NCT02194738
Genetic Testing in Screening Patients With Stage IB-IIIA Non-small Cell Lung Cancer That Has Been or Will Be Removed by Surgery (The ALCHEMIST Screening Trial)
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ACTIVE_NOT_RECRUITING
NCT02194738
INTERVENTIONAL
Adjuvant Lung Cancer Enrichment Marker Identification and Sequencing Trial (ALCHEMIST)
This ALCHEMIST trial studies genetic testing in screening patients with stage IB-IIIA non-small cell lung cancer that has been or will be removed by surgery. Studying the genes in a patient's tumor cells may help doctors select the best treatment for patients that have certain genetic changes.
Inclusion Criteria:
* PATIENT PRE-REGISTRATION ELIGIBILITY CRITERIA:
* For pre-surgical patients
* Suspected diagnosis of resectable non-small cell lung cancer; cancers with a histology of "adenosquamous" are considered a type of adenocarcinoma and thus a "nonsquamous" histology; patients with squamous cell carcinoma are eligible
* Suspected clinical stage of IIIA, II (IIA or IIB) or large IB (defined as size \>= 4 cm); Note: IB tumors \< 4 cm are NOT eligible; stage IB cancer based on pleural invasion is not eligible unless the tumor size is \>= 4 cm; the 7th edition of American Joint Committee on Cancer (AJCC) staging will be utilized
* For post-surgical patients
* Completely resected non-small cell lung cancer with negative margins (R0); patients with squamous cell carcinoma are eligible only if they have not received adjuvant therapy
* Pathologic stage IIIA, II (IIA or IIB) or large IB (defined as size \>= 4 cm); Note: IB tumors \< 4 cm are NOT eligible; stage IB cancer based on pleural invasion is not eligible unless the tumor size is \>= 4 cm; the 7th edition of AJCC staging will be utilized
* Eastern Cooperative Oncology Group (ECOG) performance status 0-1
* Age ≥ 18 years
* No patients who have received neoadjuvant therapy (chemo- or radio-therapy) for this lung cancer
* No locally advanced or metastatic cancer requiring systemic therapy within 5 years prior to registration; no secondary primary lung cancer diagnosed concurrently or within 2 year prior to registration
* No prior treatment with agents targeting EGFR mutation, ALK rearrangement, and PD-1/PD-L1/CTLA-4
* No patients known to be pregnant or lactating
* Patients who have had local genotyping are eligible, regardless of the local result
* No patients with recurrence of lung cancer after prior resection
* Note: Post-surgical patients should proceed to registration immediately following preregistration
* PATIENT REGISTRATION ELIGIBILITY CRITERIA:
* Tissue available for the required analyses (either clinical tissue block or slides and scrolls)
* Completely resected NSCLC with negative margins (R0); cancers with a histology of "adenosquamous" are considered a type of adenocarcinoma and thus a "nonsquamous" histology
* Pathologic stage IIIA, IIA or IIB, or large IB (defined as size \>= 4 cm); Note: IB tumors \< 4 cm are NOT eligible; stage IB cancer based on pleural invasion is not eligible unless the tumor size is \>= 4 cm; the 7th edition of AJCC staging will be utilized
* Patients with squamous cell carcinoma are eligible only if they have not received adjuvant therapy
* In order to allow for time for central genotyping and eligibility for the ALCHEMIST treatment trial, patients must register within the following eligibility windows:
* Squamous patients:
* No adjuvant therapy permitted, register patient within 77 days following surgery
* Non-squamous patients:
* If no adjuvant therapy, register patient within 75 days following surgery
* If adjuvant chemotherapy or radiotherapy only, register patient within 225 days following surgery
* If adjuvant chemotherapy and radiation, register patient within 285 days following surgery
