- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05647265
Testing the Addition of Immunotherapy Before Surgery for Patients With Sarcomatoid Mesothelioma
Official Title Neoadjuvant Immunotherapy in Sarcomatoid Mesothelioma
Study Overview
Status
Detailed Description
PRIMARY OBJECTIVES:
I. To determine the percentage of patients with potentially resectable non-epithelioid mesothelioma who are able to proceed with surgery after neoadjuvant ipilimumab and nivolumab.
II. To determine the progression-free survival rate at 12 months after the initiation of neoadjuvant ipilimumab and nivolumab.
SECONDARY OBJECTIVES:
I. To determine the rate of intra-operative or post-operative complications following neoadjuvant immunotherapy.
II. Best response per modified pleural Response Evaluation Criteria in Solid Tumors (RECIST).
III. Major pathologic response rate. IV. Time to recurrence after surgery.
EXPLORATORY OBJECTIVES:
I. To evaluate the association between the change in peripheral T cell clonality relative to baseline and treatment response.
II. To evaluate the association between PD-L1 expression at baseline and treatment response.
III. To evaluate whether a novel mesothelioma immune signature identified by Dr. Mansfield's laboratory is predictive of response.
OUTLINE:
Patients receive nivolumab intravenously (IV), ipilimumab IV, and may undergo surgery on study. Patients also undergo computed tomography (CT) or magnetic resonance imaging (MRI) and positron emission tomography (PET) throughout the trial.
Study Type
Enrollment (Estimated)
Phase
- Phase 2
Contacts and Locations
Study Contact
- Name: Aaron Mansfield, MD
- Phone Number: 507-293-0569
- Email: mansfield.aaron@mayo.edu
Study Contact Backup
- Name: Colleen Watt
- Email: cwatt@bsd.uchicago.edu
Study Locations
-
-
Arizona
-
Kingman, Arizona, United States, 86401
- Recruiting
- Kingman Regional Medical Center
-
Contact:
- Site Public Contact
- Phone Number: 702-384-0013
- Email: research@sncrf.org
-
Principal Investigator:
- John A. Ellerton
-
Phoenix, Arizona, United States, 85054
- Recruiting
- Mayo Clinic Hospital in Arizona
-
Contact:
- Site Public Contact
- Phone Number: 855-776-0015
-
Principal Investigator:
- Aaron S. Mansfield
-
Scottsdale, Arizona, United States, 85259
- Active, not recruiting
- Mayo Clinic in Arizona
-
-
California
-
Arroyo Grande, California, United States, 93420
- Recruiting
- PCR Oncology
-
Contact:
- Site Public Contact
- Phone Number: 702-384-0013
- Email: research@sncrf.org
-
Principal Investigator:
- John A. Ellerton
-
-
Delaware
-
Frankford, Delaware, United States, 19945
- Recruiting
- Beebe South Coastal Health Campus
-
Contact:
- Site Public Contact
- Phone Number: 302-291-6730
- Email: research@beebehealthcare.org
-
Principal Investigator:
- Gregory A. Masters
-
Lewes, Delaware, United States, 19958
- Recruiting
- Beebe Medical Center
-
Contact:
- Site Public Contact
- Phone Number: 302-291-6730
- Email: research@beebehealthcare.org
-
Principal Investigator:
- Gregory A. Masters
-
Newark, Delaware, United States, 19713
- Recruiting
- Helen F Graham Cancer Center
-
Principal Investigator:
- Gregory A. Masters
-
Contact:
- Site Public Contact
- Phone Number: 302-623-4450
- Email: lbarone@christianacare.org
-
Newark, Delaware, United States, 19713
- Suspended
- Delaware Clinical and Laboratory Physicians PA
-
Newark, Delaware, United States, 19713
- Recruiting
- Medical Oncology Hematology Consultants PA
-
Principal Investigator:
- Gregory A. Masters
-
Contact:
- Site Public Contact
- Phone Number: 302-623-4450
- Email: lbarone@christianacare.org
-
Newark, Delaware, United States, 19718
- Recruiting
- Christiana Care Health System-Christiana Hospital
-
Principal Investigator:
- Gregory A. Masters
-
Contact:
- Site Public Contact
- Phone Number: 302-623-4450
