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Brief Title: This Study Will Evaluate the Effect of Canakinumab or Pembrolizumab Given as Monotherapy or in Combination as Neo-adjuvant Treatment for Subjects With Early Stages NSCLC.
Official Title: A Randomized, Open-label, Phase II Study of Canakinumab or Pembrolizumab as Monotherapy or in Combination as Neoadjuvant Therapy in Subjects With Resectable Non-small Cell Lung Cancer (CANOPY-N)
Study ID: NCT03968419
Brief Summary: The purpose of this study was to evaluate the major pathological response (MPR) rate of canakinumab given as a neoadjuvant treatment, either as single agent or in combination with pembrolizumab, in addition to evaluate the MPR of pembrolizumab as a single agent and the dynamic of the tumor microenvironment changes on treatment.
Detailed Description: This was a randomized, phase II, open-label study evaluating canakinumab, an anti-IL-1β monoclonal antibody, or pembrolizumab, a monoclonal antibody designed to block the PD-1 receptor, as monotherapy or in combination as neoadjuvant therapy. The study population included adult subjects with resectable non-small cell lung cancer (NSCLC) planned for surgery in approximately 4-6 weeks. Subjects were treated for a maximum duration of 6 weeks (2 cycles) until surgery, progression, unacceptable toxicity or discontinuation from the study treatment for any other reason. Subjects were randomized in a 2:2:1 ratio to one of the 3 treatment arms (canakinumab alone or canakinumab in combination with pembrolizumab or pembrolizumab alone). Surgery was performed between 4 to 6 weeks after the first dose of study treatment. All randomized subjects were followed for safety for up to 130 days following the last dose of study treatment (safety follow-up period).
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
UCLA Oncology Hematology, La Jolla, California, United States
University of Kansas Medical Center Neurology Dept., Kansas City, Kansas, United States
SUNY - Upstate Medical University, Syracuse, New York, United States
Methodist Hospital / Methodist Cancer Center, Houston, Texas, United States
Novartis Investigative Site, Bruxelles, , Belgium
Novartis Investigative Site, Montreal, Quebec, Canada
Novartis Investigative Site, Montpellier cedex 5, Herault, France
Novartis Investigative Site, Bron, , France
Novartis Investigative Site, Paris, , France
Novartis Investigative Site, Bad Berka, , Germany
Novartis Investigative Site, Giessen, , Germany
Novartis Investigative Site, Halle (Saale), , Germany
Novartis Investigative Site, Koeln, , Germany
Novartis Investigative Site, Thessaloniki, , Greece
Novartis Investigative Site, Kashiwa, Chiba, Japan
Novartis Investigative Site, Breda, , Netherlands
Novartis Investigative Site, Hertogenbosch, , Netherlands
Novartis Investigative Site, Maastricht, , Netherlands
Novartis Investigative Site, Omsk, , Russian Federation
Novartis Investigative Site, Saint Petersburg, , Russian Federation
Novartis Investigative Site, St Petersburg, , Russian Federation
Novartis Investigative Site, Jaen, Andalucia, Spain
Novartis Investigative Site, Oviedo, Asturias, Spain
Novartis Investigative Site, Madrid, , Spain
Novartis Investigative Site, Taipei, , Taiwan
Novartis Investigative Site, Taipei, , Taiwan
Novartis Investigative Site, Izmir, , Turkey
Novartis Investigative Site, Sakarya, , Turkey
Novartis Investigative Site, Sihhiye / Ankara, , Turkey
Name: Novartis Pharmaceuticals
Affiliation: Novartis Pharmaceuticals
Role: STUDY_DIRECTOR