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JOURNAL ONKOLOGIE – STUDIE

A Study Evaluating the Efficacy and Safety of Multiple Therapies in Cohorts of Participants With Locally Advanced, Unresectable, Stage III Non-Small Cell Lung Cancer (NSCLC)

Rekrutierend

NCT-Nummer:
NCT05170204

Studienbeginn:
November 2022

Letztes Update:
09.04.2024

Wirkstoff:
Alectinib, Entrectinib, Durvalumab

Indikation (Clinical Trials):
Lung Neoplasms, Carcinoma, Non-Small-Cell Lung

Geschlecht:
Alle

Altersgruppe:
Erwachsene (18+)

Phase:
Phase 3

Sponsor:
Hoffmann-La Roche

Collaborator:
-

Studienleiter

Clinical Trials
Study Director
Hoffmann-La Roche

Kontakt

Reference Study ID Number: BO42777 https://forpatients.roche.com/
Kontakt:
Phone: 888-662-6728
E-Mail: global-roche-genentech-trials@gene.com
» Kontaktdaten anzeigen

Studienlocations
(3 von 156)

Helios Klinikum Emil von Behring GmbH
14165 Berlin
(Berlin)
GermanyRekrutierend» Google-Maps
Klinikum Chemnitz gGmbH
09116 Chemnitz
(Sachsen)
GermanyRekrutierend» Google-Maps
Klinikum Esslingen; Klinik für Kardiologie, Angiologie und Pneumologie
73730 Esslingen
(Baden-Württemberg)
GermanyRekrutierend» Google-Maps
LMU Klinikum der Universität München, Medizinische Klinik und Poliklinik V, Campus Innenstadt
80336 München
(Bayern)
GermanyRekrutierend» Google-Maps
Southern California Kaiser Permanente
92108 San Diego
United StatesRekrutierend» Google-Maps
Rocky Mountain Cancer Centers - Lone Tree
80124 Lone Tree
United StatesAktiv, nicht rekrutierend» Google-Maps
Mount Sinai Medical Center; Comprehensive Cancer Center
33140 Miami Beach
United StatesRekrutierend» Google-Maps
University Of Michigan
48109 Ann Arbor
United StatesRekrutierend» Google-Maps
Oregon Health Sciences Uni
97239 Portland
United StatesRekrutierend» Google-Maps
Northwest Cancer Specialists, P.C.
97223 Tigard
United StatesRekrutierend» Google-Maps
Hillman Cancer Center;Medical Oncology
15232 Pittsburgh
United StatesRekrutierend» Google-Maps
Thompson Cancer Survival Center
37916-2305 Knoxville
United StatesRekrutierend» Google-Maps
Baptist Cancer Center
38120 Memphis
United StatesZurückgezogen» Google-Maps
The University of Texas MD Anderson Cancer Center
77030-4009 Houston
United StatesRekrutierend» Google-Maps
Mays Cancer Center, UT Health San Antonio
78229-4427 San Antonio
United StatesRekrutierend» Google-Maps
Virginia Cancer Specialists (Fairfax) - USOR
22031 Fairfax
United StatesRekrutierend» Google-Maps
Northern Cancer Institute
2065 St Leonards
AustraliaRekrutierend» Google-Maps
Westmead Hospital; Medical Oncology and Pallative Care
2145 Westmead
AustraliaRekrutierend» Google-Maps
Peter MacCallum Cancer Centre; Medical Oncology
3000 Melbourne
AustraliaRekrutierend» Google-Maps
Hospital Sao Rafael - HSR
41253-190 Salvador
BrazilRekrutierend» Google-Maps
Crio - Centro Regional Integrado de Oncologia
60336-232 Fortaleza
BrazilRekrutierend» Google-Maps
Oncocentro Belo Horizonte
30360-680 Belo Horizonte
BrazilRekrutierend» Google-Maps
COT - Centro Oncologico do Triangulo
38408-150 Uberlandia
BrazilRekrutierend» Google-Maps
Oncoclinicas Rio de Janeiro S.A.
22250-905 Rio de Janeiro
BrazilRekrutierend» Google-Maps
Santa Casa de Misericordia de Porto Alegre
90020-090 Porto Alegre
BrazilRekrutierend» Google-Maps
Hospital Nossa Senhora da Conceicao
90040-373 Porto Alegre
BrazilRekrutierend» Google-Maps
Clínica de Oncologia Reichow
89010-340 Blumenau
