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Trial Title: Efficacy and Safety of Intratumoral Toluenesulfonamide (PTS) Injection in Stage IV Driver Gene-Negative NSCLC With/Without Chemoimmunotherapy

NCT ID: NCT06607796

Condition: Lung Cancer

Conditions: Official terms:
Lung Neoplasms

Study type: Interventional

Study phase: 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: Toluenesulfonamide (PTS) Intratumoral Injection
Description: intratumoral injection of toluenesulfonamide(PTS) to oligo lesions
Arm group label: Experimental group

Summary: The aim of this study was to evaluate the efficacy and safety of intratumoral injection of toluenesulfonamide(PTS) in combination with or without first-line chemoimmunization based on standard treatment for stage IV driver gene-negative non-small cell lung cancer.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Fully understand, be informed about the study and sign the Informed Consent Form (ICF); be willing to follow and be capable of completing all trial procedures; 2. Age ≥18 years and ≤75 years at the time of signing the ICF; 3. Histologically or cytologically confirmed stage IV (AJCC 8th edition) driver gene negative non-small cell lung cancer; 4. At least one measurable target lesion assessed by the investigator according to the requirements of RECIST 1.1 within 4 weeks prior to enrollment, except for lesions proposed for percutaneous PTS local injection; 5. Localized injectable lesions located in a more confined area of the outer lung bands, less than or equal to 5 cm in diameter; these may be primary lesions that are not amenable to surgical resection or localized recurrent lesions after surgical resection and radiotherapy treatment; 6. ECOG PS score of 0 or 1 within 7 days prior to local treatment tolerates PTS intratumoral injections; 7. Patients with localized lesions present and persistently stable (SD evaluated after two courses of treatment) after standard treatment with first-line chemoimmunotherapy; 8. Life expectancy ≥ 3 months; 9. Normal liver, kidney and heart function, normal blood routine, blood biochemistry, coagulation function and electrolytes and other physiological indicators. Exclusion Criteria: 1. Plans for radiotherapy, surgery, etc. for the lesion after intratumor injection; 2. Have severe cardiopulmonary dysfunction, advanced hepatic or renal insufficiency, malignant cardiac arrhythmia, hypertension, etc; 3. Have severe bleeding, clotting disorders, infections, dehydration, etc; 4. Have blood disorders, autoimmune diseases, cirrhosis of the liver, etc; 5. History of severe emphysema and pulmonary alveoli; 6. History of drug allergy or contraindication to toluene sulfonamide; 7. Women who are pregnant, breastfeeding, or planning to become pregnant during the study period; 8. The investigators determined that the patients had other conditions that made them unsuitable for enrollment.

Gender: All

Minimum age: 18 Years

Maximum age: 75 Years

Healthy volunteers: No

Locations:

Facility:
Name: The First Affiliated Hospital of Guangzhou Medical University

Address:
City: Guangzhou
Zip: 510145
Country: China

Status: Recruiting

Contact:
Last name: Chengzhi Zhou, doctor

Phone: 13560351186
Email: doctorzcz@163.com

Contact backup:
Last name: Xiaohong Xie, master

Phone: 13632326736
Email: gyxxh@126.com

Start date: March 1, 2024

Completion date: December 2026

Lead sponsor:
Agency: Zhou Chengzhi
Agency class: Other

Source: Guangzhou Institute of Respiratory Disease

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06607796

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