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Trial · NCT04438382

Infliximab and Intravenous Immunoglobulin Therapy in Treating Patients With Steroid-Refractory Pneumonitis

NCT04438382, Phase 2, Terminated, ECOG-ACRIN Cancer Research Group; results first posted 2024-03-26

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Infliximab and Intravenous Immunoglobulin Therapy in Treating Patients With Steroid-Refractory Pneumonitis. Trials, record NCT04438382. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04438382

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Infliximab and Intravenous Immunoglobulin Therapy in Treating Patients With Steroid-Refractory Pneumonitis
NCT number
NCT04438382
Status
Terminated
Phases
Phase 2
Enrollment
1 participants, actual
Lead sponsor
ECOG-ACRIN Cancer Research Group
Conditions
Hematopoietic and Lymphoid Cell Neoplasm, Malignant Solid Neoplasm, Steroid-Refractory Pneumonitis
Interventions
Infliximab, Intravenous Immunoglobulin Therapy, Prednisone, Methylprednisolone
First posted
2020-06-18
Last updated
2026-09-29
Results first posted
2024-03-26
Limitations and caveats
Only one patient was enrolled on this study. Due to the concern on confidentiality, individual data was not reported.

Source ClinicalTrials.gov

Registered outcomes10

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryPneumonitis Response RateAt day 28
Pneumonitis response will be defined as an improvement in partial pressure of arterial oxygen (PaO2)/fraction of inspired oxygen (FiO2) of \>= 20% measured by PaO2 and recording of the FiO2 received by the patient at the time of the arterial blood gas assessment, on day 28 compared with day 1.
SecondaryProportion of Patients With Radiologic Response for Steroid-refractory PneumonitisAt days 1, 14, and 28
Radiologic features of steroid-refractory pneumonitis will be assessed by percentage lung parenchyma involved, percentage of ground-glass opacity in lung parenchyma, and lung volume on computed tomography. The pneumonitis and lung volume will be graded "Definitely decreased", "Probably decreased", "No significant change", "Probably increased" and "Definitely increased". Response to study therapy will be defined by combining the categories "Definitely decreased" and "Probably decreased".
SecondaryFunctional Parameters of Steroid-refractory Pneumonitis by SpirometryAt days 1, 14, and 28
Functional features of pneumonitis will be assessed by spirometry (forced vital capacity, forced expiratory volume in one second). These quantitative measures will be reported descriptively (by median, mean, and range) by timepoints and treatment arms.
SecondaryFunctional Parameters of Steroid-refractory Pneumonitis by Diffusion CapacityAt days 1, 14, and 28
Functional features of pneumonitis will be assessed by diffusion capacity of the lung. These quantitative measures will be reported descriptively (by median, mean, and range) by timepoints and treatment arms.
SecondaryFunctional Parameters of Steroid-refractory Pneumonitis by Oxygen SaturationAt days 1, 14, and 28
Functional features of pneumonitis will be assessed by oxygen saturation on room air at rest, collected as part of the vital signs. These quantitative measures will be reported descriptively (by median, mean, and range) by timepoints and treatment arms.
SecondaryNumber of Deaths Within 28 DaysUp to 28 daysDeath reported in the 28-day period will be tabulated by treatment arm, and classified as pneumonitis-related, immunosuppression related, disease-related or other.
SecondaryIncidence of Adverse EventsUp to 28 days
Will be graded according to Common Terminology Criteria for Adverse Events (CTCAE) version 5.0. The number and severity of treatment-related adverse events from infections in any organ system by the CTCAE reported in the 28-day period after additional immunosuppression.
SecondaryTotal Score of Functional Assessment of Cancer Therapy - Lung Version 4At days 1, 14, and 28
Patient-reported outcomes of steroid-refractory pneumonitis will be measured by questionnaires (Functional Assessment of Cancer Therapy - Lung version 4 \[FACT-L\]). FACT-L consists of 5 subscales and the total score is calculated by summing the scores of the 36 items. The score ranges between 0 and 136. The higher the score, the better the quality of life.
OtherDistribution of Biomarkers in Patients Who Develop Steroid-refractory PneumonitisDays 1, 14 and 28 after study treatment
Potential blood/serum biomarkers for pneumonitis will be assessed from serially collected blood/serum in accrued patients (on Days 1, 14 and 28 after study treatment) and controls, whose blood/serum will be obtained as part of a parallel tissue-collection protocol.
OtherTo Evaluate Associations Between Pneumonitis and Autoantibodies, T Cell Expansion, and Baseline Cytokines in the BloodOn days 1, 14, and 28 post-treatmentTo evaluate associations between pneumonitis and autoantibodies, T cell expansion, and baseline cytokines in the blood.