- Email: lbarone@christianacare.org
-
Rehoboth Beach, Delaware, United States, 19971
- Recruiting
- Beebe Health Campus
-
Contact:
- Site Public Contact
- Phone Number: 302-291-6730
- Email: research@beebehealthcare.org
-
Principal Investigator:
- Gregory A. Masters
-
Wilmington, Delaware, United States, 19801
- Recruiting
- Christiana Care Health System-Wilmington Hospital
-
Principal Investigator:
- Gregory A. Masters
-
Contact:
- Site Public Contact
- Phone Number: 302-623-4450
- Email: lbarone@christianacare.org
-
-
Florida
-
Jacksonville, Florida, United States, 32224-9980
- Recruiting
- Mayo Clinic in Florida
-
Contact:
- Site Public Contact
- Phone Number: 855-776-0015
-
Principal Investigator:
- Aaron S. Mansfield
-
-
Illinois
-
Aurora, Illinois, United States, 60504
- Recruiting
- Rush - Copley Medical Center
-
Contact:
- Site Public Contact
- Phone Number: 630-978-6212
- Email: Cancer.Research@rushcopley.com
-
Principal Investigator:
- Tanmay Sahai
-
Chicago, Illinois, United States, 60637
- Recruiting
- University of Chicago Comprehensive Cancer Center
-
Contact:
- Site Public Contact
- Phone Number: 773-702-8222
- Email: cancerclinicaltrials@bsd.uchicago.edu
-
Principal Investigator:
- Hedy L. Kindler
-
Chicago, Illinois, United States, 60611
- Recruiting
- Northwestern University
-
Principal Investigator:
- Young Kwang Chae
-
Contact:
- Site Public Contact
- Phone Number: 312-695-1301
- Email: cancer@northwestern.edu
-
Danville, Illinois, United States, 61832
- Recruiting
- Carle at The Riverfront
-
Contact:
- Site Public Contact
- Phone Number: 800-446-5532
- Email: Research@carle.com
-
Principal Investigator:
- Tanmay Sahai
-
DeKalb, Illinois, United States, 60115
- Recruiting
- Northwestern Medicine Cancer Center Kishwaukee
-
Principal Investigator:
- Young Kwang Chae
-
Contact:
- Site Public Contact
- Phone Number: 630-352-5360
- Email: Donald.Smith3@nm.org
-
Effingham, Illinois, United States, 62401
- Recruiting
- Carle Physician Group-Effingham
-
Contact:
- Site Public Contact
- Phone Number: 800-446-5532
- Email: Research@carle.com
-
Principal Investigator:
- Tanmay Sahai
-
Geneva, Illinois, United States, 60134
- Recruiting
- Northwestern Medicine Cancer Center Delnor
-
Principal Investigator:
- Young Kwang Chae
-
Contact:
- Site Public Contact
- Phone Number: 630-352-5360
- Email: Donald.Smith3@nm.org
-
Glenview, Illinois, United States, 60026
- Recruiting
- Northwestern Medicine Glenview Outpatient Center
-
Principal Investigator:
- Young Kwang Chae
-
Contact:
- Site Public Contact
- Phone Number: 312-695-1102
-
Grayslake, Illinois, United States, 60030
- Recruiting
- Northwestern Medicine Grayslake Outpatient Center
-
Principal Investigator:
- Young Kwang Chae
-
Contact:
- Site Public Contact
- Phone Number: 312-695-1102
-
Lake Forest, Illinois, United States, 60045
- Recruiting
- Northwestern Medicine Lake Forest Hospital
-
Principal Investigator:
- Young Kwang Chae
-
Contact:
- Site Public Contact
- Email: cancertrials@northwestern.edu
-
Mattoon, Illinois, United States, 61938
- Recruiting
- Carle Physician Group-Mattoon/Charleston
-
Contact:
- Site Public Contact
- Phone Number: 800-446-5532
- Email: Research@carle.com
-
Principal Investigator:
- Tanmay Sahai
-
Orland Park, Illinois, United States, 60462
- Recruiting
- Northwestern Medicine Orland Park
-
Principal Investigator:
- Young Kwang Chae
-
Contact:
- Site Public Contact
- Email: nctnprogram_rhlccc@northwestern.edu
-
Urbana, Illinois, United States, 61801
- Recruiting
- Carle Cancer Center
-
Contact:
- Site Public Contact
- Phone Number: 800-446-5532
- Email: Research@carle.com
-
Principal Investigator:
- Tanmay Sahai
-
Warrenville, Illinois, United States, 60555
- Recruiting
- Northwestern Medicine Cancer Center Warrenville
-
Principal Investigator:
