An Open, Single-arm, Single-center, Phase II Clinical Trial of TQB2450 in Combination With Intensity-modulated Radiotherapy in Patients With Inoperable Locally Recurrent Nasopharyngeal Carcinoma
Overview
- Phase
- Phase 2
- Intervention
- TQB2450
- Conditions
- Nasopharyngeal Carcinoma
- Sponsor
- Chia Tai Tianqing Pharmaceutical Group Co., Ltd.
- Enrollment
- 25
- Locations
- 1
- Primary Endpoint
- Overall response rate (ORR)
- Last Updated
- 4 years ago
Overview
Brief Summary
This is a study to evaluate the efficacy and safety of TQB2450 injection combination with Intensity-modulated Radiotherapy in patients with inoperable locally recurrent nasopharyngeal carcinoma.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Understood and Signed an informed consent form;
- •Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1; Life expectancy ≥ 3 months;
- •Local recurrence of non-keratinizing nasopharyngeal carcinoma diagnosed by histopathology and/or cytology; Clinical stage: rT2-4N0-3M0 , RII-IVa phase (AJCC eighth edition);
- •The recurrence time is more than 12 months from the end of the first course of radiotherapy, without other systemic or local anti-tumor treatment;
- •At least one measurable lesion (based on RECIST 1.1);
- •Adequate laboratory indicators;
- •No pregnant or breastfeeding women, and a negative pregnancy test.
Exclusion Criteria
- •Operable patients with local recurrence, including rT2 (the tumor is confined to the surface of the parapharyngeal space, and the distance from the internal carotid artery \> 0.5 cm) and rT3 (the tumor is confined to the bottom wall of the sphenoid sinus, and the distance from the internal carotid artery and cavernous sinus \> 0.5 cm) ; 2.Combined diseases and medical history:
- •Accompanied by nasopharyngeal necrosis, radiation brain injury, severe neck fibrosis, or other ≥grade 3 radiation complications, the investigator has assessed that the risk is extremely high and not suitable for radiotherapy;
- •Has other malignant tumors within 3 years;
- •Unalleviated toxicity ≥ grade 1 due to any previous anticancer therapy;
- •Has received major surgical treatment, open biopsy, or obvious traumatic injury within 28 days before the first administration;
- •Long-term unhealed wounds or fractures;
- •Arterial/venous thrombosis events occurred within 6 months, such as cerebrovascular accidents (including temporary ischemic attacks, cerebral; hemorrhage, cerebral infarction), deep vein thrombosis and pulmonary embolism;
- •Has drug abuse history that unable to abstain from or mental disorders;
- •Has any severe and/or uncontrollable disease. 3.Tumor-related symptoms and treatment:
- •Diagnosed local recurrence and received surgery, chemotherapy, radiotherapy or other anti-cancer therapies before first administration;
Arms & Interventions
TQB2450+Intensity modulated radiotherapy
TQB2450 1200 mg administered intravenously (IV) on Day 1 of each 21-day;The total dose of radiotherapy should meet PTVnx: 60Gy/27Fr/2.22Gy, PTVnd: 60-64Gy/27Fr/2.22-2.37Gy, PTV1: 54Gy/27Fr/2.00Gy, once a day, 5 times/week.
Intervention: TQB2450
TQB2450+Intensity modulated radiotherapy
TQB2450 1200 mg administered intravenously (IV) on Day 1 of each 21-day;The total dose of radiotherapy should meet PTVnx: 60Gy/27Fr/2.22Gy, PTVnd: 60-64Gy/27Fr/2.22-2.37Gy, PTV1: 54Gy/27Fr/2.00Gy, once a day, 5 times/week.
Intervention: Intensity modulated radiotherapy
Outcomes
Primary Outcomes
Overall response rate (ORR)
Time Frame: up to 48 weeks
Percentage of participants achieving complete response (CR) and partial response (PR).
Secondary Outcomes
- Disease control rate(DCR)(up to 48 weeks)
- Duration of Response (DOR)(up to 48 weeks)
- Progression-free survival (PFS)(up to 48 weeks)
- 12-month progression-free survival rate(up to 48 weeks)
- 12-month survival rate(up to 48 weeks)
- 24-month survival rate(up to 96 weeks)
- Local regional recurrence-free survival (LRRFs)(up to 48 weeks)
- Distant metastasis-free survival (DMFS)(up to 48 weeks)
- Overall survival (OS)(up to 96 weeks)