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Chemotherapy With or Without Immune Checkpoint Inhibitors for Lung Cancer

Recruiting
Conditions
Non Small Cell Lung Cancer
Interventions
Drug: Immune checkpoint inhibitor
Registration Number
NCT05059951
Lead Sponsor
Hunan Province Tumor Hospital
Brief Summary

Although several clinical trials provide evidence for efficacy benefit for Checkpoint Inhibitors plus chemotherapy for lung cancer. However, there was rare evidence for clinical evidence in Hunan province.

Detailed Description

This prospective study aimed to assess its efficacy and adverse event for Checkpoint Inhibitors with or without chemotherapy in clincial practice. Several cohorts were devided including pathological type, treatment line, treatment regiems, combination strategies. Tissue samples were collected with permission of patients for TME evaluation.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
15000
Inclusion Criteria
  1. ≥18,Lung Cancer Confirmed by Histopathology
  2. Treated with Chemotherapy with or Without Checkpoint Inhibitors.
  3. ECOG 0 - 1.
  4. Predicted survival ≥ 12 weeks.
  5. Adequate bone marrow hematopoiesis and organ function
  6. Presence of measurable lesions according to RECIST 1.1.
  7. Subjects with stable brain metastases may be included in the study.
Exclusion Criteria

Patients did not match for the Inclusion Criteria.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Cohort HImmune checkpoint inhibitorNon-small cell Lung Cancer received neoadjuvent or adjuvent Chemotherapy with or without Checkpoint Inhibitors.
Cohort IImmune checkpoint inhibitorCohort I, Non-small cell Lung Cancer with EGFR, ALK and ROS1 sensitive mutation who received Chemotherapy with or without Checkpoint Inhibitors.
Cohort JImmune checkpoint inhibitorNon-small cell Lung Cancer with other oncogenic mutation including RET, BRAF etc who received Chemotherapy with or without Checkpoint Inhibitors.
Cohort KImmune checkpoint inhibitorNon-small cell Lung Cancer received Chemotherapy plus bevacizumab with or without Checkpoint Inhibitors.
Cohort AImmune checkpoint inhibitorExtansive Stage Small Cell Lung Cancer treated with first line Chemotherapy with or without Checkpoint Inhibitors .
Cohort CImmune checkpoint inhibitorSmall Celll Lung Cancer who progressed from first line treatment and received subsequential Chemotherapy with or without Checkpoint Inhibitors.
Cohort FImmune checkpoint inhibitorResectable Non-small cell Lung Cancer treated with first line Chemotherapy with or without Checkpoint Inhibitors.
Cohort BImmune checkpoint inhibitorLimit Stage Small Celll Lung Cancer treated with first line Chemotherapy with or without Checkpoint Inhibitors .
Cohort DImmune checkpoint inhibitorMetastastic Non-small cell Lung Cancer treated with first line Chemotherapy with or without Checkpoint Inhibitors.
Cohort EImmune checkpoint inhibitorMetastastic Non-small cell Lung Cancer who progressed from first line treatment and received subsequential Chemotherapy with or without Checkpoint Inhibitors.
Cohort GImmune checkpoint inhibitorUnresectable Non-small cell Lung Cancer treated with first line Chemotherapy with or without Checkpoint Inhibitors.
Cohort LImmune checkpoint inhibitorNon-small cell Lung Cancer who enrolled in clinical trials.
Primary Outcome Measures
NameTimeMethod
Progression-free survival (PFS)Time from first subject dose to study completion, or up to 36 month

To assess progression-free survival of patients treated by different treatment according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 by investigator, define as first dose to first documented disease progression assessed by investigator or death due to any cause

Secondary Outcome Measures
NameTimeMethod
Overall survival (OS)Time from first subject dose to study completion, or up to 36 months.

To assess overall survival, define as first dose to the death of the subject due to any cause

Duration of Response (DOR)Time from first subject dose to study completion, or up to 36 month

To assess duration of response for subjects with CR or PR according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 by investigator , defined as the time from the first documented CR or PR to disease progression or death

Patient reported outcomeTime from first subject dose to study completion, or up to 36 months.

Patient reported outcomes (PROs): A report that directly reflects a patient's assessment of their own health status.

Objective Response Rate (ORR)Time from first subject dose to study completion, or up to 36 months.

To assess ICI and TKIs overall response rate according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1

Adverse events (AEs) according to CTCAE 5.0From first dose until 28 days after the last dose, up to 24 month

Number of participants with adverse events (AEs) according to CTCAE 5.0

Trial Locations

Locations (1)

Hunan Cancer Hospital

🇨🇳

Changsha, Hunan, China

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