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Phase II Study for Previously Untreated Subjects With Non Small Cell Lung Cancer (NSCLC) or Small Cell Lung Cancer (SCLC)

2018年6月18日 更新者：Bristol-Myers Squibb

A Randomized, Double Blind, Parallel, Three Arm Trial Evaluating the Efficacy and Safety of Ipilimumab (BMS-734016) in Combination With Paclitaxel/Carboplatin Compared to Paclitaxel/Carboplatin Alone in Previously Untreated Subjects With Lung Cancer

The purpose of the study is to determine whether ipilimumab given with paclitaxel/carboplatin has clinical benefit when compared with paclitaxel/carboplatin alone in patients with previously untreated lung cancer.

調査の概要

状態

完了

条件

介入・治療

研究の種類

介入

入学 (実際)

334

段階

  • フェーズ2

連絡先と場所

このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。

研究場所

  • アメリカ
    • Alabama
      • Birmingham、Alabama、アメリカ、35235
        • Birmingham Hematology & Oncology Assoc. Llc
    • Arizona
      • Scottsdale、Arizona、アメリカ、85259
        • Mayo Clinic
      • Tucson、Arizona、アメリカ、85715
        • Acrc/Arizona Clinical Research Center, Inc.
    • California
      • Corona、California、アメリカ、92879
        • Compassionate Cancer Care Medical Group
      • Fountain Valley、California、アメリカ、92708
        • Compassionate Cancer Care Medical Group, Inc.
      • Los Angeles、California、アメリカ、90025
        • The Angeles Clinic & Research Institute, Inc
      • Montebello、California、アメリカ、90640
        • Oncology Care Medical Associates
      • Riverside、California、アメリカ、92501
        • Compassionate Cancer Care Medical Group
      • San Diego、California、アメリカ、92123
        • Sharp Clinical Oncology Research
    • Florida
      • Orlando、Florida、アメリカ、32806
        • M D Anderson Cancer Center- Orlando
    • Georgia
      • Atlanta、Georgia、アメリカ、30341
        • Georgia Cancer Specialists
    • Illinois
      • Chicago、Illinois、アメリカ、60637
        • University of Chicago Medical Center
      • Park Ridge、Illinois、アメリカ、60068
        • Local Institution
    • Kentucky
      • Hazard、Kentucky、アメリカ、41701
        • Kentucky Cancer Clinic
    • Maryland
      • Hagerstown、Maryland、アメリカ、21740
        • The John R. Marsh Cancer Center
    • Massachusetts
      • Boston、Massachusetts、アメリカ、02114
        • Massachusetts General Hospital
    • Minnesota
      • Minneapolis、Minnesota、アメリカ、55455
        • The Cancer Center
    • Nevada
      • Las Vegas、Nevada、アメリカ、89135
        • Nevada Cancer Institute
    • New Hampshire
      • Lebanon、New Hampshire、アメリカ、03756
        • Dartmouth-Hitchcock Medical Center
    • New York
      • New York、New York、アメリカ、10017
        • Local Institution
    • North Carolina
      • Concord、North Carolina、アメリカ、28025
        • Cmc-Northeast/ Northeast Oncology Associates
    • Ohio
      • Canton、Ohio、アメリカ、44718
        • Gabrail Cancer Center
      • Columbus、Ohio、アメリカ、43235
        • Hematology Oncology Consultants, Inc
    • Pennsylvania
      • Langhorne、Pennsylvania、アメリカ、19047
        • St. Mary Medical Center
