A Prospective, Single-arm Study of Adebrelimab in Combination With Paclitaxel for Injection (Albumin Bound) and Platinum Chemotherapy as Neoadjuvant Therapy in Resectable Non-Small Cell Lung Cancer (NSCLC) Harboring Driver Gene Mutations
Overview
- Phase
- Phase 2
- Intervention
- Adebrelimab
- Conditions
- Non Small Cell Lung Cancer
- Sponsor
- Liaoning Tumor Hospital & Institute
- Enrollment
- 36
- Primary Endpoint
- Pathological complete response rate
- Status
- Not yet recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
This is a prospective, single-arm study to investigate the efficacy and safety of Adebrelimab in combination with paclitaxel for injection (albumin bound) and platinum chemotherapy as neoadjuvant therapy in resectable non-small cell lung cancer harboring driver gene mutations
Investigators
Hongxu Liu
Chief Physician
Liaoning Tumor Hospital & Institute
Eligibility Criteria
Inclusion Criteria
- •Male or female aged ≥18 years.
- •Eastern Cooperative Oncology Group (ECOG) Performance Status of 0-
- •Resectable non-small cell lung cancer harboring driver gene mutations.
- •At least one measurable disease based on Response Evaluation Criteria in Solid Tumors 1.
- •Have adequate organ function.
- •Female subjects of childbearing potential must have a negative urine or serum pregnancy test within 72 hours prior to receiving the first dose of study medication;Females should not be breastfeeding;Female subjects of childbearing potential as well as males sexually active with women of childbearing potential must be willing to use an adequate method of contraception.
- •Voluntarily comply with the treatment protocol.
Exclusion Criteria
- •Previously treated with any anti-tumor therapy;
- •Subject with known autoimmune disease
- •Subject with known history of testing positive for human immunodeficiency virus (HIV) or known to have acquired immunodeficiency syndrome (AIDS), subject has known active hepatitis B or C.
- •Presence of third space effusion that cannot be controlled by drainage or other means (e.g., excessive pleural fluid and ascites).
- •Subject with severe liver and kidney dysfunction.
- •Subjects who need to use corticosteroids (\>10 mg/day prednisone or equivalent dose of similar drugs) or other immunosuppressive therapy for systematic treatment within 14 days before the first administration of the study
- •Subject with previous malignancies within 5 years, except for cured in situ cancer.
- •Subject with previous or current pulmonary fibrosis, interstitial pneumonia, pneumoconiosis, radiation pneumonia, drug-induced pneumonia and severe damage to lung function.
- •Subject with uncontrolled hypertension.
- •Prior organ transplantation including allogenic stem-cell transplantation.
Arms & Interventions
neoadjuvant immuno-chemotherapy
Adebrelimab plus paclitaxel for injection (albumin bound) and platinum chemotherapy
Intervention: Adebrelimab
neoadjuvant immuno-chemotherapy
Adebrelimab plus paclitaxel for injection (albumin bound) and platinum chemotherapy
Intervention: paclitaxel for injection (albumin bound)
neoadjuvant immuno-chemotherapy
Adebrelimab plus paclitaxel for injection (albumin bound) and platinum chemotherapy
Intervention: Cisplatin or Carboplatin
Outcomes
Primary Outcomes
Pathological complete response rate
Time Frame: at 12 months
pCR rate, the proportion of patients achieved pathologic complete response (lung and lymph node without tumor residual assessed by pathology review)
Secondary Outcomes
- R0 rate(12 months)
- Major pathologic response rate(12 months)
- Event Free Survival(up to 5 years)
- Overall Survival(up to 5 years)
- Objective response rate(12 months)
- Adverse Events(up to 5 years)