A Prospective Study of Constructing Immune Repertoire to Monitor the Therapeutic Effect in NSCLC Patients

NCT ID: NCT03373955

Last Updated: 2021-03-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

60 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-11-23

Study Completion Date

2021-12-31

Brief Summary

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This study is designed to evaluate the untreated NSCLC patients. After participants have accepted chemotherapy, radiotherapy, and immunotherapy, the investigators used the next generation sequence technology (NGS) to construct immune repertoire to detective variation of patients' immune state and to monitor patients' therapeutic effect. The investigators are aim to explore the novel clone sequence as potential therapy target.

Detailed Description

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Lung cancer was one of the most deadly tumors in the world. The standard of care for patients is platinum-based doublet chemotherapy concurrent with radiotherapy. As for patients with a mutant epidermal growth factor receptor (EGFR) and anaplastic lymphoma kinase(ALK), EGFR or ALK tyrosine kinase inhibitors (TKIs) are the standard first-line therapy. Now, the Food and Drug Administration approved Ipilimumab, Nivolumab, and Pembrolizumab as first-line or second-line therapy for NSCLC. However, there was no reports about therapeutic effect for NSCLC patients through detecting herself immune state, immune repertoire could explore patients' immune clonality and diversity using NGS technology.The investigators look forward to illuminate the mechanism of patients antitumor action.

Conditions

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Non-small Cell Lung Cancer

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Study Groups

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Immunotherapy,chemotherapy,radiotherapy

Pembrolizumab will be administered via intravenous (IV) infusion on Day 1 of each 21-day cycle until disease progression, death, unacceptable toxicity, withdrawal of consent.The peripheral blood will be collected at 3 weeks,2 months, 6 months,an average of 1 year

pembrolizumab

Intervention Type DRUG

anti-programmed death 1 (PD-1) antibody

Interventions

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pembrolizumab

anti-programmed death 1 (PD-1) antibody

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Pathologically verified stage IV non-small cell lung cancer without treated.
* Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
* Major organs function normally
* Women at pregnant ages should be under contraception
* Willing and able to provide informed consent

Exclusion Criteria

* Pathology is mixed type•
* Poor vasculature
* Coagulopathy, or ongoing thrombolytics and/or anticoagulation
* Blood-borne infectious disease, e.g. hepatitis B
* History of mandatory custody because of psychosis or other psychological disease inappropriate for treatment deemed by treating physician
* Other conditions requiring exclusion deemed by physician
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Geneplus-Beijing Co. Ltd.

INDUSTRY

Sponsor Role collaborator

Sichuan University

OTHER

Sponsor Role lead

Responsible Party

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You Lu

Chair of Department of Thoracic Oncology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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You Lu, MD

Role: PRINCIPAL_INVESTIGATOR

West China Hospital

Locations

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West China Hospital, Sichuan University

Chengdu, Sichuan, China

Site Status RECRUITING

Countries

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China

Central Contacts

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You Lu, MD

Role: CONTACT

+8602885423571

Ruizhan Tong, MD

Role: CONTACT

+8602885423571

Facility Contacts

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You Lu, MD

Role: primary

+8602885423571

Ruizhan Tong, MD

Role: backup

+8602885423571

References

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Reference Type RESULT
PMID: 28055103 (View on PubMed)

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Reference Type RESULT
PMID: 25754329 (View on PubMed)

Other Identifiers

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GHR-001

Identifier Type: -

Identifier Source: org_study_id

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