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Clinical Trial of TQB2858 Injection in the Treatment of Advanced High-grade Sarcoma

Primary Purpose

Advanced High-grade Sarcoma

Status
Not yet recruiting
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
TQB2858 injection
Sponsored by
Chia Tai Tianqing Pharmaceutical Group Nanjing Shunxin Pharmaceutical Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Advanced High-grade Sarcoma

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • 1 Histologically confirmed unresectable, recurrent or metastatic high-grade sarcoma;
  • 2 Received at least first-line therapy before, disease progression or intolerance during treatment, or disease progression after treatment; (excluding alveolar soft tissue sarcoma and clear cell sarcoma)

    1. Cohort 1: newly treated acinar soft tissue sarcoma;
    2. Cohort 2: Acinar soft tissue sarcoma with failed PD-1 therapy;
    3. Cohort 3: Other subtypes (pleomorphic sarcoma, classic osteosarcoma, Ewing sarcoma, chondrosarcoma, dedifferentiated liposarcoma, etc.).
  • 3 Age: 18 to 70 years old;
  • 4 The Eastern Cooperative Oncology Group (ECOG) score: 0 to 1;
  • 5 The expected survival period is ≥3 months;
  • 6 Normal function of major organs
  • 7 Women of childbearing age should agree to use effective contraceptive measures during the study period and 6 months after the end of the study, and have a negative serum or urine pregnancy test within 7 days before enrollment in the study; men should agree to use effective contraception during the study period and after the end of the study period 6 Effective contraceptive measures must be used within one month.
  • 8 Patients voluntarily enroll in this study, sign an informed consent form and comply well.

Exclusion Criteria:

  • 1 Combined diseases and medical history:

    1. Have presented with or currently have concurrent other malignancies within 2 years.
    2. Unresolved toxic reactions due to any prior treatment above Common Terminology Criteria for Adverse Events (CTCAE) grade 1, excluding alopecia, peripheral sensory nerve disorders.
    3. Major surgical treatment or significant traumatic injury within 28 days prior to the start of study treatment.
    4. Long-term untreated wounds or fractures.
    5. An arterial/venous thrombotic event within 6 months, such as cerebrovascular accident, deep vein thrombosis and pulmonary embolism.
    6. Persons with a history of psychotropic substance abuse who are unable to abstain or have a mental disorder.
    7. Subjects with any severe and/or uncontrollable disease, including:
  • 2 Tumor-related symptoms and treatment:

    1. Received surgery, chemotherapy, radiotherapy, or other anticancer therapy within 4 weeks prior to the start of study treatment;
    2. Treatment with proprietary Chinese medicines with clear antitumor indications in the National Medical Products Administration (NMPA)-approved drug formulary within 2 weeks prior to the start of study treatment.
    3. Uncontrolled pleural effusions, pericardial effusions, or ascites that still require repeated drainage;
    4. Brain metastases with less than 4 weeks of stable symptom control after discontinuation of dehydrating agents and steroids.
  • 3 Research and treatment related:

    1. History of live attenuated vaccination within 28 days prior to the start of study treatment.
    2. Prior history of severe allergy to macromolecular drugs or allergy to known components of TQB2858 injection.
    3. Active autoimmune disease requiring systemic therapy that occurred within 2 years prior to the start of study treatment.
    4. Diagnosis of immunodeficiency or being treated with systemic glucocorticoids or any other form of immunosuppressive therapy.
  • 4 Participation in other clinical trials of antineoplastic drugs within 4 weeks prior to enrollment.
  • 5 Subjects who, in the judgment of the investigator, have a concomitant illness that seriously jeopardizes the safety of the subject or interferes with the completion of the study, or for whom other reasons are deemed to exist for ineligibility for enrollment.

Sites / Locations

  • Peking University People's Hospital

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

TQB2858 injection

Arm Description

TQB2858 injection (1800mg intravenous(iv), on day 1 of every 3 weeks)

Outcomes

Primary Outcome Measures

Overall response rate (ORR)
Objective response rate refers to the percentage of complete response (CR) or partial response (PR) subjects determined by the investigator based on Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 or modified RECIST1.1 for immune based therapeutics (iRECIST) (CR and PR under iRECIST criteria can occur after imaging disease progression).

Secondary Outcome Measures

Disease control rate (DCR)
Disease control rate refers to the percentage of subjects with CR, PR, or stable disease (SD) of 6 weeks or more as determined by RECIST 1.1 or iRECIST (CR, PR, SD under iRECIST criteria can occur after imaging disease progression).
Overall survival (OS)
Overall survival defined as the time from enrollment to death from any cause.
Progression-Free Survival (PFS)
PFS will be defined as median number of months from the date of randomization until the first documented sign of disease progression or death due to any causes, whichever occurs first.
Duration of Response (DOR)
DOR will be defined as median number of months from date of first documented objective response until first documented sign of disease progression or death due to any causes.

