A Study of RC48-ADC in Advanced Melanoma Subjects With HER2-positive
Primary Purpose
Melanoma, Stage II, HER2-positive, Advanced Melanoma
Status
Not yet recruiting
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
RC48-ADC
Sponsored by
About this trial
This is an interventional treatment trial for Melanoma, Stage II focused on measuring RC48-ADC, HER2-positive melanoma
Eligibility Criteria
Inclusion Criteria:
- Voluntary agreement to provide written informed consent.
- Male or female, Age ≥ 18 years.
- Predicted survival ≥ 12 weeks.
- Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1.
- All female subjects will be considered to be of child-bearing potential unless participants are postmenopausal, or have been sterilized surgically.Female subjects of child-bearing potential must agree to use two forms of highly effective contraception. Male subjects and their female partner who are of child-bearing potential must agree to use two forms of highly effective contraception.
- Willing to adhere to the study visit schedule and the prohibitions and restrictions specified in this protocol.
- Adequate organ function.
- All subjects must be histologically confirmed, non-resectable stage III or metastatic melanoma, except for patients with uveal or ocular melanoma.
- The subject has experienced disease progression or intolerance after receiving standard treatment in the past; Patients with disease progression within 6 months after receiving neoadjuvant or adjuvant chemotherapy regimens can be included in the clinical study.
- The HER2 IHC test result is IHC 2+ or IHC 3+, the subject's previous test results (confirmed by the investigator) or the research center's test results are acceptable; the subject can provide the Specimen of primary or metastatic tumor for HER2 review/judgment.
- According to the RECIST 1.1 standard, there is at least one measurable lesion.
Exclusion Criteria:
- Known hypersensitivity to Recombinant Humanized Anti-HER2 Monoclonal Antibody-MMAE Conjugate For Injection.
- History of receiving any anti-cancer drug/biologic treatment within 4 weeks prior to trial treatment.
- Pleural or abdominal effusion with clinical symptoms that requires ongoing treatment.
- Treated with systemic treatment (e.g. immunomodulators, corticosteroids or immunosuppressants) for the autoimmune disease within 2 years prior to the study treatment.
- History of major surgery within 4 weeks of planned start of trial treatment.
- Has received a live virus vaccine within 4 weeks of planned start of trial treatment.
- Toxicity of previous anti-tumor treatment not recovered to CTCAE Grade 0-1 (with exception of Grade 2 alopecia).
- Pregnancy or lactation.
- Currently known active infection with HIV or tuberculosis.
- Diagnosed with HBsAg, HBcAb positive and HBV DNA copy positive, or HCVAb positive.
- Has a history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the trial, interfere with the subject's participation for the full duration of the trial, or is not in the best interest of the subject to participate, in the opinion of the treating investigator.
- History of other malignancy within the previous 5 years, except for appropriately treated carcinoma in situ of the cervix, non-melanoma skin carcinoma, or cancers with a similar curative outcome as those mentioned above.
- Assessed by the investigator to be unable or unwilling to comply with the requirements of the protocol.
Sites / Locations
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
RC48-ADC
Arm Description
Participants will receive RC48-ADC every 2 weeks (Q2W) until investigator assessed loss of clinical benefit, unacceptable toxicity, investigator or participant decision to withdraw from therapy, or death (whichever occurs first).
Outcomes
Primary Outcome Measures
Objective remission rate (ORR)
The objective response rate will be analyzed according to the RECIST 1.1 standard tumor evaluation.
Secondary Outcome Measures
Progression-free survival (PFS)
Progression-free survival (PFS) refers to the time from the date of randomization to the first researcher's evaluation of disease progression or death (calculated by the event that occurred first). The disease progression will be evaluated by the researchers according to the RECIST 1.1 standard.
Duration of relief (DOR)
DOR is defined as the time from the first documented objective response (CR or PR) to the first documented disease progression or death.
Disease control rate (DCR)
Disease control rate (DCR) is defined as cases where objective remission (assessed as complete remission or partial remission according to RECIST 1.1 standard) or stable disease during the study.
Overall survival (OS)
Overall survival (OS) refers to the time from the date of randomization to the date of death of the subject.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT05135715
Brief Title
A Study of RC48-ADC in Advanced Melanoma Subjects With HER2-positive
Official Title
A Single-arm, Single-center, Open Phase Ⅱa Clinical Study of RC48-ADC in the Treatment of HER2-positive Advanced Melanoma
Study Type
Interventional
2. Study Status
Record Verification Date
November 2021
Overall Recruitment Status
Not yet recruiting
Study Start Date
December 30, 2021 (Anticipated)
Primary Completion Date
December 30, 2023 (Anticipated)
Study Completion Date
December 30, 2024 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
RemeGen Co., Ltd.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
This is a Phase IIa, single-arm, single-center, open-label clinical trial aims to evaluate the effectiveness and safety of RC48-ADC in the treatment of HER2-positive advanced melanoma.
