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- Ensaio Clínico NCT05043688
A Trial Of Neoadjuvant Chemotherapy or Radiochemotherapy With Or Without SHR-1210 In Patients With Resectable ESCC.
A Trial Of Neoadjuvant Chemotherapy or Radiochemotherapy With Or Without SHR-1210 In Patients With Locally Advanced Resectable Esophageal Squamous Cell Carcinoma.This is a Randomised, Open, Parallel Control, Multi-center Phase II Trial.
Visão geral do estudo
Status
Intervenção / Tratamento
Tipo de estudo
Inscrição (Antecipado)
Estágio
- Fase 2
Contactos e Locais
Contato de estudo
- Nome: Jin Yan
- Número de telefone: 18906495424
- E-mail: jin.yan@hengrui.com
Locais de estudo
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Shanghai
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Shanghai, Shanghai, China, 200000
- Shanghai Chest Hospital
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Investigador principal:
- Zhigang Li
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Contato:
- Yang Yang
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Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
Aceita Voluntários Saudáveis
Gêneros Elegíveis para o Estudo
Descrição
Inclusion Criteria:
- The result of pathological biopsy showed esophageal squamous cell carcinoma;
- Have not received systemic or local treatment for esophageal cancer in the past;
- Age 18-75 years (including 18 and 75 years old), both male and female;
- ECOG score 0-1;
- Thoracic esophageal cancer assessed by CT/MRI/EUS etc. as resectable and the clinical stage is T1b-3N1-3M0 or T3N0M0, according to the 8th edition of AJCC staging;
- Those who are expected to achieve R0 resection;
- Voluntarily sign an informed consent form before treatment;
- Plan to receive surgical treatment after neoadjuvant treatment is completed;
- No surgical contraindications;
- Normal function of major organs
- Female subjects with fertility must undergo a serum pregnancy test within 72 hours before starting the study drug administration, and the result is negative, and take effective contraception during the trial and at least 3 months after the last administration Measures (such as intrauterine devices, contraceptives, or condoms); for male subjects whose partners are females of childbearing age, effective contraceptive measures should be taken during the trial and within 3 months after the last administration;
- The subjects have good compliance and can follow up the efficacy and adverse events/reactions according to the requirements of the plan;
Exclusion Criteria:
- There are unresectable factors, including unresectable tumors, unresectable contraindications for surgery, or rejection of surgery;
- Patients with supraclavicular lymph node metastasis;
- Poor nutritional status, BMI <18.5 Kg/m2; if the symptomatic nutritional support is corrected before randomization, the main investigator can continue to consider it after evaluation;
- Those who are known to have a history of allergies to the drug components of this program;
Have received or are receiving any of the following treatments in the past:
- Any radiotherapy, chemotherapy or other anti-tumor drugs for tumors;
- Immunosuppressive drugs or systemic hormone drugs are being used within 2 weeks before the first use of the study drug to achieve immunosuppressive purposes (dose>10mg/day prednisone or equivalent dose); if there is no active autoimmune disease In the case of inhalation or topical use of steroids and prednisone doses> 10 mg/day or equivalent doses of adrenal cortex hormone replacement are allowed;
- Received a live attenuated vaccine within 4 weeks before using the study drug for the first time;
- Have undergone major surgery or severe trauma within 4 weeks before using the study drug for the first time;
- A history of immunodeficiency, including a positive HIV test, or other acquired or congenital immunodeficiency diseases, or a history of organ transplantation or allogeneic bone marrow transplantation;
- There are clinical symptoms or diseases of the heart that are not well controlled;
- Severe infections (CTCAE v5.0> level 2) occurred within 4 weeks before the first use of the study drug, such as severe pneumonia, bacteremia, infectious comorbidities that require hospitalization, etc.; baseline chest imaging examinations suggest activity Pulmonary inflammation, symptoms and signs of infection in the 14 days before the first use of the study drug, or those who require oral or intravenous antibiotic treatment, except for the prophylactic use of antibiotics;
- Participated in other drug clinical studies within 4 weeks before randomization;
