Hypofractionated Radiotherapy Followed by Chemo-immunotherapy Induction Therapy
NCT06914050 · Status: NOT_YET_RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 30
Last updated 2025-04-25
Summary
Radiotherapy can activate local and systemic immune responses through a variety of mechanisms, which can enhance anti-tumor immune effects. The dose fractionation pattern of radiotherapy has an important influence on the occurrence of immune-induced effects. Stereotactic body radiation therapy (SBRT) has obvious advantages in activating interferon effects and inducing abscopal effects. SBRT combined with immunity can enhance the abscopal effect induced by radiotherapy and play a synergistic role. The 8Gy×3 fractionation scheme is currently the most widely used stereotactic radiotherapy scheme. Because we conducted this study, the primary lesion received large-fraction partial tumor irradiation and then received adebrelimab combined with chemotherapy induction treatment for 2 cycles, followed by sequential chest radiotherapy for the treatment of limited-stage small cell lung cancer, to explore the effectiveness and safety.
Conditions
- Lung Cancer, Small Cell
- Limited-stage Small Cell Lung Cancer (LS-SCLC)
Interventions
- DRUG
-
Adebrelimab
Induction therapy:Adebrelimab, 1200mg, d1, q3w, 2 cycles; Maintenance therapy:Adebrelimab, 1200mg, d1, q3w, until disease progression or unbearable toxicity.
- DRUG
-
EC/EP
Chemotherapy: standard chemotherapy EC/EP
- RADIATION
-
SBRT
8Gy\*3
- RADIATION
-
Chest radiotherapy
Chest radiotherapy: conventional fractionation mode 2Gy QD total dose 60Gy or 1.5Gy BID total dose 45Gy, according to the patient's physical condition, concurrent EP or EC chemotherapy can be considered
Sponsors & Collaborators
-
Tianjin Medical University Cancer Institute and Hospital
lead OTHER
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 70 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-04-30
- Primary Completion
- 2026-04-30
- Completion
- 2028-04-30
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