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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/study/NCT03447769




Registration number
NCT03447769
Ethics application status
Date submitted
19/02/2018
Date registered
27/02/2018
Date last updated
9/10/2024

Titles & IDs
Public title
Brief Title: Study of Efficacy and Safety of Canakinumab as Adjuvant Therapy in Adult Subjects With Stages AJCC/UICC v. 8 II-IIIA and IIIB (T>5cm N2) Completely Resected Non-small Cell Lung Cancer Acronym: CANOPY-A
Scientific title
A Phase III, Multicenter, Randomized, Double Blind, Placebo-controlled Study Evaluating the Efficacy and Safety of Canakinumab Versus Placebo as Adjuvant Therapy in Adult Subjects With Stages AJCC/UICC v. 8 II -IIIA and IIIB (T>5cm N2) Completely Resected (R0) Non-small Cell Lung Cancer (NSCLC)
Secondary ID [1] 0 0
2017-004011-39
Secondary ID [2] 0 0
CACZ885T2301
Universal Trial Number (UTN)
Trial acronym
Canopy-A
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Non-Small Cell Lung Cancer 0 0
Condition category
Condition code
Cancer 0 0 0 0
Lung - Mesothelioma
Cancer 0 0 0 0
Lung - Non small cell
Cancer 0 0 0 0
Lung - Small cell

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - Canakinumab
Treatment: Drugs - Placebo

Experimental: canakinumab - Participants received 200mg of canakinumab subcutaneously every 3 weeks for up to 18 cycles (approximately 54 weeks)

Placebo comparator: Placebo - Participants received canakinumab placebo subcutaneously every 3 weeks for up to 18 cycles (approximately 54 weeks)


Treatment: Drugs: Canakinumab
200 mg of canakinumab administered subcutaneously on day 1 of every 21-day cycle for 18 cycles. Canakinumab solution for injection was provided by Novartis as ready-to-use pre-filled syringes to be administered by study personnel.

Treatment: Drugs: Placebo
Placebo administered subcutaneously on day 1 of every 21-day cycle for 18 cycles. Placebo solution for injection was provided by Novartis as ready-to-use pre-filled syringes to be administered by study personnel.

Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Disease Free Survival (DFS) by Local Investigator
Timepoint [1] 0 0
Up to approximately 4 years
Secondary outcome [1] 0 0
Overall Survival (OS)
Timepoint [1] 0 0
Up to approximately 4.3 years
Secondary outcome [2] 0 0
Overall Survival (OS) in PD-L1 Subgroups
Timepoint [2] 0 0
Up to approximately 4.3 years
Secondary outcome [3] 0 0
Overall Survival (OS) in CD8 Subgroups
Timepoint [3] 0 0
up to approximately 4.3 years
Secondary outcome [4] 0 0
Lung Cancer Specific Survival (LCSS)
Timepoint [4] 0 0
Up to approximately 4.3 years
Secondary outcome [5] 0 0
Disease Free Survival (DFS) by Local Investigator in PD-L1 Subgroups
Timepoint [5] 0 0
Up to approximately 4 years
Secondary outcome [6] 0 0
Disease Free Survival (DFS) by Local Investigator in CD8 Subgroups
Timepoint [6] 0 0
Up to approximately 4 years
Secondary outcome [7] 0 0
Canakinumab Serum Concentrations
Timepoint [7] 0 0
Cycle 1 on day 1 (pre-dose), day 8 and 15; Cycle 2, 4, 6, 9 and 12 on day 1 (pre-dose). Cycle=21 days
Secondary outcome [8] 0 0
Canakinumab Anti-drug Antibody (ADA) Prevalence at Baseline
Timepoint [8] 0 0
Baseline
Secondary outcome [9] 0 0
Canakinumab ADA Incidence
Timepoint [9] 0 0
From baseline up to 130 days after end of treatment, assessed up to approx. 1.5 years
Secondary outcome [10] 0 0
Time to Definitive 10 Point Deterioration Symptom Scores of Pain,Cough and Dyspnea Per European Organization for Research and Treatment of Cancer Quality of Life (EORTC QLQ)- Lung Cancer (LC) 13 Questionnaire
Timepoint [10] 0 0
From baseline up to approximately 4 years
Secondary outcome [11] 0 0
Time to Definitive 10 Point Deterioration of Global Health Status/Quality of Life (QoL), Shortness of Breath and Pain Per EORTC QLQ-C30 Questionnaire
Timepoint [11] 0 0
From baseline up to approximately 4 years
Secondary outcome [12] 0 0
Time to First 10 Point Deterioration for Symptom Scores of Pain, Cough and Dyspnea Per EORTC QLQ-LC13 Questionnaire
Timepoint [12] 0 0
From baseline up to approximately 4 years
Secondary outcome [13] 0 0
Time to First 10 Point Deterioration of Global Health Status/QoL, Shortness of Breath and Pain Per EORTC QLQ-C30 Questionnaire
Timepoint [13] 0 0
From baseline up to approximately 4 years
Secondary outcome [14] 0 0
Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)
Timepoint [14] 0 0
Baseline, every 3 weeks for 14 months; end of treatment; every 4 weeks up to 130 days post-treatment; at 18,24,30,36 and 48 months post-randomization (if no recurrence); 7 and 28 days post-disease progression, up to approx. 4 years.

Eligibility
Key inclusion criteria
Key

* Had completely resected (R0) NSCLC AJCC/UICC v. 8 stage IIA-IIIA and IIIB (N2 disease only) OR had NSCLC Stage IIA-IIIA, IIIB (N2 disease only) and were candidates for complete resection surgery.
* Cisplatin-based chemotherapy was mandatory for all subjects (Exception: In subjects with stage IIA disease with no nodal involvement, cisplatin-based chemotherapy could be administered if recommended by the treating physician). When required, a minimum of two cycles of cisplatin-based chemotherapy was mandatory, after which additional therapies could be given based upon local clinical practice and/or guidelines. Typically, chemotherapy was initiated within 60 days of surgery.
* Radiation therapy was allowed if indicated as per local guidelines or practice.
* Had recovered from all toxicities related to prior systemic therapy to grade = 1 (CTCAE v 5.0). Exception to this criterion: subjects with any grade of alopecia and grade 2 or less neuropathy were allowed to enter the study
* Had ECOG performance status (PS) of 0 or 1

Key
Minimum age
18 Years
Maximum age
No limit
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
* Had unresectable or metastatic disease, positive microscopic margins on the pathology report, and/or gross disease remaining at the time of surgery
* Had received any neoadjuvant therapy
* Had presence or history of a malignant disease, other than the resected NSCLC, that had been diagnosed and/or required therapy within the past 3 years Exceptions to this exclusion included the following: completely resected basal cell and squamous cell skin cancers, completely resected carcinoma in situ of any type and hormonal maintenance for breast and prostate cancer > 3 years.
* Had a history of current diagnosis of cardiac disease
* Had uncontrolled diabetes
* Had known active or recurrent hepatic disorder including cirrhosis, hepatitis B and C (positive or indeterminate central laboratory results)
* Subjects had to be evaluated for tuberculosis as per local treatment guidelines or clinical practice. Subjects with active tuberculosis were not eligible.
* Had suspected or proven immunocompromised state as described in the protocol
* Had live and attenuated vaccination within 3 months prior to first dose of study drug (e.g. MMR, Yellow Fever, Rotavirus, Smallpox, etc.).

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Blinded (masking used)
Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
Intervention assignment
Parallel
Other design features
Phase
Phase 3
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Stopped early
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
Accrual to date
Final
Recruitment in Australia
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Turkey
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Istanbul
Country [208] 0 0
Turkey
State/province [208] 0 0
Izmir
Country [209] 0 0
Turkey
State/province [209] 0 0
Pendik Istanbul
Country [210] 0 0
United Kingdom
State/province [210] 0 0
Cambrigdeshire
Country [211] 0 0
United Kingdom
State/province [211] 0 0
Cornwall
Country [212] 0 0
United Kingdom
State/province [212] 0 0
Gloucestershire
Country [213] 0 0
United Kingdom
State/province [213] 0 0
Merseyside
Country [214] 0 0
United Kingdom
State/province [214] 0 0
Suffolk
Country [215] 0 0
United Kingdom
State/province [215] 0 0
Surrey
Country [216] 0 0
United Kingdom
State/province [216] 0 0
Birmingham
Country [217] 0 0
United Kingdom
State/province [217] 0 0
Bristol
Country [218] 0 0
United Kingdom
State/province [218] 0 0
Leicester
Country [219] 0 0
United Kingdom
State/province [219] 0 0
London
Country [220] 0 0
United Kingdom
State/province [220] 0 0
Nottingham
Country [221] 0 0
United Kingdom
State/province [221] 0 0
Oxford
Country [222] 0 0
United Kingdom
State/province [222] 0 0
Preston
Country [223] 0 0
United Kingdom
State/province [223] 0 0
Stoke-on-Trent
Country [224] 0 0
Vietnam
State/province [224] 0 0
Hanoi

Funding & Sponsors
Primary sponsor type
Commercial sector/industry
Name
Novartis Pharmaceuticals
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
The primary purpose of the study was to compare the efficacy and safety of canakinumab versus placebo as adjuvant therapy in adult subjects with stages II -IIIA according to the 8th edition of the American Joint Committee on Cancer (AJCC)/Union for International Cancer Control (UICC) and the subset of IIIB (T\>5cm N2 disease) completely resected (R0) non-small cell lung cancer (NSCLC).
Trial website
https://clinicaltrials.gov/study/NCT03447769
Trial related presentations / publications
Public notes
This record is viewable in the ANZCTR as it had previously listed Australia and/or New Zealand as a recruitment site, however these sites have since been removed

Contacts
Principal investigator
Name 0 0
Novartis Pharmaceuticals
Address 0 0
Novartis Pharmaceuticals
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries



Summary Results

For IPD and results data, please see https://clinicaltrials.gov/study/NCT03447769