      • Sayre、Pennsylvania、アメリカ、18840
        • Guthrie Clinical Research
    • South Carolina
      • Sumter、South Carolina、アメリカ、29150
        • Santee Hematology/Oncology
    • Texas
      • Lubbock、Texas、アメリカ、79415
        • Southwest Cancer Treatment And Research Center
  • イタリア
      • Genova、イタリア、16132
        • Local Institution
      • Siena、イタリア、53100
        • Local Institution
      • Torino、イタリア、10143
        • Local Institution
  • インド
      • Vellore、インド、632004
        • Local Institution
    • Andhra Pradesh
      • Hyderabad、Andhra Pradesh、インド、500082
        • Local Institution
    • Gujarat
      • Navrangpura, Ahmedabad、Gujarat、インド、380009
        • Local Institution
    • Karnataka
      • Manipal、Karnataka、インド、576104
        • Local Institution
    • Kerala
      • Trivandrum、Kerala、インド、695011
        • Local Institution
  • ウクライナ
      • Dnipropetrovsk、ウクライナ、49102
        • Local Institution
      • Donetsk、ウクライナ、83092
        • Local Institution
      • Kharkov、ウクライナ、46023
        • Local Institution
      • Lviv、ウクライナ、79031
        • Local Institution
      • Ternopol、ウクライナ、46023
        • Local Institution
      • Uzhgorod、ウクライナ、88014
        • Local Institution
  • ドイツ
      • Bochum、ドイツ、44791
        • Local Institution
      • Coswig、ドイツ、01640
        • Local Institution
      • Ebensfeld、ドイツ、96250
        • Local Institution
      • Grosshansdorf、ドイツ、22927
        • Local Institution
      • Halle (Saale)、ドイツ、06120
        • Local Institution
      • Hamburg、ドイツ、21075
        • Local Institution
      • Koeln、ドイツ、51109
        • Local Institution
      • Leipzig、ドイツ、04103
        • Local Institution
      • Mainz、ドイツ、55131
        • Local Institution
      • Muenchen、ドイツ、81675
        • Local Institution
  • フランス
      • Belfort、フランス、90016
        • Local Institution
      • Caen、フランス、14076
        • Local Institution
      • Marseille Cedex 9、フランス、13274
        • Local Institution
      • Rennes Cedex 9、フランス、35033
        • Local Institution
  • ポーランド
      • Gdansk、ポーランド、80-952
        • Local Institution
      • Krakow、ポーランド、31-826
        • Local Institution
      • Olsztyn、ポーランド、10-513
        • Local Institution
      • Szczecin、ポーランド、70-891
        • Local Institution
  • ロシア連邦
      • Arkhangelsk、ロシア連邦、163045
        • Local Institution
      • Chelyabinsk、ロシア連邦、454087
        • Local Institution
      • Ivanovo、ロシア連邦、153013
        • Local Institution
      • Moscow、ロシア連邦、115478
        • Local Institution
      • Moscow、ロシア連邦、105077
        • Local Institution
      • Moscow、ロシア連邦、125284
        • Local Institution
      • Pyatigorsk、ロシア連邦、357502
        • Local Institution
      • Saint-Petersburg、ロシア連邦、190005
        • Local Institution
      • Sochi、ロシア連邦、354057
        • Local Institution
      • St. Petersburg、ロシア連邦、197022
        • Local Institution
      • St. Petersburg、ロシア連邦、198255
        • Local Institution
      • St. Petersburg、ロシア連邦、194044
        • Local Institution
      • St. Petersburg、ロシア連邦、194291
        • Local Institution

