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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03631199
Registration number
NCT03631199
Ethics application status
Date submitted
6/08/2018
Date registered
15/08/2018
Titles & IDs
Public title
Study of Efficacy and Safety of Pembrolizumab Plus Platinum-based Doublet Chemotherapy With or Without Canakinumab in Previously Untreated Locally Advanced or Metastatic Non-squamous and Squamous NSCLC Subjects
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Scientific title
A Randomized, Double-blind, Placebo-controlled, Phase III Study Evaluating the Efficacy and Safety of Pembrolizumab Plus Platinum-based Doublet Chemotherapy With or Without Canakinumab as First Line Therapy for Locally Advanced or Metastatic Non-squamous and Squamous Non-small Cell Lung Cancer Subjects (CANOPY-1)
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Secondary ID [1]
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2018-001547-32
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Secondary ID [2]
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CACZ885U2301
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Universal Trial Number (UTN)
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Trial acronym
CANOPY-1
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Non-small Cell Lung Cancer
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Condition category
Condition code
Cancer
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Lung - Mesothelioma
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Cancer
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0
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Lung - Non small cell
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Cancer
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0
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Lung - Small cell
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - canakinumab
Treatment: Drugs - canakinumab matching placebo
Treatment: Drugs - pembrolizumab
Treatment: Drugs - carboplatin
Treatment: Drugs - cisplatin
Treatment: Drugs - paclitaxel
Treatment: Drugs - nab-paclitaxel
Treatment: Drugs - pemetrexed
Experimental: canakinumab - canakinumab in combination with pembrolizumab and platinum-based doublet chemotherapy
Other: canakinumab matching-placebo - canakinumab matching-placebo in combination with pembrolizumab and platinum-based doublet chemotherapy
Treatment: Drugs: canakinumab
canakinumab every 3 weeks (squamous and non-squamous)
Treatment: Drugs: canakinumab matching placebo
canakinumab placebo every 3 weeks (squamous and non-squamous)
Treatment: Drugs: pembrolizumab
200 mg every 3 weeks (squamous and non-squamous)
Treatment: Drugs: carboplatin
Area Under the Curve (AUC) 5 mg/mL\*min every 3 weeks (non-squamous) or AUC 6 mg/mL\*min (squamous)
Treatment: Drugs: cisplatin
75 mg/m2 every 3 weeks (non-squamous)
Treatment: Drugs: paclitaxel
200 mg/m2 every 3 weeks (squamous)
Treatment: Drugs: nab-paclitaxel
100 mg/m2 every 3 weeks (squamous)
Treatment: Drugs: pemetrexed
500 mg/m2 every 3 weeks (non-squamous)
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Safety run-in part: Incidence of dose limiting toxicities (DLTs)
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Assessment method [1]
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Incidence of DLTs assessed among at least 6 evaluable subjects during the first 42 days of study treatment
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Timepoint [1]
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6 months from start of safety run-in part
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Primary outcome [2]
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Double-blind, randomized, placebo-controlled part: Progression free survival (PFS) per investigator assessment using RECIST v1.1
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Assessment method [2]
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Progression free survival is defined as the time from randomization to the date of the first documented radiological progression using RECIST 1.1(Response evaluation criteria in solid tumor) or death due to any cause
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Timepoint [2]
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18 months from start of randomization part
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Primary outcome [3]
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Double-blind, randomized, placebo-controlled part: Overall survival (OS) per investigator assessment using RECIST v1.1
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Assessment method [3]
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Overall survival is defined as the time from date of randomization to date of death due to any cause
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Timepoint [3]
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38 months from start of randomization part
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Secondary outcome [1]
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Safety run-in part: Overall response rate (ORR) per investigator assessment using RECIST v1.1
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Assessment method [1]
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ORR is defined as the proportion of subjects with confirmed best overall response of complete response (CR) or partial response (PR), as per investigator's assessment by RECIST 1.1
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Timepoint [1]
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Baseline, every 6 weeks (for the first 12 weeks), then every 9 weeks (for the next 21 weeks) and every 12 weeks thereafter until progression per investigator assessment and up to 6 months
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Secondary outcome [2]
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Double-blind, randomized, placebo-controlled part : Overall response rate (ORR) per investigator assessment using RECIST v1.1
