The effect of Qi tonifying and Yin nourishing method combined with PD-1 monoclonal antibody on immune function in patients with advanced lung adenocarcinoma undergoing chemotherapy

注册号:

Registration number:

ITMCTR2025000302

最近更新日期:

Date of Last Refreshed on:

2025-02-16

注册时间:

Date of Registration:

2025-02-16

注册号状态:

Registration Status:

补注册

Retrospective registration

注册题目:

益气养阴法联合PD-1单抗对晚期肺腺癌化疗患者免疫功能的影响

Public title:

The effect of Qi tonifying and Yin nourishing method combined with PD-1 monoclonal antibody on immune function in patients with advanced lung adenocarcinoma undergoing chemotherapy

注册题目简写:

English Acronym:

研究课题的正式科学名称:

益气养阴法联合PD-1单抗对晚期肺腺癌化疗患者免疫功能的影响

Scientific title:

The effect of Qi tonifying and Yin nourishing method combined with PD-1 monoclonal antibody on immune function in patients with advanced lung adenocarcinoma undergoing chemotherapy

研究课题的正式科学名称简写:

Scientific title acronym:

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:

李祥

研究负责人:

李祥

Applicant:

Xiang Li

Study leader:

Xiang Li

申请注册联系人电话:

Applicant telephone:

+86 177 0193 2179

研究负责人电话:

Study leader's telephone:

+86 177 0193 2179

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:

L1095468223@163.com

研究负责人电子邮件:

Study leader's E-mail:

L1095468223@163.com

申请单位网址(自愿提供):

Study leader's 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:

广东省广州市白云区礼传东街1号

研究负责人通讯地址:

广东省广州市白云区礼传东街1号

Applicant address:

No.1 Lichuan East Street Baiyun District Guangzhou City Guangdong Province

Study leader's address:

No.1 Lichuan East Street Baiyun District Guangzhou City Guangdong Province

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:

申请人所在单位:

广州中医药大学金沙洲医院

Applicant's institution:

Jinshazhou Hospital of Guangzhou University of Chinese Medicine

是否获伦理委员会批准:

Approved by ethic committee:

伦理委员会批件文号:

Approved No. of ethic committee:

JSZ-IEC-SL-KT-20240315(1)

伦理委员会批件附件:

Approved file of Ethical Committee:

View

批准本研究的伦理委员会名称:

广州中医药大学金沙洲医院伦理委员会

Name of the ethic committee:

Ethics Committee of Jinshazhou Hospital of Guangzhou University of Chinese Medicine

伦理委员会批准日期:

Date of approved by ethic committee:

2024/3/15 0:00:00

伦理委员会联系人:

王远东

Contact Name of the ethic committee:

Ethics Committee of Jinshazhou Hospital of Guangzhou University of Chinese Medicine

伦理委员会联系地址:

广东省广州市白云区礼传东街1号

Contact Address of the ethic committee:

No.1 Lichuan East Street Baiyun District Guangzhou City Guangdong Province

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 020 3779 3955

伦理委员会联系人邮箱:

Contact email of the ethic committee:

Lixiang19900109@sina.com

研究实施负责(组长)单位:

广州中医药大学金沙洲医院

Primary sponsor:

Jinshazhou Hospital of Guangzhou University of Chinese Medicine

研究实施负责(组长)单位地址:

广东省广州市白云区礼传东街1号

Primary sponsor's address:

No.1 Lichuan East Street Baiyun District Guangzhou City Guangdong Province

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

市(区县):

广州

Country:

China

Province:

Guangdong

City:

单位(医院):

广州中医药大学金沙洲医院

具体地址:

广州市白云区礼传东街1号

Institution
hospital:

Jinshazhou Hospital of Guangzhou University of Chinese Medicine

Address:

No.1 Lichuan East Street Baiyun District Guangzhou City

经费或物资来源:

1.广州市卫生健康委员会 2.广州中医药大学金沙洲医院

Source(s) of funding:

1.Guangzhou Municipal Health Commission 2.Jinshazhou Hospital of Guangzhou University of Chinese Medicine

研究疾病:

肺癌

研究疾病代码:

Target disease:

Lung caner

Target disease code:

研究类型:

Study type:

干预性研究

Interventional study

研究设计:

Study design:

随机平行对照

randomized controlled trial(parallel group design)

研究所处阶段:

Study phase:

探索性研究/预试验

Pilot clinical trial

研究目的:

1)观察益气养阴法联合PD-1单抗对晚期肺腺癌化疗患者免疫功能(IFN-γ,T淋巴细胞亚群)的影响; 2)观察益气养阴法联合PD-1单抗对晚期肺腺癌化疗患者不良反应发生率的的影响; 3)观察益气养阴法联合PD-1单抗对晚期肺腺癌化疗患者无进展生存期(PFS)的影响。

Objectives of Study:

1) Observation of the Immune Function (IFN) of Advanced Lung Adenocarcinoma Chemotherapy Patients with the Combination of Qi Tonifying and Yin Nourishing Methods and PD-1 Monoclonal Antibody- γ The impact of T lymphocyte subsets; 2) Observing the effect of the combination of Qi tonifying and Yin nourishing method and PD-1 monoclonal antibody on the incidence of adverse reactions in patients with advanced lung adenocarcinoma undergoing chemotherapy; 3) Observing the effect of the combination of Qi tonifying and Yin nourishing method and PD-1 monoclonal antibody on progression free survival (PFS) in patients with advanced lung adenocarcinoma undergoing chemotherapy.

