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Clinical Trials/NCT04895345
NCT04895345
Unknown
Phase 2

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

Chia Tai Tianqing Pharmaceutical Group Co., Ltd.1 site in 1 country25 target enrollmentJune 15, 2021

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.

Registry
clinicaltrials.gov
Start Date
June 15, 2021
End Date
June 30, 2023
Last Updated
4 years ago
Study Type
Interventional
Study Design
Single Group
Sex
All

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)

Study Sites (1)

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