- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04734067
Exploration of the Predictive Marker and Establishment of Predictive Models of Checkpoint Inhibitor Pneumonitis
Exploration of Predictive Markers and Establishment of Predictive Models for Checkpoint Inhibitor Pneumonitis in Combination With Imaging in Immune Checkpoint Inhibitor Therapy
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Prospective dual-arm, multicenter observational study to explore the predictive factors of checkpoint inhibitor pneumonitis (CIP) and to establish predictive models by combining imaging information.Patients will receive work-up, treatment and follow-up exclusively as routinely done except monitoring and evaluation of CIP. Necessary tests will be required, such as lung function tests, lymphocyte subsets, and thin-section CT of the chest during evaluation of the disease.This study mainly included patients with malignant tumor who received immune checkpoint inhibitors for the first time.Fasting venous blood was taken before treatment and before cycle 3,5...2n+1 of treatment. Then the blood samples were centrifuged and frozen in a refrigerator at -80℃ for later mass spectrometry analysis. IrAEs of patients was strictly recorded according to CommonTerminology Criteria Adverse Events V4.0 (CTCAE V4.0). The main objective was to explore the relationship between various indicators and the occurrence of CIP, including pulmonary ventilation and diffusion function at baseline, C-reative protein(CRP), cytokines, interleukin-6(IL-6), CD4+ T lymphocyte count and percentage, CD8+ T lymphocyte count and percentage, NK cell count and percentage, total T lymphocyte count and percentage, neutrophil counts and percentages, eosinophilic cell count and percentage, white blood cell count, blood platelet count, serum albumin(ALB), alanine aminotransferase(ALT), aspartate aminotransferase (AST), γ-glutamyl transpeptadase(γ-GGT), body mass index (BMI), serum procalcitonin(PCT), smoking index and various inflammatory cytokines.
Primary study endpoints: The predictive factors and the predictive models of CIP.
Secondary study endpoints: The incidence and clinical characteristics of CIP.
Study Type
Enrollment (Anticipated)
Contacts and Locations
Study Contact
- Name: Hui Guo, PH.D
- Phone Number: 0086-13572824106
- Email: guohuihappy97@163.com
Study Contact Backup
- Name: Xiaohui Jia
- Phone Number: 0086-19829393046
- Email: xiaohuijia0101@163.com
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- age ≥ 18 years;
- Obtain written informed consent and any locally required authorization from the patient or his/her legal representative prior to the commencement of any study protocol related procedures, including screening assessments;
- Patients with malignant tumors confirmed by histology or cytology can be treated with ICIs after evaluation by a professional oncologist, with no restriction on cancer type or stage;
- Life expectancy on day 1 ≥12 weeks;
- When selected, the Eastern Cooperative Oncology Group (ECOG) physical status score was 0-2;
- No previous use of immunotherapy;
- No prior exposure to immune-mediated therapy;
- Have sufficient viscera function and bone marrow function;
- Evidence of postmenopausal status in women, or negative urine or serum pregnancy tests in premenopausal women.
Exclusion Criteria:
- The target lesion had received immune-related treatment or immune-mediated treatment before;
- Patients with clinically confirmed moderate to severe pulmonary interstitial fibrosis before taking ICIs;
- Major surgical procedures were performed within 28 days of the first medication;
- History of allograft transplantation;
- Active or previously documented autoimmune or inflammatory diseases or other contraindications for immunotherapy;
- Uncontrolled serious complications such as infection and acute cardio-cerebrovascular disease;
- The presence of another primary malignancy;
- anaphylaxis or hypersensitivity to immunotherapy or chemotherapy;
- Decompensation of viscera and low bone marrow function and hematopoietic function;
- Pregnant or lactating female patients;
- Expected survival time < 3 months
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
observational group
Patients receiving ICIs for the first time
|
Patients with malignant tumors who first received ICIs
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The change of C reactive protein(CRP); mg/L
Time Frame: Before Cycle 1,3, 5, 7 and 2n+1(each cycle is 21 days) and through study completion, an average of 6 months.
|
CRP level in the serum.
|
Before Cycle 1,3, 5, 7 and 2n+1(each cycle is 21 days) and through study completion, an average of 6 months.
