Lung Cancer Clinical Trial
PDR001 in Combination With Platinum-doublet Chemotherapy and Other Immunology Agents in PD-L1 Unselected, Metastatic NSCLC Patients
Summary
The primary purpose of this study is to establish the maximum tolerated dose (MTD) and/or recommended dose for expansion (RDE) of PDR001 when administered in combination with platinum-doublet chemotherapy and other immunooncology agent(s) in treatment naive patients with PD-L1 unselected, advanced NSCLC, and to estimate the preliminary anti-tumor activity in this patient population.
Eligibility Criteria
Main Inclusion Criteria:
Patient has stage IIIB (and is not a candidate for definitive multimodality therapy) or has stage IV NSCLC or relapsed locally advanced or metastatic NSCLC as follows:
Group A, group B and group C only: Patients not previously treated with any systemic anti-cancer therapy (e.g. cytotoxic drugs, targeted therapy, monoclonal antibody therapy including immunotherapy (e.g. PD-1/PD-L1 inhibitors) or targeted therapies, either experimental or not), with exception of neo-adjuvant or adjuvant therapy as depicted in inclusion criterion 4.
Group D only: Patients who have received only one prior systemic therapy treatment consisting of a PD-1 and/or PD-L1 inhibitor with or without a CTLA4 inhibitor for NSCLC, with exception of neo-adjuvant or adjuvant therapy as depicted in inclusion criterion 4. The last dose of prior immunotherapy must have been administered at least 6 weeks prior to the start of study treatment (cycle 1 day 1).
Histologically or cytologically confirmed diagnosis of NSCLC that is EGFR Wild-type, ALK-negative rearrangement and ROS1-negative rearrangement
Eastern Cooperative Oncology Group (ECOG) performance status of 0-1
Patients with at least 1 measurable tumor lesion as assessed by Computed Tomography (CT) Scan or Magnetic Resonance Imaging (MRI) according to RECIST 1.1.
Main Exclusion Criteria:
Patient with a history of severe hypersensitivity reaction to the planned study treatment including gemcitabine, paclitaxel, cisplatin, carboplatin, pemetrexed or any known excipients of these drugs
History of severe hypersensitivity reactions to other monoclonal antibodies, which in the opinion of the investigator may pose an increased risk of serious infusion reaction.
Patient has history of interstitial lung disease or interstitial pneumonitis, including clinically significant radiation pneumonitis (i.e., affecting activities of daily living or requiring therapeutic intervention).
History of leptomeningeal metastases
Active, known or suspected autoimmune disease or a documented history of autoimmune disease, including ulcerative colitis and Crohn's disease (Patients with vitiligo, type I diabetes mellitus, residual hypothyroidism due to autoimmune condition only requiring hormone replacement, psoriasis not requiring systemic treatment, or conditions not expected to recur in the absence of an external trigger are permitted to enroll).
Use of any live vaccines against infectious diseases within 4 weeks of initiation of study treatment
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There are 22 Locations for this study
Fayetteville Arkansas, 72703, United States
Santa Monica California, 90404, United States
Stanford California, 94305, United States
Detroit Michigan, 48202, United States
Saint Louis Missouri, 63110, United States
Leuven , 3000, Belgium
Roeselare , 8800, Belgium
Toronto Ontario, M5G 2, Canada
Praha 4 , 140 5, Czechia
Lyon Cedex , 69373, France
Marseille Cedex 05 , 13885, France
Gottingen , 37075, Germany
Koeln , 51109, Germany
Pokfulam , , Hong Kong
Meldola FC, 47014, Italy
Rozzano MI, 20089, Italy
Aviano PN, 33081, Italy
Seoul , 03080, Korea, Republic of
Amsterdam , 1066 , Netherlands
Singapore , 16961, Singapore
Barcelona Catalunya, 08035, Spain
Madrid , 28034, Spain
Madrid , 28041, Spain
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