Spinal injection of dual immunotherapy plus chemotherapy targets cancer spread to brain lining

NCT ID NCT06809530

First seen Jul 21, 2026 · Last updated Jul 22, 2026 · Updated 1 time

Summary

This phase I/II trial tests a combination of two drugs given directly into the spinal fluid for people with leptomeningeal metastasis, a condition where cancer spreads to the membranes covering the brain and spinal cord. The drugs are QL1706, a bispecific antibody that blocks two immune checkpoints (PD-1 and CTLA-4), and pemetrexed, a chemotherapy agent. The study aims to find the safest dose and evaluate how well the treatment works.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
a bispecific antibody targeting PD-1 and CTLA-4 (QL1706) combined with pemetrexed, both given via spinal injection
What this could lead to
If successful, this could offer a new treatment option for people with leptomeningeal metastasis, a serious complication of cancer that spreads to the lining of the brain and spinal cord.
What could go wrong
This is an early-phase trial with only 34 participants, so results may not apply broadly. The combination therapy carries risks of severe neurological side effects, such as chemical meningitis.

This is an AI summary of the original study and may miss details. Read our disclaimer.

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Conditions

The condition(s) this trial relates to.

Meningeal Carcinomatosis neoplasm neoplastic meningitis

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Aerospace Center Hospital, Peking University Aerospace School of Clinical Medicine

    Beijing, Beijing Municipality, China

  • Beijing Chest Hospital, Capital Medical University

    Beijing, 101100, China

  • Huizhou First Hospital Affiliated to Guangdong Medical University

    Huizhou, Guangdong, China

  • The Affiliated Huizhou Hospital, Guangzhou Medical University

    Huizhou, Guangdong, 516000, China

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