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 | 2024/06/28 09:49:09 |
Phase II study of immunotherapy and cytotoxic agent in combination with palliative radiotherapy in patients with advanced non-small cell lung cancer
Phase II study of immunotherapy and cytotoxic agent in combination with palliative radiotherapy in patients with advanced non-small cell lung cancer
Phase II study of immunotherapy and cytotoxic agent in combination with palliative radiotherapy in patients with advanced non-small cell lung cancer
Phase II study of immunotherapy and cytotoxic agent in combination with palliative radiotherapy in patients with advanced non-small cell lung cancer
Japan |
non-small cell lung cancer
Pneumology |
Malignancy
NO
To evaluate the efficacy of immunotherapy and cytotoxic agent in combination with palliative radiotherapy for untreated patients with advanced non-small cell lung cancer
Efficacy
Phase II
1-year progression-free survival rate
Response rate, Disease control rate, Progression-free survival, Overall survival, Safety
Interventional
Single arm
Non-randomized
Open -no one is blinded
Historical
1
Treatment
Medicine | Device,equipment |
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
20 | years-old | <= |
Not applicable |
Male and Female
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
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
40
1st name | Eisaku |
Middle name | |
Last name | Miyauchi |
Tohoku University Hospital
Department of Respiratory Medicine
980-8574
1-1 Seiryo-machi, Aoba-ku, Sendai 980-8574, Japan
022-717-8539
miyauchi@rm.med.tohoku.ac.jp
1st name | Yoko |
Middle name | |
Last name | Tsukita |
Tohoku University Hospital
Department of Respiratory Medicine
980-8574
1-1 Seiryo-machi, Aoba-ku, Sendai 980-8574, Japan
022-717-8539
y-tsukita@rm.med.tohoku.ac.jp
Tohoku University Hospital
Tohoku University Hospital
Self funding
Tohoku University Hospital Research Ethics Committee
1-1 Seiryo-machi, Aoba-ku, Sendai 980-8574, Japan
022-728-4105
ec@rinri.hosp.tohoku.ac.jp
NO
2019 | Year | 07 | Month | 05 | Day |
Unpublished
40
Completed
2019 | Year | 05 | Month | 01 | Day |
2019 | Year | 07 | Month | 11 | Day |
2019 | Year | 07 | Month | 01 | Day |
2024 | Year | 05 | Month | 31 | Day |
2019 | Year | 05 | Month | 26 | Day |
2024 | Year | 06 | Month | 28 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000041170