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Trial · Interventional

Status unknownPhase 4Registry data

Thymosin Alpha-1 for irAE Secondary to ICIs

Overview

Status
Status unknown
Phase
Phase 4
Enrollment
40 participants (estimated)
Sponsor
Jun Wang · Other
Design
Randomized · Open label (no masking)
Countries
1 country

China

Start
1 Sept 2023
Primary completion
Nov 2024 (estimated)
Completion
Apr 2025 (estimated)
First posted
20 Dec 2023
Last update posted
20 Dec 2023
Conditions
IrAE

Timeline

1 trial

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
2023202420252026
  1. Ph 4

    Thymosin Alpha-1 for irAE Secondary to ICIs

    NCT06178146

    1 Sept 2023 to est. Apr 2025

Registry summary

Text and fields below are the sponsor's entries at ClinicalTrials.gov, shown as posted.

Thymosin alpha-1 (Tα-1) has shown clinical benefits in patients whose immune functions are severely compromised or ineffective. Therefore, this study is attempted to explore whether Tα-1 could be used as a therapeutic option for the treatment of immune-related adverse events (irAEs).

Interventions

  • Thymosin Alpha1Drug
  • ImmunosuppressantDrug

Arms2

  • Experimental

    Tα-1 group

    Subcutaneous injection with 1.6mg Thymosin alpha 1 in combination with the conventional therapy

  • Active comparator

    Control group

    Conventional therapy includes corticosteroids and other immunosuppressants according to CSCO guidelines.

Primary outcomes1

Outcomes the sponsor listed as primary.

  1. Symptoms relieving rate

    Time frame · within one week after the first injection of thymalfasin.

    Registry description

    The proportion of immune-related adverse events reduced by at least 1 grade within 1 week after the first injection of thymalfasin.

Secondary outcomes(3)
  1. ≤G1 rate

    Time frame · up to 8 weeks

    Registry description

    The proportion of total immune-related adverse events reduced to ≤ Grade 1 within 2, 4, 6 and 8 weeks after the first injection of thymalfasin;

  2. Median relieving time

    Time frame · 8 weeks

    Registry description

    The median time for an immune-related adverse event reduced to ≤ Grade 1

  3. The total dose of corticosteroid

    Time frame · 8 weeks

    Registry description

    The total dose of corticosteroids used during treatment, the duration and the proportion of intravenous infusion (IV)

Posted results

Values are shown as posted at ClinicalTrials.gov, with their units. PepBank has not converted, pooled or compared them.

No results are posted for this trial.

A trial that is still running, or that stopped early, may post results later.

Registry data comes from ClinicalTrials.gov. Study results come from studies, not from the registry. How PepBank works

Studies6

Studies that cite this trial.

Studies with results

4 studies on this page

Indexing hint: Clinical trial · 2022

6 results

Efficacy of Thymosin α1 in Management of Radiation Pneumonitis in Patients With Locally Advanced Non-Small Cell Lung Cancer Treated With Concurrent Chemoradiotherapy: A Phase 2 Clinical Trial (GASTO-1043).

Liu et al. 2022International journal of radiation oncology, biology, physicscited by 26

PMID 35870709DOI 10.1016/j.ijrobp.2022.07.009PUB-35870709

Full text at the publisher6 results

Indexing hint: Observational study · 2021

11 results

Efficacy of Thymosin Alpha 1 in the Treatment of COVID-19: A Multicenter Cohort Study.

Liu et al. 2021Frontiers in immunologycited by 11

PMID 34408744PMC8366398DOI 10.3389/fimmu.2021.673693PUB-34408744

CC BY11 results

Indexing hint: Animal study · 2020

4 results

Thymosin α1 protects from CTLA-4 intestinal immunopathology.

Renga et al. 2020Life science alliancecited by 26

PMID 32817121PMC7441522DOI 10.26508/lsa.202000662PUB-32817121

CC BY4 results

Indexing hint: Randomized controlled trial · 2013

4 results

The efficacy of thymosin alpha 1 for severe sepsis (ETASS): a multicenter, single-blind, randomized and controlled trial.

