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The Efficacy and Safety of Adjuvant Immunotherapy After Pathological Complete Response Following Neoadjuvant Chemoimmunotherapy in Patients with Resectable NSCLC

The Efficacy and Safety of Adjuvant Immunotherapy After Pathological Complete Response Following Neoadjuvant Chemoimmunotherapy in Patients with Resectable NSCLC: a Prospective Real-World Study

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT06243679
Enrollment
100
Registered
2024-02-06
Start date
2020-07-01
Completion date
2027-12-01
Last updated
2024-12-06

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

Conditions

Resectable/Potentially Resectable NSCLC

Brief summary

This is a prospective, observational, multicenter real-world study aiming to investigate the efficacy and safety of NSCLC patients with or without adjuvant immunotherapy who have achieved pathologic complete remission after neoadjuvant immunotherapy.

Interventions

DRUGImmunotherapy

Monotherapy with PD-1 inhibitors, up to 1 year.

Sponsors

Xiangya Hospital of Central South University
Lead SponsorOTHER

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

1. 18 years ≤ age ≤ 80 years; 2. Histologically or cytologically confirmed NSCLC; 3. Resectable stage IB, II, IIIA, or IIIB (N2) NSCLC according to the staging criteria of the American Joint Committee on Cancer (8th edition); 4. Eastern Cooperative Oncology Group (ECOG) performance status score 0-1 at baseline; 5. With measurable or evaluable diseases according to the Response Evaluation Criteria in Solid Tumors, version 1.1 (RECIST 1.1) at baseline; 6. Achieving pathological complete response (pCR) after three cycles of neoadjuvant chemoimmunotherapy, which was assessed by independent pathological examination of surgical specimens; 7. With or without adjuvant immunotherapy postoperatively; 8. Signed and dated written informed consent provided by the patient prior to admission to the study.

Exclusion criteria

1. EGFR or ALK aberrations positive; 2. With primary/secondary immunodeficiency diseases or symptomatic interstitial lung diseases; 3. With a condition requiring systemic treatment with either corticosteroids (\> 10 mg daily prednisone or equivalents) or other immunosuppressive medications within 14 days of study drug administration; 4. With other active malignant tumors currently receiving cancer therapy (chemotherapy, radiation therapy, immunotherapy, or biologic therapy) or investigational anti-cancer drugs; 5. Receipt of other investigational drugs during the observation period; 6. Unable to follow the procedures required in the protocol due to any medical, mental or psychological conditions.

Design outcomes

Primary

MeasureTime frameDescription
DFS (Disease-Free Survival)Approximately 3 yearsEvaluated by investigator based on RECIST1.1

Secondary

MeasureTime frameDescription
3-year DFS (disease-free survival) rateApproximately 3 yearsEvaluated by investigator based on RECIST1.1
OS (Overall Survival)Approximately 3 yearsEvaluated by investigator based on RECIST1.1
Recurrence and Metastasis PatternApproximately 3 years
AE (Adverse Event)Approximately 3 yearsAn AE is any untoward medical occurrence in a patient or clinical investigation participant administered an investigational product. Safety and tolerance evaluated by incidence, severity and outcomes of AEs (according to NCICTCAE 5.0)

Countries

China

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026