Non Small Cell lung cancer (NSCLC) remains the first cause of death by cancer in the World. For the patients presenting a NSCLC stage IV, the median of survival is about 15 months today. The chemotherapy with platinum is the standard treatment for these patients but immunotherapy showed these efficacy in 1st line for patients PD-L1 positive. On the other hand, the duration of treatment by immunotherapy is not clear. Indeed, prolonged responses and long survivals have been described in patients having interrupted the treatment. In the melanoma, a treatment of 6 months of ipilimumab demonstrated its efficacy. The objective of the study is to demonstrate that a treatment of 6 months followed by an observation (stop and go) is not less effective than a treatment given until progression or toxicity. This strategy would allow to decrease the accumulated toxicities, to improve the quality of life of the patients and to decrease the costs.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
265
Ipilimumab 1 mg/kg every 6 weeks
Nivolumab 3 mg/kg every 2 weeks
Amiens - CHU
Amiens, France
Angers - CHU
Angers, France
Annecy - CH
Annecy, France
Argenteuil -CH
Argenteuil, France
Avignon - CH
Avignon, France
Bordeaux - Polyclinique Nord
Bordeaux, France
Progression Free Survival (PFS1)
Time between the date of randomization and the first date of documented progression, as determined by BICR (Blinded Independent Central Review), or death due to any cause, whichever occurs first.
Time frame: 24 months after randomization of the last subject
Progression Free Survival (PFS2)
Time between the start date of the second line and the second date of documented progression, as determined by BICR, or death due to any cause, whichever occurs first.
Time frame: 24 months after randomization of the last subject
Quality of life (QoL)
Time until definitive deterioration (TUDD) from the randomization time in the experimental arm B.
Time frame: 24 months after randomization of the last subject
Overall survival (OS)
Time frame: 6, 12 and 18 months after randomization
Biological correlative exploratory studies (PD-L1)
PD-L1-stained % of tumor cells will be associated to the rate of disease control patients at 6 months, PFS1, PFS2 and OS
Time frame: 6 months
Biological correlative exploratory studies (PD-L1 H score)
PD-L1 H-score will be associated to the rate of disease control patients at 6 months, PFS1, PFS2 and OS
Time frame: 6 months
Biological correlative exploratory studies (CD3/CD8)
CD3/CD8 tumor infiltration will be associated to the rate of disease control patients at 6 months, PFS1, PFS2 and OS
Time frame: 6 months
Biological correlative exploratory studies (neutrophil)
neutrophil tumor infiltration will be associated to the rate of disease control patients at 6 months, PFS1, PFS2 and OS
Time frame: 6 months
Biological correlative exploratory studies (cytokines)
plasma concentration of different cytokines at baseline or at the randomization point, will be associated to the rate of disease control patients at 6 months, PFS1, PFS2 and OS
Time frame: 6 months
Biological correlative exploratory studies (chemokines)
plasma concentration of different chemokines at baseline or at the randomization point, will be associated to the rate of disease control patients at 6 months, PFS1, PFS2 and OS
Time frame: 6 months
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Boulogne - Ambroise Paré
Boulogne-Billancourt, France
Caen - CHU Côte de Nacre
Caen, France
Cahors - CH
Cahors, France
CH de Pontoise
Cergy-Pontoise, France
...and 37 more locations