CClinicalTrials.gg
CompletedNCT03305133EPNECUpdated Mar 12, 2020

Evaluation of PD-L1 (Programmed Death-Ligand 1) Tumor Expression in Patients With Large-cell Neuroendocrine Carcinoma (NEC)

An observational study in Large Cell Lung Cancer and Neuroendocrine Carcinoma of Lung (Diagnosis), sponsored by Groupe Francais De Pneumo-Cancerologie. Completed at 28 sites in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-03-12.

Sponsored by Groupe Francais De Pneumo-Cancerologie · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
86
Ages
18 Years and older
Sex
All
01

Study summary

Observational, multicentre, retrospective study on patients taken care according to the national guidelines. The objective is to define, after the diagnosis confirmation, the frequency of PD-L1 expression in patients with large-cell lung neuroendocrine carcinoma (NEC), whatever the stage of the disease, and to correlate this parameter to clinical data at the time of diagnosis, therapeutic response and survival. Large-cell NECs present a bad prognostic and there is no evidence of treatment for these patients with advanced disease in second ligne of treatment at that time. To demonstrate the PD-L1 expression in this type of cancer might have a major therapeutic impact in a close future to access immunotherapies.

02

Conditions studied

  • Large Cell Lung Cancer
  • Neuroendocrine Carcinoma of Lung (Diagnosis)
03

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Patients presenting a large-cell NEC taken in charge by investigational centres between January 1st, 2014 and December 31st, 2016.

Alive patients will be identified during disease follow-up visit as per the local current practice and the study will be then proposed to them at that time.

For died patients, eligible patients will be identified by checking the files present at site by the Principal Investigator.

Inclusion criteria

  • Patients aged > or = 18 years
  • Diagnosis of Large-cell NEC confirmed by centralised reading
  • Tumoral materials available and readable for PD-L1 labeling

Exclusion criteria

Exclusion Criteria:

  • Other type of Lung cancers
  • Tumoral material not available or not readable for centralised reading
  • Tumoral material not available or not readable for PD-L1 labeling
04

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
86 participants (actual)
Patient registry
No
Biospecimen retention
Samples without dna

Interventions

  • OtherImmunohistochemistry

    The slides which allowed the large cell neuroendocrine carcinoma diagnosis will be re-read centrally.

05

What researchers measure

Primary outcomes

  1. Frequency of PD-L1 expression in patients with large-cell neuroendocrine carcinoma (NEC)

    Determine the frequency of PD-L1 expression in patients with large-cell neuroendocrine carcinoma (NEC)in terms of percentage of tumor cells expressing PD-L1 in immunohistochemistry (IHC) at the time of diagnosis: The frequency of PD-L1 expression determined by IHC will be as follow: * Negative PD-L1 tumours (\<1% of positive tumour cells) * Positive PD-L1 tumours (\> or = to 1% of positive tumour cells) * Low positive PD-L1 tumours (from 1% to 49% of positive tumour cells expressed) * High positive PD-L1 tumours (\> or = 50% of positive tumour cells expressed)

    Time frame: Retrospective central evaluation on tumour materials (slides) collected on patients diagnosed with NEC between 01 January 2014 and 31 December 2016

Secondary outcomes

  1. Correlation of PD-L1 expression of tumour cells with clinical data

    Describe the disease at the time of diagnosis using TNM IASLC/UICC 2009 classification

    Time frame: Retrospective-data collected on patients diagnosed with NEC between 01 January 2014 and 31 December 2016

  2. Objective Response Rate (ORR)

    Objective Response Rate (ORR): best overall response of complete response (CR) or partial response (PR) to a first line of treatment using RECIST 1.1 criteria as assessed locally

    Time frame: Retrospective-data collected on patients diagnosed with NEC between 01 January 2014 and 31 December 2016

  3. Progression-free survival (PFS)

    PFS of the first line of treatment using RECIST 1.1 criteria assessed locally defined as the time from first treatment start to disease progression or death for any cause expressed in months

    Time frame: Retrospective-data collected on patients diagnosed with NEC between 01 January 2014 and 31 December 2016

  4. Overall survival (OS)

    OS defined as the time from first treatment start to death for any cause expressed in months

    Time frame: Retrospective-data collected on patients diagnosed with NEC between 01 January 2014 and 31 December 2016

06

Study locations

28 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 05
    Bastia, 20200, France
  • Site 22
    Beauvais, 60021, France
  • Centre Hospitalier du Morvan
    Brest, 29200, France
  • Site 43
    Caen, 14000, France
  • Site 48
    Clermont Ferrand, 63000, France
  • Site 33
    Creteil, 94010, France
  • Site 32
    Elbeuf, 76503, France
  • Site 04
    GAP, 05000, France
  • Centre Hospitalier Les Oudairies
    La Roche Sur Yon, 85000, France
  • Centre Hospitalier Universitaire DUPUYTREN
    Limoges, 87042, France
  • Hospital du Cluzeau
    Limoges, 87042, France
  • Site 00
    Limoges, France
  • Centre Hospitalier Lyon Sud
    Lyon, 69495, France
  • Site 25
    Mantes La Jolie, 78200, France
  • Site 06
    Marseille, 13274, France
  • Site 01
    Meaux, 77108, France
  • Site 42
    Orleans, 45032, France
  • Hospital Saint Antoine
    Paris, 75012, France
  • Site 26
    Paris, 75012, France
  • Site 19
    Perigueux, 24019, France
  • Site 02
    Reims, 51092, France
  • Site 18
    Rouen, 76031, France
  • Site 17
    Rouen, 76233, France
  • Site 14
    Toulon, 83800, France
  • Site 11
    Villefranche Sur Saone, 69655, France
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References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT03305133
Lead sponsor
Groupe Francais De Pneumo-Cancerologie
Responsible party
Sponsor
First posted
Oct 9, 2017
Start date
Sep 26, 2017
Primary completion
Sep 14, 2018
Completion
Oct 30, 2018
Last update
Mar 12, 2020

Study contacts

Dominque Arpin, MD
principal investigator · Service de pneumologie et oncologie thoracique - Hôpital Nord-Ouest - F-69400 Villefranche sur Saône

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
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