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A Trial of SHR1701 Combined With Radiotherapy for Metastatic Non-small Cell Lung Cancer Failure After First-line Treatment

Phase 2
Conditions
Non-Small-Cell Lung Cancer
Interventions
Registration Number
NCT04560244
Lead Sponsor
Shandong Cancer Hospital and Institute
Brief Summary

This study is a single center, single arm, open study design. The main purpose of this study is to evaluate the tolerance and efficacy of SHR1701 with synchronous radiotherapy in patients with metastatic non-small cell lung cancer who have failed after systematic treatment. Large fraction radiotherapy is given to all lesions as much as possible, and low-dose radiotherapy is given to the lesions that cannot be tolerated or have no obvious benefit.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
15
Inclusion Criteria
  • Subjects voluntarily participate in this study and sign informed consent.
  • NSCLC in stage IV.
  • No clear driven genes (including but not limited to EGFR、ALK、ROS1、cMET).
  • Previously received more than 1 chemotherapy regimen and progressed/ recurred.
  • At least one lesion is suitable for hypofraction radiotherapy.
  • There is at least one measurable lesion.
  • 18 to 75 years old
  • ECOG 0-1
  • The function of vital organs meets the following requirements. ANC ≥ 1.5×10^9/L, PLT≥100×10^9/L, Hb≥9g/dL, ALB≥3g/dL, TSH ≤ULN, Bilirubin ≤ 1 times ULN; ALT and AST ≤1.5 times ULN. AKP ≤ 2.5 times ULN. CREA ≤1.5 times ULN or CCr≥60mL/min#
  • The estimated survival period is more than 3 months.
  • Female Subjects of childbearing potential must have a negative serum pregnancy test within 72 hours before the first dose and must be willing to use very efficient barrier methods of contraception for the course of the study through 3 months after the last dose of study treatment
Exclusion Criteria

The subjects had any history of autoimmune disease or active autoimmune disease.

  • Subjects are using immunosuppressive agents, or systemic, or absorptive, local hormone therapy to achieve immunosuppression.It is still in use within 2 weeks of the entry.
  • Subjects with severe allergic reactions to other monoclonal antibodies.
  • The subjects had a central nervous system metastases of clinical symptoms.
  • Central squamous cell lung carcinoma.
  • Imaging (CT or MRI) shows that tumors invade large blood vessels or are indistinct with blood vessels.
  • Imaging (CT or MRI) showed significant pulmonary vacuity or necrotic tumors,Borderline adenocarcinoma accompanied by a cavity can be considered after discussion with investigator.
  • Failing to properly control the clinical symptoms or disease of the heart.
  • Subjects had active infections.
  • Subjects may receive other systemic antitumor therapy during the study period.
  • Other clinical trials of drugs were used in the first four weeks of the first medication.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
SHR 1701+radiotherapySHR1701SHR-1701 Simultaneously Combined with High Fractionation and Low-dose Radiotherapy
Primary Outcome Measures
NameTimeMethod
Number of participants experiencing adverse event (AE)From the first administration of shr-1701 to 90 days after the last Administration
Number of participants experiencing serious adverse event (SAE)From the first administration of shr-1701 to 90 days after the last Administration
Secondary Outcome Measures
NameTimeMethod
progression-free survival (PFS)Up to approximately 24 months
Objective Response Rate (ORR)Up to approximately 24 months
Disease control rate (DCR)Up to approximately 24 months
Overall survival (OS)Up to approximately 24 months

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