Badanie dodatku AZD6738 (Ceralasertib) do immunoterapii w celu wydłużenia czasu bez raka u pacjentów z niedrobnokomórkowym rakiem płuc
Randomizowane badanie fazy III dotyczące blokady punktu kontrolnego u pacjentów z rakiem płuc w leczeniu uzupełniającym w oparciu o odpowiedź patologiczną po terapii neoadjuwantowej (CLEAR)
This phase III trial compares the effect of adding AZD6738 to durvalumab versus durvalumab alone to increase time without cancer in patients with non-small cell lung cancer, following treatment with chemotherapy and surgery. AZD6738 may stop the growth of tumor cells and may kill them by blocking some of the enzymes needed for cell growth. Durvalumab is a monoclonal antibody that may interfere with the ability of tumor cells to grow and spread. A monoclonal antibody is a type of protein that can bind to certain targets in the body, such as molecules that cause the body to make an immune response (antigens). Adding AZD6738 to durvalumab may increase time without cancer in patients with non-small cell lung cancer, following treatment with chemotherapy and surgery.
Przegląd badań
Status
Status
Warunki
Warunki
Interwencja / Leczenie
Interwencja / Leczenie
Szczegółowy opis
PRIMARY OBJECTIVE:
I. To assess for improvement in disease free survival (DFS) in patients who do not achieve pathologic complete response (pCR) following neoadjuvant therapy and patients who receive adjuvant combination immunotherapy with durvalumab and AZD6738 (ceralasertib) compared to those who receive monotherapy with durvalumab.
SECONDARY OBJECTIVE:
I. To evaluate any difference in overall survival (OS) with patients who receive durvalumab and AZD6738 (ceralasertib) compared to those who receive monotherapy with durvalumab.
EXPLORATORY OBJECTIVES:
I. To evaluate any difference in disease free survival (DFS) with patients who receive durvalumab and AZD6738 (ceralasertib) compared to those who receive monotherapy with durvalumab according to PD-L1, stage, prior immune checkpoint inhibitor (ICI) type, and histology.
II. To evaluate any difference in overall survival (OS) with patients who receive durvalumab and AZD6738 (ceralasertib) compared to those who receive monotherapy with durvalumab according to PD-L1, stage, prior ICI type, and histology.
CORRELATIVE OBJECTIVE:
I. To perform correlative analyses on tissue and blood biospecimens collected within this trial.
OUTLINE: Patients are randomized to 1 of 2 arms.
ARM A: Starting 4-12 weeks after surgery, patients receive durvalumab intravenously (IV) over 60 minutes on day 1 of each cycle. Cycles repeat every 28 days for 12 cycles in the absence of disease progression or unacceptable toxicity. Patients undergo computed tomography (CT) scan and blood sample collection throughout the study and may undergo echocardiography as clinically indicated.
ARM B: Starting 4-12 weeks after surgery, patients receive AZD6738 orally (PO) twice daily (BID) on days 1-7 and durvalumab IV over 60 minutes on day 8 of each cycle. Cycles repeat every 28 days for 12 cycles in the absence of disease progression or unacceptable toxicity. Patients undergo CT scan and blood sample collection throughout the study and may undergo echocardiography as clinically indicated.
After completion of study treatment, patients are followed up every 12 weeks for 2 years then every 24 weeks until year 5 then every 12 months until 10 years from randomization.
Typ studiów
Typ studiów
Zapisy (Szacowany)
Zapisy
Faza
Faza
- Faza 3
Kontakty i lokalizacje
Lokalizacje studiów
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Arkansas
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Jonesboro, Arkansas, Stany Zjednoczone, 72401
- NEA Baptist Memorial Hospital and Fowler Family Cancer Center - Jonesboro
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California
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Beverly Hills, California, Stany Zjednoczone, 90211
- Tower Cancer Research Foundation
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Los Angeles, California, Stany Zjednoczone, 90048
- Cedars-Sinai Medical Center
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Tarzana, California, Stany Zjednoczone, 91356
- Cedars-Sinai Cancer - Tarzana
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Torrance, California, Stany Zjednoczone, 90505
- Torrance Memorial Physician Network - Cancer Care
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Connecticut
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Hartford, Connecticut, Stany Zjednoczone, 06102
- Hartford Hospital
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Meriden, Connecticut, Stany Zjednoczone, 06451
- Midstate Medical Center
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New Britain, Connecticut, Stany Zjednoczone, 06050
- The Hospital of Central Connecticut
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Delaware
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Millville, Delaware, Stany Zjednoczone, 19967
- Beebe South Coastal Health Campus
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Newark, Delaware, Stany Zjednoczone, 19713
- Helen F Graham Cancer Center
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Newark, Delaware, Stany Zjednoczone, 19713
- Medical Oncology Hematology Consultants PA
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Rehoboth Beach, Delaware, Stany Zjednoczone, 19971
- Beebe Health Campus
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District of Columbia
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Washington D.C., District of Columbia, Stany Zjednoczone, 20010
- MedStar Washington Hospital Center
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Washington D.C., District of Columbia, Stany Zjednoczone, 20007
- MedStar Georgetown University Hospital
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Georgia
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Atlanta, Georgia, Stany Zjednoczone, 30308
- Emory University Hospital Midtown
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Atlanta, Georgia, Stany Zjednoczone, 30322
- Emory University Hospital/Winship Cancer Institute
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Atlanta, Georgia, Stany Zjednoczone, 30342
- Emory Saint Joseph's Hospital
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Decatur, Georgia, Stany Zjednoczone, 30033
- Emory Decatur Hospital
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Johns Creek, Georgia, Stany Zjednoczone, 30097
- Emory Johns Creek Hospital
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Idaho
