A Single Arm, Observational Clinical Trial to Evaluate the Efficacy and Safety of Combination Treatment With Sintilimab Injection Plus Endostar in Untreated Locally Advanced or Metastatic Hepatocellular Carcinoma
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Hepatocellular Carcinoma Non-resectable
- Sponsor
- Huazhong University of Science and Technology
- Enrollment
- 2
- Locations
- 1
- Primary Endpoint
- PFS
- Last Updated
- 7 years ago
Overview
Brief Summary
It is a a single arm, observational clinical trial to evaluate the efficacy and safety of combination treatment with sintilimab injection plus endostar in untreated locally advanced or metastatic hepatocellular carcinoma.
Detailed Description
For the first line treatment with untreated locally advanced or metastatic hepatocellular carcinoma, sintilimab injection plus endostar might be one of the treatment choices.
Investigators
Xianglin Yuan
Professor, Head of the cancer center
Huazhong University of Science and Technology
Eligibility Criteria
Inclusion Criteria
- •Able and willing to comply with the study plans in this protocol and sign the informed consent;
- •Age of 18-75 years;
- •Cytological or histological diagnosis of untreated locally advanced or metastatic hepatocellular carcinoma;
- •Diseases are not suitable for radical surgery and/or local treatment, or disease progression occurs after surgery and/or local treatment;
- •At least one measurable lesion as defined by RECIST 1.1 criteria and untreated lesion;
- •Patients who have received previous local treatment (e.g., radiofrequency ablation, ethanol or acetic acid injection, cryoablation, high intensity focused ultrasound, transcatheter arterial chemoembolization, transcatheter arterial embolization, etc.) are eligible to participate in the study if the target lesion has not received local treatment before, or if the target lesion within the scope of local treatment has subsequently developed on the basis of RECIST v1.1;
- •ECOG performance status of 0-1;
- •Child-Pugh A;
- •Bone marrow function: absolute neutrophil count(ANC) ≥1.5×109 /L, platelet count(PLT) ≥75×109 /L, hemoglobin(HB) ≥90 g/L;
- •alanine glutamate transaminase (ALT) and glutamate transaminase (AST) ≤5 x upper limit of normal range (ULN);total bilirubin (TBIL)≤3 x upper limit of normal range (ULN);Creatinine(Cr)≤1.5 x upper limit of normal range(ULN);Serum albumin (\> 28 g/L) (2.8 g/dL);Patients not receiving anticoagulation therapy: INR or aPTT \< 2 \*ULN;Urinary cellulose test paper results Proteinuria \< 2 (7 days before the start of treatment);Patients with baseline cellulose test paper urine test results (\> 2 proteinuria) should collect 24-hour urine, and then must confirm that the 24-hour urinary protein content is less than 1 g;
Exclusion Criteria
- •Systemic HCC treatment has been received in the past;
- •History of primary immunodeficiency is known;
- •It is known to have active tuberculosis;
- •History of allogeneic organ transplantation and hematopoietic stem cell transplantation is known;
- •It is known that there is a history of human immunodeficiency virus (HIV) infection (that is, HIV antibody positive);
- •Severe allergic/allergic reactions to humanized antibodies or fusion proteins were observed;
- •It is known to have hypersensitivity to any component contained in Endor preparations;
- •Initial serious heart disease patients include congestive heart failure, uncontrollable high-risk arrhythmia, unstable angina pectoris, myocardial infarction, severe valvular disease and refractory hypertension;
- •History of PIA meningitis;
- •Major cardiovascular diseases (e.g. New York Heart Association Grade II or more serious heart disease, myocardial infarction or cerebrovascular accident), unstable arrhythmia or unstable angina pectoris, occurred within three months before the start of treatment;
Outcomes
Primary Outcomes
PFS
Time Frame: up to 3 years
From date of enrollment until the date of first documented progression or date of death from any cause, whichever came first
ORR
Time Frame: up to 3 years
The rate of participants that achieve either a complete response (CR) or a partial response (PR).
Secondary Outcomes
- OS(up to 3 years)
- Safety as measured by number and grade of adverse events(up to 3 years)
- DOR(up to 3 years)