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The purpose of this clinical trial is to evaluate the safety when HL301 is administered to unresectable non-small cell lung cancer patients who receive chemoradiotherapy with Paclitaxel and Carboplatin and to search for a clinically appropriate dose by evaluating the efficacy by comparing the radiation pneumonia incidence rate with the control group.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental group 1 | Experimental | HL301 1,200mg/day |
|
| Experimental group 2 | Experimental | HL301 1,800mg/day |
|
| Control group | Placebo Comparator | Placebo |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| HL301 tablet 300mg | Drug |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of subjects with radiation pneumonia of ≥ Grade 2 | Percentage of subjects with radiation pneumonia of ≥ Grade 2 evaluated by CTCAE v5.0 | up to 24 weeks after completion of radiotherapy |
| Measure | Description | Time Frame |
|---|---|---|
| The incidence of radiation pneumonia | The incidence of radiation pneumonia | p to 24 weeks after completion of radiotherapy |
| Percentage of subjects with radiation pneumonia of ≥ Grade 3 | Percentage of subjects with radiation pneumonia of ≥ Grade 3 evaluated by CTCAE v5.0 |
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Inclusion Criteria:
Male or Female, age ≥ 19 years
Stage III non-small cell lung cancer(NSCLC) patient who without surgical treatment
Patients scheduled for curative concurrent chemoradiotherapy
Eastern Cooperative Oncology Group(ECOG) performance status of 0 to 2 at the screening visit
Subject whose remaining life expectancy is more than 6 months according to the judgment of investigator
Volunteer, be willing and able to provide written informed consent for the trial
Exclusion Criteria:
Subjects with pleural effusion
Subjects with a weight loss of 10% or more within the last 6 months from the screening visit
Subjects with a history of thoracic or neck radiotherapy or chemotherapy prior to screening visit
Subjects with distant metastases
Subjects with liver/renal dysfunction according to the following criteria on the screening test
Subjects with serious cardiovascular disease within 3 months prior to the screening visit (ex. arrhythmia, congestive heart failure, infarction, unstable angina etc)
Subjects with serious systemic infection (≥ Grade 3, evaluated by CTCAE v5.0)
Patients with chronic or interstitial lung disease (excluding patients with chronic obstructive pulmonary disease (COPD)), patients with chronic bronchitis, patients with pneumonia
Subjects with thyroid dysfunction as present illness at the screening visit
Subjects who administered systemic steroids within 4 weeks prior to the date of randomization (except for cases when administered to prevent hypersensitivity reaction of paclitaxel)
Subjects who are hypersensitive to investigational products and standard anticancer treatments
Subjects who participate in other clinical trials within 30 days prior to the screening visit and administer investigational drugs or apply clinical trial medical devices
Women of childbearing age or men who do not agree to use a medically accepted method of contraception during the clinical trial
Pregnant or breast-feeding
Subjects who have clinical significance that is considered inappropriate for this clinical trial as judged by the investigator
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jaeho Cho, M.D. | Contact | 82-2-2228-8113 | jjhmd@yuhs.ac |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Yonsei University Health System, Severance Hospital | Seoul | South Korea |
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| Placebo of HL301 tablet | Drug | 2 tablets at once, three times a day |
|
| up to 24 weeks after completion of radiotherapy |
| Severity at the first diagnosis of radiation pneumonia | Severity at the first diagnosis of radiation pneumonia evaluated by CTCAE v5.0 | up to 24 weeks after completion of radiotherapy |
| Maximum severity of radiation pneumonia | Maximum severity of radiation pneumonia evaluated by CTCAE v5.0 | up to 24 weeks after completion of radiotherapy |
| Changes in lung function | Changes in lung function (FEV1, DL CO) at each time point after administration compared to before administration of investigational products | at 4 weeks and 12 weeks after completion of radiotherapy |
| The incidence of pulmonary fibrosis | The incidence of pulmonary fibrosis | at 24 weeks after completion of radiotherapy |
| Lung fibrosis area | Lung fibrosis area | at 24 weeks after completion of radiotherapy |
| Lung volume reduction | Lung volume reduction | at 24 weeks after completion of radiotherapy |
| Pulmonary toxicity grade | Pulmonary toxicity grade evaluated by Radiation Therapy Oncology Group (RTOG) Acute radiation morbidity | at the time of initial diagnosis of radiation pneumonia after completion of radiotherapy |
| The maximum grade of lung toxicity | The maximum grade of lung toxicity evaluated by RTOG Acute radiation morbidity | up to 24 weeks after completion of radiotherapy |
| ID | Term |
|---|---|
| D017564 | Radiation Pneumonitis |
| D008175 | Lung Neoplasms |
| ID | Term |
|---|---|
| D017563 | Lung Diseases, Interstitial |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D055370 | Lung Injury |
| D011832 | Radiation Injuries |
| D014947 | Wounds and Injuries |
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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