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审核状态: Project audit state: |
通过审核 Successful |
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注册号: Registration number: |
ChiCTR2600116872 |
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最近更新日期: Date of Last Refreshed on: |
2026-01-15 17:56:37 |
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注册时间: Date of Registration: |
2026-01-15 00:00:00 |
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注册号状态: |
预注册 |
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Registration Status: |
Prospective registration |
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注册题目: |
阿得贝利单抗联合化疗及脑部放疗一线治疗伴脑转移 ES-SCLC 的前瞻性临床研究 |
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Public title: |
A prospective clinical study of Adebrelimab combined with chemotherapy and brain radiotherapy as the first-line treatment for extensive-stage small cell lung cancer with brain metastases |
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注册题目简写: |
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English Acronym: |
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研究课题的正式科学名称: |
阿得贝利单抗联合化疗及脑部放疗一线治疗伴脑转移 ES-SCLC 的前瞻性临床研究 |
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Scientific title: |
A prospective clinical study of Adebrelimab combined with chemotherapy and brain radiotherapy as the first-line treatment for extensive-stage small cell lung cancer with brain metastases |
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研究课题代号(代码): Study subject ID: |
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在二级注册机构或其它机构的注册号: The registration number of the Partner Registry or other register: |
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申请注册联系人: |
陈利娟 |
研究负责人: |
陈利娟 |
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Applicant: |
Lijuan Chen |
Study leader: |
Chen Lijuan |
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申请注册联系人电话: Applicant telephone: |
+86 371 65587657 |
研究负责人电话: Study leader's telephone: |
+86 13837174273 |
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申请注册联系人传真 : Applicant Fax: |
研究负责人传真: Study leader's fax: |
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申请注册联系人电子邮件: Applicant E-mail: |
ljhappy8888@163.com |
研究负责人电子邮件: Study leader's E-mail: |
ljhappy8888@163.com |
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申请单位网址(自愿提供): Applicant website(voluntary supply): |
研究负责人网址(自愿提供): Study leader's website(voluntary supply): |
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申请注册联系人通讯地址: |
河南省郑州市东明路127号 |
研究负责人通讯地址: |
河南省郑州市东明路127号 |
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Applicant address: |
127 Dongming Road, Zhengzhou City, Henan Province |
Study leader's address: |
127 Dongming Road, Zhengzhou City, Henan Province |
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申请注册联系人邮政编码: Applicant postcode: |
研究负责人邮政编码: Study leader's postcode: |
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申请人所在单位: |
河南省肿瘤医院 |
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Applicant's institution: |
Henan Cancer Hospital |
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研究负责人所在单位: |
河南省肿瘤医院 |
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Affiliation of the Leader: |
Henan Cancer Hospital |
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是否获伦理委员会批准: |
是/Yes |
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Approved by ethic committee: |
Yes |
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伦理委员会批件文号: Approved No. of ethic committee: |
2025-659 |
伦理委员会批件附件: Approved file of Ethical Committee: |
查看附件View |
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批准本研究的伦理委员会名称: |
河南省肿瘤医院医学伦理委员会(第三伦理委员会) |
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Name of the ethic committee: |
Henan Cancer Hospital Ethics Committee |
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伦理委员会批准日期: Date of approved by ethic committee: |
2025-12-29 00:00:00 |
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伦理委员会联系人: |
方可可 |
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Contact Name of the ethic committee: |
Fang KeKe |
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伦理委员会联系地址: |
河南省郑州市东明路127号 |
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Contact Address of the ethic committee: |
127 Dongming Road, Zhengzhou City, Henan Province |
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伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 371 65588251 |
伦理委员会联系人邮箱: Contact email of the ethic committee: |
Kafka_610@163.com |
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研究实施负责(组长)单位: |
河南省肿瘤医院 |
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Primary sponsor: |
Henan Cancer Hospital |
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研究实施负责(组长)单位地址: |
河南省郑州市东明路127号 |
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Primary sponsor's address: |
127 Dongming Road, Zhengzhou City, Henan Province |
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试验主办单位(项目批准或申办者): Secondary sponsor: |
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经费或物资来源: |
自选课题(自筹) |
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Source(s) of funding: |
Soure of funding |
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Target disease: |
Extensive-stage small-cell lung cancer with brain metastasis |
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Target disease code: |
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研究类型: |
干预性研究 |
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Study type: |
Interventional study |
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研究所处阶段: |
上市后药物 | ||||||||||||||||||||||
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Study phase: |
4 |
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研究设计: |
单臂 |
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Study design: |
Single arm |
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研究目的: |
探索阿得贝利单抗联合化疗及脑部放疗一线治疗ES-SCLC的有效性和安全性 |
