基于二代测序及液相芯片平台评估一线治疗失败后接受Nivolumab单药治疗的晚期非小细胞肺癌的疗效预测及毒副作用分析

注册号:

Registration number:

ChiCTR1800018615 

最近更新日期:

Date of Last Refreshed on:

2018-09-30 12:27:09 

注册时间:

Date of Registration:

2018-09-30 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

基于二代测序及液相芯片平台评估一线治疗失败后接受Nivolumab单药治疗的晚期非小细胞肺癌的疗效预测及毒副作用分析

Public title:

Evaluation for efficacy and toxicity of Nivolumab monotherapy for advanced non-small cell lung cancer after first-line treatment failure based on second-generation sequencing and liquid chip platform

注册题目简写:

English Acronym:

研究课题的正式科学名称:

基于二代测序及液相芯片平台评估一线治疗失败后接受Nivolumab单药治疗的晚期非小细胞肺癌的疗效预测及毒副作用分析

Scientific title:

Evaluation for efficacy and toxicity of Nivolumab monotherapy for advanced non-small cell lung cancer after first-line treatment failure based on second-generation sequencing and liquid chip platform

研究课题代号(代码):

Study subject ID:

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:

申请注册联系人:

周承志 

研究负责人:

周承志 

Applicant:

Chengzhi Zhou 

Study leader:

Chengzhi Zhou 

申请注册联系人电话:

Applicant telephone:

+86 13560351186

研究负责人电话:

Study leader's
telephone:

+86 13560351186

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

doctorzcz@163.com

研究负责人电子邮件:

Study leader's E-mail:

doctorzcz@163.com

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):

申请注册联系人通讯地址:

广东省广州市越秀区沿江西路151号

研究负责人通讯地址:

广东省广州市越秀区沿江西路151号

Applicant address:

151 West Yanjiang Road, Yuexiu District, Guangzhou, Guangdong, China

Study leader's address:

151 West Yanjiang Road, Yuexiu District, Guangzhou, Guangdong, China

申请注册联系人邮政编码:

Applicant postcode:

510120

研究负责人邮政编码:

Study leader's postcode:

510120

申请人所在单位:

广州医科大学第一附属医院,广州呼吸疾病研究所,呼吸疾病国家重点实验室

Applicant's institution:

State Key Laboratory of Respiratory Diseases, Guangzhou Institute of Respiratory Diseases, The First Affiliated Hospital of Guangzhou Medical University

研究负责人所在单位:

广州医科大学第一附属医院,广州呼吸疾病研究所,呼吸疾病国家重点实验室

Affiliation of the Leader:

State Key Laboratory of Respiratory Diseases, Guangzhou Institute of Respiratory Diseases, The First Affiliated Hospital of Guangzhou Medical University

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

医研伦审2018第63号

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

广州医科大学附属第一医院医学伦理委员会

Name of the ethic committee:

Medical ethics committee of First Affiliated Hospital of Guangzhou Medical University

伦理委员会批准日期:

Date of approved by ethic committee:

2013-07-27 00:00:00

伦理委员会联系人:

余达加

Contact Name of the ethic committee:

Dajia Yu

伦理委员会联系地址:

广州医科大学附属第一医院行政楼2楼

Contact Address of the ethic committee:

2 floor, executive building, The First Affiliated Hospital of Guangzhou Medical University, 151 West Yanjiang Road, Yuexiu District, Guangzhou, Guangdong, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 020-83062938

伦理委员会联系人邮箱:

Contact email of the ethic committee:

gyfyyec@163.com

研究实施负责(组长)单位:

广州医科大学第一附属医院,广州呼吸疾病研究所,呼吸疾病国家重点实验室

Primary sponsor:

State Key Laboratory of Respiratory Diseases, Guangzhou Institute of Respiratory Diseases, The First Affiliated Hospital of Guangzhou Medical University

研究实施负责(组长)单位地址:

广东省广州市越秀区沿江西路151号

Primary sponsor's address:

151 West Yanjiang Road, Yuexiu District, Guangzhou, Guangdong, China

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

广东省

市(区县):

Country:

China

Province:

Guangdong

City:

单位(医院):

广州医科大学第一附属医院

具体地址:

广东省广州市越秀区沿江西路151号

Institution
hospital:

The First Affiliated Hospital of Guangzhou Medical University

Address:

151 West Yanjiang Road, Yuexiu District, Guangzhou, Guangdong, China

经费或物资来源:

免费

Source(s) of funding:

Free

研究疾病:

非小细胞肺癌  

Target disease:

Non-small cell lung cancer

研究疾病代码:

Target disease code:

研究类型:

病因学/相关因素研究

Study type:

Cause/Relative factors study

研究所处阶段:

回顾性研究 

Study phase:

Retrospective study

研究设计:

队列研究 

Study design:

Cohort study 

研究目的:

