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NCT03043599

Ipilimumab + Nivolumab w/Thoracic Radiotherapy for Extensive-Stage Small Cell Lung Cancer

Completed Phase 1, PHASE2 Results posted Last updated 20 December 2024
What this trial tests

Phase 1, PHASE2 trial testing Thoracic Radiation Therapy in Small Cell Lung Cancer in 21 participants. Completed in 16 November 2023.

Timeline
13 February 2017
Primary endpoint
26 October 2018
16 November 2023

Quick facts

Lead sponsorH. Lee Moffitt Cancer Center and Research Institute
PhasePhase 1, PHASE2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment21
Start date13 February 2017
Primary completion26 October 2018
Estimated completion16 November 2023
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

H. Lee Moffitt Cancer Center and Research Institute

Who can join

18 and older, any sex, with Small Cell Lung Cancer or Extensive-stage Small Cell Lung Cancer. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Phase I: Confirmation of Recommended Phase II Dose Primary · 13 weeks

Recommended Phase II dose of ipilimumab and nivolumab among participants treated with combined thoracic radiation therapy (30 Gy in 10 fractions) and nivolumab/ipilimumab following standard treatment with 4-6 cycles of platinum-based chemotherapy. Investigators will initially enroll 6 patients and wait until completion of the 13-week safety observation period following initiation of ipilimumab + nivolumab combination treatment.

Ipilimumab
GroupValue95% CI
Combination Therapy3
Nivoumab
GroupValue95% CI
Combination Therapy1
Phase II: Progression Free Survival (PFS) Primary · 6 months

PFS is defined as the duration from date of registration to date of first documentation of progression assessed by local investigator or symptomatic deterioration (as defined above) or death due to any cause.

GroupValue95% CI
Combination Therapy4.52.7 – 4.6
Overall Survival (OS) Secondary · 1 year

OS is defined as the duration from date of registration to date of death due to any cause. Participants last known to be alive are censored at date of last contact.

GroupValue95% CI
Combination Therapy11.74.7 – 16.0

Adverse events — posted to ClinicalTrials.gov

Time frame: 2 years. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Combination Therapy
Serious: 13/21 (62%)
Deaths: 6/21

Serious adverse events (34 terms)

ReactionSystemCombination Therapy
Neoplasms benign, malignant and unspecified -OtherNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung InfectionInfections and infestations
DeathNeoplasms benign, malignant and unspecified (incl cysts and polyps)
DiarrheaGastrointestinal disorders
COPD ExacerbationRespiratory, thoracic and mediastinal disorders
HyponatremiaMetabolism and nutrition disorders
ColitisGastrointestinal disorders
Back PainMusculoskeletal and connective tissue disorders
Blood bilirubin increasedInvestigations
Platelet count decreasedInvestigations
Cognitive disturbanceNervous system disorders
Thromboembolic eventVascular disorders
AnemiaBlood and lymphatic system disorders
Pericardial effusionCardiac disorders
ConstipationGastrointestinal disorders
FeverGeneral disorders
Neck PainGeneral disorders
UrosepsisInfections and infestations
SepsisInfections and infestations
Alanine aminotransferase increasedInvestigations
Aspartate aminotransferaseInvestigations
AnorexiaMetabolism and nutrition disorders
DehydrationMetabolism and nutrition disorders
HypokalemiaMetabolism and nutrition disorders
Metabolism and nutrition disorders -OtherMetabolism and nutrition disorders
Other adverse events (90 terms — click to expand)

