A Phase Ib, Open-label, Single Center, Non-randomized Study for Safety and Efficacy of TQB2450 Combined With Anlotinib in Subjects With Advanced Mutation Positive Non-Small Cell Lung Cancer
Overview
- Phase
- Phase 1
- Intervention
- TQB2450
- Conditions
- Lung Cancer
- Sponsor
- Chia Tai Tianqing Pharmaceutical Group Co., Ltd.
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- Overall response rate (ORR)
- Last Updated
- 6 years ago
Overview
Brief Summary
This is an open-label, single center, non-randomized, phase Ib trial to evaluate safety and efficacy of TQB2450 injection combined with anlotinib in patients with advanced mutation positive non-small cell lung cancer.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Understood and signed an informed consent form.
- •18 years and older.
- •Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1, life expectancy≥ 12 weeks.
- •Histologically or cytologically confirmed mutation positive non-small cell lung cancer according to 8th International Association for the Study of Lung Cancer (IASLC) edition.
- •Has measurable lesion based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.
- •Adequate organ system function, defined as follows:
- •absolute neutrophil count (ANC) ≥ 1.5×10\^9/L, platelets (PLT) ≥ 100×10\^9/L, hemoglobin (Hb)≥ 90g /L;
- •total bilirubin (TBIL) ≤ 1.5×ULN;alanine transaminase (ALT) and aspartate aminotransferase (AST) ≤ 3.0 × ULN (without liver metastasis) or ≤ 5.0 × ULN (with liver metastasis), Creatinine ≤ 1.5 × ULN and creatinine clearance ≥ 50 ml/min;
- •Urine protein \< ++,or urine protein ≥ ++ concomitant with content of 24-hour urinary protein \<1.0 g;
- •international normalized ratio (INR) ≤ 1.5×ULN, activated partial thromboplastin time (APTT) ≤ 1.5×ULN;
Exclusion Criteria
- •Has diagnosed and/or treated additional malignancy within 5 years prior to randomization except of cured in situ carcinoma of the cervix, non-melanoma skin cancer and superficial bladder carcinoma.
- •Has severe hypersensitivity reactions after taking other monoclonal antibodies.
- •Has hypersensitivity reactions after taking anlotinib.
- •Has prior therapy with anlotinib, anti-programmed cell death (PD)-1, anti-PD-L1 or other immunotherapy against PD-1/PD-L
- •Has any active autoimmune disease or history of autoimmune disease, such as autoimmune hepatitis, interstitial pneumonia, enteritis, vasculitis, nephritis, asthma patients who need bronchiectasis for medical intervention; Subjects with the vitiligo without systemic treatment, psoriasis, alopecia, well-controlled type I diabetes mellitus, hypothyroidism stable on hormone replacement will not be excluded from this study.
- •Has multiple factors affecting oral medication, such as inability to swallow, post-gastrointestinal resection, chronic diarrhea and intestinal obstruction, etc.
- •Has clinical significance of thyroid dysfunctions within 6 months prior to enrollment, and even though medical therapy, thyroid function can not return to normal or no clinical significance.
- •Has central nervous system (CNS) metastases without local therapy of lesion.
- •Radiograph (within 28 days before enrollment) showed that the tumor surrounded important blood vessels, and the investigators determined that entering the study would cause bleeding risk.
- •Hemoptysis (defined as coughing out or spitting out ≥ 1 teaspoon of blood or small blood clots or hemoptysis without sputum) within 28 days before enrollment , not including bloody sputum.
Arms & Interventions
TQB2450 Combined with Anlotinib
TQB2450 1200 mg administered intravenously (IV) on Day 1 of each 21-day cycle plus Anlotinib capsules 12 mg given orally in fasting conditions, once daily in 21-day cycle (14 days on treatment from Day 1-14, 7 days off treatment from Day 15-21)
Intervention: TQB2450
TQB2450 Combined with Anlotinib
TQB2450 1200 mg administered intravenously (IV) on Day 1 of each 21-day cycle plus Anlotinib capsules 12 mg given orally in fasting conditions, once daily in 21-day cycle (14 days on treatment from Day 1-14, 7 days off treatment from Day 15-21)
Intervention: Anlotinib
Outcomes
Primary Outcomes
Overall response rate (ORR)
Time Frame: up to approximately 12 months
Percentage of Participants Achieving Complete Response (CR) and Partial Response (PR)
Secondary Outcomes
- Overall survival (OS)(up to approximately 15 months)
- Disease control rate(DCR)(up to approximately 12 months)
- Progression-free survival (PFS)(up to approximately 12 months)