastases
4)Patient with autoimmune disease
5)Patient with history of organ transplantation
6)Severe complication (uncontrolled heart failure, renal failure, chronic liver failure, diabetes mellitus, intestinal obstruction, active gastrointestinal ulceration, etc.)
7)Positive for hepatitis B surface (HBs) antigen or detectable HB virus DNA with positive for HBs antibody or hepatitis B core antibody
8)Radiographically confirmed interstitial pneumonitis
9)Receiving continuous systemic corticosteroid or immunosuppressant treatment or within 2 weeks after discontinuation
10)Pleural effusion, ascites or pericardial effusion requiring drainage
11)Pregnant or lactating females, females of child-bearing potential, and males desiring partner's pregnancy
12)Patient with active double cancer. (Exclude disease free interval over 5 years and carcinoma in situ)
13)History of severe drug allergies
14)Other ineligible status judged by attending doctor

Target sample size

40


Research contact person

Name of lead principal investigator

1st name Eisaku
Middle name
Last name Miyauchi

Organization

Tohoku University Hospital

Division name

Department of Respiratory Medicine

Zip code

980-8574

Address

1-1 Seiryo-machi, Aoba-ku, Sendai 980-8574, Japan

TEL

022-717-8539

Email

miyauchi@rm.med.tohoku.ac.jp


Public contact

Name of contact person

1st name Yoko
Middle name
Last name Tsukita

Organization

Tohoku University Hospital

Division name

Department of Respiratory Medicine

Zip code

980-8574

Address

1-1 Seiryo-machi, Aoba-ku, Sendai 980-8574, Japan

TEL

022-717-8539

Homepage URL


Email

y-tsukita@rm.med.tohoku.ac.jp


Sponsor or person

Institute

Tohoku University Hospital

Institute

Department

Personal name



Funding Source

Organization

Tohoku University Hospital

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Tohoku University Hospital Research Ethics Committee

Address

1-1 Seiryo-machi, Aoba-ku, Sendai 980-8574, Japan

Tel

022-728-4105

Email

ec@rinri.hosp.tohoku.ac.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



Other administrative information

Date of disclosure of the study information

2019 Year 07 Month 05 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

38

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

No longer recruiting

Date of protocol fixation

2019 Year 05 Month 01 Day

Date of IRB

2019 Year 07 Month 11 Day

Anticipated trial start date

2019 Year 07 Month 01 Day

Last follow-up date

2024 Year 05 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

2019 Year 05 Month 26 Day

Last modified on

2023 Year 12 Month 03 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000041170


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name