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Brief Title: New Adjuvant Trial of Chemotherapy vs Chemo-immunotherapy
Official Title: A Phase III Clinical Trial of Adjuvant Chemotherapy vs Chemoimmunotherapy for Stage IB-IIIA Completely Resected Non-small Cell Lung Cancer (NSCLC) Patients.
Study ID: NCT04564157
Brief Summary: This is an open-label, randomised, two-arm, phase III, multi-centre clinical trial. 210 stage IB-IIIA, completely resected, non-small cell lung cancer patients will be enrolled in this trial to evaluate the disease free survival between experimental arm (Adjuvant Chemotherapy-Immunotherapy + maintenance adjuvant Immunotherapy) and control arm (Adjuvant Chemotherapy)
Detailed Description: This is an open-label, randomised, two-arm, phase III, multicentre clinical trial.The total sample size is 210 and 105 per arm. The population to be included are stage IB-IIIA, completely resected, non-small cell lung cancer patients. Patients randomised to the experimental arm will receive Nivolumab 360mg + Paclitaxel 200mg/m2 + Carboplatin AUC5 for 4 cycles every 21 days (+/- 3 days) as adjuvant treatment followed by maintenance adjuvant treatment for 6 cycles with Nivolumab 480 mg Q4W (+/- 3 days). Patients randomized to the control arm will receive Paclitaxel 200mg/m2 + Carboplatin AUC5 for 4 cycles every 21 days (+/- 3 days) followed by 2 observation visits. The primary objective is to evaluate the disease-free survival (DFS): defined as the length of time from randomization to the earliest event defined as disease recurrence, any new lung cancer (even in the opposite lung), or death from any cause at any known point in time. Patient accrual is expected to be completed within 3.5 years, excluding a run-in-period of 3 months. Treatment and follow-up are expected to extend the study duration to a total of 8.5 years. Patients will be followed 5 years after adjuvant treatment or observation phase. 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 Universitario Insular de Gran canaria, Las Palmas De Gran Canaria, Gran Canaria, Spain
Hospitalario Universitario A Coruña, A Coruña, La Coruña, Spain
Hospital Universitario Cruces, Barakaldo, Vizcaya, Spain
Hospital General Universitario de Alicante, Alicante, , Spain
Hospital Universitari Quiron Dexeus, Barcelona, , Spain
Hospital Universitari Vall d' Hebron, Barcelona, , Spain
Hospital de la Santa Creu i Sant Pau, Barcelona, , Spain
Hospital Parc Taulí, Barcelona, , Spain
Hospital de Basurto, Bilbao, , Spain
Hospital San Pedro De Alcántara, Cáceres, , Spain
Hospital Universitario Virgen de la Arrixaca, El Palmar, , Spain
ICO Girona, Hospital Josep Trueta, Girona, , Spain
Hospital Universitario de Jaén, Jaén, , Spain
Hospital Universitario Lucus Augusti, Lugo, , Spain
Hospital Clínico San Carlos, Madrid, , Spain
Hospital Universitario Fundación Jiménez Díaz, Madrid, , Spain
Hospital Universitario la Paz, Madrid, , Spain
Hospital Puerta de Hierro, Madrid, , Spain
Hospital Fundación de Alcorcón, Madrid, , Spain
Hospital Son Espases, Palma De Mallorca, , Spain
Complejo Hospitalario de Navarra, Pamplona, , Spain
Hospital Universitario Nuestra Señora La Candelaria, Santa Cruz De Tenerife, , Spain
Hospital Virgen del Rocío, Sevilla, , Spain
Instituto Valenciano De Oncología, Valencia, , Spain
Hospital Clínico de Valencia, Valencia, , Spain
Hospital General Universitario de Valencia, Valencia, , Spain
Hospital Universitario La Fe, Valencia, , Spain
Complexo Hospitalario Universitario De Vigo, Vigo, , Spain
Name: Mariano Provencio, MD
Affiliation: Fundación GECP President
Role: STUDY_CHAIR