Uno studio di confronto tra cemiplimab più chemioterapia e cemiplimab più chemioterapia più altri trattamenti antitumorali in pazienti adulti affetti da carcinoma polmonare non a piccole cellule (NSCLC) operabile
Uno studio randomizzato di fase 2 su piattaforma per valutare Cemiplimab più chemioterapia rispetto a Cemiplimab più chemioterapia più altri trattamenti antitumorali per il trattamento perioperatorio di pazienti con carcinoma polmonare non a piccole cellule resecabile
This study will enroll adult participants with early-stage (stage II-IIIB) non-small cell lung cancer (NSCLC) for whom surgery is planned, in the resectable NSCLC portion.
The aim of the resectable NSCLC portion is to find out whether an investigational treatment (consisting of the immunotherapy drug cemiplimab plus chemotherapy plus a third drug) works better than cemiplimab plus chemotherapy without the additional drug.
For each investigational arm, the available data will be reviewed to decide whether safety testing with chemotherapy is needed before moving the treatment combination to the main resectable NSCLC portion of the study. If safety testing with chemotherapy is required, adult participants whose tumour has spread to other organs or cannot be removed by surgery, will be enrolled in the unresectable/metastatic NSCLC portion of the study called the "safety lead-in."
The aim of the unresectable/metastatic NSCLC safety lead-in portion is to evaluate the safety of the combination of Cemiplimab, chemotherapy, and an additional drug in participants with unresectable or metastatic NSCLC.
For the resectable NSCLC portion, the study is also looking at several other research questions, including:
- What are the side effects associated with the investigational treatments in comparison to the control treatment
- Do the investigational treatments or the control treatment have an effect on the type of surgery that is performed
- How much of the study drug(s) are in the blood at a given time
- Does the body make antibodies against the study drug(s) (which could make the drug(s) less effective or could lead to side effects)
For the unresectable/metastatic NSCLC portion, the study is also looking at several other research questions, including:
- What are the side effects associated with the additional drug in combination with cemiplimab and chemotherapy
- How does the additional drug work in combination with cemiplimab and chemotherapy
Panoramica dello studio
Stato
Stato
Condizioni
Condizioni
Intervento / Trattamento
Intervento / Trattamento
Tipo di studio
Tipo di studio
Iscrizione (Stimato)
Iscrizione
Fase
Fase
- Fase 2
Contatti e Sedi
Luoghi di studio
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São Paulo, Brasile, 01323-903
- Hospital Alemao Oswaldo Cruz
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Espírito Santo
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Cachoeiro de Itapemirim, Espírito Santo, Brasile, 29306014
- Oncology Clinical Research Center
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Minas Gerais
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Belo Horizonte, Minas Gerais, Brasile, 30380-472
- Instituto Mario Penna
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Pouso Alegre, Minas Gerais, Brasile, 37554-238
- Instituto Sul Mineiro De Oncologia LTDA
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Pernambuco
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Recife, Pernambuco, Brasile, 50070-902
- Instituto de Medicina Integral Professor Fernando Figueira
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Rio Grande do Norte
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Natal, Rio Grande do Norte, Brasile, 59060-195
- Liga Norte Riograndense Contra o Cancer
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Rio Grande do Sul
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Porto Alegre, Rio Grande do Sul, Brasile, 90610-000
- Hospital Sao Lucas da PUCRS
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Porto Alegre, Rio Grande do Sul, Brasile, 90110-270
- Hospital Mae de Deus Integrated Oncology Center
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Santa Catarina
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Florianópolis, Santa Catarina, Brasile, 88020-210
- Ynova Pesquisa Clinica
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São Paulo
