A Clinical Study of TQB2930 Injection and Chemotherapy With or Without Bevacizumab in the Treatment of Advanced Colorectal Cancer
A Phase Ib/II Clinical Study to Evaluate the Efficacy and Safety of TQB2930 Injection and Chemotherapy With or Without Bevacizumab in Subjects With Human Epidermal Growth Factor Receptor 2 (HER2) Positive Unresectable Locally Advanced or Metastatic Colorectal Cancer
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 2
- Fase 1
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Ruihua Xu, Doctor
- Telefonnummer: 020-87343468
- E-mail: xurh@syscc.org.cn
Studiesteder
-
-
Beijing Municipality
-
Beijing, Beijing Municipality, Kina, 100034
- Peking University First Hospital
-
Kontakt:
- Shikai Wu, Doctor
- Telefonnummer: 15810037307
- E-mail: Skywu4923@sina.com
-
-
Gansu
-
Lanzhou, Gansu, Kina, 730050
- Gansu Provincial Tumor Hospital
-
Kontakt:
- Zhihu Li, Master
- Telefonnummer: 18993042850
- E-mail: 245698692@qq.com
-
-
Guangxi
-
Nanning, Guangxi, Kina, 530000
- Guangxi Zhuang Autonomous Region Cancer Hospital
-
Kontakt:
- Rong Liang, Doctor
- Telefonnummer: 18677070811
- E-mail: 53371159@qq.com
-
-
Guizhou
-
Zunyi, Guizhou, Kina, 563000
- The Affiliated Hospital of Zunyi Medical University
-
Kontakt:
- Jiwei Wang, Doctor
- Telefonnummer: 18013964231
- E-mail: zmu_wangjw@163.com
-
-
Heilongjiang
-
Harbin, Heilongjiang, Kina, 150000
- Harbin Medical University Cancer Hospital
-
Kontakt:
- Tongsen Zheng, Doctor
- Telefonnummer: 15134569619
- E-mail: zhengtongsen@126.com
-
Kontakt:
- Yuxian Bai, Doctor
- Telefonnummer: 13945095085
- E-mail: bai_yuxian@126.com
-
-
Henan
-
Zhengzhou, Henan, Kina, 450000
- The First Affiliated Hospital of Zhengzhou University
-
Kontakt:
- Yongxu Jia, Doctor
- Telefonnummer: 15237128281
- E-mail: fccjiayx@zzu.edu.cn
-
Zhengzhou, Henan, Kina, 450000
- Henan Cancer Hospital
-
Kontakt:
- Ying Liu, Doctor
- Telefonnummer: 13783604602
- E-mail: yaya7207@126.com
-
Zhengzhou, Henan, Kina, 450000
- The Third People's Hospital of Zhengzhou
-
Kontakt:
- HaiCun Wang, Master
- Telefonnummer: 13803833783
- E-mail: whc1975@126.com
-
-
Hubei
-
Jingzhou, Hubei, Kina, 434099
- Jingzhou First People's Hospital
-
Kontakt:
- Yan Hu, Master
- Telefonnummer: 18163137369
- E-mail: helensparkle@163.com
-
Wuhan, Hubei, Kina, 430022
- Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
-
Kontakt:
- Hongli Liu, Doctor
- Telefonnummer: 13995680822
- E-mail: hongliliu@hust.edu.cn
-
-
Hunan
-
Changsha, Hunan, Kina, 410013
- Hunan Cancer Hospital
-
Kontakt:
- Yi He, Doctor
- Telefonnummer: 18692237222
- E-mail: heyi@hnca.org.cn
-
-
Jiangsu
-
Nanjing, Jiangsu, Kina, 210009
- Zhongda Hospital Southeast University
-
Kontakt:
- CaiLian Wang, Doctor
- Telefonnummer: 13851756378
- E-mail: wangcailian65@hotmail.com
-
Nanjing, Jiangsu, Kina, 210000
- Jiangsu Provincial Cancer Hospital
-
Kontakt:
- Yuanhua Liu, Doctor
- Telefonnummer: 13305180356
- E-mail: yuanhualiu02@hotmail.com
-
-
Jilin
-
Changchun, Jilin, Kina, 130021
- The First Hospital of Jilin University
-
Kontakt:
- Tingting Liang, Doctor
- Telefonnummer: 15804303776
- E-mail: liangting2006@163.com
-
Changchun, Jilin, Kina, 130021
- Jilin cancer hospital
-
Kontakt:
- Hongxia Cui, Master
- Telefonnummer: 13504436090
- E-mail: 2503074283@qq.com
-
-
Liaoning
-
Shenyang, Liaoning, Kina, 110000
- Liaoning Cancer Hospital & Institute
-
Kontakt:
- Jingdong Zhang, Doctor
- Telefonnummer: 18040007878
- E-mail: 13804027878@163.com
-
-
Shaanxi
-
Xi'an, Shaanxi, Kina, 710000
- The First Affiliated Hospital of Xi'an Jiaotong University Medical College
-
Kontakt:
- Aili Suo, Doctor
- Telefonnummer: 18991232561
- E-mail: Ailisuo@mail.xjtu.edu.cn
-
-
Shanghai Municipality
-
Shanghai, Shanghai Municipality, Kina, 200127
- Renji Hospital, Shanghai Jiao Tong University School of Medicine
-
Kontakt:
- XiuYing Xiao, Doctor
- Telefonnummer: 13564579313
- E-mail: xiaoxiuying2002@163.com
-
-
Shanxi
-
Xi’an, Shanxi, Kina, 710000
- The Second Affiliated Hospital of Air Force Medical University
-
Kontakt:
- Haichuan Su, Doctor
- Telefonnummer: 18629190366
- E-mail: cntdgcp@163.com
-
Xi’an, Shanxi, Kina, 710000
- The First Affiliated Hospital of Air Force Medical University
-
Kontakt:
- Yongzhan Nie, Doctor
- Telefonnummer: 15091520001
- E-mail: nieyongzhan@qq.com
-
-
