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OncoMatch/Clinical Trials/NCT07748325

Adjuvant Immune Checkpoint Inhibitor Versus Observation After Neoadjuvant Immunochemotherapy and Surgery in High-Risk NSCLC

Is NCT07748325 recruiting? Yes, currently enrolling (Sep 2026). This Phase 2 trial studies Sintilimab for non-small cell lung cancer.

Phase 2RecruitingSichuan UniversityNCT07748325Data as of Sep 2026Location: China

Treatment: SintilimabThis multicenter, randomized, open-label, phase II trial is designed to evaluate the efficacy and safety of adjuvant sintilimab in patients with completely resected non-small cell lung cancer who remain at high risk of recurrence after neoadjuvant immunochemotherapy. Approximately 100 eligible participants will be randomly assigned in a 1:1 ratio to receive either adjuvant sintilimab or observation. Participants assigned to the experimental arm will receive sintilimab at a dose of 200 mg intravenously every 4 weeks for up to 1 year, unless disease recurrence or progression, unacceptable toxicity, withdrawal of consent, or another protocol-defined discontinuation criterion occurs. The primary outcome is the 18-month disease-free survival rate. Secondary outcomes include disease-free survival, overall survival, and safety. Peripheral blood and tumor tissue samples will also be collected for exploratory analyses of ctDNA, antitumor immune responses, and tumor immune microenvironment biomarkers.

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Extracted eligibility criteria

Treatments studied

Immunotherapy

Sintilimab

Cancer type

Non-Small Cell Lung Carcinoma

Biomarker criteria

Required: ALK wild-type

Required: EGFR wild-type

Performance status

ECOG 0–1(Restricted strenuous activity)

Eastern Cooperative Oncology Group performance status of 0 or 1

Demographics

Ages ≤ 75

Prior therapy

Must have received: immune checkpoint inhibitor — neoadjuvant

Completion of 2 to 4 cycles of neoadjuvant immune checkpoint inhibitor therapy combined with chemotherapy

Must have received: chemotherapy — neoadjuvant

Completion of 2 to 4 cycles of neoadjuvant immune checkpoint inhibitor therapy combined with chemotherapy

Must have received: surgery — definitive resection (R0)

complete (R0) surgical resection

Lab requirements

Blood counts

Hemoglobin ≥ 90 g/L; ANC ≥ 1.5 × 10^9/L; Platelet count ≥ 75 × 10^9/L

Kidney function

Serum creatinine ≤ 1.5 × ULN or creatinine clearance ≥ 60 mL/min

Liver function

Total bilirubin ≤ 1.5 × ULN; ALT and AST ≤ 2.5 × ULN

Cardiac function

Left ventricular ejection fraction ≥ 50%

Adequate organ function within 7 days before randomization, as demonstrated by all of the following: Hemoglobin of at least 90 g/L; Absolute neutrophil count of at least 1.5 × 10^9/L; Platelet count of at least 75 × 10^9/L; Total bilirubin no greater than 1.5 times the upper limit of normal; Alanine aminotransferase and aspartate aminotransferase no greater than 2.5 times the upper limit of normal; Serum creatinine no greater than 1.5 times the upper limit of normal or creatinine clearance of at least 60 mL/min; Left ventricular ejection fraction of at least 50%; International normalized ratio or prothrombin time no greater than 1.5 times the upper limit of normal.

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

Frequently asked questions

Is NCT07748325 currently recruiting?

Yes, this trial is currently recruiting patients.

Is prior treatment required for enrollment?

Yes. Patients must have previously received immune checkpoint inhibitor and chemotherapy.

Does this trial require ALK?

Yes, ALK wild-type is a required biomarker for enrollment.

Does this trial require EGFR?

Yes, EGFR wild-type is a required biomarker for enrollment.

Is there an age limit?

Yes. Patients must be 75 years or younger.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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