- ICH GCP
- Registr klinických studií v USA
- Klinická studie NCT04743752
Obstructive Sleep Apnea Influences Efficacy of PD-1-Based Immunotherapy Against Non-Small Cell Lung Cancer
Obstructive Sleep Apnea Influences Efficacy of Anti-Programmed-Death-1-Based Immunotherapy Against Non-Small Cell Lung Cancer - A Prospective Observational Cohort Study
Přehled studie
Postavení
Detailní popis
This is a single-center, prospective, observational cohort study. Patients who had no prior treatment for advanced NSCLC and are intended to receive PD-1/PD-L1 antibody will be recruited and followed for 4 years. According to the baseline sleep monitor results, participants will be divided into Group NSCLC(AHI<15), and Group OSA+NSCLC(AHI≥15), and then explore the influence of obstructive sleep apnea on the efficacy of PD-1-based immunotherapy. The baseline level of white blood cell count (WBC); absolute neutrophil count (ANC); absolute lymphocyte count (ALC); ANC to ALC (ANC:ALC) ratio; interleukin 6 (IL-6); C-reactive Protein (CRP) in peripheral blood, lymphocytes classification and count by flow cytometry, and gut microbiome analysis by quantitative metagenomics will also be measured to further search for the possible mechanisms. Primary outcome is the objective remission rate (ORR), secondary outcomes include overall survival (OS) and progression free survival (PFS).
The study protocol has been approved by the Peking University First Hospital Institutional Review Board (IRB). Any protocol modifications will be submitted for the IRB review and approval.
Typ studie
Zápis (Očekávaný)
Kontakty a umístění
Studijní kontakt
- Jméno: Jing Ma, MD
- Telefonní číslo: +8613651357974
- E-mail: majjmail@163.com
Studijní záloha kontaktů
- Jméno: Guangfa Wang, MD
- Telefonní číslo: +8613810644029
- E-mail: wangguangfa@hotmail.com
Studijní místa
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Beijing
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Beijing, Beijing, Čína, 100034
- Nábor
- Peking University First Hospital
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Kontakt:
- Jing Ma, Doctor
- Telefonní číslo: +8613651357974
- E-mail: majjmail@163.com
-
-
Kritéria účasti
Kritéria způsobilosti
Věk způsobilý ke studiu
Přijímá zdravé dobrovolníky
Pohlaví způsobilá ke studiu
Metoda odběru vzorků
Studijní populace
Popis
Inclusion Criteria:
- Histologically or cytologically confirmed, advanced NSCLC
- Participants with no prior treatment for advanced NSCLC
- Measurable disease as defined by RECIST v1.1
- Eligible to receive first-line treatment including PD-1 antibody
- Adequate hematologic and end organ function
Exclusion Criteria:
- Severe infection within 4 weeks prior to recruitment.
- Significant organ dysfunction or other serious diseases.
- Previous or current OSA related treatment, including oral appliance, surgery, mechanical ventilation therapy.
- Illness or condition that interferes with the participant's capacity to understand, follow and/or comply with study procedures.
Studijní plán
Jak je studie koncipována?
Detaily designu
- Observační modely: Kohorta
- Časové perspektivy: Budoucí
Kohorty a intervence
Skupina / kohorta |
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Group OSA+NSCLC
According to the baseline sleep monitor results, participants will be divided into Group OSA+NSCLC if apnea hypopnea index(AHI) no less than 15.
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Group NSCLC
According to the baseline sleep monitor results, participants will be divided into Group NSCLC if apnea hypopnea index(AHI) less than 15.
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Co je měření studie?
Primární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
---|---|---|
Objective response rate(ORR)
Časové okno: From date of randomization until the date of first documented progression, assessed up to 48 months
|
ORR, the percentage of complete response (CR) or partial response (PR) according to RECIST 1.1 standard definition.CR: disappearance of all target and non-target lesions and (if applicable) normalization of tumor marker level; or reduction in short axis of any pathological lymph nodes (whether target or non-target) to less than (<) 10 mm.
PR: at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters; or persistence of one or more non-target lesion(s) and/or (if applicable) maintenance of tumor marker level above the normal limits.
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From date of randomization until the date of first documented progression, assessed up to 48 months
|
Sekundární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
---|---|---|
Progression-Free Survival (PFS)
Časové okno: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months
|
PFS was defined as the time from recruitment to the first occurrence of progressive disease(PD) or death due to any cause.
