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AK104 for Recurrent or Metastatic Vulvar Cancer

Phase 2
Recruiting
Conditions
Vulvar Cancer
Interventions
Drug: AK104+ Paclitaxel+Cisplatin or Carboplatin
Registration Number
NCT05932212
Lead Sponsor
Akeso
Brief Summary

This is a multicenter, open-label, phase II clinical study, aiming to the evaluate the efficacy and safety of AK104 (an anti- PD-1 and CTLA-4 bispecific antibody), alone or combined with chemotherapy, in subjects with recurrent or metastatic vulvar cancer not amenable to curative surgery or radiotherapy.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
Female
Target Recruitment
20
Inclusion Criteria

Age >=18 and <=80. ECOG of 0 or 2. Life expectancy ≥ 3 months. Histologically confirmed vulvar cancer (squamous cell carcinoma or adenosquamous carcinoma), not amenable to curative surgery or radical radiotherapy.

For Cohort A, subjects should have experienced failure on at least one previous systemic therapy, or intolerance to standard therapy.

At least one measurable tumor lesion per RECIST v1.1. Adequate organ function as assessed in the laboratory tests. Female subjects of childbearing potential must have a negative serum pregnancy test prior to the the first administration and agree to use effective methods of contraception

Exclusion Criteria

Subjects with other histopathological types of vulvar cancer, such as melanoma, sarcoma, etc.

Systemic or curative (surgery or radiotherapy) anti-tumor therapy within 4 weeks prior to the first administration.

Previous treatment with immune checkpoint inhibitors (e.g., anti-PD-1 antibody, anti-PD-L1 antibody, anti-CTLA-4 antibody, etc.).

Active or potentially recurrent autoimmune disease.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Cohort A: AK104AK104AK104 monotherapy
Cohort B: AK104+chemotherapyAK104+ Paclitaxel+Cisplatin or CarboplatinAK104 combined with platinum-based chemotherapy (paclitaxel+ cisplatin or carboplatin)
Primary Outcome Measures
NameTimeMethod
Objective response rate (ORR) assessed by investigator.Up to approximately 1 years

The ORR is defined as the proportion of subjects with confirmed CR or confirmed PR per RECIST v1.1

Secondary Outcome Measures
NameTimeMethod
serum concentrations of AK104Up to approximately 2 years

assessment of PK include serum concentrations of AK104 at different timepoints after study drug administration

Overall survival (OS)Up to approximately 2 years

The time from the first administration to death due to any cause

Adverse Events (AEs)Up to approximately 2 years

Characterization of incidence, severity and abnormal clinically significant manifestation or laboratory findings.

Progression-free survival (PFS) Assessed by investigatorUp to approximately 2 years

The time from the first administration to the first documented progressive disease (PD) or death due to any cause, whichever occurs first

Duration of Response (DOR) Assessed by investigatorUp to approximately 2 years

Measured from the date of partial or complete response to therapy until the disease progression per RECIST v1.1 criteria

Disease control rate (DCR) Assessed by investigatorUp to approximately 1 years

The proportion of subjects with CR, PR, or SD (subjects achieving SD will be included in the DCR if they maintain SD for ≥6 weeks) based on RECIST

Time to Response (TTR) Assessed by investigatorUp to approximately 1 years

The time from the first administration to the date of documented CR or PR

Antidrug antibodies (ADA) of AK104Up to approximately 2 years

Proportion of subjects who develop detectable anti-drug antibodies (ADAs)

Trial Locations

Locations (6)

Clinical oncology school of Fujian Medical University, Fujian Cancer Hospital

🇨🇳

Fuzhou, Fujian, China

Sun Yant-Sen Memorial Hospital

🇨🇳

Guangzhou, Guangdong, China

The Fourth Hospital of Hebei Medical University

🇨🇳

Shijiangzhuang, Hebei, China

Liaoning Cancer Hospital & Insitut

🇨🇳

Shenyang, Liaoning, China

Tianjin medical university Cancer Institut & Hospital

🇨🇳

Tianjin, Tianjin, China

Zhejiang Cancer Hospital

🇨🇳

Hangzhou, Zhejiang, China

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