Microwave Ablation in Combination With Camrelizumab Versus Camrelizumab in Metastatic Non-small-cell Lung Cancer

NCT ID: NCT04102982

Last Updated: 2020-11-02

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

Clinical Phase

PHASE2

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-11-01

Study Completion Date

2022-02-28

Brief Summary

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Patients were randomized to microwave ablation plus camrelizumab group or camrelizumab group.

Detailed Description

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Patients in the camrelizumab group were treated with camrelizumab with the dose of 200mg on day 1, repeated every 21 days.Patients in the combination group were treated with MWA in the primary tumor followed by camrelizumab with the dose of 200mg on day 1, repeated every 21 days.

The primary end point is overall survival. The second end points include progression free survival, objective response rate and safety.

Conditions

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NSCLC Stage IV

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Arm 1:Patients in the combination group were treated with MWA in the primary tumor followed by camrelizumab with the dose of 200mg on day 1, repeated every 21 days.

Arm 2:Patients in the camrelizumab group were treated with camrelizumab with the dose of 200mg on day 1, repeated every 21 days.
Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Microwave ablation plus camrelizumab group

Patients in the group are treated with Microwave ablation in the primary tumor, followed by camrelizumab.

Group Type ACTIVE_COMPARATOR

Camrelizumab plus microwave ablation

Intervention Type OTHER

In the group, microwave ablation will be administrated to the primary tumors, followed by camrelizumab.

Camrelizumab group

Patients in the group are treated with camrelizumab alone.

Group Type PLACEBO_COMPARATOR

Camrelizumab

Intervention Type DRUG

Patients will be treated with camrelizumab alone.

Interventions

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Camrelizumab

Patients will be treated with camrelizumab alone.

Intervention Type DRUG

Camrelizumab plus microwave ablation

In the group, microwave ablation will be administrated to the primary tumors, followed by camrelizumab.

Intervention Type OTHER

Other Intervention Names

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Camrelizumab plus MWA

Eligibility Criteria

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Inclusion Criteria

1. Aged 18 to 75 years old
2. Cytologically or pathologically verified non-small cell lung cancer (NSCLC)
3. Patients with distant metastases or postoperative recurrence
4. EGFR or ALK sensitive mutations are negative (all patients, including non-adenocarcinoma patients)
5. At least one line of platinum-based doublet chemotherapy was administrated
6. Eastern Cancer Cooperative Group(ECOG)Performance Status(PS)of 0 to 1
7. At least two measurable tumors (in other words a measurable tumor lesion exclusive primary tumors)
8. Asymptomatic brain metastases or symptomatic brain metastases under control
9. If treated with irradiation,at least one month interval between radiation and randomization 10)Cardiopulmonary function, laboratory test indicators without ablation or chemotherapy contraindications

11\) Informed conssent can be obtained 12) Sufficient tissue specimens for PD-L1 or TMB or blood samples were provided (1 week before treatment, 1 week after ablation, and once every two months for immune evaluation) for subsequent analysis

Exclusion Criteria

1. Mixed lung cancer contains neuroendocrine tumor, small cell lung cancer or sarcoma
2. Suffering from other malignant tumors within five years
3. EGFR, ALK sensitive mutations are positive or unknown
4. ECOG PS≥2
5. Uncontrolled pleural effusion or pericardial effusion
6. Uncontrolled symptomatic brain metastases
7. Previously anti-PD-1, anti-PD-L1, anti-CTLA-4 or Car-T immunotherapy
8. severe interstitial pneumonia with severe diffuse dysfunction
9. Autoimmune diseases require long-term hormone therapy patients
10. Patients required consistent application of prednisone
11. Uncontrolled pulmonary infection or antibiotics stopped within 1 month
12. Acute cardiovascular and cerebrovascular diseases such as acute cerebral infarction and acute coronary syndrome within 1 month
13. Patients during pregnancy or lactation
14. Life expectance of 3 months or less
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shandong Provincial Hospital

OTHER_GOV

Sponsor Role lead

Responsible Party

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Xin Ye

Head of Section

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Xin Ye

Role: PRINCIPAL_INVESTIGATOR

Shandong Provincial Hospital

Locations

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Binzhou Medical University Hospital

Binzhou, Shandong, China

Site Status RECRUITING

Dezhou People's Hospital

Dezhou, Shandong, China

Site Status RECRUITING

The Second People's Hospital of Dezhou

Dezhou, Shandong, China

Site Status RECRUITING

Jinan Military General Hospital

Jinan, Shandong, China

Site Status RECRUITING

Affliated Hospital of Shandong Academy of Medical Sciences

Jinan, Shandong, China

Site Status RECRUITING

Shandong Provincial Hospital affliated to Shandong University

Jinan, Shandong, China

Site Status RECRUITING

Affliated Hospital of Jining Medical University

Jining, Shandong, China

Site Status RECRUITING

Liaocheng Cancer Hospital

Liaocheng, Shandong, China

Site Status RECRUITING

Affliated Hospital of Taishan Medical University

Taian, Shandong, China

Site Status RECRUITING

The People's Liberation Army 88 Hospital

Taian, Shandong, China

Site Status RECRUITING

Weifang People's Hospital

Weifang, Shandong, China

Site Status RECRUITING

Yantai Yuhuangding Hospital

Yantai, Shandong, China

Site Status RECRUITING

Tengzhou center of people's hospital

Zaozhuang, Shandong, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Xin Ye

Role: CONTACT

+8653168773171

Zhigang Wei

Role: CONTACT

+8653168773171

Facility Contacts

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Shao shui Chen, M.D

Role: primary

+86 15169959936

Yu ting Dong

Role: primary

+86 13969286066

Chun tang Wang, M.D

Role: primary

+86 13181378288

Jing wang Bi, M.D

Role: primary

+86 15963119538

Ya hong Sun, M.D

Role: primary

13606415915

Xin Ye, M.D.

Role: primary

+86 0531 68773172

gang Z Wei, M.D.

Role: backup

+86 0531 68773171

Jun ye Wang, M.D

Role: primary

+86 13563771996

Qing liang Feng, M.D

Role: primary

+86 15339949567

Ben hua Zhang, M.D

Role: primary

+86 15169887577

Li cheng Zhang, M.D

Role: primary

+86 13605383651

Guo hua Yu, M.D

Role: primary

+86 13685368817

Liang ming Zhang, M.D

Role: primary

+86 18660079893

Kai xian Zhang, M.D

Role: primary

+86 18663069829

Other Identifiers

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Shandong PH

Identifier Type: -

Identifier Source: org_study_id