Overview

Evaluate the efficacy and safety of tislelizumab in combination with anlotinib in patients with stage III and IV PSC .

Eligibility

Inclusion Criteria:

1. Subjects voluntarily participate in the study and sign informed consent;
2. Male or female patients aged between 18 and 80 years;
3. Patients with stage III or IV pulmonary sarcomatoid carcinoma that has been histologically or cytologically confirmed as inoperable or intolerant to radiotherapy and has at least one measurable lesion (according to RECIST V1.1 criteria);EGFR and ALK driver genes were negative.
4. Previous systemic antitumor therapy ≤2 times;
5. ECOG score: 0,1;
6. Life expectancy ≥12 weeks;
7. The main organs function normally, that is, they meet the following criteria:
   1. Blood examination standards should be met (no blood transfusion or blood products, g-CSF or other hematopoietic stimulating factors were used within the first 14 days) :HB ≥90 g/L；ANC ≥1.5×109/L (1500/m3)；PLT ≥100×109/L; 2) Biochemical tests shall meet the following standards:TBIL ≤1.5ULN；TBIL≤3ULN in subjects with liver metastases or with proven/suspected Gilbert's disease; ALT and AST≤2.5ULN, whereas ALT and AST≤5ULN in liver metastases. serum creatinine (Cr) ≤1.5ULN or endogenous creatinine clearance (CrCl) ≥50 mL/min (Cockcroft-Gault formula: CrCl (mL/min) =[(140- age) body weight (kg) F]/(SCr(mg/dL)*72).Male F=1, female F=0.85, SCr= serum creatinine) (8) Doppler ultrasound assessment: Left ventricular ejection fraction (LVEF) ≥ normal lower limit (50%); (9) Women of childbearing age must have used a reliable contraceptive method or have performed a pregnancy test (serum or urine) within 7 days prior to enrollment with a negative result and be willing to use an appropriate method of contraception during the trial period and 8 weeks after the last dose of the trial drug.For men, consent is required to use an appropriate method of contraception or to have been surgically sterilized during the trial period and 8 weeks after the last administration of the trial drug.

Exclusion Criteria:

        (1) Previous antibodies or drugs targeting immune checkpoint pathways, including but not
        limited to anti-PD-1, anti-PD-L1 or anti-CTLA-4 antibodies; (2) Treatment with systemic
        immunomodulators (including but not limited to interferon, interleukin-2, and tumor
        necrosis factor) within 4 weeks prior to randomization or within 5 half-lives of the drug,
        whichever is longer (cancer vaccine is allowed as part of previous treatment); (3) Imaging
        (CT or MRI) showed obvious pulmonary cavernous tumor; (4) History and complications
          1. Patients with symptomatic brain metastasis, cancerous meningitis, spinal cord
             compression, or diseases of the brain or pia meningeal revealed by imaging CT or MRI
             examination during screening (patients with brain metastasis who had completed
             treatment 4 weeks before enrollment and had stable symptoms without progression could
             be enrolled, but were confirmed to have no symptoms of cerebral hemorrhage by
             craniocerebral MRI, CT or venography evaluation);
          2. The patient is participating in other clinical studies (excluding non-interventional
             studies) or less than 4 weeks after the completion of treatment in the previous
             clinical study;
          3. has had or is currently co-existing with other malignancies within the past 2 years,
             except for cured cervical carcinoma in situ, non-melanoma skin cancer, and superficial
             bladder tumors [Ta (non-invasive tumor), Tis (carcinoma in situ), and T1 (tumor
             infiltrating basal membrane)];
          4. Have an active, known or suspected autoimmune disease, including a history of
             allogeneic organ transplantation, allogeneic hematopoietic stem cell transplantation,
             hiv-positive history, or acquired immune deficiency syndrome (AIDS).
          5. Randomize patients with any disease requiring systemic treatment with corticosteroids
             (prednisone >10 mg/ day or equivalent) or other immunosuppressive agents within the
             first 14 days of treatment.
          6. Patients who did not recover to NCI-CTCAE≤1 for adverse reactions related to previous
             anti-tumor therapy (except hair loss);
          7. Suffering from serious cardiovascular diseases: grade ⅱ or above myocardial ischemia
             or myocardial infarction, poorly controlled arrhythmia;Patients with grade ⅲ ~ ⅳ
             cardiac insufficiency according to NYHA standard, or left ventricular ejection
             fraction (LVEF) < 50% as indicated by color doppler echocardiography;
          8. A history of interstitial lung disease, non-infectious pneumonia or uncontrolled
             systemic disease, including diabetes, hypertension, pulmonary fibrosis, acute lung
             disease, etc.Uncontrolled medium to large serous effusion (including pleural effusion,
             ascites, pericardial effusion), aggravated chronic obstructive pulmonary disease, and
             active lung infections and/or acute bacterial or fungal respiratory diseases requiring
             intravenous antibiotic treatment;
          9. A known history of severe hypersensitivity to other monoclonal antibodies;
         10. A known history of psychotropic drug abuse, alcoholism or drug abuse;
         11. Active hepatitis that cannot be controlled after treatment (HEPATITIS B: HBsAg
             positive and HBV DNA≥1 x 103 copies /ml;Hepatitis C: HCV RNA positive and abnormal
             liver function);Co-infection with hepatitis B and c; (5) In the judgment of the
             researcher, the patient may have other factors that may lead to the termination of the
             study, such as other serious diseases or serious abnormal laboratory tests, or other
             factors that may affect the safety of the subjects, or family or social factors that
             may affect the collection of test data and samples.