Unique ID issued by UMIN | UMIN000038178 |
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Receipt number | R000043522 |
Scientific Title | Cryoablation followed by immune-checkpoint inhibitor treatment for III/IV lung cancer or metastatic lung cancer where standard treatment is ineffective |
Date of disclosure of the study information | 2019/10/04 |
Last modified on | 2019/10/02 17:59:49 |
Cryoablation followed by immune-checkpoint inhibitor treatment for III/IV lung cancer or metastatic lung cancer where standard treatment is ineffective
Cryoablation followed by immune-checkpoint inhibitor treatment for lung cancer
Cryoablation followed by immune-checkpoint inhibitor treatment for III/IV lung cancer or metastatic lung cancer where standard treatment is ineffective
Cryoablation followed by immune-checkpoint inhibitor treatment for lung cancer
Japan |
III or IV stage lung cancer or metastatic cancer where standard therapy is ineffective
Pneumology | Hematology and clinical oncology | Chest surgery |
Malignancy
NO
After cryoablation for lung cancer, vaccine effect is sometimes seen caused by necrotic tumor. Therefore, combination with cryoablation and immune-checkpoint inhibitor is expected to increase its drug efficacy, whichi is the primary purpose of the study.
Safety,Efficacy
Confirmatory
Pragmatic
Phase III
For patients with III/IV stage lung cancer or multiple metastatic lung cancer who are refractory to standard therapy, the main lung tumor is treated by cryoablation followed by starting immune checkpoint inhibitor around 4 weeks later with 4 cycles at minimum. The efficacy of the drug is investigated especially whether it is superior over the effective rate reported so far.
To investigate whether the cryoablation for lung cancer increase the interstitial pneumonia, which is one of side effects of immune checkpoint inhibitor.
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Maneuver |
For Stage III/IV lung cancer or multiple metastatic lung cancer, the main tumor is treated by cryoablation, followed by statring immune-checkpoint inhibitor around 4 weeks later. After 4 cycles at minimum, the size of tumor which is not treated by cryoablation is examined.
Not applicable |
100 | years-old | >= |
Male and Female
1. III/IV stage lung cancer or multiple emtastatic lung cancer.
2. For metastatic lung cancer other than primary lung cancer, the tumors show microsatelite instability(MSI)-high.
3. Even having another metastatic tumors, the life extension is expected if the main tumor is treated by cryoablation.
4. Informed consent with risk and long-term forecast.
1. Patients having obvious interstitial pneumia.
2. Tumors located where the cryoprobe insertion is not available.
100
1st name | Hiroaki |
Middle name | |
Last name | Nomori |
Kashiwa Kousei General Hospital
Thoracic Surgery
277-8551
617 Shikoda, Kashiwa City, Chiba
0471-45-1111
hnomori@qk9.so-net.ne.jp
1st name | Hiroaki |
Middle name | |
Last name | Nomori |
Kashiwa Kousei General Hospital
Thoracic Surgery
277-8551
617 Shikoda, Kashiwa City, Chiba
0471-45-1111
hnomori@qk9.so-net.ne.jp
Kashiwa Kousei General Hospital, Department of Thoracic Surgery
Kashiwa Kousei General Hospital
Other
Kashiwa Kousei General Hospital
617 Shikoda, Kashiwa City, Chiba
0471-45-1111
hnomori@qk9.so-net.ne.jp
NO
柏厚生総合病院(千葉県)
2019 | Year | 10 | Month | 04 | Day |
Unpublished
Open public recruiting
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Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000043522
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