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Surufatinib Plus Anti-PD-1/L1 as Maintenance Therapy in Extensive-Stage Small Cell Lung Cancer

Primary Purpose

Extensive-Stage Small Cell Lung Cancer

Status
Recruiting
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
Surufatinib
Anti-PD-1/L1
Sponsored by
Hutchison Medipharma Limited
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Extensive-Stage Small Cell Lung Cancer

Eligibility Criteria

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

Inclusion Criteria:

  1. Patients who sufficiently understand this study and is willing to sign the ICF;
  2. Aged from 18 to 75 years (inclusive);
  3. Patients with histologically or cytologically confirmed ES-SCLC ;
  4. Patients who did not have PD (assessed as per the RECIST v1.1) after prior first-line platinum-based chemotherapy plus an anti-PD-1/L1;
  5. Patients with measurable lesions as defined in the RECIST v1.1 ;
  6. Life expectancy ≥ 12 weeks;
  7. Eastern Cooperative Oncology Group (ECOG) Performance Status score of 0 to 1;
  8. Adequate organ function:
  9. Females of childbearing potential must have a negative serum pregnancy test within 7 days prior to the first dose. Male or female patients of childbearing potential should be willing to use effective contraceptive methods during the study and within 90 days after last dose of the study drug.

Exclusion Criteria:

  1. Previous use of anti-vascular endothelial growth factor (VEGF) drugs/anti-vascular endothelial growth factor receptor (VEGFR) agents;
  2. Use of systematic anti-tumor therapies other than first-line platinum-based chemotherapy in combination with anti-PD-1/L1 within 4 weeks prior to the first dose;
  3. Presence of central nervous system (CNS) metastasis and/or cancerous meningitis (metastases to meninges);
  4. Toxicities associated with previous anti-tumor treatment that has not been resolved to CTCAE Grade ≤ 1, except for alopecia and CTCAE Grade ≤ 2 peripheral neurotoxicity;
  5. Uncontrollable malignant hydrothorax, ascites or pericardial effusion;
  6. Patients with active autoimmune disorder or immunodeficiency or history of autoimmune disorder or immunodeficiency;
  7. Patients with evidence or history of obvious bleeding tendency within 2 months prior to the first dose;
  8. Clinically significant cardiovascular disorders;
  9. Severe infection within 4 weeks prior to the start of study treatment, including but not limited to hospitalization for infection, bacteraemia or severe pneumonia;
  10. Patients who are unable to take oral medications, or with previous surgical history or severe gastrointestinal;
  11. Pregnant (with a positive pregnancy test) or lactating women within 5 years before screening.
  12. Patients with a history of malignant tumors excluding small cell lung cancer (SCLC) within 5 years before screening.

Sites / Locations

  • Chinese PLA General HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Surufatinib in combination with anti-PD-1/L1 therapy

Anti-PD-1/L1 monotherapy

Arm Description

Surufatinib 250 mg orally once plus anti-PD-1/L1, Q3W or Q4W, the same immune checkpoint inhibitor from patients' first-line therapy.

Anti-PD-1/L1 therapy, Q3W or Q4W, the same immune checkpoint inhibitor from patients' first-line therapy

Outcomes

Primary Outcome Measures

Progression-free survival
Progression-free survival(PFS) assessed by the investigator as per the Response Evaluation Criteria in Solid Tumors v1.1 (RECIST v1.1)

Secondary Outcome Measures

Overall survival
Overall survival (OS)
Objective response rate
Objective response rate (ORR) assessed per RECIST v1.1
Disease control rate
Disease control rate (DCR) assessed per RECIST v1.1
Duration of response
Duration of response (DoR) assessed per RECIST v1.1

Full Information

First Posted
August 16, 2022
Last Updated
March 10, 2023
Sponsor
Hutchison Medipharma Limited
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1. Study Identification

Unique Protocol Identification Number
NCT05509699
Brief Title
Surufatinib Plus Anti-PD-1/L1 as Maintenance Therapy in Extensive-Stage Small Cell Lung Cancer
Official Title
An Open-Label, Multi-Center Phase II Study of Surufatinib Plus Anti-PD-1/L1 as Maintenance Therapy in Patients With Extensive-Stage Small Cell Lung Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
March 2023
Overall Recruitment Status
Recruiting
Study Start Date
September 27, 2022 (Actual)
Primary Completion Date
April 2024 (Anticipated)
Study Completion Date
December 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Hutchison Medipharma Limited

