Study of Atezolizumab in Advanced Non-oncogene-addicted NSCLC With PD-L1 ≥50%, Including Longitudinal c-FLIP Assessment in Monocytic MDSCs.

NCT ID: NCT07051928

Last Updated: 2025-07-09

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

NOT_YET_RECRUITING

Total Enrollment

107 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-07-31

Study Completion Date

2029-07-31

Brief Summary

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Prospective, observational, multi-site, single arm, exploratory pilot study, designed to prospectively assess the relationship between basal c-FLIP expression in M-MDSCs with clinical outcomes in patients treated with anti-PD-L1 monotherapy in a 1L mNSCLC setting, as well as evaluate changes in c-FLIP during treatment and correlate those changes with clinical outcomes.

Detailed Description

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Conditions

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Non Small Cell Lung Cancer

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Interventions

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c-FLIP expression on MDSC

Longitudinal c-FLIP expression on circulating MDSC

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Age ≥ 18 years at time of signing Informed Consent Form
* ECOG Performance Status of 0-2
* Advanced/metastatic NSCLC without prior treatment in the metastatic setting
* Tumor PD-L1 expression with a TPS ≥ 50%, documented through local testing
* Measurable disease per RECIST v1.1
* Adequate hematologic and end-organ function

Exclusion Criteria

* Ineligibility to receive first line immunotherapy treatment
* Patients with driver mutations amenable to molecular targeted therapies in I-line according to the indications of the AIFA
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fondazione Policlinico Universitario Agostino Gemelli IRCCS

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Emilio Bria

Role: PRINCIPAL_INVESTIGATOR

Fondazione Policlinico Universitario A. Gemelli, IRCCS

Locations

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Fondazione Policlinico Universitario Agostino Gemelli IRCCS

Rome, , Italy

Site Status

Countries

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Italy

Central Contacts

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Emilio Bria, Prof.

Role: CONTACT

0630155202 ext +39

Facility Contacts

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Emilio Bria, Prof.

Role: primary

0630155202 ext +39

References

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Riley JS, Hutchinson R, McArt DG, Crawford N, Holohan C, Paul I, Van Schaeybroeck S, Salto-Tellez M, Johnston PG, Fennell DA, Gately K, O'Byrne K, Cummins R, Kay E, Hamilton P, Stasik I, Longley DB. Prognostic and therapeutic relevance of FLIP and procaspase-8 overexpression in non-small cell lung cancer. Cell Death Dis. 2013 Dec 5;4(12):e951. doi: 10.1038/cddis.2013.481.

Reference Type BACKGROUND
PMID: 24309938 (View on PubMed)

Other Identifiers

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7742

Identifier Type: -

Identifier Source: org_study_id

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