Non Small Cell Lung Cancer
Conditions
Brief summary
This is a prospective, single-arm study to investigate the efficacy and safety of Adebrelimab in combination with paclitaxel for injection (albumin bound) and platinum chemotherapy as neoadjuvant therapy in resectable non-small cell lung cancer harboring driver gene mutations
Interventions
Adebrelimab IV
paclitaxel for injection (albumin bound) IV
Cisplatin or Carboplatin IV
Sponsors
Study design
Eligibility
Inclusion criteria
* Male or female aged ≥18 years. * Eastern Cooperative Oncology Group (ECOG) Performance Status of 0-1. * Resectable non-small cell lung cancer harboring driver gene mutations. * At least one measurable disease based on Response Evaluation Criteria in Solid Tumors 1.1. * Have adequate organ function. * Female subjects of childbearing potential must have a negative urine or serum pregnancy test within 72 hours prior to receiving the first dose of study medication;Females should not be breastfeeding;Female subjects of childbearing potential as well as males sexually active with women of childbearing potential must be willing to use an adequate method of contraception. * Voluntarily comply with the treatment protocol.
Exclusion criteria
* Previously treated with any anti-tumor therapy; * Subject with known autoimmune disease * Subject with known history of testing positive for human immunodeficiency virus (HIV) or known to have acquired immunodeficiency syndrome (AIDS), subject has known active hepatitis B or C. * Presence of third space effusion that cannot be controlled by drainage or other means (e.g., excessive pleural fluid and ascites). * Subject with severe liver and kidney dysfunction. * Subjects who need to use corticosteroids (\>10 mg/day prednisone or equivalent dose of similar drugs) or other immunosuppressive therapy for systematic treatment within 14 days before the first administration of the study * Subject with previous malignancies within 5 years, except for cured in situ cancer. * Subject with previous or current pulmonary fibrosis, interstitial pneumonia, pneumoconiosis, radiation pneumonia, drug-induced pneumonia and severe damage to lung function. * Subject with uncontrolled hypertension. * Prior organ transplantation including allogenic stem-cell transplantation. * Known hypersensitivity to the study drug or any of its excipients. * Other situations that the investigator considers unsuitable for the enrollment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pathological complete response rate | at 12 months | pCR rate, the proportion of patients achieved pathologic complete response (lung and lymph node without tumor residual assessed by pathology review) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| R0 rate | 12 months | the proportion of patients achieved R0(No residue under the microscope after resection) |
| Event Free Survival | up to 5 years | EFS, the time length from the first dose to any prescriptive events |
| Major pathologic response rate | 12 months | MPR rate, the proportion of patients achieved pathologic complete response (lung and lymph node ≤10% tumor residual assessed by pathology review) |
| Objective response rate | 12 months | ORR, the proportion of patients achieved complete or partial response |
| Adverse Events | up to 5 years | AEs |
| Overall Survival | up to 5 years | OS, the time length from the date of the first dose to the date of death. |