Trial Outcomes & Findings for Induction Chemo-Nivo in Unresectable Stage III NSCLC (NCT NCT06003075)

NCT ID: NCT06003075

Last Updated: 2025-04-30

Results Overview

post induction radiographic response by cat scan

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

1 participants

Primary outcome timeframe

9 weeks

Results posted on

2025-04-30

Participant Flow

The study was terminated. Only 1 participant was enrolled in this study. Based on the low enrolment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.

Participant milestones

Participant milestones
Measure
Combination Chemotherapy and Nivolumab and Surgery
Patients with lung cancer receiving combination therapy with surgery Nivolumab and Chemotherapy: 3 cycles of proposed nivolumab + platinum doublet (either pemetrexed + carbo/cis or paclitaxel + carbo or docetaxel + carbo/cis for non squamous; or gemcitabine + carbo/cis or paclitaxel + carbo or docetaxel + carbo/cis for squamous) administered then CT + biopsy, followed by surgery with option for post-op NIVO-XRT, then 12 cycles NIVO at 480 mg IV every 4 weeks for 12 weeks Nivolumab: Participants receive NIVO at 480 mg IV every 4 weeks for 12 cycles after either surgery or treated with concurrent chemotherapy-nivolumab-radiation Post Induction Surgery: Induction Chemo-NIVO x 3 cycles then CT + biopsy, followed by surgery in patients with unresectable stage IIIA-C tumors at baseline on the basis of lymphadenopathy and determined to be resectable after responding to induction chemotherapy-nivolumab. participants have an option for post op XRT, then NIVO at 480 mg IV every 4 weeks for 12 cycles Post Induction XRT: Induction Chemo-NIVO x 3 cycles then CT and biopsy, followed by concurrent Chemo and Nivo XRT (60Gy). Participants will receive concurrent thoracic radiation therapy using a standardized 3DCRT or IMRT technique on a linear accelerator operating at 2:6 MV beam energy. The target total dose of thoracic radiation therapy will be 60 Gy in 30 daily fractions of 2 Gy prescribed to the PTV. Participants then receive NIVO at 480 mg IV every 4 weeks for 12 cycles.
Combination Chemotherapy and Nivolumab and Radiation
Patients with lung cancer receiving combination therapy with radiation Nivolumab and Chemotherapy: 3 cycles of the proposed nivolumab + platinum doublet (either pemetrexed + carbo/cis or paclitaxel + carbo or docetaxel + carbo/cis for non squamous; or gemcitabine + carbo/cis or paclitaxel + carbo or docetaxel + carbo/cis for squamous) will be administered then CT and biopsy, followed by surgery with option for post-op NIVO-XRT, then 12 cycles NIVO at 480 mg IV every 4 weeks for 12 weeks Nivolumab: Participants will receive NIVO at 480 mg IV every 4 weeks for 12 cycles after either surgery or treated with concurrent chemotherapy-nivolumab-radiation Post Induction XRT: Induction Chemo-NIVO x 3 cycles then CT and biopsy, followed by concurrent Chemo and Nivo XRT (60Gy). Participants will receive concurrent thoracic radiation therapy using a standardized 3DCRT or IMRT technique on a linear accelerator operating at 2:6 MV beam energy. The target total dose of thoracic radiation therapy will be 60 Gy in 30 daily fractions of 2 Gy prescribed to the PTV. The participants then will receive NIVO at 480 mg IV every 4 weeks for 12 cycles.
Overall Study
STARTED
0
0
Overall Study
COMPLETED
0
0
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Induction Chemo-Nivo in Unresectable Stage III NSCLC

Baseline characteristics by cohort

Baseline data not reported

PRIMARY outcome

Timeframe: 9 weeks

Population: he study was terminated. Only 1 participant was enrolled in this study. Based on the low enrolment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.

post induction radiographic response by cat scan

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: through study completion, up to 18 months

Population: The study was terminated. Only 1 participant was enrolled in this study. Based on the low enrolment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.

To assess safety, investigators will evaluate the rate of toxicity as defined by the Common Toxicity Criteria for Adverse Effects (CTCAE) scoring system.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: date of surgery, approximately 10 weeks

Population: The study was terminated. Only 1 participant was enrolled in this study. Based on the low enrolment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.

Rate of converting non-surgical stage III(A-C) to surgically resectable disease

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: post surgery, approximately 10 weeks

Population: The study was terminated. Only 1 participant was enrolled in this study. Based on the low enrolment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.

Number of participants with Pathologic Complete Response. Pathologic complete response (pCR) is defined by a surgical pathology specimen

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: post surgery, approximately 10 weeks

Population: The study was terminated. Only 1 participant was enrolled in this study. Based on the low enrolment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.

MPR rate, defined as number of participants with ≤ 10% residual tumor in lung and lymph nodes

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 2 years

Population: The study was terminated. Only 1 participant was enrolled in this study. Based on the low enrolment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.

PFS is defined as the duration of time from start of treatment to time of disease progression or death, whichever occurs first.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 2 years

Population: The study was terminated. Only 1 participant was enrolled in this study. Based on the low enrolment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.

defined as the duration of time from start of treatment to time of death

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: through study completion, up to 18 months

Population: The study was terminated. Only 1 participant was enrolled in this study. Based on the low enrolment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.

patient-reported Quality of Life as measured by FACT-TOI (Functional Assessment of Cancer Therapy - Trial Outcome Index); defined as the sum of the scores of the Physical Well-Being (PWB), Functional Well-Being (FWB), and LCS. PWB, FWB, and LCS (lung cancer scale) scores obtained from 7-item questionnaires from the FACT-L (Version 4.0). Questions are on a 5-point scale from 0-4, where 0 = "not at all" and 4 = "very much." Scores range from 0 to 84; higher score indicates better physical aspects of quality of life (QoL).

Outcome measures

Outcome data not reported

Adverse Events

Combination Chemotherapy and Nivolumab and Surgery

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Combination Chemotherapy and Nivolumab and Radiation

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Ralph Zinner

University of Kentucky

Phone: 859-562-2864

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place