Overview

Clinical Observation of ICI Combined With Recombinant Human Endostatin on Leptomeningeal Metastasis of Lung Cancer

Status:
Recruiting
Trial end date:
2024-12-03
Target enrollment:
0
Participant gender:
All
Summary
immune checkpoint inhibitor combined with recombinant human endostatin can improve the 3-month OS rate of leptomeningeal metastasis of lung cancer, and the combination is safe
Phase:
Phase 2
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Hebei Medical University
Treatments:
Endostatins
Criteria
Inclusion Criteria:

1. Age ≥18 years old, gender unlimited;

2. A clear diagnosis of leptomeningeal metastases derived from lung cancer , including
positive cerebrospinal fluid cytology and/or neuroimaging diagnosis;

3. A clear history of lung cancer, including histopathological diagnosis, or a
combination of cytopathology and imaging;

4. Proper organ function (neutrophil count ≥1.5× 109 /L, platelet count ≥100× 109 /L,
hemoglobin concentration ≥90g/L, serum transaminase concentration ≤2.5 times the limit
of normal value, serum creatinine concentration ≤ 1.5 times the upper limit of normal
value, proteinuria ≤1+)

5. Dexamethasone ≤2 mg (or equivalent) 7 days before the start of treatment in patients
requiring long-term use of the hormone

6. Signed the informed consent and was willing to follow the experimental protocol and
follow-up

Exclusion Criteria:

1. Patients with positive driver genes and effective treatment, such as patients with
positive EGFR gene sensitive mutation

2. Severe infections or serious comorbidities, such as hemorrhagic peptic ulcer,
intestinal obstruction, heart failure, kidney failure, or poorly controlled diabetes;

3. Be allergic to PD-1 inhibitor and recombinant human endostatin

4. The female patient planned to be pregnant, was pregnant and lactating -