- Young Kwang Chae
-
Contact:
- Site Public Contact
- Phone Number: 630-352-5360
- Email: Donald.Smith3@nm.org
-
Yorkville, Illinois, United States, 60560
- Recruiting
- Rush-Copley Healthcare Center
-
Contact:
- Site Public Contact
- Phone Number: 630-978-6212
- Email: Cancer.Research@rushcopley.com
-
Principal Investigator:
- Tanmay Sahai
-
-
Maryland
-
Elkton, Maryland, United States, 21921
- Recruiting
- Christiana Care - Union Hospital
-
Principal Investigator:
- Gregory A. Masters
-
Contact:
- Site Public Contact
- Phone Number: 410-620-3710
- Email: sstewart@uhcc.com
-
-
Minnesota
-
Rochester, Minnesota, United States, 55905
- Recruiting
- Mayo Clinic in Rochester
-
Contact:
- Site Public Contact
- Phone Number: 855-776-0015
-
Principal Investigator:
- Aaron S. Mansfield
-
-
Nevada
-
Carson City, Nevada, United States, 89703
- Recruiting
- Carson Tahoe Regional Medical Center
-
Contact:
- Site Public Contact
- Phone Number: 702-384-0013
- Email: research@sncrf.org
-
Principal Investigator:
- John A. Ellerton
-
Henderson, Nevada, United States, 89052
- Recruiting
- Cancer and Blood Specialists-Henderson
-
Contact:
- Site Public Contact
- Phone Number: 702-384-0013
- Email: research@sncrf.org
-
Principal Investigator:
- John A. Ellerton
-
Henderson, Nevada, United States, 89052
- Recruiting
- Comprehensive Cancer Centers of Nevada - Henderson
-
Contact:
- Site Public Contact
- Phone Number: 702-384-0013
- Email: research@sncrf.org
-
Principal Investigator:
- John A. Ellerton
-
Henderson, Nevada, United States, 89052
- Recruiting
- Comprehensive Cancer Centers of Nevada-Horizon Ridge
-
Contact:
- Site Public Contact
- Phone Number: 702-384-0013
- Email: research@sncrf.org
-
Principal Investigator:
- John A. Ellerton
-
Henderson, Nevada, United States, 89052
- Recruiting
- OptumCare Cancer Care at Seven Hills
-
Contact:
- Site Public Contact
- Phone Number: 702-384-0013
- Email: research@sncrf.org
-
Principal Investigator:
- John A. Ellerton
-
Henderson, Nevada, United States, 89074
- Recruiting
- Comprehensive Cancer Centers of Nevada-Southeast Henderson
-
Contact:
- Site Public Contact
- Phone Number: 702-384-0013
- Email: research@sncrf.org
-
Principal Investigator:
- John A. Ellerton
-
Henderson, Nevada, United States, 89074
- Recruiting
- GenesisCare USA - Henderson
-
Contact:
- Site Public Contact
- Phone Number: 702-384-0013
- Email: research@sncrf.org
-
Principal Investigator:
- John A. Ellerton
-
Henderson, Nevada, United States, 89074
- Recruiting
- Las Vegas Urology - Green Valley
-
Principal Investigator:
- John A. Ellerton
-
Contact:
- Site Public Contact
- Email: research@sncrf.org
-
Henderson, Nevada, United States, 89074
- Recruiting
- Las Vegas Urology - Pebble
-
Principal Investigator:
- John A. Ellerton
-
Contact:
- Site Public Contact
- Email: research@sncrf.org
-
Henderson, Nevada, United States, 89074
- Recruiting
- Urology Specialists of Nevada - Green Valley
-
Principal Investigator:
- John A. Ellerton
-
Contact:
- Site Public Contact
- Email: research@sncrf.org
-
Henderson, Nevada, United States, 89052
- Suspended
- Las Vegas Cancer Center-Henderson
-
Las Vegas, Nevada, United States, 89074
- Recruiting
- Las Vegas Urology - Pecos
-
Principal Investigator:
- John A. Ellerton
-
Contact:
- Site Public Contact
- Email: research@sncrf.org
-
Las Vegas, Nevada, United States, 89102
- Recruiting
- OptumCare Cancer Care at Charleston
-
Contact:
- Site Public Contact
- Phone Number: 702-384-0013
- Email: research@sncrf.org
-
Principal Investigator:
- John A. Ellerton
-
Las Vegas, Nevada, United States, 89102
- Recruiting
- University Medical Center of Southern Nevada
-
Contact:
- Site Public Contact
- Phone Number: 702-384-0013
- Email: research@sncrf.org
-
Principal Investigator:
- John A. Ellerton
-
