Pucotenlimab Plus Becotatug Vedotin in Perioperative Treatment of Locally Advanced Resectable Head and Neck Squamous Cell Carcinoma
A Multicenter, Randomized, Double-Blind, Phase II Clinical Study of Pucotenlimab Injection Combined With Becotatug Vedotin for Injection as Perioperative Therapy in Participants With Locally Advanced Resectable Head and Neck Squamous Cell Carcinoma
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Studientyp
Studientyp
Einschreibung (Geschätzt)
Einschreibung
Phase
Phase
- Phase 2
Kontakte und Standorte
Studienkontakt
Studienkontakt
- Name: Program Director
- Telefonnummer: 86-21- 67680899
- E-Mail: ra_bj@lepubiopharma.com
Studienorte
-
-
Beijing Municipality
-
Beijing, Beijing Municipality, China, 100142
- Noch keine Rekrutierung
- Peking University Cancer Hospital
-
Kontakt:
- Bin Zhang
-
-
Fujian
-
Fuzhou, Fujian, China, 350005
- Noch keine Rekrutierung
- The First Affiliated Hospital of Fujian Medical University
-
Kontakt:
- Gongbiao Lin
-
-
Guangdong
-
Guangzhou, Guangdong, China, 510120
- Rekrutierung
- Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University
-
Kontakt:
- Jinsong Li
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Guangzhou, Guangdong, China, 510060
- Noch keine Rekrutierung
- Sun Yat-sen University Cancer Center
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Kontakt:
- Xuekui Liu
-
Shantou, Guangdong, China, 515041
- Noch keine Rekrutierung
- Cancer Hospital of Shantou University Medical College
-
Kontakt:
- Hanwei Peng
-
-
Guangxi
-
Nanning, Guangxi, China, 530021
- Noch keine Rekrutierung
- Guangxi Medical University Cancer Hospital
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Kontakt:
- Duoping Wang
-
-
Hebei
-
Shijiazhuang, Hebei, China, 050011
- Noch keine Rekrutierung
- The Fourth Hospital of Hebei Medical University
-
Kontakt:
- Juan Li
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-
Hubei
-
Wuhan, Hubei, China, 430079
- Noch keine Rekrutierung
- Hubei Cancer Hospital
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Kontakt:
- Jian Chen
-
-
Hunan
-
Changsha, Hunan, China, 410013
- Noch keine Rekrutierung
- Hunan Cancer Hospital
-
Kontakt:
- Hao Tian
-
Changsha, Hunan, China, 410008
- Noch keine Rekrutierung
- Xiangya Hospital of Central South University
-
Kontakt:
- Canhua Jiang
-
-
Liaoning
-
Shenyang, Liaoning, China, 110042
- Noch keine Rekrutierung
- Liaoning Cancer Hospital & Institute
-
Kontakt:
- Zhendong Li
-
-
Shanghai Municipality
-
Shanghai, Shanghai Municipality, China, 200120
- Noch keine Rekrutierung
- Shanghai East Hospital
-
Kontakt:
- Ye Guo
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Shanghai, Shanghai Municipality, China, 200011
- Noch keine Rekrutierung
- Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine
-
Kontakt:
- Yue He
-
-
Zhejiang
-
Hangzhou, Zhejiang, China, 310022
- Noch keine Rekrutierung
- Zhejiang Cancer Hospital
-
Kontakt:
- Chao Chen
-
Ningbo, Zhejiang, China, 315040
- Noch keine Rekrutierung
- Ningbo Medical Center Lihuili Hospital
-
Kontakt:
- Zhisen Shen
-
-
Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
- Erwachsene
- Älterer Erwachsener
Akzeptiert gesunde Freiwillige
Beschreibung
Inclusion Criteria:
- Life expectancy ≥ 6 months.
- Subjects with histologically confirmed, resectable Stage III-IVA head and neck squamous cell carcinoma (HNSCC) eligible for curative-intent surgery.
- At least one extracranial measurable lesion per RECIST v1.1.
- Eastern Cooperative Oncology Group (ECOG) performance status 0-1.
- No severe cardiac dysfunction.
- Must provide tumor tissue sample not previously subjected to radiotherapy.
- Adequate organ function.
- Subjects of childbearing potential must use effective contraception during the study and for 180 days after the last dose.
Exclusion Criteria:
- Primary tumor originating from nasopharynx, nasal cavity, paranasal sinuses, salivary gland, thyroid/parathyroid gland, skin, or unknown primary site (squamous cell carcinoma).
- Head and neck cancer deemed non-resectable by the investigator.
- Prior treatment with anti-PD-1, anti-PD-L1, MMAE/MMAF-based ADC agents, or other T-cell immune checkpoint inhibitors.
- Prior radiotherapy, systemic anti-tumor therapy, or other investigational therapy for head and neck cancer before study entry.
- Major surgery within 4 weeks before study entry, or not fully recovered from surgical toxicities/complications. Minor procedures (e.g., vascular access placement, percutaneous/endoscopic head/neck biopsy, tracheostomy tube exchange) are allowed.
