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A Trial of Camrelizumab Combined With Famitinib Malate in Treatment Naïve Subjects With PD-L1-Positive Recurrent or Metastatic Non-Small Cell Lung Cancer

Phase 3
Recruiting
Conditions
Non-small Cell Lung Cancer
Interventions
Registration Number
NCT05042375
Lead Sponsor
Jiangsu HengRui Medicine Co., Ltd.
Brief Summary

The study is being conducted to evaluate the efficacy, and safety of camrelizumab combined with famitinib malate vs. pembrolizumab in treatment naïve subjects with programmed death-ligand 1(PD-L1)-positive recurrent or metastatic non-small cell lung cancer (NSCLC).

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
450
Inclusion Criteria
  1. Have a histologically or cytologically confirmed diagnosis of metastatic NSCLC (stage IV according to the TNM staging criteria [8th edition] published by the International Association for the Study of Lung Cancer [IASLC]), or NSCLC that recurs after curable surgery, radiotherapy, or radiochemotherapy.
  2. Have measurable disease based on RECIST v1.1.
  3. ECOG PS score: 0-1.
  4. Have a life expectancy of at least 3 months.
  5. Non-surgically sterilized female subjects or women of childbearing potential must be negative for a serum pregnancy test within 3 days prior to the first dose and must be non-lactating. Female subjects of childbearing potential and male subjects with partners of childbearing potential must agree to take highly effective contraceptive measures during the study period and within 6 months after the last dose of study drugs.
  6. Have voluntarily agreed to participate by giving written informed consent for the study, have good compliance, and cooperate with follow-up visits.
Exclusion Criteria
  1. Accompanied with EGFR activating mutation, ALK fusion gene positive or ROS1 mutation.
  2. Have uncontrolled clinically symptomatic pleural effusion, pericardial effusion, or ascites.
  3. Have known history of prior malignancy in the past 3 years.
  4. Have had an allogeneic tissue/solid organ transplant.
  5. Have active pulmonary tuberculosis.
  6. Have clinical symptoms of the heart or heart diseases that are not well controlled.
  7. Have hypertension which cannot be well controlled by antihypertensives
  8. Urinalysis has indicated that the urine protein is ≥ ++ and quantitative test of urine protein has confirmed that the 24-h urine protein is > 1.0 g.
  9. Have a thrombosis tendency or are currently receiving thrombolysis/anticoagulation therapy.
  10. Have received major surgery within 4 weeks prior to randomization; or palliative radiotherapy within 2 weeks prior to randomization; or have not recovered from the toxicities and/or complications of previous interventions to NCI-CTCAE Grade ≤ 1.
  11. Have known history of arterial/venous thrombosis within 6 months prior to randomization, such as cerebrovascular accidents, deep vein thrombosis and pulmonary embolism.
  12. Have received prior therapy with anti-PD-1/PD-L1 monoclonal antibodies, anti-CTLA-4 monoclonal antibodies, or small molecule VEGFR inhibitors.
  13. Have known allergies to other monoclonal antibodies or any component of famitinib.
  14. Are currently participating and receiving study therapy or have participated in a study and received the last dose of study drug within 4 weeks (or 5 half-lives of the study drug) prior to randomization.
  15. Have other potential factors that may affect the study results or result in the premature discontinuation as determined by the investigator, such as alcoholism, drug abuse, substance abuse, other serious diseases (including mental illness) requiring concomitant treatment, serious laboratory abnormalities, or family or social factors that could affect the safety of medication.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
pembrolizumabpembrolizumab-
camrelizumab + famitinibcamrelizumab + famitinib-
camrelizumabcamrelizumab-
Primary Outcome Measures
NameTimeMethod
PFS assessed by BIRCup to 3 years

Progression-Free-Survival, defined as the time from randomization to the first occurrence of disease progression as determined by IRC with use of RECIST v1.1 or death from any cause, whichever occurs first.

Secondary Outcome Measures
NameTimeMethod
DCRup to 3 years

Disease Control Rate, determined using RECIST v1.1 criteria

DoRup to 3 years

Duration of Response, determined using RECIST v1.1 criteria

TTFup to 3 years

Time to Treatment Failure, defined as the time from randomization to treatment discontinuation.

AEs+SAEsfrom the first drug administration to within 90 days for the last SHR-1210 dose

Adverse Events and Serious Adverse Events

ORRup to 3 years

Objective Response Rate, determined using RECIST v1.1 criteria, defined as best overall response (CR or PR) across all assessment time points

OSup to 4 years

OS is the time interval from the date of randomization to death due to any reason or lost of follow-up

PFS assessed by investigatorup to 3 years

Progression-Free-Survival

Trial Locations

Locations (80)

Shaoyang Central Hospital

🇨🇳

Shaoyang, Hunan, China

Xiangyang Central Hospital

🇨🇳

Xiangyang, Hubei, China

Hunan Cancer Hospital-Thoracic Medicine Department I

🇨🇳

Changsha, Hunan, China

Haerbin Medical University Cancer Hospital

🇨🇳

Ha'erbin, Heilongjiang, China

Army Medical Center of PLA

🇨🇳

Changsha, Hunan, China

Anyang Cancer Hospital

🇨🇳

Anyang, Henan, China

Union Hospital Tongji Medical College Huazhong University of Science and Technology

🇨🇳

Wuhan, Hubei, China

The First Affiliated Hosptial of Henan University of Science & Technology

🇨🇳

Luoyang, Henan, China

Henan Cancer Hospital

🇨🇳

Zhengzhou, Henan, China

The First Affiliated Hospital of Zhengzhou University

🇨🇳

Zhengzhou, Henan, China

Shiyan Taihe Hospital

🇨🇳

Shiyan, Hubei, China

Affiliated Hospital of JiangNan University

🇨🇳

Wuxi, Jiangsu, China

Northern Jiangsu People's Hospital

🇨🇳

Yangzhou, Jiangsu, China

The First Affiliated Hospital of Nanchang University

🇨🇳

Nanchang, Jiangxi, China

Shengjing Hospital Affiliated to China Medical University

🇨🇳

Shenyang, Liaoning, China

General Hospital of TISCO

🇨🇳

Taiyuan, Shanxi, China

The Second Affiliated Hospital of Zhejiang University School of Medicine

🇨🇳

Hangzhou, Zhejiang, China

The First Affiliated Hospital Of Anhui Medical University

🇨🇳

Hefei, Anhui, China

The People's Hospital of Gaozhou

🇨🇳

Gaozhou, Guangdong, China

Affiliated Hospital of Guangdong Medical University

🇨🇳

Zhanjiang, Guangdong, China

North China University Of Science And Technology Affiliated Hospital

🇨🇳

Tangshan, Hebei, China

Xingtai People's Hospital

🇨🇳

Xingtai, Hebei, China

Hunan Cancer Hospital-Thoracic Medicine Department Ⅱ

🇨🇳

Changsha, Hunan, China

Xiangya Hospital Central South University

🇨🇳

Changsha, Hunan, China

Zhuzhou Central Hospital

🇨🇳

Zhuzhou, Hunan, China

Affiliated Drum Tower Hospital, Medical School of Nanjing University

🇨🇳

Nanjing, Jiangsu, China

First Affiliated Hospital of Gannan Medical University

🇨🇳

Ganzhou, Jiangxi, China

Zhongda Hospital Southeast University

🇨🇳

Nanjing, Jiangsu, China

The Second Affiliated Hospital of Nanchang University

🇨🇳

Nanchang, Jiangxi, China

Liaoning Cancer Hospital

🇨🇳

Shenyang, Liaoning, China

The First Hospital of China Medical University

🇨🇳

Shenyang, Liaoning, China

Shandong Cancer Hospital&Institute

🇨🇳

Jinan, Shandong, China

The Affiliated of Qingdao University

🇨🇳

Qingdao, Shandong, China

Fudan University Shanghai Cancer Center

🇨🇳

Shanghai, Shanghai, China

Shanxi Bethune Hospital

🇨🇳

Taiyuan, Shanxi, China

Shanxi Provincial Cancer Hospital

🇨🇳

Taiyuan, Shanxi, China

The Second Affiliated Hospital of Air Force Military University Tangdu Hospital

🇨🇳

Xi'an, Shanxi, China

Tianjin Medical University Cancer Institute & Hospital

🇨🇳

Tianjin, Tianjin, China

ZheJiang Cancer Hospital

🇨🇳

Hangzhou, Zhejiang, China

The First Affiliated Hospital of Bengbu Medical College

🇨🇳

Bengbu, Anhui, China

Anhui Chest Hospital

🇨🇳

Hefei, Anhui, China

Anhui Provincial Cancer Hospital

🇨🇳

Hefei, Anhui, China

Anhui Provincial Hospital

🇨🇳

Hefei, Anhui, China

Beijing Cancer Hospital

🇨🇳

Beijing, Beijing, China

Beijing Chest Hospital,Capital Medical University

🇨🇳

Beijing, Beijing, China

Peking University Third Hospital

🇨🇳

Beijing, Beijing, China

ChongQing University Cancer Hospital

🇨🇳

Chongqing, Chongqing, China

Fujian Medical University Union Hospital

🇨🇳

Fuzhou, Fujian, China

Fujian Provincial Cancer Hospital

🇨🇳

Fuzhou, Fujian, China

The First Affiliated Hospital of Xiamen University

🇨🇳

Xiamen, Fujian, China

The Second Affiliated Hospital of Xiamen Medical College

🇨🇳

Xiamen, Fujian, China

Affiliated Cancer Hospital and Institute of Guangzhou Medical University

🇨🇳

Guangzhou, Guangdong, China

The First Affiliated Hospital of Guangzhou Medical University

🇨🇳

Guangzhou, Guangdong, China

The First Affiliated Hospital of Guangzhou University of Chinese Medicine

🇨🇳

Guangzhou, Guangdong, China

Meizhou People's Hospital (Huangtang Hospital)

🇨🇳

Meizhou, Guangdong, China

Shantou Central Hospital

🇨🇳

Shantou, Guangdong, China

Affiliated Hospital of Guilin Medical University

🇨🇳

Guilin, Guangxi, China

Guangxi Medical University Affiliated Tumor Hospital

🇨🇳

Nanning, Guangxi, China

The First Affiliated Hospital of Guangxi Medical University

🇨🇳

Nanning, Guangxi, China

Affiliated Hospital of Zunyi Medical University

🇨🇳

Zunyi, Guizhou, China

Hainan General Hospital

🇨🇳

Haikou, Hainan, China

The Fourth Hospital of Hebei Medical University

🇨🇳

Shijiazhuang, Hebei, China

Nantong Tumor Hospital

🇨🇳

Nantong, Jiangsu, China

The Affiliated Hospital of Xuzhou Medical University

🇨🇳

Xuzhou, Jiangsu, China

The Affiliated Hospital of Inner Mongolia Medical University

🇨🇳

Hohhot, Neimenggu, China

Chifeng City Hospital

🇨🇳

Chifeng, Neimenggu, China

Qilu Hospital of Shandong University

🇨🇳

Jinan, Shandong, China

LinYi Cancer Hospital

🇨🇳

Linyi, Shangdong, China

Ruijin Hospital, Shanghai Jiao Tong University School of Medicine

🇨🇳

Shanghai, Shanghai, China

Shanghai Chest Hospital

🇨🇳

Shanghai, Shanghai, China

Shanghai Pulmonary Hospital

🇨🇳

Shanghai, Shanghai, China

Baoji Central Hospital

🇨🇳

Baoji, Shanxi, China

Changzhi People's Hospital

🇨🇳

Changzhi, Shanxi, China

Sichuan Cancer Hospital

🇨🇳

Chengdu, Sichuan, China

The Affiliated Hospital of Southwest Medical University

🇨🇳

Luzhou, Sichuan, China

Mianyang Central Hospital

🇨🇳

Mianyang, Sichuan, China

Yibin Second People's Hospital

🇨🇳

Yibin, Sichuan, China

Yunnan Cancer Hospital

🇨🇳

Kunming, Yunnan, China

Hangzhou Cancer Hospital

🇨🇳

Hangzhou, Zhejiang, China

The First Affiliated Hospital, College of Medicine, Zhejiang University of Medicine

🇨🇳

Hangzhou, Zhejiang, China

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