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| ID | Type | Description | Link |
|---|---|---|---|
| 2026-525659-94-00 | EU Trial (CTIS) Number | ||
| jRCT2031260152 | Registry Identifier | jRCT |
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| Name | Class |
|---|---|
| Innovent Biologics (Suzhou) Co. Ltd. | INDUSTRY |
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Lung cancer is one of the most common forms of cancer. One common type is non-small cell lung cancer (NSCLC). NSCLC happens when abnormal cells in the lungs grow too fast. This can stop the lungs from working normally. This study focuses on NSCLC in later stages (advanced). This means that the cancer has spread to other parts of the body (metastatic) or cannot be removed with surgery (unresectable).
People with unresectable, advanced or metastatic NSCLC often get treatment with immunotherapy and/or platinum-based chemotherapy (such as cisplatin or carboplatin). Immunotherapy helps the body's germ-fighting (immune) system fight cancer. Chemotherapy kills cancer cells or slows their growth. Over time, these treatments may stop working and the cancer can get worse.
Researchers are looking for ways to make immunotherapy work better. One approach is to help the immune system recognize cancer more easily by activating certain cells, called T cells, to attack and kill the tumor cells. TAK-928 is designed to attach to T cells in the tumor and make them more active and abundant. This may help the body fight the cancer and destroy tumor cells.
The main aim of this study is to learn how well TAK-928 works and compares with the usual treatment (also called standard of care), docetaxel, in adults with unresectable, advanced or metastatic NSCLC. Another aim is to learn how safe TAK-928 is in adults with NSCLC.
The participants can be treated for up to 2 years (24 months) depending on how a participant responds, side effects, or other reasons. Researchers will check a participant's condition until the treatment is ended.
During the study, participants will visit the study clinic several times.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TAK-928 | Experimental | TAK-928 is a first-in-class bispecific monoclonal antibody (mAb) comprised of an interleukin-2 (IL-2) mutein fused with a recombinant anti-programmed cell death protein 1 (anti-PD-1) mAb. TAK-928 was precisely designed and constructed to afford targeted binding of tumor-specific CD8+ T cells (TSTs) that co-express PD-1 and CD25 (IL2Ra) receptors. The mechanism of action of TAK-928 is blocking the PD-(L)1 and activating the IL-2 pathways simultaneously to reverse T cell exhaustion and promote activation of T cells and natural killer (NK) cells, and consequently eliminate tumor cells. |
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| Control | Active Comparator | Docetaxel or comparable generic brand |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TAK-928 | Drug | TAK-928 will be administered by IV infusion. |
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| Measure | Description | Time Frame |
|---|---|---|
| Global Part: Confirmed Objective Response Rate (cORR) as Assessed by Blinded Independent Central Review (BICR) per Response Evaluation Criteria in Solid Tumors (RECIST) Version (V)1.1 | cORR is defined as the proportion of participants with confirmed objective response rate (complete response [CR] or partial response [PR]) per RECIST V1.1 CR is defined as complete disappearance of all target and non-target lesions. Any pathological lymph nodes (whether target or non- target) must have reduction in short axis to less than (<) 10 mm. PR is defined as at least a 30 percent decrease in the sum of the diameters of target lesions, taking as reference the Baseline sum diameters. | Up to 26 months |
| Global Part: Overall Survival (OS) | To compare the overall survival (OS) of TAK-928 (treatment group) versus docetaxel (control group) in participants with unresectable locally advanced or metastatic squamous NSCLC with disease progression on or after platinum-based chemotherapy and anti-PD-1/PD-L1 immunotherapy. | Up to 26 months |
| SRI Part: Percentage of Participants with Dose-limiting Toxicities (DLTs) | DLT will be defined as any of the adverse events (AEs) specified in the protocol that occur within the DLT observation period, is not attributable to disease or other extraneous factors and potentially related to the intervention following the first dose. Toxicity will be evaluated according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), Version 5.0. | Up to 28 days after first dose (Day 1) |
