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Evaluating Modifiable Biomarkers for the Prediction of Immunotherapy Response and Toxicity

Stage IV Lung Cancer AJCC v8 Clinical Trial

Official title:
Evaluating Modifiable Biomarkers for the Prediction of Immunotherapy Response and Toxicity

Clinical Trial Summary

This study evaluates gut microbiome and functional status as modifiable biomarkers in predicting immunotherapy response and toxicity in patients with stage IV non-squamous non-small cell lung cancer receiving pembrolizumab alone or in combination with pemetrexed and carboplatin on the INSIGNIA trial. The goal of this study is to estimate the extent to which future interventions that seek to rationally modify the gut microbiome and/or functional status can improve outcomes.

Clinical Trial Description

PRIMARY OBJECTIVE: I. To quantify the performance of two modifiable biomarkers -- the microbiome and functional status - to use as predictive and/or prognostic indicators of clinical benefit (overall survival, progression-free survival) in lung cancer patients who receive randomized treatment combinations prescribed by the INSIGNA protocol. SECONDARY OBJECTIVE: I. To quantify the predictive power of two modifiable biomarkers - the microbiome and functional status -- for the development of immune-related adverse events (irAEs). OUTLINE: Patients receive treatment by their treating physician as described in the INSIGNA protocol based on their designated treatment arm. Patients then undergo stool sample collection, complete questionnaires and functional status assessments, such as short physical performance battery over 10 minutes and 6 minute walk test, at baseline, days 40 (cycle 3), day 80 (cycle 5), day 180 (cycle 10) and end of treatment (up to 2 years). ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details
NCT number NCT04954885
Study type Observational
Source Ohio State University Comprehensive Cancer Center
Contact The Ohio State University Comprehensive Cancer Center
Phone 800-293-5066
Email OSUCCCClinicaltrials@osumc.edu
Status Recruiting
Phase
Start date May 18, 2021
Completion date December 31, 2024
View Details
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