A Clinical Study of TQB2930 Injection and Chemotherapy With or Without Bevacizumab in the Treatment of Advanced Colorectal Cancer
A Phase Ib/II Clinical Study to Evaluate the Efficacy and Safety of TQB2930 Injection and Chemotherapy With or Without Bevacizumab in Subjects With Human Epidermal Growth Factor Receptor 2 (HER2) Positive Unresectable Locally Advanced or Metastatic Colorectal Cancer
Descripción general del estudio
Estado
Estado
Condiciones
Condiciones
Intervención / Tratamiento
Intervención / Tratamiento
Tipo de estudio
Tipo de estudio
Inscripción (Estimado)
Inscripción
Fase
Fase
- Fase 2
- Fase 1
Contactos y Ubicaciones
Estudio Contacto
Estudio Contacto
- Nombre: Ruihua Xu, Doctor
- Número de teléfono: 020-87343468
- Correo electrónico: xurh@syscc.org.cn
Ubicaciones de estudio
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Beijing Municipality
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Beijing, Beijing Municipality, Porcelana, 100034
- Peking University First Hospital
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Contacto:
- Shikai Wu, Doctor
- Número de teléfono: 15810037307
- Correo electrónico: Skywu4923@sina.com
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Gansu
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Lanzhou, Gansu, Porcelana, 730050
- Gansu Provincial Tumor Hospital
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Contacto:
- Zhihu Li, Master
- Número de teléfono: 18993042850
- Correo electrónico: 245698692@qq.com
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Guangxi
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Nanning, Guangxi, Porcelana, 530000
- Guangxi Zhuang Autonomous Region Cancer Hospital
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Contacto:
- Rong Liang, Doctor
- Número de teléfono: 18677070811
- Correo electrónico: 53371159@qq.com
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Guizhou
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Zunyi, Guizhou, Porcelana, 563000
- The Affiliated Hospital of Zunyi Medical University
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Contacto:
- Jiwei Wang, Doctor
- Número de teléfono: 18013964231
- Correo electrónico: zmu_wangjw@163.com
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Heilongjiang
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Harbin, Heilongjiang, Porcelana, 150000
- Harbin Medical University Cancer Hospital
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Contacto:
- Tongsen Zheng, Doctor
- Número de teléfono: 15134569619
- Correo electrónico: zhengtongsen@126.com
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Contacto:
- Yuxian Bai, Doctor
- Número de teléfono: 13945095085
- Correo electrónico: bai_yuxian@126.com
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Henan
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Zhengzhou, Henan, Porcelana, 450000
- The First Affiliated Hospital of Zhengzhou University
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Contacto:
- Yongxu Jia, Doctor
- Número de teléfono: 15237128281
- Correo electrónico: fccjiayx@zzu.edu.cn
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Zhengzhou, Henan, Porcelana, 450000
- Henan Cancer Hospital
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Contacto:
- Ying Liu, Doctor
- Número de teléfono: 13783604602
- Correo electrónico: yaya7207@126.com
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Zhengzhou, Henan, Porcelana, 450000
- The Third People's Hospital of Zhengzhou
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Contacto:
- HaiCun Wang, Master
- Número de teléfono: 13803833783
- Correo electrónico: whc1975@126.com
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Hubei
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Jingzhou, Hubei, Porcelana, 434099
- Jingzhou First People's Hospital
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Contacto:
- Yan Hu, Master
- Número de teléfono: 18163137369
- Correo electrónico: helensparkle@163.com
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Wuhan, Hubei, Porcelana, 430022
- Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
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Contacto:
- Hongli Liu, Doctor
- Número de teléfono: 13995680822
- Correo electrónico: hongliliu@hust.edu.cn
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Hunan
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Changsha, Hunan, Porcelana, 410013
- Hunan Cancer Hospital
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Contacto:
- Yi He, Doctor
- Número de teléfono: 18692237222
- Correo electrónico: heyi@hnca.org.cn
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Jiangsu
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Nanjing, Jiangsu, Porcelana, 210009
- Zhongda Hospital Southeast University
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Contacto:
- CaiLian Wang, Doctor
- Número de teléfono: 13851756378
- Correo electrónico: wangcailian65@hotmail.com