Detailed Description
This study is a phase IIa single-center, single-arm, open-label, clinical study to evaluate the efficacy and safety of recombinant humanized anti-HER2 monoclonal antibody-Monomethyl auristatin E (MMAE) conjugate for the treatment of HER2- positive advanced melanoma. HER2 positive is defined as the expression of HER2 protein in the primary tumor or metastatic tumor tissue as IHC 2+ or IHC 3+ by immunohistochemistry (IHC).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Melanoma, Stage II, HER2-positive, Advanced Melanoma
Keywords
RC48-ADC, HER2-positive melanoma
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
50 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
RC48-ADC
Arm Type
Experimental
Arm Description
Participants will receive RC48-ADC every 2 weeks (Q2W) until investigator assessed loss of clinical benefit, unacceptable toxicity, investigator or participant decision to withdraw from therapy, or death (whichever occurs first).
Intervention Type
Drug
Intervention Name(s)
RC48-ADC
Other Intervention Name(s)
Recombinant Humanized anti-HER2 Monoclonal Antibody-MMAE Conjugate For Injection
Intervention Description
2.0 mg/kg IV every 2 weeks
Primary Outcome Measure Information:
Title
Objective remission rate (ORR)
Description
The objective response rate will be analyzed according to the RECIST 1.1 standard tumor evaluation.
Time Frame
within approximately 3 years
Secondary Outcome Measure Information:
Title
Progression-free survival (PFS)
Description
Progression-free survival (PFS) refers to the time from the date of randomization to the first researcher's evaluation of disease progression or death (calculated by the event that occurred first). The disease progression will be evaluated by the researchers according to the RECIST 1.1 standard.
Time Frame
within approximately 3 years
Title
Duration of relief (DOR)
Description
DOR is defined as the time from the first documented objective response (CR or PR) to the first documented disease progression or death.
Time Frame
within approximately 3 years
Title
Disease control rate (DCR)
Description
Disease control rate (DCR) is defined as cases where objective remission (assessed as complete remission or partial remission according to RECIST 1.1 standard) or stable disease during the study.
Time Frame
within approximately 3 years
Title
Overall survival (OS)
Description
Overall survival (OS) refers to the time from the date of randomization to the date of death of the subject.
Time Frame
within approximately 3 years
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Voluntary agreement to provide written informed consent.
Male or female, Age ≥ 18 years.
Predicted survival ≥ 12 weeks.
Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1.
All female subjects will be considered to be of child-bearing potential unless participants are postmenopausal, or have been sterilized surgically.Female subjects of child-bearing potential must agree to use two forms of highly effective contraception. Male subjects and their female partner who are of child-bearing potential must agree to use two forms of highly effective contraception.
Willing to adhere to the study visit schedule and the prohibitions and restrictions specified in this protocol.
Adequate organ function.
All subjects must be histologically confirmed, non-resectable stage III or metastatic melanoma, except for patients with uveal or ocular melanoma.
The subject has experienced disease progression or intolerance after receiving standard treatment in the past; Patients with disease progression within 6 months after receiving neoadjuvant or adjuvant chemotherapy regimens can be included in the clinical study.
The HER2 IHC test result is IHC 2+ or IHC 3+, the subject's previous test results (confirmed by the investigator) or the research center's test results are acceptable; the subject can provide the Specimen of primary or metastatic tumor for HER2 review/judgment.
According to the RECIST 1.1 standard, there is at least one measurable lesion.
Exclusion Criteria:
Known hypersensitivity to Recombinant Humanized Anti-HER2 Monoclonal Antibody-MMAE Conjugate For Injection.
History of receiving any anti-cancer drug/biologic treatment within 4 weeks prior to trial treatment.
Pleural or abdominal effusion with clinical symptoms that requires ongoing treatment.
Treated with systemic treatment (e.g. immunomodulators, corticosteroids or immunosuppressants) for the autoimmune disease within 2 years prior to the study treatment.
History of major surgery within 4 weeks of planned start of trial treatment.
Has received a live virus vaccine within 4 weeks of planned start of trial treatment.
Toxicity of previous anti-tumor treatment not recovered to CTCAE Grade 0-1 (with exception of Grade 2 alopecia).
Pregnancy or lactation.
Currently known active infection with HIV or tuberculosis.
Diagnosed with HBsAg, HBcAb positive and HBV DNA copy positive, or HCVAb positive.
Has a history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the trial, interfere with the subject's participation for the full duration of the trial, or is not in the best interest of the subject to participate, in the opinion of the treating investigator.
History of other malignancy within the previous 5 years, except for appropriately treated carcinoma in situ of the cervix, non-melanoma skin carcinoma, or cancers with a similar curative outcome as those mentioned above.
Assessed by the investigator to be unable or unwilling to comply with the requirements of the protocol.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Jianming Fang, Ph.D
Phone
+8610-58075763
Email
jianminfang@hotmail.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jun Guo, Ph.D
Organizational Affiliation
Peking University Cancer Hospital & Institute
Official's Role
Principal Investigator
12. IPD Sharing Statement
Learn more about this trial
A Study of RC48-ADC in Advanced Melanoma Subjects With HER2-positive
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