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Sorocaba, São Paulo, Brasile, 18065-100
- Unimed Sorocaba
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São José do Rio Preto, São Paulo, Brasile, 15090-000
- Fundacao Faculdade Regional de Medicina de Sao Jose do Rio Preto
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Bayonne, Francia, 64100
- Clinique Belharra
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Bayonne, Francia, 64100
- Centre Hospitalier de la Cote Basque
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Grenoble, Francia, 38330
- CHU Grenoble Alpes
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Montpellier, Francia, 34295
- Montpellier Academic Hospital
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Brittany Region
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Rennes, Brittany Region, Francia, 35033
- CHU Rennes
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Var
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Toulon, Var, Francia, 83055
- Centre Hospitalier Intercommunal Toulon - CHITS
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Île-de-France Region
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Paris, Île-de-France Region, Francia, 75005
- Institut Curie
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Aachen, Germania, 52074
- University Hospital RWTH Aachen
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Hesse
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Kassel, Hesse, Germania, 34125
- Klinikum Kassel GmbH, Hauttumorzentrum
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Lower Saxony
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Göttingen, Lower Saxony, Germania, 37083
- University Medicine Gottingen
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Saxony
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Leipzig, Saxony, Germania, 04103
- University of Leipzig
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Madrid, Spagna, 28046
- Hospital Universitario La Paz
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Madrid, Spagna, 28040
- Hospital Universitario Clinico San Carlos
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Madrid, Spagna, 28033
- MD Anderson Cancer Center
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Madrid, Spagna, 28050
- Hospital Universitario HM Sanchinarro
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Seville, Spagna, 41013
- Hospital Virgen del Rocio
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Valencia, Spagna, 46014
- Consorci Hospital General Universitario de Valencia
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Valencia, Spagna, 46010
- Hospital Clinico Universitario Valencia
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Zaragoza, Spagna, 50009
- Hospital Clinico Lozano Blesa
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Barcelona
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Badalona, Barcelona, Spagna, 08916
- Catalan Instituye of Oncology Badalona
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Cantabria
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Santander, Cantabria, Spagna, 39008
- Hospital Valdecilla
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Las Palmas
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Las Palmas de Gran Canaria, Las Palmas, Spagna, 35016
- Hospital Universitario Insular de Gran Canaria
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Navarre
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Pamplona, Navarre, Spagna, 31008
- Clinica Universidad de Navarra
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California
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Orange, California, Stati Uniti, 92868
- University of California Irvine
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Illinois
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Skokie, Illinois, Stati Uniti, 60077
- Orchard Healthcare Research Inc.
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Michigan
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Detroit, Michigan, Stati Uniti, 48201
- Karmanos Cancer Institute
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Farmington Hills, Michigan, Stati Uniti, 48334
- Detroit Clinical Research Center
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Ohio
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Cincinnati, Ohio, Stati Uniti, 45245
