Cadonilimab in the Treatment of Recurrent/Metastatic Nasopharyngeal Carcinoma

Sponsor
Guangxi Medical University (Other)
Overall Status
Not yet recruiting
CT.gov ID
NCT05898256
Collaborator
(none)
20
1
36

Study Details

Study Description

Brief Summary

This study is a single-arm, multicenter clinical study to evaluate the efficacy and safety of Cadonilimab in combination with gemcitabine/cisplatin as a first-line treatment for recurrent or metastatic nasopharyngeal carcinoma.

Condition or Disease Intervention/Treatment Phase
Phase 1/Phase 2

Study Design

Study Type:
Interventional
Anticipated Enrollment :
20 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Single-arm, Multicenter, Phase II Study Evaluating the Efficacy and Safety of Cadonilimab Plus Chemotherapy for Recurrent or Metastatic Nasopharyngeal Carcinoma
Anticipated Study Start Date :
Aug 1, 2023
Anticipated Primary Completion Date :
Jul 31, 2024
Anticipated Study Completion Date :
Jul 31, 2026

Arms and Interventions

Arm Intervention/Treatment
Experimental: Bispecific Antibody + GP Group

Cadonilimab will be administered once every 3 weeks (Q3W), for up to 2 years; Gemcitabine on Day 1, Day 8 of each 3 weeks cycle, for 4 to 6 cycles; Cisplatin on Day 1 of each 3 weeks cycle, for 4 to 6 cycles.

Drug: Cadonilimab
10mg/kg administered intravenously (IV)
Other Names:
  • AK104
  • Drug: Gemcitabine
    1 g/m2, administered as an IV infusion within 30 minutes

    Drug: Cisplatin
    80 mg/m2, administered as an IV infusion over 4 hours

    Outcome Measures

    Primary Outcome Measures

    1. Objective response rate(ORR) [Up to approximately 2 years]

      ORR is proportion of patients with complete response(CR) or partial response(PR) assessed by investigators according to RECIST v1.1.

    2. Incidence and severity of adverse events(AEs) [Up to approximately 2 years]

      Incidence and severity of AEs is aim to evaluate the safety of Cadonilimab in combination with chemotherapy.

    Secondary Outcome Measures

    1. Progression-free survival (PFS) [Up to approximately 2 years]

      Progression-free survival (PFS) is defined as the time from the first dose of Cadonilimab until documentation of PD (as per RECIST v1.1) or death due to any cause, whichever occurs first.

    2. Overall Survival (OS) [Up to approximately 2 years]

      Overall survival (OS) is defined as the time from the first dose of Cadonilimab until death due to any cause.

    3. Disease control rate (DCR) [Up to approximately 2 years]

      DCR is proportion of patients with complete response, partial response or stable disease assessed by investigators according to RECIST v1.1.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 65 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    1. The subject must sign the written informed consent form (ICF) voluntarily;

    2. Age ≥18 years and ≤65 years;

    3. Subjects with histopathological diagnosis of nasopharyngeal carcinoma;

    4. Primarily metastatic (stage IVB as defined by AJCC staging system for NPC, eighth edition) or recurrent/metastatic NPC that is not amenable to local regional treatment or curative treatment and at least 6 months after radical treatment;

    5. Has not received prior systemic treatment;

    6. Has a performance status of 0 or 1 on the Eastern Cooperative Oncology Group (ECOG) Performance Status

    7. Subject must have a measurable target lesion based on RECIST v1.1;

    Exclusion Criteria:
    1. Allergic to monoclonal antibodies, any cadonilimab components, gemcitabine, cisplatin, and other platinum drugs;

    2. Prior therapy as follow:

    Anti-PD-1, anti-PD-L1 or anti-CTLA-4; Concurrent medical condition requiring the use of cortisol (>10mg/day Prednisone or equivalent dose) or other systematic immunosuppressive medications within 14 days before the study treatment(Except:inhalation or topical corticosteroids).

    1. Any active malignancy ≤ 2 years before randomization except for specific cancer under investigation in this study and any locally recurring cancer that has been treated curatively (eg, resected basal or squamous cell skin cancer, superficial bladder cancer, carcinoma in situ of the cervix or breast);

    2. Female patients who are at pregnancy or lactation.

    Contacts and Locations

    Locations

    No locations specified.

    Sponsors and Collaborators

    • Guangxi Medical University

    Investigators

    None specified.

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Kai Hu, professor, Guangxi Medical University
    ClinicalTrials.gov Identifier:
    NCT05898256
    Other Study ID Numbers:
    • GuangxiMUHK4
    First Posted:
    Jun 12, 2023
    Last Update Posted:
    Jun 12, 2023
    Last Verified:
    Jun 1, 2023
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    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 Jun 12, 2023