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NCT06192303

Prospective Study on the Efficacy and Safety of Bronchoalveolar Lavage Combined With Pathogen Metagenomic Sequencing Technology in the Diagnosis of Immune Checkpoint Inhibitor Associated Pneumonia

Status unknown Last updated 5 January 2024
What this trial tests

trial testing Bronchoalveolar lavage and pathogen metagenomic sequencing in Immune Checkpoint Inhibitor Associated Pneumonia in 104 participants. Status unknown.

Timeline
1 January 2023
Primary endpoint
1 May 2025
1 January 2026

Quick facts

Lead sponsorNanfang Hospital, Southern Medical University
StatusStatus unknown
Study typeOBSERVATIONAL
Enrollment104
Start date1 January 2023
Primary completion1 May 2025
Estimated completion1 January 2026
Sites1 location across China

Drugs / interventions tested

Conditions studied

Sponsor

Nanfang Hospital, Southern Medical University

Who can join

Adults 18 to 75, any sex, with Immune Checkpoint Inhibitor Associated Pneumonia. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Immune checkpoint inhibitor associated pneumonia (CIP) is a common immune related adverse reaction, accounting for 35% of all deaths. However, due to the lack of typical clinical symptoms and imaging manifestations, CIP needs to be differentiated from other diseases such as pulmonary infections and lung cancer progression. Currently, there is a lack of diagnostic gold standards, which belongs to exclusive diagnosis. Empirical diagnosis and treatment in clinical practice can easily lead to the abuse of hormones and antibiotics, and even misdiagnosis and mistreatment, resulting in patient death. Therefore, early identification of CIP and pulmonary infection is the key to successful diagnosis and treatment. The CIP diagnosis and treatment guidelines recommend performing bronchoalveolar lavage as appropriate, but there is still a lack of large-scale prospective clinical studies. The beneficial pathogen metagenomic sequencing technology for the diagnosis of pulmonary infections has not been mentioned. Our research group conducted a prospective clinical study for the first time to evaluate the effectiveness and safety of bronchoalveolar lavage combined with pathogen metagenomic sequencing technology in diagnosing CIP, explore biomarkers for diagnosing CIP, in order to improve the early diagnosis rate and treatment efficiency of CIP, and reduce the abuse of antibiotics and hormones.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Metagenomic next-generation sequencing unraveled the characteristic of lung microbiota in patients with checkpoint inhibitor pneumonitis: results from a prospective cohort study.
    Zhou Z, Lin JR, Li J, Huang X, et al · · 2025 · cited 1× · PMID 41161821 · DOI 10.1136/jitc-2025-012444

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