About this trial
This is a double-blind, randomized controlled study evaluating the efficacy and safety of HGXJT in combination with ICI-based standard treatment in lung cancer patients with bone metastases. Enrolled participates will randomly receive HGXJT or placebo during the first 4-6 cycles of ICI-based standard treatment.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Patients with non-small cell lung cancer diagnosed by histopathology or cytopathology.
Presence of bone metastases.
EGFR/ALK gene wild type.
No prior treatment with PD-1 inhibitors (combination or monotherapy)
Disqualifiers
Unable to complete the baseline assessment form
Combination of other serious illnesses, including uncontrolled active infection, severe electrolyte disturbances, and significant bleeding tendencies.
Pregnant or lactating women.
Combined autoimmune diseases, hematologic disorders, or long-term use of hormones or immunosuppressive drugs.
Trial design
Parallel
Treatments tested in this trial
ICI
DrugPD-1 inhibitors selected by clinicians based on patients' condition
Chemotherapy
DrugAP regimen(Pemetrexed 500mg/m2+carboplatin AUC=5,q3w) for non-squamous cancer patientsor or TP regimen(Paclitaxel 175mg/m2+carboplatin AUC=5, or albumin paclitaxel 100mg/m2+carboplatin AUC=5,q3w)for Squamous cancer patients.
Placebo
DrugThe particle size and color are similar to the HGXJT, and the smell and taste are close to the HGXJT, and the bacteria test is qualified
Bone-protecting and Mass-dispersesing Decoction
DrugChinese Herbal Formula,also named as HGXJT
Treatment groups
Trial outcomes
Primary outcomes
(Disease control rate assessed by investigators) DCR (CR+PR+SD)
DCR (disease control rate) is defined as sum of complete response (CR) rate, partial response (PR) rate and stable disease (SD) rate, according to RECIST v 1.1, based on the chest, abdomen and/or brain CT/MRI evaluation. Patients will undergo a follow-up imaging examination every 3 months, with an additional imaging examination after the first two cycles of treatment (normally 6 weeks).
Secondary outcomes
Progression-free survival (PFS)
The time from the date of randomization to the date of disease progression, date of withdraw, or death from any cause, whichever occurs first.
Overall survival (OS)
The time from the date of randomization to the date of withdraw or date of death from any cause, whichever occurs first.
ORR(Objective response rate)
ORR (overall response rate) is defined as sum of complete response (CR) rate and partial response (PR) rate , according to RECIST v 1.1, based on the chest, abdomen and/or brain CT/MRI evaluation. Patients will undergo a follow-up imaging examination every 3 months, with an additional imaging examination after the first two cycles of treatment (normally 6 weeks).
Sponsors and contacts
Click on the lead sponsor to view all of their trials.