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).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
40
Based on the conventional treatment, subcutaneous injection of Tα-1 (1.6 mg, qd) in Week 1; and in Week 2, subcutaneous injection of thymalfasin 1.6 mg, 3 times a week, followed by twice a week for 1 month since Week 3.
Grade 2 irAEs: corticosteroid alone Grade 3 and above irAEs: corticosteroids combined with other immunosuppressants Steroid-refractory irAE: After 48-72 hours of systemic steroid therapy, the symptoms do not improve or worsen, and the second-line immunosuppressant therapy is adopted.
The first affiliated hospital of Shandong First Medical University
Jinan, Shandong, China
RECRUITINGSymptoms relieving rate
The proportion of immune-related adverse events reduced by at least 1 grade within 1 week after the first injection of thymalfasin.
Time frame: within one week after the first injection of thymalfasin.
≤G1 rate
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;
Time frame: up to 8 weeks
Median relieving time
The median time for an immune-related adverse event reduced to ≤ Grade 1
Time frame: 8 weeks
The total dose of corticosteroid
The total dose of corticosteroids used during treatment, the duration and the proportion of intravenous infusion (IV)
Time frame: 8 weeks
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