参加基準

研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。

適格基準

就学可能な年齢

18年歳以上 (大人、高齢者)

健康ボランティアの受け入れ

いいえ

受講資格のある性別

全て

説明

Inclusion Criteria:

  • Histologically or cytologically confirmed lung cancer (Stage IIIb/IV nonsmall-cell lung cancer or extensive stage small-cell lung cancer [SCLC])
  • Measurable tumor lesion (as long as it is not located in a previously irradiated area) as defined by modified World Health Organization criteria
  • Eastern Cooperative Oncology Group performance status of ≤1 at study entry
  • Accessible for treatment and follow-up

Exclusion Criteria:

  • Brain metastases
  • Malignant pleural effusion
  • Autoimmune disease
  • Motor neuropathy of autoimmune origin
  • SCLC-related paraneoplastic syndromes
  • Any concurrent malignancy other than nonmelanoma skin cancer; carcinoma in situ of the cervix or breast; or prostate cancer treated with systemic therapy (participants with a previous malignancy but without evidence of disease for 5 years were allowed to enter the study)

  • Prior systemic therapy for lung cancer. Prior radiation therapy or locoregional surgeries performed later than at least 3 weeks prior to randomization date were allowed.

    • Grade 2 peripheral neuropathy (motor or sensory)
  • Known HIV or hepatitis B or C infection
  • Chronic use of immunosuppressants and/or systemic corticosteroids (used in the management of cancer or noncancer-related illnesses). However, use of corticosteroids was allowed if used as premedication for paclitaxel infusion or for treating immune-related adverse events or adrenal insufficiencies.
  • Inadequate hematologic function defined by an absolute neutrophil count <1,500/mm^3, a platelet count <100,000/mm^3, or hemoglobin level <9 g/dL.
  • Inadequate hepatic function defined by a total bilirubin level >2.0 times the upper limit of normal (ULN), or ≥2.5 times the ULN if liver metastases are present, aspartate aminotransferase and alanine aminotransferase levels ≥2.5 times the ULN or ≥5 times the ULN if liver metastases are present.
  • Inadequate renal function defined by a serum creatinine level ≥2.5 times the ULN
  • Inadequate creatinine clearance defined as less than 50 mL/min.

研究計画

このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。

研究はどのように設計されていますか？

デザインの詳細

  • 主な目的：処理
  • 割り当て：ランダム化
  • 介入モデル：並列代入
  • マスキング：ダブル

武器と介入

参加者グループ / アーム
介入・治療
実験的：Ipilimumab/ placebo + paclitaxel + carboplatin (concurrent)
薬：Ipilimumab
Ipilimumab, 10 mg/kg, administered as a single-dose, intravenously (IV), over 90 minutes depending on randomization every 3 weeks (up to 6 doses). Participants could receive additional maintenance ipilimumab at a dose of 10 mg/kg every 12 weeks starting 24 weeks after the first ipilimumab dose.
薬：Placebo
Matched placebo for ipilimumab administered as a single dose IV over 90 minutes every 3 weeks (up to 6 doses) as part of induction. Participants could also receive additional maintenance placebo administered IV over 90 minutes every 12 weeks starting 24 weeks after the first placebo dose.
薬：Paclitaxel
175 mg/m^2, administered as a single IV dose over 3 hours every 3 weeks (up to 6 doses). Dose modifications (reductions as well as delays) done as per product label.
薬：Carboplatin
Area under the concentration curve (AUC)=6, administered as a single IV dose over 30 minutes every 3 weeks (up to 6 doses) as per randomization. Dose modifications (reductions as well as delays) done as per product label.
実験的：Ipilimumab/ placebo + paclitaxel + carboplatin (sequential)
薬：Ipilimumab
Ipilimumab, 10 mg/kg, administered as a single-dose, intravenously (IV), over 90 minutes depending on randomization every 3 weeks (up to 6 doses). Participants could receive additional maintenance ipilimumab at a dose of 10 mg/kg every 12 weeks starting 24 weeks after the first ipilimumab dose.
薬：Placebo
Matched placebo for ipilimumab administered as a single dose IV over 90 minutes every 3 weeks (up to 6 doses) as part of induction. Participants could also receive additional maintenance placebo administered IV over 90 minutes every 12 weeks starting 24 weeks after the first placebo dose.
薬：Paclitaxel
175 mg/m^2, administered as a single IV dose over 3 hours every 3 weeks (up to 6 doses). Dose modifications (reductions as well as delays) done as per product label.
薬：Carboplatin
Area under the concentration curve (AUC)=6, administered as a single IV dose over 30 minutes every 3 weeks (up to 6 doses) as per randomization. Dose modifications (reductions as well as delays) done as per product label.
アクティブコンパレータ：Ipilimumab placebo + paclitaxel + carboplatin
薬：Placebo
Matched placebo for ipilimumab administered as a single dose IV over 90 minutes every 3 weeks (up to 6 doses) as part of induction. Participants could also receive additional maintenance placebo administered IV over 90 minutes every 12 weeks starting 24 weeks after the first placebo dose.
薬：Paclitaxel
175 mg/m^2, administered as a single IV dose over 3 hours every 3 weeks (up to 6 doses). Dose modifications (reductions as well as delays) done as per product label.
薬：Carboplatin
Area under the concentration curve (AUC)=6, administered as a single IV dose over 30 minutes every 3 weeks (up to 6 doses) as per randomization. Dose modifications (reductions as well as delays) done as per product label.

