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AK112 Neoadjuvant/Adjuvant Treatment for Resectable NSCLC

Primary Purpose

Resectable Non-small Cell Lung Cancer

Status
Not yet recruiting
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
AK112
Carboplatin
Cisplatin
Paclitaxel
Sponsored by
Akeso
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Resectable Non-small Cell Lung Cancer

Eligibility Criteria

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

Inclusion Criteria:

1、18 to 75 years old

2、Be able and willing to provide written informed consent and to comply with all requirements of study participation

3、Histologically confirmed resectable stage II-IIIB NSCLC

4、Have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1

5、Has adequate organ function

6、All female and male subjects of reproductive potential must agree to use an effective method of contraception, as determined by the Investigator, during and for 120 days after the last dose of study treatment.

Exclusion Criteria:

  1. Is currently participating in a study of an investigational agent or using an investigational device
  2. Has an active autoimmune disease that has required systemic treatment in the past 2 years
  3. Has an active infection requiring systemic therapy
  4. Has known active Hepatitis B (e.g., HBsAg reactive) or Hepatitis C (e.g., HCV RNA [qualitative] is detected)
  5. Has known psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the study
  6. Has received a live virus vaccine within 30 days prior to first dose of study treatment
  7. Is pregnant, breastfeeding, or expecting to conceive or father a child within the projected duration of the study including 120 days following the last dose of study treatment.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Experimental

    Arm Label

    arm 1(AK112)

    arm 2(AK112+Carboplatin/cisplatin + paclitaxel)

    Arm Description

    Neoadjuvant therapy was 3-4 cycles of AK112(Q3W), followed by surgery ,followed by adjuvant therapy for 16 cycles of AK112(Q3W)

    Neoadjuvant therapy was 3-4 cycles of AK112 plus Carboplatin/cisplatin + paclitaxel(Q3W), followed by surgery ,followed by adjuvant therapy for 16 cycles of AK112(Q3W)

    Outcomes

    Primary Outcome Measures

    Incidence and severity of adverse events (AE)
    Summary of AE incidence; summary after grading of AE according to NCI CTCAE version 5.0
    rate of surgical delays
    Proportion of subjects exceeding the maximum surgical time window
    abnormal laboratory findings of clinical significance
    Proportion of subjects with abnormal and clinically significant results including routine blood tests, blood biochemical tests, coagulation tests, thyroid function tests, routine urine tests, pregnancy tests, etc.
    MPR
    Proportion of subjects with ≤10% residual live tumor cells in resected primary tumor foci and lymph nodes

    Secondary Outcome Measures

    R0 resection rate
    Proportion of subjects with pathologically complete resection of primary tumors
    Tumor descending stage rate
    Proportion of subjects with the most recent tumor staging prior to surgery (using TNM staging version 8) who were down-staged relative to baseline
    pCR
    Proportion of subjects with no residual tumor in the resected tumor primary and lymph nodes
    OS
    Time from first dose until death from any cause
    EFS
    Time from first dose to the occurrence of any of the following events, whichever occurs first: disease progression, local recurrence or distant metastasis or death from any cause, as assessed according to RECIST v1.1.
    ORR
    ORR is the proportion of subjects with CR or PR,based on recist v1.1

    Full Information

    First Posted
    January 19, 2022
    Last Updated
    February 9, 2022
    Sponsor
    Akeso
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05247684
    Brief Title
    AK112 Neoadjuvant/Adjuvant Treatment for Resectable NSCLC
    Official Title
    Phase II Clinical Study of AK112, an Anti-PD-1 and VEGF Bispecific Antibody, Alone or in Combination With Chemotherapy for the Neoadjuvant/Adjuvant Treatment of Resectable Non-small Cell Lung Cancer
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    February 2022
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    February 20, 2022 (Anticipated)
    Primary Completion Date
    August 20, 2023 (Anticipated)
    Study Completion Date
    January 20, 2025 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Akeso

    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
    AK112, alone or in combination with chemotherapy for the neoadjuvant/adjuvant treatment of resectable NSCLC
    Detailed Description
    Phase II clinical study of AK112, an anti-PD-1 and VEGF bispecific antibody, alone or in combination with chemotherapy for the neoadjuvant/adjuvant treatment of resectable non-small cell lung cancer

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Resectable Non-small Cell Lung Cancer