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No

5. Study Description

Brief Summary
This is an open-label, multi-center Phase II study designed to evaluate the efficacy and safety of Surufatinib plus anti-PD-1/L1 as maintenance therapy after first-line standard of care in patients with ES-SCLC.
Detailed Description
This study consists of two parts, i.e., a single-arm Phase IIa study and a randomized, controlled Phase IIb study. All the enrolled patients will be patients with ES-SCLC who did not have PD (determined as per the RECIST v1.1) after prior platinum-based chemotherapy in combination with an anti-PD-1/L1. Approximately 20 patients are planned to be enrolled in the single-arm Phase IIa study to preliminarily observe the efficacy and safety. Approximately 40 patients are planned to be enrolled in the randomized and controlled Phase IIb study with 20 patients per group.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Extensive-Stage Small Cell Lung Cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Model Description
The study consists of two parts, i.e., a single-arm Phase IIa study and a randomized (1:1), controlled Phase IIb study. Phase IIa: It is planned that 20 patients will be enrolled to receive treatment with Surufatinib plus anti-PD-1/L1, the same immune checkpoint inhibitor from patients' first-line therapy . Phase IIb: It is planned that 40 patients will be enrolled to receive the following treatments: Group A: Patients will receive treatment with Surufatinib plus anti-PD-1/L1, the same immune checkpoint inhibitor from patients' first-line therapy. Group B: Patients will receive treatment with anti-PD-1/L1, the same immune checkpoint inhibitor from patients' first-line therapy.
Masking
None (Open Label)
Allocation
Randomized
Enrollment
60 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Surufatinib in combination with anti-PD-1/L1 therapy
Arm Type
Experimental
Arm Description
Surufatinib 250 mg orally once plus anti-PD-1/L1, Q3W or Q4W, the same immune checkpoint inhibitor from patients' first-line therapy.
Arm Title
Anti-PD-1/L1 monotherapy
Arm Type
Experimental
Arm Description
Anti-PD-1/L1 therapy, Q3W or Q4W, the same immune checkpoint inhibitor from patients' first-line therapy
Intervention Type
Drug
Intervention Name(s)
Surufatinib
Intervention Description
The recommended dosage is 250 mg orally once daily (QD) within 1 hour after breakfast for continuous administration.
Intervention Type
Drug
Intervention Name(s)
Anti-PD-1/L1
Other Intervention Name(s)
Immune checkpoint inhibitor
Intervention Description
Anti-PD-1/L1 therapy, Q3W or Q4W, the same immune checkpoint inhibitor from patients' first-line therapy.
Primary Outcome Measure Information:
Title
Progression-free survival
Description
Progression-free survival(PFS) assessed by the investigator as per the Response Evaluation Criteria in Solid Tumors v1.1 (RECIST v1.1)
Time Frame
About 18 months
Secondary Outcome Measure Information:
Title
Overall survival
Description
Overall survival (OS)
Time Frame
About 18 months
Title
Objective response rate
Description
Objective response rate (ORR) assessed per RECIST v1.1
Time Frame
About 18 months
Title
Disease control rate
Description
Disease control rate (DCR) assessed per RECIST v1.1
Time Frame
About 18 months
Title
Duration of response
Description
Duration of response (DoR) assessed per RECIST v1.1
Time Frame
About 18 months

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: Patients who sufficiently understand this study and is willing to sign the ICF; Aged from 18 to 75 years (inclusive); Patients with histologically or cytologically confirmed ES-SCLC ; Patients who did not have PD (assessed as per the RECIST v1.1) after prior first-line platinum-based chemotherapy plus an anti-PD-1/L1; Patients with measurable lesions as defined in the RECIST v1.1 ; Life expectancy ≥ 12 weeks; Eastern Cooperative Oncology Group (ECOG) Performance Status score of 0 to 1; Adequate organ function: Females of childbearing potential must have a negative serum pregnancy test within 7 days prior to the first dose. Male or female patients of childbearing potential should be willing to use effective contraceptive methods during the study and within 90 days after last dose of the study drug. Exclusion Criteria: Previous use of anti-vascular endothelial growth factor (VEGF) drugs/anti-vascular endothelial growth factor receptor (VEGFR) agents; Use of systematic anti-tumor therapies other than first-line platinum-based chemotherapy in combination with anti-PD-1/L1 within 4 weeks prior to the first dose; Presence of central nervous system (CNS) metastasis and/or cancerous meningitis (metastases to meninges); Toxicities associated with previous anti-tumor treatment that has not been resolved to CTCAE Grade ≤ 1, except for alopecia and CTCAE Grade ≤ 2 peripheral neurotoxicity; Uncontrollable malignant hydrothorax, ascites or pericardial effusion; Patients with active autoimmune disorder or immunodeficiency or history of autoimmune disorder or immunodeficiency; Patients with evidence or history of obvious bleeding tendency within 2 months prior to the first dose; Clinically significant cardiovascular disorders; Severe infection within 4 weeks prior to the start of study treatment, including but not limited to hospitalization for infection, bacteraemia or severe pneumonia; Patients who are unable to take oral medications, or with previous surgical history or severe gastrointestinal; Pregnant (with a positive pregnancy test) or lactating women within 5 years before screening. Patients with a history of malignant tumors excluding small cell lung cancer (SCLC) within 5 years before screening.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Hannah Yang, Master
Phone
86 21 2067 1962
Email
hannahy@hutch-med.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Yi Hu, Postdoctor
Organizational Affiliation
Chinese PLA General Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Chinese PLA General Hospital
City
Beijing
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yi Hu, Postdoctor
Phone
86 010 66937003
Email
huyi0401@aliyun.com

12. IPD Sharing Statement

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Surufatinib Plus Anti-PD-1/L1 as Maintenance Therapy in Extensive-Stage Small Cell Lung Cancer

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