- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT04475939
Placebokontrolleret undersøgelse, der sammenligner Niraparib Plus Pembrolizumab versus Placebo Plus Pembrolizumab som vedligeholdelsesterapi hos deltagere med avanceret/metastatisk ikke-småcellet lungekræft (ZEAL-1L)
10. april 2026 opdateret af: GlaxoSmithKline
Et fase 3, randomiseret, dobbeltblindt, placebokontrolleret, multicenter-studie, der sammenligner Niraparib Plus Pembrolizumab versus Placebo Plus Pembrolizumab som vedligeholdelsesterapi hos deltagere, hvis sygdom er forblevet stabil eller reageret på førstelinjes platinbaseret kemoterapi med Pembro IIIBIIIBIIIC eller IV ikke-småcellet lungekræft (ZEAL-1L)
Dette er en multicenter, randomiseret, dobbeltblind, placebokontrolleret undersøgelse af niraparib plus pembrolizumab versus placebo plus pembrolizumab som vedligeholdelsesbehandling hos deltagere med fremskreden eller metastatisk ikke-småcellet lungekræft (NSCLC), som har opnået stabil sygdom (SD), partielt respons (PR) eller komplet respons (CR) efter afslutning af standardbehandlings førstelinje platinbaseret induktionskemoterapi med pembrolizumab.
De primære hypoteser er: Deltagere med bekræftet diagnose NSCLC kunne drage fordel af niraparib plus pembrolizumab versus placebo plus pembrolizumab med hensyn til progressionsfri overlevelse (PFS) og samlet overlevelse (OS).
Studieoversigt
Status
Afsluttet
Betingelser
Intervention / Behandling
Undersøgelsestype
Interventionel
Tilmelding (Faktiske)
666
Fase
- Fase 3
Kontakter og lokationer
Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.
Studiesteder
-
-
-
Buenos Aires, Argentina, C1426ABP
- GSK Investigational Site
-
Buenos Aires, Argentina, C1125ABD
- GSK Investigational Site
-
Cipoletti Rio Negro, Argentina, R8324CVE
- GSK Investigational Site
-
Ciudad Autonoma de Buenos Aire, Argentina, C1012AAR
- GSK Investigational Site
-
Ciudad Autonoma de Buenos Aire, Argentina, C1426AGE
- GSK Investigational Site
-
Córdoba, Argentina, X5004FHP
- GSK Investigational Site
-
Florida, Argentina, 1602
- GSK Investigational Site
-
La Plata, Argentina, 1900
- GSK Investigational Site
-
Rosario, Argentina, S2000DSV
- GSK Investigational Site
-
-
-
-
New South Wales
-
Blacktown, New South Wales, Australien, 2148
- GSK Investigational Site
-
-
Tasmania
-
Hobart, Tasmania, Australien, 7000
- GSK Investigational Site
-
-
Victoria
-
Ballarat, Victoria, Australien, 3350
- GSK Investigational Site
-
Heidelberg, Victoria, Australien, 3084
- GSK Investigational Site
-
-
-
-
-
Brussels, Belgien, 1200
- GSK Investigational Site
-
Edegem, Belgien, 2650
- GSK Investigational Site
-
Leuven, Belgien, 3000
- GSK Investigational Site
-
Roeselare, Belgien, 8800
- GSK Investigational Site
-
-
-
-
-
Belo Horizonte, Brasilien, 30110-022
- GSK Investigational Site
-
Cachoeiro de Itapemirim, Brasilien, 29308-014
- GSK Investigational Site
-
Curitiba, Brasilien, 80040-170
- GSK Investigational Site
-
Porto Alegre, Brasilien, 90610-000
- GSK Investigational Site
-
Rio de Janeiro, Brasilien, 22250-905
- GSK Investigational Site
-
São Paulo, Brasilien, 01308-901
- GSK Investigational Site
-
Uberlândia, Brasilien, 38408-150
- GSK Investigational Site
-
-
-
-
-
Panagyurishte, Bulgarien, 4500
- GSK Investigational Site
-
Pleven, Bulgarien, 5800
- GSK Investigational Site
-
Plovdiv, Bulgarien, 4004
- GSK Investigational Site
-
Rousse, Bulgarien, 7002
- GSK Investigational Site
-
Sofia, Bulgarien, 1632
- GSK Investigational Site
-
-
-
-
-
