跳至主要内容
临床试验/2023-504374-38-00
2023-504374-38-00
招募中
3 期

A Phase III, Randomized, Double blind, Placebo controlled, Multi centre, Global Study of Volrustomig in Women with High Risk Locally Advanced Cervical Cancer Who Have Not Progressed Following Platinum based, Concurrent Chemoradiation Therapy (eVOLVE Cervical)

AstraZeneca AB39 个研究点 分布在 6 个国家目标入组 132 人开始时间: 2024年3月4日最近更新:
干预措施volrustomig

概览

阶段
3 期
状态
招募中
入组人数
132
试验地点
39
主要终点
Progression-free Survival (PFS) based on the investigator assessment in all randomized participants (FAS).

概览

简要总结

To demonstrate the superiority of volrustomig relative to placebo by assessment of PFS, in all randomized participants.

研究设计

分配方式
Randomized
主要目的
Post intervention Period
盲法
Double (Investigator, Monitor, Carer, Subject)

入排标准

年龄范围
0 years 至 65+ years(0-17 Years, 65+ Years, 18-64 Years)
性别
Female
接受健康志愿者

入选标准

  • Capable of providing signed informed consent.
  • Aged at least 15 years at the time of screening.
  • Body weight > 35 kg.
  • Histologically confirmed cervical adenocarcinoma, cervical squamous carcinoma, or cervical adenosquamous carcinoma, FIGO 2018 Stage IIIA to IVA cervical cancer, no evidence of metastatic disease.
  • Initial staging procedures performed prior to initiation of any component of definitive treatment (CCRT).
  • Provision of FFPE tumor sample to assess the PD-L1 expression.
  • Must not have progressed following CCRT, participants with persistent disease after definitive CCRT must not be amenable to other available therapies with curative intent.
  • WHO/ECOG performance status of 0 or
  • Adequate organ and bone marrow function.

排除标准

  • Diagnosis of small cell (neuroendocrine) or mucinous adenocarcinoma of cervical cancer.
  • History of anaphylaxis to any biologic therapy or vaccine.
  • Current or prior use of immunosuppressive medication within 14 days before the first dose of the study intervention is excluded. The following are exceptions to this criterion: a) Intranasal, inhaled, topical steroids, or local steroid injections (eg, intraarticular injection); b) Steroids as premedication for hypersensitivity reactions (eg, CT scan premedication or chemotherapy premedication) or a single dose for palliative purpose (eg, pain control).
  • Patients who have undergone a previous hysterectomy, including a supracervical hysterectomy, or will have a hysterectomy as part of their initial cervical cancer therapy.
  • Any prior (besides prior CCRT) or concurrent treatment for cervical cancer.
  • Major surgical procedures within 4 weeks prior to the first dose of the study intervention or still recovering from prior surgery.
  • Exposure to immune mediated therapy prior to the study for any indication.
  • Receipt of live attenuated vaccine within 30 days prior to the first dose of the study intervention.
  • Participants with a known allergy or hypersensitivity to the study intervention, or any excipients of the study intervention.
  • Evidence of metastatic disease.

研究组 & 干预措施

volrustomig

Experimental

Participants receiving volrustomig

干预措施: volrustomig (Drug)

结局指标

主要结局

Progression-free Survival (PFS) based on the investigator assessment in all randomized participants (FAS).

Progression-free Survival (PFS) based on the investigator assessment in all randomized participants (FAS).

PFS is defined as the time from date of randomization until RECIST 1.1- defined radiological progression or histopathologically confirmed progression as assessed by the Investigator or death due to any cause, whichever occurs earlier.

PFS is defined as the time from date of randomization until RECIST 1.1- defined radiological progression or histopathologically confirmed progression as assessed by the Investigator or death due to any cause, whichever occurs earlier.

次要结局

  • Overall Survival (OS) in all randomized participants. OS defined as time from randomization until the date of death due to any cause.
  • Objective Response Rate (ORR) in all randomized participants. ORR is defined as the proportion of participants who have a CR or PR, as determined by the Investigator per RECIST 1. 1.
  • Duration of Response (DoR) in all randomized participants. DoR in participants with a CR or PR: Time from the date of first detection of CR or PR until the date of RECIST 1. 1- defined radiological progression or histopathologically confirmed progression.
  • Time to First Subsequent Therapy or death (TFST) in all randomized participants. TFST: The time from randomization until the start date of the first subsequent anti-cancer therapy after discontinuation of randomized treatment, or death due to any cause.
  • Time to second progression or death (PFS2) in all randomized participants. PFS2: The time from randomization to the earliest of the progression event (following the initial Investigator-assessed progression), after the first subsequent therapy, or death. The date of the second progression will be recorded by the Investigator in the eCRF and defined according to local standard clinical practice.
  • PFS by BICR in all randomized participants. Endpoints based on the PFS by BICR assessment according to RECIST 1.1.
  • The incidence of local progression, and distant disease progression as the first documented progression event in all randomized participants. Incidence of Local Progression, and Distant Disease Progression: Number and percentage of participants who develop local progression, distant disease recurrence.
  • PK of volrustomig The concentration of volrustomig in serum and PK parameters.
  • The immunogenicity of volrustomig. Incidence of ADAs against volrustomig in serum.
  • Safety and tolerability profile of volrustomig compared to placebo. AEs, clinical laboratory assessments, vital signs, and electrocardiograms.
  • Participant-reported disease-related symptoms. Change from baseline as measured by the EORTC IL318 (Symptom Experience subscale of the EORTC QLQ-CX24).
  • Participant reported physical functioning Change from baseline of physical functioning as measured by the PROMIS SF-PF Sc 7-day.
  • Participant-reported global health status/QoL. Change from baseline of GHS/QoL as measured by the EORTC Ill 72.

研究者

申办方类型
Pharmaceutical company
责任方
Principal Investigator
主要研究者

AstraZeneca Clinical Study Information Center

Scientific

AstraZeneca AB

研究点 (39)

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