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Difficulty recruiting
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| Name | Class |
|---|---|
| St. Olavs Hospital | OTHER |
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment-naive NSCLC patients | Treatment-naive NSCLC patients receiving immunotherapy (pembrolizumab) alone or in combination With chemotherapy divided in groups based on treatment administered. Clinical information will be gathered at start of treatment and at evaluations every 3rd month. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pembrolizumab | Drug | Drug trough-level will be measured in patients on Pembrolizumab with or without additional chemotherapy in routine care. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Objective response | Radiological response (Partial response/stable disease/Complete response) | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse events | Adverse events >= 3 | 2 years |
| PD-1 Expression on CD-8 T-cells | Proliferation of PD-1 Expression CD-8 T-cells | First 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Pembrolizumab clearance | mg/L | 3 months |
Inclusion Criteria:
Exclusion Criteria:
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NSCLC patients With Advanced disease elligible for routine treatment With immunotherapy alone or in combination With chemotherapy.
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| Name | Affiliation | Role |
|---|---|---|
| Ragnhild Nome, MD | Oslo University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| St Olavs University Hospital | Trondheim | Norway |
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| ID | Term |
|---|---|
| C582435 | pembrolizumab |
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Serum and full blood samples
| Overall survival | Overall survival related to drug trough-level | 5 years observation |
| Progression-Free survival | Radiological evaluation | 1 year |