Summary

for people ages 18 years and up (full criteria)
at La Jolla, California and other locations
study started
estimated completion:

Description

Summary

This randomized phase III trial compares nivolumab with ipilimumab and nivolumab alone in treating patients with stage IV squamous cell lung cancer that has come back after previous treatment. This is a "non-match" sub-study that includes all screened patients not eligible for a biomarker-driven sub-study. Monoclonal antibodies, such as nivolumab and ipilimumab, may be able to shrink tumors. It is not yet known whether nivolumab works better with or without ipilimumab in treating patients with squamous cell lung cancer.

Official Title

A Phase III Randomized Study of Nivolumab Plus Ipilimumab Versus Nivolumab for Previously Treated Patients With Stage IV Squamous Cell Lung Cancer and No Matching Biomarker (Lung-Map Sub-Study)

Details

PRIMARY OBJECTIVES:

  1. To compare overall survival (OS) in patients with advanced stage refractory squamous cell carcinoma (SCCA) of the lung randomized to nivolumab plus ipilimumab versus nivolumab.

SECONDARY OBJECTIVES:

  1. To compare investigator-assessed progression-free survival (IA-PFS) in patients with advanced stage refractory SCCA of the lung randomized to nivolumab plus ipilimumab versus nivolumab.

II. To compare the response rates (confirmed and unconfirmed, complete and partial) per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 among patients randomized to receive nivolumab plus ipilimumab versus nivolumab.

III. To compare the response rates (confirmed only, complete and partial) per RECIST 1.1 among patients randomized to receive nivolumab plus ipilimumab versus nivolumab.

IV. To evaluate the frequency and severity of toxicities associated with nivolumab plus ipilimumab versus nivolumab.

TRANSLATIONAL MEDICINE OBJECTIVES:

  1. To evaluate if there is a differential treatment effect on OS, IA-PFS, and response by tumor programmed death-ligand 1 (PD-L1) expression status.

II. To examine patient reported outcomes by treatment arm.

OUTLINE: Patients are randomized to 1 of 2 treatment arms.

ARM I: Patients receive nivolumab intravenously (IV) over 30 minutes on day 1 and ipilimumab IV over 60 minutes on day 1 of every third course (every 42 days). Courses repeat every 14 days in the absence of disease progression or unacceptable toxicity.

ARM II: Patients receive nivolumab IV over 30 minutes on day 1. Courses repeat every 14 days in the absence of disease progression or unacceptable toxicity.

After completion of study treatment but prior to disease progression, patients are followed up every 3 months for 1 year and then every 6 months for up to 3 years. After disease progression, patients are followed up every 6 months for 2 years and at end of year 3 after sub-study registration.

Keywords

Recurrent Squamous Cell Lung Carcinoma Stage IV Squamous Cell Lung Carcinoma AJCC v7 Carcinoma Lung Neoplasms Nivolumab Antibodies, Monoclonal Ipilimumab Laboratory Biomarker Analysis Quality-of-Life Assessment Questionnaire Administration

Eligibility

For people ages 18 years and up

Inclusion Criteria:

  • Patients must meet all SCREENING/PRE-SCREENING and SUB-STUDY REGISTRATION COMMON

ELIGIBILITY CRITERIA as specified in S1400: Phase II/III Biomarker-Driven Master Protocol for Previously Treated Squamous Cell Lung Cancer (Lung-Map)

