Treating Early-stage Non-Small Cell Lung Cancer with Durvalumab and Radiation Therapy
Sponsor: Memorial Sloan Kettering Cancer Center
Sponsor score: 60
Inactive
ClinicalTrials ID:NCT04716946
This clinical trial is exploring whether combining the drug durvalumab with a specific type of radiation therapy, called stereotactic body radiation therapy (SBRT), is more effective for treating early-stage non-small cell lung cancer (NSCLC) than using SBRT alone.
Patient Parameters
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Program Overview
The aim of this study is to determine if adding the drug durvalumab to stereotactic body radiation therapy (SBRT) can improve treatment outcomes for patients with early-stage non-small cell lung cancer (NSCLC). Researchers want to see if this combination is more effective than using SBRT by itself.
Eligibility Criteria
Inclusion Criteria
- Able to provide informed consent and agree to follow study requirements.
- Age 18 or older.
- Diagnosed with early-stage non-small cell lung cancer (Stage I to IIIA) without certain types of tumor spread.
- Not eligible for or unwilling to have surgery due to medical reasons or personal choice.
- Confirmed diagnosis of NSCLC through standard biopsy.
- Good overall health with a performance status score of 0 or 1.
- Suitable candidates for SBRT.
- Predicted to have a less than 80% chance of being disease-free for 2 years based on a specific risk model.
- Weigh more than 30 kg.
- Have normal organ and bone marrow function, including:
- Hemoglobin level of at least 9.0 g/dL.
- Neutrophil count of at least 1500 per mm³.
- Platelet count of at least 75,000 per mm³.
- Normal liver function tests, except for patients with Gilbert's syndrome.
- Women must be post-menopausal or have a negative pregnancy test if pre-menopausal.
- Life expectancy of at least 12 weeks.
Exclusion Criteria
- Participating in another clinical study with an investigational product in the last 4 weeks.
- Previous chest radiation that prevents SBRT for the current tumor.
- Active or past autoimmune or inflammatory disorders, with some exceptions.
- Unresolved side effects from previous cancer treatments, except for certain conditions.
- Recent treatment with certain antibodies or chemotherapy.
- Use of immunosuppressive medication within 14 days before starting durvalumab, with some exceptions.
- Major surgery within 28 days before starting the study, except for certain local surgeries.
- History of organ transplant.
- Severe concurrent illnesses, including psychiatric disorders or other progressing cancers.
- Active infections, including tuberculosis, hepatitis B or C, or HIV, unless controlled.
- Lung disease or active heart disease.
- Pregnant or breastfeeding women, or those not using effective birth control.
- Recent live vaccination.
- Certain lung or esophagus conditions.
- Known genetic mutations affecting treatment.
- Known allergies to study drugs.
- Previous participation in a durvalumab study.
- Must not donate blood while on durvalumab therapy.
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