Tumor immunotherapy efficacy and immune-related adverse events
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: A. for patients initially retreated with ICIs 1) >18-year-old, no limitation on genders; 2) diagnosed with lung cancer, initially receiving anti-PD-1 therapy with or without combined chemotherapy; 3) planned to receive = 4 courses of ICIs and = 2 efficacy evaluation; 4) with written informed consent. B. For irAE patients 1) >18-year-old, no limitation on genders; 2) diagnosed with lung cancer, initially receiving anti-PD-1 therapy with or without combined chemotherapy; 3) diagnosed with irAE regardless of involved organs after anti-PD-1 therapy, according to NCCN diagnosis criteria; 4) irAE remission to grade 1 and tapering prednisone to < 10mg/d, with or without resuming anti-PD-1 therapy; 5) with written informed consent.
Exclusion criteria
Exclusion criteria: 1: Vital signs unstable 2: Patients with gastrointestinal obstruction, gastrointestinal bleeding, or infectious colitis 3: Usage of antibiotics or probiotics 4: Pregnancy and lactation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| ICI efficacy;incidence of irAE occurrence;severity of irAE; | — |
Secondary
| Measure | Time frame |
|---|---|
| Fecal microbiome;fecal metabolites;lymphocyte subsets;fecal calprotectin;progression free survival;overall survival;time from initial response to secondary resistance;response rate to irAE glucocorticoid treatment;remission time for irAE glucocorticoid treatment;remission grade for irAE glucocorticoid treatment;recurrence rate of irAE;recurrence grade of irAE;recurrence type of irAE; | — |
Countries
China
Contacts
Peking Union Medical College Hospital, Chinese Academy of Medical Science & Peking Union Medical College