Santiago, Chile, 7500653
- GSK Investigational Site
-
Temuco, Chile, 5360000
- GSK Investigational Site
-
-
-
-
-
Bogotá, Colombia, 5600520
- GSK Investigational Site
-
Montería, Colombia, 230018
- GSK Investigational Site
-
-
-
-
-
Bournemouth, Det Forenede Kongerige, BH7 7DW
- GSK Investigational Site
-
Dundee, Det Forenede Kongerige, DD1 9SY
- GSK Investigational Site
-
Middlesex, Det Forenede Kongerige, HA6 2RN
- GSK Investigational Site
-
Oxford, Det Forenede Kongerige, OX3 7LJ
- GSK Investigational Site
-
Wrexham, Det Forenede Kongerige, LL13 7TD
- GSK Investigational Site
-
-
-
-
California
-
Fullerton, California, Forenede Stater, 92835
- GSK Investigational Site
-
Los Angeles, California, Forenede Stater, 90017
- GSK Investigational Site
-
-
Colorado
-
Lone Tree, Colorado, Forenede Stater, 80128
- GSK Investigational Site
-
-
Connecticut
-
Norwich, Connecticut, Forenede Stater, 06360
- GSK Investigational Site
-
-
Florida
-
Tallahassee, Florida, Forenede Stater, 32003
- GSK Investigational Site
-
-
Georgia
-
Atlanta, Georgia, Forenede Stater, 30322
- GSK Investigational Site
-
Newnan, Georgia, Forenede Stater, 30265
- GSK Investigational Site
-
-
Illinois
-
Niles, Illinois, Forenede Stater, 60714
- GSK Investigational Site
-
-
Iowa
-
Iowa City, Iowa, Forenede Stater, 52242
- GSK Investigational Site
-
-
Massachusetts
-
Worcester, Massachusetts, Forenede Stater, 01655
- GSK Investigational Site
-
-
New York
-
Mineola, New York, Forenede Stater, 10016
- GSK Investigational Site
-
New York, New York, Forenede Stater, 10016-4744
- GSK Investigational Site
-
-
North Carolina
-
Charlotte, North Carolina, Forenede Stater, 28207
- GSK Investigational Site
-
-
Pennsylvania
-
Pittsburgh, Pennsylvania, Forenede Stater, 15212
- GSK Investigational Site
-
-
Tennessee
-
Chattanooga, Tennessee, Forenede Stater, 37404
- GSK Investigational Site
-
Nashville, Tennessee, Forenede Stater, 37203
- GSK Investigational Site
-
-
Texas
-
Dallas, Texas, Forenede Stater, 75246
- GSK Investigational Site
-
San Antonio, Texas, Forenede Stater, 78217
- GSK Investigational Site
-
Sugar Land, Texas, Forenede Stater, 77479
- GSK Investigational Site
-
Waco, Texas, Forenede Stater, 76712
- GSK Investigational Site
-
-
Virginia
-
Fairfax, Virginia, Forenede Stater, 22031
- GSK Investigational Site
-
-
-
-
-
Brest, Frankrig, 29609
- GSK Investigational Site
-
Créteil, Frankrig, 94010
- GSK Investigational Site
-
Grenoble, Frankrig, 38043
- GSK Investigational Site
-
Lille, Frankrig, 59037
- GSK Investigational Site
-
Paris, Frankrig, 75018
- GSK Investigational Site
-
Paris, Frankrig, 75014
- GSK Investigational Site
-
Rennes, Frankrig, 35033
- GSK Investigational Site
-
Saint-Herblain, Frankrig, 44093
- GSK Investigational Site
-
Strasbourg, Frankrig, 67200
- GSK Investigational Site
-
Toulon, Frankrig, 83056
- GSK Investigational Site
-
Toulouse, Frankrig, 31059
- GSK Investigational Site
-
-
-
-
-
Athens, Grækenland, 115 27
- GSK Investigational Site
-
Athens, Grækenland, 11528
- GSK Investigational Site
-
Athens, Grækenland, 185 37
- GSK Investigational Site
-
Athens, Grækenland, 12462
- GSK Investigational Site
-
Athens, Grækenland, 11526
- GSK Investigational Site
-
Athens, Grækenland, 15562
- GSK Investigational Site
-
Athens, Grækenland, 15125
- GSK Investigational Site
-
Heraklion Crete, Grækenland, 71110
- GSK Investigational Site
-
Larissa, Grækenland, 41110
- GSK Investigational Site
-
Neo Faliro, Grækenland, 185 47
- GSK Investigational Site
-
