- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05469061
Tislelizumab in Combination With Chemotherapy for Conversion Therapy of Locally Nonresectable ESCC
July 19, 2022 updated by: The First Affiliated Hospital with Nanjing Medical University
The Safety and Efficacy of Tislelizumab in Combination With Chemotherapy for Conversion Therapy of Locally Nonresectable ESCC,A Single-arm Study
This is a single-arm,open-label study to evaluate the efficacy and safety of tislelizumab plus chemotherapy for conversion therapy of patients with locally nonresectable ESCC.
Study Overview
Status
Recruiting
Intervention / Treatment
Study Type
Interventional
Enrollment (Anticipated)
17
Phase
- Phase 2
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Tongpeng Xu, PhD
- Phone Number: 18915594572
- Email: tongpeng_xu_njmu@163.com
Study Locations
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Jiangsu
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Nanjing, Jiangsu, China
- Recruiting
- Jiangsu Provincial People's Hospital
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Contact:
- Tongpeng Xu, PhD
- Phone Number: 18915594572
- Email: tongpeng_xu_njmu@163.com
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 75 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Aged between 18 and 75 years;
- Understand the research procedure and content, and voluntarily sign written informed consent;
- Patients with clinical stage IIA-IIIB esophageal cancer were assessed by endoscopic ultrasonography, CT/MRI and other imaging.
- Esophageal surgery experts believe that patients with potentially resectable esophageal cancer
- No blood transfusion was received 3 months before enrollment;
- ECOG PS score: 0-1.
Exclusion Criteria:
Patients meeting any of the following criteria are not eligible for inclusion:
- Women who are pregnant or breastfeeding;
- previous or concurrent malignancy;
- Participated in clinical trials of other drugs within four weeks;
- Have a history of immune deficiency, or other acquired or congenital immune deficiency diseases, or have a history of organ transplantation, or have a history of serious chronic autoimmune diseases, such as systemic lupus erythematosus, etc.
- Patients with hypersensitivity to human or mouse monoclonal antibodies;
- Those who have a history of psychotropic drug abuse and cannot get rid of it or have mental disorders;
- According to the judgment of the researcher, there are serious concomitant diseases that endanger the patient's safety or affect the patient's ability to complete the study.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Tislelizumab plus Chemotherapy
In the single experimental arm, patients with locally nonresectable disease were subjected to receive neoadjuvant tislelizumab (200mg) plus chemotherapy (FP regimen) for conversion therapy.
If conversion therapy succeeds, patients would proceed to surgery and adjuvant therapy.
Otherwise, if patients were still not resectable after the conversion therapy, they will be treated by tislelizumab plus chemotherapy with or without palliative radiotherapy .
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The 1st to 3rd doses were administered concurrently with FP regimen chemotherapy, 200 mg Tislelizumab each, on D1, D22 and D43 by intravenous infusion.
In patients with successful conversion, one dose of 200 mg was administered 21 days after surgery in concurrent with the 4th to 6th cycles of 5-Fu, then 6 cycles of 200 mg Tislelizumab as adjuvant therapy; in patients with failed conversion, chemotherapy combined with tislelizumab were administered, with or without radiation therapy.
A FP regimen with 5-Fu 850mg/m^2 d1-4 + cis-platinum 850mg/m^2 d1-4 was used, on D1, D22 and D43 infused intravenously. 3 cycles of 5-Fu 850mg/m^2 d1-4 adjuvant chemotherapy were started at 21 days after surgery in patients with a successful conversion.
In patients with failed conversion, chemotherapy combined with tislelizumab were administered, with or without radiation therapy.
A FP regimen with 5-Fu 850mg/m^2 d1-4 + cis-platinum 850mg/m^2 d1-4 was used, on D1, D22 and D43 infused intravenously.
In patients with failed conversion, chemotherapy combined with tislelizumab were administered, with or without radiation therapy.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Incidence of translational treatment AE
Time Frame: up to 2 years
|
Translational treatment-related AEs resulted in rates of surgery that were more than 30 days late or inoperable than originally planned
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up to 2 years
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MPR
Time Frame: up to 2 years
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The proportion of patients whose primary tumor cell residual was less than 10% in the total number of patients enrolled after transformation therapy
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up to 2 years
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pCR
Time Frame: up to 2 years
|
Pathological complete response refers to that no tumor component or a small amount of carcinoma in situ component can be found on the horizontal line of pathological section after systemic treatment and surgical resection of the lesion.
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up to 2 years
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
R0 resection rate
Time Frame: up to 2 years
|
The proportion of patients who completed R0 resection through 3 cycles of immunotherapy combined with chemotherapy in the total enrolled population.R0 finger resection margin under microscope was negative.
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up to 2 years
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Disease-free Survival,DFS
Time Frame: up to 2 years
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The time from randomization to disease recurrence or death due to disease progression
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up to 2 years
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
January 1, 2022
Primary Completion (Anticipated)
August 1, 2022
Study Completion (Anticipated)
November 1, 2022
Study Registration Dates
First Submitted
June 8, 2022
First Submitted That Met QC Criteria
July 19, 2022
First Posted (Actual)
July 21, 2022
Study Record Updates
Last Update Posted (Actual)
July 21, 2022
Last Update Submitted That Met QC Criteria
July 19, 2022
Last Verified
July 1, 2022
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Digestive System Diseases
- Neoplasms by Histologic Type
- Neoplasms
- Neoplasms by Site
- Neoplasms, Glandular and Epithelial
- Gastrointestinal Neoplasms
- Digestive System Neoplasms
- Gastrointestinal Diseases
- Head and Neck Neoplasms
- Esophageal Diseases
- Neoplasms, Squamous Cell
- Carcinoma, Squamous Cell
- Esophageal Neoplasms
- Carcinoma
- Esophageal Squamous Cell Carcinoma
- Antineoplastic Agents
- Cisplatin
Other Study ID Numbers
- 2021-SR-372
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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