Tianjin Municipality
-
Tianjin, Tianjin Municipality, Kina, 300121
- Tianjin Union Medical Center
-
Kontakt:
- Mingqing Zhang, Doctor
- Telefonnummer: 15122875158
- E-mail: zmq1003@163.com
-
Tianjin, Tianjin Municipality, Kina, 300202
- Tianjin Medical University Cancer Institute & Hospital
-
Kontakt:
- Zhanyu Pan, Master
- Telefonnummer: 18622221256
- E-mail: tjpanzy@126.com
-
-
Xinjiang
-
Ürümqi, Xinjiang, Kina, 830054
- Xinjiang Medical University Affiliated Tumor Hospital
-
Kontakt:
- YanLi Qu, Master
- Telefonnummer: 18160627963
- E-mail: quyanli73@163.com
-
-
Zhejiang
-
Lishui, Zhejiang, Kina, 323000
- Lishui Municipal Central Hospital
-
Kontakt:
- Yanru Xie, Master
- Telefonnummer: 13567615770
- E-mail: 43437677@qq.com
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Subjects voluntarily participate in this study, sign the informed consent form, and have good compliance
- Age: 18-75 years (including the boundary when signing the informed consent form)
- Eastern Cooperative Oncology Group (ECOG) score: 0-1
- Expected survival of more than 3 months
- Unresectable locally advanced or metastatic colorectal cancer diagnosed by histopathology/cytology
- HER2 positive tested
- Presence of at least one measurable disease according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 criteria
- Subjects should agree to use contraception during the study and for 6 months after the end
Exclusion Criteria:
- Patients with previously confirmed Microsatellite Instability Microsatellite Instability-High Deficient Mismatch Repair (MSI-H/dMMR)
- Presence of conditions affecting intravenous, venous blood sampling, or multiple factors affecting oral medications
- Active inflammatory bowel disease within 28 days prior to first dose
- Other malignancies within 5 years prior to the first dose or currently suffering from other malignancies
- Unresolved toxicity greater than CTCAE Grade 1 due to any prior therapy
- Major surgical treatment, significant traumatic injury within 28 days prior to the first dose or anticipation of major surgery during study treatment
- Had wounds or fractures that had not been healed for a long time
- Cerebrovascular accident, deep venous thrombosis and pulmonary embolism within 6 months prior to the first dose
- Patients with a history of psychotropic substance abuse who cannot quit or have mental disorders
- Subjects with any severe and/or uncontrolled disease
- Known tumor-related carcinomatous meningitis with symptoms of brain metastases or symptom control for less than 4 weeks
- Patients with imaging suggestive of tumor invasion of major blood vessels or fatal massive hemorrhage due to tumor rupture or invasion of major blood vessels judged by the investigator to be very likely to occur during the study
- Failure to control serous effusions requiring repeated drainage
- Local radiotherapy or 4. Bone marrow irradiation > 30% for bone metastasis before the first medication
- Known tumor-related spinal cord compression, weight-bearing bone pathological fracture, extensive bone metastasis, or uncontrollable tumor bone metastasis-related pain
- Patients who have received chemotherapy, targeted therapy, immunotherapy or other systemic anti-tumor drug therapy before the first medication;
- Received Chinese patent medicine treatment with anti-tumor indications in the package insert of National Medical Products Administration (NMPA) approved drugs before study treatment
- History of live attenuated vaccination before the first dose or planned live attenuated vaccination during the study;
- Previous history of severe allergy of unknown origin
- According to the investigator's judgment, there are concomitant diseases that seriously endanger the subject's safety or affect the completion of the study, or the subject is considered unsuitable for other reasons
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: TQB2930 injection + Oxaliplatin injection + Capecitabine tablets + Bevacizumab injection
|
TQB2930 enhances the binding to HER2 protein on the surface of tumor cells and increases HER2 internalization by simultaneously targeting ECD2 and ECD4, two non-overlapping epitopes of HER2 protein, which in turn more effectively down-regulates HER2 protein on the surface of tumor cells and dually blocks HER2 signaling.
