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A Study of QL1706 Plus Lenvatinib in Subjects With Advanced Renal Cell Carcinoma(RCC)

Primary Purpose

Advanced Renal Cell Carcinoma

Status
Not yet recruiting
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
QL1706 Plus Lenvatinib
Sponsored by
Qilu Pharmaceutical Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Advanced Renal Cell Carcinoma focused on measuring QL1706

Eligibility Criteria

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

Inclusion Criteria:

  1. Subjects participate voluntarily and sign informed consent.
  2. Male or female subjects aged 18 years or older.
  3. Pathological confirmation of renal cell carcinoma (RCC) mainly with a clear-cell component
  4. At least 1 measurable target lesion according to Response Evaluation in Solid Tumors (RECIST) 1.1
  5. Eastern Cooperative Oncology Group (ECOG) performance status 0-1.
  6. Life expectancy of ≥6 months.
  7. The functional level of important organs must meet the requirements before the first dose of study drug.
  8. Male and female patients able to have children must agree to use highly effective method of contraception throughout the study and for at least 180 days after last dose. Female subjects who are not pregnant or breastfeeding.
  9. Before the first use of the investigational drug, all the reversible toxicity of the previous antitumor therapy returned to ≤1 (according to CTCAE V5.0),Excluding any grade of hair loss and pigmentation, grade 2 or less peripheral sensory neuropathy, and other abnormalities that the investigator and/or sponsor assessed to outweigh the risk of toxicity.

Exclusion Criteria:

  1. Symptomatic central nervous system (CNS) metastasis, leptomeningeal metastasis or spinal cord compression due to metastasis before the first dose of study drug.
  2. Received radiotherapy or other local treatment within 2 weeks before the first dose of study drug, and did not recover from the adverse reactions of local treatment.
  3. Patients with a history of other malignant tumors within 5 years before signing the informed consent.
  4. Active autoimmune diseases that exist within 2 years prior to the first dose of study drug and require systemic treatment.
  5. Hypertension uncontrolled by 2 or more antihypertensive drugs (BP ≥150/90 mmHg at Screening).
  6. Previous history of hypertensive crisis or hypertensive encephalopathy.
  7. History of allogeneic hematopoietic stem cell transplantation or organ transplantation (except corneal transplantation)
  8. Were receiving long-term systemic steroid therapy within 7 days prior to first dose of the study drug.
  9. HIV-positive patients; known to have received anti-tuberculosis therapy within one year before the first study treatment; hepatitis B surface antigen (HBsAg) positive and hepatitis B virus deoxyribonucleic acid (HBV DNA) ≥ 2000 IU/ml or 104 copies/ml ; HCV antibody positive and HCV RNA positive.
  10. HbsAg and anti-HCV antibodies were positive.
  11. Patients with active pulmonary tuberculosis within one year before the first use of the investigational drug.
  12. Subjects with any of the cardiovascular diseases were excluded as defined.
  13. The patient is known to have a history of psychotropic substance abuse, alcoholism, or drug use; a clear history of neurological or psychiatric disorders, including epilepsy or dementia or hepatic encephalopathy.
  14. Participants who participated in other clinical studies and used other study drugs within 4 weeks before the first dose of study drug.
  15. Known history of hypersensitivity to macromolecular protein preparation or any components of the the study drugs.
  16. Received a live vaccine within 4 weeks prior to the first dose of study drug.
  17. Major surgery within 4 weeks prior to first use of the study drug.
  18. Past and/or current history of pulmonary fibrosis, interstitial pneumonia, pneumoconiosis, radiation pneumonitis, severely impaired lung function, etc. may interfere with the detection and management of suspected drug-related pulmonary toxicity.
  19. Arteriovenous thromboembolic events, including cerebrovascular accident or history of stroke or transient ischemic attack, pulmonary embolism, deep vein embolism, or other serious thromboembolic events within 6 months prior to the first use of the investigational drug.
  20. Patients at risk of severe perforation or bleeding.
  21. Clinically significant hemoptysis or tumor bleeding within 2 weeks prior to the first dose of the study drug.
  22. Gastrointestinal perforation, gastrointestinal or non-gastrointestinal fistula, or abdominal abscess within 6 months prior to first dose of the study drug.
  23. Any life-threatening bleeding event within 3 months prior to the first trial drug, including the need for blood transfusion therapy, surgery or topical therapy, ongoing drug therapy.
  24. Concomitant treatment with therapeutic doses of anticoagulants, such as heparin, thrombin, or factor Xa inhibitors, or antiplatelet drugs.
  25. Patients who, in the investigator's judgment, may increase the risks associated with the study, may interfere with the interpretation of the study results, or are deemed unsuitable for enrollment by the investigator and/or sponsor.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    QL1706 Plus Lenvatinib

    Arm Description

    QL1706 5mg/kg administered intravenously (IV), every 3 weeks, plus Lenvatinib 20 mg or 14mg administered orally, once daily.

