NSCLC
Conditions
Brief summary
This observational study explores associations between drug trough-levels and clinical outcomes in Non Small Cell Lung Cancer (NSCLC) patients treated with immunotherapy (pembrolizumab) either alone or combined with chemotherapy. Through-levels of pembrolizumab will be examined in blood samples collected during the first-line treatment period. In addition T-cell responses in peripheral blood and anti-drug antibodies will be monitored. Results of drug trough-levels and T-cell responses will be linked to clinical outcome. 250 patients with NSCLC will be enrolled in this trial.
Interventions
Drug trough-level will be measured in patients on Pembrolizumab with or without additional chemotherapy in routine care.
Sponsors
Study design
Eligibility
Inclusion criteria
* Subjects must be \> 18 years and must voluntary sign an informed consent * Treatment-naïve patients with advanced NSCLC receiving immunotherapy alone (pembrolizumab) or combined with chemotherapy
Exclusion criteria
* Any anti-cancer therapy \< 6 months prior to study start * Radio- or chemotherapy against lung cancer \<2 years before study start * Previous treatment with immunotherapy * Patients with mutations with specific treatment (i.e. EGFR, ALK, Ros1)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Objective response | 3 months | Radiological response (Partial response/stable disease/Complete response) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Adverse events | 2 years | Adverse events \>= 3 |
| PD-1 Expression on CD-8 T-cells | First 3 months | Proliferation of PD-1 Expression CD-8 T-cells |
| Overall survival | 5 years observation | Overall survival related to drug trough-level |
| Progression-Free survival | 1 year | Radiological evaluation |
Countries
Norway
Contacts
Oslo University Hospital