Circulating Tumor DNA, Non-Small Cell Lung Cancer, Non-Small-Cell Lung Carcinoma
Conditions
Brief summary
The purpose of this study is to determine if nivolumab added to the standard of care therapy (SOC) given after surgery is more effective than SOC alone in prolonging disease free survival in NSCLC participants with minimal residual disease detected after surgery.
Interventions
Specified dose on specified days
Specified dose on specified days
Specified dose on specified days
Specified dose on specified days
Specified dose on specified days
Specified dose on specified days
Specified dose on specified days
Specified dose on specified days
Observation by the investigator
Sponsors
Study design
Eligibility
Inclusion criteria
prior to Surgery: * Suspected or histologically confirmed Stage IIA to IIIB NSCLC with disease that is considered resectable * Must be deemed eligible for complete resection and must agree to undergo standard of care surgery for complete resection of NSCLC * Treatment naive (no previous systemic treatment) Inclusion Criteria prior to Treatment Randomization: * Must have undergone complete surgical resection of their Stage IIA to IIIB NSCLC * Must have adequately recovered from surgery at the time of randomization * Minimal residual disease (MRD) positive results as detected by ctDNA
Exclusion criteria
prior to Surgery: * Participants with known EGFR mutations which are sensitive to available targeted inhibitor therapy (Prior to treatment randomization in select sites) * Active, known or suspected autoimmune disease * Participants with a condition requiring systemic treatment with either corticosteroids (\> 10 mg daily prednisone equivalent) or other immunosuppressive medications within 14 days of randomization
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Disease-free survival (DFS) | Approximately 24 months |
Secondary
| Measure | Time frame |
|---|---|
| ctDNA duration of response (DOR) | Approximately 36 months |
| ctDNA time to response (TTR) | Approximately 36 months |
| Incidence of adverse events (AEs) | Approximately 36 months |
| Incidence of serious adverse events (SAEs) | Approximately 36 months |
| Circulating tumor DNA (ctDNA) response rate | Approximately 36 months |