Treatment of Pulmonary SUlcus, Pancoast and Chest Wall Non-small Cell Lung Cancer Employing Radiation, Immuno-oncology and Resection

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18-99
SponsorMarc de Perrot

About this trial

The SUPER trial is a prospective Phase II trial. It is designed for patients with stage 2 or 3 non-small cell lung cancer (NSCLC) prior to surgery.

Patients who are enrolled in this trial will receive combination of Non-ablative oligofractionated radiation (NORT) and two cycles of Durvalumab, an immunotherapy drug before their surgery.

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.

Age > 18 years at time of study entry.

Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1

Body weight >30 kg

Disqualifiers

Participation in another clinical study with an investigational product during the last 8 weeks before enrollment

Concurrent enrollment in another clinical study, unless it is an observational (non-interventional) clinical study or during the follow-up period of an interventional study

Known oncogenic driver mutations such as EGFR mutant or ALK mutant

The presence of N3 disease in the contralateral mediastinum, contralateral hilum, or contralateral supraclavicular lymph node confirmed histologically.

Trial design

Design model

Single group

Treatments tested in this trial

  • Durvalumab

    Drug

    Two doses of durvalumab (1500 mg IV)

  • Non-ablative oligofractionated radiation (NORT)

    Radiation

    12 Gy of Radiation in 3 fractions

Treatment groups

12 Participants
are divided into 1 treatment group
Group A: Neoadjuvant NORT-DurvalumabExperimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

To Measure CD8 TILs density & Major Pathological Response (MPR)

1. The proportion of patients achieving MPR after neoadjuvant therapy 2. The proportion of patients doubling the CD8 TILs density after neoadjuvant therapy.

Time frame
5-6 weeks post treatment

Secondary outcomes

1

To explore the efficacy and safety of NORT-durvalumab

1. The proportion of patients achieving pCR after neoadjuvant therapy 2. The proportion of patients with grade 3, 4 or 5 toxicity

Time frame
12 weeks post surgery

Other outcomes

Sponsors and contacts

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

Marc de Perrot

Lead sponsor

University Health Network, Toronto

Sponsor institution

Ozmosis Research Inc.

Collaborator