Surufatinib Combined With Tislelizumab in Advanced Lung Cancer With Neuroendocrine Differentiation

Phase 2
Not yet recruiting
Conditions
Interventions
Registration Number
NCT06414915
Lead Sponsor
National Cancer Center, China
Brief Summary

Currently, there are no standard treatment and relevant exploration for NSCLC patients with NED. The study aims to explore the efficacy and safety of surufatinib combined with tislelizumab in the treatment of NSCLC with NED, in order to provide a new treatment option for NSCLC patients with NED.

Detailed Description

This is a single-arm, open, single-center, prospective and exploratory clinical study. We planned to enroll 29 patients who would receive surufatinib plus tislelizumab until disease progression, intolerance, or withdrawal of consent. The study aims to explore the efficacy and safety of surufatinib combined with tislelizumab in the treatment of NSCLC with NED...

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
29
Inclusion Criteria
  • Histopathologically confirmed locally advanced or metastatic unresectable lung cancer (IIIB-IV) with an abnormal NED or NE phenotype (without neuroendocrine morphologic features and positive immunohistochemical expression of at least one neuroendocrine marker (CD56, CgA, Syn));
  • Have at least one measurable lesion according to RECIST v1.1;
  • ECOG performance status: 0-1;
  • Patients who were deemed by the investigator to be eligible for first-line single-agent immunotherapy or who progressed on first-line standard therapy;
  • Urine protein < ++ . If Urine protein ≥ ++ ,the amount of urine protein in 24 hours ≤1.0g;
  • Expected survival time > 3 months;
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Exclusion Criteria
  • Pulmonary neuroendocrine tumors (typical carcinoid, atypical carcinoid, small cell carcinoma, large cell neuroendocrine carcinoma);
  • Prior anti-VEGF/VEGFR-targeted therapy or anti-PD (L)1 antibody;
  • Have uncontrolled hypertension, defined as systolic blood pressure >150 mmHg or diastolic blood pressure >90 mm Hg, while under anti-hypertension treatment;
  • Patients with active ulcer, intestinal perforation and intestinal obstruction;
  • With active bleeding or bleeding tendency;
  • Severe history of cardiovascular and cerebrovascular diseases;
  • Other malignancies diagnosed within the previous 5 years, except basal cell carcinoma or cervical carcinoma in situ after radical resection.
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Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Surufatinib + tislelizumabSurufatinib-
Surufatinib + tislelizumabTislelizumab-
Primary Outcome Measures
NameTimeMethod
Progression-Free Survival (PFS)approximately 1 years

time from first-dose to the first documented disease progression or death

Secondary Outcome Measures
NameTimeMethod
Objective response rate (ORR)approximately 1 years

the proportion of patients with complete response or partial response, using RESIST v1.1

Disease Control Rate (DCR)approximately 1 years

the proportion of patients with complete response, partial response or stable disease, using RESIST v1.1

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