Neoadjuvant Treatment With Atezolizumab and Atezolizumab as Maintenance for the Treatment of Stage III Non Small-Cell Lung Cancer (NSCLC)

NCT ID: NCT07153445

Last Updated: 2025-11-19

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

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

97 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-07-08

Study Completion Date

2035-05-02

Brief Summary

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This is an open-label, phase II, multi-centre clinical trial. 97 Patients with stage IIIA and IIIB non-small cell lung cancer will be enrolled.

The treatment is Atezolizumab + Paclitaxel + Carboplatin 3 cycles as neoadjuvant/induction treatment. After the induction treatment every patient will be evaluated by a multidisciplinary team in each participant hospital to decide if the patient is candidate for surgery or not.

Depending on the decision each patient will be treated in a different way. The primary objective is to evaluate the Progression free survival (PFS). The total trial duration will be 10 years approximately. Patient accrual is expected to be completed within 2 years. Two years of treatment, 5 years of follow up, and 4-6 months of close-out.

Detailed Description

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The study ATHENEA is a phase II clinical trial intending to enroll 97 patients, who will receive Atezolizumab + Paclitaxel + Carboplatin as induction/neoadjuvant treatment. After the induction treatment all patients will be evaluated by a multidisciplinary team in each participant hospital to decide if the patient is candidate for surgery or not.

Depending on the decision each patient will be treated in a different way.

The study is an open-label, phase II, multicenter clinical trial for previously untreated adult patients with stage to IIIA and IIIB non-small cell lung cancer.

The primary objective is to evaluate the Progression free survival (PFS) in the intent-to-treat population.

Progression free survival (PFS) defined as the time from initiation of treatment to the occurrence of disease progression or death.

The total trial duration will be 10 years approximately. Approval-start up: 4-6 months. Patient accrual is expected to be completed within 2 years. Two years of treatment, 5 years of follow up, and close-out: 4-6 months. The study will end once survival follow-up has concluded.

Conditions

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Non Small Cell Lung Cancer Stage IIIA Lung Cancer Stage IIIB Lung Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Experimental: Neoadjuvant/Induction treatment

Neoadjuvant/Induction treatment prior to surgery:

* Atezolizumab
* Paclitaxel:
* Carboplatin

After assessment by a multidisciplinary team who will decide on the best post-induction treatment

Group Type EXPERIMENTAL

Atezolizumab

Intervention Type DRUG

Patients will receive atezolizumab administered by intravenous infusion in a monitored setting where there is immediate access to trained personnel and adequate equipment/medicine to manage potentially serious reactions.

Paclitaxel

Intervention Type DRUG

Neoadjuvant / induction treatment:

Atezolizumab Paclitaxel Carboplatin

Neoadjuvant / induction treatment 3 cycles will be administered prior to the assessment for surgery.

Route of administration Paclitaxel: Intravenous infusion.

Guidelines of Paclitaxel administration: Paclitaxel must be administered by infusion over 3 hours in dextrose (D5W) or normal saline (NS). The concentration must not exceed 1.2 mg/ml.

Carboplatin

Intervention Type DRUG

Neoadjuvant / induction treatment:

Atezolizumab Paclitaxel Carboplatin\*

\*Infusion according to the standard of each center

Neoadjuvant / induction treatment 3 cycles will be administered prior to the assessment for surgery.

Route of administration Carboplatin: Intravenous infusion. Guidelines of Carboplatin administration: According to the standard of each center.

Interventions

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Atezolizumab

Patients will receive atezolizumab administered by intravenous infusion in a monitored setting where there is immediate access to trained personnel and adequate equipment/medicine to manage potentially serious reactions.

Intervention Type DRUG

Paclitaxel

Neoadjuvant / induction treatment:

Atezolizumab Paclitaxel Carboplatin

Neoadjuvant / induction treatment 3 cycles will be administered prior to the assessment for surgery.

Route of administration Paclitaxel: Intravenous infusion.

Guidelines of Paclitaxel administration: Paclitaxel must be administered by infusion over 3 hours in dextrose (D5W) or normal saline (NS). The concentration must not exceed 1.2 mg/ml.

Intervention Type DRUG

Carboplatin

Neoadjuvant / induction treatment:

Atezolizumab Paclitaxel Carboplatin\*

\*Infusion according to the standard of each center

Neoadjuvant / induction treatment 3 cycles will be administered prior to the assessment for surgery.

Route of administration Carboplatin: Intravenous infusion. Guidelines of Carboplatin administration: According to the standard of each center.

Intervention Type DRUG

Other Intervention Names

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Tecentriq Taxol Paraplatin

Eligibility Criteria

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Inclusion Criteria

* Previously untreated patients with histologically- or cytologically- documented Non Small-Cell Lung Cancer (NSCLC) who present stage IIIA - IIIB disease (according to 8th version of the International Association for the Study of Lung Cancer Staging Manual in Thoracic Oncology)
* Confirm the absence of distant disease
* ECOG (Performance status) 0-1
* Adequate hematologic and organ function
* All patients are notified of the investigational nature of this study and signed a written in-formed consent in accordance with institutional and national guidelines, including the Declaration of Helsinki prior to any trial-related intervention
* Adequate lung function
* Patients aged \> 18 years
* For female patients of childbearing potential, agreement (by patient and/or partner) to use a highly effective form(s) of contraception
* For male patients with female partners of childbearing potential, agreement (by patient and/or partner) to use a highly effective form of contraception
* Oral contraception should always be combined with an additional contraceptive method
* Women who are not postmenopausal or surgically sterile must have a negative serum pregnancy test result within 8 days prior to initiation of study drug.
* Patient capable of proper therapeutic compliance and accessible for correct follow-up

