- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT03777579
A Study of First-line JS001 and Nab-paclitaxel Versus Palcelbo and Nab-Paclitaxel in Participants With Advanced Recurrent or Metastatic TNBC
6. august 2019 opdateret af: CSPC ZhongQi Pharmaceutical Technology Co., Ltd.
A Phase III, Multicenter, Randomized, Placebo-Controlled Study of JS001 (Anti-PD-1 Antibody) in Combination With Nab-Paclitaxel Compared With Placebo With Nab-Paclitaxel as First-line Therapy for Patients With Primarily Diagnose or Recurrent and Metastatic Triple-Negative Breast Cancer
This multicenter, randomized, double-blind study will evaluate the efficacy, safety of JS001 administered with nab-paclitaxel compared with placebo in combination with nab-paclitaxel as first-line therapy in participants with primarily diagnosed stage IV and recurrent or metastatic triple-negative breast cancer (TNBC) who have not received prior systemic therapy for metastatic breast cancer (mBC).
Studieoversigt
Status
Suspenderet
Betingelser
Intervention / Behandling
Undersøgelsestype
Interventionel
Tilmelding (Forventet)
375
Fase
- Fase 3
Kontakter og lokationer
Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.
Studiesteder
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Beijing, Kina
- The Fifth Medical Center of PLA General Hospital
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Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
18 år til 70 år (Voksen, Ældre voksen)
Tager imod sunde frivillige
Ingen
Køn, der er berettiget til at studere
Kvinde
Beskrivelse
Inclusion Criteria:
- Primarily diagnosed stage IV or recurrent and metastatic, histologically documented TNBC characterized by absence of human epidermal growth factor 2 (HER2), estrogen receptor (ER), and progesterone receptor (PR) expression;
- No prior chemotherapy or targeted systemic therapy for inoperable stage IV or metastatic TNBC;
- Eligible for taxane monotherapy;
- Eastern Cooperative Oncology Group performance status of 0 or 1;
- Measurable disease as defined by RECIST v1.1;
- Adequate hematologic and end-organ function。
Exclusion Criteria:
- Known central nervous system (CNS) disease with active syndrome or untreated disease, except for treated asymptomatic CNS metastases;
- History of autoimmune disease;
- History of Anaphylaxis to PD-(L)1 antibody or CTLA-4 antibody or paclitaxel;
- Prior allogeneic stem cell or solid organ transplantation;
- Active hepatitis B or hepatitis C;
- Positive of HIV antibody.
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Dobbelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
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Eksperimentel: JS001 Plus Nab-Paclitaxel
Participants assigned to JS001 plus nab-paclitaxel will receive both agents until disease progression or unacceptable toxicity.
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JS001 at a fixed dose of 240 milligrams via intravenous (IV) infusion on Days 1 of each 21-day cycle until disease progression or unacceptable toxicity.
Andre navne:
Nab-Paclitaxel at a starting dose of 125mg per square meter via IV infusion on Days 1, 8 of each 21-day cycle.
Nab-Paclitaxel will be administered until disease progression or unacceptable toxicity.
Andre navne:
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Placebo komparator: Placebo Plus Nab-Paclitaxel
Participants assigned to placebo plus nab-paclitaxel will receive both agents until disease progression or unacceptable toxicity.
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Nab-Paclitaxel at a starting dose of 125mg per square meter via IV infusion on Days 1, 8 of each 21-day cycle.
Nab-Paclitaxel will be administered until disease progression or unacceptable toxicity.
Andre navne:
Placebo administered via intravenous (IV) infusion on Days 1 of each 21-day cycle until disease progression or unacceptable toxicity.
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Progression-Free Survival (PFS) Assessed Using Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)by Independent Review Committee (IRC)
Tidsramme: From Day 1 to disease progression (PD) or death from any cause, assessed up to end of study (up to approximately 30 months)
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PFS is defined as the time from randomization to the first occurrence of PD, as determined by the investigator using RECIST v1.1, or death from any cause during the study, whichever occurs first.
PD is defined as greater than or equal to (>/=) 20 percent (%) relative increase and >/=5 millimeter (mm) of absolute increase in the sum of diameters (SD) of target lesions (TLs), taking as reference the smallest SD recorded since treatment started, or appearance of 1 or more new lesions.
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From Day 1 to disease progression (PD) or death from any cause, assessed up to end of study (up to approximately 30 months)
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Progression-Free Survival (PFS) Assessed Using RECIST v1.1 by investigator
Tidsramme: From Day 1 to PD or death from any cause, assessed up to end of study (up to approximately 30 months)
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PFS is defined as the time from randomization to the first occurrence of PD, as determined by the investigator using RECIST v1.1, or death from any cause during the study, whichever occurs first.
PD is defined as greater than or equal to (>/=) 20 percent (%) relative increase and >/=5 millimeter (mm) of absolute increase in the sum of diameters (SD) of target lesions (TLs), taking as reference the smallest SD recorded since treatment started, or appearance of 1 or more new lesions.
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From Day 1 to PD or death from any cause, assessed up to end of study (up to approximately 30 months)
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Objective response rate (ORR) Assessed Using Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)by IRC
Tidsramme: From Day 1 to PD or death from any cause, assessed up to end of study (up to approximately 30 months)
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ORR is defined as the rate of CR or PR, as determined by IRC using RECIST v1.1 criteria.
