RecruitingPhase 2NCT05742607

IPH5201 and Durvalumab in Patients With Resectable Non-Small Cell Lung Cancer (MATISSE)

Official Title: A Phase II Multicenter, Open Label, Non-randomized Study of Neoadjuvant and Adjuvant Treatment With IPH5201 and Durvalumab in Patients With Resectable, Early-stage (II to IIIA) Non-Small Cell Lung Cancer (MATISSE)


Sponsor

Innate Pharma

Enrollment

70 participants

Start Date

Jun 23, 2023

Study Type

INTERVENTIONAL

Summary

The study is intended to assess the safety and efficacy of neoadjuvant combination of IPH5201 and durvalumab in addition to standard chemotherapy and adjuvant combination of IPH5201 and durvalumab in untreated patients with resectable, early-stage (stage II to IIIA) non-small cell lung cancer (NSCLC).


Eligibility

Min Age: 18 Years

Inclusion Criteria11

  • Newly diagnosed and previously untreated patients with histologically or cytologically documented NSCLC resectable (Stage IIA to Stage IIIA) disease (according to Version 8 of IASLC Staging Manual in Thoracic Oncology 2016.
  • WHO Performance Status or Eastern Cooperative Oncology Group of 0 or 1.
  • Adequate organ and marrow function.
  • Must have a life expectancy of at least 12 weeks.
  • Body weight \> 35 kg.
  • Females of childbearing potential should use an acceptable method of contraception from the time of screening throughout the total duration of the study.
  • Negative pregnancy test (serum or urine) for women of childbearing potential.
  • Provision of tumor samples (newly acquired \[preferred\] or archival tumor tissue \[≤ 6 months old\]) to confirm Programmed Death-Ligand 1 status, Epidermal Growth Factor Receptor, or Anaplastic Lymphoma Kinase status.
  • Provision of tumor samples appropriate for exploratory biomarker analyses.
  • Patients will be suitable for inclusion if the planned surgery to be performed will be lobectomy, sleeve resection, or bilobectomy, as determined by the attending surgeon based on the baseline findings.
  • A pre- or post-bronchodilator FEV1 of 1.0 L and DLCO \> 40% postoperative predicted value.

Exclusion Criteria25

  • Participants with sensitising EGFR mutations or ALK translocations.
  • History of allogeneic organ transplantation.
  • Active or prior documented autoimmune or inflammatory disorders.
  • Uncontrolled intercurrent illness, uncontrolled hypertension, unstable angina pectoris, uncontrolled cardiac arrhythmia, active ILD, serious chronic gastrointestinal conditions associated with diarrhoea, or psychiatric illness/social situations that would limit compliance with study requirement.
  • History of any grade of venous or arterial thromboembolic events including cerebrovascular accident, transient ischemic attack, or unstable angina pectoris within 6 months prior to enrollment.
  • History of another primary malignancy.
  • Patients with small-cell lung cancer or mixed small-cell lung cancer.
  • History of active primary immunodeficiency.
  • Active infection including tuberculosis (clinical evaluation that includes clinical history, physical examination and radiographic findings, and tuberculosis testing in line with local practice), hepatitis B (known positive HBsAg result) and HCV. Patients with a past or resolved HBV infection (defined as the presence of hepatitis B core antibody and absence of HBsAg) are eligible. Patients positive for HCV antibody are eligible only if PCR is negative for HCV RNA.
  • Patients who have preoperative radiotherapy treatment as part of their care plan.
  • Patients who require or may require pneumonectomy, segmentectomies, or wedge resections, as assessed by their surgeon, to obtain potentially curative resection of primary tumor.
  • QTc interval ≥ 470 ms (NOTE: If prolonged, then 2 additional ECGs should be obtained and the average QTcF interval should be used to determine eligibility).
  • Known allergy or hypersensitivity to any of the study drugs or any of the study drug excipients.
  • Any medical contraindication to treatment with chemotherapy as listed in the local labelling.
  • Patients with moderate or severe cardiovascular disease.
  • Any concurrent chemotherapy, investigational product, biologic, or hormonal therapy for cancer treatment. Concurrent use of hormonal therapy for non-cancer-related conditions (e.g., hormone replacement therapy) is acceptable.
  • Receipt of live attenuated vaccine within 30 days prior to the first dose of study interventions.
  • Major surgical procedure (as defined by the Investigator) within 30 days prior to the first dose of study drugs.
  • Prior exposure to immune-mediated therapy.
  • Current or prior use of immunosuppressive medication within 14 days before the first dose of study drugs.
  • Participation in another clinical study with an investigational product administered within 30 days prior to enrolment.
  • Previous study drugs (durvalumab, IPH5201) assignment in the present study.
  • Female patients who are pregnant or breastfeeding or male or female patients of reproductive potential who are not willing to employ effective birth control from screening to 180 days after the last dose of study drugs administration.
  • Involvement in the planning and/or conduct of the study (applies to both company staff and/or staff at the study site).
  • Judgment by the Investigator that the patient should not participate in the study if the patient is unlikely to comply with study procedures, restrictions and requirements.

Interventions

DRUGIPH5201 + durvalumab + standard chemotherapy

Patients will receive Neoadjuvant therapy with IPH5201 and durvalumab in addition to standard chemotherapy. Following surgery, patients will receive adjuvant treatment with IPH5201 and durvalumab.


Locations(30)

St. Anthony's Hospital - BayCare Health System

St. Petersburg, Florida, United States

H. Lee Moffitt Cancer Center & Research Institute

Tampa, Florida, United States

University of Chicago Medical Center

Chicago, Illinois, United States

Northwell Health Cancer Institute / Center for Novel Cancer Therapeutics

Lake Success, New York, United States

Millennium Research & Clinical Development

Houston, Texas, United States

UW Carbone Cancer Center - Cancer Connect

Madison, Wisconsin, United States

Angers University Hospital Center

Angers, France

University Hospital Center Caen

Caen, France

Hospital Calmette

Lille, France

CHU de Limoges

Limoges, France

Leon Berard Center

Lyon, France

Marseille University Hospital Center - North Hospital

Marseille, France

Rennes University Hospital Center - Hospital Pontchaillou

Rennes, France

Charles Nicolle Hospital

Rouen, France

Gustave Roussy

Villejuif, France

Henry Dunant Hospital Center

Athens, Greece

University General Hospital "Attikon"

Athens, Greece

University General Hospital of Ioannina

Ioannina, Greece

University General Hospital of Patras

Pátrai, Greece

Koranyi National Institute of Pulmonology, 14th Department of Pulmonology

Budapest, Hungary

Veszprem County Pulmonology Institute

Farkasgyepű, Hungary

Petz Aladar University Teaching Hospital, Department of Pulmonology

Győr, Hungary

Jasz-Nagykun-Szolnok County Hetenyi Geza Hospital-Clinic, Department of Oncology

Szolnok, Hungary

Pulmonology Institute Torokbalint

Törökbálint, Hungary

University Teaching Hospital in Bialystok, 2nd Department of Lung Diseases and Tuberculosis

Bialystok, Poland

John Paul II Specialist Hospital in Krakow

Krąków, Poland

Mandziuk Slawomir - Specialist Medical Practice

Lublin, Poland

Eugenia and Janusz Zeyland Wielkopolskie Centre of Pulmonology and Thoracic Surgery

Poznan, Poland

Specialist Hospital in Prabuty Sp. z o.o. (LLC)

Prabuty, Poland

Military Institute of Medicine - National Research Institute

Warsaw, Poland

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NCT05742607