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CM082 and JS001 in Patients With Advanced Small-cell Lung Cancer (SCLC)

Primary Purpose

Small Cell Lung Cancer

Status
Unknown status
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
CM082 plus JS001
Sponsored by
AnewPharma
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Small Cell Lung Cancer

Eligibility Criteria

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

Inclusion Criteria:

  • Histologically or cytologically confirmed recurrent, inoperable, metastatic SCLC (stage III/IV period);
  • Progressive disease after prior standard systemic treatment;
  • Eastern Cooperative Group (ECOG) Performance Status score of 0 or 1;
  • Life expectancy of at least 12 weeks;
  • At least one measurable lesion according to the RECIST 1.1;
  • Adequate organ functions;
  • Negative serum pregnancy test results within 7 days prior to the first dose of the study drug;
  • Patients willing to obey the schedule for study and follow-up procedures;
  • Patients who can understand the nature of the study and sign voluntarily the informed consent.

Exclusion Criteria:

  • Patients who have previously received treatment with anti-PD-1, anti-PD-L1, anti-PD-L2, or VEGFR TKI therapy (sunitinib, sorafenib, pizopren, axitinib, bevacizumab, remomituzumab, nidanib, vandetanib, etc), or CTLA-4 inhibitor (Ipilimumab, etc).
  • Patients who are presently receiving other systematic antitumor therapies.
  • Patients who developed other malignancies (not including cured basal cell tumor of skin, endoscopically resected early gastrointestinal tract [GI] tumor, and cervical carcinoma in situ) except lung cancer in the past 2 years.
  • Patients receiving a major surgery or immunotherapy in the past 4 weeks prior to the first dose; and patients receiving a radiotherapy within 2 weeks prior to the first dose.
  • Patients with brain metastases or meningeal metastases.
  • Have received hematopoietic stimulating factors within 1 week prior to the first dose of the study drug.
  • Patients who previously received stem cell transplantation or organ transplantation.
  • Patients with swallowing dysfunction, active gastrointestinal disease, or other disorders that may influence significantly absorption, distribution, metabolism, or excretion of CM082.
  • Patients with active hepatitis B, hepatitis C virus antibody positive , HIV antibodies, or treponema pallidum antibody positive.
  • Patients with a prior history of interstitial lung disease, history of drug-induced interstitial lung disease, history of radiation pneumonia requiring a steroid therapy, or any clinical indications for active interstitial lung disease.
  • Patients who are known to be allergic to JS001 or CM082 or any excipients of the study drugs.
  • Patients receiving in the past 14 days or requiring concurrently the following drugs during treatment: Drugs that may result in a risk for QTc prolongation and/or torsades de pointes; or CYP3A potent inhibitors or potent inducers.
  • Patients with other severe, acute or chronic medical conditions (including incontrollable diabetes mellitus, or medical disease or mental disease, or laboratory test abnormality) that may increase study-related risk or may interfere with interpretation of the research results, in the viewpoints of the investigator.
  • Patients with other conditions that not suitable to participate in this study, as considered by the investigator.

Sites / Locations

  • National Cancer Center/Cancer Hospital
  • The First Hospital of China Medical UniversityRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

CM082 plus JS001

Arm Description

CM082 tablets 150mg is orally given once daily in a 28-day cycle, combinational JS001 240mg was given intravenously on day 1 once every 21 days.

Outcomes

Primary Outcome Measures

Objective Response Rate
The proportion of patients with complete remission (CR) and partial remission (PR) in all patients. Disease progression will be evaluated according to RECIST 1.1.

Secondary Outcome Measures

Progression-free survival
The internal between the date of enrollment and the date of disease progression, unaccepted toxicity, or death according to RECIST 1.1 and iRECIST.
Overall survival
The internal between the date of randomization and the date of death
Disease Control Rate
The proportion of patients with complete remission (CR), partial remission (PR) and stable disease (SD) in all patients. Disease progression will be evaluated according to RECIST 1.1 and iRECIST.
Duration of Response
The time between patients's first time to complete or partial remission to disease progression.
Time to response
The internal between the date of enrollment and the date of documented tumor response

Full Information

First Posted
April 4, 2019
Last Updated
July 7, 2020
Sponsor
AnewPharma
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1. Study Identification

Unique Protocol Identification Number
NCT03904719
Brief Title
CM082 and JS001 in Patients With Advanced Small-cell Lung Cancer (SCLC)
Official Title
Combination of CM082 With JS001 in Patients With Advanced Small-cell Lung Cancer (SCLC) Who Progressed on First-line Treatment: a Phase II Study
Study Type
Interventional

2. Study Status

Record Verification Date
July 2020
Overall Recruitment Status
Unknown status
Study Start Date
September 18, 2019 (Actual)
Primary Completion Date
June 30, 2021 (Anticipated)
Study Completion Date
December 31, 2021 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AnewPharma

4. Oversight

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

5. Study Description

Brief Summary
This study was a single-arm, multi-center, phase II study, which is aimed to evaluate the efficacy and safety of CM082 combined with JS001 as the second-line treatment of advanced small cell lung cancer. Eligible patients will receive CM082 tablets 150mg once daily orally in combination with JS001 (240mg, intravenously) every 21 days. Treatment continues until disease progresses , intolerable toxicity, or withdraw.
Detailed Description
This study was a single-arm, multi-center, phase II study, which is aimed to evaluate the efficacy and safety of CM082 combined with JS001 as the second-line treatment of advanced small cell lung cancer. Eligible patients will receive CM082 tablets 150mg once daily orally in combination with JS001 (240mg, intravenously) every 21 days. Treatment continues until disease progresses , intolerable toxicity, or withdraw. The primary endpoint is tumor response per investigator assessment according to response evaluation criteria in solid tumors (recist) version 1.1, secondary endpoints include disease control rate, progression-free survival, overall survival, safety and tolerability. iRECIST is also implemented for tumor response assessment.

