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ctDNA Testing + Durvalumab for Stage 3 Non-Small Cell Lung Cancer
Phase 2
Recruiting
Led By Nasser Hanna, MD
Research Sponsored by Indiana University
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up baseline to 24 months
Awards & highlights
Study Summary
This trial wants to use genetic testing to better tailor cancer treatment for stage 3 lung cancer patients.
Who is the study for?
This trial is for adults over 18 with stage III NSCLC who can't have surgery and are set to receive or already started concurrent chemo-radiotherapy (CRT) followed by Durvalumab. They must be able to consent and provide tissue samples for ctDNA testing. Those with other active cancers or unable to undergo CRT/Durvalumab treatment cannot participate.Check my eligibility
What is being tested?
The study tests if monitoring tumor DNA in the blood can guide the duration of Durvalumab therapy in patients with stage III NSCLC after initial treatment with CRT. It aims to personalize cancer care based on molecular markers rather than just clinical signs.See study design
What are the potential side effects?
Durvalumab may cause immune-related side effects such as inflammation in various organs, skin reactions, hormone gland problems, infusion-related reactions, fatigue, and increased risk of infections.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ baseline to 24 months
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~baseline to 24 months
Treatment Details
Study Objectives
Outcome measures can provide a clearer picture of what you can expect from a treatment.Primary outcome measures
Determine if de-escalating number of Durvalumab cycles based on personalized ctDNA clearance has non-inferior 2-year PFS rate
Secondary outcome measures
Estimate the 24-month PFS in patients with persistently detectable ctDNA without radiographic progression
Estimate the 24-month overall survival (OS) of patient treated with consolidation Durvalumab based on personalized ctDNA clearance
Trial Design
1Treatment groups
Experimental Treatment
Group I: Consolidation to DurvalumabExperimental Treatment2 Interventions
All subjects will receive consolidation Durvalumab approximately every 4 weeks. Prior to the 5th cycle the first mandatory ctDNA test will be done. If it's negative and the subsequent test 4 weeks later prior to cycle 6 is negative, then Durvalumab will be stopped otherwise subject will continue consolidation durvalumab until 2 negative ctDNA analyses performed approximately 4 weeks apart or up to 1 year of consolidation per standard medical practice is complete.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Durvalumab
2017
Completed Phase 2
~3870
Find a Location
Who is running the clinical trial?
Indiana UniversityLead Sponsor
980 Previous Clinical Trials
981,706 Total Patients Enrolled
Nasser Hanna, MDPrincipal InvestigatorIndiana University
6 Previous Clinical Trials
367 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I have a tissue sample available for cancer DNA testing.I do not have any active cancer except for squamous or basal cell skin cancer.I cannot receive certain cancer treatments due to health risks.I have stage III lung cancer that can't be removed by surgery and am on or planning to start durvalumab treatment.I am 18 years old or older.I am not willing to give tissue and blood samples for testing.I have stage III lung cancer that can't be removed by surgery and will receive specific drug treatment after chemo and radiation.
Research Study Groups:
This trial has the following groups:- Group 1: Consolidation to Durvalumab
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
Frequently Asked Questions
These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
Has the FDA sanctioned a switch to Durvalumab for Consolidation?
"As Consolidation to Durvalumab is currently undergoing Phase 2 trials, the safety of this medication has been rated a 2 on our scale due to existing data that supports its security but lacks evidence for efficacy."
Answered by AI
Is this experiment still enlisting participants?
"The data preserved on clinicaltrials.gov demonstrates that this trial, which was first posted on March 1st 2023 and last updated February 24th 2023, is not presently recruiting participants. In lieu of registering for this specific study, there are 41 other studies seeking enrolment at the moment."
Answered by AI
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