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From Day 1 to PD or death from any cause, assessed up to end of study (up to approximately 30 months)
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Duration of response (DoR) Assessed Using Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)by IRC
Tidsramme: From Day 1 to PD or death from any cause, assessed up to end of study (up to approximately 30 months)
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DoR is defined as the time period from the date of initial CR or PR until the date of PD or death from any cause, whichever occurs first.
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From Day 1 to PD or death from any cause, assessed up to end of study (up to approximately 30 months)
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Disease control rate (DCR) Assessed Using Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)by IRC
Tidsramme: From Day 1 to PD or death from any cause, assessed up to end of study (up to approximately 30 months)
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DCR is defined as the rate of of CR, PR, or stable disease according to RECIST v1.1.
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From Day 1 to PD or death from any cause, assessed up to end of study (up to approximately 30 months)
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Overall Survival (OS)
Tidsramme: From Day 1 to death from any cause, assessed up to end of study (up to approximately 30 months)
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OS is defined as the time from randomization to death from any cause.
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From Day 1 to death from any cause, assessed up to end of study (up to approximately 30 months)
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OS rate at 12 months
Tidsramme: the percent of participants that are alive at 12months from Day 1.
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OS is defined as the time from randomization to death from any cause.
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the percent of participants that are alive at 12months from Day 1.
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OS rate at 24 months
Tidsramme: the percent of participants that are alive at 24 months from Day 1.
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OS is defined as the time from randomization to death from any cause.
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the percent of participants that are alive at 24 months from Day 1.
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PFS Assessed Using immune-related Response Evaluation Criteria in Solid Tumors (iRECIST) by investigator
Tidsramme: From Day 1 to death from any cause, assessed up to end of study (up to approximately 30 months)
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Progression is confirmed in the target lesion category if the next imaging assessment after iUPD (4-8 weeks later) confirms a further increase in sum of measures of target disease from iUPD, with an increase of at least 5mm.
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From Day 1 to death from any cause, assessed up to end of study (up to approximately 30 months)
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ORR Assessed Using immune-related Response Evaluation Criteria in Solid Tumors (iRECIST) by investigator
Tidsramme: From Day 1 to death from any cause, assessed up to end of study (up to approximately 30 months)
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ORR is defined as the rate of iCR or iPR, as determined by investigator using iRECIST criteria.
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From Day 1 to death from any cause, assessed up to end of study (up to approximately 30 months)
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DoR Assessed Using immune-related Response Evaluation Criteria in Solid Tumors (iRECIST) by investigator
Tidsramme: From Day 1 to death from any cause, assessed up to end of study (up to approximately 30 months)
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DoR is defined as the time period from the date of initial iCR or iPR until the date of iCPD or death from any cause, whichever occurs first.
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From Day 1 to death from any cause, assessed up to end of study (up to approximately 30 months)
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DCR Assessed Using immune-related Response Evaluation Criteria in Solid Tumors (iRECIST) by investigator
Tidsramme: From Day 1 to death from any cause, assessed up to end of study (up to approximately 30 months)
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DCR is defined as the rate of of iCR, iPR, or stable disease according to iRECIST.
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From Day 1 to death from any cause, assessed up to end of study (up to approximately 30 months)
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Percentage and severity of Participants With Adverse Events (AEs)
Tidsramme: From Day 1 to 60 days after last dose of study drug, assessed up to end of study (up to approximately 30 months)
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percentage and CTC AE(v5.0) of AEs
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From Day 1 to 60 days after last dose of study drug, assessed up to end of study (up to approximately 30 months)
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Percentage of Participants With Anti-Drug Antibodies (ATAs)
Tidsramme: Pre-dose (60minutes±10minutes) on Day 1 of Cycles 1, 3, 5, 7, 9 and at every 6 cycles thereafter until disease progression, at disease progression. (maximum up to 30 months) (1 Cycle = 21 days)
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Pre-dose (60minutes±10minutes) on Day 1 of Cycles 1, 3, 5, 7, 9 and at every 6 cycles thereafter until disease progression, at disease progression. (maximum up to 30 months) (1 Cycle = 21 days)
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Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Efterforskere
- Ledende efterforsker: JIANG ZE FEI, PHD, Beijing 302 Hospital
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart (Faktiske)
21. december 2018
Primær færdiggørelse (Forventet)
30. december 2019
Studieafslutning (Forventet)
30. juli 2020
Datoer for studieregistrering
Først indsendt
12. december 2018
Først indsendt, der opfyldte QC-kriterier
13. december 2018
Først opslået (Faktiske)
17. december 2018
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
8. august 2019
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
6. august 2019
Sidst verificeret
1. december 2018
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Hudsygdomme
- Neoplasmer
- Neoplasmer efter sted
- Brystsygdomme
- Brystneoplasmer
- Tredobbelt negative brystneoplasmer
- Lægemidlers fysiologiske virkninger
- Molekylære mekanismer for farmakologisk virkning
- Antineoplastiske midler
- Immunologiske faktorer
- Tubulin modulatorer
- Antimitotiske midler
- Mitose modulatorer
- Antineoplastiske midler, fytogene
- Paclitaxel
- Antistoffer
- Immunoglobuliner
- Albumin-bundet Paclitaxel
Andre undersøgelses-id-numre
- NABP201801
Plan for individuelle deltagerdata (IPD)
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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 .
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