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临床试验/NCT05163483
NCT05163483招募中2 期

Tucidinostat in Combination With PD-1 Inhibitor and Bevacizumab as Late-line Treatment in Patients With Advanced Esophageal Squamous Cell Cancer, Adenocarcinoma of Esophagogastric Junction and Gastric Adenocarcinoma

Ruihua Xu1 个研究点 分布在 1 个国家目标入组 87 人开始时间: 2022年7月1日最近更新:
适应症
干预措施

试验速览

阶段
2 期
状态
招募中
发起方
入组人数
87
试验地点
1
主要终点
Objective Response Rate(ORR)

研究概览

简要总结

This Phase II study was designed to assess the efficacy and safety of the combination of PD-1 inhibitor, Tucidinostat (chidamide), a histone deacetylase inhibitor, and bevacizumab in advanced Esophageal squamous cell cancer, adenocarcinoma of esophagogastric junction, Gastric adenocarcinoma patients.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 75 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Age ≥18 years, ≤ 75 years
  • Histologically or cytologically confirmed Esophageal squamous cell cancer, adenocarcinoma of esophagogastric junction and Gastric adenocarcinoma, unresectable, recurrent or metastatic disease.
  • Can provide at least 5 pieces of pathological section or fresh tumor tissue
  • Eastern Collaborative Oncology Group (ECOG) ≤
  • ≤2 systemic chemotherapy for advanced disease (total number of treatment lines for advanced disease ≤4).
  • Patients who have previously used PD-1 antibodies, PD-L1 antibodies, PD-L2 antibodies, or CTLA-4 antibodies (or any other antibodies acting on T cell co-stimulation or checkpoint pathways) or require a duration of ≥16 weeks;
  • Adequate organ function.
  • Life expectancy is more than 3 months.
  • For females of child bearing potential, a negative urine or serum pregnancy test result within 3 days before study treatment.
  • Willing and able to provide written informed consent.

排除标准

  • Allergies to any monoclonal antibody or Tucidinostat preparation have been known, and hypersensitivity reactions of more than 3 levels have occurred
  • Previously received immunotherapy and had grade 3 or above immune-related adverse events.
  • Previously received histone deacetylase inhibitors,or toripalimab, or angiogenesis inhibitors.
  • Subjects with any active, known or suspected autoimmune disease or history of autoimmune disease.
  • Known active CNS metastases and/or carcinomatous meningitis.
  • Received a live vaccine within 4 weeks of the first dose of study medication.
  • Major surgery received or severe traumatic injury, fracture, or ulcer occurred within 4 weeks of the first dose of study medication.
  • Pregnant or lactating female.
  • Uncontrolled clinically significant systemic diseases, including active infection, unstable angina, angina occurred within 3 months,≥ NYHA II congestive heart failure, myocardial infarction occurred within 6 months, severe arrhythmia, liver, kidney, or metabolic disease.
  • Participate in other clinical trials currently or within 4 weeks prior to enrollment.

研究组 & 干预措施

Tucidinostat (chidamide), PD-1 inhibitor (Toripalimab), Bevacizumab

Experimental

Tucidinostat (chidamide), 30mg, po., biw, q3w Toripalimab, 240mg, ivgtt., d1, q3w Bevacizumab, 7.5mg/kg, ivgtt., d1, q3w

approximately 2 years

干预措施: Tucidinostat (chidamide), PD-1 inhibitor (Toripalimab), Bevacizumab (Drug)

结局指标

主要结局

Objective Response Rate(ORR)

时间窗: 2 years

Objective Response Rate(ORR)by RECIST 1.1,the total proportion of patients with complete response(CR), partial response(PR)

次要结局

  • Progression-free survival(PFS)(2 years)
  • Disease Control Rate (DCR)(2 years)
  • Duration of Response(DoR)(2 years)
  • Overall survival(OS)(3 years)

研究者

发起方
Ruihua Xu
申办方类型
Other
责任方
Sponsor Investigator
主要研究者

Ruihua Xu

Sun Yat-sen University cancer center

Sun Yat-sen University

研究点 (1)

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