E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Early-stage (I [> 2 cm] to IIIA) Non-small Cell Lung Cancer |
Carcinoma polmonare non a piccole cellule allo stadio iniziale (da I [> 2 cm] a IIIA) |
|
E.1.1.1 | Medical condition in easily understood language |
Carcinoma polmonare non a piccole cellule allo stadio iniziale |
Early-stage Non-small Cell Lung Cancer |
|
E.1.1.2 | Therapeutic area | Diseases [C] - Cancer [C04] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10029517 |
E.1.2 | Term | Non-small cell lung cancer stage I |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10029518 |
E.1.2 | Term | Non-small cell lung cancer stage II |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10029520 |
E.1.2 | Term | Non-small cell lung cancer stage IIIA |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
|
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
Efficacy - Assess the antitumor activity of durvalumab alone and/or in combination with novel agents |
Efficacia - Valutare l’attività antitumorale di durvalumab in monoterapia e/o in combinazione con nuovi agenti |
|
E.2.2 | Secondary objectives of the trial |
Safety - Assess the feasibility of receiving the planned surgical resection - Assess the safety and tolerability of durvalumab alone and/or in combination with novel agents Efficacy - Assess the antitumor activity of durvalumab alone and/or in combination with novel agents Pharmacokinetics - To describe the PK of durvalumab alone and/or in combination with novel agents Immunogenicity (a) To assess the immunogenicity of durvalumab alone or in combination with novel agents (b) To assess the immunogenicity of novel biologic agents in combination with durvalumab |
Sicurezza - Valutare la fattibilità di eseguire la resezione chirurgica programmata - Valutare la sicurezza e la tollerabilità di durvalumab in monoterapia e/o in combinazione con nuovi agenti Efficacia - Valutare l’attività antitumorale di durvalumab in monoterapia e/o in combinazione con nuovi agenti Farmacocinetica -Descrivere la PK di durvalumab in monoterapia e/o in combinazione con nuovi agenti Immunogenicità - (a) Valutare l’immunogenicità di durvalumab in monoterapia o in combinazione con nuovi agenti - (b) Valutare l’immunogenicità di nuovi agenti biologici in combinazione con durvalumab |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Cytologically and/or histologically-documented NSCLC (a) Stage I (> 2 cm) to IIIA (For subjects with N2 disease, only those with 1 single nodal station = 3 cm are eligible) NSCLC (b) Amenable to complete surgical resection (c) Have not received any other therapy for this condition 2. Age =18 years old 3. Predicted FEV1 = 50% 4. Predicted DLCO = 50% 5. ECOG 0 or 1 6. Adequate organ function |
1. NSCLC documentato con esame citologico e/o istologico (a) NSCLC di Stadio da I (> 2 cm) a IIIA (nei casi di malattia N2, sono idonei solo i soggetti con 1 singola stazione nodale = 3 cm) (b) Suscettibile di resezione chirurgica completa (c) Nessuna terapia pregressa per il trattamento di questa condizione 2. Età =18 anni 3. FEV1 = 50% del valore predetto 4. DLCO = 50% del valore predetto 5. ECOG 0 o 1 6. Funzionalità organica adeguata |
|
E.4 | Principal exclusion criteria |
1. Subjects with small-cell lung cancer or mixed small-cell lung cancer 2. Subjects who require or may require pneumonectomy 3. Prior treatment with PD-L1, PD-L1, or CTLA-4 inhibitors 4. Current or prior use of immunosuppressive medication within 14 days before the first dose of study drug. 5. Active or prior documented autoimmune or inflammatory disorders. The following are exceptions to this criterion: a. Subjects with vitiligo or alopecia b. Subjects with hypothyroidism on hormone replacement c. Any chronic skin condition that does not require systemic therapy d. Subjects without active disease in the last 5 years may be included but only after consultation with the study physician e. Subjects with celiac disease controlled by diet alone 6. Pregnant or breast-feeding female 7. Major surgical procedure within prior 30 days 8. History of active primary immunodeficiency 9. Active infection including tuberculosis, hepatitis B, hepatitis C, or HIV 10. QTc interval (QTc) = 470 ms 11. Uncontrolled intercurrent illness that would limit compliance with study requirement, substantially increase risk of incurring AEs or compromise the ability of the subject to give written informed consent 12. Receipt of live attenuated vaccination within 30 days prior to study entry 13. History of another primary malignancy except for: a. Curative-treated malignancy with no known active disease > 2 years before enrollment on the study b. Curative-treated non-melanoma skin cancer and/or carcinoma in-situ |