  • Patients must have been assigned to S1400I
  • Patients must not have had prior treatment with an anti-programmed cell death (PD)-1,anti-PD-L1, anti-PD-L2, anti-cytotoxic T-lymphocyte-associated protein (CTLA)-4 antibody, or any other antibody or drug specifically targeting T-cell costimulation or immune checkpoint pathways
  • Patients must not have an active, known, or suspected autoimmune disease; patients are permitted to enroll if they have vitiligo, type I diabetes mellitus, hypothyroidism only requiring hormone replacement, psoriasis not requiring systemic treatment, or conditions not expected to recur in the absence of an external trigger
  • Patients must not have any known allergy or reaction to any component of the nivolumab and ipilimumab formulations
  • Patients must not have received systemic treatment with corticosteroids (> 10 mg daily prednisone or equivalent) or other immunosuppressive medications within 14 days prior to sub-study registration; inhaled or topical steroids, and adrenal replacement doses=< 10 mg daily prednisone or equivalent are permitted in the absence of active autoimmune disease
  • Patients must not have a known positive test for hepatitis B virus surface antigen(HBV sAg) or hepatitis C virus ribonucleic acid (HCV antibody) indicating acute or chronic infection; patients with a positive hepatitis C antibody with a negative viral load are allowed
  • Patients must not have known history of testing positive for human immunodeficiency virus (HIV) or known acquired immunodeficiency syndrome (AIDS)
  • Patients must not have interstitial lung disease that is symptomatic or disease that may interfere with the detection or management of suspected drug-related pulmonary toxicity
  • Patients must also be offered participation in banking for future use of specimens
  • Patients must have a lipase, amylase, TSH with reflex free T3/T4 performed within 7 days prior to sub-study registration
  • Patients must not have any grade III/IV cardiac disease as defined by the New York Heart Association Criteria (i.e., patients with cardiac disease resulting in marked limitation of physical activity or resulting in inability to carry on any physical activity without discomfort), unstable angina pectoris, and myocardial infarction within 6 months, or serious uncontrolled cardiac arrhythmia
  • Patients with a history of congestive heart failure (CHF) or at risk because of underlying cardiovascular disease or exposure to cardiotoxic drug should have an electrocardiogram (EKG) and echocardiogram performed to evaluate cardiac function as clinically indicated
  • Patients with evidence of congestive heart failure (CHF), myocardial infarction(MI), cardiomyopathy, or myositis should have a cardiac evaluation including lab tests and cardiology consultations as clinically indicated including EKG,creatine phosphokinase (CPK), troponin, and echocardiogram
  • Patients who can complete Patient Reported Outcomes (PRO) forms in English are required to complete a pre-study S1400I Patient Reported Outcomes (PRO) Questionnaire and a pre-study S1400I European Quality of Life Five Dimension (EQ-5D) Questionnaire within 14 days prior to registration; NOTE: Patients enrolled to S1400I prior to 9/1/2016 are not eligible for the PRO study

