Cadonilimab Plus Chemotherapy in LACC: A Prospective, Multicenter, Randomized Phase II Trial
Efficacy of Cadonilimab in Combination With Chemotherapy as Neoadjuvant Treatment for Locally Advanced Cervical Cancer: A Prospective, Multicenter, Randomized Phase II Trial
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 2
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Xin Wu
- Telefonnummer: 86 21 33189900
- E-mail: wuxin_fc@fudan.edu.cn
Studiesteder
-
-
-
Shanghai, Kina, 201101
- Obstetrics and Gynecology Hospital of Fudan University
-
Kontakt:
- Xin Wu, Dr
- Telefonnummer: 86 21 33189900
- E-mail: wuxin_fc@fudan.edu.cn
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Patients with previously untreated locally advanced cervical cancer, clinically staged as FIGO 2018 stage IB3, IIA2, IIB, or IIIC1r (tumor diameter >4 cm as assessed by contrast-enhanced pelvic MRI);
- Histologically or cytologically confirmed cervical squamous cell carcinoma, adenocarcinoma, or adenosquamous carcinoma;
- Female patients aged ≥18 and ≤75 years;
- Willing and able to provide written informed consent and comply with study visits and protocol-required procedures;
- Eligible for radical hysterectomy with curative intent;
- At least one measurable lesion according to RECIST version 1.1;
- Eastern Cooperative Oncology Group (ECOG) performance status of 0-1;
- Estimated life expectancy of at least 6 months;
- Women of childbearing potential must agree to use effective contraception throughout the study period. A negative serum or urine pregnancy test is required before study enrollment.
Exclusion Criteria:
- Histological subtypes other than squamous cell carcinoma, adenocarcinoma, or adenosquamous carcinoma, including but not limited to small cell carcinoma and clear cell carcinoma.
- Clinically significant unrecoverable hydronephrosis;
- CNS metastases or leptomeningeal disease;
- Active malignancy within 3 years prior to enrollment (with specified exceptions);
- Prior exposure to immune checkpoint inhibitors or other immunomodulatory anticancer therapies;
- Major surgery within 4 weeks before study treatment;
- Severe cardiovascular or cerebrovascular disease;
- Unresolved toxicities from previous anticancer therapy (> Grade 1, CTCAE v5.0);
- Known hypersensitivity to study drugs;
- Serious medical or psychiatric conditions that may interfere with study participation;
- Pregnancy.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: Experimental arm
Patients received three cycles of neoadjuvant cadonilimab plus chemotherapy.
Patients subsequently underwent radical hysterectomy with pelvic lymphadenectomy, with para-aortic lymph node biopsy/dissection performed when indicated.
Postoperative adjuvant therapy was administered according to pathological findings.
|
Patients received three cycles of neoadjuvant cadonilimab plus chemotherapy.
Patients subsequently underwent radical hysterectomy with pelvic lymphadenectomy, with para-aortic lymph node biopsy/dissection performed when indicated.
Postoperative adjuvant therapy was administered according to pathological findings.
|
|
Aktiv komparator: Control arm
Patients received standard concurrent chemoradiotherapy (CCRT), consisting of external beam radiotherapy combined with concurrent platinum-based chemotherapy.
|
Patients received standard concurrent chemoradiotherapy (CCRT), consisting of external beam radiotherapy combined with concurrent platinum-based chemotherapy.
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
2-year progression-free survival (PFS) rate
Tidsramme: 2 years after randomization
|
The proportion of patients who remain alive without radiologically confirmed disease progression at 2 years after randomization.
Disease progression will be assessed according to the Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 based on imaging evaluations.
|
2 years after randomization
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
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
Yderligere relevante MeSH-vilkår
- Urogenitale sygdomme
- Genitale sygdomme
- Urogenitale neoplasmer
- Neoplasmer efter sted
- Neoplasmer
- Urogenitale sygdomme hos kvinder
- Kvinders urogenitale sygdomme og graviditetskomplikationer
- Livmodersygdomme
- Kønssygdomme, kvindelige
- Genitale neoplasmer, kvindelige
- Livmoderhalssygdomme
- Uterine neoplasmer
- Uterine cervikale neoplasmer
- Terapeutik
- Lægemiddelterapi
- Strålebehandling
- Kombineret modalitetsterapi
- Kirurgiske procedurer, operative
- Neoadjuvant terapi
- Kemoradioterapi
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- FUOBGY-2026-55
- 2025ZD0544104 (Andet bevillings-/finansieringsnummer: the Noncommunicable Chronic Diseases-National Science and Technology Major Project)
- 2025YFC3508302 (Andet bevillings-/finansieringsnummer: National Key Research and Development Program of China)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-deling Understøttende informationstype
- STUDY_PROTOCOL
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .