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
Visão geral do estudo
Status
Status
Condições
Condições
Intervenção / Tratamento
Intervenção / Tratamento
Tipo de estudo
Tipo de estudo
Inscrição (Estimado)
Inscrição
Estágio
Estágio
- Fase 2
- Fase 1
Contactos e Locais
Contato de estudo
Contato de estudo
- Nome: Ruihua Xu, Doctor
- Número de telefone: 020-87343468
- E-mail: xurh@syscc.org.cn
Locais de estudo
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Beijing Municipality
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Beijing, Beijing Municipality, China, 100034
- Peking University First Hospital
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Contato:
- Shikai Wu, Doctor
- Número de telefone: 15810037307
- E-mail: Skywu4923@sina.com
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Gansu
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Lanzhou, Gansu, China, 730050
- Gansu Provincial Tumor Hospital
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Contato:
- Zhihu Li, Master
- Número de telefone: 18993042850
- E-mail: 245698692@qq.com
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Guangxi
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Nanning, Guangxi, China, 530000
- Guangxi Zhuang Autonomous Region Cancer Hospital
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Contato:
- Rong Liang, Doctor
- Número de telefone: 18677070811
- E-mail: 53371159@qq.com
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Guizhou
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Zunyi, Guizhou, China, 563000
- The Affiliated Hospital of Zunyi Medical University
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Contato:
- Jiwei Wang, Doctor
- Número de telefone: 18013964231
- E-mail: zmu_wangjw@163.com
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Heilongjiang
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Harbin, Heilongjiang, China, 150000
- Harbin Medical University Cancer Hospital
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Contato:
- Tongsen Zheng, Doctor
- Número de telefone: 15134569619
- E-mail: zhengtongsen@126.com
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Contato:
- Yuxian Bai, Doctor
- Número de telefone: 13945095085
- E-mail: bai_yuxian@126.com
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Henan
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Zhengzhou, Henan, China, 450000
- The First Affiliated Hospital of Zhengzhou University
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Contato:
- Yongxu Jia, Doctor
- Número de telefone: 15237128281
- E-mail: fccjiayx@zzu.edu.cn
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Zhengzhou, Henan, China, 450000
- Henan Cancer Hospital
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Contato:
- Ying Liu, Doctor
- Número de telefone: 13783604602
- E-mail: yaya7207@126.com
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Zhengzhou, Henan, China, 450000
- The Third People's Hospital of Zhengzhou
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Contato:
- HaiCun Wang, Master
- Número de telefone: 13803833783
- E-mail: whc1975@126.com
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Hubei
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Jingzhou, Hubei, China, 434099
- Jingzhou First People's Hospital
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Contato:
- Yan Hu, Master
- Número de telefone: 18163137369
- E-mail: helensparkle@163.com
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Wuhan, Hubei, China, 430022
- Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
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Contato:
- Hongli Liu, Doctor
- Número de telefone: 13995680822
- E-mail: hongliliu@hust.edu.cn
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Hunan
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Changsha, Hunan, China, 410013
- Hunan Cancer Hospital
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Contato:
- Yi He, Doctor
- Número de telefone: 18692237222
- E-mail: heyi@hnca.org.cn
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Jiangsu
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Nanjing, Jiangsu, China, 210009
- Zhongda Hospital Southeast University
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Contato:
- CaiLian Wang, Doctor
- Número de telefone: 13851756378
- E-mail: wangcailian65@hotmail.com
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Nanjing, Jiangsu, China, 210000
- Jiangsu Provincial Cancer Hospital
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Contato:
- Yuanhua Liu, Doctor
- Número de telefone: 13305180356
- E-mail: yuanhualiu02@hotmail.com
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Jilin
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Changchun, Jilin, China, 130021
- The First Hospital of Jilin University
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Contato:
- Tingting Liang, Doctor
- Número de telefone: 15804303776
- E-mail: liangting2006@163.com
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Changchun, Jilin, China, 130021
- Jilin cancer hospital
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Contato:
- Hongxia Cui, Master
- Número de telefone: 13504436090
- E-mail: 2503074283@qq.com
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Liaoning
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Shenyang, Liaoning, China, 110000
- Liaoning Cancer Hospital & Institute
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Contato:
- Jingdong Zhang, Doctor
- Número de telefone: 18040007878
- E-mail: 13804027878@163.com
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Shaanxi
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Xi'an, Shaanxi, China, 710000
- The First Affiliated Hospital of Xi'an Jiaotong University Medical College
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Contato:
- Aili Suo, Doctor
- Número de telefone: 18991232561
- E-mail: Ailisuo@mail.xjtu.edu.cn
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Shanghai Municipality
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Shanghai, Shanghai Municipality, China, 200127
- Renji Hospital, Shanghai Jiao Tong University School of Medicine
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Contato:
- XiuYing Xiao, Doctor
- Número de telefone: 13564579313
- E-mail: xiaoxiuying2002@163.com
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Shanxi
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Xi’an, Shanxi, China, 710000
- The Second Affiliated Hospital of Air Force Medical University
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Contato:
- Haichuan Su, Doctor
- Número de telefone: 18629190366
- E-mail: cntdgcp@163.com
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Xi’an, Shanxi, China, 710000
- The First Affiliated Hospital of Air Force Medical University
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Contato:
- Yongzhan Nie, Doctor
- Número de telefone: 15091520001
- E-mail: nieyongzhan@qq.com
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Tianjin Municipality
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Tianjin, Tianjin Municipality, China, 300121
- Tianjin Union Medical Center
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Contato:
- Mingqing Zhang, Doctor
- Número de telefone: 15122875158
- E-mail: zmq1003@163.com
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Tianjin, Tianjin Municipality, China, 300202
- Tianjin Medical University Cancer Institute & Hospital
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Contato:
- Zhanyu Pan, Master
- Número de telefone: 18622221256
- E-mail: tjpanzy@126.com
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Xinjiang
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Ürümqi, Xinjiang, China, 830054
- Xinjiang Medical University Affiliated Tumor Hospital
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Contato:
- YanLi Qu, Master
- Número de telefone: 18160627963
- E-mail: quyanli73@163.com
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Zhejiang
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Lishui, Zhejiang, China, 323000
- Lishui Municipal Central Hospital
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Contato:
- Yanru Xie, Master
- Número de telefone: 13567615770
- E-mail: 43437677@qq.com
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Critérios de participação
Critérios de elegibilidade
Critérios de elegibilidade
Idades elegíveis para estudo
- Adulto
- Adulto mais velho
Aceita Voluntários Saudáveis
Descrição
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
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Tratamento
- Alocação: Randomizado
- Modelo Intervencional: Atribuição Paralela
- Mascaramento: Nenhum (rótulo aberto)
Número de braços
Armas e Intervenções
Grupo de Participantes / BraçoGrupo de Participantes / Braço |
Intervenção / TratamentoIntervenção / Tratamento |
|---|---|
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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 Ativo: 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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O que o estudo está medindo?
Medidas de resultados primários
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
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Recommended Phase 2 Dose
Prazo: 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)
Prazo: 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
Prazo: 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 resultados secundários
Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
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Half-life
Prazo: Baseline up to 24 months
|
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.
|
Baseline up to 24 months
|
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Plasma concentration-time profiles
Prazo: Baseline up to 24 months
|
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
Prazo: Baseline up to 24 months
|
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
Prazo: Baseline up to 24 months
|
Describe the drug distribution in the body.
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Baseline up to 24 months
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Trough plasma concentration
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: Baseline up to 24 months
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The time from the start of initial treatment to death from any cause.
|
Baseline up to 24 months
|
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Anti-Drug Antibodies (ADA) incidence
Prazo: Baseline up to 24 months
|
Proportion of anti-drug antibody produced in the population of patients using the drug.
|
Baseline up to 24 months
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Colaboradores e Investigadores
Patrocinador
Patrocinador
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo (Estimado)
Início do estudo
Conclusão Primária (Estimado)
Conclusão Primária
Conclusão do estudo (Estimado)
Conclusão do estudo
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Real)
Primeira postagem
Atualizações de registro de estudo
Última Atualização Postada (Real)
Última Atualização Postada
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Última verificação
Mais Informações
Termos relacionados a este estudo
Termos MeSH relevantes adicionais
- Neoplasias por local
- Neoplasias
- Doenças Intestinais
- Neoplasias gastrointestinais
- Neoplasias do Aparelho Digestivo
- Doenças do aparelho digestivo
- Doenças Gastrointestinais
- Neoplasias Intestinais
- Doenças retais
- Doenças do cólon
- Neoplasias Colorretais
- Aminoácidos, peptídeos e proteínas
- Proteínas
- Produtos químicos orgânicos
- Compostos heterocíclicos, 1 anel
- Compostos heterocíclicos
- Ácidos nucleicos, nucleotídeos e nucleosídeos
- Anticorpos, monoclonais, humanizados
- Anticorpos, monoclonais
- Anticorpos
- Imunoglobulinas
- Imunoproteínas
- Proteínas sanguíneas
- Globulinas de soro
- Globulins
- Complexos de coordenação
- Desoxicitidina
- Citidina
- Nucleosídeos de pirimidina
- Pirimidinas
- Nucleosídeos
- Uracil
- Pirimidinonas
- Desoxirribonucleosídeos
- Fluorouracil
- Capecitabina
- Oxaliplatina
- Bevacizumabe
Outros números de identificação do estudo
Outros números de identificação do estudo
- TQB2930-Ib/II-02
Informações sobre medicamentos e dispositivos, documentos de estudo
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