BrazilRekrutierend» Google-Maps
Hospital de Cancer de Barretos
14784-400 Barretos
BrazilRekrutierend» Google-Maps
Instituto do Cancer do Estado de Sao Paulo - ICESP
01246-000 Sao Paulo
BrazilRekrutierend» Google-Maps
Sunnybrook Health Sciences Centre
M4N 3M5 Toronto
CanadaRekrutierend» Google-Maps
Centro de Estudios Clínicos SAGA
7500653 Santiago
ChileZurückgezogen» Google-Maps
James Lind Centro de Investigación Del Cáncer
4800827 Temuco
ChileRekrutierend» Google-Maps
Hunan Cancer Hospital
410013 Changsha CITY
ChinaAktiv, nicht rekrutierend» Google-Maps
Xinqiao Hospital of Third Military Medical University
400037 Chongqing City
ChinaRekrutierend» Google-Maps
Shandong Cancer Hospital
250117 Jinan
ChinaAktiv, nicht rekrutierend» Google-Maps
Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School
210008 Nanjing City
ChinaRekrutierend» Google-Maps
The affiliated hospital of Qingdao university
266042 Qingdao City
ChinaRekrutierend» Google-Maps
Tianjin Medical University Cancer Institute & Hospital
3000060 Tianjin
ChinaRekrutierend» Google-Maps
Union Hospital Tongji Medical College Huazhong University of Science and Technology
430023 Wuhan City
ChinaRekrutierend» Google-Maps
Fundación CTIC - Centro de Tratamiento e Investigación sobre Cáncer Luis Carlos Sarmiento Angulo
110131 Bogota, D.C.
ColombiaRekrutierend» Google-Maps
Hospital Universitario San Ignacio
000472 Bogota
ColombiaRekrutierend» Google-Maps
Instituto Cancerologia Medellin; Clinica Las Americas
050024 Medellin
ColombiaRekrutierend» Google-Maps
ICIMED Instituto de Investigación en Ciencias Médicas
10108 San José
Costa RicaRekrutierend» Google-Maps
CHU Angers,Service de Pneumologie
49933 Angers
FranceRekrutierend» Google-Maps
Hopital Nord; Pneumologie
13915 Marseille cedex 20
FranceRekrutierend» Google-Maps
CHU de Toulouse - Hôpital Larrey
31059 Toulouse
FranceRekrutierend» Google-Maps
Queen Mary Hospital; Dept. of Clinical Oncology
Hong Kong
Hong KongRekrutierend» Google-Maps
Rambam Medical Center; Oncology
3109601 Haifa
IsraelRekrutierend» Google-Maps
Rabin Medical Center-Beilinson Campus; Davidof Institute
4941492 Petach Tikva
IsraelRekrutierend» Google-Maps
IRST Istituto Scientifico Romagnolo Per Lo Studio E Cura Dei Tumori, Sede Meldola; Oncologia Medica
47014 Meldola
ItalyRekrutierend» Google-Maps
IRCCS A.O.U San MArtino - IST; U.O. Oncologia Medica 2
16132 Genova
ItalyRekrutierend» Google-Maps
ASST DEGLI SPEDALI CIVILI DI BRESCIA; Oncologia Medica
25123 Brescia
ItalyRekrutierend» Google-Maps
Irccs Istituto Europeo di Oncologia (IEO); Divisione di Oncologia
20141 Milano
ItalyRekrutierend» Google-Maps
A.O. UNIVERSITARIA S. LUIGI GONZAGA; Oncologia Medica
10043 Orbassano
ItalyRekrutierend» Google-Maps
Azienda Ospedaliero-Universitaria Careggi; SOD Radioterapia
50134 Firenze
ItalyRekrutierend» Google-Maps
IRCCS Istituto Oncologico Veneto (IOV); Oncologia Medica Seconda
35128 Padova
ItalyRekrutierend» Google-Maps
Ospedale P. Pederzoli Casa di cura Privata; Lung Unit Thoracic 3° Floor
37019 Peschiera Del Garda (VR)
ItalyRekrutierend» Google-Maps
Hirosaki University Hospital
036-8563 Aomori
JapanRekrutierend» Google-Maps
Kobe City Medical Center General Hospital
650-0047 Hyogo
JapanAktiv, nicht rekrutierend» Google-Maps
National Hospital Organization Himeji Medical Center
670-8520 Hyogo
JapanRekrutierend» Google-Maps
Kagoshima University Hospital
890-8520 Kagoshima
JapanRekrutierend» Google-Maps
