A Multicenter Study of the Efficacy and Safety of Intratumoral Injection of Toluenesulfonamide (PTS) in Combination With or Without First-line Chemoimmunotherapy Based on Standard Treatment for Stage IV Driver Gene-negative Non-small Cell Lung Cancer
试验速览
- 阶段
- 3 期
- 状态
- 招募中
- 发起方
- 入组人数
- 180
- 试验地点
- 1
- 主要终点
- Objective response rate(ORR)
研究概览
简要总结
The aim of this study was to evaluate the efficacy and safety of intratumoral injection of toluenesulfonamide(PTS) in combination with or without first-line chemoimmunization based on standard treatment for stage IV driver gene-negative non-small cell lung cancer.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 75 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Fully understand, be informed about the study and sign the Informed Consent Form (ICF); be willing to follow and be capable of completing all trial procedures;
- •Age ≥18 years and ≤75 years at the time of signing the ICF;
- •Histologically or cytologically confirmed stage IV (AJCC 8th edition) driver gene negative non-small cell lung cancer;
- •At least one measurable target lesion assessed by the investigator according to the requirements of RECIST 1.1 within 4 weeks prior to enrollment, except for lesions proposed for percutaneous PTS local injection;
- •Localized injectable lesions located in a more confined area of the outer lung bands, less than or equal to 5 cm in diameter; these may be primary lesions that are not amenable to surgical resection or localized recurrent lesions after surgical resection and radiotherapy treatment;
- •ECOG PS score of 0 or 1 within 7 days prior to local treatment tolerates PTS intratumoral injections;
- •Patients with localized lesions present and persistently stable (SD evaluated after two courses of treatment) after standard treatment with first-line chemoimmunotherapy;
- •Life expectancy ≥ 3 months;
- •Normal liver, kidney and heart function, normal blood routine, blood biochemistry, coagulation function and electrolytes and other physiological indicators.
排除标准
- •Plans for radiotherapy, surgery, etc. for the lesion after intratumor injection;
- •Have severe cardiopulmonary dysfunction, advanced hepatic or renal insufficiency, malignant cardiac arrhythmia, hypertension, etc;
- •Have severe bleeding, clotting disorders, infections, dehydration, etc;
- •Have blood disorders, autoimmune diseases, cirrhosis of the liver, etc;
- •History of severe emphysema and pulmonary alveoli;
- •History of drug allergy or contraindication to toluene sulfonamide;
- •Women who are pregnant, breastfeeding, or planning to become pregnant during the study period;
- •The investigators determined that the patients had other conditions that made them unsuitable for enrollment.
研究组 & 干预措施
Experimental group
intratumoral injection of toluenesulfonamide (PTS) to oligo lesions
干预措施: Toluenesulfonamide (PTS) Intratumoral Injection (Drug)
结局指标
主要结局
Objective response rate(ORR)
时间窗: 3 years
Proportion of target lesions stabilized after two courses of first-line chemoimmunotherapy standard therapy combined with and without PTS intratumoral injection, with tumor volume reduction to achieve complete remission (CR) and partial remission (PR)
次要结局
- Median progression-free survival(mPFS)(3 years)
- Median overall survival(mOS)(3 years)
研究者
Zhou Chengzhi
chief physician
Guangzhou Institute of Respiratory Disease
