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A Phase II Study of Sintilimab Combined With Anlotinib in Treatment of ED-SCLC

Primary Purpose

Small Cell Lung Cancer Extensive Stage

Status
Not yet recruiting
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Sintilimab
Anlotinib hydrochloride
Sponsored by
Zhejiang Cancer Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Small Cell Lung Cancer Extensive Stage

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Aged ≥ 18, regardless of gender .
  • Histologically or cytologically confirmed small cell lung cancer .
  • The time after the end of first-line treatment was less than 6 months .
  • Subjects must have measurable diseases as defined in RECIST v1.1 .
  • Eastern Cooperative Oncology Group (ECOG) performance status scores are 0-2 .
  • Adequate hematologic and end organ function .
  • Capable of understanding the trial nature and voluntarily signing the written informed consent form .

Exclusion Criteria:

  • Radiographic findings showed that the tumor involved large blood vessels or was poorly demarcated from them .
  • Radiographic findings showed significant pulmonary cavitation or necrotizing tumor .
  • Active brain metastasis or meningeal metastasis .
  • With other malignant tumors in the past 5 years, except cancers that have been cured significantly or can be focally cured, e.g. basosquamous carcinoma of skin, or carcinoma cervix in situ .
  • With Interstitial lung disease, including drug- induced Interstitial lung disease or radiation pneumonitis .
  • With clinically significant cardiovascular disorder .
  • Prior exposure to any immune checkpoint inhibitors, including but not limited to other anti-CTLA-4, anti-PD-1 or anti-PD-L1 antibodies .
  • Prior exposure to anti-VEGFR therapy .
  • Known hypersensitivity to study drug or any of its excipients .
  • Treatment with any other investigational agent or participation in another clinical trial within 4 weeks prior to first administration .
  • Other conditions that the investigator thinks unsuitable in this study .

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    Sintilimab + Anlotinib

    Arm Description

    sintilimab 200mg, IV, d1, Q3W and anlotinib 12mg, PO, QD,d1-14, Q3W; treatment until disease progression, unacceptable toxicity, or death

    Outcomes

    Primary Outcome Measures

    ORR
    Objective response rate according to RECIST v1.1

    Secondary Outcome Measures

    DCR
    Disease control rate according to RECIST v1.1
    DoR
    Duration of response according to RECIST v1.1
    PFS
    Progression-free survival according to RECIST v1.1
    OS
    Overall survival
    Adverse Event
    Evaluation of adverse event rate according to CTCAE v4.03

    Full Information

    First Posted
    July 15, 2021
    Last Updated
    July 26, 2021
    Sponsor
    Zhejiang Cancer Hospital
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    1. Study Identification

    Unique Protocol Identification Number
    NCT04967625
    Brief Title
    A Phase II Study of Sintilimab Combined With Anlotinib in Treatment of ED-SCLC
    Official Title
    Anti-PD-1 Antibody Sintilimab Combined With Anti-angeogensis Inhibitor Anlotinib in Treatment of Extensive-stage Disease Small Cell Lung Cancer After Failure of First Line Standard Therapy : a Single-arm Prospective Phase II Clinical Study
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    March 2021
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    July 26, 2021 (Anticipated)
    Primary Completion Date
    December 31, 2022 (Anticipated)
    Study Completion Date
    December 31, 2023 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Zhejiang Cancer Hospital

    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 the researchers launched, single-center, prospective, open-label, single arm ,Phase II clinical study of Sintilimab combined with anlotinib in patients with extensive-stage disease small-cell lung cancer to evaluate the efficacy and safety. 23 patients are expected to be enrolled in this study.
    Detailed Description
    Subjects will receive sintilimab 200mg, IV, Q3W and anlotinib 12mg, PO, QD,d1-14, Q3W treatment until disease progression, unacceptable toxicity, or death.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Small Cell Lung Cancer Extensive Stage

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Single Group Assignment
    Model Description
    Anti-PD-1 antibody sintilimab combined With anti-angeogensis inhibitor anlotinib for extensive stage disease small cell lung cancer after failure of first line standard therapy
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    23 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Sintilimab + Anlotinib
    Arm Type
    Experimental
    Arm Description
    sintilimab 200mg, IV, d1, Q3W and anlotinib 12mg, PO, QD,d1-14, Q3W; treatment until disease progression, unacceptable toxicity, or death
    Intervention Type
    Drug
    Intervention Name(s)
    Sintilimab
    Intervention Description
    A humanized anti-PD-1 monoclonal antibody
    Intervention Type
    Drug
    Intervention Name(s)
    Anlotinib hydrochloride
    Intervention Description
    A tyrosine kinase inhibitor selectively targeting VEGFR-2
    Primary Outcome Measure Information:
    Title
    ORR
    Description
    Objective response rate according to RECIST v1.1
    Time Frame
    12 month
    Secondary Outcome Measure Information:
    Title
    DCR
    Description
    Disease control rate according to RECIST v1.1
    Time Frame
    12 months
    Title
    DoR
    Description
    Duration of response according to RECIST v1.1
    Time Frame
    12 months
    Title
    PFS
    Description
    Progression-free survival according to RECIST v1.1
    Time Frame
    12 months
    Title
    OS
    Description
    Overall survival
    Time Frame
    on average of 2 years
    Title
    Adverse Event
    Description
    Evaluation of adverse event rate according to CTCAE v4.03
    Time Frame
    12 months

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Aged ≥ 18, regardless of gender . Histologically or cytologically confirmed small cell lung cancer . The time after the end of first-line treatment was less than 6 months . Subjects must have measurable diseases as defined in RECIST v1.1 . Eastern Cooperative Oncology Group (ECOG) performance status scores are 0-2 . Adequate hematologic and end organ function . Capable of understanding the trial nature and voluntarily signing the written informed consent form . Exclusion Criteria: Radiographic findings showed that the tumor involved large blood vessels or was poorly demarcated from them . Radiographic findings showed significant pulmonary cavitation or necrotizing tumor . Active brain metastasis or meningeal metastasis . With other malignant tumors in the past 5 years, except cancers that have been cured significantly or can be focally cured, e.g. basosquamous carcinoma of skin, or carcinoma cervix in situ . With Interstitial lung disease, including drug- induced Interstitial lung disease or radiation pneumonitis . With clinically significant cardiovascular disorder . Prior exposure to any immune checkpoint inhibitors, including but not limited to other anti-CTLA-4, anti-PD-1 or anti-PD-L1 antibodies . Prior exposure to anti-VEGFR therapy . Known hypersensitivity to study drug or any of its excipients . Treatment with any other investigational agent or participation in another clinical trial within 4 weeks prior to first administration . Other conditions that the investigator thinks unsuitable in this study .
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Lan Shao
    Phone
    +86 13456964958
    Email
    shaolan28@163.com
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Guangyuan Lou
    Organizational Affiliation
    Zhejiang Cancer Hospital
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Learn more about this trial

    A Phase II Study of Sintilimab Combined With Anlotinib in Treatment of ED-SCLC

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