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@IshanArya
Created December 18, 2025 23:43
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INCLUSION CRITERIA:
Age ≥18 years at the time of informed consent
Histologically or cytologically confirmed diagnosis of non-small cell lung cancer (NSCLC)
Stage IIIB/IV disease or recurrent disease not amenable to curative therapy
Received at least one prior line of platinum-based chemotherapy with documented disease progression
Measurable disease per RECIST v1.1 criteria (at least one lesion ≥10mm)
Eastern Cooperative Oncology Group (ECOG) performance status of 0-1
Life expectancy ≥12 weeks
Adequate organ function as defined by:
Absolute neutrophil count ≥1,500/µL
Platelet count ≥100,000/µL
Hemoglobin ≥9.0 g/dL
Total bilirubin ≤1.5× upper limit of normal (ULN)
AST/ALT ≤2.5× ULN (or ≤5× ULN if liver metastases present)
Creatinine clearance ≥50 mL/min (calculated or measured)
Willing and able to provide written informed consent
Willing to comply with study procedures and follow-up requirements
EXCLUSION CRITERIA:
Known activating EGFR mutations or ALK rearrangements (unless previously treated with appropriate targeted therapy)
Untreated or symptomatic brain metastases (patients with treated, stable brain metastases off steroids for ≥2 weeks may be eligible)
Prior treatment with investigational immunotherapy agent or checkpoint inhibitor
Active autoimmune disease requiring systemic immunosuppression within the past 2 years
History of organ transplantation requiring ongoing immunosuppression
Known HIV, active hepatitis B or hepatitis C infection
Active infection requiring systemic antimicrobial therapy
Other active malignancy within the past 3 years (except adequately treated basal/squamous cell skin cancer, in situ cervical cancer, or localized prostate cancer)
Systemic corticosteroid therapy (>10mg prednisone daily or equivalent) within 2 weeks prior to enrollment
Major surgery within 4 weeks prior to study enrollment
Pregnant or breastfeeding women (women of childbearing potential must have negative pregnancy test)
Women of childbearing potential and men unwilling to use adequate contraception during study and for 6 months after last dose
Known hypersensitivity to study drug or excipients
Any condition that would interfere with ability to provide informed consent or comply with study requirements
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