Monitoring and Rehabilitation for ICIACI Rehabilitation:A Cohort Study

November 3, 2026 updated by: Jingyi Ren, China-Japan Friendship Hospital

Study on the Monitoring of Traditional Chinese and Western Medicine Characteristics and Rehabilitation Program for ICIAM:A Cohort Study

Immune checkpoint inhibitor-associated cardiac injury (ICIACI) is a low-incidence but highly fatal adverse event. A significant knowledge gap exists regarding the disease characteristics and recovery status of patients during the ICIACI convalescent phase. The objectives of this study are to establish a national, multicenter cohort for this patient population and to comprehensively describe their clinical profiles from an integrated Traditional Chinese and Western medicine standpoint, as well as their current rehabilitation status.

Study Overview

Status

Not yet recruiting

Conditions

Detailed Description

The cohort study consists of a retrospective and a prospective cohort, enrolling eligible rehabilitation ICIACI patients from multiple centers across China. The retrospective cohort records baseline assessment data from electronic medical records and clinical sources, including demographics, cancer diagnosis and immunotherapy details, laboratory tests, electrocardiograms, imaging studies, quality of life and exercise tolerance assessments, TCM syndrome scores, and rehabilitation information, to define TCM and Western medicine clinical characteristics and rehabilitation status. The prospective cohort patients are followed up at 2, 4, and 12 weeks after enrollment, with MACE as the primary endpoint and quality of life scores as the secondary endpoint, to evaluate influencing factors of rehabilitation and its impact on prognosis.

Study Type

Observational

Enrollment (Estimated)

340

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 80 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Sampling Method

Probability Sample

Study Population

Under the established protocol, patients presenting with ICIACI will be enrolled from the China-Japan Friendship Hospital, Fuwai Hospital of the Chinese Academy of Medical Sciences, the Second Affiliated Hospital of Nanchang University, and Weifang Hospital of Traditional Chinese Medicine during the period from December 2025 to July 2028.

Description

Inclusion Criteria:

  • Aged 18 to 80 years, inclusive
  • Malignancy confirmed by cytology or histopathology
  • Diagnosis of ICIACI following ICI therapy
  • Assessed by the Multidisciplinary Team for Immune-Related Adverse Events as clinically recovered and entering the rehabilitation.

Exclusion Criteria:

  • Diagnosis of fulminant myocarditis or cardiac function of NYHA IV
  • Clear evidence suggesting cardiac injury not attributable to ICIs
  • Concurrent acute cardiovascular events or malignant arrhythmias
  • Coexisting severe immune-related adverse events affecting other organ systems
  • Associated severe systemic diseases, such as severe hepatic or renal insufficiency, or severe infection.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Observational Models: COHORT
  • Time Perspectives: OTHER

Cohorts and Interventions

Group / Cohort
ICIACI-Rehab Cohort

This observational cohort includes patients with immune checkpoint inhibitor-associated cardiac injury (ICIACI). Clinical characteristics, cardiac function, rehabilitation status, and clinical outcomes are assessed during follow-up. Rehabilitation and other treatments are provided according to routine clinical practice, without interventions assigned by the study protocol.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
MACE
Time Frame: 2, 4, and 12 weeks after enrollment

Cardiovascular Death, Cardiac Arrest, Cardiogenic Shock, High-Grade Atrioventricular Block

2, 4, and 12 weeks after enrollment

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change in EuroQol 5-Dimension 5-Level (EQ-5D-5L) Health Utility Index
Time Frame: 2, 4, and 12 weeks after enrollment

The EQ-5D-5L assesses health-related quality of life across five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Responses are converted into a health utility index using the Chinese EQ-5D-5L value set, with scores ranging from -0.391 to 1.000. Higher scores indicate better health-related quality of life. Changes from baseline to Weeks 2, 4, and 12 will be assessed.

2, 4, and 12 weeks after enrollment
Change in EuroQol Visual Analogue Scale (EQ VAS) Score
Time Frame: 2, 4, and 12 weeks after enrollment

The EuroQol Visual Analogue Scale (EQ VAS) assesses participants' self-rated overall health status on a scale ranging from 0 (worst imaginable health) to 100 (best imaginable health). Higher scores indicate better self-rated health. Changes from baseline to Weeks 2, 4, and 12 will be assessed.

2, 4, and 12 weeks after enrollment

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Collaborators

Investigators

  • Principal Investigator: Jingyi Ren, Professor, China-Japan Friendship Hospital

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

December 30, 2026

Primary Completion (Estimated)

July 31, 2028

Study Completion (Estimated)

July 31, 2028

Study Registration Dates

First Submitted

November 30, 2025

First Submitted That Met QC Criteria

December 11, 2025

First Posted (Actual)

December 12, 2025

Study Record Updates

Last Update Posted (Actual)

November 5, 2026

Last Update Submitted That Met QC Criteria

November 3, 2026

Last Verified

November 1, 2026

More Information

Terms related to this study

Other Study ID Numbers

  • 2023ZD0502805-01

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.