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Boise, Idaho, Stany Zjednoczone, 83712
- Saint Luke's Cancer Institute - Boise
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Coeur d'Alene, Idaho, Stany Zjednoczone, 83814
- Kootenai Health - Coeur d'Alene
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Fruitland, Idaho, Stany Zjednoczone, 83619
- Saint Luke's Cancer Institute - Fruitland
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Meridian, Idaho, Stany Zjednoczone, 83642
- Saint Luke's Cancer Institute - Meridian
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Nampa, Idaho, Stany Zjednoczone, 83687
- Saint Alphonsus Cancer Care Center-Nampa
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Nampa, Idaho, Stany Zjednoczone, 83687
- Saint Luke's Cancer Institute - Nampa
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Post Falls, Idaho, Stany Zjednoczone, 83854
- Kootenai Clinic Cancer Services - Post Falls
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Sandpoint, Idaho, Stany Zjednoczone, 83864
- Kootenai Clinic Cancer Services - Sandpoint
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Illinois
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Bloomington, Illinois, Stany Zjednoczone, 61704
- Illinois CancerCare-Bloomington
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Canton, Illinois, Stany Zjednoczone, 61520
- Illinois CancerCare-Canton
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Carthage, Illinois, Stany Zjednoczone, 62321
- Illinois CancerCare-Carthage
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Chicago, Illinois, Stany Zjednoczone, 60611
- Northwestern University
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DeKalb, Illinois, Stany Zjednoczone, 60115
- Northwestern Medicine Cancer Center Kishwaukee
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Decatur, Illinois, Stany Zjednoczone, 62526
- Decatur Memorial Hospital
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Decatur, Illinois, Stany Zjednoczone, 62526
- Cancer Care Specialists of Illinois - Decatur
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Dixon, Illinois, Stany Zjednoczone, 61021
- Illinois CancerCare-Dixon
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Effingham, Illinois, Stany Zjednoczone, 62401
- Crossroads Cancer Center
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Eureka, Illinois, Stany Zjednoczone, 61530
- Illinois CancerCare-Eureka
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Galesburg, Illinois, Stany Zjednoczone, 61401
- Illinois CancerCare-Galesburg
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Geneva, Illinois, Stany Zjednoczone, 60134
- Northwestern Medicine Cancer Center Delnor
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Glenview, Illinois, Stany Zjednoczone, 60026
- Northwestern Medicine Glenview Outpatient Center
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Grayslake, Illinois, Stany Zjednoczone, 60030
- Northwestern Medicine Grayslake Outpatient Center
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Kewanee, Illinois, Stany Zjednoczone, 61443
- Illinois CancerCare-Kewanee Clinic
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Lake Forest, Illinois, Stany Zjednoczone, 60045
- Northwestern Medicine Lake Forest Hospital
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Macomb, Illinois, Stany Zjednoczone, 61455
- Illinois CancerCare-Macomb
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Maywood, Illinois, Stany Zjednoczone, 60153
- Loyola University Medical Center
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O'Fallon, Illinois, Stany Zjednoczone, 62269
- Cancer Care Center of O'Fallon
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O'Fallon, Illinois, Stany Zjednoczone, 62269
- HSHS Saint Elizabeth's Hospital
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Oak Brook, Illinois, Stany Zjednoczone, 60523
- Northwestern Medicine Oak Brook
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Orland Park, Illinois, Stany Zjednoczone, 60462
- Northwestern Medicine Orland Park
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Ottawa, Illinois, Stany Zjednoczone, 61350
- Illinois CancerCare-Ottawa Clinic
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Pekin, Illinois, Stany Zjednoczone, 61554
- Illinois CancerCare-Pekin
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Peoria, Illinois, Stany Zjednoczone, 61615
- Illinois CancerCare-Peoria
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Peru, Illinois, Stany Zjednoczone, 61354
- Illinois CancerCare-Peru
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Princeton, Illinois, Stany Zjednoczone, 61356
- Illinois CancerCare-Princeton
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Springfield, Illinois, Stany Zjednoczone, 62702
- Southern Illinois University School of Medicine
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Springfield, Illinois, Stany Zjednoczone, 62702
- Springfield Clinic
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Springfield, Illinois, Stany Zjednoczone, 62781
- Springfield Memorial Hospital
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Warrenville, Illinois, Stany Zjednoczone, 60555
- Northwestern Medicine Cancer Center Warrenville
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Washington, Illinois, Stany Zjednoczone, 61571
- Illinois CancerCare - Washington
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Indiana
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Indianapolis, Indiana, Stany Zjednoczone, 46202
- Indiana University/Melvin and Bren Simon Cancer Center
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Kansas
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El Dorado, Kansas, Stany Zjednoczone, 67042
- Cancer Center of Kansas - El Dorado
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Lawrence, Kansas, Stany Zjednoczone, 66044
- Lawrence Memorial Hospital
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Newton, Kansas, Stany Zjednoczone, 67114
- Cancer Center of Kansas - Newton
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Olathe, Kansas, Stany Zjednoczone, 66061
- The University of Kansas Cancer Center - Olathe
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Salina, Kansas, Stany Zjednoczone, 67401
- Salina Regional Health Center
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Topeka, Kansas, Stany Zjednoczone, 66606
- University of Kansas Health System Saint Francis Campus
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Wellington, Kansas, Stany Zjednoczone, 67152
- Cancer Center of Kansas - Wellington