| SRI Part: Percentage of Participants With Adverse Events (AEs), Treatment-Emergent Adverse Events (TEAEs), Immune-Related Adverse Events (irAEs), Serious Adverse Events (SAEs), and TEAEs Leading to Discontinuation and Deaths | AE: Any untoward medical occurrence in a clinical trial participant, temporally associated with the use of trial intervention, whether or not there is a causal relationship with any trial intervention, including, but not limited to, following: Exacerbation of pre-existing medical conditions/diseases (including worsening of symptoms, signs, laboratory abnormalities) temporally associated with the use of trial intervention; any newly developed adverse medical conditions (including symptoms, signs and newly diagnosed diseases) and clinically significant abnormal laboratory values or results. TEAE: Any AE that starts after the first administration of study drug. SAE: Any untoward medical occurrence that meets at least one of the following criteria: Results in death; is life threatening; requires inpatient hospitalization or prolongation of hospitalization. irAEs may be severe or fatal, can occur in any organ system or tissue and can affect more than one body system simultaneously. |
| Measure | Description | Time Frame |
|---|---|---|
| Global and SRI Part: Objective Response Rate (ORR) as Assessed by Investigator per RECIST V1.1 | The proportion of participants with a best overall response of complete response (CR) or partial response (PR), per RECIST v1.1. | Up to 26 months |
| Global Part: Progression-free survival (PFS), as Assessed by BICR and Investigator per RECIST V1.1 |
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Inclusion Criteria:
Must be able to understand and willing to sign the written informed consent form (ICF), be able to comply with the visit schedule and related procedures specified in the protocol.
Male or female participants must be at least 18 years old or the legal age of majority in their country, whichever is greater. For Japan-specific safety run-in (SRI) part of the trial, participants must be Japanese residing in Japan.
Have locally unresectable advanced or metastatic histologically or cytologically confirmed squamous NSCLC. Mixed small cell carcinoma, or other pathological components are excluded.
Note: For Japan-specific SRI only: Participants' histology is not restricted to squamous NSCLC and may include all metastatic or unresectable solid tumor participants.
Have had disease progression on or after prior treatment with anti-PD-1/PD-L1 therapy and platinum-based doublet chemotherapy (for example, carboplatin and paclitaxel), given either concurrently or sequentially. Eligible participants include those that have:
- Received platinum-based chemotherapy in combination with anti-PD-1/PD-L1 therapy as the only prior line of therapy.
OR
- Received platinum-based chemotherapy and anti-PD-1/PD-L1 therapy sequentially (in either order) as the only 2 prior lines of therapy.
Note: For Japan-specific SRI only: Participants must be refractory OR intolerant to standard of care (SOC) treatment.
Participants that have received prior anti-PD-1/PD-L1 therapy with curative intent for locally advanced disease are eligible if they meet either of the following criteria:
- Received prior platinum-based chemotherapy with or without radiotherapy with maintenance anti-PD-1/PD-L1 therapy for Stage III disease and relapsed/progressed within 6 months from the last dose of platinum-based chemotherapy.
OR
- Received prior peri-operative platinum-based chemotherapy with maintenance anti-PD-1/PD-L1 therapy for resectable Stage II/III and have relapsed within 6 months from the last dose of platinum-based chemotherapy.
Note: For Japan-specific SRI only: This criterion is not applicable for Japanese participants enrolled in the SRI part of the trial.
Provide formalin-fixed tumor tissue specimen. Fresh biopsies are preferred but archival specimens collected within 2 years before signing the informed consent form are acceptable (blocks or 10-15 unstained slides sectioned 4-5 microns in thickness, if tissue slides, they must be sectioned from blocks less than or equal to (<=) 2 months from date of consent). Formalin-fixed paraffin-embedded (FFPE) blocks are preferred for submission; slides should be sent only if there is a local regulation preventing submission of the FFPE block. Ideally, the archival specimen should be collected subsequent to the most recent systemic therapy.
Note: For Japan-specific SRI only: Collection of tumor tissue specimen is not required for Japanese participants enrolled in the SRI part of the trial.
Have at least 1 measurable lesion (target lesion) by computed tomography (CT) or magnetic resonance imaging (MRI) according to Response Evaluation Criteria in Solid Tumors (RECIST) V1.1. Lesions that have previously received radiotherapy or intratumoral injection can only be used as measurable lesions if they show progression after treatment (either pathologically confirmed or with observation of radiographic progression more than 3 months after treatment) as per RECIST V1.1.
