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Repositioning Immunotherapy in VetArans With Lung Cancer

NCT06275360 · VA Office of Research and Development
In plain English

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Official title
Repositioning Immunotherapy in Veterans With Lung Cancer
About this study
This study is a multicenter Phase II single arm trial to assess the safety and efficacy of chemotherapy and immunotherapy followed by radiotherapy in patients with unresectable Stage III NSCLC.
Eligibility criteria
Inclusion Criteria: * Patient must have a performance status of 0-1 (ECOG Performance Scale) * Patient must be a candidate for concurrent chemoradiation * Unresectable Stage III NSCLC as assessed by investigator or multidisciplinary tumor board assessment * PD-L1 tumor expression greater than or equal to 1% * Presence of measurable disease according to RECIST v1.1 * Adequate organ function * Available tissue (archival FFPE preferred) with adequate tumor content ( 20% tumor cellularity) Exclusion Criteria: * Active autoimmune disease that has requires immunosuppressive therapy in the previous year * Uncontrolled primary or acquired immunodeficiency (including HIV) * Baseline corticosteroid usage (\>10 mg prednisone or equivalent daily) aside from supportive medication use * Tumor with known EGFR, ALK, ROS1, MET or RET mutations/fusions * Presence of significant comorbidities precluding participation in a clinical study as determined by investigator * Prior thoracic radiotherapy or prior systemic treatment for stage IIIB/IV NSCLC * Has known psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the trial * Is pregnant or breastfeeding or expecting to conceive or father children within the projected duration of the trial, starting with informed consent through 180 days after the last dose of trial treatment * Has a known history of active TB (Bacillus Tuberculosis) * Has known active Hepatitis B or Hepatitis C * Has received a live vaccine within 30 days of enrollment * Known diagnosis of Interstitial Lung Disease * Inability to provide informed consent
Study design
Enrollment target: 25 participants
Allocation: na
Masking: none
Age groups: adult, older_adult
Timeline
Starts: 2024-03-01
Estimated completion: 2030-03-31
Last updated: 2026-03-02
Interventions
Drug: Nivolumab
Primary outcomes
  • Progression-free survival (Approximately two years after enrollment)
  • Treatment Tolerance (Approximately three years after enrollment)
Sponsor
VA Office of Research and Development · fed
Contacts & investigators
ContactNithya Ramnath, MD · contact · nithya.ramnath@va.gov · (734) 769-7100
ContactGarth W Strohbehn, MD MSc · contact · garth.strohbehn@va.gov · (734) 769-7100
InvestigatorNithya Ramnath, MD · principal_investigator, VA Ann Arbor Healthcare System, Ann Arbor, MI
All locations (7)
VA Connecticut Healthcare System West Haven Campus, West Haven, CTRecruiting
West Haven, Connecticut, United States
VA Central Office, Washington, DCRecruiting
Washington D.C., District of Columbia, United States
Richard L. Roudebush VA Medical Center, Indianapolis, INRecruiting
Indianapolis, Indiana, United States
VA Ann Arbor Healthcare System, Ann Arbor, MIRecruiting
Ann Arbor, Michigan, United States
Omaha VA Nebraska-Western Iowa Health Care System, Omaha, NERecruiting
Omaha, Nebraska, United States
Michael E. DeBakey VA Medical Center, Houston, TXRecruiting
Houston, Texas, United States
Richmond VA Medical Center, Richmond, VARecruiting
Richmond, Virginia, United States