Pucotenlimab Plus Becotatug Vedotin in Perioperative Treatment of Locally Advanced Resectable Head and Neck Squamous Cell Carcinoma
A Multicenter, Randomized, Double-Blind, Phase II Clinical Study of Pucotenlimab Injection Combined With Becotatug Vedotin for Injection as Perioperative Therapy in Participants With Locally Advanced Resectable Head and Neck Squamous Cell Carcinoma
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 2
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Program Director
- Telefonnummer: 86-21- 67680899
- E-mail: ra_bj@lepubiopharma.com
Studiesteder
-
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Beijing Municipality
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Beijing, Beijing Municipality, Kina, 100142
- Ikke rekrutterer endnu
- Peking University Cancer Hospital
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Kontakt:
- Bin Zhang
-
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Fujian
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Fuzhou, Fujian, Kina, 350005
- Ikke rekrutterer endnu
- The First Affiliated Hospital of Fujian Medical University
-
Kontakt:
- Gongbiao Lin
-
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Guangdong
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Guangzhou, Guangdong, Kina, 510120
- Rekruttering
- Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University
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Kontakt:
- Jinsong Li
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Guangzhou, Guangdong, Kina, 510060
- Ikke rekrutterer endnu
- Sun Yat-sen University Cancer Center
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Kontakt:
- Xuekui Liu
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Shantou, Guangdong, Kina, 515041
- Ikke rekrutterer endnu
- Cancer Hospital of Shantou University Medical College
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Kontakt:
- Hanwei Peng
-
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Guangxi
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Nanning, Guangxi, Kina, 530021
- Ikke rekrutterer endnu
- Guangxi Medical University Cancer Hospital
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Kontakt:
- Duoping Wang
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Hebei
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Shijiazhuang, Hebei, Kina, 050011
- Ikke rekrutterer endnu
- The Fourth Hospital of Hebei Medical University
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Kontakt:
- Juan Li
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Hubei
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Wuhan, Hubei, Kina, 430079
- Ikke rekrutterer endnu
- Hubei Cancer Hospital
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Kontakt:
- Jian Chen
-
-
Hunan
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Changsha, Hunan, Kina, 410013
- Ikke rekrutterer endnu
- Hunan Cancer Hospital
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Kontakt:
- Hao Tian
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Changsha, Hunan, Kina, 410008
- Ikke rekrutterer endnu
- Xiangya Hospital of Central South University
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Kontakt:
- Canhua Jiang
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Liaoning
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Shenyang, Liaoning, Kina, 110042
- Ikke rekrutterer endnu
- Liaoning Cancer Hospital & Institute
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Kontakt:
- Zhendong Li
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-
Shanghai Municipality
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Shanghai, Shanghai Municipality, Kina, 200120
- Ikke rekrutterer endnu
- Shanghai East Hospital
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Kontakt:
- Ye Guo
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Shanghai, Shanghai Municipality, Kina, 200011
- Ikke rekrutterer endnu
- Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine
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Kontakt:
- Yue He
-
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Zhejiang
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Hangzhou, Zhejiang, Kina, 310022
- Ikke rekrutterer endnu
- Zhejiang Cancer Hospital
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Kontakt:
- Chao Chen
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Ningbo, Zhejiang, Kina, 315040
- Ikke rekrutterer endnu
- Ningbo Medical Center Lihuili Hospital
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Kontakt:
- Zhisen Shen
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Life expectancy ≥ 6 months.
- Subjects with histologically confirmed, resectable Stage III-IVA head and neck squamous cell carcinoma (HNSCC) eligible for curative-intent surgery.
- At least one extracranial measurable lesion per RECIST v1.1.
- Eastern Cooperative Oncology Group (ECOG) performance status 0-1.
- No severe cardiac dysfunction.
- Must provide tumor tissue sample not previously subjected to radiotherapy.
- Adequate organ function.
- Subjects of childbearing potential must use effective contraception during the study and for 180 days after the last dose.
Exclusion Criteria:
- Primary tumor originating from nasopharynx, nasal cavity, paranasal sinuses, salivary gland, thyroid/parathyroid gland, skin, or unknown primary site (squamous cell carcinoma).
- Head and neck cancer deemed non-resectable by the investigator.
- Prior treatment with anti-PD-1, anti-PD-L1, MMAE/MMAF-based ADC agents, or other T-cell immune checkpoint inhibitors.
- Prior radiotherapy, systemic anti-tumor therapy, or other investigational therapy for head and neck cancer before study entry.