Oxaliplatin can block DNA replication and transcription and induce tumor cell apoptosis.
Capecitabine inhibits thymidylate synthase (TS) and interferes with DNA synthesis.
Bevacizumab blocks Vascular Endothelial Growth Factor (VEGF) binding to receptors and inhibits tumor angiogenesis.
|
|
Aktiv komparator: TQB2930 injection + Oxaliplatin injection + Capecitabine tablets
|
TQB2930 enhances the binding to HER2 protein on the surface of tumor cells and increases HER2 internalization by simultaneously targeting Extracellular Domain 2 (ECD2) and Extracellular Domain 4 (ECD4), two non-overlapping epitopes of HER2 protein, which in turn more effectively down-regulates HER2 protein on the surface of tumor cells and dually blocks HER2 signaling.
Oxaliplatin can block DNA replication and transcription and induce tumor cell apoptosis.
Capecitabine inhibits thymidylate synthase (TS) and interferes with DNA synthesis.
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Recommended Phase 2 Dose
Tidsramme: Baseline up to 21 days
|
It refers to the safe and effective dose range that can be used for phase II study determined through phase I clinical trial.
|
Baseline up to 21 days
|
|
Adverse event (AE)
Tidsramme: From the subject's signing of the informed consent form to 28 days after the last dose or the start of new anti-tumor therapy (whichever occurs first)
|
Incidence and severity of adverse events.
|
From the subject's signing of the informed consent form to 28 days after the last dose or the start of new anti-tumor therapy (whichever occurs first)
|
|
Objective Response Rate
Tidsramme: Baseline up to 24 months
|
The proportion of patients achieving complete response and partial response among the total evaluable cases.
|
Baseline up to 24 months
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Half-life
Tidsramme: Baseline up to 24 months
|
The time it takes for the concentration of a drug in the body (usually the plasma concentration) to decrease to half of its initial value.
|
Baseline up to 24 months
|
|
Plasma concentration-time profiles
Tidsramme: Baseline up to 24 months
|
Total area covered under the curve plotted with time as X-axis and plasma concentration as Y-axis.
|
Baseline up to 24 months
|
|
Apparent clearance
Tidsramme: Baseline up to 24 months
|
The rate at which the drug is cleared from the body.
|
Baseline up to 24 months
|
|
Apparent terminal volume of distribution
Tidsramme: Baseline up to 24 months
|
Describe the drug distribution in the body.
|
Baseline up to 24 months
|
|
Trough plasma concentration
Tidsramme: Baseline up to 24 months
|
Minimum plasma drug concentration level at the end of the dosing interval (before the next dosing).
|
Baseline up to 24 months
|
|
Disease Control Rate
Tidsramme: Baseline up to 24 months
|
The percentage of subjects with a complete response, partial response, or stable disease as determined by RECIST 1.1.
|
Baseline up to 24 months
|
|
Duration Of Response
Tidsramme: Baseline up to 24 months
|
The time from the first assessment of the tumor as a complete response or partial response to the first occurrence of disease progression or death from any cause.
|
Baseline up to 24 months
|
|
Progression Free Survival
Tidsramme: Baseline up to 24 months
|
Progression Free Survival (PFS) is defined as the length of time from the start of treatment until the disease progresses or the patient dies from any cause.
|
Baseline up to 24 months
|
|
Overall Survival
Tidsramme: Baseline up to 24 months
|
The time from the start of initial treatment to death from any cause.
|
Baseline up to 24 months
|
|
Anti-Drug Antibodies (ADA) incidence
Tidsramme: Baseline up to 24 months
|
Proportion of anti-drug antibody produced in the population of patients using the drug.
|
Baseline up to 24 months
|
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
- Neoplasmer efter sted
- Neoplasmer
- Tarmsygdomme
- Gastrointestinale neoplasmer
- Neoplasmer i fordøjelsessystemet
- Sygdomme i fordøjelsessystemet
- Gastrointestinale sygdomme
- Intestinale neoplasmer
- Endetarmssygdomme
- Tyktarmssygdomme
- Kolorektale neoplasmer
- Aminosyrer, peptider og proteiner
- Proteiner
- Organiske kemikalier
- Heterocykliske forbindelser, 1-ring
- Heterocykliske forbindelser
- Nukleinsyrer, nukleotider og nukleosider
- Antistoffer, monoklonal, humaniseret
- Antistoffer, monoklonal
- Antistoffer
- Immunoglobuliner
- Immunoproteiner
- Blodproteiner
- Serum globuliner
- Globuliner
- Koordinationskomplekser
- Deoxycytidin
- Cytidin
- Pyrimidin -nukleosider
- Pyrimidiner
- Nukleosider
- Uracil
- Pyrimidinoner
- Deoxyribonucleosider
- Fluorouracil
- Capecitabin
- Oxaliplatin
- Bevacizumab
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- TQB2930-Ib/II-02
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 .