PD: at least a 20 percent increase in the sum of diameters of target lesions, taking as reference the smallest sum on study, including baseline, and an absolute increase of at least 5 mm; appearance of one or more new target or non-target lesions; or unequivocal progression of existing non-target lesions.
|
From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months
|
Overall survival (OS)
Časové okno: From date of randomization until the date of death from any cause, assessed up to 48 months
|
OS was defined as the time from the date of enrollment to the date of death due to any cause.
|
From date of randomization until the date of death from any cause, assessed up to 48 months
|
Compared the baseline sleep monitor results between Group NSCLC and Group OSA+NSCLC.
Časové okno: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months
|
Record baseline AHI, oxygen desaturation index (ODI), lowest saturation by pulse oximetry (SpO2)<90%, obstructive apnea index (OAI), central apnea index(CAI), the longest apnea duration, then compare between Group NSCLC and Group OSA+NSCLC.
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From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months
|
Factors associated with ORR in NSCLC patients
Časové okno: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months
|
Cox regression analysis will be used to identify predictors of ORR.
|
From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months
|
Factors associated with OS and PFS in NSCLC patients
Časové okno: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months
|
Univariate and multivariate Cox proportional hazards models will be used to identify predictors of PFS and OS.
|
From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months
|
Compared the baseline level of lymphocytes classification and count between Group NSCLC and Group OSA+NSCLC.
Časové okno: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months
|
Record baseline lymphocytes classification and count in peripheral blood, then compare between Group NSCLC and Group OSA+NSCLC.
|
From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months
|
Compared the baseline level of inflammatory biomarkers between Group NSCLC and Group OSA+NSCLC.
Časové okno: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months
|
Record baseline interleukin 6 (IL-6) and C-reactive Protein (CRP) in peripheral blood, then compare between Group NSCLC and Group OSA+NSCLC.
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From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months
|
The association between OSA and baseline inflammatory biomarkers, peripheral lymphocytes classification and count.
Časové okno: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months
|
The Spearman correlation test will be used to identify the association between sleep monitor results and the baseline inflammatory biomarkers, peripheral lymphocytes classification and count, including AHI, ODI, lowest SpO2, SpO2<90%, OAI, CAI, the longest apnea duration
|
From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months
|
Compared the baseline gut microbiome between Group NSCLC and Group OSA+NSCLC.
Časové okno: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months
|
Record baseline gut microbiome by metagenomic shotgun sequencing, then compare between Group NSCLC and Group OSA+NSCLC.
|
From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months
|
The association between OSA and the diversity of gut microbiome.
Časové okno: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months
|
The Spearman correlation test will be used to identify the association between sleep monitor results and the diversity of gut microbiome, including AHI, ODI, lowest SpO2, SpO2<90%, OAI, CAI, the longest apnea duration.
|
From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months
|
Spolupracovníci a vyšetřovatelé
Sponzor
Vyšetřovatelé
- Studijní židle: Jing Ma, MD, Peking University First Hospital
- Ředitel studie: Guangfa Wang, MD, Peking University First Hospital
- Ředitel studie: Yuan Cheng, Peking University First Hospital
- Ředitel studie: Ligong Nie, Peking University First Hospital
Termíny studijních záznamů
Hlavní termíny studia
Začátek studia (Aktuální)
Primární dokončení (Očekávaný)
Dokončení studie (Očekávaný)
Termíny zápisu do studia
První předloženo
První předloženo, které splnilo kritéria kontroly kvality
První zveřejněno (Aktuální)
Aktualizace studijních záznamů
Poslední zveřejněná aktualizace (Aktuální)
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Naposledy ověřeno
Více informací
Termíny související s touto studií
Další relevantní podmínky MeSH
- Nemoci nervového systému
- Nemoci dýchacích cest
- Novotvary
- Poruchy dýchání
- Poruchy spánku, vnitřní
- Dysomnie
- Poruchy spánku a bdění
- Plicní onemocnění
- Novotvary podle místa
- Novotvary dýchacího traktu
- Novotvary hrudníku
- Karcinom, Bronchogenní
- Bronchiální novotvary
- Příznaky a symptomy, Respirační
- Syndromy spánkové apnoe
- Spánková apnoe, obstrukční
- Novotvary plic
- Karcinom, nemalobuněčné plíce
- Apnoe
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- 2020-405
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