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Sintilimab Combined With GEMOX ± IBI305 (Bevacizumab Biosimilar) Versus GEMOX in Advanced Intrahepatic Cholangiocarcinoma

Primary Purpose

Intrahepatic Cholangiocarcinoma

Status
Recruiting
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
Sintilimab
IBI305
GEMOX
Sponsored by
Tianjin Medical University Cancer Institute and Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Intrahepatic Cholangiocarcinoma focused on measuring Intrahepatic Cholangiocarcinoma, First-line Therapy, Sintilimab, IBI305, GEMOX

Eligibility Criteria

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

Inclusion Criteria:

  • Written informed consent should be signed before implementing any trial-related procedures
  • Male or female, 18 years old ≤ age ≤ 75 years old
  • Histopathologically or cytologically diagnosed as locally advanced intrahepatic cholangiocarcinoma
  • No previous systemic treatment, More than 6 months after the end of postoperative adjuvant therapy was allowed
  • Expected survival time > 3 months
  • At least ≥ 1 measurable lesions per RECIST 1.1
  • ECOG PS scores 0-2
  • Sufficient organ and bone marrow function
  • Urine or serum pregnancy test is negative

Exclusion Criteria:

  • Suffered from other malignant tumors in the past 5 years (except Radical basal cell carcinoma of the skin squamous carcinoma of the skin and/or radical resected carcinoma in situ)
  • Ampullary tumor
  • Received treatment from other clinical trials within 4 weeks before the first dose
  • Received any anti-PD-1 antibody, anti-PD-L1/L2 antibody, anti-CTLA4 antibody, or other immunotherapy
  • Suffered from severe cardiovascular disease within 12 months before enrollment, such as symptomatic coronary heart disease, congestive heart failure ≥ Grade II, uncontrolled arrhythmia, and myocardial infarction
  • Uncontrollable pleural effusion, pericardial effusion or ascites
  • Use steroids or other systemic immunosuppressive therapies 4 weeks before enrollment
  • Allergic reactions to the drugs used in this study
  • HIV antibody positive, active hepatitis B or C (HBV, HCV)
  • Known history of allogeneic organ transplantation and allogeneic hematopoietic stem cell transplantation
  • other conditions that the investigator deems inappropriate for enrollment.

Sites / Locations

  • Tianjin Medical University Cancer Institute & HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Active Comparator

Arm Label

experimental group1

experimental group2

Comparator

Arm Description

Sintilimab Combined With GEMOX + IBI305

Sintilimab Combined With GEMOX

GEMOX

Outcomes

Primary Outcome Measures

Overall response rate ( ORR)
Overall response rate ( ORR) is defined as proportion of participants who have a best response of CR or PR

Secondary Outcome Measures

Disease Control Rate (DCR)
Disease Control Rate (DCR) is defined as proportion of participants who have a best response of CR、PR or SD
Progression free survival (PFS)
the time period from randomization of the participants to objective tumor progression or death
Overall survival (OS)
the time period from the randomization of the participants to the death event due to any reason
Adverse event
All grades of adverse events, all grades of treatment related adverse events, serious of adverse events

Full Information

First Posted
January 11, 2022
Last Updated
February 22, 2022
Sponsor
Tianjin Medical University Cancer Institute and Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT05251662
Brief Title
Sintilimab Combined With GEMOX ± IBI305 (Bevacizumab Biosimilar) Versus GEMOX in Advanced Intrahepatic Cholangiocarcinoma
Official Title
A Phase II Study of Sintilimab Combined With GEMOX ± IBI305 (Bevacizumab Biosimilar) Versus GEMOX as First-line Therapy in Patients With Advanced Intrahepatic Cholangiocarcinoma
Study Type
Interventional

2. Study Status

Record Verification Date
January 2022
Overall Recruitment Status
Recruiting
Study Start Date
January 13, 2022 (Actual)
Primary Completion Date
January 13, 2024 (Anticipated)
Study Completion Date
January 13, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Tianjin Medical University Cancer Institute and 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
A randomized controlled, phase II clinical trial is designed to compare the safety and efficacy of Sintilimab combined with GEMOX ± IBI305 and GEMOX as first-line therapy in advanced intrahepatic cholangiocarcinoma.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Intrahepatic Cholangiocarcinoma
Keywords
Intrahepatic Cholangiocarcinoma, First-line Therapy, Sintilimab, IBI305, GEMOX