Las Vegas, Nevada, United States, 89103
- Recruiting
- Hope Cancer Care of Nevada
-
Contact:
- Site Public Contact
- Phone Number: 702-384-0013
- Email: research@sncrf.org
-
Principal Investigator:
- John A. Ellerton
-
Las Vegas, Nevada, United States, 89106
- Recruiting
- Radiation Oncology Centers of Nevada Central
-
Contact:
- Site Public Contact
- Phone Number: 702-384-0013
- Email: research@sncrf.org
-
Principal Investigator:
- John A. Ellerton
-
Las Vegas, Nevada, United States, 89106
- Recruiting
- Urology Specialists of Nevada - Central
-
Principal Investigator:
- John A. Ellerton
-
Contact:
- Site Public Contact
- Email: research@sncrf.org
-
Las Vegas, Nevada, United States, 89109
- Recruiting
- GenesisCare USA - Las Vegas
-
Contact:
- Site Public Contact
- Phone Number: 702-384-0013
- Email: research@sncrf.org
-
Principal Investigator:
- John A. Ellerton
-
Las Vegas, Nevada, United States, 89109
- Recruiting
- Sunrise Hospital and Medical Center
-
Contact:
- Site Public Contact
- Phone Number: 702-384-0013
- Email: research@sncrf.org
-
Principal Investigator:
- John A. Ellerton
-
Las Vegas, Nevada, United States, 89113
- Recruiting
- Las Vegas Prostate Cancer Center
-
Principal Investigator:
- John A. Ellerton
-
Contact:
- Site Public Contact
- Email: research@sncrf.org
-
Las Vegas, Nevada, United States, 89113
- Recruiting
- Las Vegas Urology - Sunset
-
Principal Investigator:
- John A. Ellerton
-
Contact:
- Site Public Contact
- Email: research@sncrf.org
-
Las Vegas, Nevada, United States, 89113
- Recruiting
- Urology Specialists of Nevada - Southwest
-
Principal Investigator:
- John A. Ellerton
-
Contact:
- Site Public Contact
- Email: research@sncrf.org
-
Las Vegas, Nevada, United States, 89119
- Recruiting
- Radiation Oncology Centers of Nevada Southeast
-
Contact:
- Site Public Contact
- Phone Number: 702-384-0013
- Email: research@sncrf.org
-
Principal Investigator:
- John A. Ellerton
-
Las Vegas, Nevada, United States, 89128
- Recruiting
- Ann M Wierman MD LTD
-
Contact:
- Site Public Contact
- Phone Number: 702-384-0013
- Email: research@sncrf.org
-
Principal Investigator:
- John A. Ellerton
-
Las Vegas, Nevada, United States, 89128
- Recruiting
- Comprehensive Cancer Centers of Nevada - Northwest
-
Contact:
- Site Public Contact
- Phone Number: 702-384-0013
- Email: research@sncrf.org
-
Principal Investigator:
- John A. Ellerton
-
Las Vegas, Nevada, United States, 89128
- Recruiting
- GenesisCare USA - Vegas Tenaya
-
Contact:
- Site Public Contact
- Phone Number: 702-384-0013
- Email: research@sncrf.org
-
Principal Investigator:
- John A. Ellerton
-
Las Vegas, Nevada, United States, 89128
- Recruiting
- Las Vegas Urology - Cathedral Rock
-
Principal Investigator:
- John A. Ellerton
-
Contact:
- Site Public Contact
- Email: research@sncrf.org
-
Las Vegas, Nevada, United States, 89128
- Recruiting
- Las Vegas Urology - Smoke Ranch
-
Principal Investigator:
- John A. Ellerton
-
Contact:
- Site Public Contact
- Email: research@smcrf.org
-
Las Vegas, Nevada, United States, 89128
- Recruiting
- OptumCare Cancer Care at MountainView
-
Contact:
- Site Public Contact
- Phone Number: 702-384-0013
- Email: research@sncrf.org
-
Principal Investigator:
- John A. Ellerton
-
Las Vegas, Nevada, United States, 89128
- Recruiting
- Urology Specialists of Nevada - Northwest
-
Principal Investigator:
- John A. Ellerton
-
Contact:
- Site Public Contact
- Email: research@sncrf.org
-
Las Vegas, Nevada, United States, 89135
- Recruiting
- Alliance for Childhood Diseases/Cure 4 the Kids Foundation
-
Contact:
- Site Public Contact
- Phone Number: 702-384-0013
- Email: research@sncrf.org
-
Principal Investigator:
- John A. Ellerton
-
Las Vegas, Nevada, United States, 89144
- Recruiting
- Comprehensive Cancer Centers of Nevada - Town Center
-
Contact:
- Site Public Contact