- Grade ≥2 peripheral neuropathy (CTCAE v5.0).
- Active autoimmune disease requiring systemic treatment within 2 years before first dose.
- Receiving systemic glucocorticoid therapy or any other form of immunosuppressive therapy within 2 weeks before first dose.
- Radiologically detectable central nervous system metastases and/or carcinomatous meningitis.
- Uncontrolled pleural, peritoneal, pelvic effusion, or pericardial effusion.
- Any severe or uncontrolled systemic disease.
- Prior or planned allogeneic tissue/solid organ transplantation.
- Known hypersensitivity to any active ingredient or excipient of the study drugs.
- Evidence of active infection including hepatitis B, hepatitis C, or human immunodeficiency virus (HIV).
- Anti-infective therapy within 2 weeks before randomization.
- Stroke or transient ischemic attack within 6 months before enrollment.
- Uncontrolled or poorly controlled cardiac disease.
- Deep or intraluminal bleeding requiring interventional/surgical hemostasis or blood transfusion within 3 months, or current history of coagulopathy.
- Pulmonary embolism or deep vein thrombosis within 3 months.
- History of or current interstitial lung disease, severe chronic obstructive pulmonary disease, severe pulmonary insufficiency, bronchospasm, etc.
- Received live vaccine within 30 days before first study dose.
- History of other primary malignancy.
- Positive serum pregnancy test or breastfeeding female.
- Contraindications to study drugs (pucotenlimab and/or becotatug vedotin) or their excipients; severe hypersensitivity (Grade ≥3) to radiotherapy, cisplatin or its analogues.
- Any condition that the investigator considers unsuitable for participation in the trial.
- Grade ≥2 hearing impairment per CTCAE v6.0.
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Vervierfachen
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
|---|---|
|
Experimental: locally advanced resectable HNSCC Becotatug Vedotin +Pucotenlimab
|
Administrated intravenously
Administrated intravenously
|
|
Placebo-Komparator: locally advanced resectable HNSCC Placebo +Pucotenlimab
|
Administrated intravenously
Administrated intravenously
|
Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Zeitfenster |
|---|---|
|
Major Pathological Response (MPR) Rate
Zeitfenster: From date of surgery until completion of postoperative pathological assessment, up to 8 weeks
|
From date of surgery until completion of postoperative pathological assessment, up to 8 weeks
|
Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Zeitfenster |
|---|---|
|
Pathological Complete Response (pCR) Rate
Zeitfenster: From date of surgery until completion of postoperative pathological assessment, up to 8 weeks
|
From date of surgery until completion of postoperative pathological assessment, up to 8 weeks
|
|
Event-Free Survival (EFS)
Zeitfenster: From date of randomization until the date of disease progression/recurrence with initiation of new anti-tumor therapy, or death from any cause, whichever came first, assessed up to 24 months
|
From date of randomization until the date of disease progression/recurrence with initiation of new anti-tumor therapy, or death from any cause, whichever came first, assessed up to 24 months
|
|
Overall Survival (OS)
Zeitfenster: From date of randomization until death from any cause, assessed up to 36 months
|
From date of randomization until death from any cause, assessed up to 36 months
|
|
Preoperative Objective Response Rate (ORR)
Zeitfenster: preoperative ORR will be assessed up to 12 weeks post-randomization
|
preoperative ORR will be assessed up to 12 weeks post-randomization
|
|
actual surgical resection rate
Zeitfenster: surgical resection rate will be evaluated perioperatively
|
surgical resection rate will be evaluated perioperatively
|
|
R0 resection rate
Zeitfenster: R0 resection rate will be confirmed up to 8 weeks postoperatively
|
R0 resection rate will be confirmed up to 8 weeks postoperatively
|
|
lymph node downstaging rate
Zeitfenster: lymph node downstaging rate will be determined up to 8 weeks postoperatively based on comparison of pre- and post-treatment imaging and pathology
|
lymph node downstaging rate will be determined up to 8 weeks postoperatively based on comparison of pre- and post-treatment imaging and pathology
|
|
Incidence of adverse events (AEs) and laboratory abnormalities assessed by CTCAE v6.0
Zeitfenster: Within 30 days after last dose (30 days + 7 days window)
|
Within 30 days after last dose (30 days + 7 days window)
|
|
Serum Concentration
Zeitfenster: From randomization through completion of therapy, up to 30 weeks
|
From randomization through completion of therapy, up to 30 weeks
|
|
Incidence of Anti-Drug Antibodies (ADA)
Zeitfenster: From randomization through completion of therapy, up to 30 weeks
|
From randomization through completion of therapy, up to 30 weeks
|
Mitarbeiter und Ermittler
Sponsor
Sponsor
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Studienbeginn
Primärer Abschluss (Geschätzt)
Primärer Abschluss
Studienabschluss (Geschätzt)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- HX008/MRG003-C004
Plan für individuelle Teilnehmerdaten (IPD)
Planen Sie, individuelle Teilnehmerdaten (IPD) zu teilen?
Arzneimittel- und Geräteinformationen, Studienunterlagen
Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
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