ClinicalTrials.gg
CompletedNCT02785562EXPLORE-PDL1Updated Oct 17, 2023

Epidemiologic Multicenter Prospective Study in Advanced NSCLC (Non Small Cell Lung Cancer) Patients With PDL1 (Protein Death Ligand 1) Expression.

An interventional study of Assessment of PDL1 expression in Lung Cancer, sponsored by Groupe Francais De Pneumo-Cancerologie. Completed at 13 sites in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-10-17.

Sponsored by Groupe Francais De Pneumo-Cancerologie · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
170
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 399 studies in Lung Neoplasms with a site in France — 113 open to participants now, 149 under way, 26 of them phase 3. Lung Neoplasms · France.

Enrollment
145th of 290
170 · median 170
Started
2016
with 18 others
No phase
110 of 399
32 open now
Registered
143rd of 399
by date

Among the 399 studies in Lung Neoplasms with a site in France, this one is the 145th largest by enrollment of the 290 interventional ones, is one of 19 that started in 2016, is one of 110 with no phase, and was the 143rd registered.

By phase

399 studies; the count open now beside each. This study's row is marked.

No phasethis study110 · 32 open
Observational105 · 33 open
Phase 361 · 16 open
Phase 258 · 9 open
Phase 128 · 6 open
Phase 1/221 · 10 open
Phase 2/38 · 3 open
Phase 48 · 4 open

By the year they started

First in 1993; this study’s year is marked. 19 started in 2016.

Size and results

Median enrollment 170 across the 290 interventional studies, 190 across the 105 observational. Of the 217 that completed or were terminated, 49 (23%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 399 studies in Lung Neoplasms with a site in France, or all of them as a file.
02

Study summary

Epidemiologic multicenter prospective study in advanced NSCLC patients with PDL1 expression : evaluation of clinical and pathological characteristics of PDL1 high expression patients compared to patients with a weak or no expression of PDL1.

Read the detailed description

Few data are published on the clinical and pathological characteristics of advanced NSCLC with high PDL1 expression compare to weak and no expression populations.

There is not for the moment a standard test to determine a relevant target population. Preliminary data showed that around 25% of the NSCLC population may have a high PDL1 expression and may have a greater benefit of anti PDL1 therapy. But in fact limited data have been published in European populations on the clinical and pathological characteristics (high PDL1 expression) compared to the weak expression and no expression populations. More over the prognosis rule of a high PDL1 expression in NSCLC is not definitive, with some studies indicating it is a positive prognostic factor while other studies showing that it is a negative prognostic factor.

To understand if there are differences in terms of prognostic between advanced NSCLC with high and low/no expression of PDL1 is a major challenge for the future management strategy of these patients. The results of this study should helps to elaborate new guidelines for this population. Therefore is also important to had data's on the natural course of the disease in these population for building cost effectiveness models of new immune therapies.

03

Conditions studied

  • Lung Cancer

Browse trials for

Keywords

  • PDL1 expression : Protein Death Ligand 1 expression .
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients aged 18 years or more

    • With locally advanced stage (IIIb) to stage IV NSCLC - Non Small Cell Lung Cancer -
    • Histological diagnostic :
  • No known Epidermal Growth Factor Receptor (EGFR) or Anaplastic Lymphoma Kinase (ALK) / Reactive Oxygen Species (ROS) translocation
  • At least 2 slides of tumoral sample available

    • No previous chemotherapy treatment. Neo or therapy is allowed if done at least one year before inclusion
    • Performance Status ( PS) 0/1

Planned to receive a platin based standard treatment (cisplatin or carboplatin with bevacizumab (restricted to no squamous) pemetrexed(restricted to no squamous) , gemcitabine, vinorelbine, docetaxel or taxol, on setting, in standard dose

  • A - Response Evaluation Criteria In Solid Tumor - target lesion

Exclusion criteria

Exclusion Criteria:

  • Age fewer than 18
  • Pregnancy
  • Known immune deficit
  • PS > 1
  • Inclusion in a clinical therapeutic trial in
  • Patient treated with Protein D1/Protein Death Ligang1 (PD1/PDL1) therapy on first line setting.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
170 participants (actual)

Study arms

  • Other
    Assessment of PDL1 expression

    Other : assess clinical and pathological characteristics of PDL1 expression in Non Small Cell Lung Cancer patients.

    Other: Assessment of PDL1 expression

Interventions

  • OtherAssessment of PDL1 expression

    Intervention : 2 biopsy slides will be analyzed in central laboratory.

06

What researchers measure

Primary outcomes

  1. description of the PDL1 expression groups as follows : PDL1 negative, PDL1 positive, PDL1 weak, PDL1 strongly positive.

    Descriptive and comparative analyses of different sub-populations will be performed with qualitative and quantitative variables. Quantitative variables will be described using the following descriptive statistics: sample size, number of missing values, mean, standard deviation, median, minimum and maximum. Qualitative variables will be described using the following descriptive statistics: sample size, number of missing values and percentage of each modality calculated from the responses expressed. The bivariate statistical analyses performed will be subjected to statistical tests, based on the nature of the variables analyzed.

