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NCT06164574 | COMPLETED | Lung Cancer


Immunotherapy in Uncommon and 20ins EGFR-mut Lung Cancers
Sponsor:

H Dog CHEN

Information provided by (Responsible Party):

H Dog CHEN

Brief Summary:

Immunotherapy effectiveness and optimal combination strategy in lung cancers with EGFR uncommon and 20ins mutations was unclear. Based on 627 lung adenocarcinoma patients harboring EGFR mutations and receiving immunotherapy, we reported that patients with EGFR uncommon mutations had better response to immunotherapy, than EGFR 19del/L858R or 20in mutations. Immunotherapy monotherapy or plus chemotherapy was identified as better combination strategy for EGFR uncommon or 20ins mutations, respectively. Higher tumor mutation burden, more M1 macrophage, less Tregs and M2 macrophages infiltration, but not PD-L1 expression was found to be associated with EGFR uncommon mutations, compared to EGFR 19del/L858R or 20in mutations. These findings revealed diverse response and optimal combination strategy of lung adenocarcinoma patients harboring EGFR mutation subtypes, promoting rethinking about current immunotherapy application and prolonging survivals of them.

Condition or disease

Lung Cancer

Intervention/treatment

Survival analysis

Study Type : OBSERVATIONAL
Estimated Enrollment : 627 participants
Official Title : Distinct Survivals and Optimal Combination of Immunotherapy Plus Immunophenotype in Uncommon and 20ins EGFR-mut Lung Adenocarcinoma: a Retrospective Multi-center Study
Actual Study Start Date : 2022-11-01
Estimated Primary Completion Date : 2023-11-01
Estimated Study Completion Date : 2023-11-29

Information not available for Arms and Intervention/treatment

Ages Eligible for Study: 18 Years
Sexes Eligible for Study: ALL
Accepts Healthy Volunteers:
Criteria
Inclusion Criteria
  • 1. age≥18 years,
  • 2. advanced or recurrent LUAD confirmed by pathology,
  • 3. harboring EGFR mutations confirmed by super amplification refractory mutation system (super-ARMS) or next-generation sequencing (NGS),
  • 4. receiving anti-PD-(L)1 antibody therapy at least once,
  • 5. Radiologically evaluable according to Response Evaluation Criteria in Solid Tumors, version 1.1 (RECIST v1.1)
Exclusion Criteria
  • -

Immunotherapy in Uncommon and 20ins EGFR-mut Lung Cancers

Location Details

NCT06164574


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Locations


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China, Please Select

C so strong etc.

Shanghai, Please Select, China, 200032

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