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Wichita, Kansas, Stany Zjednoczone, 67214
- Ascension Via Christi Hospitals Wichita
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Wichita, Kansas, Stany Zjednoczone, 67208
- Cancer Center of Kansas-Wichita Medical Arts Tower
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Wichita, Kansas, Stany Zjednoczone, 67214
- Cancer Center of Kansas - Wichita
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Winfield, Kansas, Stany Zjednoczone, 67156
- Cancer Center of Kansas - Winfield
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Maryland
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Baltimore, Maryland, Stany Zjednoczone, 21201
- University of Maryland/Greenebaum Cancer Center
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Glen Burnie, Maryland, Stany Zjednoczone, 21061
- UM Baltimore Washington Medical Center/Tate Cancer Center
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Massachusetts
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Beverly, Massachusetts, Stany Zjednoczone, 01915
- Beverly Hospital
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Burlington, Massachusetts, Stany Zjednoczone, 01805
- Lahey Clinic
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Gloucester, Massachusetts, Stany Zjednoczone, 01930
- Addison Gilbert Hospital
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Peabody, Massachusetts, Stany Zjednoczone, 01960
- Lahey Clinic Peabody
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Springfield, Massachusetts, Stany Zjednoczone, 01199
- Baystate Medical Center
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Michigan
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Battle Creek, Michigan, Stany Zjednoczone, 49017
- Bronson Battle Creek
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Brighton, Michigan, Stany Zjednoczone, 48114
- Trinity Health IHA Medical Group Hematology Oncology - Brighton
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Canton, Michigan, Stany Zjednoczone, 48188
- Trinity Health IHA Medical Group Hematology Oncology - Canton
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Chelsea, Michigan, Stany Zjednoczone, 48118
- Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital
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Flint, Michigan, Stany Zjednoczone, 48503
- Hurley Medical Center
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Flint, Michigan, Stany Zjednoczone, 48503
- Genesee Hematology Oncology PC
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Flint, Michigan, Stany Zjednoczone, 48503
- Genesys Hurley Cancer Institute
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Flint, Michigan, Stany Zjednoczone, 48503
- Cancer Hematology Centers - Flint
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Grand Rapids, Michigan, Stany Zjednoczone, 49503
- Trinity Health Grand Rapids Hospital
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Grand Rapids, Michigan, Stany Zjednoczone, 49503
- Corewell Health Grand Rapids Hospitals - Butterworth Hospital
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Kalamazoo, Michigan, Stany Zjednoczone, 49007
- West Michigan Cancer Center
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Kalamazoo, Michigan, Stany Zjednoczone, 49007
- Bronson Methodist Hospital
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Lansing, Michigan, Stany Zjednoczone, 48912
- University of Michigan Health - Sparrow Lansing
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Livonia, Michigan, Stany Zjednoczone, 48154
- Trinity Health Saint Mary Mercy Livonia Hospital
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Muskegon, Michigan, Stany Zjednoczone, 49444
- Trinity Health Muskegon Hospital
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Niles, Michigan, Stany Zjednoczone, 49120
- Corewell Health Lakeland Hospitals - Niles Hospital
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Norton Shores, Michigan, Stany Zjednoczone, 49444
- Cancer and Hematology Centers of Western Michigan - Norton Shores
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Pontiac, Michigan, Stany Zjednoczone, 48341
- Trinity Health Saint Joseph Mercy Oakland Hospital
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Reed City, Michigan, Stany Zjednoczone, 49677
- Corewell Health Reed City Hospital
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Saint Joseph, Michigan, Stany Zjednoczone, 49085
- Corewell Health Lakeland Hospitals - Marie Yeager Cancer Center
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Saint Joseph, Michigan, Stany Zjednoczone, 49085
- Corewell Health Lakeland Hospitals - Saint Joseph Hospital
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Traverse City, Michigan, Stany Zjednoczone, 49684
- Munson Medical Center
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Wyoming, Michigan, Stany Zjednoczone, 49519
- University of Michigan Health - West
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Ypsilanti, Michigan, Stany Zjednoczone, 48197
- Trinity Health IHA Medical Group Hematology Oncology Ann Arbor Campus
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Minnesota
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Brainerd, Minnesota, Stany Zjednoczone, 56401
- Essentia Health Saint Joseph's Medical Center
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Coon Rapids, Minnesota, Stany Zjednoczone, 55433
- Mercy Hospital
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Deer River, Minnesota, Stany Zjednoczone, 56636
- Essentia Health - Deer River Clinic
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Duluth, Minnesota, Stany Zjednoczone, 55805
- Essentia Health Cancer Center
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Edina, Minnesota, Stany Zjednoczone, 55435
- Fairview Southdale Hospital
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Hibbing, Minnesota, Stany Zjednoczone, 55746
- Essentia Health Hibbing Clinic
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Minneapolis, Minnesota, Stany Zjednoczone, 55407
- Abbott-Northwestern Hospital
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Minneapolis, Minnesota, Stany Zjednoczone, 55417
- Minneapolis VA Medical Center
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Saint Louis Park, Minnesota, Stany Zjednoczone, 55416
- Park Nicollet Clinic - Saint Louis Park
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Saint Paul, Minnesota, Stany Zjednoczone, 55101
- Regions Hospital
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Saint Paul, Minnesota, Stany Zjednoczone, 55102
