- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT04072679
Safety and Efficacy Study of Sintilimab Combined With IBI305 in Patients With Advanced Hepatocellular Carcinoma
Evaluation of the Safety and Efficacy of Sintilimab Combined With IBI305 in the Treatment of Advanced Hepatocellular Carcinoma in a Single-center, One-arm, and Phase Ib Study
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
This study is to evaluate the safety, tolerability and efficacy of Sintilimab combined with IBI305 in patients with advanced hepatocellular carcinoma in China.
Approximately 26-38 subjects with locally advanced or metastatic hepatocellular carcinoma will be enrolled in the study. It includes dose escalation and dose expansion stage. 12-18 subjects will be enrolled in dose escalation stage for the safety and efficacy evaluation. Then select specific dose of IBI305 +Sintilimab 200mg/kg, expand to 20 patients for the further safety and efficacy study.
The study treatment lasts up to 24 months, or until disease progresses, intolerable toxicity, withdrawal of informed consent, loss of follow-up, death, or other circumstances that require termination of treatment, whichever occurs first.
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Fase 1
Kontakter og lokationer
Studiesteder
-
-
-
Beijing, Kina, 100021
- National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College
-
-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Local advanced or metastatic hepatocellular carcinoma, confirmed by histology/cytology.
- Barcelona Clinic Liver Cancer (BCLC) C. BCLC B, unsuitable for local treatments or local treatments failure.
- Patients who failed to or unsuitable for the previously systemic chemotherapy, sorafenib, lenvatinib, regorafenib or similar drug failure (disease progression or toxicity intolerance).
- At least one measurable lesion per RECIST V1.1 that has not been treated locally or that has progressed after local treatment.
- Child-Pugh score ≤ 7 points.
- ECOG:0 or 1.
- Adequate organ and bone marrow function.
Exclusion Criteria:
- With fibrous lamellar hepatocellular carcinoma, sarcomatoid hepatocellular carcinoma, cholangiocarcinoma components in tumor tissues.
- Have a history of hepatic encephalopathy or have a history of liver transplantation.
- HBV DNA>2000 IU/ml or 104 copies/ml for acute or chronic active hepatitis B or hepatitis C; HCV RNA>103 copies/ml; both HbsAg and anti-HCV antibody are positive.
- Esophageal or gastric varices bleeding caused by portal hypertension occurred in the past 6 months. Patients with endoscopy evidence of severe varices (G3) within 3 months. Patients with portal hypertension in high risk of bleeding evaluated by investigator.
- History of venous thromboembolism in the past 6 months, including myocardial infarction, unstable angina, cerebrovascular accident or transient ischemic attack, pulmonary embolism, deep vein thrombosis or any other history of severe thromboembolism. Implantable IV ports or catheter-derived thrombosis, superficial venous thrombosis, or thrombosis after conventional anticoagulant therapy are excluded. Prophylactic uses of low-dose aspirin or low molecular weight heparin is allowed.
- Portal vein tumor thrombus (PVTT) involves both the main trunk and contralateral branch or upper mesenteric vein. Inferior vena cava tumor thrombus.
- Uncontrolled high blood pressure, systolic blood pressure ≥150mmHg or diastolic blood pressure ≥100mmHg after optimal medical treatment; Hypertensive crisis or history of hypertensive encephalopathy.
- History of gastrointestinal perforation and/or fistula in the past 6 months, history of intestinal obstruction (including incomplete intestinal obstruction requiring parenteral nutrition), extensive bowel resection (partial colectomy or extensive small bowel resection) , complicated by chronic diarrhea), Crohn's disease, ulcerative colitis or long-term chronic diarrhea.
- History of interstitial pneumonia, drug-induced pneumonia, idiopathic pneumonia or active pneumonia. Allow radioactive pneumonia in the radiotherapy area.
- Active tuberculosis (TB), who are receiving anti-tuberculosis treatment or who have received anti-tuberculosis treatment within 1 year before inclusion.
- HIV infected (HIV 1/2 antibody positive).
- Use of immunosuppressive drugs in the past 4 weeks, excluding the routes of topical glucocorticoids or physiological doses of systemic glucocorticoids (ie no more than 10 mg/day of prednisone or equivalent). Temporary use of glucocorticoids for dyspnea symptoms such as asthma and chronic obstructive pulmonary disease is allowed.
- Have undergone major surgery (craniotomy, thoracotomy or open surgery) or unhealed wounds, ulcers or fractures within 4 weeks.
- Previously received any anti-PD-1, anti-PD-L1/L2 antibodies, anti-CTLA4 antibodies, or other immunotherapy; previously received anti-VEGF monoclonal antibody treatment.
- Female patients who are pregnant or breastfeeding.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
---|---|
Eksperimentel: Sintilimab+IBI305
Sintilimab: 200mg (D1, q3w) IBI305: 7.5mg/kg or 15mg/kg (D1, q3w)
|
It includes dose escalation and dose expansion stage.
6-9 subjects will be enrolled in dose escalation stage for the safety and efficacy evaluation.