药物成份或治疗方案详述:

Description for medicine or protocol of treatment in detail:

纳入标准:

a.经病理诊断为肺腺癌,存在远处转移; b.EGFR野生型、ALK阴性; c.中医辨证为气阴两虚:神疲乏力,口干少饮,舌质红或淡,脉细弱; d.年龄18-80周岁(包括18岁及80岁),性别不限; e.预期生存期超过三个月; f.既往未应用培美曲塞联合顺铂化疗,且目前适合该方案化疗; g.ECOG评分≤2分; h.签署知情同意书。

Inclusion criteria

a. Pathologically diagnosed as lung adenocarcinoma with distant metastasis; b. EGFR wild-type and ALK negative; c. Traditional Chinese medicine syndrome differentiation is characterized by deficiency of both qi and yin: fatigue and weakness in the mind dry mouth and insufficient drinking red or pale tongue and weak pulse; d. Age range from 18 to 80 years old (including 18 and 80 years old) regardless of gender; e. The expected survival period exceeds three months; f. No previous use of pemetrexed combined with cisplatin chemotherapy and currently suitable for this chemotherapy regimen; g. ECOG score ≤ 2 points; h. Sign an informed consent form

排除标准:

a.存在脑转移; b.严重的肝肾功能损伤(肝功能Child-C级,肾脏疾病4-5期); c.应用其他免疫制剂; d.妊娠或哺乳期妇女。

Exclusion criteria:

a. Existence of brain metastasis; b. Severe liver and kidney dysfunction (Child C liver function stage 4-5 kidney disease); c. Application of other immune preparations; d. Pregnant or lactating women

研究实施时间:

Study execute time:

From 2024-09-01

To      2025-12-31

征募观察对象时间:

Recruiting time:

From 2024-09-02

To      2025-05-01

干预措施:

Interventions:

组别:

对照组

样本量:

34

Group:

control group

Sample size:

干预措施:

培美曲塞联合顺铂化疗,PD-1单抗、贝伐珠单抗

干预措施代码:

Intervention:

Pemetrexed combined with cisplatin chemotherapy, PD-1 monoclonal antibody, bevacizumab

Intervention code:

组别:

试验组

样本量:

34

Group:

Experimental group

Sample size:

干预措施:

试验组在对照组的基础上同期给予沙麦冬汤为基础方的中药方剂,口服两周,停一周,21天为一周期

干预措施代码:

Intervention:

On the basis of the control group the experimental group was given a traditional Chinese medicine formula based on Shamaidong Tang at the same time orally for two weeks stopped for one week and had a cycle of 21 days

Intervention code:

样本总量 Total sample size : 68

研究实施地点:

Countries of recruitment
and research settings:

国家:

中国

省(直辖市):

广东

市(区县):

Country:

China

Province:

Guangdong

City:

单位(医院):

广州中医药大学金沙洲医院

单位级别:

三级

Institution/hospital:

Jinshazhou Hospital of Guangzhou University of Chinese Medicine

Level of the institution:

Tertiary

测量指标:

Outcomes:

指标中文名:

γ干扰素

指标类型:

主要指标

Outcome:

INF-γ

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

T淋巴细胞亚群

指标类型:

主要指标

Outcome:

T lymphocyte subpopulation

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

中位生存时间

指标类型:

次要指标

Outcome:

PFS(Progression Free Survival)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

不良反应

指标类型:

次要指标

Outcome:

Adverse reactions

Type:

Secondary 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:

征募研究对象情况:

正在进行

Recruiting

年龄范围:

最小 18
Min age years
最大 80
Max age years

Recruiting status:

Participant age:

性别:

Gender:

男女均可

Both

随机方法(请说明由何人用什么方法产生随机序列):

由不参与招募临床患者的项目成员采用随机数字表法产生随机序列

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

Generate random sequences using a random number table method by project members who do not participate in recruiting clinical patients

盲法:

Blinding:

是否共享原始数据:

IPD sharing:

No

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):

不公开

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

No

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:

CRF表

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

CRF table

数据管理委员会:

Data Managemen Committee:

No

研究计划书或研究结果报告发表信息
(杂志名称、期、卷、页,时间;或网址):

Publication information of the protocol/research results report
(name of the journal, volume, issue, pages, time; or website):

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