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Nanjing, Jiangsu, Porcelana, 210000
- Jiangsu Provincial Cancer Hospital
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Contacto:
- Yuanhua Liu, Doctor
- Número de teléfono: 13305180356
- Correo electrónico: yuanhualiu02@hotmail.com
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Jilin
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Changchun, Jilin, Porcelana, 130021
- The First Hospital of Jilin University
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Contacto:
- Tingting Liang, Doctor
- Número de teléfono: 15804303776
- Correo electrónico: liangting2006@163.com
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Changchun, Jilin, Porcelana, 130021
- Jilin cancer hospital
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Contacto:
- Hongxia Cui, Master
- Número de teléfono: 13504436090
- Correo electrónico: 2503074283@qq.com
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Liaoning
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Shenyang, Liaoning, Porcelana, 110000
- Liaoning Cancer Hospital & Institute
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Contacto:
- Jingdong Zhang, Doctor
- Número de teléfono: 18040007878
- Correo electrónico: 13804027878@163.com
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Shaanxi
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Xi'an, Shaanxi, Porcelana, 710000
- The First Affiliated Hospital of Xi'an Jiaotong University Medical College
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Contacto:
- Aili Suo, Doctor
- Número de teléfono: 18991232561
- Correo electrónico: Ailisuo@mail.xjtu.edu.cn
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Shanghai Municipality
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Shanghai, Shanghai Municipality, Porcelana, 200127
- Renji Hospital, Shanghai Jiao Tong University School of Medicine
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Contacto:
- XiuYing Xiao, Doctor
- Número de teléfono: 13564579313
- Correo electrónico: xiaoxiuying2002@163.com
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Shanxi
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Xi’an, Shanxi, Porcelana, 710000
- The Second Affiliated Hospital of Air Force Medical University
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Contacto:
- Haichuan Su, Doctor
- Número de teléfono: 18629190366
- Correo electrónico: cntdgcp@163.com
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Xi’an, Shanxi, Porcelana, 710000
- The First Affiliated Hospital of Air Force Medical University
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Contacto:
- Yongzhan Nie, Doctor
- Número de teléfono: 15091520001
- Correo electrónico: nieyongzhan@qq.com
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Tianjin Municipality
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Tianjin, Tianjin Municipality, Porcelana, 300121
- Tianjin Union Medical Center
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Contacto:
- Mingqing Zhang, Doctor
- Número de teléfono: 15122875158
- Correo electrónico: zmq1003@163.com
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Tianjin, Tianjin Municipality, Porcelana, 300202
- Tianjin Medical University Cancer Institute & Hospital
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Contacto:
- Zhanyu Pan, Master
- Número de teléfono: 18622221256
- Correo electrónico: tjpanzy@126.com
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Xinjiang
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Ürümqi, Xinjiang, Porcelana, 830054
- Xinjiang Medical University Affiliated Tumor Hospital
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Contacto:
- YanLi Qu, Master
- Número de teléfono: 18160627963
- Correo electrónico: quyanli73@163.com
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Zhejiang
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Lishui, Zhejiang, Porcelana, 323000
- Lishui Municipal Central Hospital
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Contacto:
- Yanru Xie, Master
- Número de teléfono: 13567615770
- Correo electrónico: 43437677@qq.com
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Criterios de participación
Criterio de elegibilidad
Criterio de elegibilidad
Edades elegibles para estudiar
- Adulto
- Adulto Mayor
Acepta Voluntarios Saludables
Descripción
Inclusion Criteria:
- Subjects voluntarily participate in this study, sign the informed consent form, and have good compliance
- Age: 18-75 years (including the boundary when signing the informed consent form)
- Eastern Cooperative Oncology Group (ECOG) score: 0-1
- Expected survival of more than 3 months
- Unresectable locally advanced or metastatic colorectal cancer diagnosed by histopathology/cytology
- HER2 positive tested
- Presence of at least one measurable disease according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 criteria
- Subjects should agree to use contraception during the study and for 6 months after the end
Exclusion Criteria:
- Patients with previously confirmed Microsatellite Instability Microsatellite Instability-High Deficient Mismatch Repair (MSI-H/dMMR)
- Presence of conditions affecting intravenous, venous blood sampling, or multiple factors affecting oral medications
- Active inflammatory bowel disease within 28 days prior to first dose
- Other malignancies within 5 years prior to the first dose or currently suffering from other malignancies
- Unresolved toxicity greater than CTCAE Grade 1 due to any prior therapy
- Major surgical treatment, significant traumatic injury within 28 days prior to the first dose or anticipation of major surgery during study treatment
- Had wounds or fractures that had not been healed for a long time
- Cerebrovascular accident, deep venous thrombosis and pulmonary embolism within 6 months prior to the first dose
- Patients with a history of psychotropic substance abuse who cannot quit or have mental disorders
- Subjects with any severe and/or uncontrolled disease
- Known tumor-related carcinomatous meningitis with symptoms of brain metastases or symptom control for less than 4 weeks
- Patients with imaging suggestive of tumor invasion of major blood vessels or fatal massive hemorrhage due to tumor rupture or invasion of major blood vessels judged by the investigator to be very likely to occur during the study
- Failure to control serous effusions requiring repeated drainage
- Local radiotherapy or 4. Bone marrow irradiation > 30% for bone metastasis before the first medication
- Known tumor-related spinal cord compression, weight-bearing bone pathological fracture, extensive bone metastasis, or uncontrollable tumor bone metastasis-related pain
- Patients who have received chemotherapy, targeted therapy, immunotherapy or other systemic anti-tumor drug therapy before the first medication;
- Received Chinese patent medicine treatment with anti-tumor indications in the package insert of National Medical Products Administration (NMPA) approved drugs before study treatment
- History of live attenuated vaccination before the first dose or planned live attenuated vaccination during the study;
- Previous history of severe allergy of unknown origin
- According to the investigator's judgment, there are concomitant diseases that seriously endanger the subject's safety or affect the completion of the study, or the subject is considered unsuitable for other reasons
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Ninguno (etiqueta abierta)
Número de brazos
Armas e Intervenciones
Grupo de participantes/brazoGrupo de participantes/brazo |
Intervención / TratamientoIntervención / Tratamiento |
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Experimental: TQB2930 injection + Oxaliplatin injection + Capecitabine tablets + Bevacizumab injection
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TQB2930 enhances the binding to HER2 protein on the surface of tumor cells and increases HER2 internalization by simultaneously targeting ECD2 and ECD4, two non-overlapping epitopes of HER2 protein, which in turn more effectively down-regulates HER2 protein on the surface of tumor cells and dually blocks HER2 signaling.
Oxaliplatin can block DNA replication and transcription and induce tumor cell apoptosis.
Capecitabine inhibits thymidylate synthase (TS) and interferes with DNA synthesis.
Bevacizumab blocks Vascular Endothelial Growth Factor (VEGF) binding to receptors and inhibits tumor angiogenesis.
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Comparador activo: TQB2930 injection + Oxaliplatin injection + Capecitabine tablets
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TQB2930 enhances the binding to HER2 protein on the surface of tumor cells and increases HER2 internalization by simultaneously targeting Extracellular Domain 2 (ECD2) and Extracellular Domain 4 (ECD4), two non-overlapping epitopes of HER2 protein, which in turn more effectively down-regulates HER2 protein on the surface of tumor cells and dually blocks HER2 signaling.
Oxaliplatin can block DNA replication and transcription and induce tumor cell apoptosis.
Capecitabine inhibits thymidylate synthase (TS) and interferes with DNA synthesis.
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¿Qué mide el estudio?
Medidas de resultado primarias
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Recommended Phase 2 Dose
Periodo de tiempo: Baseline up to 21 days
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It refers to the safe and effective dose range that can be used for phase II study determined through phase I clinical trial.
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Baseline up to 21 days
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Adverse event (AE)
Periodo de tiempo: From the subject's signing of the informed consent form to 28 days after the last dose or the start of new anti-tumor therapy (whichever occurs first)
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Incidence and severity of adverse events.