Outcomes10

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPneumonitis Response RateAt day 28Only one patient was enrolled on this study. Due to confidentiality reasons, individual data was not reported.
SECONDARYProportion of Patients With Radiologic Response for Steroid-refractory PneumonitisAt days 1, 14, and 28Only one patient was enrolled so individual data won't be reported due to confidentiality reasons.
SECONDARYFunctional Parameters of Steroid-refractory Pneumonitis by SpirometryAt days 1, 14, and 28Only one patient was enrolled, so individual data won't be reported due to confidentiality reasons.
SECONDARYFunctional Parameters of Steroid-refractory Pneumonitis by Diffusion CapacityAt days 1, 14, and 28Only one patient was enrolled so individual data won't be reported due to confidentiality reasons.
SECONDARYFunctional Parameters of Steroid-refractory Pneumonitis by Oxygen SaturationAt days 1, 14, and 28Only one patient was enrolled so individual data won't be reported due to confidentiality reasons.
SECONDARYNumber of Deaths Within 28 DaysUp to 28 daysOnly one patient was enrolled so individual data won't be reported due to confidentiality reasons.
SECONDARYIncidence of Adverse EventsUp to 28 daysOnly one patient was enrolled so individual data won't be reported due to confidentiality reasons.
SECONDARYTotal Score of Functional Assessment of Cancer Therapy - Lung Version 4At days 1, 14, and 28Only one patient was enrolled, so individual data won't be reported due to confidentiality reasons.
OTHER_PRE_SPECIFIEDDistribution of Biomarkers in Patients Who Develop Steroid-refractory PneumonitisDays 1, 14 and 28 after study treatment
OTHER_PRE_SPECIFIEDTo Evaluate Associations Between Pneumonitis and Autoantibodies, T Cell Expansion, and Baseline Cytokines in the BloodOn days 1, 14, and 28 post-treatment

Results by group0

Each measurement the trial posted, group by group, in the words and numbers it posted.

None in this release.

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDArm A (Infliximab)0
Overall StudySTARTEDArm B (Intravenous Immunoglobulin Therapy)1
Overall StudyCOMPLETEDArm A (Infliximab)0
Overall StudyCOMPLETEDArm B (Intravenous Immunoglobulin Therapy)1
Overall StudyNOT COMPLETEDArm A (Infliximab)0
Overall StudyNOT COMPLETEDArm B (Intravenous Immunoglobulin Therapy)0

Adverse events0

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

None in this release.

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityArm A (Infliximab)00
Total, all-cause mortalityArm B (Intravenous Immunoglobulin Therapy)01
Total, other adverse eventsArm A (Infliximab)00
Total, other adverse eventsArm B (Intravenous Immunoglobulin Therapy)00
Total, serious adverse eventsArm A (Infliximab)00
Total, serious adverse eventsArm B (Intravenous Immunoglobulin Therapy)00

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
33568350DERIVED

Source PubMed

Grants1

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

ProjectTitlePrincipal investigatorsOrganizationFunderFiscal years
UG1CA189828ECOG-ACRIN NCORP Research BaseWAGNER, LYNNE I.; ODWYER, PETER J; SCHNALL, MITCHELL D.ECOG-ACRIN MEDICAL RESEARCH FOUNDATIONNATIONAL CANCER INSTITUTE2014 to 2025

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04438382

GET https://conductscience.org/api/trials/v1/NCT04438382/registered