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Trial Title: A Study of Trilaciclib Combined With Chemotherapy in the Treatment of Advanced NSCLC With Leptomeningeal Metastasis

NCT ID: NCT06332287

Condition: NSCLC

Conditions: Official terms:
Neoplasm Metastasis
Pemetrexed

Study type: Interventional

Study phase: Phase 2

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Intervention model description: Trilaciclib

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: combination of Trilaciclib and Pemetrexed
Description: This was a single-arm, exploratory study of the combination of Trilaciclib and Pemetrexed in patients with non-small cell lung cancer with leptomeningeal metastasis. Observed the incidence of chemotherapy-induced myelosuppression, and imaging was performed every six cycles to assess tumor response.
Arm group label: Trilaciclib+Pemetrexed

Other name: G1T28

Other name: CDK 4/6 inhibitor

Summary: To observe the efficacy of Trilaciclib combined with lateral ventricular chemotherapy in the treatment of non-small cell lung cancer with leptomeningeal metastasis。

Detailed description: A single-arm, open-label, interventional study was conducted in 25 NSCLC patients with leptomeningeal metastases to observe the efficacy of Trilaciclib combined with lateral ventricular chemotherapy in the treatment of non-small cell lung cancer with leptomeningeal metastases, and to evaluate the incidence and duration of severe neutropenia in the first cycle.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - must be at least 18 years when fisrt dose of Trilaciclib, regardless of gender; - ECOG-PS score of 0-1,and no worsening in the 2 weeks before the study drug; - expected survival≥12 weeks; - Advanced non-small cell lung cancer with leptomeningeal metastasis; - with an Ommaya sac has been implanted; - At least one measurable lesion meeting RECIST1.1 criteria was present; - Laboratory tests met the following criteria: hemoglobin ≥100 g/L (female), 110g/L (male) ;neutrophil count ≥ 2×109/L ;platelet count ≥100×109/L; Creatinine ≤ 15mg/L or creatinine clearance (CrCl) ≥ 60 mL/min (Cockcroft-Gault formula); Total bilirubin ≤ 1.5× upper limit of normal value (ULN); Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤ 3 × ULN or 5× ULN (for patients with liver metastases); Albumin ≥ 30 g/L; - Patients of reproductive age(including female and male patients'female companions)must use effective birth control measures; - Voluntarily participate and sign informed consent; Exclusion Criteria: - Patients of reproductive age(including female and male patients'female companions)must use effective birth control measures; - Stroke or cardio-cerebrovascular event within 6 months before enrollment; - QTcF interval > 480msec at screening, QTcF > 500msec for patients with implanted ventricular pacemakers; - Previous hematopoietic stem cell or bone marrow transplantation; - Allergy to the study drug or its components; - If the investigator considers that it is not suitable to participate in this study.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Fang Shencun

Address:
City: Suzhou
Zip: 210029
Country: China

Status: Recruiting

Contact:
Last name: fang S cun, M.D.

Phone: 83728558

Phone ext: 025
Email: fang1984@aliyun.com

Start date: May 1, 2023

Completion date: June 1, 2025

Lead sponsor:
Agency: Jiangsu Province Nanjing Brain Hospital
Agency class: Other

Source: Jiangsu Province Nanjing Brain Hospital

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06332287

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