A Clinical Studyf of SHR-1701 or Placebo in Combination With BP102 and XELOX in the First-line Treatment of mCRC
Primary Purpose
Metastatic Colorectal Cancer (mCRC)
Status
Recruiting
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
SHR-1701、 BP102 、XELOX
SHR-1701、 BP102 、XELOX
placebo、 BP102、 XELOX
Sponsored by
About this trial
This is an interventional treatment trial for Metastatic Colorectal Cancer (mCRC)
Eligibility Criteria
Inclusion Criteria:
- Patients with unresectable recurrent or metastatic adenocarcinoma of the colon or rectum confirmed histologically
- For subjects who have not previously received any systemic antitumor therapy and who have previously received neoadjuvant or adjuvant therapy, the first detection of recurrence or metastasis should be ≥12 months after the last administration of neoadjuvant or adjuvant therapy
- At least 1 measurable lesion according to RECIST V1.1
- The vital organs are functioning well
- ECOG score is 0 ~ 1
- Contraception was initiated from the signing of the informed consent until at least 6 months after the last dosing of the study drug
Exclusion Criteria:
- Recurrent or metastatic lesions can be treated with radical surgery
- Presence of central nervous system or meningeal metastases;
- Moderate and severe ascites of clinical symptoms;Uncontrolled or moderate or greater pleural effusion or pericardial effusion
- Poorly controlled hypertension (systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg in the case of regular antihypertensive therapy) and prior hypertensive crisis or hypertensive encephalopathy
- Severe cardiovascular and cerebrovascular diseases;Have clinical heart symptoms or diseases that are not well controlledSubjects with a history of myocardial infarction or unstable angina pectoris
- Subject with current interstitial pneumonia or interstitial lung disease, or with a previous history of interstitial pneumonia or interstitial lung disease requiring hormone therapy
- Previous treatment with targeted T cell costimulatory molecules and immune checkpoint inhibitors;Previous treatment with antiepidermal growth factor receptor or any antiangiogenic drug
Sites / Locations
- Sun Yat-sen University Cancer CenterRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Experimental
Placebo Comparator
Arm Label
SHR-1701 in combination with BP102 and XELOX(Phase 2)
SHR-1701 in combination with BP102 and XELOX (Phase 3)
placebo in combination with BP102 and XELOX
Arm Description
Outcomes
Primary Outcome Measures
Phase 2:ORR
Objective response rate (assessed by the investigators based on RECIST v1.1)
Phase 2:Incidence of Adverse Events (AEs) by CTCAE v5.0
Assess safety and tolerability of SHR-1701 in combination with BP102 and XELOX
Phase 3:PFS
Progression-free survival (assessed by independent radiological review committee (IRRC) based on RECIST v1.1)
Secondary Outcome Measures
DCR
Disease control rate,the proportion of patients with the best overall response of CR, PR, or stable disease (SD) 。
OS
Overall survival ,from the date of first dose unitl the date of death from any cause。
PFS
Progression-free survival from the first dose until firstly confirmed and recorded disease progression or death (whichever occurs earlier),assessed (assessed by independent radiological review committee (IRRC) based on iRECIST,by the investigators based on RECIST v1.1))。
Duration of response
Duration of response,from the date when CR or PR (whichever recorded earlier) is firstly achieved until the date when disease progression or death is firstly recorded (whichever occurs earlier),assessed
Full Information
NCT ID
NCT04856787
First Posted
April 19, 2021
Last Updated
July 7, 2021
Sponsor
Suzhou Suncadia Biopharmaceuticals Co., Ltd.
