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Fecal Microbiota Transplant(FMT) Combination With Tislelizumab in Advanced or Metastatic NSCLC (FMT-LUNG) Fase II 15 Imunoterapia Microbioma Personalizado
Recovering immune responses in patients who have failed prior immunotherapy remains an unmet cl...
Mostrar maisIn light of the established clinical efficacy of ICIs and FMT in patients with solid malignancies, a phase II study was designed to investigate the po...
Mostrar maisEfficacy and Safety of Fecal Microbiota Transplant(FMT) Combination With Tislelizumab in Advanced or Metastatic Non-Small Cell Lung Cancer Whose Disease Has Progressed After Prior Immune Checkpoint Inhibitors
- FMT-LUNG
- 2025-12-108
| Grupo de participantes/Braço | Intervenção/Tratamento |
|---|---|
ExperimentalFecal Microbiota Transplant(FMT) combination with Tislelizumab A fixed dose of 200mg Q3W Tislelizumab IV until PD And Q9W FMT (max 3) | Tislelizumab Tislelizumab 200mg IV q3wks Fecal Microbiota Transplant(FMT) FMT through colonoscopy q9wks up to 3 cycles. |
| Medida de desfecho | Descrição da medida | Prazo |
|---|---|---|
Safety(SAE, AE) | to evaluate the clinical safety (by NCI-CTCAE v5.0) | From enrollment to the EOT, up to 42 months |
| Medida de desfecho | Descrição da medida | Prazo |
|---|---|---|
ORR | To evaluate of clinical efficacy (by RECIST v1.1) | up to 42 months |
OS | To evaluate of clinical efficacy (by Kaplan-Meier method) | up to 42 months |
PFS | To evaluate of clinical efficacy (by Kaplan-Meier method) | up to 42 months |
DCR | To evaluate of clinical efficacy (by RECIST v1.1) | up to 42 months |
DOR | To evaluate of clinical efficacy (by RECIST v1.1) | up to 42 months |
DONOR
① Subjects who have voluntarily provided written Informed consent to participate in this clinical trial
② Aged of 19 or older
③ Subjects who meet one of the following criteria:
- Patients with histologically confirmed NSCLC who have maintained a clinical benefit(partial response, PR) for more than 1 year through immune checkpoint inhibitor therapy
- Healthy volunteers with no history of inflammatory bowel disease ④ Subjects who agree to provide repetitive blood and fecal samples during the trial period
RECIPIENT
Have voluntarily provided written Informed consent to participate in this clinical trial
Adults aged 19 years or older
Histologically or cytologically confirmed progressive or metastatic NSCLC
Subjects with at least one measurable lesion according to RECIST v1.1
Subjects who have received one or more chemotherapy treatments and have experienced disease progression after prior immunotherapy (However, patients with confirmed EGFR or ALK mutations must have shown progression after approved targeted therapies.)
ECOG 0-1
Subjects with a life expectancy is at least 3 months ⑧ Subjects with adequate bone marrow and organ function within 14 days prior to study treatment, defined as:
Absolute neutrophil count (ANC): ≥ 1.5×109/L
Hemoglobin: ≥ 9.0 g/dL
Platelet count: ≥ 75×109/L
Serum creatinine ≤ 1.5×ULN or CrCl ≥ 30 mL/min as determined by Cockcroft-Gault
AST(SGOT)/ALT(SGPT): ≤ 3×ULN (≤ 5×ULN in the presence of liver metastases)
Total bilirubin: ≤ 1.5×ULN (< 3×ULN for Gilbert's syndrome(unconjugated hyperbilirubinemia) or liver metastases) ⑨ Female Subjects must be using a highly effective method of contraception during the clinical trial and for 4months after permanent discontinuation of the study drug ⑩ Male Subjects must be using highly effective method of contraception during the clinical trial and for 4months after permanent discontinuation of the study drug and refrain from sperm donation
⑪ Agreed to provide blood and fecal samples during the trial period
DONOR
Have voluntarily provided written Informed consent to participate in this clinical trial
Adults aged 19 years or older
Histologically or cytologically confirmed progressive or metastatic NSCLC
Subjects with at least one measurable lesion according to RECIST v1.1
Subjects who have received one or more chemotherapy treatments and have experienced disease progression after prior immunotherapy (However, patients with confirmed EGFR or ALK mutations must have shown progression after approved targeted therapies.) ⑥ ECOG 0-1
Subjects with a life expectancy is at least 3 months
Subjects with adequate bone marrow and organ function within 14 days prior to study treatment, defined as:
Absolute neutrophil count (ANC): ≥ 1.5×109/L
Hemoglobin: ≥ 9.0 g/dL
Platelet count: ≥ 75×109/L
Serum creatinine ≤ 1.5×ULN or CrCl ≥ 30 mL/min as determined by Cockcroft-Gault
AST(SGOT)/ALT(SGPT): ≤ 3×ULN (≤ 5×ULN in the presence of liver metastases)
Total bilirubin: ≤ 1.5×ULN (< 3×ULN for Gilbert's syndrome(unconjugated hyperbilirubinemia) or liver metastases)
Female Subjects must be using a highly effective method of contraception during the clinical trial and for 4months after permanent discontinuation of the study drug
Male Subjects must be using highly effective method of contraception during the clinical trial and for 4months after permanent discontinuation of the study drug and refrain from sperm donation
- Agreed to provide blood and fecal samples during the trial period
RECIPIENT
Have voluntarily provided written Informed consent to participate in this clinical trial
Adults aged 19 years or older
Histologically or cytologically confirmed progressive or metastatic NSCLC
Subjects with at least one measurable lesion according to RECIST v1.1
Subjects who have received one or more chemotherapy treatments and have experienced disease progression after prior immunotherapy (However, patients with confirmed EGFR or ALK mutations must have shown progression after approved targeted therapies.)
ECOG 0-1 ⑦ Subjects with a life expectancy is at least 3 months
Subjects with adequate bone marrow and organ function within 14 days prior to study treatment, defined as:
Absolute neutrophil count (ANC): ≥ 1.5×109/L
Hemoglobin: ≥ 9.0 g/dL
Platelet count: ≥ 75×109/L
Serum creatinine ≤ 1.5×ULN or CrCl ≥ 30 mL/min as determined by Cockcroft-Gault
AST(SGOT)/ALT(SGPT): ≤ 3×ULN (≤ 5×ULN in the presence of liver metastases)
Total bilirubin: ≤ 1.5×ULN (< 3×ULN for Gilbert's syndrome(unconjugated hyperbilirubinemia) or liver metastases)
Female Subjects must be using a highly effective method of contraception during the clinical trial and for 4months after permanent discontinuation of the study drug ⑩ Male Subjects must be using highly effective method of contraception during the clinical trial and for 4months after permanent discontinuation of the study drug and refrain from sperm donation
- Agreed to provide blood and fecal samples during the trial period