Toripalimab Combined With Radiotherapy and Chemotherapy in the Treatment of SNMM After Endoscopic Surgery

Sponsor
Eye & ENT Hospital of Fudan University (Other)
Overall Status
Recruiting
CT.gov ID
NCT04879654
Collaborator
Chinese Academy of Medical Sciences (Other)
45
1
1
60
0.8

Study Details

Study Description

Brief Summary

Phase II, single-arm, prospective clinical study of Toripalimab(a PD-1 antibody) combined with radiotherapy and chemotherapy in the treatment of sinonasal malignant mucosal melanoma after endoscopic surgery.

Condition or Disease Intervention/Treatment Phase
  • Procedure: endoscopic surgery
Phase 2

Study Design

Study Type:
Interventional
Anticipated Enrollment :
45 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Phase II, Single-arm, Prospective Clinical Study of Toripalimab Combined With Radiotherapy and Chemotherapy in the Treatment of Sinonasal Malignant Mucosal Melanoma(SNMM) After Endoscopic Surgery
Actual Study Start Date :
May 1, 2021
Anticipated Primary Completion Date :
May 1, 2026
Anticipated Study Completion Date :
May 1, 2026

Arms and Interventions

Arm Intervention/Treatment
Experimental: endonasal endoscopic surgery with adjuvant therapy

endonasal endoscopic surgery followed by Toripalimab,radiotherapy and/or chemotherapy

Procedure: endoscopic surgery
endoscopic surgery followed by multimodality treatment including radiotherapy,Toripalimab,and/or chemotherapy
Other Names:
  • radiotherapy
  • chemotherapy
  • Toripalimab
  • Outcome Measures

    Primary Outcome Measures

    1. Overall survival [From date of first treatment until the date of death from any cause,through study completion,up to 3 years.]]

      3 year Overall Survival rate

    Secondary Outcome Measures

    1. progression free survival [From date of first treatment until the date of first documented progression or date of death from any cause, whichever came first,through study completion,up to 3 years.]

      the date of first treatment to the first recording of disease progression or death from any cause.

    Other Outcome Measures

    1. Local progression free survival [From date of first treatment to local failure or date of death from any cause,through study completion,up to 3 years.]

      the date of first treatment to local failure or death

    2. Regional progression free survival [From date of first treatment to regional failure or date of death from any cause, through study completion,up to 3 years.]

      the date of first treatment to regional failure or death

    3. Distant metastasis free survival [From date of first treatment to distant metastasis or date of death from any cause, through study completion,up to 3 years.]]

      the date of first treatment to distant metastasis or death

    4. Toxicities [From date of first treatment through study completion,up to 3 years.]

      Using CTCAE Version5.0 to evaluate

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:

    1.Pathologically diagnosed as sinonasal malignant mucosal melanoma, locally resectable and no contraindication for surgery or radiation. 2.T3 and T4. 3.Age ≥18 year-old 4.No distant metastasis 5.No head and neck radiation and systemic anti-tumor therapy performed in the past 5 years. 6.The performance status of the Eastern Cooperative Oncology Group(ECOG) is 0-2 points and surgery after general anesthesia and postoperative radiation could be tolerated. 7.Accepted organ function

    Exclusion Criteria:
    1. Patients who refused to sign informed consent. 2. Have received radioactive seed implantation in the treatment area. 3. Suffer from uncontrolled disease which could interfere treatment. 4. Suffered from another malignant tumor or multiple primary tumors at the same time within 5 years (excluding fully treated basal cell or squamous cell skin cancer, cervical cancer in situ, etc.). 5. The patient has surgical contraindications: such as severe cardiopulmonary disease, coagulation dysfunction and so on. 6.The patients have autoimmune diseases. 7. The patient is using immunosuppressive agents or systemic hormone therapy to achieve the purpose of immunosuppression (dose>10mg/day prednisone or other curative hormones), and continues to use it within 2 weeks before the first administration;
    2. Severe allergic reaction to other monoclonal antibodies; 9. Previously received PD-1 monoclonal antibody, CTLA-4 monoclonal antibody (or any other antibody that acts on T cell co-stimulation or checkpoint pathway) treatment; 10. Live vaccines have been inoculated within 4 weeks before the first administration or during the study period; 11. The patient has any situation that may hinder study compliance or the safety during the study period.12. Existence of serious neurological or psychiatric diseases, such as dementia and seizures; 13. Uncontrolled active infection. 14. Pregnant or breastfeeding women. 15. Those who have no personal freedom and independent capacity for civil conduct;p. 16. There are other situations that are not suitable for entry into the study.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Eye& ENT Hospital, Fudan University Shanghai Shanghai China 200031

    Sponsors and Collaborators

    • Eye & ENT Hospital of Fudan University
    • Chinese Academy of Medical Sciences

    Investigators

    • Principal Investigator: Hongmeng Yu, MD,PHD, Eye&ENT Hospital,Fudan University

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Hongmeng Yu, MD,PhD, Eye & ENT Hospital of Fudan University
    ClinicalTrials.gov Identifier:
    NCT04879654
    Other Study ID Numbers:
    • SNMM-SA-V1
    First Posted:
    May 10, 2021
    Last Update Posted:
    May 10, 2022
    Last Verified:
    May 1, 2022
    Individual Participant Data (IPD) Sharing Statement:
    Yes
    Plan to Share IPD:
    Yes
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    No
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of May 10, 2022