- ICH GCP
- US-Register für klinische Studien
- Klinische Studie NCT07708285
Luvometinib in Combination With Serplulimab for NF2-Related Tumors
A Multicenter, Open-Label Study of Luvometinib in Combination With Serplulimab for the Treatment of NF2-Related Tumors
Studienübersicht
Status
Bedingungen
Intervention / Behandlung
Detaillierte Beschreibung
NF2-related schwannomatosis (NF2-SWN) is a rare autosomal dominant disorder characterized by multiple central nervous system tumors, most commonly vestibular schwannomas and meningiomas. Although current treatments such as surgery and radiotherapy can provide disease control, they are not curative and are associated with cumulative neurological morbidity and potential risk of secondary malignancies. There remains a significant unmet need for effective systemic therapies.
This investigator-initiated study is conducted as a substudy within the Platform Research for Innovative Medicines in NF2-SWN (PRIME-NF2). The trial evaluates luvometinib in combination with serplulimab in patients with progressive NF2-SWN.
Luvometinib (FCN-159) is a selective MEK1/2 inhibitor with antitumor activity in NF1-associated tumors. Serplulimab (HLX10) is an anti-PD-1 monoclonal antibody approved for multiple solid tumors. Preclinical evidence suggests that MEK inhibition may enhance tumor immunogenicity and synergize with immune checkpoint blockade.
The study aims to assess the safety, tolerability, and preliminary efficacy of this combination in NF2-SWN.
Studientyp
Einschreibung (Geschätzt)
Phase
- Phase 2
- Phase 1
Kontakte und Standorte
Studienorte
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Beijing Municipality
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Beijing, Beijing Municipality, China, 100853
- Chinese PLA General Hospital
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Kontakt:
- Jun Zhang, MD, PhD
- Telefonnummer: 86+ 10-68182255
- E-Mail: junzhang301@163.com
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Beijing, Beijing Municipality, China, 100070
- Beijing Tiantan Hospital, Capital Medical University
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Kontakt:
- Pinan Liu, MD, PhD
- Telefonnummer: 86+ 10-59976611
- E-Mail: pinanliu@ccmu.edu.cn
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Beijing, Beijing Municipality, China, 100053
- Xuanwu Hospital, Capital Medical University
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Kontakt:
- Hao Wu, MD, PhD
- Telefonnummer: +86 10-83922345
- E-Mail: wuhaospine@xwh.ccmu.edu.cn
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Jilin
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Changchun, Jilin, China
- The First Hospital of JiLin University
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Kontakt:
- Yunqian Li, MD, PhD
- Telefonnummer: 86+ 431-88782222
- E-Mail: yunqian@jlu.edu.cn
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Shanghai Municipality
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Shanghai, Shanghai Municipality, China, 200080
- Shanghai General Hospital
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Kontakt:
- Meiqing Lou, MD, PhD
- Telefonnummer: +86 21-63846590
- E-Mail: loumq68128@hotmail.com
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Teilnahmekriterien
Zulassungskriterien
Studienberechtigtes Alter
- Erwachsene
- Älterer Erwachsener
Akzeptiert gesunde Freiwillige
Beschreibung
Inclusion Criteria:
- Participants must meet the diagnostic criteria for NF2-SWN.
- Presence of at least one measurable target tumor, either vestibular schwannoma or meningioma, with MRI-documented volumetric progression within the past 36 months or clinical symptom progression related to the target tumor.
- The target tumor is considered unsuitable for surgery because of high risk.
- Age >=18 years at the time of screening.
- KPS >=70 or ECOG performance status 0 or 1.
- Adequate organ function based on laboratory tests obtained within 14 days before screening.
- Participant must be able to understand the study and voluntarily sign informed consent.
Exclusion Criteria:
- Pregnant, planning to become pregnant, or currently breastfeeding.
- Participation in another interventional clinical trial within the past 4 weeks, or radiation therapy to target lesion(s) within the past 3 years.
- Severe adverse reactions or intolerable toxicity from prior immune checkpoint inhibitors or MEK inhibitors.
- Concomitant active malignancies, uncontrolled infections, or active autoimmune diseases.
- Severe cardiac, hepatic, renal, gastrointestinal, or ophthalmic diseases.
- Any other factor that may compromise participant safety or study integrity.
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: N / A
- Interventionsmodell: Einzelgruppenzuweisung
- Maskierung: Keine (Offenes Etikett)
Waffen und Interventionen
Teilnehmergruppe / Arm |
Intervention / Behandlung |
|---|---|
|
Experimental: Luvometinib + Serplulimab
Subjects will receive luvometinib 8 mg by mouth once daily in combination with serplulimab 4.5 mg/kg intravenously every 3 weeks for up to 12 cycles (28 days per cycle).
|
Oral once daily per predetermined dosage per protocol.
Andere Namen:
Intravenous infusion per predetermined dosage per protocol.
Andere Namen:
|
Was misst die Studie?
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Objective Response Rate (ORR) or Hearing Response Rate (HRR)
Zeitfenster: 12 months
|
Vestibular schwannoma: HRR is defined as WRS improvement exceeding the 95% critical difference from baseline; if baseline WRS is <20%, HRR is defined as a PTA decrease of at least 10 dB. Meningioma: ORR is defined as at least a 20% reduction in target tumor volume from baseline. |
12 months
|
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Incidence of Adverse Events
Zeitfenster: From first dose through 30 days after last dose (up to 12 months)
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Percentage of participants who experience at least one adverse event.
Adverse events will be coded and graded according to NCI CTCAE v5.0.
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From first dose through 30 days after last dose (up to 12 months)
|
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Maximum Severity Grade of Adverse Events
Zeitfenster: From first dose through 30 days after last dose (up to 12 months)
|
Maximum NCI CTCAE v5.0 grade of adverse events experienced by each participant during the reporting period.
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From first dose through 30 days after last dose (up to 12 months)
|
|
Incidence of Serious Adverse Events
Zeitfenster: From first dose through 30 days after last dose (up to 12 months)
|
Percentage of participants who experience at least one serious adverse event.
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From first dose through 30 days after last dose (up to 12 months)
|
|
Incidence of Dose Modifications
Zeitfenster: From first dose through 30 days after last dose (up to 12 months)
|
Percentage of participants who require at least one dose modification due to an adverse event.
|
From first dose through 30 days after last dose (up to 12 months)
|
|
Incidence of Treatment Interruptions
Zeitfenster: From first dose through 30 days after last dose.
|
Percentage of participants who require at least one treatment interruption due to an adverse event.
|
From first dose through 30 days after last dose.
|
|
Incidence of Treatment Discontinuations
Zeitfenster: From first dose through 30 days after last dose.
|
Percentage of participants who discontinue study treatment due to an adverse event.
|
From first dose through 30 days after last dose.
|
Mitarbeiter und Ermittler
Sponsor
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Geschätzt)
Primärer Abschluss (Geschätzt)
Studienabschluss (Geschätzt)
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Zusätzliche relevante MeSH-Bedingungen
- Erkrankungen des Nervensystems
- Neubildungen nach Standort
- Neubildungen
- Genetische Krankheiten, angeboren
- Neubildungen nach histologischem Typ
- Neurodegenerative Krankheiten
- Otorhinolaryngologische Erkrankungen
- Neuroektodermale Tumoren
- Neoplasmen, Keimzelle und Embryonal
- Neubildungen, Nervengewebe
- Neubildungen des Nervensystems
- Heredodegenerative Erkrankungen, Nervensystem
- Neubildungen der Nervenhülle
- Neoplastische Syndrome, erblich
- Neurokutane Syndrome
- Neubildungen des peripheren Nervensystems
- Neuroendokrine Tumoren
- Ohrenkrankheiten
- Otorhinolaryngologische Neubildungen
- Neubildungen, Gefäßgewebe
- Meningeale Neubildungen
- Neubildungen des zentralen Nervensystems
- Erkrankungen der Hirnnerven
- Neurom
- Neubildungen der Hirnnerven
- Vestibulocochlea-Nervenerkrankungen
- Retrocochleäre Erkrankungen
- Neurofibrom
- Neurilemmom
- Angeborene, erbliche und neonatale Krankheiten und Anomalien
- Neurofibromatosen
- Meningiom
- Neurom, Akustik
- Neurofibromatose 2
Andere Studien-ID-Nummern
- HX-A-2026035
Plan für individuelle Teilnehmerdaten (IPD)
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Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
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