Pylaia Thessaloniki, Grækenland, 57001
- GSK Investigational Site
-
Pátrai, Grækenland, 26500
- GSK Investigational Site
-
Rio Patras, Grækenland, 26500
- GSK Investigational Site
-
Thessaloniki, Grækenland, 57010
- GSK Investigational Site
-
Thessaloniki, Grækenland, 54007
- GSK Investigational Site
-
Thessaloniki, Grækenland, 54645
- GSK Investigational Site
-
Thessaloniki, Grækenland, 54622
- GSK Investigational Site
-
-
-
-
-
's-Hertogenbosch, Holland, 5223 GZ
- GSK Investigational Site
-
Amersfoort, Holland, 3813 TZ
- GSK Investigational Site
-
Amsterdam, Holland, 1066 CX
- GSK Investigational Site
-
Enschede, Holland, 7512 KZ
- GSK Investigational Site
-
Maastricht, Holland, 6229 HX
- GSK Investigational Site
-
Utrecht, Holland, 3543 AZ
- GSK Investigational Site
-
Zwolle, Holland, 8025 AB
- GSK Investigational Site
-
-
-
-
-
Cork, Irland, T12 DFK4
- GSK Investigational Site
-
Dublin, Irland, 8
- GSK Investigational Site
-
-
-
-
-
Avellino, Italien, 83100
- GSK Investigational Site
-
Aviano PN, Italien, 33081
- GSK Investigational Site
-
Bari, Italien, 70124
- GSK Investigational Site
-
Catania, Italien, 95123
- GSK Investigational Site
-
Florence, Italien, 50134
- GSK Investigational Site
-
Milan, Italien, 20132
- GSK Investigational Site
-
Milan, Italien, 20133
- GSK Investigational Site
-
Milan, Italien, 20122
- GSK Investigational Site
-
Monza, Italien, 20900
- GSK Investigational Site
-
Naples, Italien, 80131
- GSK Investigational Site
-
Orbassano to, Italien, 10043
- GSK Investigational Site
-
Pisa, Italien, 56124
- GSK Investigational Site
-
Roma, Italien, 00168
- GSK Investigational Site
-
Verona, Italien, 37045
- GSK Investigational Site
-
-
-
-
-
Mexico City, Mexico, 03100
- GSK Investigational Site
-
Mexico City, Mexico, 06700
- GSK Investigational Site
-
Mexico City, Mexico, CP 14080
- GSK Investigational Site
-
Monterrey, Mexico, 64460
- GSK Investigational Site
-
Puebla Puebla, Mexico, 72560
- GSK Investigational Site
-
-
-
-
-
Drammen, Norge, N-3004
- GSK Investigational Site
-
Lrenskog, Norge, 1470
- GSK Investigational Site
-
Oslo, Norge, N-0450
- GSK Investigational Site
-
-
-
-
-
Lima, Peru, Lima 34
- GSK Investigational Site
-
-
-
-
-
Bialystok, Polen, 15-540
- GSK Investigational Site
-
Lodz, Polen, 90-338
- GSK Investigational Site
-
Olsztyn, Polen, 10-357
- GSK Investigational Site
-
-
-
-
-
Bucharest, Rumænien, 022328
- GSK Investigational Site
-
Bucharest, Rumænien, 011654
- GSK Investigational Site
-
Cluj-Napoca, Rumænien, 400015
- GSK Investigational Site
-
Craiova, Rumænien, 200542
- GSK Investigational Site
-
Iași, Rumænien, 700483
- GSK Investigational Site
-
Satu Mare, Rumænien, 440055
- GSK Investigational Site
-
Timișoara, Rumænien, 300239
- GSK Investigational Site
-
-
-
-
-
Moscow, Rusland, 105 229
- GSK Investigational Site
-
Moscow, Rusland, 121309
- GSK Investigational Site
-
Nizhny Novgorod, Rusland, 603081
- GSK Investigational Site
-
Omsk, Rusland, 644013
- GSK Investigational Site
-
Saint Petersburg, Rusland, 197022
- GSK Investigational Site
-
Saint Petersburg, Rusland, 197758
- GSK Investigational Site
-
-
-
-
-
Lausanne, Schweiz, 1011
- GSK Investigational Site
-
-
-
-
-
A Coruña, Spanien, 15006
- GSK Investigational Site
-
Barcelona, Spanien, 08025
- GSK Investigational Site
-
Barcelona, Spanien, 08036
- GSK Investigational Site
-
Barcelona, Spanien, 08035
- GSK Investigational Site
-
Córdoba, Spanien, 140044
- GSK Investigational Site
-
Girona, Spanien, 17007
- GSK Investigational Site
