Patient Preference for Subcutaneous vs. Intravenous Immune Therapy

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorDiwakar Davar

About this trial

The study will evaluate patient and Health Care Professional- reported preference for Subcutaneous (SC) compared with IV nivolumab administration or similarly for SC compared with IV pembrolizumab.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Able to understand and willing to sign a written informed consent document.

Able to read and write in English.

Must be eligible to receive nivolumab (Cohorts A-1, B-1) or pembrolizumab (Cohorts A-2, B-2) singly or in combination with other FDA-approved agents (TKIs or chemotherapy) according to standard of care practices, as determined by the clinical judgment of the investigator.

Prior and concurrent therapy criteria

Disqualifiers

Participant unable to receive nivolumab (or pembrolizumab) due to prior allergic reactions to nivolumab (or pembrolizumab) or any of its ingredients.

Has severe hypersensitivity (≥Grade 3) to nivolumab (or pembrolizumab) and/or any of its excipients.

Has had an allogenic tissue/solid organ transplant.

Trial design

Design model

Crossover

Treatments tested in this trial

  • nivolumab

    Drug

    IV nivolumab (480mg Q4W), SC nivolumab (1200mg Q4W)

  • pembrolizumab

    Drug

    IV pembrolizumab (400mg Q6W) or SC pembrolizumab (790mg Q6W)

Treatment groups

880 Participants
are divided into 2 treatment groups
Group A: Subcutaneous to IVActive comparator 2 interventions
Group B: IV to SubcutaneousActive comparator 2 interventions

Trial outcomes

Primary outcomes

1

Preference for Subcutaneous Nivolumab Treatment

The proportion of patients with locally advanced or advanced/metastatic solid tumors who prefer SC to IV nivolumab.

Time frame
Up to 48 months
2

Preference for Subcutaneous Pembrolizumab Treatment

The proportion of patients with locally advanced or advanced/metastatic solid tumors who prefer SC to IV pembrolizumab.

Time frame
Up to 48 months

Secondary outcomes

1

Therapy Administration Satisfaction Questionnaire

Patient assessed satisfaction with SC vs. IV nivolumab (or pembrolizumab) using Therapy Administration Satisfaction Questionnaire (using TASQ-IV) in patients with locally advanced or advanced/metastatic solid tumors pending initiation of nivolumab (or pembrolizumab) monotherapy or nivolumab- (or pembrolizumab-) based combinations.

Time frame
Up to 48 months
2

Therapy Administration Satisfaction Questionnaire

Patient assessed satisfaction with SC vs. IV nivolumab (or pembrolizumab) using Therapy Administration Satisfaction Questionnaire (using TASQ-SC) in patients with locally advanced or advanced/metastatic solid tumors pending initiation of nivolumab (or pembrolizumab) monotherapy or nivolumab- (or pembrolizumab-) based combinations.

Time frame
Up to 48 months
3

Health-Related Quality of Life (HRQoL) - EORTC QLQ-C30

Patient reported HRQoL scores using the EORTC QLQ-C30 instrument. The categories/domains include functional scales (physical, role, cognitive, emotional, social), symptom scales (fatigue, pain, and nausea and vomiting), global health status and quality of life scale. Item scoring for functional items is 1 (Not at all) to 4 (Very much); Item scoring for global health items is 1 (Very poor) to 7 (Excellent). Total scores (all items) range from 0 to 100. For functional and global quality of life scales higher scores mean a better level of functioning. For symptom-oriented scales, a higher score means more severe symptoms.

Time frame
Screening Phase - Up to 28 days after signed consent
4

Health-Related Quality of Life (HRQoL) - EORTC QLQ-C30

Patient reported HRQoL scores using the EORTC QLQ-C30 instrument (30 items). The categories/domains include functional scales (physical, role, cognitive, emotional, social), symptom scales (fatigue, pain, and nausea and vomiting), and global health status and quality of life scale. Item scoring for functional and symptom items is 1 (Not at all) to 4 (Very much); Item scoring for global health items is 1 (Very poor) to 7 (Excellent). Total scores range from 0 to 100. For functional and global quality of life scales higher scores mean a better level of functioning. For symptom-oriented scales, a higher score means more severe symptoms.

Time frame
At Day 1 of Treatment Cycle 3

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Diwakar Davar

Lead sponsor

University of Pittsburgh

Sponsor institution