- ICH GCP
- Registre américain des essais cliniques
- Essai clinique NCT04072679
Safety and Efficacy Study of Sintilimab Combined With IBI305 in Patients With Advanced Hepatocellular Carcinoma
Evaluation of the Safety and Efficacy of Sintilimab Combined With IBI305 in the Treatment of Advanced Hepatocellular Carcinoma in a Single-center, One-arm, and Phase Ib Study
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Description détaillée
This study is to evaluate the safety, tolerability and efficacy of Sintilimab combined with IBI305 in patients with advanced hepatocellular carcinoma in China.
Approximately 26-38 subjects with locally advanced or metastatic hepatocellular carcinoma will be enrolled in the study. It includes dose escalation and dose expansion stage. 12-18 subjects will be enrolled in dose escalation stage for the safety and efficacy evaluation. Then select specific dose of IBI305 +Sintilimab 200mg/kg, expand to 20 patients for the further safety and efficacy study.
The study treatment lasts up to 24 months, or until disease progresses, intolerable toxicity, withdrawal of informed consent, loss of follow-up, death, or other circumstances that require termination of treatment, whichever occurs first.
Type d'étude
Inscription (Réel)
Phase
- La phase 1
Contacts et emplacements
Lieux d'étude
-
-
-
Beijing, Chine, 100021
- National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College
-
-
Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
La description
Inclusion Criteria:
- Local advanced or metastatic hepatocellular carcinoma, confirmed by histology/cytology.
- Barcelona Clinic Liver Cancer (BCLC) C. BCLC B, unsuitable for local treatments or local treatments failure.
- Patients who failed to or unsuitable for the previously systemic chemotherapy, sorafenib, lenvatinib, regorafenib or similar drug failure (disease progression or toxicity intolerance).
- At least one measurable lesion per RECIST V1.1 that has not been treated locally or that has progressed after local treatment.
- Child-Pugh score ≤ 7 points.
- ECOG:0 or 1.
- Adequate organ and bone marrow function.
Exclusion Criteria:
- With fibrous lamellar hepatocellular carcinoma, sarcomatoid hepatocellular carcinoma, cholangiocarcinoma components in tumor tissues.
- Have a history of hepatic encephalopathy or have a history of liver transplantation.
- HBV DNA>2000 IU/ml or 104 copies/ml for acute or chronic active hepatitis B or hepatitis C; HCV RNA>103 copies/ml; both HbsAg and anti-HCV antibody are positive.
- Esophageal or gastric varices bleeding caused by portal hypertension occurred in the past 6 months. Patients with endoscopy evidence of severe varices (G3) within 3 months. Patients with portal hypertension in high risk of bleeding evaluated by investigator.
- History of venous thromboembolism in the past 6 months, including myocardial infarction, unstable angina, cerebrovascular accident or transient ischemic attack, pulmonary embolism, deep vein thrombosis or any other history of severe thromboembolism. Implantable IV ports or catheter-derived thrombosis, superficial venous thrombosis, or thrombosis after conventional anticoagulant therapy are excluded. Prophylactic uses of low-dose aspirin or low molecular weight heparin is allowed.
- Portal vein tumor thrombus (PVTT) involves both the main trunk and contralateral branch or upper mesenteric vein. Inferior vena cava tumor thrombus.
- Uncontrolled high blood pressure, systolic blood pressure ≥150mmHg or diastolic blood pressure ≥100mmHg after optimal medical treatment; Hypertensive crisis or history of hypertensive encephalopathy.
- History of gastrointestinal perforation and/or fistula in the past 6 months, history of intestinal obstruction (including incomplete intestinal obstruction requiring parenteral nutrition), extensive bowel resection (partial colectomy or extensive small bowel resection) , complicated by chronic diarrhea), Crohn's disease, ulcerative colitis or long-term chronic diarrhea.
- History of interstitial pneumonia, drug-induced pneumonia, idiopathic pneumonia or active pneumonia. Allow radioactive pneumonia in the radiotherapy area.
- Active tuberculosis (TB), who are receiving anti-tuberculosis treatment or who have received anti-tuberculosis treatment within 1 year before inclusion.
- HIV infected (HIV 1/2 antibody positive).
- Use of immunosuppressive drugs in the past 4 weeks, excluding the routes of topical glucocorticoids or physiological doses of systemic glucocorticoids (ie no more than 10 mg/day of prednisone or equivalent). Temporary use of glucocorticoids for dyspnea symptoms such as asthma and chronic obstructive pulmonary disease is allowed.
- Have undergone major surgery (craniotomy, thoracotomy or open surgery) or unhealed wounds, ulcers or fractures within 4 weeks.
- Previously received any anti-PD-1, anti-PD-L1/L2 antibodies, anti-CTLA4 antibodies, or other immunotherapy; previously received anti-VEGF monoclonal antibody treatment.
- Female patients who are pregnant or breastfeeding.
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: N / A
- Modèle interventionnel: Affectation à un seul groupe
- Masquage: Aucun (étiquette ouverte)
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
---|---|
Expérimental: Sintilimab+IBI305
Sintilimab: 200mg (D1, q3w) IBI305: 7.5mg/kg or 15mg/kg (D1, q3w)
|
It includes dose escalation and dose expansion stage.
6-9 subjects will be enrolled in dose escalation stage for the safety and efficacy evaluation.
Then select specific dose of IBI305 +Sintilimab 200mg/kg, expand to 36-39 patients for the further safety and efficacy study.The study treatment lasts up to 24 months.
|
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
---|---|---|
Incicende of Adverse Events (AEs)
Délai: 2 years
|
Number of patients with AE, treatment-related AE (TRAE), immune-related AEs (irAE), AE of special interest (AESI), serious adverse event (SAE) assessed by CTCAE v5.0.
|
2 years
|
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
---|---|---|
Objective Response Rate (ORR)
Délai: 2 years
|
Investigator assessed according to RECIST v1.1
|
2 years
|
Time to response (TTR)
Délai: 2 years
|
Investigator assessed according to RECIST v1.1
|
2 years
|
Duration of response (DOR)
Délai: 2 years
|
Investigator assessed according to RECIST v1.1
|
2 years
|
Disease control rate (DCR)
Délai: 2 years
|
Investigator assessed according to RECIST v1.1
|
2 years
|
Progression free survival (PFS)
Délai: 2 years
|
Investigator assessed according to RECIST v1.1
|
2 years
|
Overall Survival (OS)
Délai: 2 years
|
Investigator assessed according to RECIST v1.1
|
2 years
|
Anti-drug antibody (ADA)
Délai: 2 years
|
Immunogenicity measured by anti-drug antibody (ADA) for Sintilimab and IBI305
|
2 years
|
Collaborateurs et enquêteurs
Les enquêteurs
- Chercheur principal: Aiping Zhou Zhou, Doctor, National Cancer Center/Cancer Hospital, China
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Réel)
Achèvement primaire (Réel)
Achèvement de l'étude (Réel)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- CIBI338B101
Informations sur les médicaments et les dispositifs, documents d'étude
Étudie un produit pharmaceutique réglementé par la FDA américaine
Étudie un produit d'appareil réglementé par la FDA américaine
produit fabriqué et exporté des États-Unis.
Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .
Essais cliniques sur Carcinome hépatocellulaire avancé
-
Hoffmann-La RocheRésiliéAdvanced BRAFV600 Mélanome de type sauvageÉtats-Unis, Corée, République de, Australie, Belgique, France, Fédération Russe, Italie, Pays-Bas, Espagne, Royaume-Uni, Brésil, Pologne, Allemagne, Grèce, Hongrie
-
Advanced BionicsComplétéPerte auditive sévère à profonde | chez les utilisateurs adultes du système d'oreille bionique Advanced Bionics HiResolution™États-Unis
-
Novartis PharmaceuticalsRecrutementAdvanced EGFRmutant NonSmallSellLungCancer (NSCLC),KRAS G12-mutant NSCLC,Esophageal SquamousCellCancer (SCC),Head/Neck SCC,MélanomePays-Bas, Corée, République de, Espagne, Taïwan, Japon, Italie, Canada, États-Unis, Singapour
Essais cliniques sur Sintilimab+IBI305
-
Tongji HospitalWuhan University; Henan Cancer Hospital; Qilu Hospital of Shandong University; Hubei Cancer Hospital et autres collaborateursRecrutementCarcinome à cellules claires de l'ovaireChine
-
Innovent Biologics (Suzhou) Co. Ltd.Inconnue
-
Sun Yat-sen UniversityActif, ne recrute pasCancer colorectal stable microsatellite avancé | Cancer colorectal métastatique microsatellite stableChine
-
Innovent Biologics (Suzhou) Co. Ltd.Complété
-
RemeGen Co., Ltd.RecrutementTumeurs solides avancéesChine
-
Beijing Tiantan HospitalRecrutement
-
Innovent Biologics (Suzhou) Co. Ltd.ComplétéCancer du poumon non à petites cellules non épidermoïdeChine
-
Tianjin Medical University Cancer Institute and...RecrutementCholangiocarcinome intrahépatiqueChine
-
Innovent Biologics (Suzhou) Co. Ltd.Innovent Biologics (USA), Inc.RetiréMélanome cutané métastatique | Mélanome cutané non résécableÉtats-Unis, Allemagne, France, Australie, Espagne, Suisse, Royaume-Uni
-
Zhejiang Cancer HospitalRecrutementCarcinome épidermoïde de l'œsophageChine