- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05901584
Cadonilimab (AK104) With or Without CT as 2rd Line Treatment for ES-SCLC
A Single-arm Multicenter Phase II Clinical Trial of Cadunilumab (Anti-PD-1/CTLA-4) in Combination With or Without Chemotherapy in Second-line Treatment for Patients With Extensive Stage Small Cell Lung Cancer
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Estimated)
Phase
- Phase 2
Contacts and Locations
Study Contact
- Name: Hu Ma, Ph.D
- Phone Number: 085127596113 18115068816
- Email: mahuab@163.com
Study Contact Backup
- Name: Jianguo Zhou, Ph.D
- Phone Number: 085127596113 18311543939
- Email: jianguo.zhou@zmu.edu.cn
Study Locations
-
-
ZunYi
-
Guizhou, ZunYi, China, 563000
- Recruiting
- The Second Affiliated Hospital of Zunyi Medical University
-
Contact:
- Jianguo Zhou, doctor
- Phone Number: 18311543939 18311543939
- Email: jianguo.zhou@zmu.edu.cn
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patients voluntarily participate in this study by signing an informed consent form.
- Pathologically confirmed diagnosis of small cell lung cancer, with imaging confirmation of extensive stage with measurable lesions.
- Patients who have been treated with at least one line of systemic platinum-containing chemotherapy regimen (with or without immunotherapy).
4.18 - 75 years of age; ECOG PS score: 0 to 1; expected survival greater than 3 months.
5.Major organ function within 7 days prior to treatment, meeting the following criteria:
Blood test criteria (in 14-day untransfused state):
- Hemoglobin (HB) ≥ 90g/L.
- Absolute central granulocyte value (ANC) ≥ 1.5×109/L.
Platelets (PLT) ≥75×109/L.
②Biochemistry needs to meet the following criteria:
- total bilirubin (TBIL) ≤ 1.5 times the upper limit of normal (ULN).
- alanine aminotransferase (ALT) and aspartate aminotransferase AST ≤ 2.5 × ULN, if accompanied by liver metastases, then ALT and AST ≤ 5 × ULN
serum creatinine (Cr) ≤ 1.5×ULN or creatinine clearance ≥ (CCr) 60 ml/min. ③Doppler ultrasound assessment: left ventricular ejection fraction (LVEF) ≥ low limit of normal (50%).
6.Female participants of reproductive age must use contraception methods such as IUD, pill, or condom during the study period and for 6 months after. Male participants must also agree to use contraception during the study period and for 6 months after. Additionally, female participants must have a negative serum or urine pregnancy test within 7 days prior to study entry and should not be breastfeeding.
Exclusion Criteria:
- Patients with previous use of cardunilizumab.
- non-small cell lung cancer (including lung cancer with a mixture of small cell and non-small cell carcinoma).
- Patients with other types of cancer that occurred within the past 5 years or are currently present, with the exception of treated cervical carcinoma in situ, non-melanoma skin cancer, and superficial bladder tumors that have not invaded the basement membrane (Ta, Tis, and T1).
- Systemic antitumor therapy, including cytotoxic therapy, signal transduction inhibitors, immunotherapy, within 4 weeks prior to enrollment or planned during the current study dosing period (or have used mitomycin C within 6 weeks prior to treatment with the trial drug). Have had extended field radiotherapy (EF-RT) within 4 weeks prior to subgroup or have had field-limited radiotherapy to the tumor lesion to be evaluated within 2 weeks prior to subgroup.
- Unremitted toxic reactions due to any prior treatment above CTCAE grade 1, excluding alopecia and neurotoxicity ≤ grade 2 due to oxaliplatin.
- Individuals with various factors such as difficulty swallowing, chronic diarrhea, and intestinal obstruction may experience challenges with oral drug administration.
- with pleural effusion or ascites causing respiratory syndrome (≥ CTCAE grade 2 dyspnea).
- Patients with brain metastases with symptoms or symptoms controlled for less than 2 months.
- Patients with any severe and/or uncontrolled disease, including:
- Patients with poorly controlled blood pressure (systolic blood pressure ≥ 150 mmHg and diastolic blood pressure ≥ 100 mmHg).