1. Soggetti con carcinoma polmonare a piccole cellule o carcinoma polmonare misto a piccole cellule 2. Soggetti (potenzialmente) necessitanti di pneumonectomia 3. Pregresso trattamento con inibitori di PD-L1, PD-L1 o CTLA-4 4. Impiego attuale o pregresso di farmaci immunosoppressori nei 14 giorni precedenti alla somministrazione della prima dose del farmaco in studio 5. Patologie autoimmuni o infiammatorie attive o pregresse. Fanno eccezione a questo criterio: a. Soggetti con vitiligine o alopecia b. Soggetti con ipotiroidismo in terapia ormonale sostitutiva c. Qualsiasi patologia cutanea cronica non necessitante di terapia sistemica d. I soggetti senza malattia attiva negli ultimi 5 anni possono essere inclusi, ma solo dopo consultazione con il medico dello studio e. Soggetti con malattia celiaca controllati con sola dieta 6. Donne in gravidanza o allattamento 7. Intervento di chirurgia maggiore nei 30 giorni precedenti 8. Anamnesi di immunodeficienza primaria attiva 9. Infezione attiva, tra cui tubercolosi, epatite B, epatite C o HIV 10. Intervallo QTc (QTc) = 470 ms 11. Malattia intercorrente non controllata, che limiterebbe la conformità ai requisiti dello studio, determinerebbe un sostanziale aumento del rischio di EA o comprometterebbe la capacità del soggetto di fornire il consenso informato scritto 12. Trattamento con vaccino vivo attenuato nei 30 giorni precedenti all’ingresso in studio 13. Anamnesi di altra malignità primaria, ad eccezione di: a. Neoplasia maligna sottoposta a trattamento curativo senza malattia attiva nota > 2 anni prima dell’arruolamento nello studio b. Carcinoma cutaneo non melanoma e/o carcinoma in situ sottoposto a trattamento curativo |
|
E.5 End points |
E.5.1 | Primary end point(s) |
Clinical activity - Major Pathological Response (MPR) rate |
Attività clinica - Tasso di MPR |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
MPR will be done in the resected specimen. Surgery is planned to take place within 14 days after the 4 weeks treatment period |
L’analisi della MPR sarà eseguita sul campione resecato. L’intervento chirurgico è programmato per svolgersi entro 14 giorni dal termine del periodo di 4 settimane di trattamento. |
|
E.5.2 | Secondary end point(s) |
Safety - Feasibility, defined as having the planned surgical resection within Day 29 to Day 42 after Week 1, Day 1 - Presence of AEs, SAEs, laboratory abnormalities, and vital signs Efficacy - Pathological Complete Response (pCR) rate Pharmacokinetics - Concentration of durvalumab or novel agents in plasma or serum Immunogenicity - ADA incidence of durvalumab or novel biologic agents |
Sicurezza - Fattibilità definita come programmazione della resezione chirurgica dal Giorno 29 al Giorno 42 dopo il Giorno 1 della Settimana 1 - Presenza di eventi avversi (EA), eventi avversi gravi (EAG), anomalie nei valori di laboratorio e segni vitali Efficacia - Tasso pCR Farmacocinetica - Concentrazione di durvalumab o dei nuovi agenti nel plasma o nel siero Immunogeniticità - Incidenza di ADA di durvalumab o nuovi agenti biologici |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
Safety - Feasibility - Surgery is planned to take place within 14 days after the 4 weeks treatment period. - AEs, SAEs, laboratory abnormalities, and vital signs - Up to 126 days after C1D1 Efficacy - pCR will be done in the resected specimen. Surgery is planned to take place within 14 days after the 4 weeks treatment period. Pharmacokinetics and Immunogenicity - Up to 126 days after C1D1 |
Sicurezza - Fattibilità - L’intervento chirurgico è programmato per svolgersi entro 14 giorni a partire dal termine delle 4 settimane del periodo di trattamento. - EA, SAE, anomalie di laboratorio e segni vitali - Fino a 126 giorni dopo C1D1 Efficacia - L’analisi della pCR sarà eseguita sul campione resecato. L’intervento chirurgico è programmato per svolgersi entro 14 giorni dal termine del periodo di 4 settimane di trattamento. Farmacocinetica e immunogenicità - Fino a 126 giorni dopo C1D1 |
|
E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | Yes |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | Yes |
E.6.13.1 | Other scope of the trial description |
Immunogenicity |
Immunogenicità |
|
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | Yes |
E.8.1.7.1 | Other trial design description |
Studio piattaforma |
Platform study |
|
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Yes |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 4 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 3 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 10 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Canada |
United States |
France |
Italy |
Portugal |
Spain |
Switzerland |
|
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
The end of the study ("study completion") is defined as the date of the last protocol-specified visit/assessment for the last subject in the study. This date will be 1 year after the final subject is entered into the study or when the sponsor stops the study, whichever occurs first. |
Con fine dello studio (“completamento dello studio”) si denota la data dell’ultima valutazione/visita specificata nel protocollo per l’ultimo soggetto partecipante allo studio. Tale data sarà 1 anno dopo l’ingresso dell’ultimo soggetto o quando lo sponsor interrompe lo studio, in base all’evento che si verifica prima. |
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 2 |
E.8.9.1 | In the Member State concerned months | 5 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 2 |
E.8.9.2 | In all countries concerned by the trial months | 5 |
E.8.9.2 | In all countries concerned by the trial days | 0 |