Iph5201

A new clinical trial is exploring the potential of combining IPH5201 with durvalumab and standard chemotherapy in treating early-stage non-small cell lung cancer (NSCLC). This study aims to assess the safety and effectiveness of this combination therapy as a neoadjuvant (before surgery) and adjuvant (after surgery) treatment for patients with resectable NSCLC at stages II to IIIA. The trial, known as MATISSE, offers hope for improving outcomes in early-stage lung cancer patients.

Table of Contents

What is IPH5201?

IPH5201 is a new drug being studied for the treatment of non-small cell lung cancer (NSCLC). It is being tested in combination with another drug called durvalumab (also known as MEDI4736 or IMFINZI) and standard chemotherapy[1]. This combination therapy is being investigated as a potential new treatment option for patients with early-stage NSCLC.

Target Condition: Non-Small Cell Lung Cancer

The clinical trial is focusing on patients with resectable, early-stage (stage II to IIIA) non-small cell lung cancer. NSCLC is a type of lung cancer that accounts for about 80-85% of all lung cancers. “Resectable” means that the cancer can be surgically removed, which is typically the case for early-stage lung cancers[1].

Treatment Approach

The treatment approach in this study involves two main phases:

  1. Neoadjuvant therapy: This is treatment given before surgery. Patients will receive IPH5201, durvalumab, and standard chemotherapy. The chemotherapy may include combinations like carboplatin/paclitaxel, pemetrexed/cisplatin, or pemetrexed/carboplatin[1].
  2. Adjuvant therapy: This is treatment given after surgery. Patients will receive IPH5201 and durvalumab[1].

This approach aims to shrink the tumor before surgery (neoadjuvant phase) and then prevent cancer recurrence after surgery (adjuvant phase).

Clinical Trial Details

The clinical trial, named MATISSE, is a Phase II study. It is described as an open-label, single-arm, multicenter study. Here’s what these terms mean:

  • Open-label: Both the researchers and patients know which treatment is being given.
  • Single-arm: All participants receive the same treatment; there is no control group.
  • Multicenter: The study is conducted at multiple hospitals or research centers[1].

Expected Outcomes

The researchers will be looking at several outcomes to determine if the treatment is effective and safe. These include:

  • Pathological Complete Response (pCR): This means there are no cancer cells found in the removed tumor tissue after surgery[1].
  • Major Pathological Response (mPR): This indicates a significant reduction in cancer cells in the removed tumor tissue[1].
  • Event-Free Survival (EFS) and Disease-Free Survival (DFS): These measure how long patients live without their cancer progressing or returning[1].
  • Overall Survival (OS): This measures how long patients live after starting the treatment[1].

Safety Monitoring

Patient safety is a crucial aspect of this clinical trial. The researchers will be closely monitoring for any side effects or complications. They will track:

  • Adverse events (AEs): Any unfavorable medical occurrences during the study.
  • Serious adverse events (SAEs): Any severe or life-threatening events[1].

Additionally, the researchers will be studying how the drugs interact in the body (pharmacokinetics or PK) and whether patients develop antibodies against the study drugs (anti-drug antibodies or ADA)[1].

Aspect Details
Study Type Phase II, multicenter, open-label, non-randomized
Participants Patients with resectable, early-stage (II to IIIA) non-small cell lung cancer (NSCLC)
Treatment Neoadjuvant: IPH5201 + durvalumab + standard chemotherapy
Adjuvant: IPH5201 + durvalumab
Primary Outcomes Pathological Complete Response (pCR), Adverse events (AEs) and serious adverse events (SAEs)
Secondary Outcomes Event-Free Survival (EFS), Disease Free Survival (DFS), Surgical resection, Major Pathological Response (mPR), Objective Response Rate (ORR), Overall Survival (OS)
Follow-up Duration Up to approximately 2 years

Ongoing Clinical Trials on Iph5201

  • Study of IPH5201 and Durvalumab for Pre- and Post-Surgery Treatment in Patients with Early-Stage Non-Small Cell Lung Cancer

    Recruiting

    1 1 1
    France Greece Hungary Poland

Glossary

  • Non-Small Cell Lung Cancer (NSCLC): A type of lung cancer that is the most common form, accounting for about 80-85% of all lung cancers. It grows and spreads more slowly than small cell lung cancer.
  • Neoadjuvant therapy: Treatment given before the main treatment, usually before surgery, to shrink the tumor and make it easier to remove.
  • Adjuvant therapy: Additional treatment given after the primary treatment (usually surgery) to lower the risk of cancer coming back.
  • Pathological Complete Response (pCR): The absence of all signs of cancer in tissue samples removed during surgery or biopsy after treatment with cancer drugs.
  • Event-Free Survival (EFS): The length of time after treatment during which no specified event (such as disease progression or recurrence) is detected.
  • Disease-Free Survival (DFS): The length of time after primary treatment ends that the patient survives without any signs or symptoms of that cancer.
  • Objective Response Rate (ORR): The proportion of patients whose cancer shrinks or disappears after treatment.
  • Overall Survival (OS): The length of time from either the date of diagnosis or the start of treatment that patients are still alive.
  • Pharmacokinetics (PK): The study of how a drug moves through the body, including its absorption, distribution, metabolism, and excretion.
  • Anti-drug antibodies (ADA): Antibodies produced by the immune system in response to a therapeutic drug, which may affect the drug's effectiveness or cause side effects.

References

  1. https://clinicaltrials.gov/study/NCT05742607