Brain radiotherapy combined with camrelizumab and platinum-doublet chemotherapy for previously untreated advanced non-small-cell lung cancer with brain metastases (C-Brain): a multicentre, single-arm, phase 2 trial

Brain Radiotherapy with Camrelizumab and Platinum-Doublet Chemotherapy for NSCLC

Study Overview

This study examines the effectiveness and safety of combining brain radiotherapy with camrelizumab and chemotherapy for patients with advanced non-small-cell lung cancer (NSCLC) that has spread to the brain.

Key Points

  • Background: Patients with NSCLC and brain metastases often face limited treatment options and poor outcomes.
  • Trial Structure: This was a phase 2 trial conducted in nine hospitals in China, including 65 patients aged 18 and older with advanced NSCLC and brain metastases.
  • Treatment Protocol: Patients received either stereotactic radiosurgery or whole-brain radiotherapy along with camrelizumab and platinum-doublet chemotherapy for four to six cycles.
  • Primary Outcome: The main goal was to measure the 6-month progression-free survival rate.

Results

  • Out of 67 patients assessed, 65 were treated. The average age was 66 years.
  • The 6-month progression-free survival rate was 71.7%.
  • Common side effects included low blood cell counts, but there were no treatment-related deaths.

Conclusion

This treatment combination shows promise for patients with brain metastases from NSCLC. More research through randomized controlled trials is needed to confirm these results.

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