Stage IB Lung Non-Small Cell Carcinoma AJCC v7
Stage II Lung Non-Small Cell Cancer AJCC v7
Stage IIA Lung Cancer AJCC v8
Stage IIB Lung Cancer AJCC v8
Stage IIIA Lung Cancer AJCC v8
Stage IIIA Lung Non-Small Cell Cancer AJCC v7
Stage IIIB Lung Cancer AJCC v8
- SCREENING
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- Type: PROCEDURE
- Name: Biospecimen Collection
- Description: Undergo collection of blood samples
- Arm Group Labels: EA5142 Arm I (nivolumab), EA5142 Arm II (observation)
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- Type: DRUG
- Name: Carboplatin
- Description: Given IV
- Arm Group Labels: A081801 Arm A (platinum doublet, observation), A081801 Arm B (platinum doublet, sequential pembrolizumab), A081801 Arm C (platinum doublet, combination pembrolizumab)
-
- Type: DRUG
- Name: Cisplatin
- Description: Given IV
- Arm Group Labels: A081801 Arm A (platinum doublet, observation), A081801 Arm B (platinum doublet, sequential pembrolizumab), A081801 Arm C (platinum doublet, combination pembrolizumab)
-
- Type: OTHER
- Name: Clinical Observation
- Description: Undergo observation
- Arm Group Labels: A081105 Arm D (observation), A081801 Arm A (platinum doublet, observation), E4512 Arm B (observation), EA5142 Arm II (observation)
-
- Type: PROCEDURE
- Name: Computed Tomography
- Description: Undergo CT or PET/CT
- Arm Group Labels: EA5142 Arm I (nivolumab), EA5142 Arm II (observation)
-
- Type: DRUG
- Name: Crizotinib
- Description: Given PO
- Arm Group Labels: E4512 Arm A (crizotinib)
-
- Type: OTHER
- Name: Cytology Specimen Collection Procedure
- Description: Undergo collection of blood and tissue
- Arm Group Labels: A081105 Arm A (blinded erlotinib hydrochloride), A081105 Arm B (placebo), A081105 Arm C (unblinded erlotinib hydrochloride), A081105 Arm D (observation), E4512 Arm A (crizotinib), E4512 Arm B (observation), EA5142 Arm I (nivolumab), EA5142 Arm II (observation)
-
- Type: PROCEDURE
- Name: Echocardiography
- Description: Undergo ECHO
- Arm Group Labels: EA5142 Arm I (nivolumab), EA5142 Arm II (observation)
-
- Type: DRUG
- Name: Erlotinib
- Description: Given PO
- Arm Group Labels: A081105 Arm C (unblinded erlotinib hydrochloride)
-
- Type: DRUG
- Name: Gemcitabine Hydrochloride
- Description: Given IV
- Arm Group Labels: A081801 Arm A (platinum doublet, observation), A081801 Arm B (platinum doublet, sequential pembrolizumab), A081801 Arm C (platinum doublet, combination pembrolizumab)
-
- Type: BIOLOGICAL
- Name: Nivolumab
- Description: Given IV
- Arm Group Labels: EA5142 Arm I (nivolumab)
-
- Type: DRUG
- Name: Paclitaxel
- Description: Given IV
- Arm Group Labels: A081801 Arm A (platinum doublet, observation), A081801 Arm B (platinum doublet, sequential pembrolizumab), A081801 Arm C (platinum doublet, combination pembrolizumab)
-
- Type: BIOLOGICAL
- Name: Pembrolizumab
- Description: Given IV
- Arm Group Labels: A081801 Arm B (platinum doublet, sequential pembrolizumab), A081801 Arm C (platinum doublet, combination pembrolizumab)
-
- Type: DRUG
- Name: Pemetrexed
- Description: Given IV
- Arm Group Labels: A081801 Arm A (platinum doublet, observation), A081801 Arm B (platinum doublet, sequential pembrolizumab), A081801 Arm C (platinum doublet, combination pembrolizumab)
-
- Type: DRUG
- Name: Pemetrexed Disodium
- Description: Given IV
- Arm Group Labels: A081801 Arm A (platinum doublet, observation), A081801 Arm B (platinum doublet, sequential pembrolizumab), A081801 Arm C (platinum doublet, combination pembrolizumab)
-
- Type: OTHER
- Name: Placebo Administration
- Description: Given PO
- Arm Group Labels: A081105 Arm B (placebo)
-
- Type: PROCEDURE
- Name: Positron Emission Tomography
- Description: Undergo PET/CT
- Arm Group Labels: EA5142 Arm I (nivolumab), EA5142 Arm II (observation)
- National Cancer Institute (NCI)