Actively Recruiting

Phase 1
Age: 18Years - 75Years
All Genders
NCT06431685

Safety and Efficacy of Whole Brain LDRT+ICI+Intrathecal Chemotherapy in Refractory Meningeal Metastasis of Lung Cancer

Led by Sichuan University · Updated on 2026-05-08

10

Participants Needed

1

Research Sites

140 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This phase I study aims to investigate the safety and efficacy of whole brain low dose radiotherapy (WB-LDRT) combined with ICI and intrathecal chemotherapy for treatment of refractory meningeal metastasis of lung cancer.

CONDITIONS

Official Title

Safety and Efficacy of Whole Brain LDRT+ICI+Intrathecal Chemotherapy in Refractory Meningeal Metastasis of Lung Cancer

Who Can Participate

Age: 18Years - 75Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age between 18 and 75 years
  • Definite diagnosis of leptomeningeal metastasis by cerebrospinal fluid cytology or clinical diagnosis combined with tumor history, neuroimaging, clinical signs, and cerebrospinal fluid tests
  • Clear history of lung cancer confirmed by histopathology or cytopathology and imaging, with failure of standard treatment
  • Stable extracranial lesions (SD)
  • No contraindications to cranial radiotherapy as judged by radiation oncologists
  • Willingness to receive immunotherapy, lumbar puncture, intrathecal chemotherapy, and radiotherapy
  • Expected survival of at least 3 months and performance status score of 3 or less
  • Agreement to provide cerebrospinal fluid, blood, and tissue samples for biomarker testing
  • Normal main organ function without serious abnormalities in blood, heart, lung, liver, kidney, bone marrow, or immune deficiency diseases
  • Bone marrow, liver, and kidney functions meeting specific laboratory criteria within one week before enrollment
  • Women of childbearing potential agree to use contraception during the study and for 6 months after; negative pregnancy test within 7 days before enrollment and not breastfeeding; men agree to use contraception during the study and for 6 months after
Not Eligible

You will not qualify if you...

  • Active or history of autoimmune diseases
  • Congenital or acquired immunodeficiency
  • Uncontrolled heart symptoms or diseases
  • Severe infections or serious comorbidities such as bleeding ulcers, ileus, heart failure, renal failure, or poorly controlled diabetes
  • History of allogeneic organ or hematopoietic stem cell transplantation
  • Other systemic cancers within the last 5 years
  • Allergy to any study drug
  • Uncontrolled epilepsy, neurological failure, severe neurological impairment from treatment, uncontrollable psychosis, or other conditions making participation unsuitable
  • Pregnant or breastfeeding women, or those with reproductive ability unwilling to use effective contraception

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

West China Hospital, Sichuan University

Chengdu, Sichuan, China, 610041

Actively Recruiting

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Research Team

Y

You Lu, MD

CONTACT

L

Lisha Xiang, 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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