NCT04467723 Combination of Atezolizumab and Pirfenidone in Second-line and Beyond NSCLC
| NCT ID | NCT04467723 |
| Status | Recruiting |
| Phase | Phase 1, Phase 2 |
| Sponsor | University of Kansas Medical Center |
| Condition | NSCLC Stage IV |
| Study Type | INTERVENTIONAL |
| Enrollment | 25 participants |
| Start Date | 2022-05-18 |
| Primary Completion | 2027-01-01 |
Eligibility & Interventions
Eligibility Fast-Check
Enter your details for a quick preliminary check. This does not replace medical advice.
What to Expect as a Participant
You will actively receive the study intervention — which may be a drug, biologic, device, or procedure.
Phase 1 is the earliest stage of human testing — safety and dosage are the primary focus. Visits are frequent and medical supervision is intensive. You will be among the first people to receive this treatment.
This trial targets 25 participants in total. It began in 2022-05-18 with a primary completion date of 2027-01-01.
⚠ This information is for research awareness only. Always consult your physician before joining any clinical trial. Participation is voluntary and you may withdraw at any time.
Brief Summary
The purpose of this study is to see if adding pirfenidone to atezolizumab will increase anti tumor activity and reduce treatment resistance in stage 4 and recurrent non- small cell lung cancer participants.
Eligibility Criteria
Inclusion Criteria: * Participant or legal representative is able to provide written informed prior to performing any protocol-related procedures * Is willing and able to comply with scheduled visits, treatment schedule, laboratory testing and other requirements of the study * Men or women at least 18 years of age with histologically or cytologically confirmed non-small cell lung cancer * Previous history of other than lung cancer is allowed if no active treatment for that cancer within 1 year * Life expectancy of at least 6 months * De novo stage IV or recurrent NSCLC without actionable mutation (e.g. EGFR/ ALK/ ROS-1) that was previously treated with either PD-1 / PD-L1 or the combination of PD1/PDL1 and cytotoxic chemotherapy, no more than 2 systemic regimens for metastatic disease with measurable disease \*. Maintenance therapy will be considered part of the 1 regimen * At least 1 measurable lesion * PDL1 TPS score less than 1% or unknown: first-line must be PD1/PDL1 inhibitor in combination with chemotherapy * Early stage (I-III) NSCLC treated with adjuvant or neoadjuvant chemotherapy then PD1/PDL1 inhibitor treatment for recurrent disease * Recurrent Unresectable stage III NSCLC treated with prior chemoradiation followed by maintenance PD1/PDL1 inhibitor with measurable disease * Eastern Cooperative Group (ECOG) Performance Status 0 - 2 * Is able to swallow oral medications * Adequate hematologic function * Adequate organ function Exclusion Criteria: * The presence of any other concurrent severe and/or uncontrolled medical condition that would, in the investigator or treating physician's judgement, cause unacceptable safety risks, contraindicate patient participation in the clinical study or compromise compliance with the protocol * Has received investigational agents within 14 days or 5 half-lives of the compound or active metabolites, whichever is longer, before the first dose of study treatment * Has a known hypersensitivity to atezolizumab or pirfenidone * Has active medical or psychiatric illness that would interfere with the study treatment * Has uncontrolled diabetes * Has any of the following cardiac diagnoses: Unstable angina Myocardial infarction within 6 months Uncontrolled congestive heart failure Left ventricular ejection fraction \< 35% * Has a history of any Grade 3 or 4 toxicities to a prior checkpoint inhibitor treatment * Is pregnant or breast feeding * Uncontrolled HIV * Clinically diagnosed with grade 2 or 3 radiation-induced lung injury within the last 3 months prior to registering for the study * Has a history of idiopathic pneumonitis that required systemic agent including steroid * Has drug-induced pneumonitis * Has evidence of active pneumonitis on screening chest computed tomography (CT) scan * Smoker of more than 1 pack / day * Has active peptic ulcer diagnosed within 4 weeks of enrollment * Active infection requiring systemic treatment * Current use of systemic antibacterial or antifungal agent * Prior monoclonal antibody within 4 weeks before study Day 1 Exception: The use of denosumab * Patient not recovered to ≤ Grade 1 from AEs due to agents administered more than 4 weeks earlier * Concurrent use of other investigational agents * Uncontrolled or symptomatic brain metastasis or leptomeningeal disease that requires use of steroids * Use of strong CYP1A2 inhibitors * Previous history of cancer with active treatment within less than 1 year of enrollment * Active auto-immune diseases
Contact & Investigator
Chao Huang, MD
PRINCIPAL INVESTIGATOR
The University of Kansas
Frequently Asked Questions
Who can join the NCT04467723 clinical trial?
This trial is open to participants of all sexes, aged 18 Years or older, studying NSCLC Stage IV. Full inclusion and exclusion criteria are listed in the Eligibility Criteria section. Always confirm your eligibility with the research team before applying.
What phase is the NCT04467723 trial and what does that mean for participants?
Phase 1 trials are the first stage of human testing. The primary goal is to assess safety and determine appropriate dosage levels. Participants are closely monitored. These trials typically involve a small number of volunteers.
Is NCT04467723 currently recruiting?
Yes, NCT04467723 is actively recruiting participants. Contact the research team at KUCC_Navigation@kumc.edu for enrollment information.
Where is the NCT04467723 trial being conducted?
This trial is being conducted at Fairway, United States, Kansas City, United States.
Who is sponsoring the NCT04467723 clinical trial?
NCT04467723 is sponsored by University of Kansas Medical Center. The principal investigator is Chao Huang, MD at The University of Kansas. The trial plans to enroll 25 participants.