Locations

  • UC San Diego Moores Cancer Center accepting new patients
    La Jolla, California, 92093, United States
  • Kaiser Permanente-San Diego Mission accepting new patients
    San Diego, California, 92108, United States
  • Kaiser Permanente-San Diego Zion accepting new patients
    San Diego, California, 92120, United States
  • Kaiser Permanente-San Marcos accepting new patients
    San Marcos, California, 92069, United States
  • Kaiser Permanente-Irvine accepting new patients
    Irvine, California, 92618, United States
  • City of Hope Corona accepting new patients
    Corona, California, 92879, United States
  • Saint Joseph Hospital - Orange accepting new patients
    Orange, California, 92868, United States
  • Kaiser Permanente-Anaheim accepting new patients
    Anaheim, California, 92807, United States
  • Kaiser Permanente-Riverside accepting new patients
    Riverside, California, 92505, United States
  • Eisenhower Medical Center accepting new patients
    Rancho Mirage, California, 92270, United States
  • Saint Jude Medical Center accepting new patients
    Fullerton, California, 92835, United States
  • Loma Linda University Medical Center accepting new patients
    Loma Linda, California, 92354, United States
  • Kaiser Permanente Hospital accepting new patients
    Fontana, California, 92335, United States
  • Kaiser Permanente-Bellflower accepting new patients
    Bellflower, California, 90706, United States
  • City of Hope Rancho Cucamonga accepting new patients
    Rancho Cucamonga, California, 91730, United States
  • Kaiser Permanente - Harbor City accepting new patients
    Harbor City, California, 90710, United States
  • Presbyterian Intercommunity Hospital accepting new patients
    Whittier, California, 90602, United States
  • Kaiser Permanente-Baldwin Park accepting new patients
    Baldwin Park, California, 91706, United States
  • City of Hope Comprehensive Cancer Center accepting new patients
    Duarte, California, 91010, United States
  • Los Angeles County-USC Medical Center currently not accepting new patients, but might later
    Los Angeles, California, 90033, United States
  • USC / Norris Comprehensive Cancer Center currently not accepting new patients, but might later
    Los Angeles, California, 90033, United States
  • City of Hope South Pasadena accepting new patients
    South Pasadena, California, 91030, United States
  • Kaiser Permanente-Cadillac accepting new patients
    Los Angeles, California, 90034, United States
  • Kaiser Permanente Los Angeles Medical Center accepting new patients
    Los Angeles, California, 90027, United States
  • Providence Saint Joseph Medical Center/Disney Family Cancer Center accepting new patients
    Burbank, California, 91505, United States
  • Kaiser Permanente - Panorama City accepting new patients
    Panorama City, California, 91402, United States
  • City of Hope Mission Hills accepting new patients
    Mission Hills, California, 91345, United States
  • Kaiser Permanente accepting new patients
    Woodland Hills, California, 91367, United States
  • City of Hope Antelope Valley accepting new patients
    Lancaster, California, 93534, United States
  • Yuma Cancer Center accepting new patients
    Yuma, Arizona, 85364, United States
  • AIS Cancer Center at San Joaquin Community Hospital accepting new patients
    Bakersfield, California, 93301, United States
  • Cancer and Blood Specialists-Henderson accepting new patients
    Henderson, Nevada, 89052, United States
  • Comprehensive Cancer Centers of Nevada - Henderson accepting new patients
    Henderson, Nevada, 89052, United States
  • Las Vegas Cancer Center-Henderson accepting new patients
    Henderson, Nevada, 89052, United States
  • Nevada Cancer Specialists-Saint Rose accepting new patients
    Henderson, Nevada, 89052, United States
  • HealthCare Partners Medical Group Oncology/Hematology-San Martin accepting new patients
    Las Vegas, Nevada, 89113, United States
  • Las Vegas Cancer Center-Medical Center accepting new patients
    Las Vegas, Nevada, 89148-2405, United States
  • 21st Century Oncology - Fort Apache accepting new patients
    Las Vegas, Nevada, 89148, United States
  • Comprehensive Cancer Centers of Nevada accepting new patients
    Las Vegas, Nevada, 89148, United States
  • Nevada Cancer Specialists-Fort Apache accepting new patients
    Las Vegas, Nevada, 89148, United States
  • 21st Century Oncology - Henderson accepting new patients
    Henderson, Nevada, 89074, United States
  • Comprehensive Cancer Centers of Nevada-Southeast Henderson accepting new patients
    Henderson, Nevada, 89074, United States
  • PCR Oncology accepting new patients
    Pismo Beach, California, 93449, United States
  • Radiation Oncology Centers of Nevada Southeast accepting new patients
    Las Vegas, Nevada, 89119, United States
  • Comprehensive Cancer Centers of Nevada-Summerlin accepting new patients
    Las Vegas, Nevada, 89144, United States
  • Summerlin Hospital Medical Center accepting new patients
    Las Vegas, Nevada, 89144, United States
  • Desert West Surgery accepting new patients
    Las Vegas, Nevada, 89102, United States
  • Nevada Cancer Specialists?Oakey accepting new patients
    Las Vegas, Nevada, 89102, United States
  • University Medical Center of Southern Nevada accepting new patients
    Las Vegas, Nevada, 89102, United States
  • 21st Century Oncology accepting new patients
    Las Vegas, Nevada, 89109, United States
  • HealthCare Partners Medical Group Oncology/Hematology-Maryland Parkway accepting new patients
    Las Vegas, Nevada, 89109, United States
  • Comprehensive Cancer Centers of Nevada - Central Valley accepting new patients
    Las Vegas, Nevada, 89169, United States
  • University Cancer Center accepting new patients
    Las Vegas, Nevada, 89169, United States
  • Cancer Therapy and Integrative Medicine accepting new patients
    Las Vegas, Nevada, 89121, United States
  • Ann M Wierman MD LTD accepting new patients
    Las Vegas, Nevada, 89128, United States
  • Cancer and Blood Specialists-Tenaya accepting new patients
    Las Vegas, Nevada, 89128, United States
  • Comprehensive Cancer Centers of Nevada - Northwest accepting new patients
    Las Vegas, Nevada, 89128, United States
  • HealthCare Partners Medical Group Oncology/Hematology-Tenaya accepting new patients
    Las Vegas, Nevada, 89128, United States
  • Nevada Cancer Specialists-Tenaya accepting new patients
    Las Vegas, Nevada, 89128, United States
  • Cancer and Blood Specialists-Shadow accepting new patients
    Las Vegas, Nevada, 89106, United States
  • Radiation Oncology Centers of Nevada Central accepting new patients
    Las Vegas, Nevada, 89106, United States
  • 21st Century Oncology - Vegas Tenaya accepting new patients
    Las Vegas, Nevada, 89182, United States
  • HealthCare Partners Medical Group Oncology/Hematology-Centennial Hills accepting new patients
    Las Vegas, Nevada, 89149, United States

Details

Status
accepting new patients
Start Date
Completion Date
(estimated)
Sponsor
Southwest Oncology Group
ID
NCT02785952
Phase
Phase 3
Lead Scientist
Lyudmila A. Bazhenova
Study Type
Interventional
Last Updated
April 9, 2018