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Neoadjuvant Immunoradiation for Lung Cancer

Phase 2
Waitlist Available
Led By Patrick Forde, MD
Research Sponsored by Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Subjects with non-small cell lung cancer deemed surgically resectable by an attending thoracic surgeon with lobectomy
ECOG Performance Status 0-1
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 3 years
Awards & highlights

Study Summary

This trial is testing a new cancer treatment that combines immunotherapy and radiation. If it is safe, they will test it on more patients.

Who is the study for?
This trial is for adults over 18 with stage IIIA non-small cell lung cancer (NSCLC) that can be removed by surgery. Participants must weigh more than 30kg, have a life expectancy over 6 months, and be in good physical condition (ECOG Performance Status of 0-1). They should not have had certain prior treatments or conditions like chest radiation or active pneumonitis, and women must not be pregnant.Check my eligibility
What is being tested?
The study tests 'immunoradiation' using durvalumab alone or combined with tremelimumab alongside standard thoracic radiation before surgical removal of the tumor. If safe, a second group will test both drugs with radiation pre-surgery. Post-surgery, standard chemotherapy may follow as decided by the doctor.See study design
What are the potential side effects?
Possible side effects include immune-related inflammation in various organs, infusion reactions similar to allergic responses during drug administration, fatigue, digestive issues such as nausea and diarrhea, blood disorders like anemia or clotting problems, and increased risk of infections.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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My lung cancer can be removed with surgery according to my thoracic surgeon.
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I am fully active or can carry out light work.
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My blood tests for bone marrow and organ function are normal.
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My condition is stage III non-small cell lung cancer.
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I am 18 years old or older.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 3 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 3 years for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Feasibility of Preoperative Immunoradiation
Toxicities as Measured by Number of Participants Experiencing Adverse Events
Secondary outcome measures
Duration of Response as Measured by Recurrence-free Survival
Overall Survival
Percentage of Participants With Pathologic Response
+2 more

Trial Design

2Treatment groups
Experimental Treatment
Group I: Durvalumab with RadiationExperimental Treatment4 Interventions
Drug: Durvalumab Other Names: MEDI4736 MEDI4736 1500mg via IV infusion every 4 weeks for up to 3 doses/cycles Intervention: Radiation: Thoracic Radiation 5 days per week in once daily fractionation, 1.8-2.0 Gy per fraction Intervention: Procedure/Surgery: lobectomy patients may proceed to surgery post drug and radiation intervention for lung lobectomy Intervention: Drug: Standard of care adjuvant chemotherapy patients may or may not proceed to adjuvant chemotherapy post trial drug and radiation intervention and surgery
Group II: Durvalumab and Trememlimumab with RadiationExperimental Treatment5 Interventions
Drugs: Durvalumab + Tremelimumab Other Names: MEDI4736 and CP-675 MEDI4736 1500mg via IV infusion every 4 weeks for up to 3 doses/cycles + CP-675 206 75mg via IV infusion every 4 weeks up 3 doses/cycles Intervention: Radiation: Thoracic Radiation 5 days per week in once daily fractionation, 1.8-2.0 Gy per fraction Intervention: Procedure/Surgery: lobectomy patients may proceed to surgery post drug and radiation intervention for lung lobectomy Intervention: Drug: Standard of care adjuvant chemotherapy patients may or may not proceed to adjuvant chemotherapy post trial drug and radiation intervention and surgery
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Durvalumab
FDA approved
Tremelimumab
Not yet FDA approved

Find a Location

Who is running the clinical trial?

Sidney Kimmel Comprehensive Cancer Center at Johns HopkinsLead Sponsor
557 Previous Clinical Trials
32,891 Total Patients Enrolled
AstraZenecaIndustry Sponsor
4,259 Previous Clinical Trials
288,593,893 Total Patients Enrolled
Patrick Forde, MDPrincipal InvestigatorJohns Hopkins University
5 Previous Clinical Trials
1,588 Total Patients Enrolled

Media Library

Lobectomy Clinical Trial Eligibility Overview. Trial Name: NCT03237377 — Phase 2
Non-Small Cell Lung Cancer Research Study Groups: Durvalumab and Trememlimumab with Radiation, Durvalumab with Radiation
Non-Small Cell Lung Cancer Clinical Trial 2023: Lobectomy Highlights & Side Effects. Trial Name: NCT03237377 — Phase 2
Lobectomy 2023 Treatment Timeline for Medical Study. Trial Name: NCT03237377 — Phase 2

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

How many participants have enlisted in this research project?

"At this juncture, no further recruitment is being sought for this trial that was initially posted on December 12th 2017 and last updated November 8th 2022. Nonetheless, there are currently 2045 clinical trials searching for patients with non-small cell lung carcinoma (NSCLC) and 340 studies actively seeking participants to receive Thoracic Radiation."

Answered by AI

Is this research endeavor seeking out participants aged 40 or beyond?

"According to the specified requirements, individuals aged 18-100 are eligible for this particular clinical trial. 55 studies permit applicants under 18 years old and 2377 trials accept people over 65."

Answered by AI

Is this the inaugural trial of its kind?

"Currently, there are 340 active trials for Thoracic Radiation being conducted in 1327 cities and 58 countries. The first of these studies was sponsored by AstraZeneca and commenced back in 2007 with 37 participants taking part. In the intervening years, 123 investigations have been successfully concluded."

Answered by AI

Has Thoracic Radiation earned the Food and Drug Administration's authorization?

"Given the Phase 2 clinical trial, which has yielded some evidence on safety but no data regarding efficacy, our team at Power assessed Thoracic Radiation to be a score of 2."

Answered by AI

Which patient demographics are most suited to this trial?

"To qualify for enrollment, applicants must have been diagnosed with non-small cell lung carcinoma and fall within the age range of 18 to 100. A total of 9 patients are being accepted into this trial."

Answered by AI

In what scenarios is Thoracic Radiation usually prescribed?

"Thoracic Radiation is often used to treat the progression of Stage III Non-Small cell lung cancer, as well as Metastatic Urothelial Carcinoma and Advance Directives."

Answered by AI

Are there any opportunities for individuals to become participants in this experiment?

"As evidenced by clinicaltrials.gov, this medical trial is not recruiting at the present moment; it was initially posted on December 12th 2017 and last modified on November 8th 2022. However, there are an abundance of other trials actively enrolling patients today with a total of 2385 studies available to join."

Answered by AI

What are the main goals of this experiment?

"The primary focus of this trial, assessed over a maximum period of 100 days is to determine the practicality of preoperative immunoradiation. Secondary objectives include measuring duration of response with recurrence-free survival by log-rank test and Cox proportional hazards (PH) model., evaluating surgical morbidity & mortality through log-rank test and Cox proportional hazards (PH) model., and assessing overall survival in terms of months alive after preoperative immunoradiation followed by surgery also via log-rank test and Cox proportional hazards (PH) model.."

Answered by AI

What prior experiments have been conducted that involve Thoracic Radiation?

"Presently, 340 live clinical studies are researching Thoracic Radiation with 52 of these trials in Phase 3. Of the 13098 sites conducting this research, most are located in Cordoba, Texas."

Answered by AI
~1 spots leftby Apr 2025