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Status unknownNCT04640103Updated Dec 1, 2020

An Observational Study of Perioperative Immunotherapy in MSI-H Gastrointestinal Tumors

An observational study in To Evaluate the Safety and Effectiveness of Immunotherapy During the Perioperative Treatment Stage in MSI-H Gastrointestinal Cancer, sponsored by Shen Lin. Status unknown at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-12-01.

Sponsored by Shen Lin · Observational

The sponsor has not verified this record recently (last verified Nov 2020), so the status shown — last known as Not yet recruiting — may be out of date.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
100
Ages
18 Years and older
Sex
All
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Study summary

Gastrointestinal cancer like Gastric cancer and colorectal cancer are high-incidence tumors worldwide. Surgery is the only curable way. Perioperative treatment can improve the survival of patients. Microsatellite instability-high(MSI-H)are a special subtype of gastrointestinal tumors, accounting for about 15-22%. According to current research, patients with this type of gastrointestinal tumors cannot benefit from traditional perioperative chemotherapy, which directly affects the long-term survival of patients. Because patients with MSI-H have a unique tumor immune microenvironment, thus they are more likely to benefit from immunotherapy. Current studies have confirmed that the use of immunotherapy during palliative care can prolong the survival of patients with MSI-H. In the neoadjuvant treatment stage, according to the previous clinical practice of our center, the use of immunotherapy can make some patients achieve complete postoperative pathological remission. However, in the perioperative treatment stage, the value of immunotherapy is still lack of powerful clinical evidence.

Based on this, our group intends to start an observational study to prospectively enroll patients with MSI-H gastrointestinal tumor using immunotherapy during the perioperative period.The primary endpoint is safety while survival outcomes as secondary endpoints. In order to evaluate the safety and effectiveness of immunotherapy during the perioperative treatment stage in MSI-H gastrointestinal cancer

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Conditions studied

  • To Evaluate the Safety and Effectiveness of Immunotherapy During the Perioperative Treatment Stage in MSI-H Gastrointestinal Cancer
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In context

Gastrointestinal Neoplasms

779 studies on the registry are indexed under Gastrointestinal Neoplasms; 231 are open to participants now.

This study's planned enrollment of 100 is below the median of 197 across 176 observational studies indexed under Gastrointestinal Neoplasms.

Browse Gastrointestinal Neoplasms studies →

Lead sponsor

Shen Lin is the lead sponsor of 10 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Sampling method
Non-probability sample

Study population

Outpatients and inpatients in Beijing Cancer Hospital

Inclusion criteria

  1. ≥18 years old,diagnosed as gastric or colorectal cancer by pathology;
  2. Diagnosed as a mismatch repair deficient by immunohistochemistry,or diagnosed as microsatellite instability-high by polymerase chain reaction(PCR) or next-generation sequencing(NGS);
  3. Suitable for tumor radical resection;
  4. Join this trial voluntarily,and could sign an informed consent form;
  5. With good compliance.

Exclusion criteria

Exclusion Criteria:

  1. Do not use immunotherapy containing PD-1/PD-L1 antibody during the perioperative period;
  2. Simultaneous diagnosis of dual primary tumors, and the second tumor cannot be resected radically, or the second tumor is not dMMR/MSI-H;
  3. Complicate with uncontrollable immune system diseases;
  4. Patients who need to use glucocorticoids and other immunosuppressive agents for a long time;
  5. Patients who received live vaccines or live attenuated vaccines within 30 days before the medication, except for inactivated vaccines;
  6. Those who cannot provide detailed medical records or cannot cooperate with follow-up.
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
100 participants (estimated)
Patient registry
No

Groups and cohorts

  • adjuvant therapy

    Patients who received immunotherapy in adjuvant treatment stage only

    Other: No interventions

  • neoadjuvant therapy

    Patients who received immunotherapy in neoadjuvant treatment stage and achieved R0 resection

    Other: No interventions

Interventions

  • OtherNo interventions

    No interventions

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What researchers measure

Primary outcomes

  1. Adverse event rate

    Safety

    Time frame: Up to 1 years

Secondary outcomes

  1. Overall survival

    From the time of enrollment to death caused by any reason

    Time frame: Up to 5 years

  2. Disease-free survival

    From the time of enrollment to disease recurrence or death caused by any reason

    Time frame: Up to 3 years

  3. Incidence of second tumor in patients with Lynch syndrome

    Time frame: Up to 3 years

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Study locations

1 site
  • Beijing Cancer Hospital
    Beijing, Beijing 100142, China
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 1, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04640103
Lead sponsor
Shen Lin
Responsible party
Shen Lin (Professor, Peking University) — Sponsor-investigator
First posted
Nov 23, 2020
Start date
Jan 1, 2021 (estimated)
Primary completion
Dec 31, 2023 (estimated)
Completion
Dec 31, 2023 (estimated)
Last update
Dec 1, 2020

Study contacts

Lin Shen, Professor
Contact
linshenpku@163.com
86-10-88196561

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Nov 2020. You cannot join it, but the record below documents what was studied.

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