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Pioneer study: a prospective, single arm, exploratory clinical study of anti-pd-1/ctla-4 combination antibody combined with bevacizumab in the treatment of non squamous non-small cell lung cancer after immune resistance

PIONEER study: A prospective, single-arm, multi-center clinical study of anti-PD-1 /CTLA-4 combined antibody combined with bevacizumab in the treatment of immunoresistant non-squamous non-small cell lung cancer

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2500112841
Enrollment
Unknown
Registered
2025-11-20
Start date
2025-11-27
Completion date
Unknown
Last updated
2025-11-24

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

Conditions

Lung cancer

Interventions

Experimental group: QL1706 plus bevacizumab

Sponsors

The First Affiliated Hospital of Bengbu Medical University
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 75 Years

Inclusion criteria

Inclusion criteria: 1. voluntarily participate in the study and sign the informed consent. And this study requires the subject to agree to participate in the research of exploratory biomarkers, including the collection of biological samples (such as plasma, serum, archived and tumor specimens obtained in the study) and the exploratory analysis of biomarkers; 2. age >= 18 years old, = 1.5 × 10^9/l (1500/mm3); Platelet (PLT) count >= 100 × 10^9/l (100000/mm3); Hemoglobin >= 90 g/l; b) Liver: serum total bilirubin (TBIL) = 30 ml/min; d) Coagulation function: international normalized ratio (INR) = 2+, 24h urine protein quantification should be performed, and <= 1g can be selected; 13. patients who the investigator believes can benefit.

Exclusion criteria

Exclusion criteria: 1. squamous NSCLC; The 2. presence of EGFR sensitive mutations or ALK gene translocation alterations; 3. previous treatment with pd1/ctla4 bispecific antibody; 4. the adverse reactions caused by previous treatment have not recovered to CTCAE (version 5.0) grade 1 or below (except for the toxicity of grade 10mg/ day or equivalent dose) or other immunosuppressive drugs within 14 days before the first study medication; 13. patients with a history of immune deficiency, including those with other acquired or congenital immune deficiency diseases, or with a history of organ transplantation, or who have received allogeneic hematopoietic stem cell transplantation or solid organ transplantation; 14. receive live vaccine within 4 weeks before the first study medication; 15. suffering from severe cardiovascular and cerebrovascular diseases: a) poorly controlled hypertension or pulmonary hypertension; b) Unstable angina or myocardial infarction, coronary artery bypass grafting or stent implantation within 6 months before study medication; c) Chronic heart failure and cardiac function >= 2 (NYHA classification of New York Heart Association); d) Left ventricular ejection fraction (LVEF) 450 msec or female QTCF > 470 msec, complete left bundle branch block, degree III conduction block; f) Cerebrovascular accident (CVA) or transient ischemic attack (TIA) occurred within 6 months before study medication; 16. human immunodeficiency virus (HIV) antibody test results positive, active hepatitis B or C. Participation in this study is allowed under the following circumstances: a) those who are positive for hepatitis B core antibody (HBcAb) or hepatitis B surface antigen (HBsAg), but whose HBV DNA is lower than the lower limit of the detection value of the research center (negative) or < 500iu/ml, and who are excluded from active infection according to the judgm

Design outcomes

Primary

MeasureTime frame
Progression-Free Survival,PFS;

Secondary

MeasureTime frame
Objective Response Rate,ORR;Disease Control Rate,DCR;duration of response,DOR;Overall Survival,OS;Adverse Events,AE;

Countries

China

Contacts

Public ContactLi Wei

The First Affiliated Hospital of Bengbu Medical University

liwei@163.com+86 177 9265 9495

Outcome results

None listed

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