Actively Recruiting

Phase 1
Phase 2
Age: 21Years - 75Years
All Genders
NCT06809517

Intrathecal PD-1/VEGF Bispecific Antibody Plus Pemetrexed for Leptomeningeal Metastasis

Led by Guangzhou Medical University · Updated on 2025-05-20

34

Participants Needed

1

Research Sites

58 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Leptomeningeal metastasis, characterized by tumor cells infiltrating and proliferating in the subarachnoid space, represents a distinct pattern of central nervous system involvement and is a fatal complication of malignant tumors. This phase I/II study is to evaluate the recommended dose, safety, feasibility, and therapeutic response of intrathecal PD-1/VEGF bispecific antibody plus pemetrexed in patients with leptomeningeal metastasis.

CONDITIONS

Official Title

Intrathecal PD-1/VEGF Bispecific Antibody Plus Pemetrexed for Leptomeningeal Metastasis

Who Can Participate

Age: 21Years - 75Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Histologically or cytologically confirmed diagnosis of solid tumors with positive cerebrospinal fluid cytopathology
  • Male or female aged between 21 and 75 years
  • Normal liver and kidney function
  • White blood cell count at least 4000/mm3
  • Platelet count at least 100000/mm3
  • No history of severe nervous system disease
  • No severe blood disorders
Not Eligible

You will not qualify if you...

  • Evidence of nervous system failure, including severe encephalopathy, grade 3 or 4 leukoencephalopathy on imaging, or Glasgow Coma Score less than 11
  • Extensive and lethal progressive systemic diseases without effective treatment
  • Bleeding tendency, hemorrhage greater than grade 2, coagulation disorders, hypertensive crisis, or severe arterial thrombosis
  • History of HIV/AIDS or acute/chronic hepatitis B or C infection
  • Previous anti-PD1 therapy-induced pneumonitis or ongoing grade 2 or higher adverse events from such therapy
  • Ongoing autoimmune disease requiring systemic treatment in the past 2 years
  • Use of new drugs effective against leptomeningeal metastases within the first month of treatment or during induction and consolidation therapy, excluding previously administered drugs
  • Poor compliance or other reasons unsuitable for the study

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

The Affiliated Huizhou Hospital, Guangzhou Medical University

Huizhou, Guangdong, China, 516000

Actively Recruiting

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Research Team

Z

Zhenyu Pan, PhD, MD

CONTACT

G

Guozi Yang, PhD,MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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Intrathecal PD-1/VEGF Bispecific Antibody Plus Pemetrexed for Leptomeningeal Metastasis | DecenTrialz