この研究は何を測定していますか？

主要な結果の測定

結果測定
メジャーの説明
時間枠
Immune-related Progression-free Survival (irPFS) in Participants With Nonsmall-cell Lung Cancer (NSCLC) Per Immune-related Response Criteria (irRC)
時間枠：Tumor assessed at screening, every 6 weeks on treatment to Week 24, and every 12 weeks on maintenance until immune-related Progressive Disease (irPD) or death (of censored, maximum reached: 16.5 months)
irPFS is defined as the time between the randomization date and date of immune-related Progressive Disease (irPD) (at least 25% increase percentage change in total tumor burden, including new lesions) or death, whichever occurs first. For patients with no recorded postbaseline tumor assessments, irPFS is censored at randomization. Participant who die without reported irPD are considered to have progressed on the date of death. For those who remain alive and have no irPD, irPFS is censored on the date of last evaluable tumor assessment. Independent review committee performed tumor assessment.
Tumor assessed at screening, every 6 weeks on treatment to Week 24, and every 12 weeks on maintenance until immune-related Progressive Disease (irPD) or death (of censored, maximum reached: 16.5 months)

二次結果の測定

結果測定
メジャーの説明
時間枠
Progression-free Survival (PFS) in Participants With NSCLC Per Modified World Health Organization (mWHO) Criteria
時間枠：Randomization date to date of progression or death (of censored, maximum reached: 13.6 months)
By mWHO criteria, PFS is defined as the time between the randomization date and the date of progression or death, whichever occurs first. For participants with no recorded postbaseline tumor assessment, PFS was censored at the day of randomization. A participant who died without reported prior progression was considered to have progressed on the date of death. For those who remain alive and have not progressed, PFS was censored on the date of last evaluable tumor assessment. Independent review committee performed tumor assessment.
Randomization date to date of progression or death (of censored, maximum reached: 13.6 months)
Overall Survival in Participants With NSCLC
時間枠：Randomization date to date of death (of censored, maximum reached: 26.5 months)
Overall Survival is defined as the time from the date of randomization until the date of death. For participants who have not died, Overall Survival was censored at the recorded last date of contact; participants with a missing recorded last date of contact were censored at the last date the participant was known to be alive.
Randomization date to date of death (of censored, maximum reached: 26.5 months)
Best Overall Response Rate (BORR) Per mWHO Criteria in Participants With NSCLC and SCLC
時間枠：Tumor assessment at screening, every 6 weeks on treatment to Week 24, and every 12 weeks on maintenance
mWHO criteria define BORR as the number of patients with best overall response of Complete Response (CR) or Partial Response (PR), divided by the total number of participants in the data set (multiplied by 100 for percentage). CR=Complete disappearance of all index lesions; PR=decrease from baseline of >=50% in the sum of products of the 2 largest perpendicular diameters of all index lesions. Independent review committee performed tumor assessment.
Tumor assessment at screening, every 6 weeks on treatment to Week 24, and every 12 weeks on maintenance
Immune-related Best Overall Response Rate (irBORR) Per irRC in Participants With NSCLC and Small-cell Lung Cancer (SCLC)