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Assessment method [2]
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ORR is defined as the proportion of subjects with confirmed best overall response of complete response (CR) or partial response (PR), as per investigator's assessment by RECIST 1.1
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Timepoint [2]
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Baseline, every 6 weeks (for the first 12 weeks), then every 9 weeks (for the next 21 weeks) and every 12 weeks thereafter until progression per investigator assessment and up to 18 months
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Secondary outcome [3]
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Safety run-in part: Disease control rate (DCR) per investigator assessment using RECIST v1.1
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Assessment method [3]
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Disease control rate is defined as the proportion of patients with complete response (CR) or partial response (PR) or subjects with stable disease (SD) as per investigator assessment according to RECIST 1.1 criteria
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Timepoint [3]
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Baseline, every 6 weeks (for the first 12 weeks), then every 9 weeks (for the next 21 weeks) and every 12 weeks thereafter until progression per investigator assessment and up to 6 months
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Secondary outcome [4]
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Double-blind, randomized, placebo-controlled part : Disease control rate (DCR) per investigator assessment using RECIST v1.1
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Assessment method [4]
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Disease control rate is defined as the proportion of patients with complete response (CR) or partial response (PR) or subjects with stable disease (SD) as per investigator assessment according to RECIST 1.1 criteria
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Timepoint [4]
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Baseline, every 6 weeks (for the first 12 weeks), then every 9 weeks (for the next 21 weeks) and every 12 weeks thereafter until progression per investigator assessment and up to 18 months
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Secondary outcome [5]
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Safety run-in part: Duration of response (DOR) per investigator assessment using RECIST v1.1
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Assessment method [5]
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Duration of response is defined as the time from first documented response of CR or PR to date of first documented progression or death due to any cause, according to RECIST 1.1 criteria
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Timepoint [5]
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Baseline, every 6 weeks (for the first 12 weeks), then every 9 weeks (for the next 21 weeks) and every 12 weeks thereafter until progression per investigator assessment and up to 6 months
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Secondary outcome [6]
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Double-blind, randomized, placebo-controlled part : Duration of response (DOR) per investigator assessment using RECIST v1.1
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Assessment method [6]
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Duration of response is defined as the time from first documented response of CR or PR to date of first documented progression or death, according to RECIST 1.1 criteria
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Timepoint [6]
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Baseline, every 6 weeks (for the first 12 weeks), then every 9 weeks (for the next 21 weeks) and every 12 weeks thereafter until progression per investigator assessment and up to 18 months
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Secondary outcome [7]
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Double-blind, randomized, placebo-controlled part only: Time to response (TTR) per investigator assessment using RECIST v1.1
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Assessment method [7]
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Time to response (TTR) is defined as duration of time between the date of randomization and the date of first documented response of either CR or PR, according to RECIST 1.1 criteria
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Timepoint [7]
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Baseline, every 6 weeks (for the first 12 weeks), then every 9 weeks (for the next 21 weeks) and every 12 weeks thereafter until progression per investigator assessment and up to 18 months
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Secondary outcome [8]
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Safety run-in part: Antidrug antibodies (ADA) of canakinumab
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Assessment method [8]
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Timepoint [8]
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Predose (0 hours (h)) on Day 1 of Cycles 1, 4, 8, 12, 16 (Cycle length =21 days), at end of treatment & then at 26, 78 and 130 days after last dose
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Secondary outcome [9]
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Double-blind, randomized, placebo-controlled part : Antidrug antibodies (ADA) of canakinumab
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Assessment method [9]
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0
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Timepoint [9]
