- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT07594964
To Evaluate the Safety, Tolerability, and Preliminary Efficacy of XH001 Injection as Adjuvant Therapy in Patients With High-risk Recurrent Solid Tumors
Phase I Clinical Study Evaluating the Safety, Tolerability, and Preliminary Efficacy of XH001 Injection as Adjuvant Therapy in Patients With High-risk Recurrent Solid Tumors After Radical Surgery
The goal of this interventional clinical study is to learn the safety and preliminary efficacy of XH001 injection (Personalized mRNA tumor neoantigen vaccine) combined with standard adjuvant treatment in treating patients with high-risk recurrent solid tumors after radical surgery.
The main questions it aims to answer are: What medical problems do participants have when using the combined treatment? Does XH001 injection combined with standard adjuvant treatment induce a specific T-cell response, and can it prolong the patient's relapse-free survival?
Studieoversigt
Status
Betingelser
Intervention / Behandling
Undersøgelsestype
Tilmelding (Anslået)
Fase
- Fase 1
Kontakter og lokationer
Studiekontakt
- Navn: Yi Zhang
- Telefonnummer: 0086-18615536063
- E-mail: yiz@neocura.net
Undersøgelse Kontakt Backup
- Navn: Bo Liu
- Telefonnummer: 0086-18101388626
- E-mail: bliu@neocura.net
Studiesteder
-
-
-
Beijing, Kina
- Rekruttering
- Peking University Cancer Hospital
-
Kontakt:
- Changsong Qi
- Telefonnummer: 0086-10-88196561
- E-mail: linshenpku@163.com
-
Ledende efterforsker:
- Lin Shen, Prof.
-
Beijing, Kina
- Rekruttering
- Peking Union Medical College Hospital
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Kontakt:
- Ding yan Cao
- Telefonnummer: 86-10-69156874
- E-mail: caodingyan@pumch.cn
-
Ledende efterforsker:
- Wenmin Wu, Prof.
-
-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Provision of signed and dated informed consent form;
- Aged between 18 and 70 years old, male or female;
- Patients with high-risk recurrent solid tumors confirmed by pathology after radical surgery mainly include pancreatic ductal adenocarcinoma, biliary tract malignancies, hepatocellular carcinoma, gastric adenocarcinoma, etc.
- Expected survival duration ≥12 months;
- ECOG score of 0-1;
- White blood cell count≥ 3.0×10^9/L; Neutrophil count ≥ 1.0×10^9/L; Platelet count ≥75×10^9/L; Hemoglobin (Hb)≥ 90g/L; Creatinine clearance rate≥50mL/min [calculated using the Cockcroft-Gault formula]; Alanine aminotransferase ≤ 3×ULN (patients with hepatocellular carcinoma or biliary tract malignancy <5×ULN); Aspartate aminotransferase ≤ 3×ULN ((patients with hepatocellular carcinoma or biliary tract malignancy <5×ULN); Total bilirubin ≤ 3×ULN; Serum albumin > 28g/L; Coagulation: Prothrombin time prolongation ≤ 4s;
Exclusion Criteria:
- There is evidence of tumor residue, recurrence or metastasis during screening;
- Has a history of hepatic encephalopathy or liver transplantation;
- Has clinical uncontrolled (requiring repeated drainage) pericardial effusion, pleural effusion and moderate or severe ascites;
- Requires long-term systemic administration of antiallergic drugs, or has severe hypersensitivity reactions (>=Grade 3) to XH001 injection and/or any of its excipients;
- New cerebrovascular accidents within 6 months before screening (including ischemic stroke, hemorrhagic stroke and transient ischemic attack);
- Individuals who have experienced acute myocardial infarction, or have uncontrolled angina pectoris, uncontrolled arrhythmia, severe heart failure (NYHA heart failure classification standard>= Grade III) and other cardiovascular diseases within 6 months before screening;
- Patients with pancreatic ductal adenocarcinoma (PDAC) have the following conditions: 1) Borderline resectable pancreatic ductal adenocarcinoma; 2) Tumor tissue containing neuroendocrine tumor components (i.e., mixed type); 3) Pancreatic tumor types other than PDAC; 4) Persistent severe diarrhea after surgery;
- Patients with biliary tract malignancy have the following conditions: 1) Pancreatic or ampullary cancer; 2) Unresolved biliary obstruction; 3) Insufficient surgical biliary drainage, and there are signs of infection;
- .Subjects with hepatocellular carcinoma exhibit the following conditions: 1) The tumor contains components such as fibrolamellar hepatocellular carcinoma, sarcomatoid hepatocellular carcinoma, and biliary tract malignancy; 2) Received more than one cycle of adjuvant TACE after surgery or ablation;
- Patients with gastric adenocarcinoma have the following conditions: severe postoperative complications (severe postoperative infection, anastomotic leakage and gastrointestinal bleeding);
- Have active or poorly controlled severe infections;
- .Patients with other malignancies within 5 years before enrollment, except for those with a history of appropriately treated and cured cervical carcinoma in situ, breast carcinoma in situ, or skin basal cell carcinoma;
- Any history of autoimmune diseases (regardless of whether they are currently active),;
- Who have previously received similar therapeutic tumor vaccines;
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: Treatment
XH001 injection administered based on adjuvant chemotherapy with the mFOLFIRINOX regimen
|
mRNA neoantigen cancer vaccine
oxaliplatin+lrinotecan+calcium folinate+5-FU
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Adverse Event
Tidsramme: up to 36 months
|
Incidence and severity of adverse events (AEs), clinically significant abnormal changes in laboratory tests and other examinations (based on the Criteria for the Evaluation of Adverse Events [CTCAE] v5.0)
|
up to 36 months
|
|
Dose-Limiting Toxicity
Tidsramme: From the first administration of XH001 to 4 weeks after the first administration of XH001 injection.
|
Grade 3 or higher adverse events (AEs) or laboratory abnormalities related to XH001 injection
|
From the first administration of XH001 to 4 weeks after the first administration of XH001 injection.
|
|
Immune response at different doses
Tidsramme: From Baseline up to 2 years.
|
Using in vitro ELISPOT and/or TCR-Clone track to verify the immunoreactivity of the peripheral blood lymphocytes from the subjects to the selected tumor neoantigens.
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From Baseline up to 2 years.
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Recurrent-Free Survival
Tidsramme: 3 years
|
The time from the patient undergoing radical surgery to recurrence or death from any cause, whichever comes first.
|
3 years
|
|
Local Recurrent-Free Survival
Tidsramme: 3 years
|
The time from the patient undergoing radical surgery to local recurrence or death from any cause, whichever comes first.
|
3 years
|
|
Distant metastasis-Free Survival
Tidsramme: 3 years
|
The time from the patient undergoing radical surgery to distant metastasis or death from any cause, whichever comes first.
If the patient has not developed metastasis by the end of the study, the last follow-up time will be the endpoint.
|
3 years
|
|
Overall survival
Tidsramme: 3 years
|
The time from the patient undergoing radical surgery to death from any cause.
|
3 years
|
Samarbejdspartnere og efterforskere
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Primær færdiggørelse (Anslået)
Studieafslutning (Anslået)
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
Nøgleord
Yderligere relevante MeSH-vilkår
- Neoplasmer efter sted
- Neoplasmer
- Neoplasmer efter histologisk type
- Gastrointestinale neoplasmer
- Neoplasmer i fordøjelsessystemet
- Sygdomme i fordøjelsessystemet
- Gastrointestinale sygdomme
- Mavesygdomme
- Galdevejssygdomme
- Leversygdomme
- Neoplasmer, kirtel og epitel
- Adenocarcinom
- Neoplasmer i leveren
- Karcinom
- Galdeblæresygdomme
- Neoplasmer i maven
- Galdevejsneoplasmer
- Carcinom, hepatocellulært
- Cholangiocarcinom
- Galdeblære neoplasmer
Andre undersøgelses-id-numre
- XH001-01
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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