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A Study of First-line JS001 and Nab-paclitaxel Versus Palcelbo and Nab-Paclitaxel in Participants With Advanced Recurrent or Metastatic TNBC

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

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

      • Beijing, Kina
        • The Fifth Medical Center of PLA General Hospital

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:

  1. 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;
  2. No prior chemotherapy or targeted systemic therapy for inoperable stage IV or metastatic TNBC;
  3. Eligible for taxane monotherapy;
  4. Eastern Cooperative Oncology Group performance status of 0 or 1;
  5. Measurable disease as defined by RECIST v1.1;
  6. Adequate hematologic and end-organ function。

Exclusion Criteria:

  1. Known central nervous system (CNS) disease with active syndrome or untreated disease, except for treated asymptomatic CNS metastases;
  2. History of autoimmune disease;
  3. History of Anaphylaxis to PD-(L)1 antibody or CTLA-4 antibody or paclitaxel;
  4. Prior allogeneic stem cell or solid organ transplantation;
  5. Active hepatitis B or hepatitis C;
  6. 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
Eksperimentel: JS001 Plus Nab-Paclitaxel
Participants assigned to JS001 plus nab-paclitaxel will receive both agents until disease progression or unacceptable toxicity.
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:
  • Terepril monoclonal antibody
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:
  • Paclitaxel For Injection(Albumin Bound)
Placebo komparator: Placebo Plus Nab-Paclitaxel
Participants assigned to placebo plus nab-paclitaxel will receive both agents until disease progression or unacceptable toxicity.
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:
  • Paclitaxel For Injection(Albumin Bound)
Placebo administered via intravenous (IV) infusion on Days 1 of each 21-day cycle until disease progression or unacceptable toxicity.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
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)
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.
From Day 1 to disease progression (PD) or death from any cause, assessed up to end of study (up to approximately 30 months)

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
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)
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.
From Day 1 to PD or death from any cause, assessed up to end of study (up to approximately 30 months)
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)
ORR is defined as the rate of CR or PR, as determined by IRC using RECIST v1.1 criteria.
From Day 1 to PD or death from any cause, assessed up to end of study (up to approximately 30 months)
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)
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.
From Day 1 to PD or death from any cause, assessed up to end of study (up to approximately 30 months)
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)
DCR is defined as the rate of of CR, PR, or stable disease according to RECIST v1.1.
From Day 1 to PD or death from any cause, assessed up to end of study (up to approximately 30 months)
Overall Survival (OS)
Tidsramme: From Day 1 to death from any cause, assessed up to end of study (up to approximately 30 months)
OS is defined as the time from randomization to death from any cause.
From Day 1 to death from any cause, assessed up to end of study (up to approximately 30 months)
OS rate at 12 months
Tidsramme: the percent of participants that are alive at 12months from Day 1.
OS is defined as the time from randomization to death from any cause.
the percent of participants that are alive at 12months from Day 1.
OS rate at 24 months
Tidsramme: the percent of participants that are alive at 24 months from Day 1.
OS is defined as the time from randomization to death from any cause.
the percent of participants that are alive at 24 months from Day 1.
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)
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.
From Day 1 to death from any cause, assessed up to end of study (up to approximately 30 months)
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)
ORR is defined as the rate of iCR or iPR, as determined by investigator using iRECIST criteria.
From Day 1 to death from any cause, assessed up to end of study (up to approximately 30 months)
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)
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.
From Day 1 to death from any cause, assessed up to end of study (up to approximately 30 months)
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)
DCR is defined as the rate of of iCR, iPR, or stable disease according to iRECIST.
From Day 1 to death from any cause, assessed up to end of study (up to approximately 30 months)
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)
percentage and CTC AE(v5.0) of AEs
From Day 1 to 60 days after last dose of study drug, assessed up to end of study (up to approximately 30 months)
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)
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)

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

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