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RC48 Combined With Tislelizumab for Second-line Treatment of HER2 Expression in Recurrent Cervical Cancer

Primary Purpose

Cervical Cancer Recurrent

Status
Recruiting
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
RC48 + Tislelizumab
Sponsored by
Peking Union Medical College Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cervical Cancer Recurrent

Eligibility Criteria

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

Inclusion Criteria: Female subjects aged from 18 to 75 years old; Have Eastern Cooperative Oncology Group Performance Status (ECOG PS) 0 or 1; Have a life expectancy of at least 6 months, in the opinion of the investigator; Histologically or cytologically confirmed primary cervical squamous cell carcinoma, adenocarcinoma, adenosquamous cell carcinoma, or small cell (neuroendocrine) cervical cancer; Have measurable disease assessable by RECIST v1.1; Adequate haematological, hepatic and renal functions defined by the protocol; Pathologically diagnosed patients with HER2 expression (defined as: IHC 3+ or IHC 2+ or HC 1+)advanced cervical cancer ;Note:It is also acceptable if the subject has previous test results (confirmed by the investigator); Negative blood pregnancy test at Screening for women of childbearing potential;Highly effective contraception for female subjects if the risk of conception exists; Exclusion Criteria: History of malignant tumors other than cervical cancer, except for the following two cases:a. The patient had received a potentially curative treatment and had no evidence of the disease for 5 years;b. Successful resection of skin basal cell carcinoma, skin squamous cell carcinoma, superficial bladder carcinoma, cervical carcinoma in situ, and other carcinoma in situ was received; Previous malignant disease (other than cervical cancer) within the last 5 years with the exception of basal or squamous cell carcinoma of the skin or carcinoma in situ (bladder, cervical, colorectal, breast)Previous stem cell allogeneic or parenchymal organ transplants; Patients who had previously received other anti-tumor systemic therapy (including traditional Chinese medicine with anti-tumor indications) less than 4 weeks before the use of this study, or adverse events caused by previous treatment did not recover to ≤CTCAE grade 1 (except for alopecia and pigmentation); Had received a live vaccine within 4 weeks prior to the start of study dosing or planned to receive any vaccine (except for COVID-19 vaccine) during the study period; Previous or current congenital or acquired immunodeficiency disease; Previous treatment with other antibody-coupled drugs; Has not recovered from surgery, such as the presence of unhealed incisions or serious postoperative complications; The patient had a known or suspected allergy to the experimental drug; The New York College of Cardiology (NYHA) classiifies heart failure as grade 3 and above; Severe infections that are active or poorly controlled clinically; Active infections, including: a. HIV (HIV1/2 antibody) positive; b. Active hepatitis B (HBsAg positive or HBV DNA > 2000IU/ml and abnormal liver function); c. Active hepatitis C (HCV antibody positive or ≥103 copies /ml of HCV RNA and abnormal liver function); d. active tuberculosis; d. Other uncontrolled active infections (CTCAE V5.0 > Grade 2); Other significant clinical and laboratory abnormalities considered to affect safety assessment, such as uncontrolled diabetes, chronic kidney disease, grade II or above peripheral neuropathy (CTCAE V5.0), thyroid dysfunction, etc.; Other conditions deemed unsuitable for inclusion by the researchers;

Sites / Locations

  • Peking Union Medical College HospitalRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

RC48 + Tislelizumab

Arm Description

Durg:RC48: intravenous drip, 2mg/kg, D1, repeated once every 2 weeks. Durg :Tislelizumab: intravenous drip, fixed dose 600 mg, D1, repeated once every 6 weeks.

Outcomes

Primary Outcome Measures

Objective Response Rate(ORR)
Assess ORR, defined as Investigator-assessed CR + PR, per RECIST 1.1.

Secondary Outcome Measures

Overall Survival(OS)
The time from the start of treatment with this study protocol to the time of all-cause death of patients.
Progression-free survival(PFS)
Time from initiation of study protocol treatment to disease progression (if occurring within 30 days of end of treatment) or death, as assessed by clinician or with or without radiographic progression.
Disease Control Rate (DCR)
Percentage of patients with CR/PR/SD in the number of patients that whose tumour can be evaluated.
Duration of response(DOR)
The time between the onset of efficacy and confirmation of tumor progression

Full Information

First Posted
September 11, 2023
Last Updated
September 25, 2023
Sponsor
Peking Union Medical College Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT06063018
Brief Title
RC48 Combined With Tislelizumab for Second-line Treatment of HER2 Expression in Recurrent Cervical Cancer
Official Title
A Single-arm, Single Center, Phase II Study of RC48 Combined With Tislelizumab for Second-line Treatment of HER2 Expression in Recurrent Cervical Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Recruiting
Study Start Date
August 16, 2023 (Actual)
Primary Completion Date
August 2025 (Anticipated)
Study Completion Date
August 2026 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Peking Union Medical College Hospital

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
There is currently no standardized treatment for patients who have undergone first-line standard treatment. In this study, We investigated the efficacy and safty of RC48 combined with Tislelizumab in the second-line treatment of patients with HER2 expression in recurrent cervical cancer.
Detailed Description
This study is a single-arm, single center II study,aim to evaluate the effective and safe of RC48 combined with Tislelizumab in the second-line treatment of patients with HER2 expression in recurrent cervical cancer. This study set up a safety introduction period, that is, the first 6 subjects enrolled in the study will be slowly monitored for safety. The monitoring time window was 28 days after first receiving the study drug. If Dose limit toxicity (DLT) is observed in ≥2 of the first 6 subjects and is assessed by the investigator team to be related to RC48 therapy, the initial dose of RC48 therapy in subsequent enrolled patients is adjusted to 1.5 mg/kg Q2W. During the safety induction period, if a subject does not complete the safety assessment for the tolerability observation period (within 28 days after the first dose) for reasons other than dose tolerance, a new subject will be replaced. After the safety introduction period, any enrolled subjects who withdraw early from the trial will not be allowed to be replaced by additional enrolled subjects. The number corresponding to the subject is not allowed to be reused by other new subjects.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cervical Cancer Recurrent

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
RC48 + Tislelizumab
Arm Type
Experimental
Arm Description
Durg:RC48: intravenous drip, 2mg/kg, D1, repeated once every 2 weeks. Durg :Tislelizumab: intravenous drip, fixed dose 600 mg, D1, repeated once every 6 weeks.
Intervention Type
Drug
Intervention Name(s)
RC48 + Tislelizumab
Intervention Description
RC48: intravenous drip, 2mg/kg, D1, repeated once every 2 weeks. Tislelizumab: intravenous drip, fixed dose 600 mg, D1, repeated once every 6 weeks.
Primary Outcome Measure Information:
Title
Objective Response Rate(ORR)
Description
Assess ORR, defined as Investigator-assessed CR + PR, per RECIST 1.1.
Time Frame
From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 3 years
Secondary Outcome Measure Information:
Title
Overall Survival(OS)
Description
The time from the start of treatment with this study protocol to the time of all-cause death of patients.
Time Frame
up to 3 years
Title
Progression-free survival(PFS)
Description
Time from initiation of study protocol treatment to disease progression (if occurring within 30 days of end of treatment) or death, as assessed by clinician or with or without radiographic progression.
Time Frame
From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 3 years
Title
Disease Control Rate (DCR)
Description
Percentage of patients with CR/PR/SD in the number of patients that whose tumour can be evaluated.
Time Frame
From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 3 years
Title
Duration of response(DOR)
Description
The time between the onset of efficacy and confirmation of tumor progression
Time Frame
From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 3 years

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Female subjects aged from 18 to 75 years old; Have Eastern Cooperative Oncology Group Performance Status (ECOG PS) 0 or 1; Have a life expectancy of at least 6 months, in the opinion of the investigator; Histologically or cytologically confirmed primary cervical squamous cell carcinoma, adenocarcinoma, adenosquamous cell carcinoma, or small cell (neuroendocrine) cervical cancer; Have measurable disease assessable by RECIST v1.1; Adequate haematological, hepatic and renal functions defined by the protocol; Pathologically diagnosed patients with HER2 expression (defined as: IHC 3+ or IHC 2+ or HC 1+)advanced cervical cancer ;Note:It is also acceptable if the subject has previous test results (confirmed by the investigator); Negative blood pregnancy test at Screening for women of childbearing potential;Highly effective contraception for female subjects if the risk of conception exists; Exclusion Criteria: History of malignant tumors other than cervical cancer, except for the following two cases:a. The patient had received a potentially curative treatment and had no evidence of the disease for 5 years;b. Successful resection of skin basal cell carcinoma, skin squamous cell carcinoma, superficial bladder carcinoma, cervical carcinoma in situ, and other carcinoma in situ was received; Previous malignant disease (other than cervical cancer) within the last 5 years with the exception of basal or squamous cell carcinoma of the skin or carcinoma in situ (bladder, cervical, colorectal, breast)Previous stem cell allogeneic or parenchymal organ transplants; Patients who had previously received other anti-tumor systemic therapy (including traditional Chinese medicine with anti-tumor indications) less than 4 weeks before the use of this study, or adverse events caused by previous treatment did not recover to ≤CTCAE grade 1 (except for alopecia and pigmentation); Had received a live vaccine within 4 weeks prior to the start of study dosing or planned to receive any vaccine (except for COVID-19 vaccine) during the study period; Previous or current congenital or acquired immunodeficiency disease; Previous treatment with other antibody-coupled drugs; Has not recovered from surgery, such as the presence of unhealed incisions or serious postoperative complications; The patient had a known or suspected allergy to the experimental drug; The New York College of Cardiology (NYHA) classiifies heart failure as grade 3 and above; Severe infections that are active or poorly controlled clinically; Active infections, including: a. HIV (HIV1/2 antibody) positive; b. Active hepatitis B (HBsAg positive or HBV DNA > 2000IU/ml and abnormal liver function); c. Active hepatitis C (HCV antibody positive or ≥103 copies /ml of HCV RNA and abnormal liver function); d. active tuberculosis; d. Other uncontrolled active infections (CTCAE V5.0 > Grade 2); Other significant clinical and laboratory abnormalities considered to affect safety assessment, such as uncontrolled diabetes, chronic kidney disease, grade II or above peripheral neuropathy (CTCAE V5.0), thyroid dysfunction, etc.; Other conditions deemed unsuitable for inclusion by the researchers;
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Lei Li, PhD
Phone
13911988831
Email
lileigh@163.com
First Name & Middle Initial & Last Name or Official Title & Degree
Xiao Shang, PhD
Phone
13810073050
Email
shang.mm@163.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Lei Li, PhD
Organizational Affiliation
Peking Union Medical College Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Peking Union Medical College Hospital
City
Beijing
State/Province
Beijing
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Lei Li, PhD
Phone
13911988831
Email
lileigh@163.com

12. IPD Sharing Statement

Plan to Share IPD
Undecided

Learn more about this trial

RC48 Combined With Tislelizumab for Second-line Treatment of HER2 Expression in Recurrent Cervical Cancer

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