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CompletedNCT07053215Updated Jul 8, 2025

Efficacy of Argon-Helium Cryoablation Plus PD-1 Inhibitors in NSCLC

An interventional study of Argon-Helium Cryoablation and Camrelizumab in Non-small Cell Lung Cancer (NSCLC), sponsored by The First Hospital of Hebei Medical University. Completed at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-07-08.

Sponsored by The First Hospital of Hebei Medical University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 4 years 6 months after the study started (first participant enrolled Dec 2020, registered Jun 2025).
Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

This randomized controlled trial investigated the efficacy and safety of argon-helium cryoablation combined with PD-1 inhibitors compared to PD-1 inhibitors plus chemotherapy for treating non-small cell lung cancer (NSCLC). The study aimed to evaluate differences in survival, tumor response, immune function, and adverse events.

Read the detailed description

This was a single-center, open-label, randomized controlled trial conducted at the First Hospital of Hebei Medical University, China. Sixty patients with advanced non-small cell lung cancer (NSCLC) were enrolled between December 2020 and December 2023. Patients were randomly assigned (1:1) to either a study group (argon-helium cryoablation combined with PD-1 inhibitor, Camrelizumab) or a control group (PD-1 inhibitor, Camrelizumab, combined with platinum-based doublet chemotherapy). Argon-helium cryoablation was performed prior to PD-1 inhibitor administration in the study group. Both groups received 4 cycles of systemic therapy. The primary endpoints were overall survival (OS) and progression-free survival (PFS). Secondary endpoints included objective response rate (ORR), disease control rate (DCR), changes in immune function markers (CD4+, CD8+, CD4+/CD8+ ratio), and adverse reactions. Patients were followed for up to 1 year. The study aimed to determine if combining cryoablation with PD-1 inhibition offers superior outcomes compared to standard chemo-immunotherapy in NSCLC.

02

Conditions studied

  • Non-small Cell Lung Cancer (NSCLC)

Keywords

  • Argon-helium cryoablation
  • PD-1 inhibitor
  • Non-small cell lung cancer
  • Randomized controlled trial
  • Efficacy
  • Immune function
03

In context

Carcinoma, Non-Small-Cell Lung

6,488 studies on the registry are indexed under Carcinoma, Non-Small-Cell Lung; 1,632 are open to participants now.

This study's enrollment of 60 is close to the median of 62 across 5,213 interventional studies indexed under Carcinoma, Non-Small-Cell Lung.

Browse Carcinoma, Non-Small-Cell Lung studies →

Lead sponsor

The First Hospital of Hebei Medical University is the lead sponsor of 37 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Pathologically confirmed NSCLC, stage IIIB, IIIC, or IV (AJCC 8th Edition);
  • At least one measurable tumor lesion according to Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1);
  • Estimated survival time ≥6 months;
  • Receiving argon-helium cryoablation combined with PD-1 inhibitor for the first time at our institution (for study group) or standard chemo-immunotherapy (for control group);
  • Unable or unwilling to undergo surgical resection for various reasons;
  • Karnofsky Performance Status (KPS) score ≥60;
  • Conscious and capable of effective communication;
  • Eastern Cooperative Oncology Group (ECOG) performance status score of 0-2.

Exclusion criteria

Exclusion Criteria:

  • Presence of other active malignant tumors;
  • Significant uncontrolled hepatic (total bilirubin >1.5 × upper limit of normal [ULN], AST/ALT >2.5 × ULN or >5 × ULN if liver metastases present) or renal dysfunction (creatinine clearance \<50 mL/min);
  • Non-primary NSCLC (i.e., metastatic from another site);
  • Known allergy or contraindication to study drugs or inability to comply with the treatment plan;
  • Coexisting active tuberculosis, uncontrolled systemic infections, or other significant pulmonary diseases that would interfere with treatment or outcome assessment;
  • Pregnancy or lactation;
  • Severe psychiatric disorders;
  • Uncorrected coagulation disorders (e.g., INR >1.5 or platelet count \<75 × 109/L);
  • Known immunodeficiency syndromes (e.g., HIV infection);
  • Symptomatic hemorrhagic pleural effusion requiring urgent intervention;
  • Patients who withdrew consent before randomization or were deemed non-compliant by investigators.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
60 participants (actual)

Study arms

  • Experimental
    Argon-Helium Cryoablation + PD-1 Inhibitor

    Patients received argon-helium cryoablation followed by PD-1 inhibitor (Camrelizumab 200 mg IV every 3 weeks for 4 cycles).