- Patients with myocardial ischemia of grade I or higher, myocardial infarction, arrhythmias (including QTc ≥ 480 ms), and congestive heart failure of grade 2 or higher (categorized according to the New York Heart Association (NYHA) classification) are included.
- Active or uncontrolled serious infection (≥ CTC AE grade 2 infection).
- Cirrhosis, decompensated liver disease, active hepatitis or chronic hepatitis requiring antiviral therapy.
- Renal failure requiring hemodialysis or peritoneal dialysis.
- This refers to a medical history of immunodeficiency, which can be acquired through HIV or other diseases, or congenital in nature. It also includes a history of organ transplantation.
- poorly controlled diabetes (fasting blood glucose (FBG) >10 mmol/L).
- urine routine suggesting urine protein ≥++ and confirmed 24-hour urine protein quantification >1.0 g.
Patients with seizures and requiring treatment. 10. Participants who have undergone major surgical treatment, incisional biopsy, or significant traumatic injury within 28 days prior to the start of the study will be excluded.
11.Patients whose imaging shows that the tumor has invaded the critical vascular perimeter or who, in the judgment of the investigator, are at high risk of fatal hemorrhage due to tumor invasion of a critical vessel during the follow-up study.
12.Patients with any physical signs or history of bleeding, regardless of severity; patients with any bleeding or hemorrhagic event ≥ CTCAE grade 3, unhealed wounds, ulcers or fractures within 4 weeks prior to subgroup.
13.Individuals who have experienced an arterial or venous thrombotic event within the past 6 months, including cerebrovascular accidents (including temporary ischemic attacks), deep vein thrombosis, and pulmonary embolisms, should take caution.
14.Individuals with a history of psychotropic substance abuse or psychiatric disorders who are unable to abstain.
15.having participated in clinical trials of other antineoplastic drugs within four weeks.
16.Patients with concomitant diseases that are deemed to pose a significant risk to their safety or may hinder their ability to complete the study, as determined by the investigator, will be excluded.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Cadonilimab (AK104) combined with chemotherapy
Cadonilimab(10mg/kg, administered on the first day of each cycle, Q3W, until there is no clinical benefit)+platinum-based chemotherapy or Cadonilimab(10mg/kg, administered on the first day of each cycle, Q3W, until there is no clinical benefit), Q3W, 4cycles), every 3 weeks (21 days) is a treatment cycle
|
Cadonilimab (10mg/kg, administered on the first day of each cycle, Q3W, until there is no clinical benefit)+platinum-based chemotherapy or Cadonilimab (10mg/kg, administered on the first day of each cycle, Q3W, until there is no clinical benefit), Q3W, 4cycles), every 3 weeks (21 days) is a treatment cycle.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Progression-free survival,PFS
Time Frame: Time Frame: The last subject completes at least 24 weeks of follow-up (or disease progression)
|
The time from the beginning of the patient's treatment to the disease progression or death for any reason.Based on RECIST v i I Assessed PFS
|
Time Frame: The last subject completes at least 24 weeks of follow-up (or disease progression)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Objective Response Rate,ORR
Time Frame: The last subject completes at least 24 weeks of follow-up (or disease progression)
|
The proportion of patients whose tumor volume is reduced to 30% and can be maintained for more than 4 weeks,Based on RECIST v i I Assessed ORR
|
The last subject completes at least 24 weeks of follow-up (or disease progression)
|
Overall Survival,OS
Time Frame: 3 years
|
The time from the patient receiving treatment to the death of the patient for any reason,OS evaluated according to RECIST vi.
I
|
3 years
|
Disease control rate,DCR
Time Frame: The last subject completes at least 24 weeks of follow-up (or disease progression
|
Includes complete remission, partial remission, and stable disease maintained for more than 4 weeks as a percentage of patients with evaluable outcomes
|
The last subject completes at least 24 weeks of follow-up (or disease progression
|
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Hu Ma, Ph.D, The Second Affiliated Hospital of Zunyi Medical University
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- SAHZunyiMU
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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