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Immune Treatment of Brain Metastasis of Lung Cancer Combined With Large-segmentation Precision Radiotherapy

Primary Purpose

Non Small Cell Lung Cancer

Status
Not yet recruiting
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
radiotherapy
Chemotherapy + immunotherapy
Sponsored by
Hunan Province Tumor Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Non Small Cell Lung Cancer

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Age ≥ 18 years of age on day of signing informed consent
  • Histopathology confirmed non-small cell lung cancer
  • Asymptomatic brain metastases
  • EGFR/ALK ROS1 driver gene mutation negative
  • RECIST 1.1 based available assessment of lesions
  • ECOG 0-1
  • Brain metastases 1-4
  • Single lesion ≤4cm

Exclusion Criteria:

  • Patients with contraindication of chemotherapy Pregnant or breast feeding women

Sites / Locations

  • Hunan Cancer Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Active Comparator

Experimental

Experimental

Arm Label

cohort A

cohort B

cohort C

Arm Description

Chemotherapy + immunotherapy; Every three weeks, up to four cycles of chemotherapy

Chemotherapy + immunotherapy; Once every three weeks, up to 4 cycles of chemotherapy; WBRT, 3 Gy/ time, 10 times in total

Chemotherapy + immunotherapy; Once every three weeks, up to 4 cycles of chemotherapy; HFRT, 10 Gy/ time, 3 times in total

Outcomes

Primary Outcome Measures

Intracranial progression-free survival
assessed according to the Response Evaluation Criteria in Solid Tumors RECIST Version 1.1, undergoing enhanced CT/MRI
sPFS
assessed according to the Response Evaluation Criteria in Solid Tumors RECIST Version 1.1, undergoing enhanced CT/MRI

Secondary Outcome Measures

Objective Response rate
assessed according to the Response Evaluation Criteria in Solid Tumors RECIST Version 1.1, undergoing enhanced CT/MRI
overall survival
the time from enrollment until death or the last follow-up
number of participants with treatment-related adverse events
number of participants with treatment-related adverse events as assessed by CTCAE v4.0

Full Information

First Posted
October 14, 2022
Last Updated
February 28, 2023
Sponsor
Hunan Province Tumor Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT05584267
Brief Title
Immune Treatment of Brain Metastasis of Lung Cancer Combined With Large-segmentation Precision Radiotherapy
Official Title
Multi-omics Evaluation System and Preferred Mode of Immune Treatment of Brain Metastasis of Lung Cancer Combined With Large-segmentation Precision Radiotherapy
Study Type
Interventional

2. Study Status

Record Verification Date
February 2023
Overall Recruitment Status
Not yet recruiting
Study Start Date
March 1, 2023 (Anticipated)
Primary Completion Date
November 1, 2023 (Anticipated)
Study Completion Date
December 31, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Hunan Province Tumor Hospital

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
This is a prospective multicenter clinical study. This study aims to construct an auxiliary decision-making system for lung cancer immunotherapy combined with radiotherapy by fusing three modes of imagomics, clinicopathological features, and molecular pathological features.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Non Small Cell Lung Cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
140 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
cohort A
Arm Type
Active Comparator
Arm Description
Chemotherapy + immunotherapy; Every three weeks, up to four cycles of chemotherapy
Arm Title
cohort B
Arm Type
Experimental
Arm Description
Chemotherapy + immunotherapy; Once every three weeks, up to 4 cycles of chemotherapy; WBRT, 3 Gy/ time, 10 times in total
Arm Title
cohort C
Arm Type
Experimental
Arm Description
Chemotherapy + immunotherapy; Once every three weeks, up to 4 cycles of chemotherapy; HFRT, 10 Gy/ time, 3 times in total
Intervention Type
Radiation
Intervention Name(s)
radiotherapy
Intervention Description
Different cohorts received different doses of radiotherapy
Intervention Type
Drug
Intervention Name(s)
Chemotherapy + immunotherapy
Intervention Description
Chemotherapy + immunotherapy
Primary Outcome Measure Information:
Title
Intracranial progression-free survival
Description
assessed according to the Response Evaluation Criteria in Solid Tumors RECIST Version 1.1, undergoing enhanced CT/MRI
Time Frame
up to 2 years from enrollment
Title
sPFS
Description
assessed according to the Response Evaluation Criteria in Solid Tumors RECIST Version 1.1, undergoing enhanced CT/MRI
Time Frame
up to 2 years from enrollment
Secondary Outcome Measure Information:
Title
Objective Response rate
Description
assessed according to the Response Evaluation Criteria in Solid Tumors RECIST Version 1.1, undergoing enhanced CT/MRI
Time Frame
up to 2 years from enrollment
Title
overall survival
Description
the time from enrollment until death or the last follow-up
Time Frame
up to 2 years from enrollment
Title
number of participants with treatment-related adverse events
Description
number of participants with treatment-related adverse events as assessed by CTCAE v4.0
Time Frame
up to 2 years from enrollment

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age ≥ 18 years of age on day of signing informed consent Histopathology confirmed non-small cell lung cancer Asymptomatic brain metastases EGFR/ALK ROS1 driver gene mutation negative RECIST 1.1 based available assessment of lesions ECOG 0-1 Brain metastases 1-4 Single lesion ≤4cm Exclusion Criteria: Patients with contraindication of chemotherapy Pregnant or breast feeding women
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Yongchang C Zhang, MD
Phone
+8613873123436
Ext
7+861383123436
Email
zhangyongchang@csu.edu.cn
First Name & Middle Initial & Last Name or Official Title & Degree
Nong C Yang, MD
Phone
+8613873123436
Ext
+8613873123436
Email
yangnong0217@163.com
Facility Information:
Facility Name
Hunan Cancer Hospital
City
Changsha
State/Province
Hunan
ZIP/Postal Code
410013
Country
China

12. IPD Sharing Statement

Learn more about this trial

Immune Treatment of Brain Metastasis of Lung Cancer Combined With Large-segmentation Precision Radiotherapy

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