時間枠：Tumor assessment at screening, every 6 weeks on treatment to Week 24, and every 12 weeks on maintenance
irBORR=number of participants with irBORR of immune-related Complete Response (irCR) or immune-related Partial Response (irPR), divided by total participants in the data set. irCR=Complete disappearance of all index lesions. irPR=Decrease, relative to baseline, of 50% or greater in the sum of the products of the 2 largest perpendicular diameters of all index and of all new measurable lesions. Independent review committee performed the tumor assessments.
Tumor assessment at screening, every 6 weeks on treatment to Week 24, and every 12 weeks on maintenance
Immune-related Disease Control Rate (irDCR) Per irRC and Disease Control Rate (DCR) Per mWHO Criteria in Participants With NSCLC and SCLC
時間枠：Tumor assessment at screening, every 6 weeks on treatment to Week 24, and every 12 weeks on maintenance until irPD, progressive disease, or death (maximum reached: 22 months)
irDCR is defined as the proportion of participants whose immune-related best overall response is irPR, irCR, or immune-related Stable Disease (irSD) in the analysis data set. irSD=Does not meet criteria for irCR or irPR, in the absence of progressive disease. By mWHO criteria, DCR is defined as the proportion of participants whose best overall response is PR, CR, or SD in the analysis data set. SD=A decrease or tumor stabilization of 1 or more nonindex lesions. Independent review committee assessed response.
Tumor assessment at screening, every 6 weeks on treatment to Week 24, and every 12 weeks on maintenance until irPD, progressive disease, or death (maximum reached: 22 months)
Immune-related Duration of Response (irDoR) Per irRC and DoR Per mWHO Criteria in Participants With NSCLC and SCLC
時間枠：Date of irCR or irPR to date of irPD or death (maximum reached: 14.2 months)
irDoR is defined as the time between the date of response of confirmed irCR or irPR and the date of irPD or death, whichever occurs first. For those participants who remain alive and did progress following response, irDoR was censored on the date of last evaluable tumor assessment. By mWHO criteria, DoR is defined as the time between the date of response of confirmed CR or PR and the date of PD or death, whichever occurs first. For those who remain alive and did not progress following response, DoR was censored on the date of last evaluable tumor assessment.
Date of irCR or irPR to date of irPD or death (maximum reached: 14.2 months)
Number of Participants With NSCLC Who Have Death as Outcome, Serious Adverse Events (SAEs), Drug-related SAEs, Adverse Events (AEs), AEs Leading to Discontinuation, and Drug-related AEs by Worst Common Terminology Criteria (CTC) Grade
時間枠：Weeks 4, 7, 10, 16, 19, and 24; at end of treatment; and at follow-up (70 days from last dose)
AE=any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that may not have a causal relationship with treatment. SAE=a medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency/abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization. Drug-related=possibly, probably, or certainly related to and of unknown relationship to study drug. Grade (Gr) 1=Mild, Gr 2=Moderate, Gr 3=Severe, Gr 4=Life-threatening or disabling, Gr 5=Death.
Weeks 4, 7, 10, 16, 19, and 24; at end of treatment; and at follow-up (70 days from last dose)
