Lung Cancer
Conditions
Brief summary
This trial is a randomized, multicenter, open label phase II clinical study. The main objective is to evaluate the efficacy of three perioperative immunotherapy modalities (atezolizumab adjuvant therapy, nivolumab neoadjuvant therapy, pembrolizumab neoadjuvant+adjuvant therapy) in early-stage resectable NSCLC patients. The enrolled patients are randomly assigned in a 1:1:1 ratio to receive relevant treatment in the three perioperative immunotherapy groups mentioned above, and undergoing short-term pathological efficacy evaluation and long-term prognosis follow-up after surgery.
Interventions
atezolizumab adjuvant therapy
nivolumab neoadjuvant therapy
pembrolizumab neoadjuvant+adjuvant therapy
Sponsors
Study design
Eligibility
Inclusion criteria
1. Patients who sign the informed consent form and are willing to complete the study according to the plan; 2. Aged from 18 to 80 years old; 3. ECOG equals 0 or 1; 4. Not receiving lung cancer surgery before; 5. Resectable cIB-IIIA tumors; 6. Not receiving chemotherapy or radiotherapy before.
Exclusion criteria
1. Not cIB-IIIA tumors; 2. Nodules not suitable for resection; 3. Not lung adenocarcinoma diagnosed cytologically or pathologically; 4. Receiving lung cancer surgery before; 5. Receiving radiotherapy or chemotherapy.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Disease-free survival | 2 years | the time from randomisation to the date of first recurrence, occurrence of new primary lung cancer, or death from any cause |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Overall survival | 2 years | the time from randomisation to the date of death from any cause |
| Major pathological response | 2 years | ≤10% residual viable tumor cells in the primary tumor and sampled lymph nodes |
Contacts
Fudan University