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Trial Title: Efficacy and Safety of BAI Combined With DEB-BACE of EqualSpheres in the Treatment of Advanced NSCLC

NCT ID: NCT06127329

Condition: Carcinoma, Non-Small Cell Lung

Conditions: Official terms:
Carcinoma, Non-Small-Cell Lung

Study type: Interventional

Study phase: N/A

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: Procedure
Intervention name: BAI combine with DEB-BACE
Description: 1. First treatment. Only infusion chemotherapy (THP + Platinum + Letitrexed), THP 20 ~30mg/m2, Nedaplatin 40mg/m2, Letitrexed 3mg/m2. 2. Second treatment. After infusionchemotherapy, EqualSpheres microsphere used for embolization: EqualSpheres microspheres (400 μm) 1tube was loaded and adsorbed THP (40 ~ 60mg/m2). End point of embolization: stagnation of blood flow in tumor feeding artery.
Arm group label: BAI combine with DEB-BACE

Summary: This is a prospective, single-arm, open-label study designed to evaluate the efficacy and safety of bronchial infusion chemotherapy(BAI) combined with drug-loaded microsphere embolization of EqualSpheres in advanced Non-small cell lung cancer (NSCLC). Progression-free survival (PFS) will be evaluated as the primary endpoint.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Age > 18 years old, male and female; 2. According to the Guidelines for the Diagnosis and Treatment of Primary Lung Cancer (2022 edition), the patient was diagnosed with NSCLC by imaging and histopathology; 3. TNM stages were III-IV; 4. Newly diagnosed, first-line treatment failure, refusal or inability to perform conventional treatment (surgery, chemoradiotherapy); 5. ECOG PS ≤2; 6. Expected survival > 3 months; 7. Sign the informed consent voluntarily, and the compliance is good. Exclusion Criteria: 1. Previously received interventional therapy (iodine particle implantation, ablation, TACE treatment); 2. Combined with extensive and uncontrolled extrapulmonary metastases, such as liver metastasis, bone metastasis, and brain metastasis; 3. Have had or currently having other primary malignant tumors; 4. White blood cell < 3×109/L, platelet count < 50×109/L, HGB < 90 g/L; 5. Hepatic and renal insufficiency (creatinine > 2 mg/L; AST and/or ALT > 2 times the normal upper limit); 6. Coagulation dysfunction (INR > 1.5) or known bleeding disease (except lung cancer combined with hemoptysis), or anticoagulation therapy; 7. Patients with active infection requiring antibiotic treatment; 8. Uncontrolled hypertension, diabetes, and cardiovascular disease with obvious symptoms; 9. contrast agent allergy; 10. Women with pregnancy or lactation.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Gang Wu

Address:
City: Zhengzhou
Country: China

Contact:
Last name: Gang Wu, M.D

Phone: +8613938570175
Email: wuganghenan2015@163.com

Start date: December 1, 2023

Completion date: December 1, 2026

Lead sponsor:
Agency: Gang Wu
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/NCT06127329

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