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A Platform Study of DNA Damage Response Inhibitors in Combination With Conventional Radiotherapy in Non Small Cell Lung Cancer (CONCORDE)
CONCORDE is a multi-institution, multi-arm, Phase IB study that will determine the recommended phase II dose (RP2D) and safety profiles of different DNA damage repair inhibitors (DDRis) when given in an open label fashion in combination with fixed dose curative intent radiotherapy (RT) in patients with stage IIB/IIIA/IIIB NSCLC, followed by up to 12 months of consolidation durvalumab immunotherapy in selected study arms. The RP2D will be evaluated by incorporating the number of observed dose limiting toxicities (DLTs) into a time to event continuous reassessment method (TiTE- CRM) model within each of the experimental arms. TiTE-CRM is used here to take into account longer-term toxicities up to 13.5 months post start of radiotherapy and use these to inform dose escalation decision making.
Details
| Lead sponsor | University of Leeds |
|---|---|
| Phase | Phase 1 |
| Status | RECRUITING |
| Enrolment | 200 |
| Start date | 2021-03-17 |
| Completion | 2028-03 |
Conditions
- Non Small Cell Lung Cancer
Interventions
- Radiotherapy
- Olaparib Oral Tablet [Lynparza]
- AZD1390
- Ceralasertib
- AZD5305
- Durvalumab
Primary outcomes
- Dose limiting Toxicities — 13.5 months after start of radiotherapy
Dose-limiting toxicities (DLTs), within 13.5 months of starting radiotherapy, in order to establish the Recommended Phase II Dose (RP2D) of each DDRi-RT combination.
Countries
United Kingdom