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
Studieoversikt
Status
Status
Forhold
Forhold
Intervensjon / Behandling
Intervensjon / Behandling
Studietype
Studietype
Registrering (Antatt)
Registrering
Fase
Fase
- Fase 2
Kontakter og plasseringer
Studiekontakt
Studiekontakt
- Navn: Program Director
- Telefonnummer: 86-21- 67680899
- E-post: ra_bj@lepubiopharma.com
Studiesteder
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Beijing Municipality
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Beijing, Beijing Municipality, Kina, 100142
- Har ikke rekruttert ennå
- Peking University Cancer Hospital
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Ta kontakt med:
- Bin Zhang
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Fujian
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Fuzhou, Fujian, Kina, 350005
- Har ikke rekruttert ennå
- The First Affiliated Hospital of Fujian Medical University
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Ta kontakt med:
- Gongbiao Lin
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Guangdong
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Guangzhou, Guangdong, Kina, 510120
- Rekruttering
- Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University
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Ta kontakt med:
- Jinsong Li
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Guangzhou, Guangdong, Kina, 510060
- Har ikke rekruttert ennå
- Sun Yat-sen University Cancer Center
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Ta kontakt med:
- Xuekui Liu
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Shantou, Guangdong, Kina, 515041
- Har ikke rekruttert ennå
- Cancer Hospital of Shantou University Medical College
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Ta kontakt med:
- Hanwei Peng
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Guangxi
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Nanning, Guangxi, Kina, 530021
- Har ikke rekruttert ennå
- Guangxi Medical University Cancer Hospital
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Ta kontakt med:
- Duoping Wang
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Hebei
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Shijiazhuang, Hebei, Kina, 050011
- Har ikke rekruttert ennå
- The Fourth Hospital of Hebei Medical University
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Ta kontakt med:
- Juan Li
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Hubei
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Wuhan, Hubei, Kina, 430079
- Har ikke rekruttert ennå
- Hubei Cancer Hospital
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Ta kontakt med:
- Jian Chen
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Hunan
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Changsha, Hunan, Kina, 410013
- Har ikke rekruttert ennå
- Hunan Cancer Hospital
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Ta kontakt med:
- Hao Tian
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Changsha, Hunan, Kina, 410008
- Har ikke rekruttert ennå
- Xiangya Hospital of Central South University
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Ta kontakt med:
- Canhua Jiang
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Liaoning
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Shenyang, Liaoning, Kina, 110042
- Har ikke rekruttert ennå
- Liaoning Cancer Hospital & Institute
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Ta kontakt med:
- Zhendong Li
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Shanghai Municipality
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Shanghai, Shanghai Municipality, Kina, 200120
- Har ikke rekruttert ennå
- Shanghai East Hospital
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Ta kontakt med:
- Ye Guo
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Shanghai, Shanghai Municipality, Kina, 200011
- Har ikke rekruttert ennå
- Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine
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Ta kontakt med:
- Yue He
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Zhejiang
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Hangzhou, Zhejiang, Kina, 310022
- Har ikke rekruttert ennå
- Zhejiang Cancer Hospital
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Ta kontakt med:
- Chao Chen
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Ningbo, Zhejiang, Kina, 315040
- Har ikke rekruttert ennå
- Ningbo Medical Center Lihuili Hospital
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Ta kontakt med:
- Zhisen Shen
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Deltakelseskriterier
Kvalifikasjonskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
- Voksen
- Eldre voksen
Tar imot friske frivillige
Beskrivelse
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.
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Firemannsrom
Antall våpen
Våpen og intervensjoner
Deltakergruppe / ArmDeltakergruppe / Arm |
Intervensjon / BehandlingIntervensjon / Behandling |
|---|---|
|
Eksperimentell: locally advanced resectable HNSCC Becotatug Vedotin +Pucotenlimab
|
Administrated intravenously
Administrated intravenously
|
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Placebo komparator: locally advanced resectable HNSCC Placebo +Pucotenlimab
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Administrated intravenously
Administrated intravenously
|
Hva måler studien?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Major Pathological Response (MPR) Rate
Tidsramme: 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
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Pathological Complete Response (pCR) Rate
Tidsramme: 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)
Tidsramme: 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)
Tidsramme: 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)
Tidsramme: 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
Tidsramme: surgical resection rate will be evaluated perioperatively
|
surgical resection rate will be evaluated perioperatively
|
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R0 resection rate
Tidsramme: 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
Tidsramme: lymph node downstaging rate will be determined up to 8 weeks postoperatively based on comparison of pre- and post-treatment imaging and pathology
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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
Tidsramme: Within 30 days after last dose (30 days + 7 days window)
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Within 30 days after last dose (30 days + 7 days window)
|
|
Serum Concentration
Tidsramme: 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)
Tidsramme: From randomization through completion of therapy, up to 30 weeks
|
From randomization through completion of therapy, up to 30 weeks
|
Samarbeidspartnere og etterforskere
Sponsor
Sponsor
Studierekorddatoer
Studer hoveddatoer
Studiestart (Faktiske)
Studiestart
Primær fullføring (Antatt)
Primær fullføring
Studiet fullført (Antatt)
Studiet fullført
Datoer for studieregistrering
Først innsendt
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Først lagt ut
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Sist oppdatering lagt ut
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
Andre studie-ID-numre
- HX008/MRG003-C004
Plan for individuelle deltakerdata (IPD)
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