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Brief Title: Nivolumab and Ipilimumab Plus Chemotherapy for Patients With Stage IV Lung Cancer With Brain Metastases
Official Title: Nivolumab Plus Ipilimumab Plus Two Cycles of Platinum-based Chemotherapy as First Line Treatment for Stage IV/Recurrent Non-small Cell Lung Cancer (NSCLC) Patients With Synchronous Brain Metastases
Study ID: NCT05012254
Brief Summary: This is an open-label, non-randomised, phase II, multicenter clinical trial. 71 stage IV or recurrent, non-small cell lung cancer patients with synchronous brain metastases will be enrolled in this trial to evaluate the efficacy of Nivolumab plus Ipilimumab plus two cycles of platinum-based chemotherapy as first line treatment.
Detailed Description: This is an open-label, non-randomised, phase II, multicenter clinical trial. The total sample size is 71 patients. The population to be included are stage IV or recurrent, non-small cell lung cancer patients with synchronous brain metastases. Patients randomised will receive induction treatment with two cycles of platinum-based chemotherapy plus Nivolumab and Ipilimumab. At the end of induction treatment the patient with start maintenance with Nivolumab and Ipilimumab until disease progression, unacceptable toxicity, loss of clinical benefit as judged by the investigator or up to a maximum of 2 years of treatment The primary objective of this trial is to determine the rate of intracranial clinical benefit, defined as the percentage of patients who had lack of radiological or clinical progression for at least 6 months according to RANO-BM assessment criteria. Patient accrual is expected to be completed within 1.5 years, treatment is planned to extend for 1 year and the patients will be followed up for 2 years. The study will end once survival follow-up has concluded.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
ICO Badalona, Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain
ICO Hospitalet, Hospitalet de Llobregat, Barcelona, Spain
Hospital Provincial de Castellón, Castelló de la Plana, Castellon, Spain
Hospital Universitario Insular de Gran canaria, Las Palmas De Gran Canaria, Gran Canaria, Spain
Hospitalario Universitario A Coruña, A Coruña, La Coruña, Spain
Hospital Universitario Puerta de Hierro, Majadahonda, Madrid, Spain
Hospital Universitari Vall d' Hebron, Barcelona, , Spain
Hospital de la Santa Creu i Sant Pau, Barcelona, , Spain
Hospital Universitario de Jaén, Jaén, , Spain
Hospital Universitario de León, León, , Spain
Hospital Universitario Lucus Augusti, Lugo, , Spain
Hospital Universitario Fundación Jiménez Díaz, Madrid, , Spain
Hospital 12 De Octubre, Madrid, , Spain
Hospital Universitario Regional de Málaga, Málaga, , Spain
Hospital Universitari Son Llatzer, Palma De Mallorca, , Spain
Hospital General Universitario de Valencia, Valencia, , Spain
Hospital Universitario La Fe, Valencia, , Spain
Hospital Clínico Universitario de Valladolid, Valladolid, , Spain
Name: Ernest Nadal, MD
Affiliation: Fundación GECP Investigator
Role: PRINCIPAL_INVESTIGATOR