1. Study Identification
Unique Protocol Identification Number
NCT04856787
Brief Title
A Clinical Studyf of SHR-1701 or Placebo in Combination With BP102 and XELOX in the First-line Treatment of mCRC
Official Title
A Randomized, Double-blind, Placebo-controlled, Multicenter Phase II/III Study of SHR-1701 or Placebo in Combination With BP102 (Biosimilar to Bevacizumab) and XELOX in First-line Treatment of mCRC
Study Type
Interventional
2. Study Status
Record Verification Date
April 2021
Overall Recruitment Status
Recruiting
Study Start Date
June 22, 2021 (Actual)
Primary Completion Date
November 6, 2022 (Anticipated)
Study Completion Date
November 6, 2024 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Suzhou Suncadia Biopharmaceuticals Co., Ltd.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
5. Study Description
Brief Summary
This is a two-arm, randomized, double-blinded, multicenter phase II/III clinical study to evaluate the safety and clinical efficacy of SHR-1701 or placebo in combination with BP102 (biosimilar to bevacizumab) and XELOX in first-line treatment of patients with mCRC.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Metastatic Colorectal Cancer (mCRC)
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2, Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
439 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
SHR-1701 in combination with BP102 and XELOX(Phase 2)
Arm Type
Experimental
Arm Title
SHR-1701 in combination with BP102 and XELOX (Phase 3)
Arm Type
Experimental
Arm Title
placebo in combination with BP102 and XELOX
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
SHR-1701、 BP102 、XELOX
Intervention Description
Phase 2:Single Group
Drug:SHR-1701 30mg/kg,IV ,every 3 week
Drug:BP102 7.5mg/kg,IV,every 3 week
Drug: Oxaliplatin 130mg/m2 ,IV,every 3 week
Drug:Capecitabine The total daily dose was 2000mg/m2, OR,Each cycle was administered for 2 consecutive weeks, followed by a week of rest, with a treatment cycle every 21 days
Intervention Type
Drug
Intervention Name(s)
SHR-1701、 BP102 、XELOX
Intervention Description
Phase 3:Randomized
Drug:SHR-1701 30mg/kg,IV ,every 3 week
Drug:BP102 7.5mg/kg,IV,every 3 week
Drug: Oxaliplatin 130mg/m2 ,IV,every 3 week
Drug:Capecitabine The total daily dose was 2000mg/m2, OR,Each cycle was administered for 2 consecutive weeks, followed by a week of rest, with a treatment cycle every 21 days
Intervention Type
Drug
Intervention Name(s)
placebo、 BP102、 XELOX
Intervention Description
Phase 3:Randomized
Drug:Placebo 30mg/kg,IV ,every 3 week
Drug:BP102 7.5mg/kg,IV,every 3 week
Drug: Oxaliplatin 130mg/m2 ,IV,every 3 week
Drug:Capecitabine The total daily dose was 2000mg/m2, OR,Each cycle was administered for 2 consecutive weeks, followed by a week of rest, with a treatment cycle every 21 days
Primary Outcome Measure Information:
Title
Phase 2:ORR
Description
Objective response rate (assessed by the investigators based on RECIST v1.1)
Time Frame
up to 2 years
Title
Phase 2:Incidence of Adverse Events (AEs) by CTCAE v5.0
Description
Assess safety and tolerability of SHR-1701 in combination with BP102 and XELOX
Time Frame
up to 2 years
Title
Phase 3:PFS
Description
Progression-free survival (assessed by independent radiological review committee (IRRC) based on RECIST v1.1)
Time Frame
from the first dose until firstly confirmed and recorded disease progression or death (whichever occurs earlier),assessed up to 2 years
Secondary Outcome Measure Information:
Title
DCR
Description
Disease control rate,the proportion of patients with the best overall response of CR, PR, or stable disease (SD) 。
Time Frame
up to 2 years
Title
OS
Description
Overall survival ,from the date of first dose unitl the date of death from any cause。
Time Frame
up to 2 years
Title
PFS
Description
Progression-free survival from the first dose until firstly confirmed and recorded disease progression or death (whichever occurs earlier),assessed (assessed by independent radiological review committee (IRRC) based on iRECIST,by the investigators based on RECIST v1.1))。
Time Frame
up to 2 years
Title
Duration of response
Description
Duration of response,from the date when CR or PR (whichever recorded earlier) is firstly achieved until the date when disease progression or death is firstly recorded (whichever occurs earlier),assessed
Time Frame
up to 2 years
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Patients with unresectable recurrent or metastatic adenocarcinoma of the colon or rectum confirmed histologically
For subjects who have not previously received any systemic antitumor therapy and who have previously received neoadjuvant or adjuvant therapy, the first detection of recurrence or metastasis should be ≥12 months after the last administration of neoadjuvant or adjuvant therapy
At least 1 measurable lesion according to RECIST V1.1
The vital organs are functioning well
ECOG score is 0 ~ 1
Contraception was initiated from the signing of the informed consent until at least 6 months after the last dosing of the study drug
Exclusion Criteria:
Recurrent or metastatic lesions can be treated with radical surgery
Presence of central nervous system or meningeal metastases;
Moderate and severe ascites of clinical symptoms;Uncontrolled or moderate or greater pleural effusion or pericardial effusion
Poorly controlled hypertension (systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg in the case of regular antihypertensive therapy) and prior hypertensive crisis or hypertensive encephalopathy
Severe cardiovascular and cerebrovascular diseases;Have clinical heart symptoms or diseases that are not well controlledSubjects with a history of myocardial infarction or unstable angina pectoris
Subject with current interstitial pneumonia or interstitial lung disease, or with a previous history of interstitial pneumonia or interstitial lung disease requiring hormone therapy
Previous treatment with targeted T cell costimulatory molecules and immune checkpoint inhibitors;Previous treatment with antiepidermal growth factor receptor or any antiangiogenic drug
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Qing Yang, M.D
Phone
+86 021-61053363
Email
yangqing@hrglobe.cn
Facility Information:
Facility Name
Sun Yat-sen University Cancer Center
City
Guangzhou
State/Province
Guangdong
ZIP/Postal Code
510060
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ruihua Xu, MD
12. IPD Sharing Statement
Learn more about this trial
A Clinical Studyf of SHR-1701 or Placebo in Combination With BP102 and XELOX in the First-line Treatment of mCRC
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