-
Las Palmas de Gran Canar, Spanien, 35016
- GSK Investigational Site
-
Madrid, Spanien, 28041
- GSK Investigational Site
-
Madrid, Spanien, 28009
- GSK Investigational Site
-
Madrid, Spanien, 28046
- GSK Investigational Site
-
Madrid, Spanien, 28027
- GSK Investigational Site
-
Madrid, Spanien, 28050
- GSK Investigational Site
-
Madrid, Spanien, 28222
- GSK Investigational Site
-
Málaga, Spanien, 29010
- GSK Investigational Site
-
PamplonaNavarra, Spanien, 31008
- GSK Investigational Site
-
Santander, Spanien, 39008
- GSK Investigational Site
-
Zaragoza, Spanien, 50009
- GSK Investigational Site
-
-
-
-
-
Gävle, Sverige, SE-801 87
- GSK Investigational Site
-
Stockholm, Sverige, SE-171 76
- GSK Investigational Site
-
Uppsala, Sverige, SE-751 85
- GSK Investigational Site
-
-
-
-
-
Seongnam-si, Sydkorea, 463-712
- GSK Investigational Site
-
Seongnam-si Gyeonggi-do, Sydkorea, 13620
- GSK Investigational Site
-
Seoul, Sydkorea, 05505
- GSK Investigational Site
-
Seoul, Sydkorea, 08308
- GSK Investigational Site
-
Suwon Kyunggi-do, Sydkorea, 443-721
- GSK Investigational Site
-
-
-
-
-
Ankara, Tyrkiet (Türkiye), 06010
- GSK Investigational Site
-
Ankara, Tyrkiet (Türkiye), 06100
- GSK Investigational Site
-
Ankara, Tyrkiet (Türkiye), 06520
- GSK Investigational Site
-
Edirne, Tyrkiet (Türkiye), 22030
- GSK Investigational Site
-
Istanbul, Tyrkiet (Türkiye), 34662
- GSK Investigational Site
-
-
-
-
-
Berlin, Tyskland, 13125
- GSK Investigational Site
-
Bonn, Tyskland, 53113
- GSK Investigational Site
-
Essen, Tyskland, 45147
- GSK Investigational Site
-
Frankfurt, Tyskland, 60488
- GSK Investigational Site
-
Gauting, Tyskland, 82131
- GSK Investigational Site
-
Großhansdorf, Tyskland, 22927
- GSK Investigational Site
-
Halle, Tyskland, 06120
- GSK Investigational Site
-
Hamburg, Tyskland, 20251
- GSK Investigational Site
-
Hanover, Tyskland, 30459
- GSK Investigational Site
-
Heidelberg, Tyskland, 69126
- GSK Investigational Site
-
Hemer, Tyskland, 58675
- GSK Investigational Site
-
Jena, Tyskland, 07747
- GSK Investigational Site
-
München, Tyskland, 80336
- GSK Investigational Site
-
München, Tyskland, 81925
- GSK Investigational Site
-
Stuttgart, Tyskland, 70376
- GSK Investigational Site
-
Velbert, Tyskland, 42551
- GSK Investigational Site
-
-
-
-
-
Budapest, Ungarn, 1083
- GSK Investigational Site
-
Budapest, Ungarn, H-1122
- GSK Investigational Site
-
Gyöngyös, Ungarn, 3200
- GSK Investigational Site
-
Tatabánya, Ungarn, 2800
- GSK Investigational Site
-
Törökbálint, Ungarn, 2045
- GSK Investigational Site
-
-
Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
18 år og ældre (Voksen, Ældre voksen)
Tager imod sunde frivillige
Ingen
Beskrivelse
Inklusionskriterier:
- Deltager skal være >=18 år.
- Har en histologisk eller cytologisk bekræftet diagnose af NSCLC uden kendt målbar driverændring (enten ikke-pladeepitel- eller planopladehistologi; blandet histologi er tilladt).
- Har fremskreden (stadie IIIB ikke modtagelig for definitiv kemoradioterapi eller stadie IIIC) eller metastatisk (stadie IV) NSCLC.
- Har gennemført mindst 4 men ikke mere end 6 cyklusser med standardbehandling førstelinje platinbaseret induktionskemoterapi med pembrolizumab.
- Har SD, PR eller CR af NSCLC pr. investigators vurdering efter afslutning af 4 til 6 cyklusser af standardbehandling førstelinjes platinbaseret induktionskemoterapi med pembrolizumab.
- Har en Eastern Cooperative Oncology Group (ECOG) præstationsstatus på 0 eller 1.