Full Information

First Posted
March 1, 2022
Last Updated
March 1, 2022
Sponsor
Chia Tai Tianqing Pharmaceutical Group Nanjing Shunxin Pharmaceutical Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05262101
Brief Title
Clinical Trial of TQB2858 Injection in the Treatment of Advanced High-grade Sarcoma
Official Title
Single-arm, Open-label, Multicenter Phase Ib Clinical Trial of TQB2858 Injection in the Treatment of Advanced High-grade Sarcoma
Study Type
Interventional

2. Study Status

Record Verification Date
March 2022
Overall Recruitment Status
Not yet recruiting
Study Start Date
March 2022 (Anticipated)
Primary Completion Date
September 2023 (Anticipated)
Study Completion Date
December 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Chia Tai Tianqing Pharmaceutical Group Nanjing Shunxin Pharmaceutical 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 is a single-arm, open-label, multicenter Phase Ib clinical trial evaluating TQB2858 injection in the treatment of advanced high-grade sarcoma. To evaluate the preliminary efficacy and safety of TQB2858 injection in patients with advanced high-grade sarcoma, and to explore the relevant biomarkers of TQB2858 injection.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Advanced High-grade Sarcoma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
100 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
TQB2858 injection
Arm Type
Experimental
Arm Description
TQB2858 injection (1800mg intravenous(iv), on day 1 of every 3 weeks)
Intervention Type
Drug
Intervention Name(s)
TQB2858 injection
Intervention Description
TQB2858 is a dual-function fusion protein that is aProgrammed cell death 1 ligand 1 (PD-L1)/transforming growth factor-β(TGF-β) double antibody.
Primary Outcome Measure Information:
Title
Overall response rate (ORR)
Description
Objective response rate refers to the percentage of complete response (CR) or partial response (PR) subjects determined by the investigator based on Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 or modified RECIST1.1 for immune based therapeutics (iRECIST) (CR and PR under iRECIST criteria can occur after imaging disease progression).
Time Frame
up to 48 weeks
Secondary Outcome Measure Information:
Title
Disease control rate (DCR)
Description
Disease control rate refers to the percentage of subjects with CR, PR, or stable disease (SD) of 6 weeks or more as determined by RECIST 1.1 or iRECIST (CR, PR, SD under iRECIST criteria can occur after imaging disease progression).
Time Frame
up to 48 weeks
Title
Overall survival (OS)
Description
Overall survival defined as the time from enrollment to death from any cause.
Time Frame
Baseline up to die
Title
Progression-Free Survival (PFS)
Description
PFS will be defined as median number of months from the date of randomization until the first documented sign of disease progression or death due to any causes, whichever occurs first.
Time Frame
up to 48 weeks
Title
Duration of Response (DOR)
Description
DOR will be defined as median number of months from date of first documented objective response until first documented sign of disease progression or death due to any causes.
Time Frame
up to 48 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 1 Histologically confirmed unresectable, recurrent or metastatic high-grade sarcoma; 2 Received at least first-line therapy before, disease progression or intolerance during treatment, or disease progression after treatment; (excluding alveolar soft tissue sarcoma and clear cell sarcoma) Cohort 1: newly treated acinar soft tissue sarcoma; Cohort 2: Acinar soft tissue sarcoma with failed PD-1 therapy; Cohort 3: Other subtypes (pleomorphic sarcoma, classic osteosarcoma, Ewing sarcoma, chondrosarcoma, dedifferentiated liposarcoma, etc.). 3 Age: 18 to 70 years old; 4 The Eastern Cooperative Oncology Group (ECOG) score: 0 to 1; 5 The expected survival period is ≥3 months; 6 Normal function of major organs 7 Women of childbearing age should agree to use effective contraceptive measures during the study period and 6 months after the end of the study, and have a negative serum or urine pregnancy test within 7 days before enrollment in the study; men should agree to use effective contraception during the study period and after the end of the study period 6 Effective contraceptive measures must be used within one month. 8 Patients voluntarily enroll in this study, sign an informed consent form and comply well. Exclusion Criteria: 1 Combined diseases and medical history: Have presented with or currently have concurrent other malignancies within 2 years. Unresolved toxic reactions due to any prior treatment above Common Terminology Criteria for Adverse Events (CTCAE) grade 1, excluding alopecia, peripheral sensory nerve disorders. Major surgical treatment or significant traumatic injury within 28 days prior to the start of study treatment. Long-term untreated wounds or fractures. An arterial/venous thrombotic event within 6 months, such as cerebrovascular accident, deep vein thrombosis and pulmonary embolism. Persons with a history of psychotropic substance abuse who are unable to abstain or have a mental disorder. Subjects with any severe and/or uncontrollable disease, including: 2 Tumor-related symptoms and treatment: Received surgery, chemotherapy, radiotherapy, or other anticancer therapy within 4 weeks prior to the start of study treatment; Treatment with proprietary Chinese medicines with clear antitumor indications in the National Medical Products Administration (NMPA)-approved drug formulary within 2 weeks prior to the start of study treatment. Uncontrolled pleural effusions, pericardial effusions, or ascites that still require repeated drainage; Brain metastases with less than 4 weeks of stable symptom control after discontinuation of dehydrating agents and steroids. 3 Research and treatment related: History of live attenuated vaccination within 28 days prior to the start of study treatment. Prior history of severe allergy to macromolecular drugs or allergy to known components of TQB2858 injection. Active autoimmune disease requiring systemic therapy that occurred within 2 years prior to the start of study treatment. Diagnosis of immunodeficiency or being treated with systemic glucocorticoids or any other form of immunosuppressive therapy. 4 Participation in other clinical trials of antineoplastic drugs within 4 weeks prior to enrollment. 5 Subjects who, in the judgment of the investigator, have a concomitant illness that seriously jeopardizes the safety of the subject or interferes with the completion of the study, or for whom other reasons are deemed to exist for ineligibility for enrollment.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Wei Guo, Doctor
Phone
13911219511
Email
bonetumor@163.com
First Name & Middle Initial & Last Name or Official Title & Degree
Lu Xie, Doctor
Phone
13401044719
Email
sweetdoctor@163.com
Facility Information:
Facility Name
Peking University People's Hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100044
Country
China

12. IPD Sharing Statement

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Clinical Trial of TQB2858 Injection in the Treatment of Advanced High-grade Sarcoma

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