Overview
The goal of this observational study is to evaluate the efficacy and safety of oral metronomic vinorelbine and PD-1 inhibitors in elderly patients with unoperable, locally advanced or metastatic non-small-cell lung cancer. The primary end point was objective response rate (ORR), and the second end points included disease control rate (DCR), progression-free survival (PFS), and safety. Participants over 65 years old, received oral metronomic vinorelbine 40mg every week (20mg for patients over 80 years old), combined with PD-1 inhibitors every 3 weeks.
Eligibility
Inclusion Criteria:
- 1) All patients are histologically or cytologically confirmed non-small cell lung
cancer. Genetic testing identifies no driver gene mutations. 2) Male or female, age ≥ 65 years 3) Patients had not received first-line treatment.
4) KPS score ≥ 70 points (ECOG score 0-1 points), the expected survival ≥3 months;
5) No dysfunction of major organs. EcG, liver function, renal function, and blood
count tests before treatment are normal or basically normal, but must meet the
following experimental results:
- Blood routine test:
Leukocyte WBC≥3.5×109/L; Neutrophil count (ANC) ≥ 1.5×109/L; Platelet (PLT) ≥ 80×109/L;
- Blood biochemical test:
Total bilirubin (TBIL) ≤ 1.5 times the upper limit of normal values; Alanine aminotransferase (ALT/SGPT) and alanine transaminases (AST/SGOT) ≤ 2.5 times the normal high value (ULN), or ≤ 5 times the upper limit of normal value in patients with liver metastases; Serum creatinine (Cr) ≤ 1.5 times the upper limit of normal values;
- Cardiac function test: 50% of the left ventricular ejection function of the
heart >; 6) The subject has good compliance, and can cooperates with follow-up.
Exclusion Criteria:
- Blood routine test:
- previously treated