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OncoMatch/Clinical Trials/NCT06421298

A Prospective, Single-arm, Phase II Clinical Trial to Evaluate the Efficacy and Safety of Tafolecimab and Sintilimab Combined With Chemotherapy in Patients With Advanced or Metastatic Driver Gene-negative Non-small Cell Lung Cancer After Failure of First-line Immunotherapy.

Is NCT06421298 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments for lung cancer.

Phase 2RecruitingJinghui WangNCT06421298Data as of May 2026

Treatment: Tafolecimab · Sintilimab · Nab paclitaxel · Docetaxel · GemcitabineThe second-line treatment for patients who have progressed after first-line immune checkpoint inhibitor therapy, is chemotherapy based on docetaxel and other drugs. The treatment effect is limited. The median survival time of them are 6 months. So there is a huge unmet medical need. This study is a Prospective, Single-arm, Phase II Clinical Trial to Evaluate the Efficacy and Safety of Tafolecimab and Sintilimab Combined With Chemotherapy in Patients With Advanced or Metastatic Driver Gene-negative Non-small Cell Lung Cancer After Failure of First-line Immunotherapy. 30 patients will be enrolled. The main endpoint is PFS,and the secondary endpoint are OS,DCR,DOR,ORR, and so on.

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Extracted eligibility criteria

Cancer type

Non-Small Cell Lung Carcinoma

Biomarker criteria

Required: ALK wild-type

Required: EGFR wild-type

Disease stage

Required: Stage IIIB, IIIC, IV

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Min 1 prior line

Must have received: anti-PD-1 therapy

Patients must have previously used PD-1 or PD-L1 inhibitors and have disease progression

Must have received: anti-PD-L1 therapy

Patients must have previously used PD-1 or PD-L1 inhibitors and have disease progression

Cannot have received: systemic anti-tumor treatment

Exception: within 3 weeks before treatment

Received systemic anti-tumor treatment within 3 weeks before treatment, such as chemotherapy, targeted therapy, immunotherapy (including Chinese herbal treatment with anti-tumor indications), etc.

Cannot have received: investigational drug

Exception: within 4 weeks before treatment

Have received any investigational drug treatment within 4 weeks before treatment

Lab requirements

Blood counts

ANC ≥1.5x10^9/L without G-CSF in past 14 days; platelets ≥100×10^9/L without transfusion in past 14 days; hemoglobin >9g/dL without transfusion or erythropoietin in past 14 days

Kidney function

Serum creatinine ≤1.5×ULN and creatinine clearance ≥60 ml/min

Liver function

Total bilirubin ≤1.5×ULN; AST and ALT ≤2.5×ULN (≤5×ULN with liver metastases)

Cardiac function

Myocardial enzyme spectrum is within the normal range (if the researcher comprehensively judges that simple laboratory abnormalities without clinical significance are also allowed to be included)

With sufficient organ function, subjects must meet the following laboratory indicators: ... (see full criteria for details)

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

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