|
Interleukin-6(IL-6); Pg/ml
Time Frame: Before Cycle 1,3, 5, 7 and 2n+1(each cycle is 21 days) and through study completion, an average of 6 months.
|
IL-6 level in the serum.
|
Before Cycle 1,3, 5, 7 and 2n+1(each cycle is 21 days) and through study completion, an average of 6 months.
|
CD4+ T lymphocyte; /uL
Time Frame: Before Cycle 1,3, 5, 7 and 2n+1(each cycle is 21 days) and through study completion, an average of 6 months.
|
The absolute and relative counts of CD4+ T lymphocyte in whole blood.
|
Before Cycle 1,3, 5, 7 and 2n+1(each cycle is 21 days) and through study completion, an average of 6 months.
|
CD4+ T lymphocyte; percent
Time Frame: Before Cycle 1,3, 5, 7 and 2n+1(each cycle is 21 days) and through study completion, an average of 6 months.
|
Percentage of CD4+ T lymphocyte in whole blood.
|
Before Cycle 1,3, 5, 7 and 2n+1(each cycle is 21 days) and through study completion, an average of 6 months.
|
CD8+ T lymphocyte; /uL
Time Frame: Before Cycle 1,3, 5, 7 and 2n+1(each cycle is 21 days) and through study completion, an average of 6 months.
|
The absolute and relative counts of CD8+ T lymphocyte in whole blood.
|
Before Cycle 1,3, 5, 7 and 2n+1(each cycle is 21 days) and through study completion, an average of 6 months.
|
CD8+ T lymphocyte; percent
Time Frame: Before Cycle 1,3, 5, 7 and 2n+1(each cycle is 21 days) and through study completion, an average of 6 months.
|
Percentage of CD8+ T lymphocyte in whole blood.
|
Before Cycle 1,3, 5, 7 and 2n+1(each cycle is 21 days) and through study completion, an average of 6 months.
|
NK cell; /uL
Time Frame: Before Cycle 1,3, 5, 7 and 2n+1(each cycle is 21 days) and through study completion, an average of 6 months.
|
The absolute and relative counts of NK cell in whole blood.
|
Before Cycle 1,3, 5, 7 and 2n+1(each cycle is 21 days) and through study completion, an average of 6 months.
|
NK cell; percent
Time Frame: Before Cycle 1,3, 5, 7 and 2n+1(each cycle is 21 days) and through study completion, an average of 6 months.
|
Percentage of NK cell in whole blood.
|
Before Cycle 1,3, 5, 7 and 2n+1(each cycle is 21 days) and through study completion, an average of 6 months.
|
White blood cell count; 10^9/L
Time Frame: Before Cycle 1,3, 5, 7 and 2n+1(each cycle is 21 days) and through study completion, an average of 6 months.
|
The white blood cell count in whole blood.
|
Before Cycle 1,3, 5, 7 and 2n+1(each cycle is 21 days) and through study completion, an average of 6 months.
|
Lymphocyte count; 10^9/L
Time Frame: Before Cycle 1,3, 5, 7 and 2n+1(each cycle is 21 days) and through study completion, an average of 6 months.
|
The absolute and relative counts of total lymphocyte count in whole blood.
|
Before Cycle 1,3, 5, 7 and 2n+1(each cycle is 21 days) and through study completion, an average of 6 months.
|
Lymphocyte count; percent
Time Frame: Before Cycle 1,3, 5, 7 and 2n+1(each cycle is 21 days) and through study completion, an average of 6 months.
|
Percentage of total lymphocyte count in whole blood.
|
Before Cycle 1,3, 5, 7 and 2n+1(each cycle is 21 days) and through study completion, an average of 6 months.
|
Eosinophils count; 10^9/L
Time Frame: Before Cycle 1,3, 5, 7 and 2n+1(each cycle is 21 days) and through study completion, an average of 6 months.
|
The absolute and relative counts of eosinophils count in whole blood.
|
Before Cycle 1,3, 5, 7 and 2n+1(each cycle is 21 days) and through study completion, an average of 6 months.
|
Eosinophils count; percent
Time Frame: Before Cycle 1,3, 5, 7 and 2n+1(each cycle is 21 days) and through study completion, an average of 6 months.
|
Percentage of eosinophils count in whole blood.