    Outcomes

    Primary Outcome Measures

    Safety and tolerability
    Safety and tolerability, as defined by the rate of treatment-related adverse events as assessed by NCI CTCAE v5.0

    Secondary Outcome Measures

    Full Information

    First Posted
    February 21, 2022
    Last Updated
    February 21, 2022
    Sponsor
    Qilu Pharmaceutical Co., Ltd.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05262413
    Brief Title
    A Study of QL1706 Plus Lenvatinib in Subjects With Advanced Renal Cell Carcinoma(RCC)
    Official Title
    A Study of QL1706 Plus Lenvatinib in Subjects With Advanced Renal Cell Carcinoma(RCC)
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    February 2022
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    February 28, 2022 (Anticipated)
    Primary Completion Date
    July 30, 2023 (Anticipated)
    Study Completion Date
    July 30, 2024 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Qilu 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 is a phase 1b, multicenter, open label, single arm study designed to evaluate the efficacy, safety, tolerability, pharmacokinetic (PK), and immunogenicity of QL1706 plus lenvatinib in subjects with advanced RCC.
    Detailed Description
    This study included a screening period, a treatment period, and a post-treatment follow-up period. Safety will be monitored throughout the study. At the same time, the pharmacokinetics and immunogenicity of QL1706 and lenvatinib in subjects with advanced renal cell carcinoma were evaluated, and the preliminary efficacy of QL1706 combined with lenvatinib in subjects with advanced renal cell carcinoma was evaluated.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Advanced Renal Cell Carcinoma
    Keywords
    QL1706

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1, Phase 2
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    60 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    QL1706 Plus Lenvatinib
    Arm Type
    Experimental
    Arm Description
    QL1706 5mg/kg administered intravenously (IV), every 3 weeks, plus Lenvatinib 20 mg or 14mg administered orally, once daily.
    Intervention Type
    Drug
    Intervention Name(s)
    QL1706 Plus Lenvatinib
    Other Intervention Name(s)
    PSB205
    Intervention Description
    QL1706 5mg/kg administered intravenously (IV), every 3 weeks, plus Lenvatinib 20 mg or 14mg administered orally, once daily.
    Primary Outcome Measure Information:
    Title
    Safety and tolerability
    Description
    Safety and tolerability, as defined by the rate of treatment-related adverse events as assessed by NCI CTCAE v5.0
    Time Frame
    Up to approximately 2 years

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Subjects participate voluntarily and sign informed consent. Male or female subjects aged 18 years or older. Pathological confirmation of renal cell carcinoma (RCC) mainly with a clear-cell component At least 1 measurable target lesion according to Response Evaluation in Solid Tumors (RECIST) 1.1 Eastern Cooperative Oncology Group (ECOG) performance status 0-1. Life expectancy of ≥6 months. The functional level of important organs must meet the requirements before the first dose of study drug. Male and female patients able to have children must agree to use highly effective method of contraception throughout the study and for at least 180 days after last dose. Female subjects who are not pregnant or breastfeeding. Before the first use of the investigational drug, all the reversible toxicity of the previous antitumor therapy returned to ≤1 (according to CTCAE V5.0),Excluding any grade of hair loss and pigmentation, grade 2 or less peripheral sensory neuropathy, and other abnormalities that the investigator and/or sponsor assessed to outweigh the risk of toxicity. Exclusion Criteria: Symptomatic central nervous system (CNS) metastasis, leptomeningeal metastasis or spinal cord compression due to metastasis before the first dose of study drug. Received radiotherapy or other local treatment within 2 weeks before the first dose of study drug, and did not recover from the adverse reactions of local treatment. Patients with a history of other malignant tumors within 5 years before signing the informed consent. Active autoimmune diseases that exist within 2 years prior to the first dose of study drug and require systemic treatment. Hypertension uncontrolled by 2 or more antihypertensive drugs (BP ≥150/90 mmHg at Screening). Previous history of hypertensive crisis or hypertensive encephalopathy. History of allogeneic hematopoietic stem cell transplantation or organ transplantation (except corneal transplantation) Were receiving long-term systemic steroid therapy within 7 days prior to first dose of the study drug. HIV-positive patients; known to have received anti-tuberculosis therapy within one year before the first study treatment; hepatitis B surface antigen (HBsAg) positive and hepatitis B virus deoxyribonucleic acid (HBV DNA) ≥ 2000 IU/ml or 104 copies/ml ; HCV antibody positive and HCV RNA positive. HbsAg and anti-HCV antibodies were positive. Patients with active pulmonary tuberculosis within one year before the first use of the investigational drug. Subjects with any of the cardiovascular diseases were excluded as defined. The patient is known to have a history of psychotropic substance abuse, alcoholism, or drug use; a clear history of neurological or psychiatric disorders, including epilepsy or dementia or hepatic encephalopathy. Participants who participated in other clinical studies and used other study drugs within 4 weeks before the first dose of study drug. Known history of hypersensitivity to macromolecular protein preparation or any components of the the study drugs. Received a live vaccine within 4 weeks prior to the first dose of study drug. Major surgery within 4 weeks prior to first use of the study drug. Past and/or current history of pulmonary fibrosis, interstitial pneumonia, pneumoconiosis, radiation pneumonitis, severely impaired lung function, etc. may interfere with the detection and management of suspected drug-related pulmonary toxicity. Arteriovenous thromboembolic events, including cerebrovascular accident or history of stroke or transient ischemic attack, pulmonary embolism, deep vein embolism, or other serious thromboembolic events within 6 months prior to the first use of the investigational drug. Patients at risk of severe perforation or bleeding. Clinically significant hemoptysis or tumor bleeding within 2 weeks prior to the first dose of the study drug. Gastrointestinal perforation, gastrointestinal or non-gastrointestinal fistula, or abdominal abscess within 6 months prior to first dose of the study drug. Any life-threatening bleeding event within 3 months prior to the first trial drug, including the need for blood transfusion therapy, surgery or topical therapy, ongoing drug therapy. Concomitant treatment with therapeutic doses of anticoagulants, such as heparin, thrombin, or factor Xa inhibitors, or antiplatelet drugs. Patients who, in the investigator's judgment, may increase the risks associated with the study, may interfere with the interpretation of the study results, or are deemed unsuitable for enrollment by the investigator and/or sponsor.

    12. IPD Sharing Statement

    Learn more about this trial

    A Study of QL1706 Plus Lenvatinib in Subjects With Advanced Renal Cell Carcinoma(RCC)

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