- Har en forventet levetid på mindst 12 uger.
- Har tilstrækkelig organ- og knoglemarvsfunktion.
- Skal indsende tumorprøver.
- Skal kunne sluge og bibeholde oralt administreret undersøgelsesbehandling.
- En kvinde er berettiget til at deltage, hvis hun ikke er gravid eller ammer, og skal følge præventionsvejledning i behandlingsperioden og 180 dage efter.
- En mand er berettiget til at deltage, hvis han accepterer præventionsvejledning og afstår fra sæddonation i interventionsperioden og i mindst 180 dage efter den sidste dosis af undersøgelsesbehandlingen.
- Er i stand til at forstå undersøgelsesprocedurerne og accepterer at deltage i undersøgelsen ved at give skriftligt informeret samtykke. Deltagerne skal informeres om, at deres deltagelse er frivillig. Deltagerne skal underskrive en erklæring om informeret samtykke for at deltage i undersøgelsen.
Ekskluderingskriterier:
- Har blandet småcellet lungekræft eller sarcomatoid variant NSCLC.
- Har tidligere modtaget poly (adenosin diphosphat-ribose) polymerase (PARP) hæmmer(e) i tidligere behandlingslinjer.
- Har systolisk blodtryk (BP) >140 millimeter kviksølv (mmHg) eller diastolisk blodtryk >90 mmHg.
- Har nogen klinisk signifikante gastrointestinale abnormiteter, der kan ændre absorptionen, såsom malabsorptionssyndrom eller større resektion af mave og/eller tarm.
- Har leptomeningeal sygdom, karcinomatøs meningitis, symptomatiske hjernemetastaser eller røntgenologiske tegn på CNS-blødning.
- Har modtaget kolonistimulerende faktorer (granulocytmakrofagkolonistimulerende faktor eller rekombinant erythropoietin) inden for 4 uger før den første dosis af undersøgelsesbehandlingen.
- Har en aktiv eller tidligere dokumenteret autoimmun eller inflammatorisk lidelse.
- Får kroniske systemiske steroider (prednison >20 mg pr. dag) bortset fra intermitterende brug af bronkodilatatorer, inhalationssteroider eller lokale steroider.
- Har anden aktiv samtidig malignitet, der berettiger systemisk, biologisk eller hormonbehandling.
- Er gravid, ammer eller forventer at blive gravide, mens de modtager undersøgelsesbehandling og/eller i op til 180 dage efter den sidste dosis af undersøgelsesbehandlingen.
- Har en kendt historie med myelodysplastisk syndrom (MDS) eller akut myeloid leukæmi (AML).
- Har en kendt historie med aktiv tuberkulose.
- Har aktuel aktiv pneumonitis inden for 90 dage efter planlagt start af undersøgelsen eller en kendt historie med interstitiel lungesygdom, lægemiddelrelateret lungebetændelse eller strålingspneumonitis, der kræver steroidbehandling.
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Tredobbelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Eksperimentel: Deltagere, der fik niraparib plus pembrolizumab
Kvalificerede deltagere vil modtage niraparib sammen med pembrolizumab.
|
Niraparib vil blive administreret.
Pembrolizumab vil blive administreret
|
|
Placebo komparator: Deltagere, der fik placebo plus pembrolizumab
Kvalificerede deltagere vil modtage matchende placebo sammen med pembrolizumab.
|
Matchende placebo vil blive givet
Pembrolizumab vil blive administreret
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Progression-free Survival (PFS) Assessed by Blinded Independent Central Review (BICR) - Complete and Partial Response (CR/PR) Population
Tidsramme: Up to 52 months
|
PFS is defined as the time from the date of randomization to the date of first objectively documented disease progression (PD) as determined by blinded independent central review (BICR) using Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1) or death from any cause in the absence of progression, whichever occurs first.
PD is defined as at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study).
|
Up to 52 months
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Progression-free Survival (PFS) Assessed by BICR - Intent-to-Treat (ITT) Population
Tidsramme: Up to 52 months
|
PFS is defined as the time from the date of randomization to the date of first objectively documented PD as determined by BICR using RECIST v1.1 or death from any cause in the absence of progression, whichever occurs first.
