Camrelizumab Combined With Apatinib Mesylate or Camrelizumab Alone for First-line Treatment in Subjects With Programmed Death Ligand 1 (PD-L1) Positive Relapsed or Advanced Non-small Cell Lung Cancer (NSCLC)
Phase 3
- Conditions
- PD-L1 Positive Non-small Cell Lung Cancer
- Interventions
- Drug: Pemetrexed disodium for injectionBiological: Camrelizumab 200mgDrug: Paclitaxel injectionDrug: Apatinib Mesylate 250mgDrug: Carboplatin
- Registration Number
- NCT04203485
- Lead Sponsor
- Jiangsu HengRui Medicine Co., Ltd.
- Brief Summary
The study is being conducted to evaluate the efficacy and safety of Camrelizumab (200mg,q2w) combined with Apatinib(250mg qd) in subjects with PD-L1 positive relapsed or advanced non-small cell lung cancer.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 762
Inclusion Criteria
- Subjects who have recurrent or advanced (Stage IIIB-IV) non-small cell lung cancer confirmed by histology or cytology.
- No prior systemic treatment. Subjects who have received prior neo-adjuvant, adjuvant chemotherapy, or chemoradiotherapy with curative intent for non-metastatic disease must have experienced a treatment free interval of at least 6 months from randomization since the last chemotherapy cycle.
- Subjects should not have a previously detected activating Epidermal Growth Factor Receptor (EFGR) mutation or Anaplastic Lymphoma Kinase (ALK) fusion oncogene.
- Subjects must have measurable disease by Computed Tomography (CT) or Magnetic Resonance Imaging (MRI) per RECIST 1.1 criteria;
- Freshly acquired samples or archived specimens within 6 months before randomization must be provided.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.
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Exclusion Criteria
- Radiologically confirmed central squamous cell carcinoma.
- Untreated central nervous system metastases (such as brain or meningeal metastases).
- Pleural effusion, pericardial effusion, or ascites with clinical symptoms that need drainage
- Past or present with idiopathic pulmonary fibrosis, interstitial pneumonia, pneumoconiosis, radiation pneumonitis, tissue pneumonia (eg bronchitis, occlusive vasculitis), drug-induced pneumonia, active pneumonia during CT screening, or objective evidence of severe impairment of lung function
- Subjects with an active, known or suspected autoimmune disease. Patients with type I diabetes who are receiving a stable dose of insulin, hypothyroidism who only needs hormone replacement therapy, and skin diseases (such as eczema, vitiligo, or psoriasis) that do not require systemic treatment and do not have acute deterioration within 1 year before the screening period, are allowed.
- Subjects with suspected active tuberculosis should be examined for chest X-rays, sputum, and ruled out by clinical signs and symptoms.
- Uncontrolled Cardiac Symptoms or Diseases.
- Subjects with high blood pressure who cannot be controlled well with antihypertensive drugs (systolic blood pressure ≥140 mmHg or diastolic blood pressure ≥90 mmHg).
- Arterial / venous thrombosis events, such as cerebrovascular accidents (including transient ischemic attacks, cerebral hemorrhage, cerebral infarction), deep vein thrombosis, and pulmonary embolism, occurred within the first 6 months of randomization.
- Subjects who have previously received anti-PD-1 / PD-L1 monoclonal antibody, anti-cytotoxic T lymphocyte antigen-4 monoclonal antibody, or vascular endothelial growth factor receptor (VEGFR) small molecule inhibitor therapy.
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Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Pemetrexed/Paclitaxel injection+ Carboplatin Pemetrexed disodium for injection For non-squamous NSCLC: Pemetrexed disodium for injection + Carboplatin; For squamous NSCLC: Paclitaxel injection + Carboplatin Pemetrexed/Paclitaxel injection+ Carboplatin Paclitaxel injection For non-squamous NSCLC: Pemetrexed disodium for injection + Carboplatin; For squamous NSCLC: Paclitaxel injection + Carboplatin Camrelizumab 200mg + Apatinib Mesylate 250mg Camrelizumab 200mg Camrelizumab 200mg q2w ivgtt+ Apatinib Mesylate 250mg once daily po qd Camrelizumab 200mg + Apatinib Mesylate 250mg Apatinib Mesylate 250mg Camrelizumab 200mg q2w ivgtt+ Apatinib Mesylate 250mg once daily po qd Camrelizumab 200mg Camrelizumab 200mg Camrelizumab 200mg q2w ivgtt Pemetrexed/Paclitaxel injection+ Carboplatin Carboplatin For non-squamous NSCLC: Pemetrexed disodium for injection + Carboplatin; For squamous NSCLC: Paclitaxel injection + Carboplatin
- Primary Outcome Measures
Name Time Method Progression Free Survival (PFS) assessed by Independent review committee (IRC) up to 2 years Progression Free Survival, defined as the time from randomization to the first occurrence of disease progression as determined by IRC with use of Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) or death from any cause, whichever occurs first.
Overall survival up to 2 years Overall survival is the time interval from the date of randomization to death due to any reason or lost of follow-up
- Secondary Outcome Measures
Name Time Method Disease Control Rate At the time point of every 6 weeks，up to 2 years Disease Control Rate, determined using RECIST v1.1 criteria
Adverse Events and Serious Adverse Events from the first drug administration to within 90 days for the last Camrelizumab dose Adverse Events and Serious Adverse Events
Time to Treatment Failure Up to 2 years Time to Treatment Failure, defined as the time from randomization to treatment discontinuation.
PFS assessed by investigator up to 2 years Progression-Free-Survival
Objective Response Rate At the time point of every 6 weeks，up to 2 years Objective Response Rate, determined using RECIST v1.1 criteria, defined as best overall response (complete or partial response) across all assessment time points
Duration of Response Up to 2 years Duration of Response, determined using RECIST v1.1 criteria