Wu et al. 2013Critical care (London, England)cited by 105

PMID 23327199PMC4056079DOI 10.1186/cc11932PUB-23327199

CC BY4 results

Indexing hint: Review · 2012

Thymosin α1 as a stimulatory agent of innate cell-mediated immune response.

Serafino et al. 2012Annals of the New York Academy of Sciencescited by 32

PMID 23050812DOI 10.1111/j.1749-6632.2012.06707.xPUB-23050812

Full text at the publisher
Publisher page

More studies

1 study on this page

PubMed tag: none · 2017

Corrected

Thymosin α1 represents a potential potent single-molecule-based therapy for cystic fibrosis.

Romani et al. 2017Nature medicinecited by 86

PMID 28394330PMC5420451DOI 10.1038/nm.4305PUB-28394330

Rights unknown

Eligibility

Who could join, as posted.

Sex
All
Age
from 18 Years up to 75 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: 1. Subjects who are males or females, aged 18 to 75 years; 2. Subjects who are willing to sign the informed consent forms and receive follow-up visits; 3. Subjects who are cytologically or histologically diagnosed with malignant solid tumors, including but not limited to genitourinary, gynecological, lung, liver, gastrointestinal tumors and melanoma; 4. Subjects with malignant solid tumors who have developed irAEs within 6 months of immune checkpoint inhibitor therapy (CTLA-4, PD-1 and/or PD-L1). The immune checkpoint inhibitors can be used alone, or combined with chemotherapy drugs or other ICIs; 5. Subjects with Grade 2 to 4 skin toxicity, enteritis, pneumonia and hepatitis secondary to ICIs according to CTCAE V5.0 and CSCO guidelines 6. Subjects with sufficient bone marrow functions and meet the following requirements: (1) Hemoglobin level ≥ 90 g/L (2) Neutrophil count ≥ 1.0×10\^9/L (3) Lymphocyte count ≥ 0.5×10\^9/L (4) Platelet count ≥75×10\^9/L (5) PT, PTT, INR≤1.5 times ULN 7. Subjects with sufficient liver functions: Child-Pugh A and B; 8. Subjects with sufficient renal function: the estimated clearance rate calculated by the Cockroft-Gault formula is ≥40mL/min; 9. Suitable pregnant women who need to take effective contraceptive measures; Exclusion Criteria: 1. Subjects who have ever immune-related adverse events due to ICI treatment; 2. Subjects who are diagnosed with immunodeficiency disease or are receiving systemic immunosuppressive therapy; 3. Subjects who have skin damage, liver damage, lung damage, etc. caused by the progression of malignant tumors; 4. Subjects who have the thromboembolic disease, biliary tract compression, perfusion injury, opportunistic infection, and liver injury caused by non-ICI drug reactions; 5. Subjects who have abnormal laboratory indicators caused by hepatotropic viruses (such as HAV, HBC, HCV) and non-hepatotropic viruses (such as Epstein-Barr virus, cytomegalovirus, and herpes simplex virus); 6. Subjects who are diagnosed with infectious colitis (e.g., caused by infections such as bacteria, Clostridium difficile, virus, fungus, parasite, etc.); 7. Subjects who suffer from autoimmune diseases, including but not limited to autoimmune hepatitis, primary cholangitis, primary sclerosing cholangitis, rheumatoid arthritis, vitiligo, psoriasis, Crohn's disease, type I diabetes, Grave's disease, etc.; 8. Subjects who suffer from other respiratory diseases with clear etiology, including malignant pulmonary infiltration, active infection, alternative systemic pulmonary toxicity or radiation pneumonitis; 9. Subjects with any other infectious diseases of grade 3 and above; 10. Subjects who have received and used thymosin products or other immunomodulators before enrollment; 11. Subjects who are allergic to thymosin products; 12. Pregnant or breastfeeding women; 13. Subjects who have any known bacterial, fungal or viral infections that may affect their safety or study compliance as deemed by the Investigator within 2 weeks before enrollment; 14. Subjects who have any health conditions that may prevent them from participating in and complying with the procedures related to the study as deemed by the Investigator, including additional laboratory abnormalities or mental illness.

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