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Development and Clinical Validation of a Hematologic and Immunologic Biomarker-Based Prediction Model for Immunotherapy Response in Driver-Negative Advanced Non-Small Cell Lung Cancer

Development and Clinical Validation of a Hematologic and Immunologic Biomarker-Based Prediction Model for Immunotherapy Response in Driver-Negative Advanced Non-Small Cell Lung Cancer

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
ChiCTR
Registry ID
ChiCTR2500110599
Enrollment
Unknown
Registered
2025-10-16
Start date
2025-10-20
Completion date
Unknown
Last updated
2025-10-20

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Non-Small Cell Lung Cancer

Interventions

Observation group:This is a non-interventional observational study. No study-specific interventions are applied.

Sponsors

The Fifth Affiliated Hospital of Guangzhou Medical University.
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 75 Years

Inclusion criteria

Inclusion criteria: Retrospective Cohort: Age >= 18 years, regardless of gender; Histologically or cytologically confirmed diagnosis of non-small cell lung cancer (NSCLC); Clinical stage IIIB–IV according to the 8th edition of the American Joint Committee on Cancer (AJCC) TNM staging system; Received at least one cycle of systemic anti-tumor therapy; Complete clinical documentation available, including medical records, laboratory test results, imaging data, treatment records, and tumor response assessments. Prospective Cohort: Age >= 18 years, regardless of gender; Eastern Cooperative Oncology Group (ECOG) performance status score of 0–2; Pathologically confirmed advanced NSCLC (stage IIIB–IV) with at least one measurable lesion per RECIST v1.1 criteria; Availability of complete baseline and two peripheral blood immunological assessments during the first treatment cycle; Willingness to undergo scheduled imaging evaluations; Agreement to regular monitoring of adverse events; Provision of written informed consent (English version).

Exclusion criteria

Exclusion criteria: Retrospective Cohort: History of another primary malignancy within the past 5 years (exceptions: basal cell carcinoma of the skin or cervical carcinoma in situ, if cured >= 5 years ago); Severe cardiac, hepatic, or renal insufficiency; Pregnancy or lactation; Psychiatric disorders that impair the ability to comply with treatment; Missing key clinical data exceeding 30% of required variables. Prospective Cohort: Presence of severe comorbidities, including: Uncontrolled cardiovascular disease (New York Heart Association [NYHA] Class III–IV); Severe hepatic impairment (Child-Pugh Class C); Severe renal impairment (creatinine clearance = 5 years; Major surgery within 4 weeks prior to enrollment, or radiotherapy within 4 weeks before screening; Requirement for local anti-tumor therapies (e.g., radiotherapy, interventional ablation) after enrollment; Pregnancy or lactation; Psychiatric or cognitive impairment that precludes compliance with the study procedures; Participation in another interventional clinical trial within 30 days prior to enrollment; Poor compliance, inability to attend scheduled follow-up visits, or any condition deemed by the investigator as unsuitable for study participation.

Design outcomes

Primary

MeasureTime frame
Treatment Effect Model Prediction;

Secondary

MeasureTime frame
Adverse Reaction Model Prediction;

Countries

China

Contacts

Public ContactYu Guifang

The Fifth Affiliated Hospital of Guangzhou Medical University

526136010@qq.com+86 20 8595 9334

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026