- Oncology Hematology Care Clinical Trials LLC
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Oregon
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Portland, Oregon, Stati Uniti, 97213
- Providence Portland Medical Center
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Portland, Oregon, Stati Uniti, 97213
- University Of Nebraska Medical Center
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Rhode Island
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Providence, Rhode Island, Stati Uniti, 02903
- Lifespan Cancer Institute
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South Dakota
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Watertown, South Dakota, Stati Uniti, 57201
- Prairie Lakes Healthcare System
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Tennessee
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Knoxville, Tennessee, Stati Uniti, 37920
- University of Tennessee Medical Center
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Nashville, Tennessee, Stati Uniti, 37203
- Sarah Cannon Research Institute (SCRI) Oncology Partners
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Virginia
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Blacksburg, Virginia, Stati Uniti, 24060
- BRCC/Oncology & Hematology Associates of SW Virginia
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Istanbul, Turchia (Türkiye), 34295
- Florya Medical Park Hospital
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Criteri di partecipazione
Criteri di ammissibilità
Criteri di ammissibilità
Età idonea allo studio
Accetta volontari sani
Sessi ammissibili allo studio
Descrizione
Neoadjuvant Resectable NSCLC General Key Inclusion Criteria:
- Histologically confirmed stage II through IIIB (N2) NSCLC, that is considered resectable with curative intent, as described in the protocol
- Measurable disease per Response Evaluation Criteria In Solid Tumors (RECIST) criteria version 1.1
- Available formalin-fixed paraffin-embedded (FFPE) tumor sample blocks for submission, as described in the protocol
- Eastern Cooperative Oncology Group Performance Status scale (ECOG PS) of 0 to 1
- Adequate organ and bone marrow function, as described in the protocol
Arm Specific Inclusion Criteria:
Unresectable/Metastatic NSCLC Safety Lead-in - Arm 2:
- Non-squamous or squamous histology NSCLC with stage IIIB or stage IIIC disease who are not candidates for surgical resection or definitive chemoradiation per investigator assessment or stage IV (metastatic disease), who received no prior systemic treatment for recurrent or metastatic NSCLC
- Availability of an archival or on-trial FFPE tumor tissue sample
- ECOG performance status of 0 or 1
- Per investigator judgment, life expectancy of at least 3 months
Neoadjuvant Resectable NSCLC General Key Exclusion Criteria:
- Any systemic anti-cancer therapy or radiotherapy for the current tumor, as described in the protocol
- Presence of actionable oncogenic alterations in the tumor for which an approved targeted therapy is available or for which perioperative chemoimmunotherapy is not considered an appropriate standard of care treatment, as described in the protocol
- Presence of grade≥ 2 peripheral neuropathy
- Another malignancy that is progressing or requires active treatment, as described in the protocol
Arm Specific Exclusion Criteria:
Neoadjuvant Resectable NSCLC - Arm 1:
- Grade ≥3 hypercalcemia, as defined in the protocol
- Any central nervous system (CNS) pathology that could increase the risk of immune effector cell-associated neurotoxicity syndrome (ICANS), as described in the protocol
- Has marked baseline prolongation of the time from the start of the Q wave to the end of the T wave in electrocardiogram (QT)/corrected QT interval (QTc) interval or risk factors for prolonged QTc, as described in the protocol
Unresectable/Metastatic NSCLC Safety Lead-in - Arm 2:
- Untreated or active primary brain tumor, CNS metastases, leptomeningeal disease, or spinal cord compression, as described in the protocol
- Presence of actionable oncogenic alterations in the tumor for which a chemotherapy plus programmed cell death protein 1 (PD1) inhibitor backbone is not the appropriate initial therapy as standard of care
- Known allergy or hypersensitivity to any components of trial interventions