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Objectives of Study: |
Exploration of the Efficacy and Safety of Adebrelimab Combined with Chemotherapy and Brain Radiotherapy in the First-Line Treatment of Extensive-Stage Small-Cell Lung Cancer (ES-SCLC) |
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药物成份或治疗方案详述: |
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Description for medicine or protocol of treatment in detail: |
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纳入标准: |
1. 自愿加入本研究并签署知情同意书(Inform consent form,ICF); |
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Inclusion criteria |
1. Voluntarily participate in this study and sign the informed consent form (ICF); 2. Aged 18 years or older, with no restriction on gender; 3. Histological or cytological confirmation of ES-SCLC (based on the second-stage staging method of the Veterans Lung Cancer Association (VALG) and the AJCC TNM staging method combined: Extensive stage: AJCC (8th edition) stage IV (any T, any N, M1a/b/c) or T3-4 due to multiple pulmonary nodules or large tumor/lesion volume that cannot be included in an acceptable radiotherapy plan); 4. ECOG PS:0-1; 5. Has not received any first-line systemic treatment for ES-SCLC in the past; 6. Within 4 weeks prior to enrollment, brain metastases were confirmed by imaging, with no limit on the number of metastases. The maximum diameter of the intracranial lesions was >= 0.5 cm. Brain metastases with clinical symptoms were allowed (requirements: intracranial hypertension could be controlled by dehydration treatment, and the symptoms did not further worsen within >= 3 days after the start of radiotherapy; dexamethasone treatment required <= 10 mg/day). 7. According to the RECIST 1.1 standard, there must be at least one measurable target lesion outside the brain. 8. Expected survival period >= 12 weeks; 9. The functions of the vital organs should meet the following requirements: (1) Blood routine: White blood cell count (WBC) >= 3.0×10^9 /L; Absolute neutrophil count (ANC) >= 1.5×10^9 /L; Platelet count (PLT) >= 100×10^9 /L; Hemoglobin content (HGB) >= 9.0 g/dL (without corresponding blood transfusion, white blood cell elevation, etc. within 14 days); (2) Liver function: For patients without liver metastasis, aspartate aminotransferase (AST) and alanine aminotransferase (ALT) <= 2.5xULN; For patients with liver metastasis, their ALT and AST <= 5xULN; Serum total bilirubin (TBIL) <= 1.5xULN (excluding Gilbert syndrome with total bilirubin < 3.0 mg/dL); Albumin (ALB) >= 30g/L, alkaline phosphatase (ALP) <= 2.5×ULN, for patients with bone metastasis, ALP <= 5×ULN; (3) Kidney function: Serum creatinine <= 1.5xULN or creatinine clearance rate (CrCl) >= 50 mL/min (using Cockcroft/Gault formula); Urine protein (UPRO) < (++) or 24-hour urine protein volume < 1.0 g; (4) Coagulation function: International normalized ratio (INR) <= 1.5 and activated partial thromboplastin time (APTT) <= 1.5xULN; If the patient is receiving anticoagulation treatment, as long as PT or APTT is within the expected range for using the anticoagulant, refer to the relevant drug instructions; (5) Other: Lipase <= 1.5 x ULN. If the lipase > 1.5 x ULN and there is no clinical or imaging evidence of pancreatitis, the patient can be enrolled. 10. For non-surgical sterilization or women of childbearing age, a serum pregnancy test must be conducted 7 days prior to the first administration of the drug, and the result must be negative; and they must be non-lactating. Male patients whose partner or the patient themselves is of childbearing age must agree to use an effective method of contraception during the study period and for the next 6 months after the last administration of the study drug. |
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排除标准: |
1. 既往接受过任何T细胞共刺激或免疫检查点治疗,包括但不限于细胞毒性T 淋巴细胞相关抗原-4(CTLA-4)抑制剂、PD-1抑制剂、PD-L1抑制剂、CD137 激动剂或其他靶向T细胞的药物。 |
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Exclusion criteria: |
1. Have previously received any T-cell co-stimulation or immune checkpoint therapy, including but not limited to cytotoxic T-lymphocyte-associated antigen-4 (CTLA-4) inhibitors, PD-1 inhibitors, PD-L1 inhibitors, CD137 agonists, or other drugs targeting T-cells. 2. Patients who had previously received radiotherapy and chemotherapy for limited-stage small cell lung cancer, and patients with brain metastases from primary cancer; 3. Subjects with clinical symptoms of leptomeningeal metastasis; 4. The tumor was histologically or cytologically confirmed to contain components of non-small cell lung cancer, large cell neuroendocrine carcinoma, or sarcomatous lesions; 5. Within 2 years prior to the first administration, there has been a case of active autoimmune disease requiring systemic treatment (such as the use of disease-modifying drugs, corticosteroids, or immunosuppressants), or a history of autoimmune disease with a predicted recurrence. Alternative therapies (such as thyroid hormone, insulin, or physiological corticosteroids for adrenal or pituitary insufficiency) are not considered systemic treatment; 6. Diagnosed with immunodeficiency or having received systemic glucocorticoid therapy within 14 days prior to the first administration of the study drug, or undergoing any other form of immunosuppressive therapy; Allowed to use a physiological dose of glucocorticoids (≤ 10mg/day of prednisone or equivalent). 