A Randomized, Controlled, Open-label Phase Ⅱ Study of The Safety, Tolerability and Efficacy of JMT101 and Irinotecan Combined With SG001 in Patients With Metastatic Colorectal Cancer (mCRC)
Overview
- Phase
- Phase 2
- Intervention
- SG001
- Conditions
- Metastatic Colorectal Cancer (mCRC)
- Sponsor
- Shanghai JMT-Bio Inc.
- Enrollment
- 102
- Primary Endpoint
- Incidence and severity of adverse events (AE) and serious adverse events (SAE)
- Status
- Not Yet Recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
This study is a phase Ⅱ, randomized, controlled, open-label, multi-center study with safety run-in to evaluate the efficacy and safety of JMT101 combined with Irinotecan and SG001 in Patients with Metastatic Colorectal Cancer (mCRC).
Investigators
Eligibility Criteria
Inclusion Criteria
- •Age ranged from 18 to 75 years old (inclusive), regardless of gender;
- •Pathological diagnosis as metastatic colorectal adenocarcinoma, with RAS and BRAF wild-type and non-dMMR/MSI-H;
- •Tumor tissue available for central laboratory testing;
- •Metastatic colorectal cancer with disease progression after 2nd line treatment; previously received standard chemotherapy based on fluorouracil, oxaliplatin, irinotecan; patients are allowed to previously receive EGFR and/or VEGF inhibitors, but not allowed to previously receive regorafenib, fruquintinib, or TAS-102;
- •Measurable disease according to RECIST1.1;
- •Eastern Cooperative Oncology Group (ECOG) score 0-1 points;
- •Life expectancy ≥3 months
- •Adequate main organs and bone marrow function.
- •Patients must give informed consent to this study before the experiment and voluntarily sign a written informed consent form.
Exclusion Criteria
- •Previously used anti PD-1, anti PD-L1, anti CTLA-4, or cellular immunotherapy;
- •Central nervous system metastasis or meningeal metastasis;
- •Patients with high risk of bleeding due to tumor invasion of important arteries;
- •Uncontrolled or requiring repeated drainage of pleural effusion, pericardial effusion, or abdominal effusion;
- •Patients who require continuous use of morphine-based drugs to control pain;
- •The adverse reactions of previous anti-tumor treatments (including radiotherapy) have not yet recovered to CTCAE 5.0 evaluation ≤ level 1;
- •Diagnosed as a second primary malignant tumor within 5 years prior to the first administration of the study drug;
- •Have received anti-tumor treatments such as chemotherapy, biological therapy, targeted therapy, etc. within 21 days before the first dose of the study drug; radiotherapy within 2 weeks before the first dose of the study drug; Chinese medicine or Chinese patent medicine with anti-tumor effect within 1 week before the first dose of the study drug;
- •Have received a live viral vaccine or live-attenuated vaccine within 28 days before the first dose of study drug or plan to receive it during the study;
- •Use of immunosuppressive medications within 14 days prior to the first dose of study drug;
Arms & Interventions
JMT101+SG001+ Irinotecan
Intervention: SG001
JMT101+SG001+ Irinotecan
Intervention: JMT101
JMT101+SG001+ Irinotecan
Intervention: Irinotecan
JMT101+Irinotecan
Intervention: JMT101
JMT101+Irinotecan
Intervention: Irinotecan
Regorafenib (Stivarga)
Intervention: Regorafenib (Stivarga)
Outcomes
Primary Outcomes
Incidence and severity of adverse events (AE) and serious adverse events (SAE)
Time Frame: Up to approximately 2 years
Incidence, nature, and severity of adverse events graded according to the NCI CTCAE v5.0.
Dose-limiting toxicity (DLT)
Time Frame: After1 cycle of treatment of the safety run-in phase patients (each cycle is 28 days)
Overall response rate (ORR)
Time Frame: Up to approximately 2 years
Secondary Outcomes
- Disease Control Rate (DCR)(Up to approximately 2 years)
- Overall Survival (OS)(Up to approximately 2 years)
- Progression-free Survival (PFS)(Up to approximately 2 years)