- ICH GCP
- Registro de ensayos clínicos de EE. UU.
- Ensayo clínico 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?
Descripción general del estudio
Estado
Condiciones
Intervención / Tratamiento
Tipo de estudio
Inscripción (Estimado)
Fase
- Fase 1
Contactos y Ubicaciones
Estudio Contacto
- Nombre: Yi Zhang
- Número de teléfono: 0086-18615536063
- Correo electrónico: yiz@neocura.net
Copia de seguridad de contactos de estudio
- Nombre: Bo Liu
- Número de teléfono: 0086-18101388626
- Correo electrónico: bliu@neocura.net
Ubicaciones de estudio
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Beijing, Porcelana
- Reclutamiento
- Peking University Cancer Hospital
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Contacto:
- Changsong Qi
- Número de teléfono: 0086-10-88196561
- Correo electrónico: linshenpku@163.com
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Investigador principal:
- Lin Shen, Prof.
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Beijing, Porcelana
- Reclutamiento
- Peking Union Medical College Hospital
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Contacto:
- Ding yan Cao
- Número de teléfono: 86-10-69156874
- Correo electrónico: caodingyan@pumch.cn
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Investigador principal:
- Wenmin Wu, Prof.
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Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
- Adulto
- Adulto Mayor
Acepta Voluntarios Saludables
Descripción
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;
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: N / A
- Modelo Intervencionista: Asignación de un solo grupo
- Enmascaramiento: Ninguno (etiqueta abierta)
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
|---|---|
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Experimental: Treatment
XH001 injection administered based on adjuvant chemotherapy with the mFOLFIRINOX regimen
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mRNA neoantigen cancer vaccine
oxaliplatin+lrinotecan+calcium folinate+5-FU
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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Adverse Event
Periodo de tiempo: up to 36 months
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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)
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up to 36 months
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Dose-Limiting Toxicity
Periodo de tiempo: From the first administration of XH001 to 4 weeks after the first administration of XH001 injection.
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Grade 3 or higher adverse events (AEs) or laboratory abnormalities related to XH001 injection
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From the first administration of XH001 to 4 weeks after the first administration of XH001 injection.
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Immune response at different doses
Periodo de tiempo: From Baseline up to 2 years.
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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.
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Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Recurrent-Free Survival
Periodo de tiempo: 3 years
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The time from the patient undergoing radical surgery to recurrence or death from any cause, whichever comes first.
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3 years
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Local Recurrent-Free Survival
Periodo de tiempo: 3 years
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The time from the patient undergoing radical surgery to local recurrence or death from any cause, whichever comes first.
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3 years
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Distant metastasis-Free Survival
Periodo de tiempo: 3 years
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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.
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3 years
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Overall survival
Periodo de tiempo: 3 years
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The time from the patient undergoing radical surgery to death from any cause.
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3 years
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Colaboradores e Investigadores
Patrocinador
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Actual)
Finalización primaria (Estimado)
Finalización del estudio (Estimado)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Actual)
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
- Neoplasias por sitio
- Neoplasias
- Neoplasias por tipo histológico
- Neoplasias Gastrointestinales
- Neoplasias del Sistema Digestivo
- Enfermedades del Sistema Digestivo
- Enfermedades Gastrointestinales
- Enfermedades del Estómago
- Enfermedades del Tracto Biliar
- Enfermedades del HIGADO
- Neoplasias Glandulares y Epiteliales
- Adenocarcinoma
- Neoplasias Hepaticas
- Carcinoma
- Enfermedades de la vesícula biliar
- Neoplasias de Estómago
- Neoplasias del Tracto Biliar
- Carcinoma Hepatocelular
- Colangiocarcinoma
- Neoplasias de vesícula biliar
Otros números de identificación del estudio
- XH001-01
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
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.
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