Eastern Cooperative Oncology Group (ECOG) performance status (PS) score of 0 or 1.
Expected survival time greater than or equal to (>=) 3 months.
Women of childbearing potential (WOCBP) must take a urine or serum pregnancy test, highly sensitive tests are required where available based on region, and must test negative for trial inclusion. WOCBP must agree to use at least 1 form of highly effective contraception and 1 barrier method of contraception during the entire course of treatment and for 6 months after the last dose of trial treatment. Fertile men must agree to use a condom, preferably combined with at least 1 form of acceptable contraception for any WOCBP partner(s) during the entire course of treatment and for 6 months after the last dose of trial intervention.
Lactating women must agree to strictly abstain from breastfeeding during the entire Treatment Period and for 6 months after the treatment.
Exclusion Criteria:
Women who are pregnant or breastfeeding, or intending to become pregnant before, during, or within 6 months after the last dose of any trial intervention. WOCBP not using and/or not willing to use at least 1 form of highly effective method of contraception and 1 barrier method of contraception or fertile men with WOCBP partner(s) not using and/or not willing to use at least 1 form of acceptable contraception. Note: If in the investigator's judgment, the participant may be pregnant based on the physician's medical interview or other information, the participant will be excluded from the trial irrespective of a negative pregnancy test.
Known actionable genomic alteration, including any of the following driver gene mutations:
Note: (a) It is not mandatory to have undergone driver gene testing. (b) For Japan-specific SRI only: This criterion is not applicable for Japanese participants enrolled in the SRI part of the trial.
Participants with enlarging or symptomatic brain metastases are excluded from the trial. Participants who are neurologically, clinically and radiologically stable >=4 weeks after definitive treatment for brain metastases and participants with small, asymptomatic, incidental, untreated brain metastases that remain radiographically stable >=4 weeks after initial identification may participate in this trial as long as they meet all of the following criteria:
Presence of any of the following hematologic abnormalities at baseline*:
Presence of any of the following serum chemistry abnormalities at baseline:
Presence of any of the following coagulation parameter abnormalities at baseline:
History of deep venous thrombosis, pulmonary embolism, or any other serious thromboembolic events within 30 days prior to enrollment (implantable port or catheter-related thrombosis, or superficial venous thrombosis are not considered "serious" thromboembolisms). Participants with a history of serious thromboembolic event must be asymptomatic and on stable anticoagulation therapy (if such therapy is deemed necessary by the treating physician).
Active uncontrolled bleeding, known bleeding diathesis, or significant concern for risk of acute life-threatening bleeding (for example, radiographic evidence that tumor invades large blood vessels or has unclear boundaries with a major vessel [including aorta, left pulmonary artery, right pulmonary artery, pulmonary vein, superior vena cava, inferior vena cava, and so on], or the investigator judges that the tumor is very likely to invade major vessels with the potential to cause fatal bleeding during the duration of the trial).
Presence of clinically significant cardiovascular or cerebrovascular diseases, including:
Cardiac enzymes >=levels consistent with acute myocardial infarction as defined by laboratory-specific criteria. Participants with isolated Grade 1 elevated cardiac enzymes require cardiology clearance and consultation with the sponsor's medical monitor to confirm absence of ongoing myocardial/ischemic disease.
History of or current interstitial lung disease (ILD), pulmonary fibrosis, and drug-related, immune-related and radiation pneumonitis; current active pulmonary infection requiring anti-infective therapy; active pulmonary tuberculosis (TB) within 1 year prior to enrollment; severely impaired pulmonary function, including but not limited to the following: pulmonary embolism, severe asthma or chronic obstructive pulmonary disease within 3 months prior to randomization; autoimmune, connective tissue, or inflammatory diseases involving the lungs (such as rheumatoid arthritis, Sjögren's disease, and sarcoidosis); previous unilateral pneumonectomy.
Note: Participants with a positive interferon-gamma release assay (IGRA) and negative chest imaging for active pulmonary TB (that is, participants with a history of latent TB) may enroll if they have completed appropriate definitive treatment for latent TB prior to enrollment in the trial (C1D1). Participants with a history of active TB may enroll if they have completed appropriate definitive treatment for active TB more than 1 year before enrollment in the trial (C1D1) and chest imaging at the time of screening is negative for active disease.
History of severe, poorly controlled allergies, asthma or atopic dermatitis (except for atopic dermatitis caused by immunotherapy).
Note: remote history of childhood asthma is not exclusionary.
Uncontrolled third space effusion requiring repeated drainage, such as pleural effusion, abdominal effusion, pericardial effusion, so on.
Note: Participants with the following conditions may be enrolled:
Current or recent significant gastrointestinal disease or condition, including:
Active autoimmune disease requiring systemic treatment (for example, use of disease-modifying drugs, corticosteroids, biologics or immunosuppressants) within 2 years before the first dose.
Note: Replacement therapies (for example, thyroxine, insulin, or physiological corticosteroids for adrenal or pituitary insufficiency) are not considered systemic treatments and exclusionary.
Known history of allogeneic organ transplantation and/or allogeneic hematopoietic stem cell transplantation.
Known or suspected allergy to the investigational product and any excipients. Known or suspected severe hypersensitivity reactions to docetaxel or to drugs formulated with polysorbate 80.
Prior history of significant toxicity related to immune checkpoint inhibitor (ICI) administration that required permanent discontinuation of this therapy.
Unresolved Grade >1 toxicity related to any previous antitumor therapy (excluding alopecia, asthenia, hypothyroidism requiring only thyroid hormone replacement therapy (HRT), hyperglycemia requiring only insulin replacement therapy, adrenal insufficiency requiring physiological steroid replacement, electrolyte abnormalities requiring only symptomatic treatment, and other conditions not affecting the investigational product treatment as assessed by the investigator).
Have not adequately recovered from previous surgery or have undergone any major surgery, within 4 weeks before the first dose of investigational product.
Uncontrolled tumor-related pain or symptomatic hypercalcemia.
Uncontrolled human immunodeficiency virus (HIV), active syphilis, active hepatitis B virus (HBV), or hepatitis C virus (HCV).
Note: Testing with either a treponemal [for example, Treponema Pallidum hemagglutination TPHA or Treponema Pallidum particle agglutination TPPA test] or nontreponemal [for example, rapid plasma reagin (RPR) or Venereal Disease Research Laboratory test] assay is acceptable. An initial positive test should be confirmed with an assay using the alternate testing approach (for example, treponemal followed by nontreponemal or vice versa). If the second test is negative, the participant may enroll in the trial.
Serious/active/uncontrolled infection, infection requiring systemic intravenous antibiotics, or fever of unknown origin (>=38 degree celsius [°C]) within 2 weeks before the first dose of investigational product.
History or current evidence of any disease, treatment, or laboratory abnormality that, in the judgment of the investigator, could compromise the safety of the participant, interfere with obtaining informed consent, affect participant compliance, or affect safety evaluations of the investigational product.
Psychiatric illness, altered mental status, or drug abuse that prevents understanding of the informed consent process and/or completion of required trial-related evaluations.
Unable to meet protocol requirements for known or foreseeable reasons per investigator judgement.
Diagnosed with other pathologically confirmed malignancies within 5 years prior to informed consent, with the exception of radically treated basal cell carcinoma of the skin, squamous cell carcinoma of the skin, carcinoma in situ, localized prostate cancer, papillary thyroid cancer, and other radically treated malignancies with no known active disease for at least 2 years prior to enrollment and with a very low risk of recurrence.
Received any of the following excluded medications or treatments:
Note: For Japan-specific SRI only: The above listed 3 limitations regarding prior systemic antitumor therapy do not apply to participants enrolled in the Japan-specific SRI cohorts.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Takeda Contact | Contact | 877-825-3327 | +1 | medinfoUS@takeda.com |
| Name | Affiliation | Role |
|---|---|---|
| Study Director | Takeda | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| St. Bernards Healthcare | Recruiting | Jonesboro | Arkansas | 72401 | United States |
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| Label | URL |
|---|---|
| Click here to ask Takeda's chatbot for comprehensive and easy-to-understand information about clinical trials - even across products and indications - in your local language. | View source |
| Click here for more information about this trial in easy-to-understand language, including a Plain Language Summary of the results if the trial has been completed. | View source |
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Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.
