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Brief Title: Immunotherapy in Combination With Chemotherapy in Small-cell Lung Cancer
Official Title: Phased Avelumab Combined With Chemotherapy as First-line Treatment for Patients With Advanced Small-cell Lung Cancer (SCLC)
Study ID: NCT03568097
Brief Summary: PAVE(Phased Avelumab combined with chemotherapy as first-line treatment for patients with advanced small-cell lung cancer) is a Greek, investigator- initiated, single arm open- label phase II study of Avelumab in combination with cisplatin or carboplatin/ etoposide. The study will include an initial safety run-in, open-label, singlearm part (Part 1), and the actual phase II study (Part 2). The total number of patients will not change (the safety run-in patients will be included in the final total number of participants). The safety run-in period will not alter the total study timelines, as phase II accrual will follow immediately after the safety run-in.
Detailed Description: Advanced small cell lung cancer (SCLC) remains a disease with dismal prognosis and new therapeutics are urgently needed. SCLC is notably chemosensitive and first-line chemotherapy with platinum analogs and etoposide is associated with high rates of initial objective responses that unfortunately do not last long. The primary endpoint for study design is 1-year PFS rate, where according to RECIST v1.1 PFS is determined as the time from the date of study entry to the date of progression, death from any cause or date of last contact.Secondary End Point is the evaluation of efficacy of the study treatment in terms of Overall Survival (OS), Best Overall Response (BOR), Objective Response Rate (ORR) and Duration of Response (DOR). Evaluation of the safety of the study treatment by assessing Treatment-Emergent Adverse Events (TEAEs). Evaluation of the Quality of Life of patients receiving the study the study treatment. Evaluation of potential biomarkers on fresh or archival sample,of formalin-fixed paraffin embedded tumor tissue block or a minimum of 10 unstained tumor tissue sections. Moreover 10 ml of EDTA-stored blood sample will be collected as well.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Attikon University Hospital, Chaïdári, Athens, Greece
Agii Anargiri Cancer Hospital, Néa Kifisiá, Athens, Greece
Metropolitan Hospital, Néo Fáliro, Athens, Greece
Patra University Hospital, Río, Patra, Greece
Henry Dunant Hospital Center, Athens, , Greece
Alexandra Hospital, Athens, , Greece
Name: Helena Linardou, MD
Affiliation: 1st Department on Medical Oncology, Metropolitan Hospital
Role: PRINCIPAL_INVESTIGATOR