Kumamoto University Hospital
860-8556 Kumamoto
JapanRekrutierend» Google-Maps
Nara Medical University Hospital
634-8522 Nara
JapanRekrutierend» Google-Maps
Niigata Cancer Center Hospital
951-8566 Niigata
JapanRekrutierend» Google-Maps
Okayama University Hospital
700-8558 Okayama
JapanRekrutierend» Google-Maps
Kinki University Hospital, Faculty of Medicine
589-8511 Osaka-sayama
JapanRekrutierend» Google-Maps
Osaka International Cancer Institute
541-8567 Osaka
JapanRekrutierend» Google-Maps
Kinki-Chuo Chest Medical Center
591-8555 Osaka
JapanRekrutierend» Google-Maps
The Cancer Institute Hospital of JFCR
135-8550 Tokyo
JapanRekrutierend» Google-Maps
Tottori University Hospital
683-8504 Tottori
JapanRekrutierend» Google-Maps
National Hospital Organization Yamaguchi - Ube Medical Center
755-0241 Yamaguchi
JapanRekrutierend» Google-Maps
Chungbuk National University Hospital
28644 Cheongju si
Korea, Republic ofRekrutierend» Google-Maps
Kyungpook National University Chilgok Hospital
41404 Daegu
Korea, Republic ofRekrutierend» Google-Maps
Pusan National University Yangsan Hospital
50612 Gyeongsangnam-do
Korea, Republic ofRekrutierend» Google-Maps
Chonnam National University Hwasun Hospital
58128 Jeollanam-do
Korea, Republic ofRekrutierend» Google-Maps
Seoul National University Bundang Hospital
463-707 Seongnam-si
Korea, Republic ofRekrutierend» Google-Maps
Kangbuk Samsung Hospital
03181 Seoul
Korea, Republic ofRekrutierend» Google-Maps
Asan Medical Center
05505 Seoul
Korea, Republic ofRekrutierend» Google-Maps
Korea University Guro Hospital
08308 Seoul
Korea, Republic ofRekrutierend» Google-Maps
Auckland City Hospital, Cancer and Blood Research
1023 Auckland
New ZealandRekrutierend» Google-Maps
Oslo universitetssykehus HF, Ullevål, Kreftsenteret
0450 Oslo
NorwayRekrutierend» Google-Maps
Instytut Genetyki i Immunologii GENIM
20-609 Lublin
PolandRekrutierend» Google-Maps
Warminsko-Mazurskie Centrum Chorób P?uc w Olsztynie; Oddzial onkologii z pododdzialem chemioterapii
10-357 Olsztyn
PolandRekrutierend» Google-Maps
Wielkopolskie Centrum Pulmonologii i Torakochirurgii w Poznaniu
60-569 Poznan
PolandRekrutierend» Google-Maps
Narod.Inst.Onkol. im. M.Sklodowskiej - Curie-Panst.Inst.Bad; Klinika Nowot.Pluca i Klatki Piers
02-781 Warszawa
PolandZurückgezogen» Google-Maps
Dolno?l?skie Centrum Chorób P?uc we Wroc?awiu; Oddzia? Onkologii Klinicznej VII
53-439 Wroc?aw
PolandRekrutierend» Google-Maps
University Clinical Centre of Serbia; Clinic for Pulmonology
11030 Belgrade
SerbiaRekrutierend» Google-Maps
Hospital Medical Center Bezanijska kosa; Clinic for Medical Oncology
11080 Belgrade
SerbiaRekrutierend» Google-Maps
Univ Clinical Center Kragujevac; Clinic for Pulmonology
34000 Kragujevac
SerbiaRekrutierend» Google-Maps
Institute for Pulmonary Diseases of Vojvodina; Clinic for Pulmonary Oncology
21204 Sremska Kamenica
SerbiaRekrutierend» Google-Maps
National Cancer Centre; Medical Oncology
168583 Singapore
SingaporeRekrutierend» Google-Maps
Tan Tock Seng Hospital; Oncology
308433 Singapore
SingaporeRekrutierend» Google-Maps
Complejo Hospitalario Universitario A Coruña (CHUAC); Servicio de Oncologia
15006 A Coruña
SpainRekrutierend» Google-Maps
Complejo Hospitalario Universitario Insular?Materno Infantil; Servicio de Oncologia
35016 Las Palmas de Gran Canaria
SpainRekrutierend» Google-Maps
Hospital General Univ. de Alicante; Servicio de Oncologia
3010 Alicante
SpainRekrutierend» Google-Maps
Hospital Universitari Vall d'Hebron; Oncology
08035 Barcelona
SpainRekrutierend» Google-Maps
Hospital Ramon y Cajal; Servicio de Oncologia
28034 Madrid
SpainRekrutierend» Google-Maps
Hospital Universitario 12 de Octubre; Servicio de Oncologia
28041 Madrid
SpainRekrutierend» Google-Maps
Hospital Universitario La Paz; Servicio de Oncologia
28046 Madrid
SpainRekrutierend» Google-Maps
Hospital Regional Universitario Carlos Haya; Servicio de Oncologia
29011 Malaga
SpainRekrutierend» Google-Maps
Hospital Universitario Virgen del Rocio; Servicio de Oncologia
41013 Sevilla
SpainRekrutierend» Google-Maps
Hospital Clínico Universitario de Valencia; Servicio de Oncología
46010 Valencia
SpainRekrutierend» Google-Maps
Sahlgrenska University Hospital; Sahlgrenska Clinical Trial unit / Department of Oncology
413 45 Göteborg
SwedenRekrutierend» Google-Maps
Karolinska Universitetssjukhuset, Solna; Kliniska prövningsenheten Z:4:01
171 76 Stockholm
SwedenRekrutierend» Google-Maps
Taipei Medical University ?Shuang Ho Hospital
23561 New Taipei City
TaiwanRekrutierend» Google-Maps
National Taiwan Uni Hospital
10041 Taipei City
TaiwanRekrutierend» Google-Maps
Taipei Veterans General Hospital
112 Taipei City
TaiwanRekrutierend» Google-Maps
Taipei Medical University Hospital
110 Taipei
TaiwanRekrutierend» Google-Maps
Taipei Municipal Wan Fang Hospital
119 Taipei
TaiwanRekrutierend» Google-Maps
Chang Gung Memorial Hospital - Linkou
333 Taoyuan
TaiwanRekrutierend» Google-Maps
Taichung Veterans General Hospital
40705 Xitun Dist.
TaiwanAktiv, nicht rekrutierend» Google-Maps
Rajavithi Hospital; Division of Medical Oncology
10400 Bangkok
ThailandRekrutierend» Google-Maps
Faculty of Med. Siriraj Hosp.; Med.-Div. of Med. Oncology
10700 Bangkok
ThailandRekrutierend» Google-Maps
Oncology Unit, Faculty of Medicine, Vajira Hospital; Department of Medicine
10300 Dusit
ThailandRekrutierend» Google-Maps
Songklanagarind Hospital; Department of Internal Medicine, Division of Respiratory
90110 Songkhla
ThailandRekrutierend» Google-Maps
Baskent University Adana Dr. Turgut Noyan Practice and Research Hospital; Medical Oncology
01230 Adana
TurkeyZurückgezogen» Google-Maps
Gazi Uni Medical Faculty Hospital; Oncology Dept
06500 Ankara
TurkeyRekrutierend» Google-Maps
Liv Hospital Ankara; Medical Oncology
06680 Ankara
TurkeyRekrutierend» Google-Maps
Bakirkoy Dr. Sadi Konuk Egitim ve Arastirma Hastanesi, Tibbi Onkoloji
34147 Bakirkoy / Istanbul
TurkeyRekrutierend» Google-Maps
Ataturk University Medical Faculty Yakutiye Research Hospital Medical Oncology Department
25240 Erzurum
TurkeyRekrutierend» Google-Maps
Medipol University Medical Faculty; Oncology Department
34214 Istanbul
TurkeyRekrutierend» Google-Maps
Istanbul Uni Cerrahpasa Medical Faculty Hospital; Medical Oncology
34300 Istanbul
TurkeyZurückgezogen» Google-Maps
Marmara Uni Faculty of Medicine; Medical Oncology
34890 Istanbul
TurkeyRekrutierend» Google-Maps
Birmingham Heartlands Hospital
B9 5SS Birmingham
United KingdomRekrutierend» Google-Maps
Velindre Cancer Centre; Oncology Dept
CF14 2TL Cardiff
United KingdomZurückgezogen» Google-Maps
Barts & London School of Med; Medical Oncology
EC1A 7BE London
United KingdomRekrutierend» Google-Maps
Royal Marsden Hospital; Dept of Med-Onc
SW3 6JJ London
United KingdomRekrutierend» Google-Maps
Christie Hospital Nhs Trust; Medical Oncology
M2O 4BX Manchester
United KingdomRekrutierend» Google-Maps
Alle anzeigen