Percentage of Participants With NSCLC Who Have Abnormalities in On-study Hematology Laboratory Test Results by Worst CTC Grade
時間枠：At screening; predose Day 1; and Weeks 4, 7, 10, 13, 16, 19, and 24; and every 12 weeks on maintenance until disease progression, study closure, or withdrawal of consent
CTC, Version 3 used to assess parameters. LLN=lower limit of normal. CTC criteria: ANC=absolute neutrophil count. White blood cells Grade (Gr) 1:<LLN to 3.0*10^9/L, Gr 2:<3.0 to 2.0*10^9/L, Gr 3:<2.0 to 1.0*10^9/L, Gr 4:<1.0*10^9/L. ANC Gr 1:<LLN to 1.5*10^9/L, Gr 2:<1.5 to 1.0*10^9/L, Gr 3:<1.0 to 0.5*10^9/L, Gr 4:<0.5*10^9/L. Platelet count Gr 1:LLN to 75.0*10^9/L, Gr 2:<75.0 to 50.0*10^9/L, Gr 3:<50.0 to 25.0*10^9/L, Gr 4:<25.0 to 10^9/L. Hemoglobin Gr 1:<LLN to 10.0 g/dL, Gr 2:<10.0 to 8.0 g/dL, Gr 3:<8.0 to 6.5 g/dL, Gr 4:<6.5 g/dL.
At screening; predose Day 1; and Weeks 4, 7, 10, 13, 16, 19, and 24; and every 12 weeks on maintenance until disease progression, study closure, or withdrawal of consent
irPFS in Participants With SCLC Per irRC
時間枠：Randomization date to date of irPD or death (maximum reached: 22 months)
IRC performed TA.
Randomization date to date of irPD or death (maximum reached: 22 months)
Number of Participants With NSCLC Who Have Abnormalities in On-Study Liver Function Test Results By Worst CTC Grade
時間枠：At screening; predose Day 1; Weeks 4, 7, 10, 13, 16, 19, and 24; and every 12 weeks on maintenance until disease progression, study closure, or withdrawal of consent
ULN=Upper limit of normal among all laboratory ranges. ALT=alanine transaminase; AST=aspartate aminotransferase; ALK=alkaline phosphatase. CTC grade criteria: ALT Grade 1:>ULN to 2.5*ULN; Grade 2: >2.5 to 5.0*ULN; Grade 3: >5.0 to 20.0*ULN; Grade 4: >20.0*ULN. AST Grade 1: >ULN to 2.5*ULN; Grade 2: >2.5 to 5.0*ULN; Grade 3: >5.0 to 20.0*ULN; Grade 4: >20.0*ULN. Total bilirubin Grade 1: >ULN to 1.5*ULN; Grade 2: >1.5 to 3.0*ULN; Grade 3: >3.0 to 10.0*ULN; Grade 4: >10.0*ULN. ALK (U/L) G1:>ULN to 2.5*ULN, G2:>2.5 to 5.0*ULN, G3:>5.0 to 20.0*ULN, G4:>20.0*ULN.
At screening; predose Day 1; Weeks 4, 7, 10, 13, 16, 19, and 24; and every 12 weeks on maintenance until disease progression, study closure, or withdrawal of consent
Number of Participants With NSCLC Who Had Abnormalities in Vital Sign Measurements and Physical Examination Findings
時間枠：At screening; Day 1; Weeks 4, 7, 10, 13, 16, and 24; and every 12 weeks on maintenance until disease progression, study closure, or withdrawal of consent
Vital signs measurements consisted of systolic and diastolic blood pressure, heart rate, temperature, and respiratory rate. Physical examinations assessed weight, height, performance status, and body surface area.
At screening; Day 1; Weeks 4, 7, 10, 13, 16, and 24; and every 12 weeks on maintenance until disease progression, study closure, or withdrawal of consent
Percentage of Participants With NSCLC Who Have Abnormalities in Pancreatic Enzyme Clinical Laboratory Test Results by Worst CTC Grade
時間枠：At screening; predose Day 1; Weeks 4, 7, 10, 13, 16, 19, and 24; and at end of treatment
ULN=upper limit of normal. Lipase (U/L) Gr 1: 1.1 to 1.39*ULN; Gr 2: >1.5 to 2.0*ULN; Gr 3: 2.5 to 5; Gr 4: 5*ULN. Amylase (U/L) Gr 1: >ULN to 1.5*ULN; Grade 2 >1.5 to 2.0*ULN, Grade 3 >2.0 to 5.0*ULN, Grade 4 >5.0*ULN. Creatine (mg/dL) Grade 1: >ULN to 1.5*ULN, Gr 2: 1.5 to 3.0*ULN, Gr 3: >3.0 to 6.0*ULN, Gr 4: >6.0*ULN.
