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Brief Title: Combination of Paclitaxel-bevacizumab ± Atezolizumab in Patients With Advanced NSCLC Progressing After Immunotherapy & Chemotherapy
Official Title: A Non-comparative Randomized Phase II Trial Evaluating the Combination of Paclitaxel-bevacizumab ± Atezolizumab in Patients With Advanced Non-squamous NSCLC Progressing After Immunotherapy and Chemotherapy
Study ID: NCT05781308
Brief Summary: This is an open-label, randomized, non-comparative, multicentre, phase II study in which NSCLC patients who have progressed following chemotherapy and immunoptherapy are randomized to receive treatment with either paclitaxel and bevacizumab (Arm A), or paclitaxel, bevacizumab and atezolizumab (Arm B). An estimated 156 patients (52 in Arm A, 104 in Arm B) will be enrolled at approximately 40 centres. Patients will be treated until disease progression, unacceptable toxicity, withdrawal of consent or another discontinuation criterion is met. For patients in Arm B, continuation of atezolizumab beyond progression is permitted, at the investigator's discretion, if there is evidence of continued clinical benefit. The null hypothesis is progression free survival at 6 months ≤ 50% for Arm B, which is considered not sufficiently clinically meaningful to warrant further study. The alternative hypothesis is that 66% or more of patients in Arm B would achieve progression free survival at 6 months.
Detailed Description:
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
CHU Amiens, Amiens, , France
CHU d'Angers, Angers, , France
CH Avignon, Avignon, , France
CH Côte Basque, Bayonne, , France
CHU Besançon - Hôpital J. MINJOZ, Besançon, , France
Polyclinique Bordeaux Nord Aquitaine, Bordeaux, , France
Hôpital APHP Ambroise Paré, Boulogne, , France
CHU Côte de Nacre, Caen, , France
CH Cholet, Cholet, , France
CHU Gabriel Montpied, Clermont-Ferrand, , France
CH Pasteur, Colmar, , France
Centre Hospitalier Intercommunal Créteil CHIC, Créteil, , France
Centre Georges-François Leclerc, Dijon, , France
CHU Dijon, Dijon, , France
Chu Grenoble, Grenoble, , France
CHD Vendée, La Roche-sur-yon, , France
CH Versailles, Le Chesnay, , France
CH Le Mans, Le Mans, , France
CHU Lille, Lille, , France
CHU Limoges, Limoges, , France
Centre Léon Bérard, Lyon, , France
Institut Paoli Calmettes, Marseille, , France
APHM Hôpital Nord, Marseille, , France
Hôpitaux Privés de Metz Robert Schuman, Metz, , France
GHR Mulhouse et Sud Alsace GHRMSA, Mulhouse, , France
CHR Orléans, Orléans, , France
Hôpital BICHAT, Paris, , France
Hôpital TENON, Paris, , France
Groupe Hospitalier Paris Saint Joseph GHPSJ, Paris, , France
CH Pau, Pau, , France
CHU Bordeaux Haut-Lévèque, Pessac, , France
Hospices Civils de Lyon - URCOT, Pierre-Bénite, , France
CHU Poitiers, Poitiers, , France
CH Annecy Genevois, Pringy, , France
CHU Rouen, Rouen, , France
Institut de Cancerologie de l'Ouest ICO, Saint-Herblain, , France
CHU Saint Etienne, Saint-Étienne, , France
Nouvel Hôpital Civil - Hôpitaux Universitaires de Strasbourg, Strasbourg, , France
HIA Sainte-Anne, Toulon, , France
CHU Toulouse, Toulouse, , France
CHU Tours, Tours, , France
Clinique Teissier, Valenciennes, , France
CH Villefranche Nord Ouest, Villefranche-sur-Saône, , France
Name: Arnaud SCHERPEREEL, Pr
Affiliation: Institut Coeur Poumon CHU de Lille
Role: PRINCIPAL_INVESTIGATOR
Name: Etienne GIROUX-LEPRIEUR, Pr
Affiliation: Pulmonology & Thoracic Oncology Department APHP - Hôpital Ambroise Paré
Role: PRINCIPAL_INVESTIGATOR