About this trial
In recent years, immunotherapy has become one of the important treatments for malignant tumors. Among them, PD-1 inhibitors have been widely used in clinical practice, and have shown a significant survival benefits in many patients. However, the incidence of immune-related adverse reactions (irAEs) of PD-1 inhibitors is relatively high, and severe cases can even threaten patients's life. At present, irAEs have become a bottleneck and it is urgent to establish a prevention strategy for the prediction of irAEs. In this study, the investigators intends to use Sintilimab as the research drug. A prospective cohort study was carried out. Part of the sample which was used as a training set would be detected for producing a time-series multi-dimensional data such as differential genes, metabolites and immune factors. Then gene expression programming (GEP) was used to explore the irAEs recognition model. Then, based on this recognition model, internal verification ( part of samples from the center 1 ) and external verification ( part of samples from the center 2 and center 3 samples) are carried out to accurately predict the high-risk population of irAEs and realize the early-stage warning of Sintilimab induced- irAEs.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥18 and ≤75 years old;
Subjects with histologically or cytologically confirmed are prepared to receive Sintilimab treatment;
Life expectancy of at least 6 months;
Eastern Cooperative Oncology Group (ECOG) PS status≤ 2 or Karnofsky (KPS) ≥ 60;
Disqualifiers
Has active autoimmune disease;
Severe heart, lung, brain, kidney, gastrointestinal or systemic diseases;
has interstitial lung disease;
Simultaneous use of drugs that can affect the results of this study;
Trial population
Subjects with histologically or cytologically confirmed are prepared to receive Sintilimab treatment
Trial design
Cohort
Prospective
Treatments tested in this trial
Sintilimab Injection
DrugThe recommended dose for intravenous infusion is 200 mg on day 1.Courses repeat every 21 days for up to 6 months in the absence of disease progression or unacceptable toxicity.
Treatment groups
Trial outcomes
Primary outcomes
irAEs
degree of irAEs induced by Sintilimab Injection
Sponsors and contacts
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Guohui Li
Lead sponsor
Cancer Institute and Hospital, Chinese Academy of Medical Sciences
Sponsor institution