At a glance
ClinicalIndex Comparison Record- ✓Stage IIIB or Stage IV non-small cell lung cancer
- ✓Stable disease or clinical response after first-line treatment (chemotherapy alone or chemotherapy with radiotherapy)
- ✓Completed first-line treatment at least 3 weeks before study entry
- ✓ECOG performance status ≥2
- ✕Received immunotherapy within 4 weeks prior to study entry
- ✕Received immunosuppressive drugs within 3 weeks prior to study entry
- ✕Known brain metastases
- ✕History of other malignancy except curatively treated non-melanoma skin cancer, in situ cervical carcinoma, or other cancer curatively treated with ≥5 years disease-free
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
A Multicenter Phase IIb Randomised, Controlled Study of BLP25 Liposome Vaccine for Active Specific Immunotherapy of Non-Small Cell Lung Cancer
In Brief
A Phase 2 clinical trial evaluating Tecemotide (L-BLP25), Single low dose cyclophosphamide, and 1 other intervention for Lung Neoplasms and Carcinoma, Non-Small-Cell Lung. Completed, enrolled 171 participants across 1 site.
Detailed Summary
This is a prospective open label, controlled, randomized study to test the safety and efficacy of active specific immunotherapy with tecemotide (L-BLP25) for the treatment of subjects with Stage IIIB or Stage IV non-small cell lung cancer (NSCLC). To be eligible, subjects entering the trial will have to demonstrate either stable disease or a clinical response after first-line treatment (chemotherapy alone, or chemotherapy and radiotherapy) and have an Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1 or 2. Following a 3 week washout period, subjects will be stratified by disease status (either Stage IIIB locoregional disease or Stage IIIB with malignant pleural effusion and Stage IV), and randomized to either best supportive care (BSC) plus tecemotide (L-BLP25) treatment or BSC alone.
Study Details
Timeline
Interventions
After receiving single low dose cyclophosphamide, subjects will receive 8 consecutive weekly subcutaneous vaccinations with 1000 microgram (mcg) of tecemotide (L-BLP25) at weeks 0, 1, 2, 3, 4, 5, 6 and 7 followed by maintenance vaccinations (1000 mcg of tecemotide (L-BLP25) at 6-week intervals, commencing at Week 13, until discontinuation from the study due to ECOG status of 4, participation in alternate trial, serious adverse event, or reasons that preclude assessment of clinical status in the opinion of the investigator, and in case of unavailability of study vaccine.
A single intravenous infusion of 300 milligram per square meter (mg/m\^2) (to a maximum 600 mg) of cyclophosphamide will be given 3 days before the first vaccine treatment.
The BSC will be provided at the investigator's discretion, and may include palliative radiation, psychosocial support, analgesics and nutritional support. Second-line chemotherapy is permitted when indicated for treatment of progressive disease.