Clinical trial • Phase II • Oncology

TISLELIZUMAB for Non-small cell lung cancer (stage III) - PD-L1 positive

Phase II trial of TISLELIZUMAB for Non-small cell lung cancer (stage III) - PD-L1 positive. open-label. 30 participants.

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Non-small cell lung cancer (stage III) - PD-L1 positive
Trial Stage
Phase II
Drug Modality
Monoclonal antibody|Small molecule

Key dates

Initial CTIS Submission Date
05-12-2024
First CTIS Authorization Date
27-03-2025

Trial design

open-label Phase II trial across 1 site in Italy.

Open Label
Yes
Target Sample Size
30

Eligibility

Recruits 30 No vulnerable population selected; participants must be ≥ 18 years and provide written informed consent. No assent procedures for minors are described..

Pregnancy Exclusion
Pregnancy or breastfeeding.
Vulnerable Population
No vulnerable population selected; participants must be ≥ 18 years and provide written informed consent. No assent procedures for minors are described.

Inclusion criteria

  • {"criterion_text":"- Histologically confirmed stage III disease."}
  • {"criterion_text":"- Age ≥ 18 years."}
  • {"criterion_text":"- Written informed consent"}
  • {"criterion_text":"- PD-L1 TPS ≥ 1% according to local testing."}
  • {"criterion_text":"- No evidence of EGFR mutations or ALK or ROS1 or RET rearrangements by local testing."}
  • {"criterion_text":"- Mandatory baseline multidisciplinary assessment to confirm suitability of patient to local treatment with curative intent."}
  • {"criterion_text":"- Pulmonary function tests within 6 months of the planned resection."}
  • {"criterion_text":"- At least 1 measurable lesion as defined by RECIST v1.1."}
  • {"criterion_text":"- ECOG Performance Status ≤ 1."}
  • {"criterion_text":"- Eligibility to receive a platinum doublet chemotherapy regimen."}
  • {"criterion_text":"- Adequate organ function as indicated by the following laboratory values obtained ≤ 14 days before the first dose of study drug"}

Exclusion criteria

  • {"criterion_text":"- Evidence of stage IV NSCLC (metastatic disease)."}
  • {"criterion_text":"- Histology of large cell neuroendocrine carcinoma (LCNEC)."}
  • {"criterion_text":"- Any previous therapy for current lung cancer, including chemotherapy or radiation therapy"}
  • {"criterion_text":"- Previous treatment with an antibody or drug against the immune checkpoint pathway, including but not limited to, therapeutic anti-cytotoxic T-lymphocyte antigen-4-associated antibodies (anti-CTLA-4), anti-PD-1 and anti-PD-L1."}
  • {"criterion_text":"- Never smoking patients."}
  • {"criterion_text":"- Active autoimmune diseases or history of autoimmune diseases that may recur"}
  • {"criterion_text":"- Concomitant participation in another therapeutic clinical trial."}
  • {"criterion_text":"- Pregnancy or breastfeeding."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Complete tumor resection rate (R0). An R0 resection means that the surgical margin is microscopically negative for residual tumor.","definition_or_measurement_approach":"An R0 resection means that the surgical margin is microscopically negative for residual tumor."}

Secondary endpoints

  • {"endpoint_text":"- Percentage of nodal downstaging defined as following neoadjuvant chemoimmunotherapy","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Pathological complete response (pCR) and major pathological response (MPR). pCR means 0% residual viable tumor cells in the primary tumor and sampled lymph nodes; MPR means ≤10% residual viable tumor cells in the primary tumor and sampled lymph nodes.","definition_or_measurement_approach":"pCR means 0% residual viable tumor cells in the primary tumor and sampled lymph nodes; MPR means ≤10% residual viable tumor cells in the primary tumor and sampled lymph nodes."}
  • {"endpoint_text":"- Event-free survival (EFS) was defined as the time from study enrollment to any progression of disease before local treatment (surgery or radiotherapy) or recurrence of disease after local treatment (surgery or radiotherapy), progression of disease in the absence of surgery, or death from any cause.","definition_or_measurement_approach":"EFS defined as time from enrollment to progression before local treatment, recurrence after local treatment, progression without surgery, or death from any cause."}
  • {"endpoint_text":"- Overall survival (OS) was defined as the time from study enrollment to death of any cause","definition_or_measurement_approach":"OS defined as time from enrollment to death from any cause."}

Recruitment

Planned Sample Size
30
Recruitment Window Months
36
Consent Approach
Written informed consent is required from participants; subject information and informed consent form documents are provided. Participants are adults (≥18). No assent for minors is described.

Geography

Total Number Of Sites
1
Total Number Of Participants
30

Italy

Earliest CTIS Part Ii Submission Date
05-12-2024
Latest Decision Or Authorization Date
10-09-2025
Processing Time Days
279
Number Of Sites
1
Number Of Participants
30

Sites

Site Name
IFO-Regina Elena Institute for Cancer Research
Department Name
UOC Oncologia Medica 2
Principal Investigator Name
Federico Cappuzzo
Principal Investigator Email
federico.cappuzzo@ifo.it
Contact Person Name
Federico Cappuzzo
Contact Person Email
federico.cappuzzo@ifo.it
Number Of Participants
30

Sponsor

Primary sponsor

Full Name
Fondazione Ricerca Traslazionale
Organisation Type
Laboratory/Research/Testing facility
Country Of Registered Address
Italy

Investigational products

Investigational Product Name
Tevimbra 100 mg concentrate for solution for infusion
Active Substance
TISLELIZUMAB
Modality
Monoclonal antibody
Routes Of Administration
IV INFUSION
Route
IV INFUSION
Authorisation Status
Marketing authorised (EU/1/23/1758/001)
Maximum Dose
200 mg
Investigational Product Name
Carboplatino Hikma 10 mg/ml soluzione per infusione
Active Substance
CARBOPLATIN
Modality
Small molecule
Routes Of Administration
IV INFUSION
Route
IV INFUSION
Authorisation Status
Marketing authorised (046416018)
Maximum Dose
5 (units as specified in product record)
Investigational Product Name
Cisplatino Hikma 1mg/ml concentrato per soluzione per infusione
Active Substance
CISPLATIN
Modality
Small molecule
Routes Of Administration
IV INFUSION
Route
IV INFUSION
Authorisation Status
Marketing authorised (049681012)
Maximum Dose
80 mg/m2
Investigational Product Name
Paclitaxel Accord Healthcare Italia 6 mg/ml, concentrato per soluzione per infusione
Active Substance
PACLITAXEL
Modality
Small molecule
Routes Of Administration
IV INFUSION
Route
IV INFUSION
Authorisation Status
Marketing authorised (040573026)
Maximum Dose
200 mg/m2
Investigational Product Name
Pemetrexed Ever Pharma 25 mg/ml concentrato per soluzione per infusione
Active Substance
PEMETREXED
Modality
Small molecule
Routes Of Administration
IV INFUSION
Route
IV INFUSION
Authorisation Status
Marketing authorised (049176011)
Maximum Dose
500 mg/m2
Combination Treatment
Yes

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