    Time frame: 24 Months

  2. Clinical characteristics of PDL1 high expression patients compared to patients with a weak or no expression of PDL1.

    Descriptive and comparative analyses of different sub-populations will be performed with qualitative and quantitative variables. Quantitative variables will be described using the following descriptive statistics: sample size, number of missing values, mean, standard deviation, median, minimum and maximum. Qualitative variables will be described using the following descriptive statistics: sample size, number of missing values and percentage of each modality calculated from the responses expressed. The bivariate statistical analyses performed will be subjected to statistical tests, based on the nature of the variables analyzed.

    Time frame: 24 Months

  3. Pathological characteristics of PDL1 high expression patients compared to patients with a weak or no expression of PDL1.

    Descriptive and comparative analyses of different sub-populations will be performed with qualitative and quantitative variables. Quantitative variables will be described using the following descriptive statistics: sample size, number of missing values, mean, standard deviation, median, minimum and maximum. Qualitative variables will be described using the following descriptive statistics: sample size, number of missing values and percentage of each modality calculated from the responses expressed. The bivariate statistical analyses performed will be subjected to statistical tests, based on the nature of the variables analyzed.

    Time frame: 24 Months

Secondary outcomes

  1. Clinical analysis of the patients' outcome : measure of Overall Survival (OS).

    Descriptive and comparative analyses of different sub-populations will be performed with qualitative and quantitative variables. Quantitative variables will be described using the following descriptive statistics: sample size, number of missing values, mean, standard deviation, median, minimum and maximum. Qualitative variables will be described using the following descriptive statistics: sample size, number of missing values and percentage of each modality calculated from the responses expressed. The bivariate statistical analyses performed will be subjected to statistical tests, based on the nature of the variables analyzed.

    Time frame: 24 Months

  2. Immune characteristics of high PDL1 expression, concordance between PDL1 expression and description of immune environment measured through density of the intra tumoral Cluster of differentiation 8+ lymphocyte T cell (CD8+ Tcells/mDC).

    The density of tumoral T cells will be described in the overall population and each subgroup through descriptive statistics. The Chi2 test will be used to assess the significance of the difference between the different subgroups.

    Time frame: 24 Months

  3. Quality of life of the patients measured at each cycle of therapy thanks to EuroQol Group 5-Dimension Self-Report Questionnaire score (EQ5D questionnaire).

    A descriptive analysis of the answers to the EQ5D will be performed. Evolution of the EQ5D profile will be evaluated. Exploratory analyzes of various risk factors of impaired quality of life will be realized. The proportion of patients reporting "no", "some", or "extreme" EQ5D health state profiles at pre-specified time points will be described.

    Time frame: 24 Months

  4. Measure of the Health Care Resource Use (HCRU) associated to the management of the patients thanks to EQ5D (EuroQol Group 5-Dimension Self-ReportQuestionnaire score) questionnaire.

    Health Care Resource Use consumption will be measured associated to EQ5D questionnaire answers.

    Time frame: 24 Months

07

Study locations

13 sites
  • Centre Hospitalier D Argenteuil
    Argenteuil, VAL D'oise 95100, France
  • Site 12
    Aix En Provence, 13100, France
  • Centre Hospitalier Universitaire
    Angers, 49033, France
  • Site 22
    Beauvais, 60021, France
  • Centre Hospitalier du Morvan
    Brest, 29200, France
  • Site 48
    Clermont Ferrand, 63000, France
  • Site 33
    Creteil, 94010, France
  • Site 04
    GAP, 05000, France
  • Centre Hospitalier Les Oudairies
    La Roche Sur Yon, 85000, France
  • Centre Hospitalier Universitaire DUPUYTREN
    Limoges, 87042, France
  • Site 19
    Perigueux, 24019, France
  • Site 18
    Rouen, 76031, France
  • Site 11
    Villefranche Sur Saone, 69655, France
08

References and documents

Publications

  • Fong L, Small EJ. Anti-cytotoxic T-lymphocyte antigen-4 antibody: the first in an emerging class of immunomodulatory antibodies for cancer treatment. J Clin Oncol. 2008 Nov 10;26(32):5275-83. doi: 10.1200/JCO.2008.17.8954. Epub 2008 Oct 6. PubMed 18838703 ↗
  • Keir ME, Butte MJ, Freeman GJ, Sharpe AH. PD-1 and its ligands in tolerance and immunity. Annu Rev Immunol. 2008;26:677-704. doi: 10.1146/annurev.immunol.26.021607.090331. PubMed 18173375 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jul 2016 to primary completion in Apr 2020, 44 months.

Of 864 non-industry interventional studies with no phase under Lung Neoplasms, half reached primary completion within 35 months of starting (the median), counting those still running; a quarter within 16 and three quarters within 68. This study's 44 months is above that.

Counting every sponsor, half of 915 studies reached it within 34 months; a quarter within 15 and three quarters within 67.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 1, 2016
First posted
May 30, 2016
StartActual
Jul 21, 2016
Primary completionActual
Apr 6, 2020
CompletionActual
Apr 6, 2020
Last update
Oct 17, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 17, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02785562
Lead sponsor
Groupe Francais De Pneumo-Cancerologie
Responsible party
Sponsor
First posted
May 30, 2016
Start date
Jul 21, 2016
Primary completion
Apr 6, 2020
Completion
Apr 6, 2020
Last update
Oct 17, 2023

Study contacts

Christos CHOUAID, Professor
principal investigator · FCPC Vice President

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2023. You cannot join it, but the record below documents what was studied.

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