At screening; predose Day 1; Weeks 4, 7, 10, 13, 16, 19, and 24; and at end of treatment
Number of Participants With NSCLC Who Have Positive Human Antihuman Antibody (HAHA) Status Postbaseline
時間枠：Day 1; Weeks 4, 7, 10, 13, 16, 19, and 24; and at end of treatment
An electrochemilumiluminescent immunoassay was used to detect HAHA antibodies to ipilimumab in human serum. Baseline, either negative or positive, is the maximum of all measurements closest and prior to the first ipilimumab dose. Positive status postbaseline=participants with an increase in HAHA measurement from baseline.
Day 1; Weeks 4, 7, 10, 13, 16, 19, and 24; and at end of treatment
Number of Participants With SCLC With Death as Outcome, Serious Adverse Events (SAEs), Drug-related SAEs, Adverse Events (AEs), AEs Leading to Discontinuation, Drug-related AEs by Worst CTC Grade
時間枠：Weeks 4, 7, 10, 16, 19, and 24; at end of treatment; and at follow-up (70 days from last dose)
AE=any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that may not have a causal relationship with treatment. SAE=a medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency/abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization. Drug-related=possibly, probably, or certainly related to and of unknown relationship to study drug. Grade (Gr) 1=Mild, Gr 2=Moderate, Gr 3=Severe, Gr 4=Life-threatening or disabling, Gr 5=Death.
Weeks 4, 7, 10, 16, 19, and 24; at end of treatment; and at follow-up (70 days from last dose)
Number of Participants With SCLC Who Have Abnormalities in On-study Hematology Laboratory Test Results by Worst CTC Grade
時間枠：At screening, predose Day 1, and Weeks 4, 7, 10, 13, 16, 19, 24, and at end of treatment
CTC, Version 3 used to assess parameters. LLN=lower limit of normal. CTC criteria: ANC=absolute neutrophil count. White blood cells Gr 1:<LLN to 3.0*10^9/L, Gr 2:<3.0 to 2.0*10^9/L, Gr 3:<2.0 to 1.0*10^9/L, Gr 4:<1.0*10^9/L. ANC Gr 1:<LLN to 1.5*10^9/L, Gr 2:<1.5 to 1.0*10^9/L, Gr 3:<1.0 to 0.5*10^9/L, Gr 4:<0.5*10^9/L. Platelet count Gr 1:LLN to 75.0*10^9/L, Gr 2:<75.0 to 50.0*10^9/L, Gr 3:<50.0 to 25.0*10^9/L, Gr 4:<25.0 to 10^9/L. Hemoglobin Gr 1:<LLN to 10.0 g/dL, Gr 2:<10.0 to 8.0 g/dL, Gr 3:<8.0 to 6.5 g/dL, Gr 4:<6.5 g/dL.
At screening, predose Day 1, and Weeks 4, 7, 10, 13, 16, 19, 24, and at end of treatment
Number of Participants With SCLC Who Have Abnormalities in Liver Function Test Results by Worst CTC Grade
時間枠：At screening; predose Day 1; Weeks 4, 7, 10, 13, 16, 19, and 24; and at end of treatment
ALT=alanine aminotransferase; AST=aspartate aminotransferase; ALK=alkaline phosphatase. ULN=Upper limit of normal among all laboratory ranges. CTC grade criteria: ALT Grade 1:>ULN to 2.5*ULN; Grade 2: >2.5 to 5.0*ULN; Grade 3: >5.0 to 20.0*ULN; Grade 4: >20.0*ULN. AST Grade 1: >ULN to 2.5*ULN; Grade 2: >2.5 to 5.0*ULN; Grade 3: >5.0 to 20.0*ULN; Grade 4: >20.0*ULN. Total bilirubin Grade 1: >ULN to 1.5*ULN; Grade 2: >1.5 to 3.0*ULN; Grade 3: >3.0 to 10.0*ULN; Grade 4: >10.0*ULN. ALK (U/L) G1:>ULN to 2.5*ULN, G2:>2.5 to 5.0*ULN, G3:>5.0 to 20.0*ULN, G4:>20.0*ULN.
At screening; predose Day 1; Weeks 4, 7, 10, 13, 16, 19, and 24; and at end of treatment
Percentage of Participants With SCLC Who Have Abnormalities in Pancreatic Enzyme and Other Clinical Laboratory Test Results by Worst CTC Grade
時間枠：At screening, predose Day 1, and Weeks 4, 7, 10, 13, 16, 19, 24, and at end of treatment