Studien-Informationen

Brief Summary:

This study will evaluate the efficacy and safety of multiple therapies in participants with

locally advanced, unresectable, Stage III NSCLC with eligible biomarker status as determined

by Version 8 of the American Joint Committee on Cancer/Union for International Cancer Control

NSCLC staging system.

Ein-/Ausschlusskriterien

Inclusion Criteria (All Cohorts):

- Body weight >/= 30 kg at screening

- Willingness and ability to use the electronic device(s) or application(s) for the

electronic patient-reported outcome (PRO)

- Whole-body positron emission tomography/computed tomography scan (PET/CT) (from the

base of skull to mid-thighs) for the purposes of staging, performed prior and within

42 days of the first dose of cCRT or sCRT

- Histologically or cytologically documented locally advanced, unresectable Stage III

NSCLC of either squamous or non-squamous histology

- Prior receipt of at least two prior cycles of platinum-based chemotherapy given

concurrently with radiotherapy (cCRT); or at least two prior cycles of platinum-based

chemotherapy given prior to radiotherapy (sCRT)

- The RT component in the cCRT or sCRT must have been at a total dose of radiation of 60

(+/-10%) Gy (54 Gy to 66 Gy) administered by intensity-modulated radiotherapy

(preferred) or three dimension (3D)-conforming technique

- No disease progression during or following platinum-based cCRT or sCRT

- Life expectancy >/= 12 weeks

- Confirmed availability of a representative formalin-fixed, paraffin-embedded (FFPE)

tumor specimen

- Documented tumor PD-L1 status (TC score < 1% vs. >/= 1% vs. unknown) as determined:

centrally with the SP263 IHC assay on the confirmed available FFPE tumor specimen;

locally, with the SP263 (preferred) or 22C3 IHC assays

- Eastern Cooperative Oncology Group Performance Status of 0, 1, or 2

- Adequate hematologic and end-organ function

- For women of childbearing potential: agreement to remain abstinent (refrain from

heterosexual intercourse) or use contraception, and agreement to refrain from donating

eggs, as defined by the protocol

- For men: agreement to remain abstinent (refrain from heterosexual intercourse) or use

contraceptive methods, and agreement to refrain from donating sperm, as defined by the

protocol

Inclusion criteria specific to Cohort A1:

- Documented ALK fusion positivity by an eligible result from: centralized multiplex

molecular testing of tumor tissue at the Sponsor's designated central laboratory under

Study BX43361 or available results from a Sponsor pre-approved local, appropriately

validated ALK fusion test on tumor tissue performed in a Clinical Laboratory

Improvement Amendments certified or equivalent laboratory

Inclusion criteria specific to Cohort A2:

- Documented ROS1 fusion positivity by an eligible result from: centralized multiplex

molecular testing of tumor tissue at the Sponsor's designated central laboratory under

Study BX43361 or available results from a Sponsor pre-approved local, appropriately

validated ROS1 fusion test on tumor tissue performed in a Clinical Laboratory

Improvement Amendments certified or equivalent laboratory

- Ability to swallow entrectinib intact, without chewing, crushing, or opening the

capsules

Exclusion Criteria (All Cohorts):

- Any history of previous NSCLC and/or any history of prior treatment for NSCLC

(patients must be newly diagnosed with unresectable Stage III disease)

- Any evidence of Stage IV disease, including, but not limited to, the following:

pleural effusion, pericardial effusion, brain metastases, history of intracranial

hemorrhage or spinal cord hemorrhage, bone metastases, distant metastases

- If a pleural effusion is present, the following criteria must be met to exclude

malignant involvement (T4 disease): when pleural fluid is visible on both the CT scan

and chest X-ray, a pleuracentesis is required to confirm that the pleural fluid is

cytologically negative; participants with exudative pleural effusions are excluded

regardless of cytology; participants with effusions that are minimal (i.e., not

visible on chest X-ray) that are too small to safely tap are eligible

- NSCLC known to have a known or likely oncogenic-driver mutation in the EGFR gene, as

identified by site local testing or Sponsor central testing

- Liver disease, characterized by any of the following: impaired excretory function

(e.g., hyperbilirubinemia), synthetic function, or other conditions of decompensated

liver disease, such as coagulopathy, hepatic encephalopathy, hypoalbuminemia, ascites,

and bleeding from esophageal varices or active viral or active autoimmune, alcoholic,

or other types of acute hepatitis

- Positive hepatitis B surface antigen (HBsAg) test at screening

- Participants known to be positive for hepatitis C virus (HCV) antibody (Ab) are

excluded with the following exception: participants who are HCV Ab positive but HCV

RNA negative due to prior treatment or natural resolution are eligible

- HIV infection: participants are excluded if not well-controlled as defined by the

protocol

- Known active tuberculosis

- History of idiopathic pulmonary fibrosis, organizing pneumonia (e.g., bronchiolitis

obliterans), drug-induced pneumonitis, or idiopathic pneumonitis, or evidence of

active pneumonitis on the screening chest CT scan

- Grade >/= 2 pneumonitis from prior cCRT or sCRT

- Any Grade > 2 unresolved toxicity from prior cCRT or sCRT

- Any gastrointestinal (GI) disorder that may affect absorption of oral medications,

such as malabsorption syndrome or status post-major bowel resection

- Any other disease, metabolic dysfunction, physical examination finding, or clinical

laboratory finding that contraindicates the use of an investigational drug, may affect

the interpretation of the results, or may render the patient at high risk from

treatment complications

- Active or history of autoimmune disease or immune deficiency, including, but not

limited to, myasthenia gravis, myositis, autoimmune hepatitis, systemic lupus

erythematosus, rheumatoid arthritis, inflammatory bowel disease, antiphospholipid

antibody syndrome, Wegener granulomatosis, Sjögren syndrome, Guillain-Barré syndrome,

or multiple sclerosis, with the following exceptions: participants with a history of

autoimmune-related hypothyroidism who are on thyroid-replacement hormone are eligible

for the study; participants with controlled Type 1 diabetes mellitus who are on an

insulin regimen are eligible for the study

- History of malignancy other than NSCLC within 5 years prior to screening, with the

exception of malignancies with a negligible risk of metastasis or death (e.g., 5-year

OS rate > 90%), such as adequately treated carcinoma in situ of the cervix,

non-melanoma skin carcinoma, localized prostate cancer, ductal breast carcinoma in

situ, or Stage I uterine cancer

- Any concurrent chemotherapy, immunotherapy, biologic, or hormonal therapy for cancer

- Major surgical procedure, within 4 weeks prior to initiation of study treatment, or

anticipation of need for a major surgical procedure during the study

- Treatment with systemic immunostimulatory agents (including, but not limited to,

interferon and interleukin-2) within 4 weeks or 5 drug-elimination half-lives

(whichever is longer) prior to initiation of study treatment

- Treatment with a live, attenuated vaccine within 4 weeks prior to initiation of study

treatment, or anticipation of need for such a vaccine during study treatment or within

5 months after the final dose of study treatment

- Treatment with investigational therapy within 28 days prior to initiation of study

treatment

- Treatment with systemic immunosuppressive medication (including, but not limited to,

corticosteroids, cyclophosphamide, azathioprine, methotrexate, thalidomide, and

anti-tumor necrosis factor-alpha agents) within 2 weeks prior to initiation of study

treatment, or anticipation of need for systemic immunosuppressive medication during

study treatment, with exceptions defined by the protocol

- Prior treatment with CD137 agonists or immune checkpoint blockade therapies, including

anti-cytotoxic T lymphocyte-associated protein 4, anti-TIGIT, anti-PD-1, and

anti-PD-L1 therapeutic antibodies

- Prior allogeneic stem cell or solid organ transplantation

- Concurrent enrollment in another clinical study, unless it is an observational

(non-interventional) clinical study or the follow-up period of an interventional study