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    30 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    arm 1(AK112)
    Arm Type
    Experimental
    Arm Description
    Neoadjuvant therapy was 3-4 cycles of AK112(Q3W), followed by surgery ,followed by adjuvant therapy for 16 cycles of AK112(Q3W)
    Arm Title
    arm 2(AK112+Carboplatin/cisplatin + paclitaxel)
    Arm Type
    Experimental
    Arm Description
    Neoadjuvant therapy was 3-4 cycles of AK112 plus Carboplatin/cisplatin + paclitaxel(Q3W), followed by surgery ,followed by adjuvant therapy for 16 cycles of AK112(Q3W)
    Intervention Type
    Drug
    Intervention Name(s)
    AK112
    Intervention Description
    IV infusion
    Intervention Type
    Drug
    Intervention Name(s)
    Carboplatin
    Intervention Description
    IV infusion
    Intervention Type
    Drug
    Intervention Name(s)
    Cisplatin
    Intervention Description
    IV infusion
    Intervention Type
    Drug
    Intervention Name(s)
    Paclitaxel
    Intervention Description
    IV infusion
    Primary Outcome Measure Information:
    Title
    Incidence and severity of adverse events (AE)
    Description
    Summary of AE incidence; summary after grading of AE according to NCI CTCAE version 5.0
    Time Frame
    Up to approximately 2 years
    Title
    rate of surgical delays
    Description
    Proportion of subjects exceeding the maximum surgical time window
    Time Frame
    Up to approximately 2 years
    Title
    abnormal laboratory findings of clinical significance
    Description
    Proportion of subjects with abnormal and clinically significant results including routine blood tests, blood biochemical tests, coagulation tests, thyroid function tests, routine urine tests, pregnancy tests, etc.
    Time Frame
    Up to approximately 2 years
    Title
    MPR
    Description
    Proportion of subjects with ≤10% residual live tumor cells in resected primary tumor foci and lymph nodes
    Time Frame
    Up to approximately 2 years
    Secondary Outcome Measure Information:
    Title
    R0 resection rate
    Description
    Proportion of subjects with pathologically complete resection of primary tumors
    Time Frame
    Up to approximately 2 years
    Title
    Tumor descending stage rate
    Description
    Proportion of subjects with the most recent tumor staging prior to surgery (using TNM staging version 8) who were down-staged relative to baseline
    Time Frame
    Up to approximately 2 years
    Title
    pCR
    Description
    Proportion of subjects with no residual tumor in the resected tumor primary and lymph nodes
    Time Frame
    Up to approximately 2 years
    Title
    OS
    Description
    Time from first dose until death from any cause
    Time Frame
    Up to approximately 2 years
    Title
    EFS
    Description
    Time from first dose to the occurrence of any of the following events, whichever occurs first: disease progression, local recurrence or distant metastasis or death from any cause, as assessed according to RECIST v1.1.
    Time Frame
    Up to approximately 2 years
    Title
    ORR
    Description
    ORR is the proportion of subjects with CR or PR,based on recist v1.1
    Time Frame
    Up to approximately 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: 1、18 to 75 years old 2、Be able and willing to provide written informed consent and to comply with all requirements of study participation 3、Histologically confirmed resectable stage II-IIIB NSCLC 4、Have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 5、Has adequate organ function 6、All female and male subjects of reproductive potential must agree to use an effective method of contraception, as determined by the Investigator, during and for 120 days after the last dose of study treatment. Exclusion Criteria: Is currently participating in a study of an investigational agent or using an investigational device Has an active autoimmune disease that has required systemic treatment in the past 2 years Has an active infection requiring systemic therapy Has known active Hepatitis B (e.g., HBsAg reactive) or Hepatitis C (e.g., HCV RNA [qualitative] is detected) Has known psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the study Has received a live virus vaccine within 30 days prior to first dose of study treatment Is pregnant, breastfeeding, or expecting to conceive or father a child within the projected duration of the study including 120 days following the last dose of study treatment.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Weifeng Song, MD
    Phone
    86(0760)89873999
    Email
    clinicaltrials@akesobio.com
    First Name & Middle Initial & Last Name or Official Title & Degree
    Changli Wang

    12. IPD Sharing Statement

    Learn more about this trial

    AK112 Neoadjuvant/Adjuvant Treatment for Resectable NSCLC

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