6. Conditions and Keywords

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

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
CM082 plus JS001
Arm Type
Experimental
Arm Description
CM082 tablets 150mg is orally given once daily in a 28-day cycle, combinational JS001 240mg was given intravenously on day 1 once every 21 days.
Intervention Type
Drug
Intervention Name(s)
CM082 plus JS001
Other Intervention Name(s)
Vorolanib, Toripalimab
Intervention Description
CM082: 150mg once a day orally (taken within half an hour after breakfast) JS001: An intravenous infusion of a solution having a concentration of 1-3mg/ml was prepared with 0.9% physiological saline, and administered once every three weeks. Using an inline filter (0.2 or 0.22 μm), the drug was diluted with physiological saline and intravenously administered within 60 minutes.
Primary Outcome Measure Information:
Title
Objective Response Rate
Description
The proportion of patients with complete remission (CR) and partial remission (PR) in all patients. Disease progression will be evaluated according to RECIST 1.1.
Time Frame
6 months
Secondary Outcome Measure Information:
Title
Progression-free survival
Description
The internal between the date of enrollment and the date of disease progression, unaccepted toxicity, or death according to RECIST 1.1 and iRECIST.
Time Frame
12 months
Title
Overall survival
Description
The internal between the date of randomization and the date of death
Time Frame
36 months
Title
Disease Control Rate
Description
The proportion of patients with complete remission (CR), partial remission (PR) and stable disease (SD) in all patients. Disease progression will be evaluated according to RECIST 1.1 and iRECIST.
Time Frame
6 months
Title
Duration of Response
Description
The time between patients's first time to complete or partial remission to disease progression.
Time Frame
12 months
Title
Time to response
Description
The internal between the date of enrollment and the date of documented tumor response
Time Frame
12 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: Histologically or cytologically confirmed recurrent, inoperable, metastatic SCLC (stage III/IV period); Progressive disease after prior standard systemic treatment; Eastern Cooperative Group (ECOG) Performance Status score of 0 or 1; Life expectancy of at least 12 weeks; At least one measurable lesion according to the RECIST 1.1; Adequate organ functions; Negative serum pregnancy test results within 7 days prior to the first dose of the study drug; Patients willing to obey the schedule for study and follow-up procedures; Patients who can understand the nature of the study and sign voluntarily the informed consent. Exclusion Criteria: Patients who have previously received treatment with anti-PD-1, anti-PD-L1, anti-PD-L2, or VEGFR TKI therapy (sunitinib, sorafenib, pizopren, axitinib, bevacizumab, remomituzumab, nidanib, vandetanib, etc), or CTLA-4 inhibitor (Ipilimumab, etc). Patients who are presently receiving other systematic antitumor therapies. Patients who developed other malignancies (not including cured basal cell tumor of skin, endoscopically resected early gastrointestinal tract [GI] tumor, and cervical carcinoma in situ) except lung cancer in the past 2 years. Patients receiving a major surgery or immunotherapy in the past 4 weeks prior to the first dose; and patients receiving a radiotherapy within 2 weeks prior to the first dose. Patients with brain metastases or meningeal metastases. Have received hematopoietic stimulating factors within 1 week prior to the first dose of the study drug. Patients who previously received stem cell transplantation or organ transplantation. Patients with swallowing dysfunction, active gastrointestinal disease, or other disorders that may influence significantly absorption, distribution, metabolism, or excretion of CM082. Patients with active hepatitis B, hepatitis C virus antibody positive , HIV antibodies, or treponema pallidum antibody positive. Patients with a prior history of interstitial lung disease, history of drug-induced interstitial lung disease, history of radiation pneumonia requiring a steroid therapy, or any clinical indications for active interstitial lung disease. Patients who are known to be allergic to JS001 or CM082 or any excipients of the study drugs. Patients receiving in the past 14 days or requiring concurrently the following drugs during treatment: Drugs that may result in a risk for QTc prolongation and/or torsades de pointes; or CYP3A potent inhibitors or potent inducers. Patients with other severe, acute or chronic medical conditions (including incontrollable diabetes mellitus, or medical disease or mental disease, or laboratory test abnormality) that may increase study-related risk or may interfere with interpretation of the research results, in the viewpoints of the investigator. Patients with other conditions that not suitable to participate in this study, as considered by the investigator.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Yuankai Shi, MD
Phone
010-67781331
Email
syuankai@cicams.ac.cn
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Yuankai Shi, MD
Organizational Affiliation
National Cancer Center/Cancer Hospital
Official's Role
Study Chair
Facility Information:
Facility Name
National Cancer Center/Cancer Hospital
City
Beijing
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yuankai Shi
Phone
010-67781331
Email
syuankai@cicams.ac.cn
Facility Name
The First Hospital of China Medical University
City
Shenyang
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yunpeng Liu
Email
cmu_trial@163.com

12. IPD Sharing Statement

Learn more about this trial

CM082 and JS001 in Patients With Advanced Small-cell Lung Cancer (SCLC)

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