Application of Surface-enhanced Raman Scatting (SERS) Technology in Clinical Diagnosis and Prognosis of Lung Cancer Immunotherapy
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 500
- 主要终点
- ORR
研究概览
简要总结
The aim of this study is to explore the application of surface-enhanced Raman scattering (SERS) technology and specific PD-L1 detection fluorescent probes in the clinical diagnosis and prognosis of lung cancer immunotherapy, and further promote the rapid diagnosis of lung cancer and the precision of tumor immunotherapy.
详细描述
The aim of this study is to explore the application of surface-enhanced Raman scattering (SERS) system in the diagnosis of benign and malignant lung cancer biopsy, and to promote the rapid diagnosis of lung cancer. In addition, the correlation between tumor PH value, PD-L1 expression detected by fluorescent probes and the efficacy and prognosis of immunotherapy was explored. Based on this, the immunotherapy efficacy and prognosis prediction models based on patients' clinical information, PD-L1 expression by immunohistochemistry, PD-L1 expression by fluorescent probes and PH value detected by SERS were constructed to promote the precision of tumor immunotherapy.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Prospective
入排标准
- 年龄范围
- 19 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Voluntary participation in clinical research; Fully understand and informed the study and sign the informed consent form (ICF); Be willing to follow and be able to complete all trial procedures.
- •Male or female aged 18-75 years or more when signing ICF.
- •Fiberoptic bronchoscopy or percutaneous lung biopsy was performed.
- •Lung cancer cannot be surgically resected.
- •At least one measurable target lesion assessed by IRRC according to RECIST 1.
- •Patients must provide eligible tumor tissue for PD-L1 expression and PH measurement.
- •(7) Related laboratory tests suggested that chemotherapy and immunotherapy could be tolerated.
排除标准
- •NSCLC patients with unclear diagnosis;
- •Patients with contraindications to chemotherapy or immunotherapy.
- •Contraindication of lung biopsy.
- •Other active malignant tumors within the past year or at the same time.
- •The patient had a known history of psychotropic drug abuse or drug use; She had a history of alcohol abuse.
- •According to the investigator's judgment, the patient had other factors that may lead to early termination of the study.
结局指标
主要结局
ORR
时间窗: The proportion of patients who achieved a 30%(usual) reduction in tumor volume while maintaining the minimum required duration was calculated at month 24 of the study
Refers to the proportion of subjects whose tumors shrink by a certain amount and remain for a certain period of time, including those with CR+PR.
PFS
时间窗: From date of diagnosis until the date of first documented progression from any cause, whichever came first, assessed up to 24 months
The time between the initiation of randomization and the occurrence (any aspect) of tumor progression or death (from any cause).
OS
时间窗: From date of diagnosis until the date of death from any cause, whichever came first, assessed up to 24 months
Time from randomization to death (from any cause).
DOR
时间窗: The time from first diagnosis of CR or PR to diagnosis of PD was calculated at 24 months of study.
Is the time from the first documented response (CR or PR) to the first documented disease progression or death, whichever occurs first.
次要结局
未报告次要终点
研究者
Yayi He
Principal Investigator
Shanghai Pulmonary Hospital, Shanghai, China