- United Hospital
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Sandstone, Minnesota, Stany Zjednoczone, 55072
- Essentia Health Sandstone
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Virginia, Minnesota, Stany Zjednoczone, 55792
- Essentia Health Virginia Clinic
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Mississippi
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Columbus, Mississippi, Stany Zjednoczone, 39705
- Baptist Memorial Hospital and Cancer Center-Golden Triangle
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Grenada, Mississippi, Stany Zjednoczone, 38901
- Baptist Cancer Center-Grenada
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New Albany, Mississippi, Stany Zjednoczone, 38652
- Baptist Memorial Hospital and Cancer Center-Union County
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Oxford, Mississippi, Stany Zjednoczone, 38655
- Baptist Memorial Hospital and Cancer Center-Oxford
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Southhaven, Mississippi, Stany Zjednoczone, 38671
- Baptist Memorial Hospital and Cancer Center-Desoto
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Missouri
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Cape Girardeau, Missouri, Stany Zjednoczone, 63703
- Saint Francis Medical Center
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Farmington, Missouri, Stany Zjednoczone, 63640
- Parkland Health Center - Farmington
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Sainte Genevieve, Missouri, Stany Zjednoczone, 63670
- Sainte Genevieve County Memorial Hospital
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St Louis, Missouri, Stany Zjednoczone, 63131
- Missouri Baptist Medical Center
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St Louis, Missouri, Stany Zjednoczone, 63128
- Mercy Hospital South
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Sullivan, Missouri, Stany Zjednoczone, 63080
- Missouri Baptist Sullivan Hospital
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Montana
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Anaconda, Montana, Stany Zjednoczone, 59711
- Community Hospital of Anaconda
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Billings, Montana, Stany Zjednoczone, 59101
- Billings Clinic Cancer Center
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Billings, Montana, Stany Zjednoczone, 59102
- Saint Vincent Frontier Cancer Center
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Bozeman, Montana, Stany Zjednoczone, 59715
- Bozeman Health Deaconess Hospital
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Great Falls, Montana, Stany Zjednoczone, 59405
- Benefis Sletten Cancer Institute
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Missoula, Montana, Stany Zjednoczone, 59804
- Community Medical Center
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New Hampshire
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Concord, New Hampshire, Stany Zjednoczone, 03301
- New Hampshire Oncology Hematology PA-Concord
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Manchester, New Hampshire, Stany Zjednoczone, 03103
- Solinsky Center for Cancer Care
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New Jersey
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Flemington, New Jersey, Stany Zjednoczone, 08822
- Hunterdon Medical Center
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New York
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Glens Falls, New York, Stany Zjednoczone, 12801
- Glens Falls Hospital
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The Bronx, New York, Stany Zjednoczone, 10461
- Montefiore Medical Center-Einstein Campus
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North Carolina
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Pinehurst, North Carolina, Stany Zjednoczone, 28374
- FirstHealth of the Carolinas-Moore Regional Hospital
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North Dakota
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Fargo, North Dakota, Stany Zjednoczone, 58103
- Essentia Health Cancer Center-South University Clinic
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Ohio
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Canton, Ohio, Stany Zjednoczone, 44710
- Aultman Health Foundation
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Columbus, Ohio, Stany Zjednoczone, 43210
- Ohio State University Comprehensive Cancer Center
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Oklahoma
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Oklahoma City, Oklahoma, Stany Zjednoczone, 73104
- University of Oklahoma Health Sciences Center
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Oregon
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Newberg, Oregon, Stany Zjednoczone, 97132
- Providence Newberg Medical Center
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Oregon City, Oregon, Stany Zjednoczone, 97045
- Providence Willamette Falls Medical Center
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Portland, Oregon, Stany Zjednoczone, 97239
- Oregon Health and Science University
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Portland, Oregon, Stany Zjednoczone, 97213
- Providence Portland Medical Center
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Portland, Oregon, Stany Zjednoczone, 97225
- Providence Saint Vincent Medical Center
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Pennsylvania
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Allentown, Pennsylvania, Stany Zjednoczone, 18103
- Lehigh Valley Hospital-Cedar Crest
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Bethlehem, Pennsylvania, Stany Zjednoczone, 18017
- Lehigh Valley Hospital - Muhlenberg
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Bryn Mawr, Pennsylvania, Stany Zjednoczone, 19010
- Bryn Mawr Hospital
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East Stroudsburg, Pennsylvania, Stany Zjednoczone, 18301
- Pocono Medical Center
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Erie, Pennsylvania, Stany Zjednoczone, 16505
- UPMC Hillman Cancer Center Erie
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Greensburg, Pennsylvania, Stany Zjednoczone, 15601
- UPMC Cancer Centers - Arnold Palmer Pavilion
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Harrisburg, Pennsylvania, Stany Zjednoczone, 17109
- UPMC Pinnacle Cancer Center/Community Osteopathic Campus
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Hazleton, Pennsylvania, Stany Zjednoczone, 18201
- Lehigh Valley Hospital-Hazleton
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Mechanicsburg, Pennsylvania, Stany Zjednoczone, 17050
- UPMC Hillman Cancer Center at Rocco And Nancy Ortenzio Cancer Pavilion
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Media, Pennsylvania, Stany Zjednoczone, 19063
- Riddle Memorial Hospital
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Monroeville, Pennsylvania, Stany Zjednoczone, 15146
- UPMC Hillman Cancer Center - Monroeville
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Paoli, Pennsylvania, Stany Zjednoczone, 19301
- Paoli Memorial Hospital
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Philadelphia, Pennsylvania, Stany Zjednoczone, 19104
- University of Pennsylvania/Abramson Cancer Center
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Pittsburgh, Pennsylvania, Stany Zjednoczone, 15232
- UPMC Hillman Cancer Center
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Pittsburgh, Pennsylvania, Stany Zjednoczone, 15243
- UPMC-Saint Clair Hospital Cancer Center
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West Reading, Pennsylvania, Stany Zjednoczone, 19611
- Reading Hospital
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Wynnewood, Pennsylvania, Stany Zjednoczone, 19096
- Lankenau Medical Center
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South Carolina
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Georgetown, South Carolina, Stany Zjednoczone, 29440
- Tidelands Georgetown Memorial Hospital
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Tennessee
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Collierville, Tennessee, Stany Zjednoczone, 38017
- Baptist Memorial Hospital and Cancer Center-Collierville
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Memphis, Tennessee, Stany Zjednoczone, 38120
- Baptist Memorial Hospital and Cancer Center-Memphis
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Nashville, Tennessee, Stany Zjednoczone, 37232
- Vanderbilt University/Ingram Cancer Center
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Virginia
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Charlottesville, Virginia, Stany Zjednoczone, 22908
- University of Virginia Cancer Center
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Fredericksburg, Virginia, Stany Zjednoczone, 22408
- Hematology Oncology Associates of Fredericksburg Inc
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Richmond, Virginia, Stany Zjednoczone, 23235
- VCU Massey Cancer Center at Stony Point
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Richmond, Virginia, Stany Zjednoczone, 23229
- Virginia Cancer Institute
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Richmond, Virginia, Stany Zjednoczone, 23298
- VCU Massey Comprehensive Cancer Center
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South Hill, Virginia, Stany Zjednoczone, 23970
- VCU Community Memorial Health Center
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West Virginia
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Huntington, West Virginia, Stany Zjednoczone, 25701
- Edwards Comprehensive Cancer Center
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Morgantown, West Virginia, Stany Zjednoczone, 26506
- West Virginia University Healthcare
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Parkersburg, West Virginia, Stany Zjednoczone, 26101
- Camden Clark Medical Center
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Wisconsin
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Antigo, Wisconsin, Stany Zjednoczone, 54409
- Aspirus Cancer Care-Antigo-Volm Cancer Center
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Appleton, Wisconsin, Stany Zjednoczone, 54911
- ThedaCare Regional Cancer Center
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Ashland, Wisconsin, Stany Zjednoczone, 54806
- Duluth Clinic Ashland
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Hayward, Wisconsin, Stany Zjednoczone, 54843
- Essentia Health-Hayward Clinic
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La Crosse, Wisconsin, Stany Zjednoczone, 54601
- Gundersen Lutheran Medical Center
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Medford, Wisconsin, Stany Zjednoczone, 54451
- Aspirus Medford Hospital
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Mukwonago, Wisconsin, Stany Zjednoczone, 53149
- ProHealth D N Greenwald Center
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Oconomowoc, Wisconsin, Stany Zjednoczone, 53066
- ProHealth Oconomowoc Memorial Hospital
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Rhinelander, Wisconsin, Stany Zjednoczone, 54501
- Aspirus Cancer Care-Rhinelander-James Beck Cancer Center
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Spooner, Wisconsin, Stany Zjednoczone, 54801
- Essentia Health-Spooner Clinic
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Stevens Point, Wisconsin, Stany Zjednoczone, 54481
- Aspirus Cancer Care - Stevens Point
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Superior, Wisconsin, Stany Zjednoczone, 54880
- Essentia Health Saint Mary's Hospital - Superior
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Waukesha, Wisconsin, Stany Zjednoczone, 53188
- UW Cancer Center at ProHealth Care
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Wausau, Wisconsin, Stany Zjednoczone, 54401
- Aspirus Cancer Care-Wausau
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Wisconsin Rapids, Wisconsin, Stany Zjednoczone, 54494
- Aspirus Cancer Care - Wisconsin Rapids
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Kryteria uczestnictwa
Kryteria kwalifikacji
Kryteria kwalifikacji
Wiek uprawniający do nauki
Akceptuje zdrowych ochotników
Płeć kwalifikująca się do nauki
Opis
Inclusion Criteria:
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STEP 0: Patient must be >= 18 years of age
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STEP 0: Patient must have stage II to select stage IIIB (N2 but excluding N3) non-small cell lung cancer (NSCLC) of any histology using International Association for the Study of Lung Cancer (IASLC) 8th edition. Stage is assessed at time of initiating pre-operative chemo-immunotherapy
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STEP 0: Patient must fall into one of the following categories:
- Planning to undergo, be currently undergoing, or recently completed any standard of care neoadjuvant chemo-immunotherapy with plans to undergo surgical resection
- Recently completed any standard of care neoadjuvant chemo-immunotherapy AND completed surgical resection and are awaiting pCR status.
- Recently completed any standard of care neoadjuvant chemo-immunotherapy AND completed surgical resection with confirmed non-path complete response (CR) status.
NOTES:
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Patient must have completed at least 3 cycles of neoadjuvant chemo-immunotherapy before surgery in order to be eligible for Step 1 randomization.
-
Patients who have completed their surgical resection prior to enrollment in step 0 registration must have their surgery date within a window that will allow initiation of EA5231 treatment (cycle 1 day 1) to commence within 4-12 weeks following surgery
- STEP 1: EA5231 CLEAR randomization for patients without a pCR post-surgery. Patient's with pCR after surgery will be offered to enroll in the SWOG study S2414 INSIGHT instead
- STEP 1: Patient must have completed R0 resection after standard of care neoadjuvant chemo-immunotherapy (minimum three cycles completed) for stage II to select stage IIIB (N2 but excluding N3) non-small cell lung cancer (NSCLC) of any histology using IASLC 8th Edition
- STEP 1: Patient must have non-pathological CR status post-surgery. The pathological CR/non-pathological CR status will be determined by local pathology using IASLC criteria and using the surgical sample tissue
- STEP 1: Patient must have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 - ≤ 2 (or Karnofsky ≥ 60%)
- STEP 1: Patient must not have any known EGFR or ALK genetic alterations. Mutation negative status will be determined per local institutional practices and consistent with National Comprehensive Cancer Network (NCCN) guidelines
- STEP 1: Patient must have undergone a chest CT after surgery and within 28 days prior to step 1 randomization
- STEP 1: Patient must have recovered from clinically significant adverse events of their most recent therapy/intervention prior to step 1 randomization
- STEP 1: Patient must not have experienced a toxicity that led to the permanent discontinuation of prior immunotherapy
- STEP 1: Patient must not be receiving ongoing steroids at a dose of prednisone 10 mg or higher (or equivalent) at the time of step 1 randomization. Steroids as premedication for hypersensitivity reactions (e.g., CT scan premedication) are allowed. Intranasal, inhaled, topical steroids, or local steroid injections (e.g., intra articular injection) are allowed
- STEP 1: Patient must not have received or have a plan to receive post-operative radiation therapy (PORT)
- STEP 1: Patient must not have a history of treatment-related pneumonitis requiring ongoing steroids or supplemental oxygen use
- STEP 1: Patient must not have a history of interstitial lung disease (ILD)
- STEP 1: Patient must not have diagnosis of ataxia telangiectasia
- STEP 1: Patient must not have history of active primary immunodeficiency
- STEP 1: Patient must not have history of allogenic organ transplantation
- STEP 1: Patient must have body weight > 30 kg
- STEP 1: Patient must not be pregnant or breast-feeding due to the potential harm to an unborn fetus and possible risk for adverse events in nursing infants with the treatment regimens being used. All patients of childbearing potential must have a blood test or urine study within 14 days prior to Step 1 randomization to rule out pregnancy. A patient of childbearing potential is defined as anyone, regardless of whether they have undergone tubal ligation, who meets the following criteria:
-
Has achieved menarche at some point
-
Has not undergone a hysterectomy or bilateral oophorectomy
-
Has not been naturally postmenopausal (amenorrhea following cancer therapy does not rule out childbearing potential) for at least 24 consecutive months (i.e., has had menses at any time in the preceding 24 consecutive months)
- STEP 1: Patient must not expect to conceive or father children by using highly accepted and effective method(s) of contraception or by abstaining from sexual intercourse for the duration of their participation in the study. Patients of childbearing potential must use at least 1 highly effective method of contraception in addition to a condom and continue to use it throughout their time on protocol treatment. Male patients must use a condom plus spermicide throughout their time on while on protocol treatment. In addition, all patients must continue contraception use for at least 6 months after the last dose of protocol treatment. Patients must also not breastfeed while on protocol treatment and for at least 6 months after the last dose of protocol treatment. Patients must not donate sperm while on protocol treatment and for 6 months after the last dose of protocol treatment
- STEP 1: Patient must not donate blood while on protocol treatment
- STEP 1: Patient must have the ability to understand and the willingness to sign a written informed consent document. Patients with impaired decision-making capacity (IDMC) who have a legally authorized representative (LAR) or caregiver and/or family member available will also be considered eligible
- STEP 1: Leukocytes ≥ 3,000/mcL (these labs must be obtained ≤ 28 days prior to step 1 randomization)
- STEP 1: Hemoglobin ≥ 9.0 g/dL (these labs must be obtained ≤ 28 days prior to step 1 randomization)
- STEP 1: Absolute neutrophil count (ANC) ≥ 1,500/mcL (these labs must be obtained ≤ 28 days prior to step 1 randomization)
- STEP 1: Platelets ≥ 100,000/mcL (these labs must be obtained ≤ 28 days prior to step 1 randomization)
- STEP 1: Total bilirubin ≤ institutional upper limit of normal (ULN) (these labs must be obtained ≤ 28 days prior to step 1 randomization)
- STEP 1: Aspartate aminotransferase (AST) (serum glutamic oxaloacetic transaminase [SGOT]) and alanine aminotransferase (ALT) (serum glutamic pyruvic transaminase [SGPT]) ≤ 3.0 × institutional ULN (these labs must be obtained ≤ 28 days prior to step 1 randomization)
- STEP 1: Creatinine clearance ≥ 50 mL/min (estimated using Cockcroft-Gault method or measured) (these labs must be obtained ≤ 28 days prior to step 1 randomization)
- STEP 1: Human immunodeficiency virus (HIV)-infected patients on effective anti-retroviral therapy with undetectable viral load within 6 months of step 1 randomization are eligible for this trial
- STEP 1: For patients with known chronic hepatitis B virus (HBV) infection, the HBV viral load must be undetectable on suppressive therapy, if indicated
- STEP 1: Patients with a history of hepatitis C virus (HCV) infection must have been treated and cured. For patients with HCV infection who are currently on treatment, they are eligible if they have an undetectable HCV viral load
- STEP 1: 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 1: 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
- STEP 1: Patient must not have received live attenuated vaccine within 30 days prior to the step 1 randomization, while on protocol treatment and within 30 days after the last dose of durvalumab
Plan studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Leczenie
- Przydział: Randomizowane
- Model interwencyjny: Przydział równoległy
- Maskowanie: Brak (otwarta etykieta)
Liczba ramion
Broń i interwencje
Grupa uczestników / ArmGrupa uczestników / Arm |
Interwencja / LeczenieInterwencja / Leczenie |
|---|---|
|
Aktywny komparator: Arm A (Durvalumab)
Starting 4-12 weeks after surgery, patients receive durvalumab IV over 60 minutes on day 1 of each cycle. Cycles repeat every 28 days for 12 cycles in the absence of disease progression or unacceptable toxicity. Patients undergo CT scan and blood sample collection throughout the study and may undergo echocardiography as clinically indicated. |
Undergo blood sample collection
Inne nazwy:
Undergo CT scan
Inne nazwy:
Undergo echocardiography
Inne nazwy:
Given IV
Inne nazwy:
|
|
Eksperymentalny: Arm B (Durvalumab and AZD6738)
Starting 4-12 weeks after surgery, patients receive AZD6738 PO BID on days 1-7 and durvalumab IV over 60 minutes on day 8 of each cycle. Cycles repeat every 28 days for 12 cycles in the absence of disease progression or unacceptable toxicity. Patients undergo CT scan and blood sample collection throughout the study and may undergo echocardiography as clinically indicated. |
Undergo blood sample collection
Inne nazwy:
Undergo CT scan
Inne nazwy:
Undergo echocardiography
Inne nazwy:
Given IV
Inne nazwy:
Given PO
Inne nazwy:
|
Co mierzy badanie?
Podstawowe miary wyniku
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Disease free survival (DFS)
Ramy czasowe: From randomization to the earliest event defined as the first recurrence of non-small cell lung cancer (NSCLC), any new lung cancer or death, up to 10 years
|
Will estimate DFS distributions using the Kaplan-Meier method and employ Cox proportional hazards models to estimate the treatment hazard ratios. The comparison of DFS will use a logrank test stratified on the randomization stratification factors with a one-sided type I error rate of 2.5%. Other comparisons of groups will be made using the logrank test and Cox modeling. Point estimates will be accompanied by the corresponding two-sided 95% confidence intervals. |
From randomization to the earliest event defined as the first recurrence of non-small cell lung cancer (NSCLC), any new lung cancer or death, up to 10 years
|
Miary wyników drugorzędnych
Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Overall survival (OS)
Ramy czasowe: From randomization to death from any cause, up to 10 years
|
Will estimate OS distributions using the Kaplan-Meier method and employ Cox proportional hazards models to estimate the treatment hazard ratios. The comparison of OS will use a logrank test stratified on the randomization stratification factors with a one-sided type I error rate of 2.5%. Other comparisons of groups will be made using the logrank test and Cox modeling. Point estimates will be accompanied by the corresponding two-sided 95% confidence intervals. |
From randomization to death from any cause, up to 10 years
|
|
Incidence of adverse events
Ramy czasowe: Up to 10 years
|
Toxicity will be assessed by summaries by Common Terminology Criteria for Adverse Event grade. |
Up to 10 years
|
Inne miary wyników
Inne miary wyników
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Analizy korelacyjne próbek biologicznych tkanek, krwi i kału
Ramy czasowe: Do 10 lat
|
Do 10 lat
|
|
|
Estimates of treatment effect by sex
Ramy czasowe: Up to 10 years
|
Estimates of DFS and the corresponding 95% confidence intervals (CIs) by sex. |
Up to 10 years
|
|
Estimates of treatment effect by race
Ramy czasowe: Up to 10 years
|
Estimates of DFS and the corresponding 95% CIs by race. |
Up to 10 years
|
|
Estimates of treatment effect by ethnicity
Ramy czasowe: Up to 10 years
|
Estimates of DFS and the corresponding 95% CIs by ethnicity. |
Up to 10 years
|
|
DFS according to PD-L1 status
Ramy czasowe: Up to 10 years
|
Will be compared between treatment arms using the logrank test and Cox modeling. |
Up to 10 years
|
|
DFS according to stage
Ramy czasowe: Up to 10 years
|
Will be compared between treatment arms using the logrank test and Cox modeling. |
Up to 10 years
|
|
DFS according to prior immune checkpoint inhibitor (ICI) type
Ramy czasowe: Up to 10 years
|
Will be compared between treatment arms using the logrank test and Cox modeling. |
Up to 10 years
|
|
DFS according to histology
Ramy czasowe: Up to 10 years
|
Will be compared between treatment arms using the logrank test and Cox modeling. |
Up to 10 years
|
|
OS according to PD-L1 status
Ramy czasowe: Up to 10 years
|
Will be compared between treatment arms using the logrank test and Cox modeling. |
Up to 10 years
|
|
OS according to stage
Ramy czasowe: Up to 10 years
|
Will be compared between treatment arms using the logrank test and Cox modeling. |
Up to 10 years
|
|
OS according to prior ICI type
Ramy czasowe: Up to 10 years
|
Will be compared between treatment arms using the logrank test and Cox modeling. |
Up to 10 years
|
|
OS according to histology
Ramy czasowe: Up to 10 years
|
Will be compared between treatment arms using the logrank test and Cox modeling. |
Up to 10 years
|
Współpracownicy i badacze
Sponsor
Sponsor
Śledczy
Śledczy
- Główny śledczy: Dwight H Owen, ECOG-ACRIN Cancer Research Group
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów (Rzeczywisty)
Rozpoczęcie studiów
Zakończenie podstawowe (Szacowany)
Zakończenie podstawowe
Ukończenie studiów (Szacowany)
Ukończenie studiów
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Rzeczywisty)
Pierwszy wysłany
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Rzeczywisty)
Ostatnia wysłana aktualizacja
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Dodatkowe istotne warunki MeSH
- Nowotwory według lokalizacji
- Nowotwory
- Choroby Układu Oddechowego
- Choroby płuc
- Nowotwory Układu Oddechowego
- Nowotwory klatki piersiowej
- Rak, Bronchogenny
- Nowotwory oskrzeli
- Nowotwory płuc
- Rak, płuco niedrobnokomórkowe
- Aminokwasy, peptydy i białka
- Białka
- Związki siarki
- Organiczne chemikalia
- Techniki śledcze
- Techniki laboratoryjne kliniczne
- Techniki i procedury diagnostyczne
- Diagnoza
- Przeciwciała
- Immunoglobuliny
- Immunoproteiny
- Białka krwi
- Globuliny w surowicy
- Globuliny
- Chemikalia nieorganiczne
- Izotypy immunoglobuliny
- Siarczki
- Aniony
- Jony
- Elektrolity
- Siarkowodór
- Immunoglobulina G
- Prowadzenie okazów
- Ceralasertib
- DurvaLumab
- Disiarczki
Inne numery identyfikacyjne badania
Inne numery identyfikacyjne badania
- NCI-2024-10081
- U10CA180820 (Grant/umowa NIH USA)
- NCI-2024-10081 (Identyfikator rejestru: CTRP (Clinical Trial Reporting Program))
- EA5231 (Inny identyfikator: CTEP)
- EA5231 (Inny identyfikator: ECOG-ACRIN Cancer Research Group)
Plan dla danych uczestnika indywidualnego (IPD)
Planujesz udostępniać dane poszczególnych uczestników (IPD)?
Opis planu IPD
NCI is committed to sharing data in accordance with NIH policy. For more details on how clinical trial data is shared, access the link to the NIH data sharing policy page.
Informacje o lekach i urządzeniach, dokumenty badawcze
Bada produkt leczniczy regulowany przez amerykańską FDA
Bada produkt urządzenia regulowany przez amerykańską FDA
produkt wyprodukowany i wyeksportowany z USA
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