A Study Evaluating the Efficacy of PD-1 Inhibitor Combined With Denosumab and Chemotherapy in Locally Advanced or Metastatic Non-Squamous Non-Small Cell Lung Cancer Patients With Driver Gene-Negative Status

NCT ID: NCT07034391

Last Updated: 2025-06-24

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

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-05-12

Study Completion Date

2027-10-31

Brief Summary

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This is an interventional study to explore the efficacy and safety of denosumab combined chemotherapy and anti-PD-1/PD-L1 inhibitor in locally advanced or metastatic NSCLC.

Detailed Description

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Conditions

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Non-Small Cell Lung Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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denosumab combined chemotherapy plus anti-PD-1/PD-L1 inhibitor

Group Type EXPERIMENTAL

denosumab combined anti-PD-1 inhibitor with chemotherapy

Intervention Type DRUG

120mg of denosumab,d1 in a 28-days cycle;200mg of anti-PD-1 inhibitor, d1 in a 21-days cycle;500mg/m2 of pemetrexed, d1 in a 21-days cycle; AUC4-5 of carboplatin, d1 in a 21-days cycle, for 4-6 cycle

Interventions

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denosumab combined anti-PD-1 inhibitor with chemotherapy

120mg of denosumab,d1 in a 28-days cycle;200mg of anti-PD-1 inhibitor, d1 in a 21-days cycle;500mg/m2 of pemetrexed, d1 in a 21-days cycle; AUC4-5 of carboplatin, d1 in a 21-days cycle, for 4-6 cycle

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Histologically or cytologically confirmed locally advanced or metastatic non-squamous non-small cell lung cancer (NSCLC)
* Documented negative for EGFR/ALK/ROS1/BRAFV600E/RET/METex14 mutations by validated genomic testing, with no prior targeted therapy and no history of other malignancies
* No previous systemic therapy for advanced/metastatic disease
* At least one measurable lesion per RECIST v1.1
* Eastern Cooperative Oncology Group (ECOG) Performance Status 0-1
* No use of parathyroid hormone/derivatives, calcitonin, osteoprotegerin, mithramycin, or potassium supplements within the past 6 months
* Adequate organ and marrow function

Exclusion Criteria

* Histologically or cytologically confirmed combined small cell and non-small cell lung cancer (mixed histology)
* Any previous systemic anticancer treatment for NSCLC, including chemotherapy, biologics, immunotherapy, or investigational agents
* Prior use of denosumab or any bone-modifying agents (e.g., bisphosphonates)
* Uncontrolled hypocalcemia or hypophosphatemia
* History or current evidence of osteonecrosis of the jaw (ONJ) or osteomyelitis of the jaw
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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China Medical University, China

OTHER

Sponsor Role lead

Responsible Party

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Xiujuan Qu

Chief Physician

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Qu chief physician

Role: PRINCIPAL_INVESTIGATOR

First Hospital of China Medical University

Locations

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The First Affiliated Hospital of China Medical University

Shenyang, Liaoning, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Zhang Chief Physician

Role: CONTACT

15909881516

Facility Contacts

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Zhang chief physician

Role: primary

15909881516

Other Identifiers

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QL-NSCLC-LUDX-3001

Identifier Type: -

Identifier Source: org_study_id

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