Multiple Primary Lung Cancers
Conditions
Keywords
ground-glass nodule, ground-glass density
Brief summary
A single-center,prospective interventional study to explore the efficacy of PD-1 antibody Sintilimab on early-stage multiple primary lung cancer patients with ground-glass nodules in CT scan.
Detailed description
This study is a single-center,prospective interventional clinical study, all subjects enrolled are multiple primary lung cancer patients with ground-glass density in CT scan.The samples plan for the study was 36 cases.The enrolled patients will receive intravenous infusion of Sintilimab 200mg every 3 weeks up to 4 cycles, and the efficacy will be evaluated after cycle 2 and 4 using RECIST criteria (version 1.1 ).
Interventions
Patients in experimental group receive the treatment of PD-1 antibody Sintilimab
Sponsors
Study design
Intervention model description
Clinical trials with a single arm
Eligibility
Inclusion criteria
* Two or more ground-glass lesions (pure ground glass or partially solid) presented in the CT scan of lung that cannot be operated simultaneously * There was at least one lung cancer lesion with a diameter of 1-3cm confirmed pathologically or by multidisciplinary team. * Excluding lymph nodes and distant metastasis through imaging * ECOG PS 0-1 * Vital organ functions meet the following requirements: 1)The absolute count of neutrophils ≥1.5×109/L 2)Platelet ≥90×109/L 3)Hemoglobin ≥9g/dL 4)Serum albumin ≥3g/dL 5)Thyroid stimulating hormone (TSH) ≤ULN (if abnormal, T3 and T4 levels should be examined at the same time; if T3 and T4 levels are normal, they can be included in the group) 6)Bilirubin ≤ULN 7)ALT and AST≤1.5 ULN 8)AKP≤ 2.5ULN or less 9)Serum creatinine ≤1.5 ULN or creatinine clearance ≥60mL/min * Subjects volunteered to participate in this study and signed informed consent, with good compliance.
Exclusion criteria
* Non-calcified lesions with diameter more than 3mm are presented * The presence of any active autoimmune diseases or a history of autoimmune diseases * Those who have used other drugs in clinical study within 4 weeks before the first time of drug use * Severe allergic reaction to monoclonal antibody * Heart clinical symptoms or diseases are not well controlled * Subjects with congenital or acquired immune deficiency (such as HIV infection) or active hepatitis * According to the researcher's judgment, the subjects have other factors that may lead to the forced termination of this study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| ORR of target lesions. | 3 months | The objective response rate will be evaluated after 4 courses of treatment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants with treatment-related adverse events as assessed by CTCAE v4.0 | 3 months | The safty of PD-1 Antibody Sintilimab |
Countries
China