PD is defined as at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study).
|
Up to 52 months
|
|
Overall Survival (OS) - CR/PR Population
Tidsramme: Up to 52 months
|
OS is defined as the interval of time from the date of randomization to the date of death due to any cause.
|
Up to 52 months
|
|
Overall Survival (OS) - ITT Population
Tidsramme: Up to 52 months
|
OS is defined as the interval of time from the date of randomization to the date of death due to any cause.
|
Up to 52 months
|
|
Time to Progression (TTP) in the Central Nervous System (CNS) Assessed by BICR Using RANO-BM Criteria
Tidsramme: At Month 6, 12, 18, 24, 30, 36, 42 and 48
|
TTP in the CNS is defined as the time from the date of randomization until the earliest date of documented PD in the CNS as assessed by BICR using Response Assessment in Neuro-Oncology Brain Metastases (RANO-BM) criteria.
This endpoint was analysed using a cumulative incidence competing-risk analysis, and the cumulative incidence rate was reported.
|
At Month 6, 12, 18, 24, 30, 36, 42 and 48
|
|
Progression-free Survival (PFS) as Assessed by the Investigator Using RECIST v1.1
Tidsramme: Up to 52 months
|
PFS is defined as the time from the date of randomization to the date of first objectively documented PD as determined by investigators using RECIST v1.1 or death from any cause in the absence of progression, whichever occurs first.
PD is defined as at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study).
|
Up to 52 months
|
|
CNS-PFS as Assessed by BICR Using RANO-BM Criteria
Tidsramme: At Month 6, 12, 18, 24, 30, 36, 42 and 48
|
PFS is defined as the time from the date of randomization to the date of first radiographic progression in the CNS as determined by BICR using RANO-BM criteria or until death due to any cause (whichever occurs first).
This endpoint was analysed using a cumulative incidence competing-risk analysis, and the cumulative incidence rate was reported.
|
At Month 6, 12, 18, 24, 30, 36, 42 and 48
|
|
Progression-free Survival (PFS) by Programmed Cell Death-ligand 1 (PD-L1) Status
Tidsramme: Up to 52 months
|
PFS is defined as the time from the date of randomization to the date of first objectively documented PD as determined by BICR using RECIST v1.1 or death from any cause in the absence of progression, whichever occurs first.
PD is defined as at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study).
Participants were evaluated by PD-L1 status: Tumor Cells (TCs) ≥1% and TCs <1%/Not Evaluable.
|
Up to 52 months
|
|
Overall Survival by Programmed Cell Death-ligand 1 (PD-L1) Status
Tidsramme: Up to 52 months
|
OS is defined as the interval of time from the date of randomization to the date of death due to any cause.
Participants were evaluated by PD-L1 status: Tumor Cells (TCs) ≥1% and TCs <1%/Not Evaluable.
|
Up to 52 months
|
|
Number of Participants With Minimally Clinically Important Difference (MCID) Status in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire C30 (EORTC-QLQ-C30)
Tidsramme: Baseline (Predose); Day (D) 1 of Cycle (C)2, C3, C4, C5-C67 (odd cycles only); End of Treatment (EoT, up to approx 49 months); Safety follow-up (SFU) 1 & 2 (up to approx 50 & 52 months)
|
The EORTC QLQ-C30 includes 30-items with single and multi-item scales.
These included five functional scales (physical functioning [PF], role functioning [RF], cognitive functioning [CF], emotional functioning [EF] and social functioning [SF]), three symptom scales (fatigue, pain and nausea/vomiting [N/V]), a global health status (GHS)/ Quality-of-Life (QoL) scale, and six single items (constipation, diarrhoea, insomnia, dyspnoea, appetite loss [AL] and financial difficulties [FD]).
Response options are 1 to 4. Scores were averaged and transformed to 0 to 100, a high score for functional scales/ GHS/QoL represent better functioning ability or health-related quality-of-life (HRQoL), whereas a high score for symptom scales/ single items represent significant symptomatology.
MCID status: Functional scales & GHS/QoL (Improved: ≥ +10; Stable: > -10 and < +10; Worsened: ≤ -10) and Symptom scales (Improved: ≤ -10; Stable: > -10 and < +10; Worsened: ≥ +10)
|
Baseline (Predose); Day (D) 1 of Cycle (C)2, C3, C4, C5-C67 (odd cycles only); End of Treatment (EoT, up to approx 49 months); Safety follow-up (SFU) 1 & 2 (up to approx 50 & 52 months)
|
|
Changes From Baseline (CFB) in the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire 13-item Lung Cancer-specific Module (EORTC QLQ-LC13)
Tidsramme: Baseline (Predose); Day (D) 1 of Cycle (C)2, C3, C4, C5-C67 (odd cycles only); EoT (up to approx 49 months); Safety follow-up (SFU) 1 & 2 (up to approx 50 & 52 months)
|
EORTC QLQ-LC13 is a 13-items questionnaire used in clinical research to assess health-related quality of life in lung cancer patients.