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IPD from eligible studies will be shared with qualified researchers according to the criteria and process described on https://vivli.org/ourmember/takeda/. For approved requests, the researchers will be provided access to anonymized data (to respect patient privacy in line with applicable laws and regulations) and with information necessary to address the research objectives under the terms of a data sharing agreement.
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| Control Arm |
| Drug |
Comparator product will be administered by IV infusion. |
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| From screening up to 26 months |
Investigator and BICR assessed PFS per RECIST v1.1. |
| Up to 26 months |
| Global Part: Disease Control Rate (DCR) as Assessed by BICR and Investigator per RECIST V1.1 | The proportion of participants who achieve CR, PR, or stable disease (SD) per RECIST v1.1. | Up to 26 months |
| Global Part: Duration of Response (DOR) as Assessed by BICR and Investigator per RECIST V1.1 | Time of first documented CR or PR to the time of disease progression or death. | Up to 26 months |
| Global Part: Time to Response (TTR) as Assessed by BICR and Investigator per RECIST V1.1 | Time from randomization to the first occurrence of a response (CR or PR) per RECIST v1.1. | Up to 26 months |
| SRI Part: DCR as Assessed by Investigator per RECIST V1.1 | DCR is defined as the proportion of participants who have achieved CR, PR, or stable disease (SD) after the initiation of trial intervention (per RECIST V1.1). | Up to 26 months |
| SRI Part: DOR as Assessed by Investigator per RECIST V1.1 | DOR is defined as the time interval from first CR or PR until the first date of disease progression per RECIST V1.1 or death due to any cause, whichever occurs first, for participants with confirmed objective responses. | Up to 26 months |
| SRI Part: TTR as Assessed by Investigator per RECIST V1.1 | TTR is defined as the time interval from the date of randomization to the first CR or PR for participants with confirmed objective responses per RECIST V1.1. | Up to 26 months |
| Global Part: Percentage of Participants With TEAEs, irAEs, SAEs, AESIs and TEAEs Leading to Discontinuation and Deaths | Percentage of participants with: TEAEs/TRAEs any grade / >= grade 3; TESAEs/TRSAEs; AESI (defined in protocol); irAEs any grade/ >= grade 3; TEAEs/TRAEs leading to interruption/discontinuation/death; infusion related reactions any grade/ >= grade 3. | From screening up to 26 months |
| Global and SRI Part: Pharmacokinetic parameters including Terminal Half-Life (t½) of TAK-928 | The terminal elimination half-life will be calculated from the terminal phase of the plasma concentration-time curve. | Day 1 pre-dose and at multiple time points post-dose (up to 25 months) |
| Global and SRI Part: Pharmacokinetic parameters including Clearance (CL) of TAK-928 | Clearance will be calculated using dose/AUC. | Day 1 pre-dose and at multiple time points post-dose (up to 25 months) |
| Global and SRI Part: Pharmacokinetic parameters including Volume of Distribution (Vd) of TAK-928 | Volume of distribution will be estimated based on non-compartmental analysis. | Day 1 pre-dose and at multiple time points post-dose (up to 25 months) |
| Global and SRI Part: Number of Participants Who Develop Anti-Drug Antibodies (ADA) and/or Neutralizing Antibody (Nab) to TAK-928 | Positive rates of anti-TAK-928 antibody (ADA) and/or neutralizing antibody (NAb) in participants receiving TAK-928 are planned to evaluate. | Up to 25 months |
| Global Part: Time to Deterioration (TTD) in in GHS/QoL and Dyspnea as Measured by the EORTC QLQ-C30 | TTD is defined as the time from baseline to the occurrence of first clinical meaningful deterioration compared to baseline score of EORTC QLQ-C30. Participants without deterioration will be censored at the date of last assessment prior to the data cutoff date. | Up to 25 months |
| Global Part: Change from Baseline in Global Health Status (GHS)/ Quality of Life (QoL) Score (Item 29 & 30) and Dyspnea (Item 8) Using the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30) | GHS/QoL will be assessed using the EORTC QLQ-C30. Scores range from 0 to 100. For the Global Health Status/QoL scale, a higher score indicates a better outcome (i.e., better QoL). The change from baseline to each time point will be analyzed. Change in QoL was assessed using participant responses to questions regarding Global Health Status (Q29: GHS; "How would you rate your overall health during the past week?") and QoL (Q30: QoL; "How would you rate your overall quality of life during the past week?") and were scored on a 7-point scale (1= Very poor to 7=Excellent). | Up to 25 months |