7. Those who have experienced thrombotic events (such as cerebrovascular accidents including transient ischemic attacks, cerebral hemorrhage, cerebral embolism, etc.), deep vein thrombosis, or pulmonary embolism within 6 months prior to the first administration; 8. Has a history of idiopathic pulmonary fibrosis, organizing pneumonia (such as obliterative bronchiolitis), drug-induced pneumonia or idiopathic pneumonia; or the chest computed tomography (CT) scan at screening shows evidence of active pneumonia (patients with active tuberculosis cannot be enrolled); 9. Within 28 days prior to the first administration, had undergone major surgical treatment or suffered from significant traumatic injury; 10. Within 4 weeks prior to the first administration, had received or planned to receive prophylactic vaccines or attenuated live vaccines; 11. Within the four weeks prior to signing the ICF, had received any other investigational drug treatment or participated in another interventional clinical study; 12. Within 5 years, the subject has a history of or concurrently suffers from other malignant tumors that require active treatment (except for those that have been fully treated with an expected 5-year survival rate > 90%, such as basal cell carcinoma or squamous cell carcinoma of the skin, carcinoma in situ of the cervix, localized prostate cancer after radical resection, localized bladder cancer, ductal carcinoma in situ after radical resection, and carcinoma in situ of the breast). 13. Findings from Physical Examination and Laboratory Tests Subjects with any severe and/or uncontrolled diseases, including:a) Unwell-controlled clinical symptoms or diseases of the heart, such as: >= Grade 2 myocardial ischemia or myocardial infarction, uncontrollable arrhythmia (including QTc >= 450ms in males and QTc >= 470ms in females), >= Grade 2 congestive heart failure (New York Heart Association [NYHA] classification), unstable angina pectoris, myocardial infarction occurring within 24 weeks, or clinically significant supraventricular or ventricular arrhythmia requiring treatment or intervention;b) Active or uncontrolled severe infection (>= CTCAE Grade 2 infection), including but not limited to hospitalization due to infection complications, bacteremia, or severe pneumonia, and unexplained fever > 38.5℃ occurring before the first dose administration;c) Liver cirrhosis, active hepatitis*;*Definition of active hepatitis: For hepatitis B: HBsAg positive with a value exceeding the upper limit of normal (ULN) (1000 copies/mL or 500 IU/mL); Patients with a history of hepatitis B virus (HBV) infection or cured HBV infection (defined as presence of hepatitis B core antibody [HBcAb], absence of HBsAg, and normal HBV DNA level detected during the screening period) may be included; For hepatitis C: HCV antibody positive with HCV viral titer exceeding the ULN, or HCV RNA/HCV Ab test indicating acute or chronic infection; d) Positive HIV test result or known acquired immunodeficiency syndrome (AIDS); e) Urinalysis indicating urine protein >= 2+, and confirmed 24-hour urine protein quantification > 1.0 g. 14. Clinically symptomatic third-space fluid accumulation, such as pericardial effusion and pleural effusion that remain uncontrollable despite fluid aspiration or other treatments, and peritoneal effusion requiring repeated drainage (e.g., once a month or more frequently); 15. Subjects with adverse events caused by previous treatments (except alopecia) that have not resolved to <= CTCAE Grade 1; however, subjects with long-term persistent sequelae of toxicity from prior anti-tumor treatments that are not expected to resolve (e.g., neurotoxicity induced by platinum-based therapy) are permitted to enroll; 16. Having a history of allogeneic organ transplantation or allogeneic hematopoietic stem cell transplantation; 17. Individuals with a history of substance abuse (such as psychoactive drugs), who are unable to quit, have mental disorders, are alcoholics, drug addicts or substance abusers; 18. Known to be allergic to the study drug or excipients, and known to have experienced a severe allergic reaction to any monoclonal antibody; 19. Based on the researchers' assessment, there are factors that pose a significant threat to the safety of the subjects or that may lead to the premature termination of this study. Such factors include non-compliance with the protocol, the need for combined treatment for other serious diseases (including mental disorders), severe laboratory test abnormalities or metabolic disorders, and factors related to the family or society that could affect the safety of the subjects, or affect the collection of data and samples or the interpretation of results. |
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研究实施时间: Study execute time: |
从 From 2026-01-30 00:00:00至 To 2028-01-30 00:00:00 |
征募观察对象时间: Recruiting time: |
从From 2026-01-30 00:00:00 至 To 2027-01-30 00:00:00 |
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干预措施: Interventions: |
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研究实施地点: Countries of recruitment and research settings: |
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测量指标: Outcomes: |
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采集人体标本:
Collecting sample(s)
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征募研究对象情况: Recruiting status: |
尚未开始 Not yet recruiting |
年龄范围: Participant age: |
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性别: |
男女均可 |
Gender: |
Both |
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随机方法(请说明由何人用什么方法产生随机序列): |
无 |
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Randomization Procedure (please state who generates the random number sequence and by what method): |
None |
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是否公开试验完成后的统计结果: Calculated Results after the Study Completed public access: |
不公开/Private |
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盲法: |
无 |
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Blinding: |
None |
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是否共享原始数据: IPD sharing |
No |
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共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址): |
NA |
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The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
NA |
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数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC: |
病例报告表 |
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Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
CRF |
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数据与安全监察委员会: Data and Safety Monitoring Committee: |
无/No |