The Efficacy and Safety of Drug Loaded Microsphere Bronchial Artery Chemoembolization (DEB-BACE) Combined With Anlotinib and Adebelimumab in the Third Line Treatment of Advanced NSCLC: a Prospective, Single Arm, Single Center, Exploratory Clinical Study
Overview
- Phase
- Not Applicable
- Intervention
- Anlotinib
- Conditions
- Non-Small Cell Lung Cancer
- Sponsor
- Ningbo Medical Center Lihuili Hospital
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- ORR
- Status
- Recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
The goal of this clinical trial is to learn about Drug loaded microspheres for bronchial artery chemoembolization (DEB-BACE) combined with anlotinib and adebelimumab in patients with advanced NSCLC after second-line treatment.
The main question it aims to answer is:
The efficacy and safety of Drug Loading Beads Bronchial Arterial Chemoembolization (DEB-BACE) combined with Anlotinib and Adebelimumab in the third line treatment of advanced NSCLC.
Participants will receive DEB-BACE treatment, rest for 1 week and then undergo 1 cycle of treatment with combination of Anlotinib and Adebelimumab. With a maximum of 4 DEB-BACE treatments depending on the therapeutic effect, followed by continued treatment with Anlotinib and Adebelimumab.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Age\>18 years old, gender unlimited;
- •According to the Diagnosis and Treatment Guidelines for Primary Lung Cancer (2018 Edition), NSCLC was diagnosed by pathological histology;
- •TNM staging is III - IV;
- •Failure of second-line treatment according to the CSCO guidelines;
- •ECOG PS score ≤ 2 points;
- •Estimated survival time\>3 months;
- •Sign informed consent form
Exclusion Criteria
- •Individuals who have previously received interventional therapy (iodine particle implantation, ablation, BACE treatment), or have received PD-L1 inhibitor immunotherapy during the first or second line standard treatment period of the patient;
- •Patients with other malignant tumors that have not been cured;
- •White blood cells\<3 × 109/L, absolute value of neutrophils\<1.5 × 109/L, neutrophil/lymphocyte ratio ≥ 3, platelet count\<50 × 109/L, hemoglobin concentration\<90 g/L;
- •Liver and kidney dysfunction (creatinine\>176.8) μ Mol/L; Aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT)\>twice the normal upper limit;
- •Central squamous cell carcinoma with cavity features;
- •Incorrectable coagulation dysfunction or concomitant active massive hemoptysis;
- •Patients with concurrent active infections who require antibiotic treatment;
- •Uncontrollable hypertension, diabetes, and cardiovascular diseases with obvious symptoms;
- •Contrast agent allergy;
- •Women with concurrent pregnancy or lactation
Arms & Interventions
experimental group
Intervention: Anlotinib
Outcomes
Primary Outcomes
ORR
Time Frame: 1 year
objective response rate
Secondary Outcomes
- AE(3 years)
- OS(3 years)
- DoR(3 years)
- PFS(2 years)
- DCR(3 years)