Non-small cell lung cancer Esophageal cancer Gastric cancer Non-small cell lung cancer, Esophageal cancer,Gastric cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Histologically confirmed non-small cell lung cancer (Cohort 1), esophageal cancer (Cohort 2), or gastric cancer (Cohort 3) 2) Patients with acquired resistance to cancer immunotherapy 3) Patients with evaluable disease according to RECIST ver1.1 4) No symptomatic brain metastases 5) Patients with a performance status (ECOG criteria) of 0-1 6) Patients must be at least 18 years of age at the time of consent. 7) The specified period of time since prior treatment or completion of the procedure has elapsed. 8) Patients with no severe disease in major organs (bone marrow, lung, liver, kidney, etc.) 9) Patients who are expected to survive at least 3 months 10) Written informed consent has been obtained from the patient.
Exclusion criteria
Exclusion criteria: 1) Patients with active overlapping cancers 2) Patients with local or systemic active infections requiring drainage or other surgical procedures. 3) Patients with active hepatitis B or active hepatitis C (HBs antigen positive patients are eligible if their viral load is less than sensitive and they do not have active hepatitis). 4) Patients with interstitial lung disease evident on chest radiographs. 5) Patients with pericardial, pleural or ascites effusions requiring drainage. 6) Patients with serious immune-related adverse events (irAEs) during previous cancer immunotherapy. 7) Patients with concomitant autoimmune disease or a history of autoimmune disease requiring steroid therapy. 8) Patients with non-autoimmune diseases requiring continuous systemic oral or intravenous administration of steroids at doses higher than 10 mg/day of prednisolone equivalent, and patients on immunosuppressive drugs. 9) Patients with a history of hypersensitivity to any component or additive of nivolumab. 10) Pregnant women, lactating women, women who may be currently pregnant, or patients who are unwilling to use contraception. 11) Patients with clinically problematic psychiatric disorders that would preclude enrollment in this study. 12) Other patients deemed inappropriate by the investigators.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rate of progression-free survival at 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Rate of objective response Progression-free survival Overall survival Adverse events | — |
Contacts
Showa Medical University Hospital