ULN=upper limit of normal. Lipase (U/L) Grade (Gr) 1: 1.1 to 1.39*ULN; Gr 2: >1.5 to 2.0*ULN; Gr 3: 2.5 to 5; Gr 4: 5*ULN. Amylase (U/L) Gr 1: >ULN to 1.5*ULN; Gr 2 >1.5 to 2.0*ULN, Gr 3 >2.0 to 5.0*ULN, Gr 4 >5.0*ULN. Creatine (mg/dL) Gr 1: >ULN to 1.5*ULN, Gr 2: 1.5 to 3.0*ULN, Gr 3: >3.0 to 6.0*ULN, Gr 4: >6.0*ULN.
At screening, predose Day 1, and Weeks 4, 7, 10, 13, 16, 19, 24, and at end of treatment
Progression-free Survival (PFS) in Participants With SCLC Per mWHO Criteria
時間枠：Randomization date to date of progression or death (of censored, maximum reached: 22 months)
By mWHO criteria, PFS is defined as the time between the randomization date and the date of progression or death, whichever occurs first. For participants with no recorded postbaseline tumor assessment, PFS was censored at the day of randomization. A participant who died without reported prior progression was considered to have progressed on the date of death. For those who remain alive and have not progressed, PFS was censored on the date of last evaluable tumor assessment.
Randomization date to date of progression or death (of censored, maximum reached: 22 months)
Number of Participants With SCLC Who Had Abnormalities in Vital Sign Measurements and Physical Examination Findings
時間枠：Predose Day 1; Weeks 4, 7, 10, 13, 16, and 24; and every 12 weeks on maintenance until end of treatment
Vital signs measurements consisted of systolic and diastolic blood pressure, heart rate, temperature, and respiratory rate. Physical examinations assessed weight, height, performance status, and body surface area.
Predose Day 1; Weeks 4, 7, 10, 13, 16, and 24; and every 12 weeks on maintenance until end of treatment
Number of Participants With SCLC Who Have Positive HAHA Status Postbaseline
時間枠：Day 1; Weeks 4, 7, 10, 13, 16, 19, and 24; and at end of treatment
An electrochemilumiluminescent immunoassay was used to detect HAHA antibodies to ipilimumab in human serum. Baseline, either negative or positive, is the maximum of all measurements closest and prior to the first ipilimumab dose. Positive status postbaseline=participants with an increase in HAHA measurement from baseline.
Day 1; Weeks 4, 7, 10, 13, 16, 19, and 24; and at end of treatment
Overall Survival in Participants With SCLC
時間枠：Randomization date to date of death (of censored, maximum reached: 22 months)
Overall Survival is defined as the time from the date of randomization until the date of death. For participants who have not died, Overall Survival was censored at the recorded last date of contact; participants with a missing recorded last date of contact were censored at the last date the participant was known to be alive.
Randomization date to date of death (of censored, maximum reached: 22 months)

協力者と研究者

ここでは、この調査に関係する人々や組織を見つけることができます。

スポンサー

Bristol-Myers Squibb

研究記録日

これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。

主要日程の研究

研究開始

2008年2月1日

一次修了 (実際)

2009年10月1日

研究の完了 (実際)

2011年12月1日

試験登録日

最初に提出

2007年9月7日

QC基準を満たした最初の提出物

2007年9月10日

最初の投稿 (見積もり)

2007年9月11日

学習記録の更新

投稿された最後の更新 (実際)

2018年7月18日

QC基準を満たした最後の更新が送信されました

2018年6月18日

最終確認日

2018年6月1日

詳しくは

本研究に関する用語

キーワード

追加の関連 MeSH 用語

その他の研究ID番号

  • CA184-041

この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。

がん、非小細胞肺の臨床試験

Ipilimumabの臨床試験

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医学的状態

薬物療法

CROs by country

CROs in Zambia

条件

まれな病気

薬物療法

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