LMB-100 Followed by Pembrolizumab in the Treatment of Adults With Mesothelin-Expressing Non-Squamous Non-Small Cell Lung Cancer (NSCLC)
NCT04027946 · Status: TERMINATED · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 6
Last updated 2024-04-16
Summary
Background:
Over 230,000 new lung cancer cases are diagnosed every year in the United States (U.S.) About 80% of lung cancers are non- small cell lung cancer (NSCLC). Most people have a more advanced stage of the disease that doesn't respond well to standard treatment. Researchers want to see if a combination of drugs may be able to help.
Objective:
To find out if LMB-100 followed by pembrolizumab can help tumors to shrink in people with NSCLC.
Eligibility:
People ages 18 and older with NSCLC that has not responded to standard therapies
Design:
Participants will be screened with:
* Medical history
* Physical exam
* Tumor sample. If one is not available, they will have a biopsy.
* Assessments of ability to perform normal activities
* Lung function tests
* Blood, heart, and urine tests
* Computed tomography (CT) and positron emission tomography (PET). They will lie in a machine that takes pictures of the body.
Participants will take LMB-100 in 21-day cycles for up to 2 cycles. They will take the drug by injection into an arm vein on days 1, 3, and 5 of each cycle. They will stay in the hospital 7-10 days each cycle. Then they will get pembrolizumab by injection into an arm vein every 3 weeks for up to 2 years. They may be able to take pembrolizumab an additional year if their cancer gets worse.
Participants will have repeats of the screening tests throughout the study.
About 30 days and 90 days after they stop treatment, participants will have follow-up visits. Then they will have visits every 6-12 weeks. They will be followed for the rest of their life through phone calls and emails.
Conditions
- Lung Cancer
- Non-Small Cell Lung Cancer
- Adenocarcinoma of Lung
Interventions
- DRUG
-
LMB-100
Participants will receive LMB-100 on days 1, 3 and 5 of a 21-day cycle for up to 2 cycles.
- DRUG
-
Participants will receive pembrolizumab on day 1 of each subsequent 21-day cycle.
- DIAGNOSTIC_TEST
-
Mesothelin Expression
Testing for mesothelin expression performed at screening
- DIAGNOSTIC_TEST
-
TrueSight Oncology 500
Testing for ROS oncogene 1 (ROS1) gene, anaplastic lymphoma kinase (ALK) and epidermal growth factor receptor (EGFR) variations performed at screening.
Sponsors & Collaborators
-
National Cancer Institute (NCI)
lead NIH
Principal Investigators
-
Azam Ghafoor, M.D. · National Cancer Institute (NCI)
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-09-11
- Primary Completion
- 2020-06-17
- Completion
- 2023-12-22
- FDA Drug
- Yes
Countries
- United States
Study Locations
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