- Any condition that, in the opinion of the investigator, would interfere with the

evaluation of the study drug or interpretation of patient safety or study results

- Any prior Grade >/= 3 immune-mediated adverse event or any unresolved Grade > 1

immune-mediated adverse event while receiving any previous immunotherapy agent other

than immune checkpoint blockade agents

Exclusion criteria specific to Cohort A1:

- Presence of clinically symptomatic interstitial lung disease or interstitial

pneumonitis, including radiation pneumonitis (i.e., affecting activities of daily

living or requiring therapeutic intervention)

- NSCLC known to have one or more of the following ALK point mutations, as identified by

site local testing or Sponsor central testing: I1171X (where X is any other amino

acid), V1180L, G1202R

- Symptomatic bradycardia

- Significant cardiovascular disease (such as New York Heart Association Class II or

greater cardiac disease, myocardial infarction, or cerebrovascular accident) within 3

months prior to initiation of study treatment, unstable arrhythmia, or unstable

angina; participants with known coronary artery disease, congestive heart failure not

meeting the above criteria, or left ventricular ejection fraction < 50% must be on a

stable medical regimen that is optimized in the opinion of the treating physician, in

consultation with a cardiologist if appropriate

- Severe infection within 4 weeks prior to initiation of study treatment, including, but

not limited to, hospitalization for complications of infection, bacteremia, or severe

pneumonia

- Treatment with therapeutic oral or IV antibiotics within 2 weeks prior to initiation

of study treatment

- Prior treatment with ALK inhibitors

- History of hypersensitivity to alectinib, durvalumab, or any of their excipients

- Inability to swallow oral study drug

- Known hereditary problems of galactose intolerance, a congenital lactase deficiency,

or glucose-galactose malabsorption

- Pregnancy or breastfeeding, or intending to become pregnant during the study treatment

or within 90 days after the final dose of alectinib or durvalumab

Exclusion criteria specific to Cohort A2:

- Symptomatic bradycardia

- Significant cardiovascular disease (such as New York Heart Association Class II or

greater cardiac disease, myocardial infarction, or cerebrovascular accident) within 3

months prior to initiation of study treatment, unstable arrhythmia, or unstable

angina; participants with known coronary artery disease, congestive heart failure not

meeting the above criteria, or left ventricular ejection fraction < 50% must be on a

stable medical regimen that is optimized in the opinion of the treating physician, in

consultation with a cardiologist if appropriate

- Left ventricular ejection fraction less than or equal to 50% observed during the

screening for the study

- History of prolonged QTc interval (e.g., repeated demonstration of a QTc interval >

450 ms from ECGs performed at least 24 hours apart)

- History of additional risk factors for torsade de pointes (e.g., family history of

long QT syndrome)

- Familial or personal history of congenital bone disorders or bone metabolism

alterations

- Incomplete recovery from any surgery prior to the start of study treatment that would

interfere with the determination of safety or efficacy of the treatment

- Severe infection within 4 weeks prior to initiation of study treatment, including, but

not limited to, hospitalization for complications of infection, bacteremia, or severe

pneumonia

- Treatment with therapeutic oral or IV antibiotics within 2 weeks prior to initiation

of study treatment

- Prior treatment with ROS1 inhibitors

- History of hypersensitivity to entrectinib, durvalumab, and their excipients

- Grade >/= 3 toxicities due to any prior therapy (e.g., RT) (excluding alopecia) that

have not shown improvement or are not stable and are considered to interfere with

current study drug

- Known hereditary problems of galactose intolerance, total lactase deficiency or

glucose-galactose malabsorption

- Grade >/= 2 peripheral neuropathy

- Pregnancy or intention of becoming pregnant during study treatment, within 35 days

after the final dose of entrectinib, or within 90 days after the final dose of

durvalumab

Studien-Rationale

Primary outcome:

1. Progression-free survival (PFS) (Time Frame - From randomization to the first documented disease progression as determined by blinded independent central review (BICR) per Response Evaluation Criterial in Solid Tumors (RECIST) v1.1, or death from any cause, whichever occurs first (up to 3 years))



