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Clinical Trials/NCT05174156
NCT05174156UnknownPhase 2

Study on the Biomarker of First-line Immunotherapy Combined With Chemotherapy in Advanced Esophageal Cancer

Sixth Affiliated Hospital, Sun Yat-sen University1 site in 1 country50 target enrollmentStarted: January 1, 2022Last updated:
Conditions
Interventions
Drugs

Trial Snapshot

Phase
Phase 2
Sponsor
Enrollment
50
Locations
1
Primary Endpoint
Objective Response Rate (ORR)

Study Overview

Brief Summary

This study intends to explore the predictive biomarkers by Next-generation sequencing (NGS) and multiple immunohistochemistry (mIHC) for the treatment of SHR-1210 in combination with paclitaxel and platinum in advanced esophageal cancer.

Study Design

Study Type
Interventional
Allocation
Na
Intervention Model
Single Group
Primary Purpose
Treatment
Masking
None

Eligibility Criteria

Ages
18 Years to 75 Years (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Unresectable locally advanced/ recurrent or distant metastatic esophageal squamous cell carcinoma confirmed by histology or cytology;
  • Not received any previous systematic antitumor therapy.
  • Eastern Cooperative Oncology Group (ECOG) fitness status score was 0 or 1 within 3 days before the first administration of the intervention.
  • 8-10 tumor tissue samples can be provided.
  • Demonstrate good organ and bone marrow function.
  • Consent to participate in the contraceptive methods related to clinical research.

Exclusion Criteria

  • Have a history of allergy to monoclonal antibodies, any component of SHR-1210, albumin-paclitaxel, carboplatin, and other platinum drugs;
  • Weight loss > 20% in the past 3 months.
  • Major surgery within 28 days prior to enrollment.
  • Have received systemic chemotherapy or radiation therapy for esophageal cancer.
  • Had a myocardial infarction within the past 6 months.
  • Have any medical history or current evidence, treatment, or laboratory abnormalities that prevent the subject from participating fully in the study with the investigator's opinion.
  • Prior treatment with immunotherapy drugs.
  • Received live vaccine within 30 days prior to initial administration of the investigational drug.
  • Have been diagnosed with immunodeficiency or are receiving immunosuppressive treatment.
  • Another malignancy is known to exist.
  • Have active infections that require systemic treatment.
  • Pregnant or lactating, or planning to become pregnant or become a father during the study period (180 days for lactating subjects receiving carboplatin) from the beginning of the screening visit until 120 days after the last dose of the study intervention.

Arms & Interventions

biomarker study and treatment study

Experimental

All enrolled patients undergo biomarker study and treatment study.

  • Biomarker study: the baseline tumor tissue will be collected and analyzed via NGS and mIHC
  • Treatment study: SHR-1210 plus albumin-bound paclitaxel and platinum-based chemotherapy

Intervention: Combination therapy (Drug)

Outcomes

Primary Outcomes

Objective Response Rate (ORR)

Time Frame: up to approximately 1 year

ORR is determined using RECIST v1.1, defined as best overall response (CR or PR) across all assessment time points during the period from enrolment to termination of trial treatment.

Secondary Outcomes

  • Progression-Free Survival (PFS)(up to approximately 1 year)
  • Disease Control Rate (DCR)(up to approximately 1 year)
  • Overall Survival (OS)(up to approximately 1 year)
  • Adverse events (AEs)(up to approximately 1 year)

Investigators

Sponsor
Sixth Affiliated Hospital, Sun Yat-sen University
Sponsor Class
Other
Responsible Party
Sponsor

Study Sites (1)

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