Clinical trial · Interventional
Early Response Evaluation in NSCLC Patients Treated With Immunotherapy
Early Response Evaluation With 18F-FDG PET/CT and Immunological Profiling of Circulating Immune Cells and Tumor-draining Lymph Nodes in Non-small Cell Lung Cancer Patients Treated With Immunotherapy.
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Why stopped (as posted): The study has been closed due to slow enrollment.
Summary
Brief summary (as posted)
A pilot study with biomarker exploration.50 patients with stage IV non-small cell lung cancer (NSCLC) that are eligible for treatment with nivolumab. Patients will undergo a 18F-FDG-PET/CT and EBUS-FNA of the lymph nodes and have blood drawn before and after immune checkpoint inhibitor treatment to compare tumor FDG uptake and to identify changes in the immune effector cell subsets in TDLNs. Blood will be drawn in parallel to compare the distribution of immune effector cell subsets before and after treatment initiation. Because of the possible burden for patients, the EBUS-FNA is not mandatory to complete the study and is there for an exploratory objective. Also blood will be drawn for a tumor mutational burden at baseline. The first six patients will undergo a dynamic PET-CT scan in addition to a static scan to study the influence of possible immunotherapy induced changes to the body distribution and kinetics of FDG..
Conditions
Conditions (1)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| NSCLC, Stage IV | Lung Non-Small Cell Carcinoma | CURATED_BROADER | 0.78 |
Interventions
Interventions (1)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| 18F-FDG PET-CT | Diagnostic Test | — | UNRESOLVED |
Design
Arms and outcomes
Arms (1)
- type
- OTHER
- label
- Nivolumab
- description
- Nivolumab treatment according to label: 3 mg/kg nivolumab IV Q2W, 240mg Q2W or 480mg Q4W as an IV infusion until disease progression or unacceptable toxicity. FDG PET-CT will be performed at baseline and between 7 and 14 days after treatment initiation
- interventionNames
- Diagnostic Test: 18F-FDG PET-CT
Primary outcomes (6)
- measure
- Percentage of collected immune cells by FNA EBUS will be assesed using flow cytometry.
- timeFrame
- Baseline and at the end of cycle 1 (each cycle is 14 days).
- description
- The change in the percentages of selected immune cell parameters (CD4+ T, CD8+ T cells) after immunotherapy treatment as compared to baseline will be calculated
- measure
- Percentage of collected immune cells by FNA EBUS will be assesed using flow cytometry.
- timeFrame
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion Criteria: * willing and able to provide written informed consent for the study. * ≥ 18 years of age on day of signing informed consent. * confirmed diagnosis of NSCLC. * Histological tumor biopsy for PD-L1 IHC assessment (DAKO assay) available. * Ipsilateral hilar or mediastinal lymph node with a short axis diameter ≥1 cm. * Eligible and planned to receive nivolumab according to EMA label and national guidelines. * Measurable disease according to RECIST v1.1. * WHO performance status of 0-2. Exclusion Criteria: * Has had prior chemotherapy, targeted small molecule therapy, or radiation therapy within 2 weeks prior to baseline PET-scan. * Has an active infection or had an active infection within 2 weeks prior to baseline PET-scan. * Has a known history of hypersensitivity to contrast material. * Isolated distant relapse after curative intent treatment for stage I-III NSCLC.
References
Publications (1)
- DERIVEDBorm FJ, Smit J, Bakker J, Wondergem M, Smit EF, de Langen AJ, de Gruijl TD. Early response evaluation of PD-1 blockade in NSCLC patients through FDG-PET-CT and T cell profiling of tumor-draining lymph nodes. Oncoimmunology. 2023 Apr 26;12(1):2204745. doi: 10.1080/2162402X.2023.2204745. eCollection 2023. PMID 37123045