Peripheral Blood ETASTs for Predicting Efficacy of Chemoimmunotherapy in NSCLC
NCT07392073 · Status: NOT_YET_RECRUITING · Type: OBSERVATIONAL · Enrollment: 80
Last updated 2026-02-06
Summary
The goal of this observational study is to explore whether changes in peripheral blood effector tumor antigen-specific T cells (ETASTs) can predict treatment outcomes in patients with advanced non-small cell lung cancer (NSCLC) receiving chemoimmunotherapy. The study aims to:
* Evaluate the relationship between ΔETAST levels (baseline to cycle 2) and progression-free survival
* Compare the predictive performance of ΔETASTs with traditional biomarkers (PD-L1, TMB)
* Assess whether ΔETASTs can identify patients more likely to benefit from PD-1 inhibitor plus chemotherapy
Participants will:
* Provide peripheral blood samples at baseline and after cycle 2 of treatment
* Undergo ETAST quantification using the CTT-NanoDT technology with TATAN nanoparticles
* Have standard tumor assessments every 2 cycles according to RECIST 1.1 criteria
* Be followed for progression-free survival and overall survival up to 24 months
Conditions
- Non-Small Cell Lung Cancer
- Lung Adenocarcinoma
- Lung Squamous Cell Carcinoma
- Stage IIIB Non-Small Cell Lung Cancer
- Stage IV Non-Small Cell Lung Cancer
- Advanced Non-Small Cell Lung Cancer
Interventions
- DIAGNOSTIC_TEST
-
Circulating Tumor-Specific T Cell Nanodetection Technology (CTT-NanoDT)
Novel detection method for quantifying effector tumor antigen-specific T cells (ETASTs) in peripheral blood. PBMCs isolated from 5 mL peripheral blood are co-incubated with TATAN nanoparticles (whole tumor cell antigen-loaded nanoparticles, 50 μg/mL) for 48 hours. Activated ETASTs are identified and quantified by multi-color flow cytometry as CD3+CD8+IFN-γ+ and CD3+CD8+CD137+ double-positive cells. Quality control requires coefficient of variation (CV) \< 5%.
Sponsors & Collaborators
-
Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine
lead OTHER
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-04-30
- Primary Completion
- 2028-04-30
- Completion
- 2029-06-30
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