A Randomized, Controlled, Open-label, Multicenter Phase 3 Clinical Study of 9MW2821 in Combination With Toripalimab Versus Standard Chemotherapy in First-line Locally Advanced or Metastatic Urothelial Cancer
试验速览
- 阶段
- 3 期
- 状态
- 招募中
- 入组人数
- 460
- 试验地点
- 1
- 主要终点
- BICR-PFS
研究概览
简要总结
This is a randomized, controlled, open-label, multicenter phase 3 clinical study to evaluate the efficacy, safety and immunogenicity of 9MW2821 combined with Toripalimab versus standard chemotherapy in first-line locally advanced or metastatic urothelial cancer.
详细描述
The study is planning to enroll approximately 460 participants with unresectable locally advanced or metastatic urothelial cancer who have not previously received systematic treatment.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 80 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Sign the informed consent form approved by IEC.
- •Male or female subjects aged 18 to 80 years.
- •ECOG status: 0 or
- •Histologically confirmed local advanced or metastatic urothelial cancer
- •Previously untreated with local advanced or metastatic urothelial cancer
- •At least one measurable lesion, according to RECIST V1.
- •Adequate tumor tissues submitted for test
- •Suitable for cisplatin/carboplatin-based chemotherapy assessed by investigator
- •Life expectancy for more than 12 weeks.
- •Adequate organ functions.
- •Proper contraception methods.
- •Willingness to follow the study procedures.
排除标准
- •History of another malignancy within 3 years.
- •History of autoimmune disease requiring systemic treatment within 2 years.
- •History of clinically significant cardiac/cerebrovascular diseases or thrombosis within 6 months.
- •Major surgery treated within 28 days; Any live vaccines got within 28 days; Radiotherapy or Intravesical therapy treated within 21 days; Traditional Chinese medicine or any potent CYP3A4 inducers/inhibitors taken within 14 days.
- •Lots of pleural fluid and ascites, uncontrolled bone pain or spinal compression existed within 14 days; Systemic treatment with active infection within 7 days.
- •Previously treated with PD-1, PD-L1, PD-L2, CTLA-4 inhibitors; Previously treated with ADCs which target Nectin-4 or are conjugated with payload MMAE; Organ transplantation or allogeneic hematopoietic stem cell transplantation in the past.
- •Clinical significantly toxicity Grade ≥ 2 (except alopecia and pigmentation) related to previous treatment.
- •Any situations adding the risk of severe dry eye, active keratitis or corneal ulcer, etc.
- •Peripheral neuropathy Grade ≥
- •Any other serious chronic or uncontrolled disease.
- •Uncontrolled central nervous system metastases or carcinomatous meningitis.
- •Active HBV/HCV/HIV infection, etc.
- •Known allergic sensitivity to any of the ingredients of the study drug.
- •History of drug abuse or mental illness.
- •Other conditions unsuitable into the study.
研究组 & 干预措施
9MW2821+Toripalimab
9MW2821+Toripalimab
干预措施: 9MW2821 (Drug)
9MW2821+Toripalimab
9MW2821+Toripalimab
干预措施: Toripalimab (Drug)
Gemcitabine+Cisplatin/Carboplatin
Gemcitabine+Cisplatin/Carboplatin
干预措施: Gemcitabine (Drug)
Gemcitabine+Cisplatin/Carboplatin
Gemcitabine+Cisplatin/Carboplatin
干预措施: Cisplatin/Carboplatin (Drug)
结局指标
主要结局
BICR-PFS
时间窗: up to 50 months
Progression-free survival, assessed by BICR
OS
时间窗: up to 50 months
Overall Survival
次要结局
- ORR(Up to 50 months)
- DCR(Up to 50 months)
- DoR(Up to 50 months)
- PFS(Up to 50 months)
- AE/SAE(Up to 50 months)
- Immunogenicity(Up to 50 months)
