Phase II Study of Radiation Therapy With Anti-PD-1 Antibody SHR-1210 in Treating Patients With Unresectable Esophageal Cancer
Overview
- Phase
- Phase 2
- Intervention
- Radiation
- Conditions
- Esophageal Neoplasms
- Sponsor
- Hangzhou Cancer Hospital
- Enrollment
- 25
- Locations
- 1
- Primary Endpoint
- Objective response rate (ORR)
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
The objective of this study is to evaluate the efficacy and safety of radiation therapy combined with anti-PD-1 antibody SHR-1210 in patients with esophageal cancer
Investigators
Shixiu Wu
Professor
Hangzhou Cancer Hospital
Eligibility Criteria
Inclusion Criteria
- •age:18-75 years, male or femal.
- •Histologically or cytologically confirmed Squamous Cell Carcinoma of the Esophagus, locally advanced, unresectable disease.
- •Measurable disease based on Response Evaluation Criteria In Solid Tumors (RECIST) 1.
- •Can provide either a newly obtained or archival tumor tissue sample.
- •Life expectancy of greater than 12 weeks.
- •Adequate organ function.
- •Female: child bearing potential, a negative urine or serum pregnancy test result within 72 h before study treatment. Participants of reproductive potential must be willing to use adequate contraception for the course of the study through 3 months after the last dose of SHR-
- •Patient has given written informed consent.
Exclusion Criteria
- •Patients who have or are currently undergoing additional chemotherapy, radiation therapy, targeted therapy or immunotherapy.
- •Complete obstruction of the esophagus, or patients who have the potential to develop perforation
- •Other malignancy within 5 years prior to entry into the study, expect for curatively treated basal cell and squamous cell carcinoma of the skin and/or curatively resected in-situ cervical and/or breast cancers.
- •Known central nervous system (CNS) metastases.
- •Subjects with any active autoimmune disease or history of autoimmune disease.
- •Uncontrolled clinically significant heart disease, including but not limited to the following: (1) \> NYHA II congestive heart failure; (2) unstable angina, (3) myocardial infarction within the past 1 year; (4) clinically significant supraventricular arrhythmia or ventricular arrhythmia requirement for treatment or intervention;
- •Active infection or an unexplained fever \> 38.5°C during screening or before the first scheduled day of dosing (subjects with tumor fever may be enrolled at the discretion of the investigator);
- •History of Interstitial Pneumonia or active non-infectious pneumonitis.
- •Known Human Immunodeficiency Virus (HIV) infection、active Hepatitis B or Hepatitis C.
- •Prior therapy with a PD-1, anti-PD-Ligand 1 (PD-L1) agent.
Arms & Interventions
Experimental Group
Radiation to 60 Gy, 5 x per week, for 6 weeks. Radiation begun the day after the first dose of SHR-1210. SHR-1210 (200mg fixed dose every 2 weeks for 5 cycles) will be administered as an intravenous infusion over 60 minutes.
Intervention: Radiation
Experimental Group
Radiation to 60 Gy, 5 x per week, for 6 weeks. Radiation begun the day after the first dose of SHR-1210. SHR-1210 (200mg fixed dose every 2 weeks for 5 cycles) will be administered as an intravenous infusion over 60 minutes.
Intervention: SHR-1210
Outcomes
Primary Outcomes
Objective response rate (ORR)
Time Frame: 4-8 weeks
ORR was evaluated 4-8 weeks after completion of RT and was recorded according to RECIST, version 1.1.
Secondary Outcomes
- Health-related quality of life (HRQoL)(From baseline to one year after RT.)
- Overall survival(year 0 - year 3)
- Local-regional free survival (LRFS)(year 0 - year 3)
- Treatment-emergent adverse events(year 0 - year 1)