|
Before Cycle 1,3, 5, 7 and 2n+1(each cycle is 21 days) and through study completion, an average of 6 months.
|
Blood platelet count; 10^9/L
Time Frame: Before Cycle 1,3, 5, 7 and 2n+1(each cycle is 21 days) and through study completion, an average of 6 months.
|
The blood platelet count in whole blood.
|
Before Cycle 1,3, 5, 7 and 2n+1(each cycle is 21 days) and through study completion, an average of 6 months.
|
Alanine aminotransferase(ALT); U/L
Time Frame: Before Cycle 1,3, 5, 7 and 2n+1(each cycle is 21 days) and through study completion, an average of 6 months.
|
The ALT level in the serum.
|
Before Cycle 1,3, 5, 7 and 2n+1(each cycle is 21 days) and through study completion, an average of 6 months.
|
Aspartate aminotransferase (AST); U/L
Time Frame: Before Cycle 1,3, 5, 7 and 2n+1(each cycle is 21 days) and through study completion, an average of 6 months.
|
The AST level in the serum.
|
Before Cycle 1,3, 5, 7 and 2n+1(each cycle is 21 days) and through study completion, an average of 6 months.
|
Serum albumin; g/L
Time Frame: Before Cycle 1,3, 5, 7 and 2n+1(each cycle is 21 days) and through study completion, an average of 6 months.
|
The albumin level in the serum.
|
Before Cycle 1,3, 5, 7 and 2n+1(each cycle is 21 days) and through study completion, an average of 6 months.
|
γ-glutamyl transpeptadase(γ-GGT); U/L
Time Frame: Before Cycle 1,3, 5, 7 and 2n+1(each cycle is 21 days) and through study completion, an average of 6 months.
|
The γ-GGT level in the serum.
|
Before Cycle 1,3, 5, 7 and 2n+1(each cycle is 21 days) and through study completion, an average of 6 months.
|
Smoking index
Time Frame: At baseline
|
The average root number per day multiplied by smoking years of smoking, that is, smoking index.
|
At baseline
|
Body mass index (BMI); kg/m^2
Time Frame: At baseline
|
The body's weight(Kg) divided by the square of your height(m), that is, body mass index.
|
At baseline
|
Serum procalcitonin(PCT); ng/ml
Time Frame: Before Cycle 1,3, 5, 7 and 2n+1(each cycle is 21 days) and through study completion, an average of 6 months.
|
The PCT level in the serum.
|
Before Cycle 1,3, 5, 7 and 2n+1(each cycle is 21 days) and through study completion, an average of 6 months.
|
Forced vital capacity(FVC); L
Time Frame: Before Cycle 1.
|
The maximum amount of air that can be exhaled as soon as possible after the maximum inhalation.
FVC was used to evaluate pulmonary ventilation function.
|
Before Cycle 1.
|
Forced the first second of expiratory volume (FEV1); L
Time Frame: Before Cycle 1.
|
the first second of exhalation during the maximum exhalation after the maximum deep inhalation.
FEV1 was used to evaluate pulmonary ventilation function.
|
Before Cycle 1.
|
FEV1/FVC; percent
Time Frame: Before Cycle 1.
|
FEV1 accounts for the percentage of FVC.
FEV1/FVC was used to evaluate pulmonary ventilation function.
|
Before Cycle 1.
|
Maximal mid-expiratory flow(MMEF); L/s
Time Frame: Before Cycle 1.
|
The average flow rate with forced exhalation of 25% to 75% of lung capacity.
FEV1/FVC was used to evaluate pulmonary ventilation function.
|
Before Cycle 1.
|
Fractional exhaled nitric oxide (FeNO) measurement;ppb
Time Frame: Before Cycle 1.
|
FeNO measurement quantified the amount of nitric oxide (NO) in one's exhaled breath, which was used to evaluate pulmonary diffusion function.
|
Before Cycle 1.
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The incidence of IRP; percent
Time Frame: Up to 36 months
|
The incidence of IRP in the general population receiving ICIs
|
Up to 36 months
|
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Hui Guo, PH.D, First Affiliated Hospital Xi'an Jiaotong University
Study record dates
Study Major Dates
Study Start (Anticipated)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- XJTU1AF2021LSK-001
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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.
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