Non-small cell lung carcinoma
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Written informed consent. 2) Age 18 or over. 3) Patients with non-small cell lung cancer diagnosed by histology or cytology. 4) Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1. 5) With one or more measurable disease (RECIST ver.1.1). Radiated tumor be excluded. 6) Major organs are held by the examination value within 14 days and clinical examination at the start of treatment meets the following criteria Neut >= 2,500/mm3 Lym>= 500/ul Plt>= 100,000/ul Hb >= 9.0 g/dL CRE <= 1.5 mg/dL T-bil <= x2 facility standard AST/ALT <= x3 facility standard 7) No previus immune-checkpoint inhibitors treatment.
Exclusion criteria
Exclusion criteria: 1) Chemotherapy was used in the past 21 days. Exceptionally administration of tyrosine kinase inhibitors are not to be excluded. 2)Patients with symptomatic brain metastases and meningeal metastases. However, clinically stable brain metastasis cases can be registered. 3) Uncontrolled pleural effusion, pericardial effusion, and/or ascites. 4) Uncontrolled hyperkalemia. 5) Active double cancer within 5years of the first day of nivolumab treatment. 6) Pregnant or breast-feeding female patients. 7) Autoimmune disease. 8) Evident pulmonary fibrosis, organized pneumonia, drug-induced pneumonia or interstitial lung disease. Patients with active pneumonia at screening CT. 9) Serum albumin < 2.5g/dl 10) Patients with active infectious disease (HBV hepatitis, tuberculosis, pneumonia, sepsis etc.) 11) Ptients with serious heart disease. 12) Attenuated live vaccine within 4 weeks of the first dose of nivolumab, or suppose to be needed during the treatment. 13) Immunostimulant (INF, IL-2, etc) within 6 weeks. 14) Immunosuppressant (predonisoron, cyclophosphamide, azathioprine, methotrexate, etc) within 2 weeks.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Progression free survival after administration of nivolumab with respect to immune-related gene SNPs. | — |
Secondary
| Measure | Time frame |
|---|---|
| Immune-related adverse events after administration of nivolumab with respect to immune-related gene SNPs. | — |
Countries
Japan
Contacts
Kyoto University Department of Respiratory Medicine