- People who are currently accompanied by interstitial pneumonia or interstitial lung disease, or have a history of interstitial pneumonia or interstitial lung disease that requires hormone therapy, or have other pulmonary fibrosis that may interfere with the judgment and management of immune-related lung toxicity , Organizing pneumonia (such as bronchiolitis obliterans), pneumoconiosis, drug-related pneumonia, idiopathic pneumonia, or subjects whose CT shows active pneumonia or severe lung dysfunction during the screening period; active tuberculosis;
- Patients with any active autoimmune diseases or history of autoimmune diseases with the possibility of recurrence; patients with skin diseases that do not require systemic treatment, such as leukoplakia, psoriasis, hair loss, and insulin treatment Patients with controllable type I diabetes or a history of asthma, but who have been completely relieved during childhood without any intervention can be included in the group; patients with asthma who need bronchodilator intervention cannot be included in the group;
- There is active hepatitis B (HBV-DNA ≥ 2000 IU/mL or 104 copies/mL), hepatitis C (hepatitis C antibody is positive, and HCV-RNA is higher than the lower limit of the analytical method);
- Other malignant tumors have been diagnosed within 5 years before the first use of the study drug, unless malignant tumors with low risk of metastasis or death (5-year survival rate> 90%), such as fully treated skin basal cell carcinoma or squamous cell Skin cancer or cervical carcinoma in situ, etc., may be considered for inclusion;
- Women who are pregnant or breastfeeding;
- According to the judgment of the investigator, there are other factors that may lead to the forced termination of the study, such as suffering from other serious diseases (including mental illness) requiring combined treatment, alcoholism, drug abuse, family or social factors, which may affect the subjects Factors of safety or compliance.
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Tratamento
- Alocação: Randomizado
- Modelo Intervencional: Atribuição Paralela
- Mascaramento: Nenhum (rótulo aberto)
Armas e Intervenções
Grupo de Participantes / Braço |
Intervenção / Tratamento |
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Experimental: Neoadjuvant Chemotherapy With SHR-1210
Neoadjuvant Chemotherapy: Paclitaxel(Albumin Bound)100mg/m2, Day 1,8,15,Carboplatin AUC=5mg/ml/min,Day 1,SHR-1210 200mg,Day 1,every 3 weeks, 2 cycles. Postoperative adjuvant treatment:SHR-1210 maintenance |
The study perform preoperative neoadjuvant therapy, surgery and postoperative adjuvant therapy on subjects.
Preoperative neoadjuvant therapy includes 3 groups: immunotherapy combined with neoadjuvant chemotherapy, immunotherapy combined with neoadjuvant radiochemotherapy, and neoadjuvant radiochemotherapy.
Outros nomes:
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Experimental: Neoadjuvant Radiochemotherapy With SHR-1210
Neoadjuvant Radiochemotherapy: Paclitaxel 50mg/m2, Day 1,8,15,22,29,Carboplatin AUC=2mg/ml/min,Day 1,8,15,22,29,SHR-1210 200mg,Day 1,22, 5 cycles. Radio therapy d1-23. Postoperative adjuvant treatment:SHR-1210 maintenance |
The study perform preoperative neoadjuvant therapy, surgery and postoperative adjuvant therapy on subjects.
Preoperative neoadjuvant therapy includes 3 groups: immunotherapy combined with neoadjuvant chemotherapy, immunotherapy combined with neoadjuvant radiochemotherapy, and neoadjuvant radiochemotherapy.
Outros nomes:
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Outro: Neoadjuvant Radiochemotherapy Without SHR-1210
Neoadjuvant Radiochemotherapy: Paclitaxel 50mg/m2, Day 1,8,15,22,29,Carboplatin AUC=2mg/ml/min,Day 1,8,15,22,29, 5 cycles. Radio therapy d1-23. Postoperative adjuvant treatment:according to the recommendations of the guidelines and the investigators |
The study perform preoperative neoadjuvant therapy, surgery and postoperative adjuvant therapy on subjects.
Preoperative neoadjuvant therapy includes 3 groups: immunotherapy combined with neoadjuvant chemotherapy, immunotherapy combined with neoadjuvant radiochemotherapy, and neoadjuvant radiochemotherapy.
Outros nomes:
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O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
---|---|---|
pCR
Prazo: within 14 working days after surgery
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pCR is defined as pathological complete response(ypT0N0)
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within 14 working days after surgery
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Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
---|---|---|
OS
Prazo: approximately 22 months
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OS is defined as the time from registration to death due to any cause, or censored at date last known alive.
