About this trial
To evaluate the efficacy and safety of maintenance therapy with Adebrelimab plus Apatinib for extensive stage small cell lung cancer after first-line induction of Adebrelimab plus chemotherapy.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Participants voluntarily enrolled in this study and signed an informed consent form, were compliant and co-operated with follow-up visits;
Age 18 years and above, male and female;
Diagnosis of extensive stage small cell lung cancer (ES-SCLC) confirmed by histology or pathology (according to the American Veterans Lung Cancer Association, VALG stage);
ECOG physical condition score is 0-2;
Disqualifiers
Patients with meningeal metastases;
Prior treatment with any T-cell co-stimulation or immune checkpoint therapy, including, but not limited to, cytotoxic T-lymphocyte-associated antigen-4 (CTLA-4) inhibitors, PD-1 inhibitors, PD-L1/2 inhibitors, CD137 agonists, or other agents that target T cells;
Prior treatment with apatinib;
Factors affecting oral administration of medications such as inability to swallow, post gastrointestinal resection, chronic diarrhoea, intestinal obstruction;
Trial design
Single group
Treatments tested in this trial
Adebrelimab Injection
DrugAdebrelimab injection (1200mg) will be administered by intravenous infusion during the induction phase and maintenance phase on day 1 in a 3-week treatment cycle.
Apatinib Mesylate Tablets
DrugApatinib mesylate tablets (250 mg) will be administered orally in a 3-week treatment cycle, once a day.
Carboplatin
DrugCarboplatin (AUC 4-5mg/mL/min) intravenous infusion will be administered during the induction phase on day 1 in a 3-week treatment cycle.
Cisplatin
DrugCisplatin (75mg/m2) intravenous infusion will be administered during the induction phase on day 1 in a 3-week treatment cycle.
Etoposide
DrugEtoposide(100mg/m2) intravenous infusion will be administered during the induction phase from day 1 to 3 in a 3-week treatment cycle.
Treatment groups
Trial outcomes
Primary outcomes
Progression-free survival (PFS)
To evaluate the efficacy of anti-tumor by Resist1.1 (In months)
Secondary outcomes
Objective response rate (ORR)
To evaluate the efficacy of anti-tumor by Resist1.1 (In percent)
Disease control rate (DCR)
To evaluate the efficacy of anti-tumor by Resist1.1(In percent)
Duration of Response (DOR)
To evaluate the efficacy of anti-tumor by Resist1.1(In months)
Overall survival (OS)
To evaluate the efficacy of anti-tumor by Resist1.1(In months)
Other outcomes
Correlation of biomarkers and tumour response
Biomarkers Include: haematopoietic factors in pg/mL (IL-6,IL-8, IL-10, etc.), PD-L1 expression in TPS, T-cell subsets in percent, T-cell immunoprecision typing and regulatory T-cell counts in percent.
Sponsors and contacts
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Yunpeng Liu
Lead sponsor
China Medical University, China
Sponsor institution
Jiangsu HengRui Medicine Co., Ltd.
Collaborator