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

NCT ID: NCT05605613

Condition: NSCLC

Conditions: Official terms:
Immune Checkpoint Inhibitors
Antibodies

Conditions: Keywords:
BACE
PD-1 Antibody

Study type: Interventional

Study phase: Phase 2/Phase 3

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: PD-1 Antibody
Description: PD-1 Antibody, an investigational humanized IgG4 monoclonal antibody with high affinity and binding specificity for PD-1
Arm group label: PD-1 Antibody in Addition to Bronchial Arterial Chemoembolization

Other name: PD-1 Inhibitors

Intervention type: Device
Intervention name: BACE
Description: Bronchial Arterial Chemoembolization
Arm group label: Bronchial Arterial Chemoembolization
Arm group label: PD-1 Antibody in Addition to Bronchial Arterial Chemoembolization

Summary: 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: 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.

Criteria for eligibility:
Criteria:
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; 13. Other protocol defined Inclusion/Exclusion criteria may apply

Gender: All

Minimum age: 18 Years

Maximum age: 75 Years

Healthy volunteers: No

Locations:

Facility:
Name: People's Hospital of Kaiyang County

Address:
City: Guiyang
Country: China

Status: Recruiting

Contact:
Last name: ShengHai Liang

Facility:
Name: North China University of Science and Technology Affiliated Hospital

Address:
City: Tangshan
Country: China

Status: Recruiting

Contact:
Last name: Shiqi Zhou

Facility:
Name: The Second Affiliated Hospital of Xingtai Medical College

Address:
City: Xingtai
Country: China

Status: Recruiting

Contact:
Last name: Shusen Li

Facility:
Name: Hebi City Jun County People's Hospital

Address:
City: Hebi
Country: China

Status: Recruiting

Contact:
Last name: Yanbing Zhang

Facility:
Name: Wuyang County People's Hospital

Address:
City: Luohe
Country: China

Status: Recruiting

Contact:
Last name: Chenguang Pang

Facility:
Name: Dengzhou People's Hospital

Address:
City: Nanyang
Country: China

Status: Recruiting

Contact:
Last name: Yanliang Li

Facility:
Name: The Fifth People's Hospital of Puyang City

Address:
City: Puyang
Country: China

Status: Recruiting

Contact:
Last name: Liuan Sun

Facility:
Name: The First Affiliated Hospital of Zhengzhou University

Address:
City: Zhengzhou
Zip: 450000
Country: China

Status: Recruiting

Contact:
Last name: Xuhua Duan

Phone: +8613523402912
Email: xuhuaduan@163.com

Start date: October 29, 2022

Completion date: December 1, 2025

Lead sponsor:
Agency: Xuhua Duan
Agency class: Other

Source: The First Affiliated Hospital of Zhengzhou University

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05605613

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