A Clinical Trial Evaluating the Efficacy and Safety of IBI310 in Combination With Sintilimab, for Neoadjuvant Treatment of MSI-H/dMMR Resectable Colon Cancer
A Phase 1b/3 Clinical Trial Evaluating the Efficacy and Safety of IBI310 in Combination With Sintilimab, for Neoadjuvant Treatment of Microsatellite Instability-high or Mismatch Repair-deficient, Resectable Colon Cancer
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Contact
Study Contact
- Name: Jiayu Wen
- Phone Number: +86-18114928232
- Email: jiayu.wen@innovnentbio.com
Study Locations
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-
Guangdong
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Guangzhou, Guangdong, China, 510060
- Sun Yat-sen University Cancer Center
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Signed the Informed Consent Form (ICF) and complied with the visit and related procedures stipulated by the plan;
- At least 18 years old.
- Primary colon adenocarcinoma was histologically confirmed.
- Radiographic assessment showed a resectable stage IIB-III based on AJCC Stage VIII (cT4 or cN+ only).
- MSI-H or dMMR.
- Radical excision can be performed before neoadjuvant therapy after diagnosis by the investigator.
- Have at least one evaluable lesion according to the RECIST v1.1 evaluation criteria.
- The Eastern Cooperative Oncology Group performance status (ECOG PS) is 0 to 1.
Exclusion Criteria:
- Previously received any antitumor therapy for the disease under study, including surgery, radiotherapy, chemotherapy, targeted therapy, immunotherapy, etc.
- Prior treatment with anti-PD-1, anti-PD-L1, anti-programmed death receptor ligand 2 (PD-L2) or anti-cytotoxic T lymphocyte-associated antigen 4 (CTLA-4) or any other drug acting on T-cell co-stimulation or immune checkpoint pathways (such as OX40, CD137, etc.) and adoptive cellular immunotherapy.
- Concurrent participation in another clinical study, unless participating in an observational (non-interventional) clinical study or in the survival follow-up phase of an interventional study.
- Received any investigational drug or device treatment within 4 weeks prior to initial administration of the investigational drug.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Phase Ib Experimental group
In Phase Ib Experimental group,subjects will receive two cycles of neoadjuvant immunotherapy: the first cycle of IBI310 (1mg/kg) & Sintilimab (200mg) and the second cycle of Sintilimab (200mg) only.Followed by radical surgery for colon cancer.
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In ARM Phase Ib&III Experimental group,IBI310&Sintilimab will be used in first cycle, Sintilimab will be used in second cycle(q3w).
Radical surgery after neoadjuvant therapy.
In ARM Phase Ib&III Experimental group, Phase Ib Control group, subjects will receive radical surgery after neoadjuvant therapy.
In ARM Phase III Control group,subjects will receive radical surgery without neoadjuvant therapy
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|
Active Comparator: Phase Ib Control group
In Phase Ib Control group,subjects will receive two cycles of neoadjuvant immunotherapy with 200 mg of sintilimab per cycle, followed by radical surgery for colon cancer.
|
In ARM Phase Ib&III Experimental group, Phase Ib Control group, subjects will receive radical surgery after neoadjuvant therapy.
In ARM Phase III Control group,subjects will receive radical surgery without neoadjuvant therapy
In ARM Phase Ib Control group, Sintilimab will be used twice, q3w.
|
|
Experimental: Phase III Experimental group
In Phase III Experimental group,subjects will receive two cycles of neoadjuvant immunotherapy: the first cycle of IBI310 (1mg/kg) & Sintilimab (200mg) and the second cycle of Sintilimab (200mg) only.
Followed by radical surgery for colon cancer.
Adjuvant chemotherapy will be given or not according to the pathological stage after surgery.
|
In ARM Phase Ib&III Experimental group,IBI310&Sintilimab will be used in first cycle, Sintilimab will be used in second cycle(q3w).
Radical surgery after neoadjuvant therapy.
|
|
Active Comparator: Phase III Control group
In Phase III Control group, subjects will receive radical surgery without neoadjuvant therapy.
Adjuvant chemotherapy will be given or not according to the pathological stage after surgery.
|
In ARM Phase Ib&III Experimental group, Phase Ib Control group, subjects will receive radical surgery after neoadjuvant therapy.
In ARM Phase III Control group,subjects will receive radical surgery without neoadjuvant therapy
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Pathological Complete Response(pCR), defined as the proportion of subjects with no residual tumor in the primary tumor removed and in all lymph nodes removed after neoadjuvant therapy.
Time Frame: 1 month after surgery
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The proportion of subjects with no residual tumor in the primary tumor removed and in all lymph nodes removed after neoadjuvant therapy.
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1 month after surgery
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Event Free Survival, EFS(EFS), defined as the time from randomization to the first determination using RECIST v1.1 of inoperable disease progression, local recurrence or distant metastasis after surgery, or death from any cause, whichever occurs first.
Time Frame: up to 5 years after surgery
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The time from randomization to the first determination using RECIST v1.1 of inoperable disease progression, local recurrence or distant metastasis after surgery, or death from any cause, whichever occurs first.
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up to 5 years after surgery
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
R0 tumor resection rate, defined as the proportion of subjects with R0 excision
Time Frame: 2 week after surgery
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The proportion of subjects with R0 excision
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2 week after surgery
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Overall-survival(OS), defined as the time from randomization to death from any cause
Time Frame: up to 5 years after surgery
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The time from randomization to death from any cause
|
up to 5 years after surgery
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Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- CIBI310L301
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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