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From the subject's signing of the informed consent form to 28 days after the last dose or the start of new anti-tumor therapy (whichever occurs first)
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Objective Response Rate
Periodo de tiempo: Baseline up to 24 months
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The proportion of patients achieving complete response and partial response among the total evaluable cases.
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Baseline up to 24 months
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Medidas de resultado secundarias
Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Half-life
Periodo de tiempo: Baseline up to 24 months
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The time it takes for the concentration of a drug in the body (usually the plasma concentration) to decrease to half of its initial value.
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Baseline up to 24 months
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Plasma concentration-time profiles
Periodo de tiempo: Baseline up to 24 months
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Total area covered under the curve plotted with time as X-axis and plasma concentration as Y-axis.
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Baseline up to 24 months
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Apparent clearance
Periodo de tiempo: Baseline up to 24 months
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The rate at which the drug is cleared from the body.
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Baseline up to 24 months
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Apparent terminal volume of distribution
Periodo de tiempo: Baseline up to 24 months
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Describe the drug distribution in the body.
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Baseline up to 24 months
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Trough plasma concentration
Periodo de tiempo: Baseline up to 24 months
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Minimum plasma drug concentration level at the end of the dosing interval (before the next dosing).
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Baseline up to 24 months
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Disease Control Rate
Periodo de tiempo: Baseline up to 24 months
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The percentage of subjects with a complete response, partial response, or stable disease as determined by RECIST 1.1.
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Baseline up to 24 months
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Duration Of Response
Periodo de tiempo: Baseline up to 24 months
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The time from the first assessment of the tumor as a complete response or partial response to the first occurrence of disease progression or death from any cause.
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Baseline up to 24 months
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Progression Free Survival
Periodo de tiempo: Baseline up to 24 months
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Progression Free Survival (PFS) is defined as the length of time from the start of treatment until the disease progresses or the patient dies from any cause.
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Baseline up to 24 months
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Overall Survival
Periodo de tiempo: Baseline up to 24 months
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The time from the start of initial treatment to death from any cause.
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Baseline up to 24 months
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Anti-Drug Antibodies (ADA) incidence
Periodo de tiempo: Baseline up to 24 months
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Proportion of anti-drug antibody produced in the population of patients using the drug.
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Baseline up to 24 months
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Colaboradores e Investigadores
Patrocinador
Patrocinador
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Estimado)
Inicio del estudio
Finalización primaria (Estimado)
Finalización primaria
Finalización del estudio (Estimado)
Finalización del estudio
Fechas de registro del estudio
Enviado por primera vez
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Actual)
Publicado por primera vez
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización publicada
Última actualización enviada que cumplió con los criterios de control de calidad
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Última verificación
Más información
Términos relacionados con este estudio
Términos MeSH relevantes adicionales
- Neoplasias por sitio
- Neoplasias
- Enfermedades intestinales
- Neoplasias Gastrointestinales
- Neoplasias del Sistema Digestivo
- Enfermedades del Sistema Digestivo
- Enfermedades Gastrointestinales
- Neoplasias Intestinales
- Enfermedades Rectales
- Enfermedades del Colon
- Neoplasias colorrectales
- Aminoácidos, péptidos y proteínas
- Proteínas
- Químicos orgánicos
- Compuestos heterocíclicos, 1 anillo
- Compuestos heterocíclicos
- Ácidos nucleicos, nucleótidos y nucleósidos
- Anticuerpos, monoclonales, humanizados
- Anticuerpos, monoclonal
- Anticuerpos
- Inmunoglobulinas
- Inmunoproteínas
- Proteínas de la sangre
- Globulinas séricas
- Globulinas
- Complejos de coordinación
- Desoxicitidina
- Citidina
- Nucleósidos de pirimidina
- Pirimidinas
- Nucleósidos
- Uracílico
- Pirimidinonas
- Desoxirribonucleósidos
- Fluorouracil
- Capecitabina
- Oxaliplatino
- Bevacizumab
Otros números de identificación del estudio
Otros números de identificación del estudio
- TQB2930-Ib/II-02
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .