Actively Recruiting

Phase 2
Age: 18Years +
All Genders
NCT04865250

Predicting Response to Neoadjuvant ATEZOLIZUMAB Plus Carboplatin/Nab Paclitaxel in Resectable Non-squamous NSCLC

Led by University Hospital Heidelberg · Updated on 2024-05-16

20

Participants Needed

1

Research Sites

311 weeks

Total Duration

On this page

Sponsors

U

University Hospital Heidelberg

Lead Sponsor

D

Dietmar Hopp Stiftung

Collaborating Sponsor

AI-Summary

What this Trial Is About

Exploratory study evaluating the potential of immune signature profiling for predicting response in patients with resectable Stage II, IIIA and select IIIB (T3N2 only) non-squamous Non-Small Cell Lung Cancer (NSCLC) to neoadjuvant ATEZOLIZUMAB plus Carboplatin/nab Paclitaxel Atezolizumab is given as intravenous infusion at a fixed dose of 1200 mg, day 1 of each 21-day cycle (every 3 weeks) for 3 cycles during the neoadjuvant treatment phase, Carboplatin at an initial dose of AUC (area under curve) 5 mg/mL/min, intravenously day 1 of each 21-day cycle for 3 cycles during the neoadjuvant treatment Phase, and Nab-Paclitaxel (Abraxane) at 100 mg/m2, intravenously day 1, 8 and 15 of each 21-day cycle for 3 cycles during the neoadjuvant treatment phase. Surgery after the 3rd cycle Atezolizumab / Carboplatin / Nab-Paclitaxel is standard procedure.

CONDITIONS

Official Title

Predicting Response to Neoadjuvant ATEZOLIZUMAB Plus Carboplatin/Nab Paclitaxel in Resectable Non-squamous NSCLC

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Signed informed consent and age 18 years or older
  • ECOG performance status 0 or 1
  • Histologically confirmed non-squamous NSCLC at clinical Stage II, IIIA, or select IIIB (T3N2 only)
  • Tumor deemed surgically resectable with curative intent after PET-CT staging
  • Adequate lung and heart function for lung surgery
  • Measurable disease per RECIST v1.1 criteria
  • Sufficient tissue sample from primary tumor before neoadjuvant treatment
  • Females of child-bearing potential agree to use effective contraception and have negative pregnancy tests
  • Males agree to abstinence or use condoms with females of child-bearing potential during and after treatment
  • Adequate kidney, liver, and bone marrow function as defined by blood count and chemistry thresholds
Not Eligible

You will not qualify if you...

  • Any illness that interferes with understanding or following study procedures
  • Participation in another clinical trial within 30 days before screening
  • NSCLC Stage cT4 or bulky/fixed multi-station N2 disease
  • Squamous cell histology of NSCLC
  • Previous lung cancer treatment including systemic therapy, radiotherapy, or major surgery
  • Other malignancies within 5 years except low-risk cancers
  • History of allogeneic tissue or stem cell transplant
  • Active hepatitis B or C or history of HIV infection
  • Pregnant or breastfeeding women
  • Active or severe autoimmune disease requiring systemic steroids or immunosuppressants
  • Recent use of systemic immunosuppressive drugs within 2 weeks before cycle 1 day 1
  • History or evidence of lung diseases like pulmonary fibrosis or active pneumonitis
  • Previous treatment with CD137 agonists or immune checkpoint inhibitors
  • Live vaccine within 30 days before first study dose
  • Recent stroke, severe infection, or major injury
  • Significant cardiovascular diseases including recent myocardial infarction, unstable angina, advanced heart failure, or uncontrolled arrhythmia
  • Allergy to any chemotherapy components
  • Incarceration or inability to consent due to understanding issues

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Thoraxklinik Heidelberg gGmbH

Heidelberg, BaWü, Germany, 69126

Actively Recruiting

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Research Team

D

Dirk Jäger, Prof. med.

CONTACT

M

Martin Eichhorn, PD Dr. med.

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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