| Global Part: Change From Baseline in Functioning Scale Scores as Measured by the EORTC QLQ-C30 | EORTC QLQ-C30 consists of 30 questions that assess five aspects of participant functioning (physical, emotional, role, cognitive, and social), three symptom scales (fatigue, nausea and vomiting, and pain), GHS and QoL, and six single items (dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties) with a recall period of the previous week. Scale scores can be obtained for the multi-item scales. The functioning items are scored on a 4-point scale (1=Not at All to 4=Very Much). Scores are linearly transformed on a scale of 0 to 100, with a high score indicating better functioning. | Up to 25 months |
| Global Part: Change From Baseline in Symptom Scale Scores as Measured by the EORTC QLQ-C30 | EORTC QLQ-C30 consists of 30 questions that assess five aspects of participant functioning (physical, emotional, role, cognitive, and social), three symptom scales (fatigue, nausea and vomiting, and pain), GHS and QoL, and six single items (dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties) with a recall period of the previous week. Scale scores can be obtained for the multi-item scales. The symptom items are scored on a 4-point scale (1=Not at All to 4=Very Much). Scores are linearly transformed on a scale of 0 to 100, with a high score indicating worst symptoms. | Up to 25 months |
| Global Part: Change From Baseline in Single Item Symptom Questions as Measured by the EORTC QLQ-C30 | EORTC QLQ-C30 consists of 30 questions that assess five aspects of participant functioning (physical, emotional, role, cognitive, and social), three symptom scales (fatigue, nausea and vomiting, and pain), global health status (GHS) and quality of life (QoL), and six single items (dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties) with a recall period of the previous week. Scale scores can be obtained for the multi-item scales. The single items are scored on a 4-point scale (1=Not at All to 4=Very Much). Scores are linearly transformed on a scale of 0 to 100, with a high score indicating worst symptoms. | Up to 25 months |
| Global Part: Change From Baseline in Health Utility Scores as Measured by EuroQol Five-dimensional Five-level Questionnaire (EQ-5D-5L) | The EQ-5D-5L was a self-reported health status questionnaire that consisted of six questions used to calculate a health utility score for use in health economic analysis. The EQ-5D-5L has two components: a five-item health state profile that assesses mobility, self-care, usual activities, pain/discomfort, and anxiety/ depression, as well as a Visual Analogue Scale (VAS) that measures health state. Each item was rated from 1 (no problems) to 5 (extreme problems). Higher score indicates best health status. | Up to 25 months |
| Global Part: Change From Baseline in Symptoms of Lung Cancer as Assessed With the EORTC QLQ- Lung Cancer (LC) 13 (QLQ-LC13) | The EORTC QLQ-LC13 contains 13 questions assessing lung cancer-associated symptoms (cough, hemoptysis, dyspnea, and site-specific pain), treatment-related side effects (sore mouth, dysphagia, peripheral neuropathy, and alopecia), and use of pain medication. Subscales are scored on a range of 0 to 100. Higher symptom score indicates a greater degree of symptom severity. | Up to 25 months |
| Memorial Care | Recruiting | Fountain Valley | California | 92708 | United States |
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| Cancer and Blood Specialty Clinic | Recruiting | Los Alamitos | California | 90720 | United States |
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| Translation Research in Oncology- US, INC (TRIO-US) | Recruiting | Torrance | California | 90505 | United States |
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| D & H Cancer Research Center | Recruiting | Margate | Florida | 33063 | United States |
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| BRCR Global | Recruiting | Tamarac | Florida | 33322 | United States |
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| The University of Texas M.D Anderson Cancer Center (MDACC) | Recruiting | Houston | Texas | 77030 | United States |
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| The First Affiliated Hospital of Anhui Medical University | Recruiting | Hefei | Anhui | 230022 | China |
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| Anhui Provincial Cancer Hospital | Not yet recruiting | Hefei | Anhui | 230088 | China |
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| Anhui Provincial Hospital | Recruiting | Hefei | Anhui | 231501 | China |
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| Peking University People's Hospital | Not yet recruiting | Beijing | Beijing Municipality | 100044 | China |
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| Beijing Cancer Hospital | Recruiting | Beijing | Beijing Municipality | 100142 | China |
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| Chongqing University Cancer Hospital | Recruiting | Chongqing | Chongqing Municipality | 400030 | China |
