A Multicenter Open-label Phase II Study of Cemiplimab Plus Chemotherapy, Selected on the Basis of Baseline Cytidine Deaminase Activity, in Advanced Squamous Non-small Cell Lung Cancer

Trial statusNot yet recruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorGruppo Oncologico Italiano di Ricerca Clinica

About this trial

This is a multicenter phase II study enrolling treatment- naïve patients with metastatic or recurrent squamous carcinoma of the lung

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol.

Written informed consent and any locally required authorization obtained from the patient/legal representative prior to performing any protocol-related procedures, including screening evaluations.

Age > 18 years at the time of study entry.

Histologically or cytologically (cell blocks only; smears are not acceptable) documented pulmonary squamous carcinoma.

Disqualifiers

Patients with a sensitizing mutation in the epidermal growth factor receptor (EGFR) gene, or with anaplastic lymphoma kinase (EML4-ALK) translocations or with ROS1 proto-oncogene receptor tyrosine kinase (ROS1) translocations. EGFR mutations, ALK and ROS1 translocations will be assessed in never- smoker patients

The patient has no history of intracranial haemorrhage, spinal cord haemorrhage or haemorrhagic intracranial lesions

At least 14 days between the end of stereotactic radiotherapy or whole brain radiotherapy and initiation of study treatment, or at least 28 days between neurosurgical resection and initiation of study treatment

The patient is on a dose of corticosteroids ≤ 10 mg of oral prednisone or equivalent; anticonvulsant therapy at a stable dose is permitted

Trial design

Design model

Parallel

Treatments tested in this trial

  • Cemiplimab 350 mg IV

    Drug

    Over approximately 30 min +/- 10 min. Day 1 every 21 days

  • Paclitaxel 200 mg/sqm IV

    Drug

    Over approximately 180 min. Day 1 every 21 days

  • Carboplatin AUC 5 IVa

    Drug

    Over approximately 15-30 min. Day 1 every 21 days

  • Cisplatin 80 mg/sqm IV

    Drug

    Over approximately 20 min. Day 1 every 21 days

  • Gemcitabine 1000 mg/sqm a

    Drug

    Over approximately 30 min. Day 1 and 8 every 21 days

  • Carboplatin AUC 6 IVb

    Drug

    Over approximately 15-30 min. Day 1 every 21 days

  • Gemcitabine 1200 mg/sqm b

    Drug

    Over approximately 30 min. Day 1 and 8 every 21 days

Treatment groups

108 Participants
are divided into 3 treatment groups
Group A: CDA activity < 7.2 U/mgExperimental treatment 3 interventions
Group B: CDA activity ≥ 7.2 U/mgExperimental treatment 3 interventions
Group C: CDA activity < 7.2 U/mg (at investigator's choice)Experimental treatment 3 interventions

Trial outcomes

Primary outcomes

1

The primary endpoint is the Overall Survival (OS)

The OS will be measured from the date of registration to the date of death by any cause and will be analyzed as survival rate at 1 year.

Time frame
Four years

Secondary outcomes

1

Secondary outcomes

Median OS that will be measured from the date of registration to the date of death by any cause.

Time frame
Four years
2

Secondary Outcome

Survival rate at 3 year and 5 years will be analysed

Time frame
Three and five years
3

Secondary Outcome

Progression Free Survival (PFS) that will be measured from the date of registration to the date of disease progression

Time frame
Four years
4

Secondary Outcome

Objective Response Rate (ORR) that will be defined as the sum of complete response (CR)+ partial response (PR), based on the Investigator's assessment according to standard RECIST 1.1 criteria. Patients with no tumor assessment after baseline will be classified as non-responders.

Time frame
Four years

Other outcomes

Sponsors and contacts

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This trial is not recruiting at the moment. You can still explore other options: