Intrapleural Instillation of the Nivolumab in Cancer Patients With Pleural Effusion.

NCT ID: NCT04749602

Last Updated: 2023-03-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

26 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-08-10

Study Completion Date

2023-03-01

Brief Summary

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Patients with advanced cancers who have pleural effusion, especially those requiring pleural evacuation, experienced poorer survival when treated with immunotherapy. The pleura also acts as a natural barrier that can limit the penetration of immune checkpoint inhibitors. In this multicenter phase 2 study, the preliminary efficacy and toxicity of intrapleural instillation of the nivolumab in patients with immune-sensitive metastatic cancers will be accessed.

Detailed Description

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Patients ≥18 years old who have large volume of pleural effusion, required evacuation, and received systemic therapy with a checkpoint inhibitor (monotherapy or combination with another checkpoint inhibitor) for metastatic cancers (renal cell carcinoma (RCC) and non-small cell lung cancer (NSCLC) will be eligible. Drainage followed by nivolumab (40 mg, single intrapleural instillation) will be performed.

Conditions

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Renal Cell Cancer Metastatic Non-small Cell Lung Cancer Metastatic Pleural Effusion, Malignant

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Cohort 1 (renal cell carcinoma / lung cancer) Cohort 2 (lung cancer)
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Cohort 1: Intrapleural Nivolumab in patients with renal cell carcinoma

Drainage followed by nivolumab (40 mg, single intrapleural instillation) will be performed.

Group Type EXPERIMENTAL

Nivolumab

Intervention Type DRUG

40 mg of the nivolumab will be used intrapleurally (once).

Cohort 2: Intrapleural Nivolumab in patients with non-small cell lung cancer

Drainage followed by nivolumab (40 mg, single intrapleural instillation) will be performed.

Group Type EXPERIMENTAL

Nivolumab

Intervention Type DRUG

40 mg of the nivolumab will be used intrapleurally (once).

Interventions

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Nivolumab

40 mg of the nivolumab will be used intrapleurally (once).

Intervention Type DRUG

Other Intervention Names

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Opdivo

Eligibility Criteria

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Inclusion Criteria

* Patients ≥18 years old
* Large volume of pleural effusion (1 liter and more), required evacuation
* Systemic therapy with a checkpoint inhibitor (monotherapy or combination with another checkpoint inhibitor)
* Metastatic cancers (renal cell carcinoma (RCC) and non-small cell lung cancer (NSCLC)

Exclusion Criteria

* Autoimmune disorders
* Previous treatment for
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kidney Cancer Research Bureau

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ilya Tsimafeyeu, M.D.

Role: PRINCIPAL_INVESTIGATOR

Kidney Cancer Research Bureau

Locations

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I.M. Sechenov First Moscow State Medical University

Moscow, , Russia

Site Status

Kidney Cancer Research Bureau

Moscow, , Russia

Site Status

Medicine 24/7 clinic

Moscow, , Russia

Site Status

Medscan

Moscow, , Russia

Site Status

Yauza clinical hospital

Moscow, , Russia

Site Status

Countries

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Russia

Other Identifiers

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KCRB-Hadassah-01

Identifier Type: -

Identifier Source: org_study_id

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