A trial to assess whether nivolumab improves survival in relapsed mesothelioma more than placebo
ISRCTN | ISRCTN79814141 |
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DOI | https://doi.org/10.1186/ISRCTN79814141 |
EudraCT/CTIS number | 2016-003111-35 |
ClinicalTrials.gov number | NCT03063450 |
Secondary identifying numbers | 32290 |
- Submission date
- 27/02/2017
- Registration date
- 02/03/2017
- Last edited
- 29/11/2024
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Cancer
Plain English summary of protocol
Contact information
Public
Southampton Clinical Trials Unit
MP131
Southampton General Hospital
Tremona Road
Southampton
SO16 6YD
United Kingdom
Scientific
Southampton Clinical Trials Unit
MP131
Southampton General Hospital
Tremona Road
Southampton
SO16 6YD
United Kingdom
Study information
Study design | Randomised; Interventional; Design type: Treatment, Drug, Immunotherapy |
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Primary study design | Interventional |
Secondary study design | Randomised controlled trial |
Study setting(s) | Hospital |
Study type | Treatment |
Participant information sheet | No participant information sheet available |
Scientific title | CheckpOiNt blockade For Inhibition of Relapsed Mesothelioma (CONFIRM): A Phase III Trial to Evaluate the Efficacy of Nivolumab in Relapsed Mesothelioma |
Study acronym | CONFIRM |
Study objectives | The aim of this study is to compare overall survival of nivolumab with placebo in patients with relapsed mesothelioma. |
Ethics approval(s) | West Midlands - Edgbaston Research Ethics Committee, 06/12/2016, ref: 16/WM/0472 |
Health condition(s) or problem(s) studied | Mesothelioma |
Intervention | Patients will be randomised 2:1 to nivolumab or placebo, with twice as many people getting nivolumab as placebo. Randomisation will be stratified by site and epithelioid vs. non-epithelioid. Active treatment arm: Patients will be treated with nivolumab at a dose of 240mg, every two weeks, infused over 30 minutes until disease progression, to a maximum of 12 months. Placebo control arm: Patients will receive a placebo consisting of sterile 0.9% sodium chloride, every two weeks, infused over 30 minutes until disease progression, to a maximum of 12 months. All patients will be followed up for a minimum 6 months and maximum of 5 years. |
Intervention type | Drug |
Pharmaceutical study type(s) | |
Phase | Phase III |
Drug / device / biological / vaccine name(s) | Nivolumab |
Primary outcome measure | Overall survival will be calculated as time from randomisation until date of death |
Secondary outcome measures | 1. Progression free survival is calculated as time from randomisation to disease progression by RECIST 1.1 or modified RECIST using CT scans at baseline compared to further CT scans after cycles 3 and 6 (each cycle is 14 days) 2. Overall response rate is measured by RECIST 1.1 or modified RECIST using CT scans at baseline compared to further CT scans after cycles 3 and 6 (each cycle is 14 days) 3. Quality of life is measured using EQ-5D-5L at baseline, after cycles 3 and 6 (each cycle is 14 days) and 1, 6 and 12 months post progression/treatment discontinuation 4. Toxicity is measured using CTCAE V4.03 at baseline, after each treatment cycle (each cycle is 14 days) and each follow up visit 5. Cost effectiveness is measured using a health resource use questionnaire at baseline, after cycles 3 and 6 (each cycle is 14 days) and 1, 6 and 12 months post progression/treatment discontinuation |
Overall study start date | 01/10/2016 |
Completion date | 30/09/2022 |
Eligibility
Participant type(s) | Patient |
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Age group | Adult |
Lower age limit | 18 Years |
Sex | Both |
Target number of participants | Planned Sample Size: 336; UK Sample Size: 336 |
Total final enrolment | 332 |
Key inclusion criteria | 1. Histological confirmation of mesothelioma 2. Prior treatment with at least two lines of platinum based chemotherapy 3. ECOG Performance Status 0-1 4. Evidence of disease progression (which is radiologically assessable through RECIST) on CT scan within 28 days of trial treatment 5. Age 18 and above 6. Screening laboratory values within protocol specified ranges 7. Willing to use adequate contraception methods where applicable 8. Willing to provide blood and tissue samples relating to mesothelioma 9. Expected survival of at least 12 weeks |
Key exclusion criteria | 1. Untreated, symptomatic CNS metastases 2. Carcinomatous meningitis 3. Active, known or suspected auto-immune disease 4. Those requiring systemic treatment with corticosteroids or immunosuppressive medications within 14 days of planned first dose 5. Other active malignancy requiring treatment 6. Serious or uncontrolled medical disorder or active infection which would impact on the trial or affect their involvement 7. Prior treatment with anti-PD-L1, anti-PD-L2, anti-CD137 or anti-CTLA-4 antibody 8. History of testing positive for HIV or AIDS or a positive test for Hepatitis indicating acute or chronic infection 9. History of allergy or sensitivity to monoclonal antibodies 10. Women who are pregnant or breastfeeding |
Date of first enrolment | 27/03/2017 |
Date of final enrolment | 27/03/2020 |
Locations
Countries of recruitment
- England
- United Kingdom
Study participating centre
Southampton General Hospital
Tremona Road
Southampton
SO16 6YD
United Kingdom
Sponsor information
University/education
Research & Innovation Services
University Road
Southampton
SO17 1BJ
England
United Kingdom
Phone | +44 23 8059 8673 |
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rgoinfo@soton.ac.uk | |
https://ror.org/01ryk1543 |
Funders
Funder type
Charity
Private sector organisation / Other non-profit organizations
- Alternative name(s)
- CR_UK, Cancer Research UK - London, CRUK
- Location
- United Kingdom
Results and Publications
Intention to publish date | 30/09/2023 |
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Individual participant data (IPD) Intention to share | Yes |
IPD sharing plan summary | Available on request |
Publication and dissemination plan | The results of the trial will be published in a high-impact peer reviewed scientific journal around six months after overall trial end date. |
IPD sharing plan | The datasets generated during and/or analysed during the current study are/will be available for sharing via controlled access by authorised Southampton CTU (SCTU) staff (as delegated to SCTU by the trial sponsor) and anonymised IPD within the clinical trial dataset will be available for sharing via open access after the trial is published. |
Study outputs
Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
---|---|---|---|---|---|
Protocol article | 18/04/2018 | 05/10/2022 | Yes | No | |
HRA research summary | 28/06/2023 | No | No | ||
Statistical Analysis Plan | version 3 | 01/08/2022 | 11/10/2023 | No | No |
Results article | 14/10/2021 | 22/10/2024 | Yes | No |
Additional files
Editorial Notes
29/11/2024: A scientific contact was added.
22/10/2024: Publication reference added.
11/10/2023: The statistical analysis plan was uploaded as an additional file.
05/10/2022: Publication reference added.
14/09/2022: The following changes have been made:
1. The overall trial end date was changed from 30/09/2021 to 30/09/2022.
2. The intention to publish date was changed from 30/09/2022 to 30/09/2023.
04/05/2020: The following changes have been made:
1. The recruitment end date has been changed from 23/03/2021 to 27/03/2020.
2. The final enrolment number has been added.
16/01/2020: The ClinicalTrials.gov number has been added.
28/03/2019: The condition has been changed from "Specialty: Cancer, Primary sub-specialty: Lung Cancer; UKCRC code/ Disease: Cancer/ Malignant neoplasms of respiratory and intrathoracic organs" to "Mesothelioma" following a request from the NIHR.
05/04/2017: Cancer Help UK lay summary link added to plain English summary field