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临床试验/KCT0009012
KCT0009012尚未招募Unknown

A multicenter, open label, randomized controlled clinical trial to evaluate the efficacy and safety of combination therapy with Bojungikki-tang and pembrolizumab monotherapy in patients with advanced non-small cell lung cancer

Koera University Guro Hospital0 个研究点目标入组 70 人开始时间: 待定最近更新:
适应症

试验速览

阶段
Unknown
状态
尚未招募
发起方
入组人数
70

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
19(Year) 至 o Limit(—)
性别
All

入选标准

  • 1) Patients who voluntarily decided to participate and provided written consent, after listening and understanding the detailed explanation about the clinical trial
  • 2) Adult male or female aged 19 years or older
  • 3) Patients with histologically or cytologically confirmed advanced (stage IV) non-small cell lung cancer [according to TNM 8th edition]
  • In case of recurrence, only extra-thoracic metastasis is allowed.
  • 4) Patients planned for immune checkpoint inhibitor (Pembrolizumab) monotherapy as first-line treatment
  • (Patients with PD-L1 tumor proportion score(TPS) = 50% and no EGFR or ALK genomic tumor aberrations)
  • 5) Life expectancy = 3 months
  • 6) ECOG (Eastern Cooperative Oncology Group) Performance Status score of 0~2
  • 7) Patients with at least 1 measurable lesion as defined in RECIST V1.1
  • 8) Patients with adequate bone marrow reserve or organ function as follows:
  • ? Hemoglobin = 9.0 g/dL
  • ? Absolute neutrophil count (ANC) = 1,500/?
  • ? Platelet count =100× 10^3/?
  • ? Serum creatinine = 1.5x ULN or creatinine clearance = 45 ml/min (measured using standard methods at the study site)
  • ? ALT and AST = 2.5× ULN
  • Patients with liver metastasis: ALT and AST = 5× ULN
  • ? Total bilirubin = 1.5× ULN
  • Patients with liver metastasis or known Gilbert syndrome(unconjugated hyperbilirubinemia): Total bilirubin = 3×

排除标准

  • 1) Active brain metastases accompanied by clinically significant neurological symptoms or signs
  • 2) Patients who diagnosed with another primary malignancy that affect non-small cell lung cancer in the last 5 years
  • However, effectively treated non-melanoma skin cancer, carcinoma in situ of cervix, ductal carcinoma in situ of breast, thyroid cancer, or malignancies which were remained in remission during more than 3 years after being treated effectively and considered cured are permitted.
  • 3) Patients who treated with immune checkpoint inhibitor or anti-CTLA-4 within the last 6 weeks or systemic immunosuppressive medications within the last 2 weeks
  • However, low-dose corticosteroids (prednisone = 10 mg/day or an equivalent dose of corticosteroid within 7 consecutive days) are permitted at the investigator's discretion.
  • 4) Patients receiving thiazide or loop diuretics
  • 5) Hypokalemia (less than 3.0 mEq/L)
  • 6) Active interstitial lung disease requiring oral or intravenous steroid treatment
  • 7) Patients with autoimmune disease requiring systemic treatment at the time of enrollment
  • 8) Uncontrolled diabetes mellitus at the time of enrollment
  • (Uncontrolled with insulin and oral medications, HbA1c = 8.0% or fasting blood sugar = 200 mg/dL)
  • 9) Patients with uncontrolled hypertension at the time of enrollment (systolic pressure > 150 mmHg or diastolic pressure >100 mmHg) despite use of antihypertensive agent
  • 10) Patients with uncontrolled heart disease (severe heart failure, unstable angina, uncontrolled arrhythmia, or history of life-threatening arrhythmia, etc.)
  • 11) Patients with hereditary problems such as galactose intolerance, Lapp lactase deficiency or glucose-galactose malabsorption, etc.
  • 12) Patient with known active or uncontrolled HIV, tuberculosis, hepatitis B, or hepatitis C infection
  • 13) Pregnant or lactating women
  • 14) Patients who do not agree to use effective contraception during treatment period and for at least 5 months after the end of IP administration
  • 15) Patients who received herbal medicine within 4 weeks before the first administration of IP (Bojungikgitang) and been decided that such intake affect the trial or safety of the subject at the investigator's discretion
  • 16) Patients who received other investigational drugs within 30 days before the first administration of IP (Bojungikgitang)
  • 17) Severe hypersensitivity to IP and its components (rash, redness, hives, eczema, dermatitis, itching, etc.)
  • 18) Patients who are not eligible for the trial at the discretion of the investigator including severe infectious diseases or organ failure, etc.

研究者

发起方
Koera University Guro Hospital

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