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A Study of RC48-ADC in Advanced Melanoma Subjects With HER2-positive

Primary Purpose

Melanoma, Stage II, HER2-positive, Advanced Melanoma

Status
Not yet recruiting
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
RC48-ADC
Sponsored by
RemeGen Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Melanoma, Stage II focused on measuring RC48-ADC, HER2-positive melanoma

Eligibility Criteria

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

Inclusion Criteria:

  • Voluntary agreement to provide written informed consent.
  • Male or female, Age ≥ 18 years.
  • Predicted survival ≥ 12 weeks.
  • Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1.
  • All female subjects will be considered to be of child-bearing potential unless participants are postmenopausal, or have been sterilized surgically.Female subjects of child-bearing potential must agree to use two forms of highly effective contraception. Male subjects and their female partner who are of child-bearing potential must agree to use two forms of highly effective contraception.
  • Willing to adhere to the study visit schedule and the prohibitions and restrictions specified in this protocol.
  • Adequate organ function.
  • All subjects must be histologically confirmed, non-resectable stage III or metastatic melanoma, except for patients with uveal or ocular melanoma.
  • The subject has experienced disease progression or intolerance after receiving standard treatment in the past; Patients with disease progression within 6 months after receiving neoadjuvant or adjuvant chemotherapy regimens can be included in the clinical study.
  • The HER2 IHC test result is IHC 2+ or IHC 3+, the subject's previous test results (confirmed by the investigator) or the research center's test results are acceptable; the subject can provide the Specimen of primary or metastatic tumor for HER2 review/judgment.
  • According to the RECIST 1.1 standard, there is at least one measurable lesion.

Exclusion Criteria:

  • Known hypersensitivity to Recombinant Humanized Anti-HER2 Monoclonal Antibody-MMAE Conjugate For Injection.
  • History of receiving any anti-cancer drug/biologic treatment within 4 weeks prior to trial treatment.
  • Pleural or abdominal effusion with clinical symptoms that requires ongoing treatment.
  • Treated with systemic treatment (e.g. immunomodulators, corticosteroids or immunosuppressants) for the autoimmune disease within 2 years prior to the study treatment.
  • History of major surgery within 4 weeks of planned start of trial treatment.
  • Has received a live virus vaccine within 4 weeks of planned start of trial treatment.
  • Toxicity of previous anti-tumor treatment not recovered to CTCAE Grade 0-1 (with exception of Grade 2 alopecia).
  • Pregnancy or lactation.
  • Currently known active infection with HIV or tuberculosis.
  • Diagnosed with HBsAg, HBcAb positive and HBV DNA copy positive, or HCVAb positive.
  • Has a history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the trial, interfere with the subject's participation for the full duration of the trial, or is not in the best interest of the subject to participate, in the opinion of the treating investigator.
  • History of other malignancy within the previous 5 years, except for appropriately treated carcinoma in situ of the cervix, non-melanoma skin carcinoma, or cancers with a similar curative outcome as those mentioned above.
  • Assessed by the investigator to be unable or unwilling to comply with the requirements of the protocol.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    RC48-ADC

    Arm Description

    Participants will receive RC48-ADC every 2 weeks (Q2W) until investigator assessed loss of clinical benefit, unacceptable toxicity, investigator or participant decision to withdraw from therapy, or death (whichever occurs first).

    Outcomes

    Primary Outcome Measures

    Objective remission rate (ORR)
    The objective response rate will be analyzed according to the RECIST 1.1 standard tumor evaluation.

    Secondary Outcome Measures

    Progression-free survival (PFS)
    Progression-free survival (PFS) refers to the time from the date of randomization to the first researcher's evaluation of disease progression or death (calculated by the event that occurred first). The disease progression will be evaluated by the researchers according to the RECIST 1.1 standard.
    Duration of relief (DOR)
    DOR is defined as the time from the first documented objective response (CR or PR) to the first documented disease progression or death.
    Disease control rate (DCR)
    Disease control rate (DCR) is defined as cases where objective remission (assessed as complete remission or partial remission according to RECIST 1.1 standard) or stable disease during the study.
    Overall survival (OS)
    Overall survival (OS) refers to the time from the date of randomization to the date of death of the subject.

    Full Information

    First Posted
    November 15, 2021
    Last Updated
    November 29, 2021
    Sponsor
    RemeGen Co., Ltd.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05135715
    Brief Title
    A Study of RC48-ADC in Advanced Melanoma Subjects With HER2-positive
    Official Title
    A Single-arm, Single-center, Open Phase Ⅱa Clinical Study of RC48-ADC in the Treatment of HER2-positive Advanced Melanoma
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    November 2021
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    December 30, 2021 (Anticipated)
    Primary Completion Date
    December 30, 2023 (Anticipated)
    Study Completion Date
    December 30, 2024 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    RemeGen Co., Ltd.