- Any condition requiring ongoing/continuous corticosteroid therapy, as described in the protocol
Neoadjuvant Resectable NSCLC - Arm 2:
1. History of encephalitis, meningitis, organic brain disease, or uncontrolled seizures within 1 year prior to the first dose of trial interventions.
Note: Other protocol-defined Inclusion/Exclusion criteria apply.
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Nessuno (etichetta aperta)
Numero di armi
Armi e interventi
Gruppo di partecipanti / ArmGruppo di partecipanti / Arm |
Intervento / TrattamentoIntervento / Trattamento |
|---|---|
|
Comparatore attivo: Neoadjuvant Resectable NSCLC - Control Arm
|
Administered per the protocol
Altri nomi:
Administered per the protocol |
|
Sperimentale: Neoadjuvant Resectable NSCLC - Arm 1
|
Administered per the protocol
Altri nomi:
Administered per the protocol
Altri nomi:
Administered per the protocol |
|
Sperimentale: Unresectable/Metastatic NSCLC Safety Lead-in - Arm 2
|
Administered per the protocol
Altri nomi:
Administered per the protocol Administered per the protocol
Altri nomi:
|
|
Sperimentale: Neoadjuvant Resectable NSCLC - Arm 2
|
Administered per the protocol
Altri nomi:
Administered per the protocol Administered per the protocol
Altri nomi:
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Major Pathologic Response (MPR) rate as determined by central Blinded Independent Pathology Review (BIPR)
Lasso di tempo: Up to 12 weeks
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Up to 12 weeks
|
|
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Occurrence of Treatment-Emergent Adverse Events (TEAEs)
Lasso di tempo: Up to 9 weeks
|
Unresectable/Metastatic NSCLC Safety Lead-in - Arm 2 |
Up to 9 weeks
|
|
Occurrence of TEAEs leading to death
Lasso di tempo: Up to 9 weeks
|
Unresectable/Metastatic NSCLC Safety Lead-in - Arm 2 |
Up to 9 weeks
|
|
Occurrence of TEAEs leading to treatment discontinuation
Lasso di tempo: Up to 9 weeks
|
Unresectable/Metastatic NSCLC Safety Lead-in - Arm 2 |
Up to 9 weeks
|
|
Occurrence of Serious Adverse Events (SAEs)
Lasso di tempo: Up to 9 weeks
|
Unresectable/Metastatic NSCLC Safety Lead-in - Arm 2 |
Up to 9 weeks
|
|
Occurrence of grade ≥3 laboratory abnormalities
Lasso di tempo: Up to 9 weeks
|
Unresectable/Metastatic NSCLC Safety Lead-in - Arm 2 As assessed by the Common Terminology Criteria for Adverse Events (CTCAE) grading system version 5.0 (for all grades) |
Up to 9 weeks
|
|
Number of participants unable to receive cemiplimab and chemotherapy for 2 consecutive cycles due to REGN10597-related toxicities during the first 3 cycles
Lasso di tempo: Up to 9 weeks
|
Unresectable/Metastatic NSCLC Safety Lead-in - Arm 2 |
Up to 9 weeks
|
Misure di risultato secondarie
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Sopravvivenza globale (SO)
Lasso di tempo: Fino a 5 anni
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Fino a 5 anni
|
|
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Gravità dei TEAE
Lasso di tempo: Fino a 76 settimane
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Fino a 76 settimane
|
|
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Proporzione di interventi chirurgici ritardati a causa di TEAE
Lasso di tempo: Fino a 76 settimane
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Fino a 76 settimane
|
|
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Proporzione di interventi chirurgici annullati a causa di TEAE
Lasso di tempo: Fino a 76 settimane
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Fino a 76 settimane
|
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Pathologic Complete Response (pCR) rate as determined by central BIPR
Lasso di tempo: Up to 12 weeks
|
Up to 12 weeks
|
|
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Residual Viable Tumor (RVT) as determined by central BIPR
Lasso di tempo: Up to 12 weeks
|
Up to 12 weeks
|
|
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Event-Free Survival (EFS)
Lasso di tempo: Up to 5 years
|
Up to 5 years
|
|
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Objective Response by investigator assessment
Lasso di tempo: Up to 9 weeks
|
Up to 9 weeks
|
|
|
Duration of Response (DoR) by investigator assessment
Lasso di tempo: Up to 2 years
|
Unresectable/Metastatic NSCLC Safety Lead-in - Arm 2 |
Up to 2 years
|
|
Occurrence of TEAEs
Lasso di tempo: Up to 76 weeks
|
Up to 76 weeks
|
|
|
Occurrence of TEAEs leading to death