- Phone Number: 702-384-0013
- Email: research@sncrf.org
-
Principal Investigator:
- John A. Ellerton
-
Las Vegas, Nevada, United States, 89144
- Recruiting
- Comprehensive Cancer Centers of Nevada-Summerlin
-
Contact:
- Site Public Contact
- Phone Number: 702-384-0013
- Email: research@sncrf.org
-
Principal Investigator:
- John A. Ellerton
-
Las Vegas, Nevada, United States, 89144
- Recruiting
- Summerlin Hospital Medical Center
-
Contact:
- Site Public Contact
- Phone Number: 702-384-0013
- Email: research@sncrf.org
-
Principal Investigator:
- John A. Ellerton
-
Las Vegas, Nevada, United States, 89148
- Recruiting
- Comprehensive Cancer Centers of Nevada
-
Contact:
- Site Public Contact
- Phone Number: 702-384-0013
- Email: research@sncrf.org
-
Principal Investigator:
- John A. Ellerton
-
Las Vegas, Nevada, United States, 89148
- Recruiting
- GenesisCare USA - Fort Apache
-
Contact:
- Site Public Contact
- Phone Number: 702-384-0013
- Email: research@sncrf.org
-
Principal Investigator:
- John A. Ellerton
-
Las Vegas, Nevada, United States, 89148
- Recruiting
- OptumCare Cancer Care at Fort Apache
-
Contact:
- Site Public Contact
- Phone Number: 702-384-0013
- Email: research@sncrf.org
-
Principal Investigator:
- John A. Ellerton
-
Las Vegas, Nevada, United States, 89169
- Recruiting
- Comprehensive Cancer Centers of Nevada - Central Valley
-
Contact:
- Site Public Contact
- Phone Number: 702-384-0013
- Email: research@sncrf.org
-
Principal Investigator:
- John A. Ellerton
-
Las Vegas, Nevada, United States, 89169
- Recruiting
- University Cancer Center
-
Contact:
- Site Public Contact
- Phone Number: 702-384-0013
- Email: research@sncrf.org
-
Principal Investigator:
- John A. Ellerton
-
Las Vegas, Nevada, United States, 89148-2405
- Suspended
- Las Vegas Cancer Center-Medical Center
-
Pahrump, Nevada, United States, 89048
- Recruiting
- Hope Cancer Care of Nevada-Pahrump
-
Contact:
- Site Public Contact
- Phone Number: 702-384-0013
- Email: research@sncrf.org
-
Principal Investigator:
- John A. Ellerton
-
Reno, Nevada, United States, 89502
- Recruiting
- Renown Regional Medical Center
-
Contact:
- Site Public Contact
- Phone Number: 702-384-0013
- Email: research@sncrf.org
-
Principal Investigator:
- John A. Ellerton
-
Reno, Nevada, United States, 89503
- Recruiting
- Saint Mary's Regional Medical Center
-
Contact:
- Site Public Contact
- Phone Number: 702-384-0013
- Email: research@sncrf.org
-
Principal Investigator:
- John A. Ellerton
-
Reno, Nevada, United States, 89509
- Recruiting
- Radiation Oncology Associates
-
Contact:
- Site Public Contact
- Phone Number: 702-384-0013
- Email: research@sncrf.org
-
Principal Investigator:
- John A. Ellerton
-
-
North Carolina
-
Durham, North Carolina, United States, 27710
- Recruiting
- Duke University Medical Center
-
Contact:
- Site Public Contact
- Phone Number: 888-275-3853
-
Principal Investigator:
- Jeffrey M. Clarke
-
-
Pennsylvania
-
Chadds Ford, Pennsylvania, United States, 19317
- Recruiting
- Christiana Care Health System-Concord Health Center
-
Principal Investigator:
- Gregory A. Masters
-
Contact:
- Site Public Contact
- Phone Number: 302-623-4450
- Email: lbarone@christianacare.org
-
-
Washington
-
Bellevue, Washington, United States, 98004
- Suspended
- Overlake Medical Center
-
Renton, Washington, United States, 98055
- Recruiting
- Valley Medical Center
-
Principal Investigator:
- John A. Ellerton
-
Contact:
- Site Public Contact
- Phone Number: 425-228-3440
- Email: research@valleymed.org
-
Yakima, Washington, United States, 98902
- Recruiting
- North Star Lodge Cancer Center at Yakima Valley Memorial Hospital
-
Principal Investigator:
- John A. Ellerton
-
Contact:
- Site Public Contact
- Phone Number: 509-574-3535
- Email: Memorial-ClinicalTrials@yvmh.org