The QLQ-LC13 includes questions assessing lung cancer-associated symptoms (Coughing, hemoptysis, dyspnea and site specific pain), treatment-related side effects (sore mouth, dysphagia, peripheral neuropathy and alopecia) and pain medication.
Scores are calculated and transformed to range from 0 to 100.
For the disease symptoms and side-effects of treatment scales a higher score represents a higher level of symptoms/problems and a negative change from baseline value indicates reduction (i.e.
improvement) in symptoms.
|
Baseline (Predose); Day (D) 1 of Cycle (C)2, C3, C4, C5-C67 (odd cycles only); EoT (up to approx 49 months); Safety follow-up (SFU) 1 & 2 (up to approx 50 & 52 months)
|
|
Time to Deterioration (TTD) in EORTC Cancer Quality of Life Questionnaire LC13 (EORTC QLQ-LC13)
Tidsramme: Up to 52 months
|
TTD in lung symptoms is defined as the time from randomization to first onset of ≥10 point increase from baseline with confirmation by a second adjacent ≥10 point increase in the same symptom domain for any of the three symptoms: dyspnea, chest pain, and cough, on the EORTC QLQ-LC13 were scored on a 4-point scale (1=Not at All to 4=Very Much).
Using linear transformation, raw scores are standardized, so that scores range from 0-100.
A lower score indicates a better outcome.
A longer TTD indicates a better outcome.
|
Up to 52 months
|
|
Number of Participants With Treatment Emergent (TE) Adverse Events (AEs), Serious TEAEs and Adverse Events of Special Interest (AESIs)
Tidsramme: Up to 52 months
|
An AE is any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
SAE is defined as any untoward medical occurrence that, at any dose resulted in death, is life threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity, is a congenital anomaly/birth defect, other situations and is associated with liver injury or impaired liver function.
SAEs are subsets of AEs.
TEAE is an event that emerged during treatment having been absent pretreatment or worsened relative to the pretreatment state.
AESI is any AE (serious or nonserious) that is of scientific and medical concern specific to niraparib for which ongoing monitoring and rapid communication by the Investigator to the Sponsor is warranted.
AEs were coded using the Medical Dictionary for Regulatory Activities (MedDRA) coding system.
|
Up to 52 months
|
|
Plasma Concentrations of Niraparib
Tidsramme: Cycle 1 Day 1 (pre-dose, 3 h), Cycle 1 Day 15 (pre-dose, 3 h), Cycle 2 Day 1 (pre-dose, 3 h), Cycle 4 Day 1 (pre-dose), Cycle 7 Day 1 (pre-dose), and End of Treatment (pre-dose); up to approximately 49 months
|
Blood samples were collected for plasma concentrations of niraparib.
|
Cycle 1 Day 1 (pre-dose, 3 h), Cycle 1 Day 15 (pre-dose, 3 h), Cycle 2 Day 1 (pre-dose, 3 h), Cycle 4 Day 1 (pre-dose), Cycle 7 Day 1 (pre-dose), and End of Treatment (pre-dose); up to approximately 49 months
|
Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Sponsor
Efterforskere
- Studieleder: GSK Clinical Trials, GlaxoSmithKline
Publikationer og nyttige links
Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart (Faktiske)
26. oktober 2020
Primær færdiggørelse (Faktiske)
26. februar 2025
Studieafslutning (Faktiske)
23. marts 2026
Datoer for studieregistrering
Først indsendt
14. juli 2020
Først indsendt, der opfyldte QC-kriterier
14. juli 2020
Først opslået (Faktiske)
17. juli 2020
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
1. maj 2026
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
10. april 2026
Sidst verificeret
1. april 2026
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Neoplasmer efter sted
- Neoplasmer
- Luftvejssygdomme
- Lungesygdomme
- Neoplasmer i luftvejene
- Thoracale neoplasmer
- Lungeneoplasmer
- Karcinom, bronkogent
- Bronkiale neoplasmer
- Karcinom, ikke-småcellet lunge
- Antineoplastiske midler, immunologiske
- Poly(ADP-ribose) polymerasehæmmere
- Immune Checkpoint-hæmmere
- Antineoplastiske midler
- Molekylære mekanismer for farmakologisk virkning
- Enzymhæmmere
- pembrolizumab
- Niraparib
Andre undersøgelses-id-numre
- 213400
- 2023-508443-40 (Registry Identifier: CTIS)
- 2020-002202-20 (EudraCT nummer)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
JA
IPD-planbeskrivelse
IPD for denne undersøgelse vil blive gjort tilgængelig via webstedet for anmodning om kliniske undersøgelsesdata.