Lasso di tempo: Up to 76 weeks
|
Up to 76 weeks
|
|
|
Occurrence of TEAEs leading to treatment discontinuation
Lasso di tempo: Up to 76 weeks
|
Up to 76 weeks
|
|
|
Occurrence of SAEs
Lasso di tempo: Up to 76 weeks
|
Up to 76 weeks
|
|
|
Severity of SAEs
Lasso di tempo: Up to 76 weeks
|
Up to 76 weeks
|
|
|
Occurrence of Adverse Events of Special Interest (AESIs)
Lasso di tempo: Up to 76 weeks
|
Up to 76 weeks
|
|
|
Severity of AESIs
Lasso di tempo: Up to 76 weeks
|
Up to 76 weeks
|
|
|
Occurrence of immune-mediated Adverse Events (imAEs)
Lasso di tempo: Up to 76 weeks
|
Up to 76 weeks
|
|
|
Severity of imAEs
Lasso di tempo: Up to 76 weeks
|
Up to 76 weeks
|
|
|
Occurrence of Infusion-Related Reactions (IRRs)
Lasso di tempo: Up to 76 weeks
|
Up to 76 weeks
|
|
|
Severity of IRRs
Lasso di tempo: Up to 76 weeks
|
Up to 76 weeks
|
|
|
Occurrence of grade ≥3 laboratory abnormalities
Lasso di tempo: Up to 76 weeks
|
As assessed by the Common Terminology Criteria for Adverse Events (CTCAE) grading system version 5.0 (for all grades) |
Up to 76 weeks
|
|
Occurrence of Anti-Drug Antibodies (ADAs) to cemiplimab
Lasso di tempo: Up to 67 weeks
|
Up to 67 weeks
|
|
|
Magnitude of ADAs to cemiplimab
Lasso di tempo: Up to 67 weeks
|
Up to 67 weeks
|
|
|
Occurrence of ADAs to marlotamig
Lasso di tempo: Up to 67 weeks
|
Up to 67 weeks
|
|
|
Magnitude of ADAs to marlotamig
Lasso di tempo: Up to 67 weeks
|
Up to 67 weeks
|
|
|
Occurrence of ADAs to REGN10597
Lasso di tempo: Up to 67 weeks
|
Up to 67 weeks
|
|
|
Magnitude of ADAs to REGN10597
Lasso di tempo: Up to 67 weeks
|
Up to 67 weeks
|
Collaboratori e investigatori
Sponsor
Sponsor
Investigatori
Investigatori
- Direttore dello studio: Clinical Trial Management, Regeneron Pharmaceuticals
Studiare le date dei record
Studia le date principali
Inizio studio (Effettivo)
Inizio studio
Completamento primario (Stimato)
Completamento primario
Completamento dello studio (Stimato)
Completamento dello studio
Date di iscrizione allo studio
Primo inviato
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Primo Inserito
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento pubblicato
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
- NSCLC
- Resezione chirurgica
- Cancro del polmone in fase iniziale
- Carcinoma, polmone non a piccole cellule
- NSCLC resecabile
- Chirurgia del cancro del polmone
- Carcinoma polmonare non a piccole cellule
- Carcinoma polmonare
- Early-stage non-small cell lung cancer
- Neoadjuvant NSCLC
- Operable non-small cell lung cancer
- Preoperative NSCLC
Termini MeSH pertinenti aggiuntivi
Altri numeri di identificazione dello studio
Altri numeri di identificazione dello studio
- R2810-ONC-2268
- 2023 (Sovvenzione/contratto NIH degli Stati Uniti)
- 2023-509806-31-00 (Ctis)
Piano per i dati dei singoli partecipanti (IPD)
Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?
Descrizione del piano IPD
All Individual Patient Data (IPD) that underlie publicly available results will be considered for sharing.
Periodo di condivisione IPD
When Regeneron has:
- received marketing authorization from major health authorities (e.g., FDA, European Medicines Agency (EMA), Pharmaceuticals and Medical Devices Agency (PMDA), etc.) for the product and indication or has globally discontinued development of the product for all indications on or after April 2020 and has no plans for future development
- made the study results publicly available (e.g., scientific publication, scientific conference, clinical trial registry)
- the legal authority to share the data, and
- ensured the ability to protect participant privacy
Criteri di accesso alla condivisione IPD
Qualified researchers can submit a proposal for access to individual patient or aggregate level data from a Regeneron-sponsored clinical trial through Vivli. Regeneron's Independent Research Request Evaluation Criteria can be found at: https://www.regeneron.com/sites/default/files/Regeneron-External-Data-Sharing-Policy-and-Independent-Research-Request-Evaluation-Criteria.pdf
Tipo di informazioni di supporto alla condivisione IPD
- STUDIO_PROTOCOLLO
- LINFA
- ICF
- CODICE_ANALITICO
- RSI
Informazioni su farmaci e dispositivi, documenti di studio
Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti
Studia un dispositivo regolamentato dalla FDA degli Stati Uniti
Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .