About this trial
To evaluate the efficacy and safety of apatinib combined with adebrelizumab and EC in the first-line treatment of extensive small cell lung cancer
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
1. Patients with extensive stage small cell lung cancer confirmed by histopathology or cytology (excluding complex small cell lung cancer);
2. Age at the time of signing the informed consent: 18-75 years old (including 18 and 75 years old), male or female;
3. The physical status of the Eastern Oncology Consortium (ECOG) was 0 or 1 (see Annex 1 for the ECOGPS scoring criteria);
4. Have not received systematic treatment for extensive small cell lung cancer;
Disqualifiers
1. Known allergy to any of the drugs in the study;
2. Previous or co-existing malignancies other than cured basal cell carcinoma of the skin, cervical carcinoma in situ, ductal carcinoma in situ of the breast (DCIS), papillary carcinoma of the thyroid gland, and other malignancies that have been adequately treated and cured for ≥5 years prior to the first dose with evidence of no recurrence or metastasis;
3. Presence of symptomatic or active central nervous system (CNS) metastases or cancerous meningitis (patients with asymptomatic or stable brain metastases after treatment are allowed to be included);
4. Active or previously suffering from autoimmune disease or immune deficiency;
Trial design
Single group
Treatments tested in this trial
Apatinib
Drug250mg, P.O, qd, 21 days per cycle;
Adebrelimab
Drug20mg/kg or 1200mg ivgtt, d1, 21 days per cycle;
Etoposide Injection
Drug100mg/m\^2 ivgtt for the first, second and third consecutive days, 21 days per cycle.
Carboplatin Injection
DrugDay 1 administration, AUC=5, intravenous infusion; One treatment cycle every 21 days.
Treatment groups
Trial outcomes
Primary outcomes
Progression free survival
Defined as the time from the start of enrollment to the date when objective tumor progression was first recorded or to death from any cause, whichever occurs first.
Secondary outcomes
Objective remission rate
Proportion of subjects with CR and PR (RECIST v1.1 standard)
Disease control rate
Proportion of subjects with CR and PR and SD (RECIST v1.1 standard)
Overall survival
Defined as the time between enrollment and the subject's death from various causes;
Safety and tolerance evaluated by incidence, severity and outcomes of AEs
Safety and tolerance will be evaluated by incidence, severity and outcomes of AEs and categorized by severity in accordance with the NCI CTC AE Version 5.0
Sponsors and contacts
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