An Exploratory Clinical Study of Adebrelimab in Combination With Famitinib and Chemotherapy for the Treatment of First-line Extensive Stage Small Cell Lung Cancer
Overview
- Phase
- Phase 2
- Intervention
- adebrelimab
- Conditions
- Extensive-stage Small-cell Lung Cancer
- Sponsor
- Harbin Medical University
- Enrollment
- 40
- Primary Endpoint
- 6-month progression-free survival
- Status
- Not yet recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
This is a single arm, multi-center, phase II trial to evaluate the efficacy, and safety of adebrelimab combined with famitinib and chemotherapy for the treatment of first-line extensive stage small cell lung cancer.
Detailed Description
This study plans to recruit 40 patients with extensive-stage small cell lung disease who have not received treatment, observe and evaluate the effectiveness and safety of adebrelimab combined with famitinib and chemotherapy.
Investigators
Yanbin Zhao
MD
Harbin Medical University
Eligibility Criteria
Inclusion Criteria
- •Age: 18-80 years old, male or female
- •Patients with pathologically confirmed extensive stage small cell lung cancer (according to the Veterans Administration Lung Study Group, VALG staging)
- •Never received prior systemic therapy for extensive stage small cell lung cancer
- •Have a measurable tumour target lesion (meeting RECIST 1.1 criteria)
- •Expected survival \> 3 months
- •ECOG PS: 0-1 points
- •Normal function of major organs
- •Women of childbearing potential must undergo a negative pregnancy test (βHCG) prior to initiation of treatment, and women of childbearing potential and men (who are sexually active with women of childbearing potential) must agree to use effective contraception uninterruptedly for the duration of the treatment period and for 6 months after the administration of the last therapeutic dose
- •Patients voluntarily enrolled in this study by signing an informed consent form
Exclusion Criteria
- •Previous or concurrent other malignant tumours within 5 years, except cured basal cell carcinoma of the skin, carcinoma in situ of the cervix, superficial or non-invasive bladder cancer
- •Active tuberculosis infection, or a history of previous tuberculosis infection
- •Uncontrolled, symptomatic brain metastases that are not effectively controlled or a history of psychiatric illness that cannot be easily controlled or severe intellectual or cognitive dysfunction
- •Subjects with active, known or suspected autoimmune disease, hypothyroidism requiring only hormone replacement therapy, skin disorders not requiring systemic therapy (e.g., vitiligo, psoriasis, or alopecia areata) may be eligible for enrolment
- •Uncontrollable pleural effusion, pericardial effusion or ascites requiring repeated drainage
- •Subjects with the presence of any severe and/or uncontrolled disease
- •Imaging showing tumour invasion of large vessels or poor demarcation from large vessels
- •Susceptibility to bleeding, risk of hemoptysis, and history of significant coagulation disorders
- •History of psychotropic substance abuse, alcoholism or drug addiction
- •Active hepatitis (Hepatitis B reference: HBsAg positive with HBV DNA test value exceeding the upper limit of normal value Hepatitis C reference HCV antibody positive with HCV viral titre test value exceeding the upper limit of normal value)
Arms & Interventions
Immuno-cherapy for extensive small cell lung cancer
Adebrelimab in combination with famitinib and chemotherapy
Intervention: adebrelimab
Immuno-cherapy for extensive small cell lung cancer
Adebrelimab in combination with famitinib and chemotherapy
Intervention: famitinib
Immuno-cherapy for extensive small cell lung cancer
Adebrelimab in combination with famitinib and chemotherapy
Intervention: chemotherapy
Outcomes
Primary Outcomes
6-month progression-free survival
Time Frame: up to 6 months
Proportion of disease progression or death from randomization to 6 months of treatment.
Secondary Outcomes
- 12-month progression-free survival(up to 12 months)
- Objective Response Rate(up to 24 months)
- Disease control rate(up to 24 months)
- Overall Survival(up to 24 months)
- AEs(up to 24 months)
- QoL(up to 24 months)
- Progression-Free-Survival(up to 24 months)