UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000044375
Receipt number R000050571
Scientific Title AN OBSERVATIONAL STUDY OF EFFECTIVENESS AND SAFETY OF THE FIRST LINE NIVOLUMAB PLUS IPILIMUMAB WITH OR WITHOUT CHEMOTHERAPY FOR ADVANCED / RECURRENT NON-SMALL CELL LUNG CANCER IN JAPAN (LIGHT-NING)
Date of disclosure of the study information 2021/05/31
Last modified on 2023/12/13 10:54:37

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Basic information

Public title

AN OBSERVATIONAL STUDY OF EFFECTIVENESS AND SAFETY OF THE FIRST LINE NIVOLUMAB PLUS IPILIMUMAB WITH OR WITHOUT CHEMOTHERAPY FOR ADVANCED / RECURRENT NON-SMALL CELL LUNG CANCER IN JAPAN (LIGHT-NING)

Acronym

LIGHT-NING

Scientific Title

AN OBSERVATIONAL STUDY OF EFFECTIVENESS AND SAFETY OF THE FIRST LINE NIVOLUMAB PLUS IPILIMUMAB WITH OR WITHOUT CHEMOTHERAPY FOR ADVANCED / RECURRENT NON-SMALL CELL LUNG CANCER IN JAPAN (LIGHT-NING)

Scientific Title:Acronym

LIGHT-NING

Region

Japan


Condition

Condition

ADVANCED / RECURRENT NON-SMALL CELL LUNG CANCER

Classification by specialty

Pneumology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

For nivolumab plus ipilimumab with or without chemotherapy as first-line treatment for patients with untreated advanced or recurrent NSCLC in the real-world setting in Japan, the actual treatment status will be clarified and the effectiveness and safety will be described.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Actual treatment
-Descriptions of administration (duration of treatment, rates of patients with second-line treatment, etc.)
-Effectiveness (overall survival, time to next treatment, treatment-free survival, and treatment continuation rate)
-Safety (incidence of CTCAE v 5.0 Grade 3 or higher immune-related adverse events and incidence of treatment-related adverse events leading to treatment discontinuation)

Key secondary outcomes

1. Effectiveness in patients evaluated for response in accordance with RECIST v 1.1 (progression-free survival, objective response rate, disease control rate, and duration of response)
2. Effectiveness and safety by patient background
3. Effectiveness and safety of nivolumab plus ipilimumab with or without chemotherapy by adjustment for confounding factors
4. Time to onset of immune-related adverse events to be collected, treatment for these events and time to symptom improvement, and impact on effectiveness
5. Descriptions of administration (duration of treatment, reasons for treatment discontinuation, etc.), effectiveness (response rate) and safety (treatment related death) of second-line treatment
6. Effectiveness in patients who discontinued treatment due to treatment-related adverse events within 90 days
7. Descriptions of administration (duration of treatment, reasons for treatment discontinuation, etc.), effectiveness (response rate and overall survival) and safety (treatment related death) of second-line treatment in patients with disease progression within 90 days


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


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

For entry into this study, the following criteria MUST be met at the time of informed consent:
1. Patients aged over 20 years
2. Histologically confirmed advanced or recurrent NSCLC
3. Patients who have received or scheduled to administrate nivolumab plus ipilimumab with or without chemotherapy as first-line treatment from the date of approval of nivolumab plus ipilimumab with or without chemotherapy to December 31, 2021.
a) Pemetrexed plus cisplatin or carboplatin for patients with non-squamous histology and paclitaxel plus carboplatin for patients with squamous histology are only acceptable combinations of chemotherapy.
4. Patients who have signed written informed consent form with their own free will after they have been given an adequate explanation and a fully understanding of this study
a) Patients who have difficulty in writing may be registered in this study by writing on their behalf by a person equivalent to a legally acceptable representative, with the patient's oral consent.
b) In patients for whom it is difficult to obtain informed consent, the patient's legally acceptable representative may be registered if informed consent is obtained after explanation to the legally acceptable representative.
c) If it is difficult to obtain informed consent from the patient or legally acceptable representative for various reasons other than a) and b), registration is allowed by opt-out.

Key exclusion criteria

For entry into the study, the following criteria MUST NOT be met at the time of informed consent:
1. In patients with non-squamous histology, patients who are confirmed to be positive for EGFR gene mutation or ALK fusion gene for which EGFR tyrosine kinase inhibitor or ALK tyrosine kinase inhibitor is indicated.
2. Patients who had antineoplastic treatment as first-line treatment of advanced or recurrent NSCLC prior to initiation of nivolumab plus ipilimumab with or without chemotherapy.
However, patients who correspond to a) or b) below will be included in this study.
a) Prior perioperative chemotherapy or Stage III chemoradiotherapy or durvalumab combination chemoradiotherapy.
b) Patients who are received or have received bisphosphonates or denosumab for bone metastasis
3. Patients who initiated treatment with nivolumab plus ipilimumab and added chemotherapy from the second course onwards.
4. Patients who received investigational anti-tumor drug in clinical trial after being diagnosed with NSCLC
5. Other patients who are judged by the investigators to be inappropriate for enrollment in this study

Target sample size

500


Research contact person

Name of lead principal investigator

1st name Tomoyuki
Middle name
Last name Ohsugi

Organization

Bristol-Myers Squibb K.K.

Division name

Oncology Medical, Japan Medical

Zip code

1000004

Address

Otemachi One Tower 1-2-1 Otemachi Chiyoda-ku Tokyo 100-0004, Japan

TEL

0367057000

Email

Tomoyuki.Ohsugi@bms.com


Public contact

Name of contact person

1st name hayato
Middle name
Last name konishi

Organization

Mebix, Inc

Division name

Research Promotion Headquarters

Zip code

5410046

Address

Aioi Nissay Dowa Sonnpo midosuji Building floor 9, 3-6-1, Hiranomachi, Chuo-ku, Osaka-fu, Osaka

TEL

03-4362-4500

Homepage URL


Email

LIGHT-NING@mebix.co.jp


Sponsor or person

Institute

Bristol-Myers Squibb K.K.
Ono Pharmaceutical CO.,LTD.

Institute

Department

Personal name



Funding Source

Organization

Bristol-Myers Squibb K.K.
Ono Pharmaceutical CO.,LTD.

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

Ono Pharmaceutical CO.,LTD. "Medical and Health Research Involving Human Subjects" Ethics Committee

Address

8-2, Kyutaromachi 1-chome, Chuo-ku, Osaka-shi, Japan

Tel

06-6263-2992

Email

n.nishiwaki@ono.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



Other administrative information

Date of disclosure of the study information

2021 Year 05 Month 31 Day


Related information

URL releasing protocol


Publication of results

Partially published


Result

URL related to results and publications


Number of participants that the trial has enrolled

529

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

2020 Year 12 Month 10 Day

Date of IRB

2021 Year 03 Month 09 Day

Anticipated trial start date

2021 Year 07 Month 01 Day

Last follow-up date

2025 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This study is designed as a descriptive epidemiological study.


Management information

Registered date

2021 Year 05 Month 31 Day

Last modified on

2023 Year 12 Month 13 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000050571


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name