Hydroxocobalamin

Clinical trials investigating Hydroxocobalamin are studying its use in people with advanced non-small cell lung cancer, especially KRAS p.G12C positive and PD-L1 negative disease. These studies mainly compare treatment strategies and measure how well they work and how long patients live without the cancer getting worse.

Table of contents

Trial overview

The clinical trial listed for Hydroxocobalamin is NCT05920356, a Phase 3 interventional study in advanced non-small cell lung cancer.[1] The study title shows that it is testing front-line treatment strategies in people with PD-L1 negative, KRAS p.G12C positive disease.[1]

This trial is authorised and is designed to compare two treatment approaches in a larger group of patients.[1] The study uses randomization, which means participants are assigned to a treatment group by chance.[1]

Who can join the study

The study is for subjects with stage IV or advanced stage IIIB/C nonsquamous non-small cell lung cancer.[1] It also requires the cancer to be PD-L1 negative and KRAS p.G12C positive.[1]

In simple terms, this means the trial is focused on a specific lung cancer group with a particular gene change and a specific test result for PD-L1.[1] These details help researchers study whether one treatment plan works better than another in this exact population.[1]

Treatments being compared

The trial compares sotorasib with chemotherapy against pembrolizumab with chemotherapy.[1] The listed interventions also include carboplatin, pemetrexed, folic acid, dexamethasone, and Hydroxocobalamin as part of the treatment plan.[1]

This is not a study of Hydroxocobalamin alone.[1] Instead, Hydroxocobalamin appears in the treatment list within a broader lung cancer trial that compares two main strategies.[1]

What the study measures

The main outcome is progression-free survival (PFS).[1] PFS means the length of time from randomization until the cancer gets worse or the patient dies, whichever happens first.[1]

The study uses an independent review based on RECIST v1.1, which is a set of rules for measuring whether cancer has grown or shrunk on scans.[1] The reviewers do not know which treatment the participant received, which helps make the assessment fairer.[1]

The study also compares overall survival (OS).[1] OS means how long participants live during the study after starting treatment.[1]

Study size and status

The planned enrollment is 721 participants.[1] This means the researchers expect to include 721 people in the trial.[1]

The trial status is listed as authorised.[1] The study type is interventional, meaning the research team gives treatment and measures the results.[1]

What this means for patients

For patients, this trial is mainly about finding out which treatment approach gives better control of advanced lung cancer.[1] The focus is on people with a very specific tumor type and genetic profile, so the results may apply most directly to that group.[1]

Because the study measures both time without cancer growth and how long patients live, it is looking at both disease control and survival.[1] The trial does not provide a general description of Hydroxocobalamin itself; it only shows that Hydroxocobalamin is part of the treatment list in this lung cancer study.[1]

Trial ID Phase Condition studied Status Enrollment
NCT05920356 Phase 3 Stage IV or advanced stage IIIB/C nonsquamous non-small cell lung cancer, PD-L1 negative, KRAS p.G12C positive Authorised 721

Sperimentazioni cliniche in corso su Hydroxocobalamin

  • Studio sull’efficacia di sotorasib e chemioterapia rispetto a pembrolizumab e chemioterapia in pazienti con tumore al polmone non a piccole cellule in stadio avanzato con mutazione KRAS G12C

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Glossario

  • Clinical trial: A research study in people that tests a medical treatment or compares treatment plans.
  • Interventional study: A study where researchers give a treatment and then measure what happens.
  • Phase 3: A later stage of research with more participants, used to compare treatments and measure benefit.
  • Non-small cell lung cancer (NSCLC): A common type of lung cancer. The trial focuses on the nonsquamous form.
  • Advanced disease: Cancer that has spread or is at a later stage and is harder to treat.
  • Stage IV: A very advanced cancer stage, meaning the disease has spread to other parts of the body.
  • Stage IIIB/C: An advanced stage of lung cancer that is still considered locally advanced.
  • PD-L1 negative: A test result showing the cancer does not have PD-L1, a marker used in some treatment decisions.
  • KRAS p.G12C positive: A cancer test result showing a specific KRAS gene change called p.G12C.
  • Progression-free survival (PFS): The time from randomization until the cancer gets worse or the patient dies.
  • Overall survival (OS): The length of time a patient lives after starting the study treatment.
  • Randomization: A process that assigns participants to a treatment group by chance.

Riferimenti

  1. https://studi-clinici.it/studio/studio-sull-efficacia-di-sotorasib-e-combinazione-di-platino-rispetto-a-pembrolizumab-e-combinazione-di-platino-in-pazienti-con-tumore-al-polmone-non-a-piccole-cellule-avanzato-e-mutazione-kras-g12c/