Exclusion Criteria

* Patients mutation or an amplification in the EGFRgene, ALK fusion oncogene.
* Known STK-11 ligand alterations, MDM2 amplifications or ROS1 translocations.
* Weight loss \>10% within the previous 3 months.
* Patients that receive previous treatment with antineoplasic drugs, chest radiotherapy, or previous surgery for lung cancer.
* Malignancies other than Non Small-Cell Lung Cancer (NSCLC) within 3 years prior to enrolment
* Pleural or pericardial effusion
* Known hypersensitivity or allergy to atezolizumab formulation.
* History of autoimmune disease or lung disease
* Positive test for human immunodeficiency viruses (HIV)
* Patients with active hepatitis B or hepatitis C or psitive for hepatitis C virus.
* Active tuberculosis.
* Symptomatic neuropathy grade \> 1 according to Common Terminology Criteria for Adverse Events (CTCAE) v5.0
* Severe infections within 4 weeks prior to be included in the study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fundación GECP

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Mariano Provencio, MD

Role: STUDY_CHAIR

President of Grupo Español de Cáncer de Pulmón

Locations

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Hospital General Universitario Dr. Balmis de Alicante

Alicante, Alicante, Spain

Site Status RECRUITING

ICO Badalona, Hospital Germans Trias i Pujol

Badalona, Barcelona, Spain

Site Status RECRUITING

Hospital Universitari Vall d' Hebron

Barcelona, Barcelona, Spain

Site Status RECRUITING

Hospital de la Santa Creu i Sant Pau

Barcelona, Barcelona, Spain

Site Status RECRUITING

Hospital Parc Taulí

Barcelona, Barcelona, Spain

Site Status RECRUITING

Hospital De Basurto

Bilbao, Bilbao, Spain

Site Status RECRUITING

Hospital Univ. De Jerez De La Frontera

Jerez de la Frontera, Cadiz, Spain

Site Status RECRUITING

ICO Girona, Hospital Josep Trueta

Girona, Girona, Spain

Site Status RECRUITING

Hospital Universitario Clinico San Cecilio

Granada, Granada, Spain

Site Status RECRUITING

Hospitalario Universitario A Coruña

A Coruña, La Coruña, Spain

Site Status RECRUITING

Hospital Universitari de Gran Canària Doctor Negrín

Las Palmas de Gran Canaria, Las Palmas, Spain

Site Status RECRUITING

Hospital Universitario Lucus Augusti

Lugo, Lugo, Spain

Site Status RECRUITING

Hospital Universitario Fundación Jiménez Díaz

Madrid, Madrid, Spain

Site Status NOT_YET_RECRUITING

Hospital Universitario Puerta de Hierro

Majadahonda, Madrid, Spain

Site Status RECRUITING

Hospital Universitari Son Llatzer

Palma de Mallorca, Palma de Mallorca, Spain

Site Status RECRUITING

Complejo Hospitalario de Navarra

Pamplona, Pamplona, Spain

Site Status RECRUITING

Hospital Universitario Salamanca

Salamanca, Salamanca, Spain

Site Status RECRUITING

Hospital Universitario Nuestra Señora La Candelaria

Santa Cruz de Tenerife, Santa Cruz de Tenerife, Spain

Site Status RECRUITING

Hospital Universitario Virgen Del Rocio

Seville, Sevilla, Spain

Site Status RECRUITING

Hospital Universitari Sant Joan de Reus

Reus, Tarragona, Spain

Site Status RECRUITING

Hospital General Universitario de Valencia

Valencia, Valencia, Spain

Site Status RECRUITING

Countries

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Spain

Central Contacts

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Eva Pereira

Role: CONTACT

+34934302006

Facility Contacts

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Bartomeu Massuti, MD

Role: primary

Enric Carcereny, MD

Role: primary

Alex Martínez, MD

Role: primary

Sergio Martínez Recio, MD

Role: primary

Laia Vilà, MD

Role: primary

Mª Ángeles Sala, MD

Role: primary

Mª Angeles Moreno, MD

Role: primary

Elia Sais, MD

Role: primary

Silvia Sequero López, MD

Role: primary

Rosario García Campelo, MD

Role: primary

David Aguiar Bujanda, MD

Role: primary

Begoña Campos, MD

Role: primary

Manuel Dómine, MD

Role: primary

Mariano Provencio, MD

Role: primary

Ester Gost, MD

Role: primary

Maite Martínez, MD

Role: primary

Alejandro Olivares Hernández, MD

Role: primary

Karla Mercedes Medina, MD

Role: primary

Reyes Bernabé, MD

Role: primary

Clara Lucía Gozalvez, MD

Role: primary

Paula Espinosa, MD

Role: primary

Related Links

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http://www.gecp.org

Description Web page of the sponsor where users can find more information about Fundación GECP studies

Other Identifiers

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2024-515984-68-00

Identifier Type: CTIS

Identifier Source: secondary_id

GECP 23/02_ATHENEA

Identifier Type: -

Identifier Source: org_study_id

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