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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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