ReactionSystemCombination Therapy
CoughRespiratory, thoracic and mediastinal disorders
EsophagitisGastrointestinal disorders
FeverGeneral disorders
DiarrheaGastrointestinal disorders
NauseaGastrointestinal disorders
DizzinessNervous system disorders
AnorexiaMetabolism and nutrition disorders
FatigueGeneral disorders
DyspneaRespiratory, thoracic and mediastinal disorders
Dry MouthGastrointestinal disorders
VomitingGastrointestinal disorders
Generalized Muscle WeaknessMusculoskeletal and connective tissue disorders
Lung InfectionInfections and infestations
PneumonitisRespiratory, thoracic and mediastinal disorders
PainGeneral disorders
Abdominal PainGastrointestinal disorders
InsomniaPsychiatric disorders
ArthralgiaMusculoskeletal and connective tissue disorders
DehydrationMetabolism and nutrition disorders
PruritusSkin and subcutaneous tissue disorders
Thromboembolic eventVascular disorders
DysphagiaGastrointestinal disorders
HyponatremiaMetabolism and nutrition disorders
Back PainMusculoskeletal and connective tissue disorders
ConstipationGastrointestinal disorders
HeadacheNervous system disorders
HypoxiaRespiratory, thoracic and mediastinal disorders
AnxietyPsychiatric disorders
DepressionPsychiatric disorders
Edema LimbsGeneral disorders
HypothyroidismEndocrine disorders
Cognitive DisturbanceNervous system disorders
Productive CoughRespiratory, thoracic and mediastinal disorders
AnemiaBlood and lymphatic system disorders
Urinary Tract InfectionInfections and infestations
ConfusionPsychiatric disorders
Gastroesophageal reflux diseaseGastrointestinal disorders
Blood bilirubin increasedInvestigations
MyalgiaMusculoskeletal and connective tissue disorders
Acute kidney injuryRenal and urinary disorders

Most-reported serious reactions: Neoplasms benign, malignant and unspecified -Other, Lung Infection, Death, Diarrhea, COPD Exacerbation, Hyponatremia, Colitis, Back Pain.

Data from ClinicalTrials.gov NCT03043599 adverse events section.

Sponsor's own description

The purpose of the safety run in Phase I portion of this study is to confirm the recommended Phase II dose of ipilimumab and nivolumab among participants treated with combined thoracic radiation therapy (30 Gy in 10 fractions) and nivolumab/ipilimumab following standard treatment with 4-6 cycles of platinum-based chemotherapy. The purpose of the Phase II portion of this study is to estimate the 6-month Progression Free Survival (PFS) rate among participants treated with ipilimumab and nivolumab with thoracic radiation therapy (30 Gy in 10 fractions) after standard treatment with 4 to 6 cycles of platinum based chemotherapy.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Lung cancer immunotherapy: progress, pitfalls, and promises.
    Lahiri A, Maji A, Potdar PD, Singh N, et al · · 2023 · cited 737× · PMID 36810079 · DOI 10.1186/s12943-023-01740-y
  2. Improvement of the anticancer efficacy of PD-1/PD-L1 blockade via combination therapy and PD-L1 regulation.
    Wu M, Huang Q, Xie Y, Wu X, et al · · 2022 · cited 336× · PMID 35279217 · DOI 10.1186/s13045-022-01242-2
  3. Update on the Biology, Management, and Treatment of Small Cell Lung Cancer (SCLC).
    Saltos A, Shafique M, Chiappori A. · · 2020 · cited 112× · PMID 32766139 · DOI 10.3389/fonc.2020.01074
  4. Dual blockade immunotherapy targeting PD-1/PD-L1 and CTLA-4 in lung cancer.
    Cheng W, Kang K, Zhao A, Wu Y. · · 2024 · cited 110× · PMID 39068460 · DOI 10.1186/s13045-024-01581-2
  5. Combination of Ipilimumab and Nivolumab in Cancers: From Clinical Practice to Ongoing Clinical Trials.
    Kooshkaki O, Derakhshani A, Hosseinkhani N, Torabi M, et al · · 2020 · cited 95× · PMID 32580338 · DOI 10.3390/ijms21124427
  6. Potential immune escape mechanisms underlying the distinct clinical outcome of immune checkpoint blockades in small cell lung cancer.
    Tian Y, Zhai X, Han A, Zhu H, et al · · 2019 · cited 76× · PMID 31253167 · DOI 10.1186/s13045-019-0753-2
  7. Immunotherapy in small-cell lung cancer: from molecular promises to clinical challenges.
    Pavan A, Attili I, Pasello G, Guarneri V, et al · · 2019 · cited 74× · PMID 31383005 · DOI 10.1186/s40425-019-0690-1
  8. Combining immunotherapy and radiotherapy in lung cancer.
    Bhalla N, Brooker R, Brada M. · · 2018 · cited 50× · PMID 29951296 · DOI 10.21037/jtd.2018.05.107

Verify or expand the search:

Other trials of Thoracic Radiation Therapy

Trials testing the same drug.

Other recruiting trials for Small Cell Lung Cancer

Currently open trials in the same condition.

Other H. Lee Moffitt Cancer Center and Research Institute trials

Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03043599.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing