III or IV stage lung cancer or metastatic cancer where standard therapy is ineffective
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. III/IV stage lung cancer or multiple emtastatic lung cancer. 2. For metastatic lung cancer other than primary lung cancer, the tumors show microsatelite instability(MSI)-high. 3. Even having another metastatic tumors, the life extension is expected if the main tumor is treated by cryoablation. 4. Informed consent with risk and long-term forecast.
Exclusion criteria
Exclusion criteria: 1. Patients having obvious interstitial pneumia. 2. Tumors located where the cryoprobe insertion is not available.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| For patients with III/IV stage lung cancer or multiple metastatic lung cancer who are refractory to standard therapy, the main lung tumor is treated by cryoablation followed by starting immune checkpoint inhibitor around 4 weeks later with 4 cycles at minimum. The efficacy of the drug is investigated especially whether it is superior over the effective rate reported so far. | — |
Secondary
| Measure | Time frame |
|---|---|
| To investigate whether the cryoablation for lung cancer increase the interstitial pneumonia, which is one of side effects of immune checkpoint inhibitor. | — |
Countries
Japan
Contacts
Kashiwa Kousei General Hospital Thoracic Surgery