    Device: Argon-Helium Cryoablation · Drug: Camrelizumab

  • Active comparator
    PD-1 Inhibitor + Chemotherapy

    Patients received PD-1 inhibitor (Camrelizumab 200 mg IV every 3 weeks) combined with standard platinum-based doublet chemotherapy for 4 cycles.

    Drug: Camrelizumab · Drug: Platinum-based doublet chemotherapy

Interventions

  • DeviceArgon-Helium Cryoablation

    Procedure performed within 7 days before the first dose of PD-1 inhibitor. CT-guided insertion of cryoprobes into the target tumor. Two freeze-thaw cycles: rapid freeze to -135°C to -145°C for 15-20 minutes, followed by thawing.

  • DrugCamrelizumab

    200 mg intravenously every 3 weeks for 4 cycles.

  • DrugPlatinum-based doublet chemotherapy

    * Non-squamous NSCLC: Pemetrexed (500 mg/m² IV on day 1) plus Carboplatin (AUC 5 mg/mL•min IV on day 1) of each 3-week cycle. * Squamous NSCLC: Gemcitabine (1250 mg/m² IV on days 1 and 8) plus Carboplatin (AUC 5 mg/mL•min IV on day 1) of each 3-week cycle. * Administered for 4 cycles.

06

What researchers measure

Primary outcomes

  1. Overall Survival (OS)

    Time from randomization to death from any cause.

    Time frame: From randomization until death, assessed through study completion, an average of 1 year.

  2. Progression-Free Survival (PFS)

    Time from randomization to disease progression (RECIST 1.1) or death from any cause, whichever occurred first.

    Time frame: From randomization until disease progression or death, assessed through study completion, an average of 1 year.

Secondary outcomes

  1. Objective Response Rate (ORR)

    Proportion of patients achieving Complete Response (CR) or Partial Response (PR) according to mRECIST criteria.

    Time frame: Assessed after 4 cycles of treatment (each cycle is 21 days), at approximately 12 weeks from randomization.

  2. Disease Control Rate (DCR)

    Proportion of patients achieving CR, PR, or Stable Disease (SD) according to mRECIST criteria.

    Time frame: Assessed after 4 cycles of treatment (each cycle is 21 days), at approximately 12 weeks from randomization.

  3. Change in CD4+ T lymphocyte counts

    Change in peripheral blood CD4+ T lymphocyte subset counts from baseline.

    Time frame: Baseline (Day 1, prior to treatment) and at the end of Cycle 4 (each cycle is 21 days).

  4. Change in CD8+ T lymphocyte counts

    Change in peripheral blood CD8+ T lymphocyte subset counts from baseline.

    Time frame: Baseline (Day 1, prior to treatment) and at the end of Cycle 4 (each cycle is 21 days).

  5. Change in CD4+/CD8+ T lymphocyte ratio

    Change in the ratio of peripheral blood CD4+ to CD8+ T lymphocytes from baseline.

    Time frame: Baseline (Day 1, prior to treatment) and at the end of Cycle 4 (each cycle is 21 days).

  6. Incidence and severity of Adverse Events (AEs)

    Number and grade of AEs according to NCI-CTCAE v5.0.

    Time frame: From the first dose of study treatment until 30 days after the last dose of study medication (up to approximately 16 weeks).

  7. 1-year Progression-Free Survival Rate

    Proportion of patients alive and without disease progression at 1 year from randomization.

    Time frame: At 1 year from randomization.

07

Study locations

1 site
  • the First Hospital of Hebei Medical University
    Shijiazhuang, Hebei 050031, China
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 8, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07053215
Lead sponsor
The First Hospital of Hebei Medical University
Responsible party
Na Li (Principal investigator, The First Hospital of Hebei Medical University) — Principal investigator
First posted
Jul 8, 2025
Start date
Dec 1, 2020
Primary completion
Dec 1, 2024
Completion
Dec 1, 2024
Last update
Jul 8, 2025

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jun 2025. You cannot join it, but the record below documents what was studied.

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