IPD-delingstidsramme
IPD vil blive gjort tilgængelig inden for 6 måneder efter offentliggørelsen af resultaterne af undersøgelsens primære endepunkter, vigtige sekundære endepunkter og sikkerhedsdata.
IPD-delingsadgangskriterier
Adgang gives, efter at et forskningsforslag er indsendt og har modtaget godkendelse fra det uafhængige evalueringspanel, og efter en datadelingsaftale er på plads.
Adgangen gives i en indledende periode på 12 måneder, men en forlængelse kan gives, når det er berettiget, i op til yderligere 12 måneder.
IPD-deling Understøttende informationstype
- STUDY_PROTOCOL
- SAP
- ICF
- CSR
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Ja
Studerer et amerikansk FDA-reguleret enhedsprodukt
Ingen
produkt fremstillet i og eksporteret fra U.S.A.
Ja
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
Kliniske forsøg med Lungekræft, ikke-småcellet
-
AHS Cancer Control AlbertaCross Cancer InstituteAfsluttetOmfattende Stage Small Cel Lung CancerCanada
-
Universitaire Ziekenhuizen KU LeuvenAktiv, ikke rekrutterendeLymfom | Hodgkin lymfom | Non-Hodgkin lymfom (follikulært, diffust B-cel lymfom, PTLD og Mantle Cel lymfom)Belgien
-
Royal Marsden NHS Foundation TrustUniversity of Cambridge; Royal Brompton & Harefield NHS Foundation Trust; Institute of Cancer Research, United Kingdom og andre samarbejdspartnereRekrutteringIkke småcellet lungekræft | Metastatisk ikke-småcellet lungekræft | Locally Advanced NSCLC - Ikke-småcellet lungekræft | Oncogen-afhængig ikke-ikke-cellelungecancer | Tidlig fase Operable Non Small Cell Lung Cancer | Trin 2/3 Operable Non Small Cell Lung CancerDet Forenede Kongerige
-
Taichung Veterans General HospitalAfsluttetKardiotoksicitet | Non-Small Cell Lungecancer (MeSH Term: Carcinoma, Non-Small-Cell Lung) | Lægemiddelrelaterede bivirkninger og uønskede reaktioner (MeSH-betegnelse) | Egfr TyrosinkinasehæmmerTaiwan
-
Zelluna Immunotherapy ASRekrutteringHoved- og halskræft | Livmoderhalskræft | Synoviale sarkomer | Squamous Non-Small Cell Lung Cancer (NSCLC)Det Forenede Kongerige
-
Fondazione del Piemonte per l'OncologiaRekrutteringBrystkræft | Livmoderhalskræft | Colo-rektal cancer | Melanom (hudkræft) | Non-Small Cell Lungecancer (MeSH Term: Carcinoma, Non-Small-Cell Lung)Italien
-
ITM Oncologics GmbHRekrutteringTredobbelt negativ brystkræft (TNBC) | Pancreas Ductal Adenocarcinom (PDAC) | Kolorektal cancer (CRC) | Clear Cell Renal Cell Cancer (ccRCC) | Urotelcarcinom (UC) | Ubestemt nyremasse (IDRM) | Muskelinvasiv blærekræft (MIBC) | Hoved- og halskræft (H&N) | Squamous Non-Small Cell Lung Cancer (NSCLC)Frankrig, Australien
Kliniske forsøg med Placebo
-
SamA Pharmaceutical Co., LtdUkendtAkut bronkitis | Akut øvre luftvejsinfektionKorea, Republikken
-
National Institute on Drug Abuse (NIDA)AfsluttetBrug af cannabisForenede Stater
-
AkesoIkke rekrutterer endnuAtopisk dermatitisKina
-
AstraZenecaParexel; Spandauer Damm 130; 14050; Berlin, GermanyAfsluttetMandlige forsøgspersoner med type II-diabetes (T2DM)Tyskland
-
Heptares Therapeutics LimitedAfsluttetFarmakokinetik | SikkerhedsproblemerDet Forenede Kongerige
-
CellmedisMedical Network Sp. z o.o.Ikke rekrutterer endnu
-
Texas A&M UniversityNutraboltAfsluttetGlukose og insulinrespons
-
Regado Biosciences, Inc.AfsluttetSund frivilligForenede Stater
-
LifeMine TherapeuticsRekruttering