Measured by the method of Kaplan and Meier
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approximately 22 months
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R0 resection rate
Prazo: within 14 working days after operation
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defined as complete resection rate
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within 14 working days after operation
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EFS
Prazo: approximately 15 months
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defined as event free survival
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approximately 15 months
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DFS
Prazo: approximately 15 months
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defined as disease free survival
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approximately 15 months
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Proportion of completion of neoadjuvant treatment
Prazo: approximately 2 months
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defined as proportion of completion of neoadjuvant treatment;
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approximately 2 months
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Proportion of completed operations for neoadjuvant treatment
Prazo: approximately 3 months
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defined as proportion of completed operations for neoadjuvant treatment;
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approximately 3 months
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The proportion of patients progressing during neoadjuvant therapy;
Prazo: approximately 2 months
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defined as the proportion of patients progressing during neoadjuvant therapy;
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approximately 2 months
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HRQoL
Prazo: approximately 48 months
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defined as quality and nutrition assessment
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approximately 48 months
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AE
Prazo: approximately 48 months
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adverse events
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approximately 48 months
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Outras medidas de resultado
Medida de resultado |
Descrição da medida |
Prazo |
---|---|---|
PD-L1 expression
Prazo: approximately 48 months
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explore the correlation between the expression of PD-L1 and outcomes
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approximately 48 months
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Colaboradores e Investigadores
Patrocinador
Colaboradores
Publicações e links úteis
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo (Antecipado)
Conclusão Primária (Antecipado)
Conclusão do estudo (Antecipado)
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Real)
Atualizações de registro de estudo
Última Atualização Postada (Real)
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Mais Informações
Termos relacionados a este estudo
Termos MeSH relevantes adicionais
- Doenças do aparelho digestivo
- Neoplasias por Tipo Histológico
- Neoplasias
- Neoplasias por local
- Neoplasias Glandulares e Epiteliais
- Neoplasias gastrointestinais
- Neoplasias do Aparelho Digestivo
- Doenças Gastrointestinais
- Neoplasias de Cabeça e Pescoço
- Doenças Esofágicas
- Neoplasias de Células Escamosas
- Neoplasias Esofágicas
- Carcinoma
- Carcinoma de Células Escamosas
- Carcinoma Espinocelular de Esôfago
- Mecanismos Moleculares de Ação Farmacológica
- Agentes Antineoplásicos
- Moduladores de Tubulina
- Agentes Antimitóticos
- Moduladores de Mitose
- Agentes Antineoplásicos Fitogênicos
- Carboplatina
- Paclitaxel
- Paclitaxel ligado à albumina
Outros números de identificação do estudo
- LS2160
Plano para dados de participantes individuais (IPD)
Planeja compartilhar dados de participantes individuais (IPD)?
Informações sobre medicamentos e dispositivos, documentos de estudo
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Essas informações foram obtidas diretamente do site clinicaltrials.gov sem nenhuma alteração. Se você tiver alguma solicitação para alterar, remover ou atualizar os detalhes do seu estudo, entre em contato com register@clinicaltrials.gov. Assim que uma alteração for implementada em clinicaltrials.gov, ela também será atualizada automaticamente em nosso site .
Ensaios clínicos em SHR-1210
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Tianjin Medical University Cancer Institute and...Ainda não está recrutandoCarcinoma Espinocelular de Esôfago | Progressão para anticorpo PD-1China
-
Jiangsu HengRui Medicine Co., Ltd.Recrutamento
-
The First Affiliated Hospital of Zhengzhou UniversityAinda não está recrutandoCarcinoma Espinocelular de Esôfago Ressecável
-
Qian ChuJiangsu HengRui Medicine Co., Ltd.RecrutamentoCarcinoma Sarcomatóide do PulmãoChina
-
Guangdong Association of Clinical TrialsAinda não está recrutandoCâncer de Pulmão de Células Não Pequenas
-
Beijing Sanbo Brain HospitalRecrutamentoLinfoma Primário do Sistema Nervoso CentralChina
-
Jiangsu HengRui Medicine Co., Ltd.RescindidoNeoplasias PulmonaresChina
-
Guangdong Association of Clinical TrialsDesconhecidoCâncer de Pulmão de Células Não PequenasChina
-
Harbin Medical UniversityJiangsu HengRui Medicine Co., Ltd.Desconhecido
-
Jiangsu HengRui Medicine Co., Ltd.Concluído