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Active, Not Recruiting

NCT Number: NCT05522582

Methotrexate Combined With Immunotherapy During Radiotherapy for Solid Tumors

Immune checkpoint inhibitors, such as programmed death 1 (PD-1) and programmed cell death-Ligand 1 (PD-L1), offer new approaches for systemic treatment of tumors, but clinical efficacy remains limited. Previous studies by our team have found that methotrexate can activate anti-tumor immunity. The discovery of a new effect of this drug will improve tumor response to immunotherapy and prognosis of patients.

Active, Not Recruiting

This study is active but is not currently recruiting participants.

Key information

Conditions

Age range

18 year–85 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Yancheng First People's Hospital

Yancheng, Jiangsu, 224000, China

About this study

Malignant tumor is a systemic and complex disease that seriously endangers human health, surgery is the preferred treatment for solid tumors. Due to the extensive invasion and metastasis of advanced tumors, radiotherapy and chemotherapy are the main treatment options. However, the tolerance of tumor to chemoradiotherapy often leads to treatment failure and poor prognosis. Immunotherapy provides a new approach for the systemic treatment of tumors, but the clinical efficacy is still limited. Therefore, it is important to find effective drugs to improve the tumor response to radiotherapy and immunotherapy. Previous studies by our team have found that methotrexate can activate anti-tumor immunity. The discovery of a new effect of this drug will improve tumor response to immunotherapy and prognosis of patients. The objective of this clinical trial is to explore the efficacy and safety of methotrexate combined with immunotherapy and radiotherapy in patients with unresectable/recurrence solid tumors.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Subjects have unresectable/ metastatic solid tumors;
  • ≥ 18 years old;
  • Life expectancy of at least 3 months;
  • Eastern Cooperative Oncology Group performance status 0-2;
  • Have at least one measurable lesion ≥ 1 cm as defined by response criteria;
  • Adequate organ function.

Exclusion criteria

  • Subjects with a history of autoimmune diseases or syndromes;
  • Serious uncontrolled medical disorders or active infections;
  • Women who are pregnant or breastfeeding;
  • Subjects have other factors that may cause them to terminate the study, such as other serious medical conditions (including mental illness) that require combined treatment.

Treatment and study plan

Methotrexate tablets

Drug

Tablets with 5mg methotrexate are taken orally twice a week during the whole course of radiotherapy

Other names: MTX

Anti-PD-1 monoclonal antibody

Drug

Anti-PD-1 monoclonal antibody 200mg is given intravenously every 3 weeks from the first day of radiotherapy until or after the end of treatment.

Other names: PD-1 inhibitors

Radiotherapy

Radiation

6~15MV X-ray, 2Gy/time, 5times/week. The duration of radiotherapy depends on the target lesion.

Primary outcomes

  1. Objective Response Rate (ORR) per Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1

    Time frame: Up to 3 months

    ORR is defined as the percentage of participants in the analysis population who have a Complete Response (CR: Disappearance of all target lesions) or a Partial Response (PR: ≥30% decrease in the sum of diameters of target lesions)

  2. Treatment-related adverse events (AEs)

    Time frame: Up to 6 months

    Incidence, nature, and severity of adverse events graded according to the NCI CTCAE v5.0

Secondary outcomes

  1. Numbers of CD3+, CD4+ and CD8+T lymphocyte subsets in peripheral blood detected by flow cytometry

    Time frame: Approximately 2 months

    Laboratory tests for T-cell detection will be performed before and after treatment.

  2. Levels of IL-6, TNF-α and IFN-γ in peripheral blood detected by flow cytometry

    Time frame: Approximately 2 months

    Peripheral blood will be collected before, during and after treatment for laboratory serum cytokine detection.

  3. Progression-free Survival (PFS) per RECIST 1.1

    Time frame: Up to 12 months

    PFS is defined as the time from enrollment to the first documented disease progression per RECIST 1.1 based on blinded independent central review or death due to any cause, whichever occurs first.

  4. Overall Survival (OS)

    Time frame: Up to 36 months

    OS is defined as the time from enrollment to death from any cause during the course of the study.

Sponsors and collaborators

Lead sponsor

Yancheng First People's Hospital

Other

Registry information

Official study title

Safety and Efficacy of Oral Methotrexate Tablets Combined With Immunotherapy During Radiotherapy for Unresectable/Metastatic Solid Tumors: a Single-center, Prospective Study

Important dates

Study start
2021
Primary completion
2023
Study completion
2026
First posted
Aug 31, 2022
Registry last updated
Oct 26, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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