Then select specific dose of IBI305 +Sintilimab 200mg/kg, expand to 36-39 patients for the further safety and efficacy study.The study treatment lasts up to 24 months.
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
---|---|---|
Incicende of Adverse Events (AEs)
Tidsramme: 2 years
|
Number of patients with AE, treatment-related AE (TRAE), immune-related AEs (irAE), AE of special interest (AESI), serious adverse event (SAE) assessed by CTCAE v5.0.
|
2 years
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
---|---|---|
Objective Response Rate (ORR)
Tidsramme: 2 years
|
Investigator assessed according to RECIST v1.1
|
2 years
|
Time to response (TTR)
Tidsramme: 2 years
|
Investigator assessed according to RECIST v1.1
|
2 years
|
Duration of response (DOR)
Tidsramme: 2 years
|
Investigator assessed according to RECIST v1.1
|
2 years
|
Disease control rate (DCR)
Tidsramme: 2 years
|
Investigator assessed according to RECIST v1.1
|
2 years
|
Progression free survival (PFS)
Tidsramme: 2 years
|
Investigator assessed according to RECIST v1.1
|
2 years
|
Overall Survival (OS)
Tidsramme: 2 years
|
Investigator assessed according to RECIST v1.1
|
2 years
|
Anti-drug antibody (ADA)
Tidsramme: 2 years
|
Immunogenicity measured by anti-drug antibody (ADA) for Sintilimab and IBI305
|
2 years
|
Samarbejdspartnere og efterforskere
Efterforskere
- Ledende efterforsker: Aiping Zhou Zhou, Doctor, National Cancer Center/Cancer Hospital, China
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- CIBI338B101
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
produkt fremstillet i og eksporteret fra U.S.A.
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 .
Kliniske forsøg med Avanceret hepatocellulært karcinom
-
Providence Health & ServicesLedigKRAS G12V Mutant Advanced Epithelial Cancers
-
Samsung Medical CenterAfsluttetHER2-positiv Refractory Advanced CancerKorea, Republikken
-
Shanghai Pudong HospitalUTC Therapeutics Inc.Trukket tilbageMesothelin-positive Advanced Refractory Solid TumorsKina
-
Krankenhaus NordwestAfsluttetHer2/Neu Positive Advanced Solid TumorsTyskland
-
Novartis PharmaceuticalsAfsluttetcMET Dysegulation Advanced Solid TumorsØstrig, Danmark, Sverige, Det Forenede Kongerige, Spanien, Tyskland, Holland, Forenede Stater
-
Suzhou Zelgen Biopharmaceuticals Co.,LtdRekrutteringKRAS G12C Mutant Advanced Solid TumorsKina
-
D3 Bio (Wuxi) Co., LtdRekrutteringHER-2 Positive Advanced Solid TumorsAustralien, Forenede Stater, Kina
-
AmgenAktiv, ikke rekrutterendeKRAS p.G12C Mutant Advanced Solid TumorsForenede Stater, Frankrig, Canada, Spanien, Belgien, Korea, Republikken, Østrig, Australien, Ungarn, Grækenland, Tyskland, Japan, Rumænien, Schweiz, Brasilien, Portugal
-
National Cancer Institute (NCI)Aktiv, ikke rekrutterendeMetastatisk blæreurothelial karcinom | Metastatisk Ureter Urothelial Carcinoma | Stadie IV Blære Urothelial Carcinoma AJCC v7 | Metastatisk nyrebækken og Ureter Urothelial CarcinomaForenede Stater
-
Agenus Inc.AfsluttetAvancerede solide kræftformer | Advanced Solid Cancers Refractory to PD-1Forenede Stater
Kliniske forsøg med Sintilimab+IBI305
-
Tongji HospitalWuhan University; Henan Cancer Hospital; Qilu Hospital of Shandong University og andre samarbejdspartnereRekrutteringKlarcellet ovariekarcinomKina
-
Innovent Biologics (Suzhou) Co. Ltd.Ukendt
-
Sun Yat-sen UniversityAktiv, ikke rekrutterendeAvanceret mikrosatellitstabil kolorektal cancer | Metastatisk mikrosatellit-stabil kolorektal cancerKina
-
Innovent Biologics (Suzhou) Co. Ltd.AfsluttetIkke-pladeeplade ikke-småcellet lungekræftKina
-
Tianjin Medical University Cancer Institute and...RekrutteringIntrahepatisk cholangiocarcinomKina
-
Beijing Tiantan HospitalRekrutteringMeningiom, ondartetKina
-
RemeGen Co., Ltd.RekrutteringAvancerede solide tumorerKina
-
Innovent Biologics (Suzhou) Co. Ltd.AfsluttetAvanceret eller metastatisk NSCLCKina
-
Tianjin Medical University Cancer Institute and...RekrutteringHepatocellulært karcinomKina
-
Innovent Biologics (Suzhou) Co. Ltd.Innovent Biologics (USA), Inc.Trukket tilbageMetastatisk kutan melanom | Uoperabelt kutan melanomForenede Stater, Tyskland, Frankrig, Australien, Spanien, Schweiz, Det Forenede Kongerige