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Predose (0 h) on Day 1 of Cycles 1, 4, 8, 12, 16 (Cycle length =21 days), at end of treatment & then at 26, 78 and 130 days after last dose
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Secondary outcome [10]
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Safety run-in part: Antidrug antibodies (ADA) of pembrolizumab
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Assessment method [10]
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0
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Timepoint [10]
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Predose (0 h) on Day 1 of Cycles 1, 2, 4, 8, 12, 16 (Cycle length =21 days), at end of treatment & then at 26 days after last dose
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Secondary outcome [11]
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Double-blind, randomized, placebo-controlled part : Antidrug antibodies (ADA) of pembrolizumab
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Assessment method [11]
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Timepoint [11]
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Predose (0 h) on Day 1 of Cycles 1, 2, 4, 8, 12, 16 (Cycle length =21 days), at end of treatment & then at 26 days after last dose
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Secondary outcome [12]
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Safety run-in part: Serum canakinumab concentration
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Assessment method [12]
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Timepoint [12]
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Predose (0 h) on Day 1 of Cycles 1-6, 8, 12, 16, Postdose on day 2, 8, 15 of Cycle 1, Post dose on Cycle 5 day 8, at end of treatment & then at 26, 78 and 130 days after last dose (Cycle length =21 days)
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Secondary outcome [13]
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Double-blind, randomized, placebo-controlled part : Serum canakinumab concentration
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Assessment method [13]
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Timepoint [13]
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Predose (0 h) on Day 1 of Cycles 1-6, 8, 12, 16, Postdose on day 2, 8, 15 of Cycle 1, Post dose on Cycle 5 day 8, at end of treatment & then at 26, 78 and 130 days after last dose (Cycle length =21 days)
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Secondary outcome [14]
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Safety run-in part: Serum pembrolizumab concentration
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Assessment method [14]
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0
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Timepoint [14]
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Predose (0 h) on Day 1 of Cycles 1-6, 8, 12, 16, Postdose on day 2, 8, 15 of Cycle 1, at end of treatment & then at 26 days after last dose (Cycle length =21 days)
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Secondary outcome [15]
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Double-blind, randomized, placebo-controlled part : Serum pembrolizumab concentration
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Assessment method [15]
0
0
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Timepoint [15]
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Predose (0 h) on Day 1 of Cycles 1-6, 8, 12, 16, Postdose on day 2, 8, 15 of Cycle 1, at end of treatment & then at 26 days after last dose (Cycle length =21 days)
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Secondary outcome [16]
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Safety run-in part: Plasma pemetrexed concentration
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Assessment method [16]
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0
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Timepoint [16]
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Predose (0 h) and end of infusion on Cycle 1 and 2; 1, 4, 8 h post infusion on Cycle 1; 1, 2, 4, 8h post infusion on Cycle 2 (Cycle length =21 days)
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Secondary outcome [17]
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Double-blind, randomized, placebo-controlled part : : Plasma pemetrexed concentration
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Assessment method [17]
0
0
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Timepoint [17]
0
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Predose (0 h) and end of infusion on Cycle 1 and 2; 1, 4, 8 h post infusion on Cycle 1; 1, 2, 4, 8h post infusion on Cycle 2 (Cycle length =21 days)
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Secondary outcome [18]
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Safety run-in part: Plasma cisplatin concentration
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Assessment method [18]
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0
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Timepoint [18]
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Predose (0 h) and end of infusion on Cycle 1 and 2; 2, 4, 8 h post infusion on Cycle 1; 1.5, 2, 4, 8 h post infusion on Cycle 2 (Cycle length =21 days)
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Secondary outcome [19]
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Double-blind, randomized, placebo-controlled part: Plasma cisplatin concentration
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Assessment method [19]
0
0
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Timepoint [19]
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Predose (0 h) and end of infusion on Cycle 1 and 2; 2, 4, 8 h post infusion on Cycle 1; 1.5, 2, 4, 8 h post infusion on Cycle 2 (Cycle length = 21 days)
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Secondary outcome [20]
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Safety run-in part: Plasma carboplatin concentration
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Assessment method [20]
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0
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Timepoint [20]
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Predose (0 h), end of infusion, 1, 2, 4, 8 h post infusion on Cycles 1 and 2 (Cycle length =21 days)
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Secondary outcome [21]
0
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Double-blind, randomized, placebo-controlled part: Plasma carboplatin concentration
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Assessment method [21]
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0
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Timepoint [21]
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Predose (0 h), end of infusion, 1, 2, 4, 8 h post infusion on Cycles 1 and 2 (Cycle length =21 days)
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Secondary outcome [22]
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Safety run-in part: Plasma paclitaxel concentration
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Assessment method [22]
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Timepoint [22]
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Predose (0 h) and end of infusion on Cycle 1 and 2; 4, 8, 12 h post infusion on Cycle 1; 4, 6, 8, 12 h post infusion on Cycle 2 (Cycle length =21 days)
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Secondary outcome [23]
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Double-blind, randomized, placebo-controlled part: Plasma paclitaxel concentration
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Assessment method [23]
0
0
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Timepoint [23]
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Predose (0 h) and end of infusion on Cycle 1 and 2; 4, 8, 12 h post infusion on Cycle 1; 4, 6, 8, 12 h post infusion on Cycle 2 (Cycle length =21 days)
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Secondary outcome [24]
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Double-blind, randomized, placebo-controlled part: Plasma nab-paclitaxel concentration
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Assessment method [24]
0
0
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Timepoint [24]
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Predose (0 h) and end of infusion on Cy 1 and 2, 4, 8, 12 h post infusion on Cy 1, 4, 6, 8, 12 h post infusion on Cy 2 (Cy length =21 days)
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Secondary outcome [25]
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Double-blind, randomized, placebo-controlled part only :Time to definitive 10 point deterioration symptom scores of pain, cough and dyspnea per EORTC QLQ-LC13 questionnaire
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Assessment method [25]
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To assess the effect of canakinumab vs placebo on time to onset or deterioration of lung cancer specific symptoms using the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Lung Cancer 13 (EORTC QLQ-LC13)
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Timepoint [25]
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Baseline and at day 1 of every visit (with dosing or not) until end of treatment, before each tumor assessments and 2 times (7 days and 28 days) after disease progression and up to 18 months
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Secondary outcome [26]
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Double-blind, randomized, placebo-controlled part only: Time to definitive deterioration in global health status/quality of life, shortness of breath and pain per EORTC QLQ-C30 questionnaire
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Assessment method [26]
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To assess the effect of canakinumab vs placebo on time to onset or deterioration of lung cancer specific symptoms using the European Organization for Research and Treatment Quality of Life Questionnaire core 30 (EORTC QLQ-C30)
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Timepoint [26]
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Baseline and at day 1 of every visit (with dosing or not) until end of treatment, before each tumor assessments and 2 times (7 days and 28 days) after disease progression and up to 18 months
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Secondary outcome [27]
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Double-blind, randomized, placebo-controlled part only: change from baseline in score as per the EuroQol 5 Dimension 5 Level (EQ-5D-5L) questionnaire
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Assessment method [27]
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To assess the effect of canakinumab versus placebo on patient reported outcomes ((PROs) - patient's health related quality of life)
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Timepoint [27]
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Baseline and at day 1 of every visit (with dosing or not) until end of treatment, before each tumor assessments and 2 times (7 days and 28 days) after disease progression and up to 18 months
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Eligibility
Key inclusion criteria
Key inclusion criteria:
* Histologically confirmed locally advanced stage IIIB or stage IV NSCLC for treatment in the first-line setting
* Known PD-L1 status determined by a Novartis designated central laboratory. A newly obtained tissue biopsy or an archival biopsy (block or slides) is required for PD-L1 determination (PD-L1 IHC 22C3 pharmDx assay), prior to study randomization. Note: For the safety run-in part, known PD-L1 status is not required.
* Eastern Cooperative oncology group (ECOG) performance status of 0 or 1.