免疫治疗有效组与无效组(ORR)基因层面的差异(分子层面): 接受Nivolumab单药治疗的晚期肺腺癌患者有效组与无效组(ORR)与PD-L1、TMB与免疫治疗相关性; 接受Nivolumab单药治疗的晚期肺鳞癌患者有效组与无效组与PD-L1、TMB与免疫治疗相关性; 基线状态下细胞因子与免疫治疗疗效的相关性; PD-L1、TMB与细胞因子等多层面分析免疫治疗疗效相关性;  

Objectives of Study:

Differences in the gene level between the immunotherapy effective group and the ineffective group (ORR) (molecular level): Correlation between effective and ineffective group (ORR) and PD-L1, TMB and immunotherapy in patients with advanced lung adenocarcinoma receiving Nivolumab monotherapy; Correlation between effective and ineffective groups and PD-L1, TMB and immunotherapy in patients with advanced lung squamous cell carcinoma treated with Nivolumab monotherapy; Correlation between cytokines and immunotherapy efficacy at baseline; Multi-faceted analysis of PD-L1, TMB and cytokines for immunotherapy;

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

a) 在招募时或研究给药之前妊娠试验结果为阳性的女性
b)受试者需要持续使用糖皮质激素,或接受稳定或减量中的每天剂量<10mg 的强的松(或等效剂量)。
c) 以前有恶性肿瘤(非黑色素瘤皮肤癌及下列原位癌除外:膀胱原位癌、胃原位癌、 结肠原位癌、子宫内膜原位癌、宫颈原位癌/不典型增生、黑色素瘤原位癌或乳腺原位癌)的受试者要排除,除非在入选研究前至少 2 年达到完全缓解且在研究期间未进行且不需要其他的治疗。
d) 严重或未受到控制的疾病,研究者认为会增加参与研究或研究药物给药相关风险,影响受试者接受方案规定的治疗的能力,或干扰研究结果的解释。
f) 其他认为影响免疫治疗或者对免疫治疗产生干扰的因素

Exclusion criteria:

1. Women with a positive pregnancy test at enrollment or prior to administration of study medication;
2. Participants with a condition requiring systemic treatment with either corticosteroids (> 10 mg daily prednisone equivalent) or other immunosuppressive medications within 14 days of first dose of study drug;
3. Participants with previous malignancies are excluded unless a complete remission was achieved at least 2 years prior to study entry AND no additional therapy is required or anticipated to be required during the study period
Participants with carcinomatous meningitis;
4. Other protocol defined inclusion/exclusion criteria could apply.

研究实施时间:

Study execute time:

From 2018-04-01 00:00:00 To 2019-03-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2018-10-01 00:00:00 To 2019-02-28 00:00:00

干预措施:

Interventions:

组别:

治疗有效组

样本量:

30

Group:

Effective group

Sample size:

干预措施:

Nivolumab治疗前样本检测检测PD1,TMB及血清细胞因子

干预措施代码:

Intervention:

PD1, TMB and serum cytokines was detected before nivolumab treatment.

Intervention code:

组别:

治疗无效组

样本量:

30

Group:

Ineffective group

Sample size:

干预措施:

Nivolumab治疗前样本检测检测PD1,TMB及血清细胞因子

干预措施代码:

Intervention:

PD1, TMB and serum cytokines was detected before nivolumab treatment.

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

广东省 

市(区县):

 

Country:

China

Province:

Guangdong

City:

单位(医院):

广州医科大学第一附属医院 

单位级别:

三级甲等医院 

Institution
hospital:

The First Affiliated Hospital of Guangzhou Medical University

Level of the institution:

Tertiary A Hospital

测量指标:

Outcomes:

指标中文名:

PD-L1表达水平

指标类型:

主要指标

Outcome:

PD-L1 expression levels

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

PD1表达水平

指标类型:

主要指标

Outcome:

PD-L1 expression levels

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肿瘤突变负荷

指标类型:

主要指标

Outcome:

tumor mutation burden

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血清细胞因子表达水平

指标类型:

主要指标

Outcome:

Serum cytokine levels

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

免疫治疗疗效

指标类型:

主要指标

Outcome:

Immunotherapy efficacy

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

血液

组织:

Sample Name:

Blood

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

标本中文名:

肿瘤组织

组织:

Sample Name:

Tumor tissue

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

征募研究对象情况:

Recruiting status:

正在进行

Recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 65 years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

NA

Randomization Procedure (please state who generates the random number sequence and by what method):

NA

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

盲法:

NA

Blinding:

NA

是否共享原始数据:

IPD sharing

是Yes

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):

原始数据公开于中国临床试验注册中Resman(http://www.medresman.org)

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

The original data will public on website within six months after the trial complete: Resman(http://www.medresman.org)

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:

采用SPSS数据库和Excel等保存原始数据

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

use SPSS database and Excel etc. to save the original data

数据与安全监察委员会:

Data and Safety Monitoring Committee:

暂未确定/Not yet

注册人:

Name of Registration:

 2018-09-30 12:25:59