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Trial Title: Low-dose Radiotherapy Combined With Conventional Radiotherapy After Immunotherapy Failure

NCT ID: NCT05547282

Condition: Cancer Patients

Conditions: Keywords:
Cancer patients after immunotherapy failure

Study type: Interventional

Study phase: N/A

Overall status: Unknown status

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Radiation
Intervention name: At the same time, the original regimen of immunomaintenance therapy was continued, according to the frequency of the original immunization regimen once every 3 weeks until progress.
Description: At the same time, the original regimen of immunomaintenance therapy was continued, according to the frequency of the original immunization regimen once every 3 weeks until progress.
Arm group label: Low-dose radiotherapy combined with conventional radiotherapy after immunotherapy failure

Summary: Response was evaluated according to the Guidelines for Response Criteria for Use in Trials Testing Immunotherapeutics (iRECIST) : ORR-To evaluate the objective effective rate of LDRT combined with SFRT and immunotherapy in patients with malignant tumors after immunotherapy resistance without standard regimens. PFS-To evaluate the progression-free survival (PFS) of patients with advanced malignant tumors after LDRT combined with SFRT and immunotherapy without standard regimens after immunotherapy resistance.DCR-To evaluate the proportion of patients with optimal response to LDRT and SFRT combined with immunotherapy to achieve complete response, partial response, or disease control after no standard regimen was available for immunotherapy resistance.HRQoL, AE and sAE-Evaluation of health related quality of life and safety of post-LDRT combined with SFRT and immunotherapy in patients with malignant tumors. To evaluate the benefit of patients in this trial.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - 1. The patient understood, participated voluntarily and signed the informed consent 2. Age 18-65 3. Cytologically or histologically confirmed malignancy 4. Complete clinical data 5. The number of primary and regional metastatic lymph nodes and distant metastatic lesions was ≤10, and the number of organ metastases was ≤5. 6. Patients with malignant tumors who are resistant to immunotherapy (the patient's disease progression is evaluated after 6-8 weeks of treatment without improvement of clinical symptoms), and no standard treatment options are available. 7. Measurable primary lesions and regions Exclusion Criteria: - 1. Missing key patient data 2. Refusing or not cooperating with the study 3. Patients who have participated in other clinical studies/trials within 3 months 4. Patients with brain metastases 5. Patients with any conditions that the investigator judged to be ineligible for study participation 6. Patients with uncontrolled severe medical diseases who cannot tolerate radiotherapy 7. Past immune-related side effects (immune myocarditis, pneumonia, etc.) 8. Previous history of radiation therapy

Gender: All

Minimum age: 18 Years

Maximum age: 65 Years

Healthy volunteers: No

Locations:

Facility:
Name: The First Affiliated Hospital of Shandong First Medical University (Qianfoshan Hospital)16766 Jingshi Road, Jinan City

Address:
City: Jinan
Zip: 250013
Country: China

Status: Recruiting

Contact:
Last name: JIANDONG ZHANG JD ZHANG

Phone: 13583123486
Email: zhangjd165@sina.com

Start date: October 1, 2022

Completion date: February 1, 2024

Lead sponsor:
Agency: Jiandong Zhang
Agency class: Other

Source: Qianfoshan Hospital

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05547282

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