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The Clinical Characteristics and Efficacy of Immunotherapy in First-line PD-L1-negative Advanced NSCLC Patients

The Clinical Characteristics and Efficacy of Immunotherapy in First-line PD-L1-negative Advanced NSCLC Patients: A Real-world Observational Study

Status
Not yet recruiting
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT06496009
Acronym
LungCadX-RW
Enrollment
845
Registered
2024-07-11
Start date
2024-07-08
Completion date
2027-04-28
Last updated
2024-07-11

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

Conditions

NSCLC

Keywords

NSCLC, PD-L1 negative, immunotherapy

Brief summary

This study aims to include patients with advanced or metastatic non-small cell lung cancer who are PD-L1 negative and receiving first-line immunotherapy in routine clinical practice.

Detailed description

This study aims to include patients with advanced or metastatic non-small cell lung cancer who are PD-L1 negative and receiving first-line immunotherapy in routine clinical practice. Clinical treatment of patients will not be intervened unless disease progression, intolerable toxicity, initiation of new anti-tumor therapy, withdrawal of informed consent, loss to follow-up, death, or other circumstances deemed appropriate by the investigator to discontinue treatment, whichever occurs first. The primary objective of the study is for investigators to assess the one-year progression-free survival (PFS) rate of immunotherapy as first-line treatment in PD-L1 negative advanced or metastatic NSCLC, evaluated according to RECIST 1.1 criteria.

Interventions

DRUGPD-1 Inhibitors

advanced or metastatic non-small cell lung cancer who are PD-L1 negative and receiving first-line immunotherapy in routine clinical practice

Sponsors

Shanghai Pulmonary Hospital, Shanghai, China
Lead SponsorOTHER

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

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

Inclusion criteria

* Written informed consent must be obtained before implementing any trial-related procedures; * Aged 18-80 years; * Wild-type EGFR/ALK; * Patients with locally advanced (stage IIIb/IIIc), metastatic, or recurrent (stage IV) NSCLC confirmed by histology or cytology, who are not eligible for curative surgery and cannot undergo definitive radiotherapy/chemotherapy, according to the 8th edition of the TNM staging classification by the International Association for the Study of Lung Cancer and the American Joint Committee on Cancer; * PD-L1 negative; * Patients receiving first-line immunotherapy (such as PD-1/PD-L1 inhibitors).

Exclusion criteria

* The patient refused to join this study and declined follow-up.

Design outcomes

Primary

MeasureTime frameDescription
1-year Progression-Free Survival (PFS) rateup to 12 monthThe 1-year Progression-Free Survival (PFS) rate is a clinical metric used to measure the percentage of patients who are still alive and have not experienced disease progression one year after the start of treatment.

Secondary

MeasureTime frameDescription
Progression-Free Survivalup to 24 monthsPFS is the length of time during and after treatment that a patient lives with the disease but it does not get worse. It is a standard measure used in clinical trials to evaluate the effectiveness of a treatment.
Overall Survivalup to 36 monthsOS refers to the length of time from either the date of diagnosis or the start of treatment that patients diagnosed with a disease are still alive
Objective Response Rateup to 9 monthObjective Response Rate (ORR) refers to the proportion of patients whose cancer shrinks (partial response) or disappears (complete response) after treatment.

Contacts

Primary ContactLi Wang, MD
leewang8023@126.com18170211997

Outcome results

None listed

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