Secondary outcome:

1. Time-to-confirmed deterioration (TTCD) (Time Frame - From randomization to the first deterioration of >/= 10 points that is either maintained for two consecutive assessments or followed by death from any cause within 3 weeks (up to 3 years))

2. Proportion of participants who have maintained or improved baseline health as measured by the European Organisation for the Research and Treatment of Cancer (EORTC) quality of life questionnaire (QLQ)-C30 physical functioning and role functioning scales (Time Frame - 5, 11, and 17 months)

3. Proportion of participants who have maintained or improved from their baseline health in cough, chest pain, and dyspnea symptoms as measured using the EORTC QLQ-LC13 (Time Frame - 5, 11, and 17 months)

4. Percentage of participants with adverse events (AEs) (Time Frame - Up to 3 years)

5. Time to central nervous system (CNS) progression (Time Frame - From randomization to the first occurrence of disease progression in the CNS as determined by BICR per RECIST v1.1 (up to 3 years))

6. Distant metastasis-free survival (DMFS) (Time Frame - From randomization to the first occurrence of distant metastasis or death (whichever occurs first) as determined by BICR per RECIST v1.1 (up to 3 years))

7. Objective response rate (ORR), defined as the percentage of participants with measurable disease who attain a complete response (CR) or partial response (PR) as determined by the investigator per RECIST v1.1 (Time Frame - Up to 3 years)

8. PFS (Time Frame - From randomization to the first documented disease progression as determined by the investigator per RECIST v1.1, or death from any cause, whichever occurs first (up to 3 years))

9. Duration of response (DOR) (Time Frame - From the first documented CR or PR to the first documented disease progression or death (whichever occurs first) as determined by the investigator per RECIST v1.1 (up to 3 years))

10. ORR, defined as the percentage of participants with measurable disease who attain a CR or PR as determined by BICR per RECIST v1.1 (Time Frame - Up to 3 years)

11. DOR (Time Frame - From the first documented CR or PR to the first documented disease progression or death (whichever occurs first) as determined by BICR per RECIST v1.1 (up to 3 years))

12. Overall survival (OS) (Time Frame - From randomization to death from any cause (up to 5 years))

13. Time to CNS progression (Time Frame - From randomization to the first occurrence of disease progression in the CNS as determined by the investigator per RECIST v1.1 (up to 3 years))

Studien-Arme

  • Experimental: Cohort A1: ALK-Positive (alectinib arm)
    Participants will receive alectinib 600 mg orally twice daily until completion of treatment period (3 years), or until disease progression, unacceptable toxicity, patient or physician decision to discontinue, or death, whichever occurs first
  • Active Comparator: Cohort A1: ALK-positive (durvalumab arm)
    Participants will receive 1500 mg of intravenous (IV) durvalumab every 4 weeks until completion of treatment period (1 year) or until disease progression, unacceptable toxicity, patient or physician decision to discontinue, or death, whichever occurs first
  • Experimental: Cohort A2: ROS 1-positive (entrectinib arm)
    Participants will receive entrectinib 600 mg orally once daily until completion of treatment period (3 years), or until disease progression, unacceptable toxicity, patient or physician decision to discontinue, or death, whichever occurs first. Cohort A2 has been closed to enrollment.
  • Active Comparator: Cohort A2: ROS 1-positive (durvalumab arm)
    Participants will receive 1500 mg of IV durvalumab every 4 weeks until completion of treatment period (1 year) or until disease progression, unacceptable toxicity, patient or physician decision to discontinue, or death, whichever occurs first Cohort A2 has been closed to enrollment.

Geprüfte Regime

  • Alectinib:
    Participants will receive oral alectinib twice daily with food.
  • Entrectinib:
    Participants will receive oral entrectinib once daily, with or without food.
  • Durvalumab:
    Participants will receive IV durvalumab every 4 weeks.

Quelle: ClinicalTrials.gov


Sie können folgenden Inhalt einem Kollegen empfehlen:

"A Study Evaluating the Efficacy and Safety of Multiple Therapies in Cohorts of Participants With Locally Advanced, Unresectable, Stage III Non-Small Cell Lung Cancer (NSCLC)"

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