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    This is a Phase IIa, single-arm, single-center, open-label clinical trial aims to evaluate the effectiveness and safety of RC48-ADC in the treatment of HER2-positive advanced melanoma.
    Detailed Description
    This study is a phase IIa single-center, single-arm, open-label, clinical study to evaluate the efficacy and safety of recombinant humanized anti-HER2 monoclonal antibody-Monomethyl auristatin E (MMAE) conjugate for the treatment of HER2- positive advanced melanoma. HER2 positive is defined as the expression of HER2 protein in the primary tumor or metastatic tumor tissue as IHC 2+ or IHC 3+ by immunohistochemistry (IHC).

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Melanoma, Stage II, HER2-positive, Advanced Melanoma
    Keywords
    RC48-ADC, HER2-positive melanoma

    7. Study Design

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

    8. Arms, Groups, and Interventions

    Arm Title
    RC48-ADC
    Arm Type
    Experimental
    Arm Description
    Participants will receive RC48-ADC every 2 weeks (Q2W) until investigator assessed loss of clinical benefit, unacceptable toxicity, investigator or participant decision to withdraw from therapy, or death (whichever occurs first).
    Intervention Type
    Drug
    Intervention Name(s)
    RC48-ADC
    Other Intervention Name(s)
    Recombinant Humanized anti-HER2 Monoclonal Antibody-MMAE Conjugate For Injection
    Intervention Description
    2.0 mg/kg IV every 2 weeks
    Primary Outcome Measure Information:
    Title
    Objective remission rate (ORR)
    Description
    The objective response rate will be analyzed according to the RECIST 1.1 standard tumor evaluation.
    Time Frame
    within approximately 3 years
    Secondary Outcome Measure Information:
    Title
    Progression-free survival (PFS)
    Description
    Progression-free survival (PFS) refers to the time from the date of randomization to the first researcher's evaluation of disease progression or death (calculated by the event that occurred first). The disease progression will be evaluated by the researchers according to the RECIST 1.1 standard.
    Time Frame
    within approximately 3 years
    Title
    Duration of relief (DOR)
    Description
    DOR is defined as the time from the first documented objective response (CR or PR) to the first documented disease progression or death.
    Time Frame
    within approximately 3 years
    Title
    Disease control rate (DCR)
    Description
    Disease control rate (DCR) is defined as cases where objective remission (assessed as complete remission or partial remission according to RECIST 1.1 standard) or stable disease during the study.
    Time Frame
    within approximately 3 years
    Title
    Overall survival (OS)
    Description
    Overall survival (OS) refers to the time from the date of randomization to the date of death of the subject.
    Time Frame
    within approximately 3 years

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Voluntary agreement to provide written informed consent. Male or female, Age ≥ 18 years. Predicted survival ≥ 12 weeks. Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1. All female subjects will be considered to be of child-bearing potential unless participants are postmenopausal, or have been sterilized surgically.Female subjects of child-bearing potential must agree to use two forms of highly effective contraception. Male subjects and their female partner who are of child-bearing potential must agree to use two forms of highly effective contraception. Willing to adhere to the study visit schedule and the prohibitions and restrictions specified in this protocol. Adequate organ function. All subjects must be histologically confirmed, non-resectable stage III or metastatic melanoma, except for patients with uveal or ocular melanoma. The subject has experienced disease progression or intolerance after receiving standard treatment in the past; Patients with disease progression within 6 months after receiving neoadjuvant or adjuvant chemotherapy regimens can be included in the clinical study. The HER2 IHC test result is IHC 2+ or IHC 3+, the subject's previous test results (confirmed by the investigator) or the research center's test results are acceptable; the subject can provide the Specimen of primary or metastatic tumor for HER2 review/judgment. According to the RECIST 1.1 standard, there is at least one measurable lesion. Exclusion Criteria: Known hypersensitivity to Recombinant Humanized Anti-HER2 Monoclonal Antibody-MMAE Conjugate For Injection. History of receiving any anti-cancer drug/biologic treatment within 4 weeks prior to trial treatment. Pleural or abdominal effusion with clinical symptoms that requires ongoing treatment. Treated with systemic treatment (e.g. immunomodulators, corticosteroids or immunosuppressants) for the autoimmune disease within 2 years prior to the study treatment. History of major surgery within 4 weeks of planned start of trial treatment. Has received a live virus vaccine within 4 weeks of planned start of trial treatment. Toxicity of previous anti-tumor treatment not recovered to CTCAE Grade 0-1 (with exception of Grade 2 alopecia). Pregnancy or lactation. Currently known active infection with HIV or tuberculosis. Diagnosed with HBsAg, HBcAb positive and HBV DNA copy positive, or HCVAb positive. Has a history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the trial, interfere with the subject's participation for the full duration of the trial, or is not in the best interest of the subject to participate, in the opinion of the treating investigator. History of other malignancy within the previous 5 years, except for appropriately treated carcinoma in situ of the cervix, non-melanoma skin carcinoma, or cancers with a similar curative outcome as those mentioned above. Assessed by the investigator to be unable or unwilling to comply with the requirements of the protocol.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Jianming Fang, Ph.D
    Phone
    +8610-58075763
    Email
    jianminfang@hotmail.com
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Jun Guo, Ph.D
    Organizational Affiliation
    Peking University Cancer Hospital & Institute
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Learn more about this trial

    A Study of RC48-ADC in Advanced Melanoma Subjects With HER2-positive

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