PD-1 Antibody in Addition to BACE in Patients With NSCLC: A Randomised Controlled Trial

NCT ID: NCT05605613

Last Updated: 2022-11-09

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

RECRUITING

Clinical Phase

PHASE2/PHASE3

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-10-29

Study Completion Date

2025-12-01

Brief Summary

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This is a randomized controlled trial to determine the efficacy and safety of PD-1 Antibody in addition to Bronchial Arterial Chemoembolization in stage III-Ⅳ NSCLC patients who failed, refused or ineligible to receive standard treatments.

Detailed Description

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Bronchial artery chemoembolization (BACE) is a technique of drug delivery and embolization performed via injecting anti-tumor drugs with drug carriers and implanting the embolization agents into the tumor feeding artery, promoting the clinical outcomes of patients and providing a palliative treatment option for patients with NSCLC. while the short-term effect of BACE is good, it is easy to relapse and metastasize.

The rapid development of immunotherapy checkpoint inhibitors represented by PD-1/L1 monoclonal antibody has changed the treatment pattern of NSCLC. The publication of early research data repeatedly verified the long-term survival benefit characteristics of PD-1/L1 in NSCLC.

Based on this research and clinical practice, we designed this trial to determine the efficacy and safety of PD-1 antibody in addition to Bronchial Arterial Chemoembolization in stage III-Ⅳ NSCLC patients who failed, refused or ineligible to receive standard treatments.

Conditions

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NSCLC

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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PD-1 Antibody in Addition to Bronchial Arterial Chemoembolization

Treated with BACE and PD-1 antibody as induction therapy during which BACE was performed on the first day and PD-1 antibody was given 3-5 days later, then PD-1 antibody was administered at 200mg Q3W as maintenance therapy.

Group Type EXPERIMENTAL

PD-1 Antibody

Intervention Type DRUG

PD-1 Antibody, an investigational humanized IgG4 monoclonal antibody with high affinity and binding specificity for PD-1

BACE

Intervention Type DEVICE

Bronchial Arterial Chemoembolization

Bronchial Arterial Chemoembolization

Bronchial artery chemoembolization (BACE) is a technique of drug delivery and embolization performed via injecting anti-tumor drugs with drug carriers and implanting the embolization agents into the tumor feeding artery

Group Type ACTIVE_COMPARATOR

BACE

Intervention Type DEVICE

Bronchial Arterial Chemoembolization

Interventions

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PD-1 Antibody

PD-1 Antibody, an investigational humanized IgG4 monoclonal antibody with high affinity and binding specificity for PD-1

Intervention Type DRUG

BACE

Bronchial Arterial Chemoembolization

Intervention Type DEVICE

Other Intervention Names

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PD-1 Inhibitors

Eligibility Criteria

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Inclusion Criteria

1. Patient age between 18 and 75
2. Signed Informed Consent Form.
3. Confirmed TNM stage is III-Ⅳ of NSCLC ,and failed, refused or assessed ineligible to receive conventional treatments (surgery, chemoradiotherapy, chemotherapy ); Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1
4. Adequate hematologic and end-organ function.
5. Expected life span \> 3 months.
6. Be able to provide fresh or archival tumor tissues for PD-L1 expression in tumor cells

Exclusion Criteria

1. Prior treatment targeting PD-1, PD-L1 or CTLA-4.
2. Prior therapies of interventional therapy (I seed implantation, Ablation, BACE).
3. Harboring EGFR sensitizing mutation or ALK gene translocation
4. History of interstitial lung disease, non-infectious pneumonitis or participants with significantly impaired pulmonary function, or who require supplemental oxygen at baseline.
5. With uncontrollable pleural effusion, pericardial effusion, or clinically significant ascites requiring interventional treatment.
6. Symptomatic central nervous system metastasis
7. Known HIV infection, participants with untreated chronic hepatitis B, active vaccination treatment.
8. Prior allogeneic stem cell transplantation or organ transplantation
9. Active autoimmune diseases or history of autoimmune diseases that may relapse.
10. With conditions requiring systemic treatment with either corticosteroids (\>10 mg daily prednisone or equivalent) or other immunosuppressive medications
11. Known to be hypersensitive to contrast agent;
12. Pregnant or breastfeeding women;
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Xuhua Duan

OTHER

Sponsor Role lead

Responsible Party

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Xuhua Duan

Associate Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Xuhua Duan

Role: PRINCIPAL_INVESTIGATOR

The First Affiliated Hospital of Zhengzhou University

Locations

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People's Hospital of Kaiyang County

Guiyang, Guizhou, China

Site Status RECRUITING

North China University of Science and Technology Affiliated Hospital

Tangshan, Hebei, China

Site Status RECRUITING

The Second Affiliated Hospital of Xingtai Medical College

Xingtai, Hebei, China

Site Status RECRUITING

Hebi City Jun County People's Hospital

Hebi, Henan, China

Site Status RECRUITING

Wuyang County People's Hospital

Luohe, Henan, China

Site Status RECRUITING

Dengzhou People's Hospital

Nanyang, Henan, China

Site Status RECRUITING

The Fifth People's Hospital of Puyang City

Puyang, Henan, China

Site Status RECRUITING

The First Affiliated Hospital of Zhengzhou University

Zhengzhou, Henan, China

Site Status RECRUITING

Countries

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China

Central Contacts

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XuHua Duan

Role: CONTACT

+8613523402912

Facility Contacts

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ShengHai Liang

Role: primary

Shiqi Zhou

Role: primary

Shusen Li

Role: primary

Yanbing Zhang

Role: primary

Chenguang Pang

Role: primary

Yanliang Li

Role: primary

Liuan Sun

Role: primary

Xuhua Duan

Role: primary

+8613523402912

Other Identifiers

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20221030

Identifier Type: -

Identifier Source: org_study_id

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