- Major surgery within 4 weeks before study entry, or not fully recovered from surgical toxicities/complications. Minor procedures (e.g., vascular access placement, percutaneous/endoscopic head/neck biopsy, tracheostomy tube exchange) are allowed.
- Grade ≥2 peripheral neuropathy (CTCAE v5.0).
- Active autoimmune disease requiring systemic treatment within 2 years before first dose.
- Receiving systemic glucocorticoid therapy or any other form of immunosuppressive therapy within 2 weeks before first dose.
- Radiologically detectable central nervous system metastases and/or carcinomatous meningitis.
- Uncontrolled pleural, peritoneal, pelvic effusion, or pericardial effusion.
- Any severe or uncontrolled systemic disease.
- Prior or planned allogeneic tissue/solid organ transplantation.
- Known hypersensitivity to any active ingredient or excipient of the study drugs.
- Evidence of active infection including hepatitis B, hepatitis C, or human immunodeficiency virus (HIV).
- Anti-infective therapy within 2 weeks before randomization.
- Stroke or transient ischemic attack within 6 months before enrollment.
- Uncontrolled or poorly controlled cardiac disease.
- Deep or intraluminal bleeding requiring interventional/surgical hemostasis or blood transfusion within 3 months, or current history of coagulopathy.
- Pulmonary embolism or deep vein thrombosis within 3 months.
- History of or current interstitial lung disease, severe chronic obstructive pulmonary disease, severe pulmonary insufficiency, bronchospasm, etc.
- Received live vaccine within 30 days before first study dose.
- History of other primary malignancy.
- Positive serum pregnancy test or breastfeeding female.
- Contraindications to study drugs (pucotenlimab and/or becotatug vedotin) or their excipients; severe hypersensitivity (Grade ≥3) to radiotherapy, cisplatin or its analogues.
- Any condition that the investigator considers unsuitable for participation in the trial.
- Grade ≥2 hearing impairment per CTCAE v6.0.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Firedobbelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: locally advanced resectable HNSCC Becotatug Vedotin +Pucotenlimab
|
Administrated intravenously
Administrated intravenously
|
|
Placebo komparator: locally advanced resectable HNSCC Placebo +Pucotenlimab
|
Administrated intravenously
Administrated intravenously
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Major Pathological Response (MPR) Rate
Tidsramme: From date of surgery until completion of postoperative pathological assessment, up to 8 weeks
|
From date of surgery until completion of postoperative pathological assessment, up to 8 weeks
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Pathological Complete Response (pCR) Rate
Tidsramme: From date of surgery until completion of postoperative pathological assessment, up to 8 weeks
|
From date of surgery until completion of postoperative pathological assessment, up to 8 weeks
|
|
Event-Free Survival (EFS)
Tidsramme: From date of randomization until the date of disease progression/recurrence with initiation of new anti-tumor therapy, or death from any cause, whichever came first, assessed up to 24 months
|
From date of randomization until the date of disease progression/recurrence with initiation of new anti-tumor therapy, or death from any cause, whichever came first, assessed up to 24 months
|
|
Overall Survival (OS)
Tidsramme: From date of randomization until death from any cause, assessed up to 36 months
|
From date of randomization until death from any cause, assessed up to 36 months
|
|
Preoperative Objective Response Rate (ORR)
Tidsramme: preoperative ORR will be assessed up to 12 weeks post-randomization
|
preoperative ORR will be assessed up to 12 weeks post-randomization
|
|
actual surgical resection rate
Tidsramme: surgical resection rate will be evaluated perioperatively
|
surgical resection rate will be evaluated perioperatively
|
|
R0 resection rate
Tidsramme: R0 resection rate will be confirmed up to 8 weeks postoperatively
|
R0 resection rate will be confirmed up to 8 weeks postoperatively
|
|
lymph node downstaging rate
Tidsramme: lymph node downstaging rate will be determined up to 8 weeks postoperatively based on comparison of pre- and post-treatment imaging and pathology
|
lymph node downstaging rate will be determined up to 8 weeks postoperatively based on comparison of pre- and post-treatment imaging and pathology
|
|
Incidence of adverse events (AEs) and laboratory abnormalities assessed by CTCAE v6.0
Tidsramme: Within 30 days after last dose (30 days + 7 days window)
|
Within 30 days after last dose (30 days + 7 days window)
|
|
Serum Concentration
Tidsramme: From randomization through completion of therapy, up to 30 weeks
|
From randomization through completion of therapy, up to 30 weeks
|
|
Incidence of Anti-Drug Antibodies (ADA)
Tidsramme: From randomization through completion of therapy, up to 30 weeks
|
From randomization through completion of therapy, up to 30 weeks
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- HX008/MRG003-C004
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
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