* At least 1 measurable lesion by RECIST 1.1
Key exclusion criteria:
* Previous immunotherapy (e.g. anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CTLA-4 antibody, or any other antibody or drug specifically targeting T-cell co-stimulation or immune checkpoint pathways).
* Prior treatment with canakinumab or drugs of a similar mechanism of action (IL-1ß inhibitor).
* Subjects with epidermal growth factor receptor (EGFR) sensitizing mutations (identified in exons 19, 20, or 21), and/or ALK rearrangement by locally approved laboratory testing.
* Previously untreated or symptomatic central nervous system (CNS) metastases or lepto-meningeal disease.
* Subject with suspected or proven immune-compromised state or infections.
* Subject has prior to starting study drug: received live vaccination =3 months, had major surgery =4 weeks prior to starting study drug, has thoracic radiotherapy: lung fields = 4 weeks, other anatomic sites = 2 weeks, palliative radiotherapy for bone lesions = 2 weeks.
Other protocol-defined inclusion/exclusion criteria may apply.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
21/12/2018
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
7/06/2027
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Actual
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Sample size
Target
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Accrual to date
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Final
673
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,VIC,WA
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Recruitment hospital [1]
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Novartis Investigative Site - Westmead
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Recruitment hospital [2]
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Novartis Investigative Site - Wooloongabba
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Recruitment hospital [3]
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Novartis Investigative Site - Melbourne
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Recruitment hospital [4]
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Novartis Investigative Site - Murdoch
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Recruitment postcode(s) [1]
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2145 - Westmead
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Recruitment postcode(s) [2]
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4102 - Wooloongabba
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Recruitment postcode(s) [3]
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3000 - Melbourne
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Recruitment postcode(s) [4]
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6150 - Murdoch
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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California
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United States of America
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Florida
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United States of America
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Massachusetts
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Argentina
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Buenos Aires
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Austria
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Oberoesterreich
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Austria
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Salzburg
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Brazil
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SP
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Canada
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Alberta
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Canada
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Ontario
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Chile
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State/province [10]
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Region De La Araucania
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Chile
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Santiago
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China
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Heilongjiang
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China
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Hubei
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China
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Hunan
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China
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Jilin
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China
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Shanxi
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China
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Zhejiang
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China
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Beijing
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Colombia
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Cesar
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Czechia
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Czech Republic
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Czechia
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Brno - Bohunice
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Czechia
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Ostrava Vitkovice
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Denmark
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Herning
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Finland
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Oulu
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France
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Bouches Du Rhone
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France
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Lyon
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France
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Montpellier
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France
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Paris
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France
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Saint Herblain
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Germany
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Berlin
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Germany
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Dresden
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Germany
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Essen
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Germany
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Georgsmarienhuette
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Germany
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Gerlingen
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Germany
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Gottingen
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Germany
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Halle (Saale)
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Germany
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Heidelberg
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Germany
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Koeln
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Germany
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Leipzig
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Germany
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Muenchen
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Greece
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GR
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Greece
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Athens
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Hong Kong
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Kowloon
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AV
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Italy
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Italy
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Italy
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Italy
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Italy
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Italy
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TO
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Hanoi
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Novartis Pharmaceuticals
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Ethics approval
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Summary
Brief summary
This is a phase III study of pembrolizumab plus platinum-based doublet chemotherapy with or without canakinumab in previously untreated locally advanced or metastatic non-squamous and squamous NSCLC subjects. The study will assess primarily the safety and tolerability (safety run-in part) of pembrolizumab plus platinum-based doublet chemotherapy with canakinumab and then the efficacy (double-blind, randomized, placebo controlled part) of pembrolizumab plus platinum-based doublet chemotherapy with or without canakinumab.
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Trial website
https://clinicaltrials.gov/study/NCT03631199
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Contacts
Principal investigator
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Novartis Pharmaceuticals
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Novartis Pharmaceuticals
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent expert panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations.
This trial data is currently available according to the process described on www.clinicalstudydatarequest.com.
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When will data be available (start and end dates)?
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Available for what types of analyses?
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How or where can data be obtained?
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03631199