Chemoradiation Plus Durvalumab Followed by Surgery Followed by Adjuvant Durvalumab in Patients With Surgically Resectable Stage III (N2) Non-Small Cell Lung Cancer
NCT03871153 · Status: TERMINATED · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 7
Last updated 2023-11-01
Summary
This is an open label, multi-institutional, single arm Phase II trial. All patients will be treated with Carboplatin, Paclitaxel, Durvalumab and Radiation. All patients with non-PD after induction therapy who remain surgical candidates will undergo surgical resection 4-12 weeks following induction therapy.
After surgical resection, all patients who remain eligible will be treated with adjuvant Durvalumab every 4 weeks for 6 cycles beginning 4-12 weeks after surgical resection.
Conditions
- Non Small Cell Lung Cancer
- Stage III Non-small-cell Lung Cancer
Interventions
- DEVICE
-
Durvalumab
Neoadjuvant Durvalumab 750 mg IV on Days 1, 15 and 29 Adjuvant Durvalumab 12 weeks after undergoing surgical resection 1,500 mg IV on Day 1
- DRUG
-
Paclitaxel 45 mg/m2 IV Days 1, 8, 15, 22, 29 and +/- 36
- DRUG
-
Carboplatin AUC of 2 IV Days 1, 8, 15, 22, 29 +/- 36
- RADIATION
-
Radiation
1.8-2.0 Gy per day (5 days/week) for a total of 45-61.2 Gy over 5-6 weeks. Treatment will be delivered using IMRT or 3DCRT using typically 6-10MV photons. Proton therapy is also allowed. 4D simulation and appropriate IGRT are encouraged. Radiation therapy must begin within one week of the first day of chemotherapy (or vice versa).
- PROCEDURE
-
Surgical Resection
Patients will undergo repeat imaging between 4 and 12 weeks after completing neoadjuvant therapy. Those without evidence of progressive disease and found to be a surgical candidate by a thoracic surgeon will undergo surgical resection between 4 and 12 weeks after neoadjuvant therapy.
Sponsors & Collaborators
- collaborator INDUSTRY
-
Indiana University School of Medicine
collaborator OTHER -
Greg Durm, MD
lead OTHER
Principal Investigators
-
Greg A Durm, MD · Indiana University School of Medicine
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SEQUENTIAL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-08-02
- Primary Completion
- 2021-10-30
- Completion
- 2022-03-09
- FDA Drug
- Yes
Countries
- United States
Study Locations
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