A Phase I Trial of an Immune Checkpoint Inhibitor Plus Stereotactic Ablative Radiotherapy in Patients with Inoperable Stage I Non Small Cell Lung Cancer

Abstract

This clinical trial is the first to evaluate the synergy between radiation, a well-known immune modulator, with the novel immune checkpoint inhibitor MPDL3280A (atezolizumab) in early stage inoperable non-small cell lung cancer. The trial is comprised of a traditional 3 + 3 phase I design followed by a dose expansion. We have enrolled 3 patients into dose level 1.Two patients have completed the entire treatment plan and 1 patient is in the 9-week dose limiting time period. The regimen has been well tolerated with no dose limiting toxicities observed in the first two patients. One patient had a partial response and the other patient has stable disease. Interestingly patient #1 had tumor shrinkage after two cycles of low dose MPDL3280A without the radiation. The trial continues as planned.

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Document Details

Document Type
Technical Report
Publication Date
Oct 29, 2018
Accession Number
AD1094653

Entities

People

  • Arta Monjazeb
  • David Eastham
  • Karen Kelly
  • Magan Daly

Organizations

  • University of California, Davis

Tags

DTIC Thesaurus Topics

  • Biomedical Research
  • California
  • Cancer
  • Cells
  • Clinical Trials
  • Diseases And Disorders
  • Hematologic Diseases
  • Inhibitors
  • Lung Cancer
  • Management Personnel
  • Maryland
  • Medical Personnel
  • Neoplasms
  • Organizational Structure
  • Pain
  • Radiotherapy
  • Thyroid Diseases

Fields of Study

  • Medicine
  • Physics

Readers

  • Nuclear and Radiation Engineering.
  • Oncology