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| The First Affiliated Hospital of Chongqing Medical University | Recruiting | Chongqing | Chongqing Municipality | 400042 | China |
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| The Affiliated Hospital of Fujian Medical University | Recruiting | Fuzhou | Fujian | 350004 | China |
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| Fujian Cancer Hospital | Recruiting | Fuzhou | Fujian | 350014 | China |
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| Guangdong Provincial People's Hospital | Not yet recruiting | Guangzhou | Guangdong | 510080 | China |
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| Affiliated Cancer Hospital & Institute of Guangzhou Medical University | Recruiting | Guangzhou | Guangdong | 510095 | China |
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| The Fourth Hospital of Hebei University | Recruiting | Shijiazhuang | Hebei | 050011 | China |
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| Harbin Medical University Cancer Hospital | Not yet recruiting | Harbin | Heilongjiang | 150081 | China |
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| The First Affiliated Hospital of Xinxiang Medical University | Recruiting | Xinxiang | Henan | 453100 | China |
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| Henan Cancer Hospital | Recruiting | Zhengzhou | Henan | 450003 | China |
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| Henan Provincial People's Hospital | Recruiting | Zhengzhou | Henan | 450003 | China |
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| The First Affiliated Hospital of Zhengzhou University | Not yet recruiting | Zhengzhou | Henan | 450052 | China |
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| The Third Xiangya Hospital of Central South University | Recruiting | Changsha | Hunan | 410205 | China |
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| Nanjing Drum Tower Hospital | Withdrawn | Nanjing | Jiangsu | 210008 | China |
| Nanjing Drum Tower Hospital | Recruiting | Nanjing | Jiangsu | 210008 | China |
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| Jiangsu Province Hospital | Recruiting | Nanjing | Jiangsu | 210029 | China |
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| The Affiliated Hospital of Xuzhou Medical University | Recruiting | Xuzhou | Jiangsu | 221006 | China |
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| The First Affiliated Hospital of Nanchang University | Recruiting | Nanchang | Jiangxi | 330006 | China |
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| Liaoning Cancer Hospital | Recruiting | Shenyang | Liaoning | 110042 | China |
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| Shandong Cancer Hospital | Recruiting | Jinan | Shandong | 250117 | China |
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| Shanghai Chest Hospital | Recruiting | Shanghai | Shanghai Municipality | 200030 | China |
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| Shanghai Pulmonary Hospital | Not yet recruiting | Shanghai | Shanghai Municipality | 200433 | China |
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| The First Affiliated Hospital of Xi'An Jiaotong University | Recruiting | Xi'an | Shannxi | 710061 | China |
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| Sichuan Cancer Hospital | Recruiting | Chengdu | Sichuan | 610213 | China |
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| West China Hospital of Sichuan University | Not yet recruiting | Chengdu | Sichuan | 611135 | China |
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| The Affiliated Hospital of Southwest Medical University | Recruiting | Luzhou | Sichuan | 646000 | China |
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| Tianjin Medical University Cancer Institute & Hospital | Not yet recruiting | Tianjin | Tianjin Municipality | 300000 | China |
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| Yunnan Cancer Hospital | Not yet recruiting | Kunming | Yunnan | 650118 | China |
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| The First Affiliated Hospital, Zhejiang University School of Medicine | Not yet recruiting | Hangzhou | Zhejiang | 310003 | China |
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| Sir Run Run Shaw Hospital, Zhejiang University School of Medicine | Recruiting | Hangzhou | Zhejiang | 310016 | China |
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| Zhejiang Cancer Hospital | Not yet recruiting | Hangzhou | Zhejiang | 310022 | China |
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| The First Affiliated Hospital of Wenzhou Medical University | Not yet recruiting | Wenzhou | Zhejiang | 325015 | China |
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| National Cancer Center | Recruiting | Tokyo | 104-0045 | Japan |
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