Neoadjuvant Camrelizumab With Palbociclib for Resectable Esophageal Squamous Cell Carcinomas
- Conditions
- Esophageal Squamous Cell Carcinoma
- Interventions
- Registration Number
- NCT06654297
- Lead Sponsor
- West China Hospital
- Brief Summary
The purpose of this study is to explore the safety and feasibility of anti-programmed cell death 1(PD-1) immunotherapy, Camrelizumab, combined with cyclin-dependent kinase 4/6 blockade, Palbociclib, as a new neoadjuvant treatment regimen for patients with resectable esophageal squamous cell carcinoma (ESCC).
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 6
- Patients diagnosed with esophageal squamous cell cancer by gastroscopic biopsies.
- The primary tumor should be located in the thorax and evaluated resectable( cT1b-T3N1-3M0, cT3N0M0) by CT/MRI/EUS
- The patients should be at the range of 18-75 years old, Eastern Cooperative Oncology Group (ECOG) 0-1.
- The patients should have no functional disorders in major organs. Blood routine tests, as well as lung, liver, kidney, and heart functions should be basically normal.
- The patients should be able to understand our research and be willing to accept surgical treatment and sign the informed consent.
- The stage of tumor is T4b (AJCC/International Union Against Cancer (UICC) 8th Edition) and cannot be resected.
- Currently undergoing other chemotherapy, radiotherapy, targeted therapy or immunotherapy.
- History of other malignancies.
- Have an active autoimmune disease requiring systemic treatment or a documented history of clinically severe autoimmune disease.
- Any history of allergic disease, or a sever hypersensitivity reaction to drugs, or allergy to the study drug components.
- Presence of serious medical diseases, such as grade II and above cardiac dysfunction (NYHA criteria), ischemic heart diseases, etc.
- The patients with severe systematic intercurrent diseases, including active infection or poorly controlled diabetes, coagulation disorders, hemorrhagic tendency, or those undergoing thrombolysis or anticoagulant therapy etc. are excluded from the study.
- Female participants who test positive for a serum pregnancy test, are in the lactation period, or are at a childbearing stage and unwilling to use contraception measures during the research are excluded.
- Received any investigational drug within 4 weeks prior to the first dose, or concurrently enrolled in another clinical trial.
- Any other factors that are not suitable for inclusion in this study judged by investigators.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Camrelizumab+Palbociclib(100mg) 3 patients Camrelizumab For palbociclib, there is 2 dose levels, 100mg qd and 125 mg qd, and if no patients experience DLT on 100mg level, 125mg level will be administered. Camrelizumab+Palbociclib(100mg) 3 patients Palbociclib(100mg) For palbociclib, there is 2 dose levels, 100mg qd and 125 mg qd, and if no patients experience DLT on 100mg level, 125mg level will be administered. Camrelizumab+Palbociclib(125mg) 3 patients Camrelizumab For palbociclib, there is 2 dose levels, 100mg qd and 125 mg qd, and if no patients experience DLT on 100mg level, 125mg level will be administered. Camrelizumab+Palbociclib(125mg) 3 patients Palbociclib(125mg) For palbociclib, there is 2 dose levels, 100mg qd and 125 mg qd, and if no patients experience DLT on 100mg level, 125mg level will be administered.
- Primary Outcome Measures
Name Time Method Safety of combination camrelizumab and palbociclib as assessed by number of participants who experience adverse events up to 15 weeks Number of participants who experience grade 1 or higher adverse events, as defined by Common Terminology Criteria for Adverse Events version 5.0 (CTCAE v5.0)
Feasibility of combination camrelizumab and palbociclib as assessed by number of participants who experience adverse events up to 15 weeks Patients proceed to surgery without experiencing prolonged treatment-related delays. An extended treatment-related delay will be considered if it exceeds 37 days from the initially scheduled surgery date. In terms of feasibility, if there is any treatment toxicity of any grade that could adversely impact prognosis, as judged by the investigators, the planned operative date should be re-evaluated.
- Secondary Outcome Measures
Name Time Method Maximum Tolerated Dose (MTD) of palbociclib as determined by number of participants with dose limiting toxicities (DLT) up to 15 weeks Maximum tolerated dose will be determined by the maximum dose at which the least number of participants experience dose-limiting toxicity. The dose limiting toxicity is defined using the Common Terminology Criteria for Adverse Events (CTCAE).
Major Pathologic Response up to 15 weeks Major Pathologic Response (MPR) was defined as fewer than 10% viable tumor cells.
Objective response rate (ORR) up to 15 weeks Proportion of participants with measurable disease at baseline and have been re-evaluated after at least 1 cycle of therapy with observed reduction in tumor burden as defined by RECIST and iRECIST criteria after 2 doses of Proportion of participants with measurable disease at baseline and have been re-evaluated after at least 1 cycle of therapy with observed reduction in tumor burden as defined by RECIST and iRECIST criteria after 2 doses of camrelizumab and palbociclib
Progression free survival(PFS) Up to 2 years Proportion of participants who achieve progression free survival post treatment
Overall survival (OS) Up to 2 years Proportion of participants who achieve survival post treatment
Trial Locations
- Locations (1)
West China Hospital, Sichuan University
🇨🇳Chengdu, Sichuan, China