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Sarcomatoid or sarcomatoid-dominant (> 50%) biphasic, pleural mesothelioma
- Stage: I-IIIA disease per Union for International Cancer Control (UICC) TNM Classification of Malignant Tumours 8th edition
- Measurable disease or non-measurable disease as defined
- No prior treatment which would be considered treatment for the primary neoplasm or impact the primary endpoint
- No treatment with hormones or other chemotherapeutic agents except for hormones administered for non-disease-related conditions (e.g., insulin for diabetes and or hormonal therapy for breast, prostate cancer etc.)
Not pregnant and not nursing, because this study involves an investigational agent whose genotoxic, mutagenic and teratogenic effects on the developing fetus and newborn are unknown
* Therefore, for women of childbearing potential only, a negative pregnancy test done =< 14 days prior to registration is required
- Age >= 18 years
- Eastern Cooperative Oncology Group (ECOG) performance status =< 2 or Karnofsky >= 60%
- Absolute neutrophil count (ANC) >= 1,000/mm^3
- Leukocytes >= 2,000/mm^3
- Platelet count >= 100,000/mm^3
- Creatinine =< 1.5 x upper limit of normal (ULN) OR creatinine clearance >= 40 mL/min
- Total bilirubin =<1.5 x ULN, except patients with Gilbert Syndrome who can have total bilirubin < 3.0 mg/dl
- Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) =< 3.0 x ULN
- Alkaline (alk) phosphatase (phos) =< 3.0 x ULN
- No active, known or suspected autoimmune disease except for 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
- No active systemic infection requiring therapy, as well as positive tests for hepatitis B surface antigen or hepatitis C antibody
- No history of any other condition that may require the initiation of anti-tumor necrosis factor alpha (TNFalpha) therapies or other immunosuppressant medications during the study
- Human immunodeficiency virus (HIV)-infected patients on effective anti-retroviral therapy with undetectable viral load within 6 months are eligible for this trial
- Patients with known history or current symptoms of cardiac disease, or history of treatment with cardiotoxic agents, should have a clinical risk assessment of cardiac function using the New York Heart Association Functional Classification. To be eligible for this trial, patients should be class 2B or better
- Patients with a prior or concurrent malignancy whose natural history or treatment does not have the potential to interfere with the safety or efficacy assessment of the investigational regimen are eligible for this trial
- STEP 2 ELIGIBILITY CRITERIA: Completion of at least 1 cycle of treatment and not have an unresolved adverse event that would preclude surgery
- STEP 2 ELIGIBILITY CRITERIA: No evidence of progression that would preclude resection
- STEP 2 ELIGIBILITY CRITERIA: ECOG performance status =< 2 or Karnofsky >= 60%
- STEP 2 ELIGIBILITY CRITERIA: Predicted forced expiratory volume in 1 second (FEV1) > 35% and postoperative predicted diffusion capacity of the lung for carbon monoxide (DLCO) > 35%
- STEP 2 ELIGIBILITY CRITERIA: Registration to step 2 no less than 21 days and no more than 90 days after the last dose of neoadjuvant therapy
Exclusion Criteria:
- No patients deemed to be unresectable or poor surgical candidates
- No patients with chest wall invasion, peritoneal spread, contralateral pleural involvement, mediastinal organ involvement, vertebral involvement, or metastases to contralateral intrathoracic lymph nodes, or any supraclavicular nodes
- No patients with a history of symptomatic interstitial lung disease
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Treatment (nivolumab, ipilimumab, surgery)
Patients receive nivolumab IV, ipilimumab IV, and may undergo surgery on study.
Patients also undergo CT or MRI and PET throughout the trial.
|
Given IV
Other Names:
Undergo MRI
Other Names:
Given IV
Other Names:
Undergo PET
Other Names:
Undergo surgery
undergo CT
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Surgery Rate
Time Frame: immediately after the completion of neoadjuvant immunotherapy and surgery
|
The rate of surgery after neoadjuvant immunotherapy among the feasibility analysis population as well as the 80% and 95% exact Clopper-Pearson confidence intervals will be estimated.
|
immediately after the completion of neoadjuvant immunotherapy and surgery
|
Progression free survival (PFS)
Time Frame: At 12 months after initiation of neoadjuvant immunotherapy
|
PFS will be determined per modified Response Evaluation Criteria in Solid Tumors (RECIST) 1.1.
The rate of PFS at 12 months after the initiation of neoadjuvant immunotherapy among the feasibility and efficacy analysis population as well as the 80% and 95% exact Clopper-Pearson confidence intervals will be estimated.
|
At 12 months after initiation of neoadjuvant immunotherapy
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Incidence of adverse events
Time Frame: Up to 5 years
|
The type of adverse events, the frequency of each type and its grade will be summarized.
The frequency and the percentage of severe adverse events will be presented in bar charts over treatment phase (neoadjuvant immunotherapy, surgery) to describe the change of adverse event or complication severity over time.
The rates of the pre-operative or post-operative complications (within 30 days of surgery) will be estimated with its exact 95% confidence interval.
|
Up to 5 years
|
Objective response rate
Time Frame: Up to 5 years
|
Will be determined per modified RECIST.
Response rate will be reported with 95% exact confidence interval.
|
Up to 5 years
|
Major pathologic response
Time Frame: Up to 5 years
|
Defined as =< 10% residual viable tumor in the resected lung and lymph node tissue.
Response rates will be reported with 95% exact confidence interval.
|
Up to 5 years
|
Time to recurrence
Time Frame: Time from surgery to disease relapse, progression, or second tumor, whichever occurs first, assessed up to 5 years
|
Time to recurrence will be estimated among those patients who receive surgery and will be characterized by estimating cumulative incidence function and conducting cause-specific and subdistribution hazard regression.
|
Time from surgery to disease relapse, progression, or second tumor, whichever occurs first, assessed up to 5 years
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Biomarkers
Time Frame: Up to 5 years
|
The association of pre-treatment and on-treatment biomarkers in peripheral blood and in tumor tissues with response and time to recurrence, will be evaluated univariately through Chi-square test or log-rank test and through logistic regression model or Cox regression model with other prognostic factors adjusted.
|
Up to 5 years
|
Collaborators and Investigators
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Respiratory Tract Diseases
- Neoplasms by Histologic Type
- Neoplasms
- Lung Diseases
- Neoplasms by Site
- Neoplasms, Glandular and Epithelial
- Respiratory Tract Neoplasms
- Thoracic Neoplasms
- Lung Neoplasms
- Adenoma
- Neoplasms, Mesothelial
- Pleural Neoplasms
- Mesothelioma
- Mesothelioma, Malignant
- Molecular Mechanisms of Pharmacological Action
- Antineoplastic Agents
- Antineoplastic Agents, Immunological
- Immune Checkpoint Inhibitors
- Nivolumab
- Ipilimumab
Other Study ID Numbers
- A082101
- U10CA180821 (U.S. NIH Grant/Contract)
- NCI-2022-09320 (Other Identifier: NCI)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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