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
90 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
experimental group1
Arm Type
Experimental
Arm Description
Sintilimab Combined With GEMOX + IBI305
Arm Title
experimental group2
Arm Type
Experimental
Arm Description
Sintilimab Combined With GEMOX
Arm Title
Comparator
Arm Type
Active Comparator
Arm Description
GEMOX
Intervention Type
Drug
Intervention Name(s)
Sintilimab
Intervention Description
200mg IV d1 Q3W
Intervention Type
Drug
Intervention Name(s)
IBI305
Other Intervention Name(s)
Bevacizumab Biosimilar
Intervention Description
7.5mg/kg IV d1 Q3W
Intervention Type
Drug
Intervention Name(s)
GEMOX
Intervention Description
Oxaliplatin 100mg/m2 IV d1 Q3W+ gemcitabine 1000mg/m2 IV d1/8 Q3W
Primary Outcome Measure Information:
Title
Overall response rate ( ORR)
Description
Overall response rate ( ORR) is defined as proportion of participants who have a best response of CR or PR
Time Frame
up to 90 days after last treatment administration
Secondary Outcome Measure Information:
Title
Disease Control Rate (DCR)
Description
Disease Control Rate (DCR) is defined as proportion of participants who have a best response of CR、PR or SD
Time Frame
up to 90 days after last treatment administration
Title
Progression free survival (PFS)
Description
the time period from randomization of the participants to objective tumor progression or death
Time Frame
up to 3 years
Title
Overall survival (OS)
Description
the time period from the randomization of the participants to the death event due to any reason
Time Frame
up to 3 years
Title
Adverse event
Description
All grades of adverse events, all grades of treatment related adverse events, serious of adverse events
Time Frame
up to 30 days after last treatment administration

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: Written informed consent should be signed before implementing any trial-related procedures Male or female, 18 years old ≤ age ≤ 75 years old Histopathologically or cytologically diagnosed as locally advanced intrahepatic cholangiocarcinoma No previous systemic treatment, More than 6 months after the end of postoperative adjuvant therapy was allowed Expected survival time > 3 months At least ≥ 1 measurable lesions per RECIST 1.1 ECOG PS scores 0-2 Sufficient organ and bone marrow function Urine or serum pregnancy test is negative Exclusion Criteria: Suffered from other malignant tumors in the past 5 years (except Radical basal cell carcinoma of the skin squamous carcinoma of the skin and/or radical resected carcinoma in situ) Ampullary tumor Received treatment from other clinical trials within 4 weeks before the first dose Received any anti-PD-1 antibody, anti-PD-L1/L2 antibody, anti-CTLA4 antibody, or other immunotherapy Suffered from severe cardiovascular disease within 12 months before enrollment, such as symptomatic coronary heart disease, congestive heart failure ≥ Grade II, uncontrolled arrhythmia, and myocardial infarction Uncontrollable pleural effusion, pericardial effusion or ascites Use steroids or other systemic immunosuppressive therapies 4 weeks before enrollment Allergic reactions to the drugs used in this study HIV antibody positive, active hepatitis B or C (HBV, HCV) Known history of allogeneic organ transplantation and allogeneic hematopoietic stem cell transplantation other conditions that the investigator deems inappropriate for enrollment.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Wei Lu, MD
Phone
+86 22-27468682
Email
mail4luwei@163.com
First Name & Middle Initial & Last Name or Official Title & Degree
Ningning Zhang, MD
Phone
15822153931
Email
mail4ningning@163.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Wei Lu, MD
Organizational Affiliation
Tianjin Medical University Cancer Institute & Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Tianjin Medical University Cancer Institute & Hospital
City
Tianjin
State/Province
Tianjin
ZIP/Postal Code
300060
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Wei Lu, MD
Phone
+86 22-27468682
Email
mail4luwei@163.com
First Name & Middle Initial & Last Name & Degree
Ningning Zhang, MD
Phone
15822153931
Email
mail4ningning@163.com
First Name & Middle Initial & Last Name & Degree
Wei Lu, MD
First Name & Middle Initial & Last Name & Degree
Ningning Zhang, MD

12. IPD Sharing Statement

Learn more about this trial

Sintilimab Combined With GEMOX ± IBI305 (Bevacizumab Biosimilar) Versus GEMOX in Advanced Intrahepatic Cholangiocarcinoma

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