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Trial Title: The Prospective Clinical Study of Precision PRaG Therapy in Elderly Patients With Advanced Solid Malignant Tumors (PRaG9.0)

NCT ID: NCT06112041

Condition: Carcinoma
Solid Tumor

Conditions: Official terms:
Neoplasms
Thymopentin

Study type: Interventional

Study phase: Phase 2

Overall status: Not yet recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: ADC Combined With Radiotherapy, PD-L1 Sequential GM-CSF and Thymopentin
Description: RC48-ADC combined with hypofractionated radiotherapy, PD-L1 inhibitor sequential GM- CSF and Thymopentin
Arm group label: ADC Combined With Radiotherapy, PD-L1 Sequential GM-CSF and Thymopentin

Summary: This is an open-label, single-arm, Phase II investigator-initiated trial of hypofractionated radiotherapy combined with PD-L1 inhibitor sequential GM-CSF and thymopentin for treatment of elderly patients with advanced solid tumors, when the HER-2 positive patients are treated with extra antibody-drug conjugate.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Aged 75 years and above - Standard treatment is ineffective (disease progresses after treatment) or locally advanced or metastatic malignant solid tumor patients who cannot tolerate standard therapy, cannot receive or do not have standard therapy - ECOG(Eastern Cooperative Oncology Group) performance is 0-3 - Life expectancy greater than 3 months - serum aspartate transaminase (AST) and serum alanine transaminase (ALT) ≤3.0*ULN, or AST and ALT≤5*ULN with hepatic metastasis; Total serum creatinine ≤1.5*ULN - Signed informed consent form Exclusion Criteria: - Current pregnancy or lactation - History of other malignant tumors within 5 years prior to dose administration, expect for#malignancies that can be cured after treatment (including but not limited to adequately treated thyroid cancer, cervical carcinoma in situ, basal or squamous cell skin cancer) - Uncontrolled epilepsy, central nervous system diseases or mental illness - arrhythmia, congestive heart failure, or greater than or equal to Class 2 congestive heart failure as defined by the New York Heart Association Functional Classification, or history of myocardial infarction unstable angina, or acute coronary syndrome within 6 months prior to enrollment in the study - Received allogeneic hematopoietic stem cell transplantation or solid organ transplantation - Other serious, uncontrolled concomitant diseases that may affect protocol compliance or interpretation of outcomes, including active opportunistic infections or advanced (severe) infections, uncontrolled diabetes - Allergic to any of the ingredients used in the study - A history of immunodeficiency, including HIV positive or other acquired or congenital immunodeficiency disease, or a history of organ transplantation, or other immune-related disease requiring long-term oral hormone therapy - Acute and chronic tuberculosis infection - Other disorders with clinical significance according to the researcher's judgment

Gender: All

Minimum age: 75 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Second Affiliated Hospital of Soochow University

Address:
City: Suzhou
Country: China

Contact:
Last name: Liyuan Zhang, doctor

Phone: 0512-67784829
Email: zhangliyuan126@126.com

Start date: October 25, 2023

Completion date: October 30, 2026

Lead sponsor:
Agency: Second Affiliated Hospital of Soochow University
Agency class: Other

Source: Second Affiliated Hospital of Soochow University

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06112041

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