About this trial
Androgen Deprivation Therapy (ADT) triggers thymic revitalization and increases thymic output, enhancing baseline anti-tumor immunity and responses to immunotherapies. Anti-tumor synergism has been identified by combining ADT with anti-PD-1 immunotherapy for androgen-independent tumors. This study is to investigate the combination of Leuprorelin ADT and Sintilimab (anti-PD-1) therapy in patients with advanced lung cancer.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Male patients aged ≥60 years.
ECOG performance status score of 0 ~1.
Expected survival time of more than 3 months.
Histologically or cytologically diagnosed advanced lung cancer according to the TNM staging system established by AJCC.
Disqualifiers
Exclusion of cases that do not meet the inclusion criteria
Trial design
Parallel
Treatments tested in this trial
Leuprorelin acetate + Sintilimab
DrugLeuprolide, an FDA-approved GnRH agonist, reduces sex hormone production and is widely used in clinical practice.
Sintilimab
DrugPD-1 inhibitor
Treatment groups
Trial outcomes
Primary outcomes
Number of Participants with Complete Response (CR)
Disappearance of all target lesions, with nodular diseases excluded and target nodules reduced to \<10mm in short axis.
Number of Participants with Partial Response (PR)
Reduction of at least 30% in the sum of diameters of all measurable target lesions compared to baseline
Number of Participants with Disease Progression (PD)
A 20% increase in the sum of the diameters of all measurable target lesions over the entire study period (using the smallest baseline value if it is the smallest), coupled with an absolute increase in the sum of diameters of at least 5mm. The appearance of one or more new lesions is also considered disease progression.
Number of Participants with Stable Disease (SD)
Lesion reduction not meeting PR criteria nor sufficient increase for PD, falling in between these two endpoints. The minimum sum of diameters during the study period can be used as a reference.
Sponsors and contacts
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Jinzhou Medical University
Lead sponsor
The First Affiliated Hospital of Zhengzhou University
Collaborator