About this trial
This study uses a prospective cohort design.Subjects are randomly divided into three groups (A, B, C) before surgery. Group A gets 3 cycles of sintilimab + chemo, Group B gets 2 cycles + 1 cycle, and Group C gets 1 cycle + 2 cycles.
Non-squamous NSCLC subjects receive pemetrexed/albumin paclitaxel + platinum, while squamous NSCLC subjects get albumin paclitaxel + platinum.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Subjects must sign the written informed consent form (ICF), and be able to follow the visits and relevant procedures specified in the protocol
Age ≥ 18 years
Cytologically or histologically confirmed primary NSCLC (including adenocarcinoma, squamous cell carcinoma, adenosquamous carcinoma)
Subjects with Stage IIA (primary focus>4cm), IIIA or IIIB (resectable N2 only) disease based on the 8th edition of the TNM staging classification for lung cancer issued by the International Association for the Study of Lung Cancer and the American Joint Committee on Cancer Classification (AJCC8), resectable N2 only refers to non-massive (defined as short diameter less than 3cm), discrete or single station N2 involvement.
Disqualifiers
Pathological examination showed that small cell carcinoma, neuroendocrine carcinoma, sarcoma, lymphoepithelioma-like carcinoma, salivary gland tumor and mesenchymal tumor components
Tumor invasion of the diaphragm, mediastinum, heart, pericardium, large blood vessels (such as aorta), esophagus, vertebral body
pulmonary sulcus tumor
Contralateral lung nodules, it need biopsy if clinically suspected
Trial design
Parallel
Treatments tested in this trial
sintilimab plus platinum-based chemotherapy
DrugThe subjects in group A will receive 3 cycles of sintilimab plus platinum-based chemotherapy
sintilimab plus platinum-based chemotherapy
DrugThe subjects in group B will receive 2 cycles of sintilimab plus platinum-based chemotherapy plus 1 cycle of sintilimab
sintilimab plus platinum-based chemotherapy
DrugThe subjects in group C will receive 1 cycle of sintilimab plus platinum-based chemotherapy plus 2 cycles of sintilimab.
Treatment groups
Trial outcomes
Primary outcomes
pCR rate
rate of pathological complete response
Secondary outcomes
MPR rate
rate of major pathologic response
R0 resectability rate
R0 resection indicates a microscopically margin-negative resection, in which no gross or microscopic tumor remains in the primary tumor bed
The completion rate of surgery on schedule
The rate of surgical completion as per the pre-established schedule represents a crucial metric in evaluating the efficiency and precision of medical institutions
Locations
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
This trial is not recruiting at the moment. You can still explore other options: