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Clinical Trials/NCT05603013
NCT05603013
Not yet recruiting
Phase 2

Vinorelbine Metronomic Chemotherapy Combined With Hypofractionated Radiotherapy, PD-1/PD-L1 Inhibitor Sequential GM-CSF and IL-2 for Treatment of Advanced Refractory Non-small Cell Lung Cancer and Breast Cancer (PRaG 6.0)

Second Affiliated Hospital of Soochow University1 site in 1 country45 target enrollmentOctober 30, 2022

Overview

Phase
Phase 2
Intervention
Vinorelbine
Conditions
Carcinoma, Non-Small-Cell Lung
Sponsor
Second Affiliated Hospital of Soochow University
Enrollment
45
Locations
1
Primary Endpoint
Objective Response Rate #ORR#
Status
Not yet recruiting
Last Updated
3 years ago

Overview

Brief Summary

This is an open-label, single-arm, Phase II investigator-initiated trial of vinorelbine metronomic chemotherapy combined with hypofractionated radiotherapy, PD-1/PD-L1 inhibitor sequential GM-CSF and IL-2 for treatment of advanced refractory non-small cell lung cancer and breast cancer.

Registry
clinicaltrials.gov
Start Date
October 30, 2022
End Date
October 17, 2024
Last Updated
3 years ago
Study Type
Interventional
Study Design
Single Group
Sex
All

Investigators

Sponsor
Second Affiliated Hospital of Soochow University
Responsible Party
Sponsor

Eligibility Criteria

Inclusion Criteria

  • Aged 18 years and above;
  • Diagnosed with histologically or cytologically-confirmed, standard treatment is ineffective (disease progresses after treatment) or locally advanced or metastatic malignant non-small cell lung cancer and breast cancer patients who cannot tolerate standard therapy, cannot receive or do not have standard therapy;
  • ECOG(Eastern Cooperative Oncology Group) performance is 0-3;
  • Life expectancy greater than 3 months;
  • T lymphocyte absolute value ≥0.5 upper limit of normal (ULN), absolute neutrophil count(ANC)≥1.0 x 10(9)/L#serum aspartate transaminase (AST) and serum alanine transaminase (ALT) ≤3.0\*ULN, or AST and ALT≤5\*ULN with hepatic metastasis; Total serum creatinine ≤1.5\*ULN#
  • Signed informed consent form# -

Exclusion Criteria

  • Current pregnancy or lactation#
  • History of other malignant tumors within 5 years prior to dose administration, expect for#malignancies that can be cured after treatment (including but not limited to adequately treated thyroid cancer, cervical carcinoma in situ, basal or squamous cell skin cancer);
  • Uncontrolled epilepsy, central nervous system diseases or mental illness;
  • Currently active clinically significant cardiovascular disease such as uncontrolled arrhythmia, congestive heart failure, or greater than or equal to Class 2 congestive heart failure as defined by the New York Heart Association Functional Classification, or history of myocardial infarction unstable angina, or acute coronary syndrome within 6 months prior to enrollment in the study;
  • Received allogeneic hematopoietic stem cell transplantation or solid organ transplantation;
  • Other serious, uncontrolled concomitant diseases that may affect protocol compliance or interpretation of outcomes, including active opportunistic infections or advanced (severe) infections, uncontrolled diabetes;
  • Allergic to any of the ingredients used in the study;
  • A history of immunodeficiency, including HIV positive or other acquired or congenital immunodeficiency disease, or a history of organ transplantation, or other immune-related disease requiring long-term oral hormone therapy;
  • Acute and chronic tuberculosis infection;
  • Other disorders with clinical significance according to the researcher's judgment.

Arms & Interventions

Vinorelbine Combined With Radiotherapy, PD-1/PD-L1 Sequential GM-CSF and IL-2

Vinorelbine Metronomic Chemotherapy Combined With Hypofractionated Radiotherapy, PD-1/PD-L1 Sequential GM-CSF and IL-2

Intervention: Vinorelbine

Vinorelbine Combined With Radiotherapy, PD-1/PD-L1 Sequential GM-CSF and IL-2

Vinorelbine Metronomic Chemotherapy Combined With Hypofractionated Radiotherapy, PD-1/PD-L1 Sequential GM-CSF and IL-2

Intervention: Radiotherapy

Vinorelbine Combined With Radiotherapy, PD-1/PD-L1 Sequential GM-CSF and IL-2

Vinorelbine Metronomic Chemotherapy Combined With Hypofractionated Radiotherapy, PD-1/PD-L1 Sequential GM-CSF and IL-2

Intervention: PD-1/PD-L1 inhibitor

Vinorelbine Combined With Radiotherapy, PD-1/PD-L1 Sequential GM-CSF and IL-2

Vinorelbine Metronomic Chemotherapy Combined With Hypofractionated Radiotherapy, PD-1/PD-L1 Sequential GM-CSF and IL-2

Intervention: GM-CSF

Vinorelbine Combined With Radiotherapy, PD-1/PD-L1 Sequential GM-CSF and IL-2

Vinorelbine Metronomic Chemotherapy Combined With Hypofractionated Radiotherapy, PD-1/PD-L1 Sequential GM-CSF and IL-2

Intervention: IL-2

Outcomes

Primary Outcomes

Objective Response Rate #ORR#

Time Frame: 24 months

Objective Response Rate was defined as the percentage of participants with a complete response (CR) or partial response (PR).

Secondary Outcomes

  • Progression-free Survival (PFS)(24 months)
  • Disease control rate (DCR)(24 months)
  • Adverse event(24 months)
  • Overall survival (OS)(24 months)

Study Sites (1)

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