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OncoMatch/Clinical Trials/NCT06249854

Efficacy and Safety of Combination Therapy With Bojungikki-tang and Pembrolizumab Monotherapy in Patients With Advanced Non-small Cell Lung Cancer

Is NCT06249854 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments including Bojungikki-tang(BJIKT) and Pembrolizumab for non-small cell lung cancer.

Phase 2RecruitingKorea Institute of Oriental MedicineNCT06249854Data as of May 2026

Treatment: Bojungikki-tang(BJIKT) · PembrolizumabThis is a multicenter, open-label, randomized controlled clinical trial designed to evaluate the efficacy and safety of combination therapy with Bojungikki-tang(BJIKT) and pembrolizumab monotherapy in patients with advanced non-small cell lung cancer whose tumors express PD-L1 positive with no EGFR or ALK genomic tumor aberrations. Based on prior pre-clinical studies, the combination of Bojungikki-tang and immune checkpoint inhibitors (ICIs) can be expected to improve survival and enhance the therapeutic efficacy of ICIs by modulating the systemic tumor-immune environment. Therefore, this clinical trial aims to assess the efficacy and safety of the combined therapy with BJIKT and pembrolizumab and establish clinical evidence for an integrative cancer treatment strategy by examining the survival rate and immune status following combined ICI and BJIKT treatment.

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Extracted eligibility criteria

Cancer type

Non-Small Cell Lung Carcinoma

Biomarker criteria

Required: PD-L1 (CD274) tumor proportion score (TPS) ≥ 50% (TPS ≥ 50%)

Patients with PD-L1 tumor proportion score(TPS) ≥ 50%

Required: EGFR wild-type

no EGFR ... genomic tumor aberrations

Required: ALK wild-type

no ... ALK genomic tumor aberrations

Disease stage

Required: Stage IV

Metastatic disease required

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Cannot have received: immune checkpoint inhibitor

Patients who treated with immune checkpoint inhibitor or anti-CTLA-4 within the last 6 weeks

Cannot have received: systemic immunosuppressive medication

Exception: low-dose corticosteroids (prednisone ≤ 10 mg/day or equivalent within 7 consecutive days) permitted at investigator's discretion

systemic immunosuppressive medications within the last 2 weeks

Cannot have received: herbal medicine

Patients who received herbal medicine within 4 weeks before the first administration of IP (Bojungikgitang) and been decided that such intake affect the trial or safety of the subject at the investigator's discretion

Cannot have received: investigational drug

Patients who received other investigational drugs within 30 days before the first administration of IP (Bojungikgitang)

Lab requirements

Blood counts

Hemoglobin ≥ 9.0 g/dL; Absolute neutrophil count (ANC) ≥ 1,500/㎕; Platelet count ≥100× 10^3/㎕

Kidney function

Serum creatinine ≤ 1.5x ULN or creatinine clearance ≥ 45 ml/min

Liver function

ALT and AST ≤ 2.5× ULN; with liver metastasis: ALT and AST ≤ 5× ULN; Total bilirubin ≤ 1.5× ULN; with liver metastasis or known Gilbert syndrome: Total bilirubin ≤ 3× ULN

Patients with adequate bone marrow reserve or organ function as follows: Hemoglobin ≥ 9.0 g/dL; ANC ≥ 1,500/㎕; Platelet count ≥100× 10^3/㎕; Serum creatinine ≤ 1.5x ULN or creatinine clearance ≥ 45 ml/min; ALT and AST ≤ 2.5× ULN; with liver metastasis: ALT and AST ≤ 5× ULN; Total bilirubin ≤ 1.5× ULN; with liver metastasis or known Gilbert syndrome: Total bilirubin ≤ 3× ULN

Structured fields extracted by AI. May contain errors — verify against the official protocol.

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