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Study on the Biomarker of First-line Immunotherapy Combined With Chemotherapy in Advanced Esophageal Cancer

Primary Purpose

Advanced Esophageal Cancer

Status
Recruiting
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
Combination therapy
Sponsored by
Sixth Affiliated Hospital, Sun Yat-sen University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Advanced Esophageal Cancer

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Unresectable locally advanced/ recurrent or distant metastatic esophageal squamous cell carcinoma confirmed by histology or cytology;
  • Not received any previous systematic antitumor therapy.
  • Eastern Cooperative Oncology Group (ECOG) fitness status score was 0 or 1 within 3 days before the first administration of the intervention.
  • 8-10 tumor tissue samples can be provided.
  • Demonstrate good organ and bone marrow function.
  • Consent to participate in the contraceptive methods related to clinical research.

Exclusion Criteria:

  • Have a history of allergy to monoclonal antibodies, any component of SHR-1210, albumin-paclitaxel, carboplatin, and other platinum drugs;
  • Weight loss > 20% in the past 3 months.
  • Major surgery within 28 days prior to enrollment.
  • Have received systemic chemotherapy or radiation therapy for esophageal cancer.
  • Had a myocardial infarction within the past 6 months.
  • Have any medical history or current evidence, treatment, or laboratory abnormalities that prevent the subject from participating fully in the study with the investigator's opinion.
  • Prior treatment with immunotherapy drugs.
  • Received live vaccine within 30 days prior to initial administration of the investigational drug.
  • Have been diagnosed with immunodeficiency or are receiving immunosuppressive treatment.
  • Another malignancy is known to exist.
  • Have active infections that require systemic treatment.
  • Pregnant or lactating, or planning to become pregnant or become a father during the study period (180 days for lactating subjects receiving carboplatin) from the beginning of the screening visit until 120 days after the last dose of the study intervention.

Sites / Locations

  • The Sixth Affiliated Hospital of Sun Yat-sen UniversityRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

biomarker study and treatment study

Arm Description

All enrolled patients undergo biomarker study and treatment study. Biomarker study: the baseline tumor tissue will be collected and analyzed via NGS and mIHC Treatment study: SHR-1210 plus albumin-bound paclitaxel and platinum-based chemotherapy

Outcomes

Primary Outcome Measures

Objective Response Rate (ORR)
ORR is determined using RECIST v1.1, defined as best overall response (CR or PR) across all assessment time points during the period from enrolment to termination of trial treatment.

Secondary Outcome Measures

Progression-Free Survival (PFS)
It is defined as the time from enrollment to the first occurrence of disease progression as determined by the investigator with use of RECIST v1.1 or death from any cause, whichever occurs first. Patients who have not experienced disease progression or death at the time of analysis will be censored at the time of last tumor assessment.
Overall Survival (OS)
Defined as the time from the enrollment to death from any cause
Disease Control Rate (DCR)
The proportion of patients who have achieved complete response, partial response and Stable disease assessed by investigators according to Recist v 1.1.
Adverse events (AEs)
All adverse event/Serious adverse event that occurred during the study period according to CTCAE v 4.03

Full Information

First Posted
December 15, 2021
Last Updated
July 12, 2022
Sponsor
Sixth Affiliated Hospital, Sun Yat-sen University
Collaborators
Nanjing Geneseeq Technology Inc., Jiangsu HengRui Medicine Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05174156
Brief Title
Study on the Biomarker of First-line Immunotherapy Combined With Chemotherapy in Advanced Esophageal Cancer
Official Title
Study on the Biomarker of First-line Immunotherapy Combined With Chemotherapy in Advanced Esophageal Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
July 2022
Overall Recruitment Status
Recruiting
Study Start Date
January 1, 2022 (Actual)
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
Sixth Affiliated Hospital, Sun Yat-sen University
Collaborators
Nanjing Geneseeq Technology Inc., Jiangsu HengRui Medicine 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 study intends to explore the predictive biomarkers by Next-generation sequencing (NGS) and multiple immunohistochemistry (mIHC) for the treatment of SHR-1210 in combination with paclitaxel and platinum in advanced esophageal cancer.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Advanced Esophageal Cancer

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
biomarker study and treatment study
Arm Type
Experimental
Arm Description
All enrolled patients undergo biomarker study and treatment study. Biomarker study: the baseline tumor tissue will be collected and analyzed via NGS and mIHC Treatment study: SHR-1210 plus albumin-bound paclitaxel and platinum-based chemotherapy
Intervention Type
Drug
Intervention Name(s)
Combination therapy
Intervention Description
SHR-1210 (camrelizumab) + albumin-bound paclitaxel + Carboplatin
Primary Outcome Measure Information:
Title
Objective Response Rate (ORR)
Description
ORR is determined using RECIST v1.1, defined as best overall response (CR or PR) across all assessment time points during the period from enrolment to termination of trial treatment.
Time Frame
up to approximately 1 year
Secondary Outcome Measure Information:
Title
Progression-Free Survival (PFS)
Description
It is defined as the time from enrollment to the first occurrence of disease progression as determined by the investigator with use of RECIST v1.1 or death from any cause, whichever occurs first. Patients who have not experienced disease progression or death at the time of analysis will be censored at the time of last tumor assessment.
Time Frame
up to approximately 1 year
Title
Overall Survival (OS)
Description
Defined as the time from the enrollment to death from any cause
Time Frame
up to approximately 1 year
Title
Disease Control Rate (DCR)
Description
The proportion of patients who have achieved complete response, partial response and Stable disease assessed by investigators according to Recist v 1.1.
Time Frame
up to approximately 1 year
Title
Adverse events (AEs)
Description
All adverse event/Serious adverse event that occurred during the study period according to CTCAE v 4.03
Time Frame
up to approximately 1 year

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: Unresectable locally advanced/ recurrent or distant metastatic esophageal squamous cell carcinoma confirmed by histology or cytology; Not received any previous systematic antitumor therapy. Eastern Cooperative Oncology Group (ECOG) fitness status score was 0 or 1 within 3 days before the first administration of the intervention. 8-10 tumor tissue samples can be provided. Demonstrate good organ and bone marrow function. Consent to participate in the contraceptive methods related to clinical research. Exclusion Criteria: Have a history of allergy to monoclonal antibodies, any component of SHR-1210, albumin-paclitaxel, carboplatin, and other platinum drugs; Weight loss > 20% in the past 3 months. Major surgery within 28 days prior to enrollment. Have received systemic chemotherapy or radiation therapy for esophageal cancer. Had a myocardial infarction within the past 6 months. Have any medical history or current evidence, treatment, or laboratory abnormalities that prevent the subject from participating fully in the study with the investigator's opinion. Prior treatment with immunotherapy drugs. Received live vaccine within 30 days prior to initial administration of the investigational drug. Have been diagnosed with immunodeficiency or are receiving immunosuppressive treatment. Another malignancy is known to exist. Have active infections that require systemic treatment. Pregnant or lactating, or planning to become pregnant or become a father during the study period (180 days for lactating subjects receiving carboplatin) from the beginning of the screening visit until 120 days after the last dose of the study intervention.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Hongying Liao, Professor
Phone
+86 13928845885
Email
hylmed1996@126.com
Facility Information:
Facility Name
The Sixth Affiliated Hospital of Sun Yat-sen University
City
Guangzhou
State/Province
Guangdong
ZIP/Postal Code
510655
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Hongying Liao, Professor
Phone
13928845885
Email
hylmed1996@126.com
First Name & Middle Initial & Last Name & Degree
Hongying Liao, Professor
First Name & Middle Initial & Last Name & Degree
Yuzhen Zheng, Doctor

12. IPD Sharing Statement

Plan to Share IPD
Undecided

Learn more about this trial

Study on the Biomarker of First-line Immunotherapy Combined With Chemotherapy in Advanced Esophageal Cancer

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