Clinical Study of Nanocrystalline Megestrol in Malnourished Patients With First-Line Non-Small Cell Lung Cancer

Trial statusNot yet recruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18+
SponsorHunan Province Tumor Hospital

About this trial

This prospective interventional clinical study evaluates the efficacy of nanocrystalline megestrol combined with standard care in improving appetite and weight compared to standard care alone in first-line treatment of NSCLC.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

(1) Voluntarily sign a written ICF. (2) The age at the time of enrollment is ≥18 years old. (3) The physical fitness score of Eastern Tumor Cooperation Organization (ECOG) is 0-2.

Disqualifiers

(1) NSCLC diagnosed with EGFR sensitivity mutation or ALK gene translocation; Histologic presence of a small cell carcinoma component is not allowed to enroll.

Trial design

Design model

Parallel

Treatments tested in this trial

  • nanocrystalline megestrol oral suspension + PD-1/L1 inhibitor combined with chemotherapy

    Drug

    Oral suspension of nanocrystalline megestrol is taken orally once a day until disease progression or 12 weeks (maximum duration of 12 weeks) PD-1/L1 inhibitors combined with chemotherapy are given every 3 weeks for one dosing cycle.

  • PD-1/L1 inhibitor combined with chemotherapy

    Drug

    PD-1/L1 inhibitors combined with chemotherapy are given every 3 weeks for one dosing cycle.

Treatment groups

94 Participants
are divided into 2 treatment groups
Group A: Cohort 1Experimental treatment 1 intervention
Group B: Cohort 2Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Appetite improvement level

Proportion of subjects with an improvement in appetite based on A/CS-12 during the treatment period; (An increase of ≥4 points or ≥37 points on the A/CS-12 scale is defined as an improvement in appetite)

Time frame
Time from first subject dose to study completion, or up to 36 month
2

Weight improvement level

Proportion of subjects with an increase from baseline in BMI during the treatment period.

Time frame
Time from first subject dose to study completion, or up to 36 month

Secondary outcomes

1

progression-free survival (PFS)

defined as the duration from the start treatment to progression, or patient death

Time frame
Time from first subject dose to study completion, or up to 36 month
2

Objective Response Rate (ORR)

define as the proportion of subjects who have a complete response (CR) or a partial response (PR)

Time frame
Time from first subject dose to study completion, or up to 36 month
3

L3 SMI

Changes in L3 skeletal muscle index (L3 SMI).

Time frame
Time from first subject dose to study completion, or up to 36 month
4

Nutritional status improvement level

Assess the patient's nutritional improvement from treatment based on the Nutritional Risk Screening Score Short Form (NRS2002)

Time frame
Time from first subject dose to study completion, or up to 36 month

Other outcomes

Sponsors and contacts

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