ClinicalTrials.gg
RecruitingNCT05378334Updated Mar 10, 2026

Efficacy and Safety of HGXJT in Bone Metastatic NSCLC Patients

An interventional study of ICI and Chemotherapy in Non-small Cell Lung Cancer, sponsored by Guangzhou University of Traditional Chinese Medicine. Recruiting at 1 site in China. Open to participants aged 18 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-03-10.

Sponsored by Guangzhou University of Traditional Chinese Medicine · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Jun 2022; still recruiting 4 years 4 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
82
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

This is a double-blind, randomized controlled study evaluating the efficacy and safety of HGXJT in combination with ICI-based standard treatment in lung cancer patients with bone metastases. Enrolled participates will randomly receive HGXJT or placebo during the first 4-6 cycles of ICI-based standard treatment.

02

Conditions studied

  • Non-small Cell Lung Cancer

Keywords

  • Non-Small Cell Lung Cancer
  • Bone Metastatic
  • Immune Checkpoint Inhibitors
  • Chinese Formula
  • Efficacy
  • Safety
03

In context

Carcinoma, Non-Small-Cell Lung

7,620 studies on the registry are indexed under Carcinoma, Non-Small-Cell Lung; 1,838 are open to participants now.

This study's planned enrollment of 82 is above the median of 62 across 6,019 interventional studies indexed under Carcinoma, Non-Small-Cell Lung.

Browse Carcinoma, Non-Small-Cell Lung studies →

Lead sponsor

Guangzhou University of Traditional Chinese Medicine is the lead sponsor of 58 studies on the registry; 19 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Patients with non-small cell lung cancer diagnosed by histopathology or cytopathology.
  2. Presence of bone .
  3. EGFR/ALK gene wild type.
  4. No prior treatment with inhibitors (combination or monotherapy)
  5. Those who have not received prior antitumor therapy or have not received further antitumor therapy after failure of antitumor therapy.
  6. PS score () ≤ 2 points
  7. Normal hepatic and renal function.

    Normal hepatic function: total serum level ≤ 1.5 times of the value(ULN), serum serum (AST) \& alanine aminotransferase(ALT) ≤ 2.5 times ULN

    Normal renal function: serum creatinine ≤ 1.5 mg/dl (133 μmol/L) and/or ≥ 60 ml/min.

  8. Presence of at least one assessable lesion.
  9. Signed , patient willing to accept this regimen, able to adhere to the medication, and good compliance.

Exclusion criteria

Exclusion Criteria:

  1. Unable to complete the baseline assessment form
  2. Combination of other serious illnesses, including uncontrolled active infection, severe electrolyte disturbances, and significant bleeding tendencies.
  3. Pregnant or lactating women.
  4. Combined diseases, hematologic disorders, or long-term use of hormones or drugs.
  5. Combination of other uncontrolled tumors.
  6. Combination of severe brain or mental illness that affects the patient's ability to self-report.
  7. Combined organ transplant history (including bone marrow autotransplantation and peripheral stem cell transplantation).
  8. Those who are legally incompetent and whose medical or ethical reasons affect the continuation of the research.
Terms in these criteria, in plain language(11)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

PD-1, PD-L1 and checkpoint inhibitors

PD-1, PD-L1 and CTLA-4 are proteins that act as brakes on the immune system. Checkpoint inhibitors, such as pembrolizumab or nivolumab, block them so the immune system can attack a cancer.

PD-L1 can also be measured in a tumour sample. Some scores count stained tumour cells only (TPS); others also count certain immune cells (CPS). The study names the score and the minimum it uses.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
82 participants (estimated)

Study arms

  • Experimental
    Combination Group

    Standard treatment: 4-6 cycles (3 weeks per cycle) of ICI + chemotherapy followed by ICI maintenance therapy, until tumor progression or at least 1 year. HGXJT decoction: 1 dose daily, until tumor progression or accumulation for 1 year.

    Drug: ICI · Drug: Chemotherapy · Drug: Bone-protecting and Mass-dispersesing Decoction

  • Placebo comparator
    Control group

    Standard treatment: 4-6 cycles (3 weeks per cycle) of ICI + chemotherapy followed by ICI maintenance therapy, until tumor progression or at least 1 year. Placebo: 1 dose daily, until tumor progression or accumulation for 1 year.

    Drug: ICI · Drug: Chemotherapy · Drug: Placebo

Interventions

  • DrugICI

    PD-1 inhibitors selected by clinicians based on patients' condition

  • DrugChemotherapy

    AP regimen(Pemetrexed 500mg/m2+carboplatin AUC=5,q3w) for non-squamous cancer patientsor or TP regimen(Paclitaxel 175mg/m2+carboplatin AUC=5, or albumin paclitaxel 100mg/m2+carboplatin AUC=5,q3w)for Squamous cancer patients.

  • DrugPlacebo

    The particle size and color are similar to the HGXJT, and the smell and taste are close to the HGXJT, and the bacteria test is qualified

  • DrugBone-protecting and Mass-dispersesing Decoction

    Chinese Herbal Formula,also named as HGXJT

06

What researchers measure

Primary outcomes

  1. (Disease control rate assessed by investigators) DCR (CR+PR+SD)

    DCR (disease control rate) is defined as sum of complete response (CR) rate, partial response (PR) rate and stable disease (SD) rate, according to RECIST v 1.1, based on the chest, abdomen and/or brain CT/MRI evaluation. Patients will undergo a follow-up imaging examination every 3 months, with an additional imaging examination after the first two cycles of treatment (normally 6 weeks).

    Time frame: From the date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 120 months.

Secondary outcomes

  1. Progression-free survival (PFS)

    The time from the date of randomization to the date of disease progression, date of withdraw, or death from any cause, whichever occurs first.

    Time frame: From the date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 120 months.

  2. Overall survival (OS)

    The time from the date of randomization to the date of withdraw or date of death from any cause, whichever occurs first.

    Time frame: From date of randomization to the date of withdraw or date of death from any cause, whichever occurs first, assessed up to 120 months.

  3. ORR(Objective response rate)

    ORR (overall response rate) is defined as sum of complete response (CR) rate and partial response (PR) rate , according to RECIST v 1.1, based on the chest, abdomen and/or brain CT/MRI evaluation. Patients will undergo a follow-up imaging examination every 3 months, with an additional imaging examination after the first two cycles of treatment (normally 6 weeks).

    Time frame: From date of randomization until the date of death or date of withdraw, whichever came first, assessed up to 120 months

07

Study locations

1 of 1 sites recruiting
  • Guangdong Provincial Hospital of Traditional Chinese Medicine
    Guangzhou, Guangdong, China
    Recruiting
    • Haibo Zhang, Professor · Contact
08

References and documents

Publications

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Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 10, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05378334
Lead sponsor
Guangzhou University of Traditional Chinese Medicine
Responsible party
Haibo Zhang (Professor, Guangzhou University of Traditional Chinese Medicine) — Principal investigator
First posted
May 18, 2022
Start date
Jun 15, 2022
Primary completion
Sep 1, 2027 (estimated)
Completion
Jan 1, 2028 (estimated)
Last update
Mar 10, 2026

Study contacts

Wenjie Zhao, Dr
Contact
20209120019@stu.gzucm.edu.cn
8602081887233 ext. 34830
Haibo Zhang, Professor
principal investigator · Guangdong Provincial Hospital of Traditional Chinese Medicine

Oversight

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

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