UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000023645
Receipt number R000027040
Scientific Title Phase I trial of a treatment of nivolumab combined with stereotactic body radiotherapy for patients with multiple metastatic non-small cell lung cancer.
Date of disclosure of the study information 2016/08/17
Last modified on 2017/08/20 22:21:25

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Basic information

Public title

Phase I trial of a treatment of nivolumab combined with stereotactic body radiotherapy for patients with multiple metastatic non-small cell lung cancer.

Acronym

NIVOSTLUC-1

Scientific Title

Phase I trial of a treatment of nivolumab combined with stereotactic body radiotherapy for patients with multiple metastatic non-small cell lung cancer.

Scientific Title:Acronym

NIVOSTLUC-1

Region

Japan


Condition

Condition

non-small cell lung cancer with two or more lesions including at least lung or pluera

Classification by specialty

Radiology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To confirm the safety of a treatment of Nivolumab combined with stereotactic body radiotherapy for thoracic lesion in patients with advanced non-small cell lung cancer with two or more lesions including at least lung or pluera

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Explanatory

Developmental phase

Phase I


Assessment

Primary outcomes

The ratio of cases with grade four/five or aggravation of two or more toxicity grade within 24 weeks after the start of therapy.

Key secondary outcomes

The reduction ratio in size of irradiated lesions and the non-irradiated lesion at 24 weeks after start of treatment.
The change of the tumor marker level as of 24 weeks after start of treatment and stereotactic body radiotherapy.
The expression ratio of PD-L1 in the tumor before the start of treatment.
The ratio of case with one or two aggravation of toxicity grade within 24 weeks after the start of therapy.


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Historical

Stratification

NO

Dynamic allocation

NO

Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine Maneuver

Interventions/Control_1

Total 12 courses of Nivolumab(3 mg/kg,by 2weeks). Performing stereotactic body radiation therapy (more than 5 Gy/fraction(total biological effective dose of 40-55Gy within 2weeks) for lung or a pleura lesion at the third course.

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)At least two measurable lesions including at least one lung or thoracic lesion.
3)Radical radiotherapy not applicable
4)Aged 20 or more
5)ECOG Performance status of 0-2
6)Judgement by Radiation-oncologist for indication and safely of irradiation
7)Satisfication of the following criteria in the latest labo data within 7 days of the registration:1.WBC=3000 per mm3 or more,2.Hb=9.0g per dl or more, 3.PLT=100000 per mm3 or more, 4.Serum Creatinine=1.5mg per dl or less, 5.Total bililubine=1.5mg per dl or less, 6.GOT(AST)=100IU per L or less, 7.GPT(ALT)=100IU per L or less, 8.SpO2=93% or more(room ai)
8)Written informed consent after enough explanation

Key exclusion criteria

1)Active double cancer(except for some early or cured cancer as followe:carcinoma in situ, mucosal cancer, stage I prostate, breast, or laryngeal cancer)
2)Serious heart disease,uncontrolled diabetes mellitus despite continuing treatment of insulin,cardiac infarction within 6 months before enrollment,uncontrolled hypertension,history of severe infections,watery diarrhea,paresis of intestine,ileus,autoimmune disease,other severe complications
3)Radiographically (chest X-P or CT image) confirmed interstitial pneumonitis or pulmonary fibrosis
4)Severe emphysema, chronic bronchitis, asthma
5)Continuous systemic administration of steroid
6)Severe mental illness
7)women who are or may be pregnant or in lactatoin
8)Unsuitable patients judged by the attending physician or radiation-oncologist(previous irradiation is ignored)

Target sample size

12


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Hiroshi Onishi

Organization

Faculty of Medicine, University of Yamanashi

Division name

Department of Radiology

Zip code


Address

1110, Shimokato, Chuo, Yamanashi

TEL

055-273-1111

Email

honishi@yamanashi.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Kan Marino

Organization

Faculty of Medicine, University of Yamanashi

Division name

Department of Radiology

Zip code


Address

1110, Shimokato, Chuo, Yamanashi

TEL

055-273-1111

Homepage URL


Email

marino@yamanashi.ac.jp


Sponsor or person

Institute

Department of Radiology, University of Yamanashi

Institute

Department

Personal name



Funding Source

Organization

ONO PHARMACEUTICAL CO., LTD.
Bristol-Myers Squibb Company

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


Address


Tel


Email



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

山梨大学医学部附属病院(山梨県)


Other administrative information

Date of disclosure of the study information

2016 Year 08 Month 17 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


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

Open public recruiting

Date of protocol fixation

2016 Year 08 Month 15 Day

Date of IRB


Anticipated trial start date

2016 Year 08 Month 15 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2016 Year 08 Month 16 Day

Last modified on

2017 Year 08 Month 20 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000027040