Study of TQB2450 Injection in Subjects With Relapsed or Refractory Primary Mediastinal Large B-cell Lymphoma
Study Details
Study Description
Brief Summary
TQB2450 is a humanized monoclonal antibody targeting programmed death ligand-1 (PD-L1), which prevents PD-L1 from binding to PD-1 and B7.1 receptors on T cell surface, restores T cell activity, thus enhancing immune response and has potential to treat various types of tumors.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: TQB2450 TQB2450 1200 milligrams (mg) administered intravenously (IV) on Day 1 of each 21-day cycle. |
Drug: TQB2450
TQB2450 is a humanized monoclonal antibody targeting programmed death ligand-1 (PD-L1), which prevents PD-L1 from binding to PD-1 and B7.1 receptors on T cell surface, restores T cell activity, thus enhancing immune response and has potential to treat various types of tumors.
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Outcome Measures
Primary Outcome Measures
- Objective Response Rate (ORR) [up to 96 weeks]
Percentage of subjects achieving complete response (CR) and partial response (PR).
Secondary Outcome Measures
- Progression-Free Survival (PFS) [up to 96 weeks]
PFS defined as the time from randomization until the first documented progressive disease (PD) or death from any cause.
- Duration of Response (DOR) [up to 96 weeks]
DOR defined as time from earliest date of disease response to earliest date of disease progression based on radiographic assessment.
- Disease Control Rate (DCR) [up to 24 months]
Percentage of subjects achieving complete response (CR) and partial response (PR) and stable disease (SD).
- Time to Response (TTR) [up to 24 months]
TTR defined as time from the first dose to the first assessment of PR or CR.
- Overall Survival (OS) [up to 24 months]
OS defined as the time from randomization to death from any cause. Subjects who do not die at the end of the extended follow-up period, or were lost to follow-up during the study, were censored at the last date they were known to be alive.
Eligibility Criteria
Criteria
Inclusion Criteria:
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- Histologically confirmed relapsed or refractory primary mediastinal large B-cell lymphoma.
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18 and 75 years; Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1; Life expectancy > 3 months.
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At least one measurable lesion. 4. Left ventricular ejection fraction (LVEF) measured by the cardiac echocardiography ≥ 50%.
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Screening laboratory values must meet the following criteria:hemoglobin ≥ 80 g/L; neutrophils ≥ 1.5*109/L; platelets ≥ 100 x 109/ L.
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Understood and signed an informed consent form.
Exclusion Criteria:
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- Hypersensitivity to recombinant humanized anti-PD-1 monoclonal Abm or its components.
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Prior therapy with an anti-programmed cell death (PD)-1, anti-PD-L1, anti-PD-L2, or anti-cytotoxic T-lymphocyte-associated antigen-4 (CTLA-4) antibody ,or any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways.
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Has received chemotherapy, surgery, radiotherapy, the last treatment from the first dose less than 4 weeks, or oral targeted drugs for less than 5 half-lives, or oral fluorouracil pyridine drugs for less than 14 days, mitomycin C and nitrosourea for less than 6 weeks.
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Has received emergency cytoreductive surgery to control tumors. 5. Has received allogeneic hematopoietic stem cell transplantation within the last 5 years.
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Has adverse events caused by previous therapy except alopecia that did not recover to ≤grade 1.
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Has diagnosed and/or treated additional malignancy within 5 years prior to randomization. Exceptions include basal cell skin cancer, squamous cell carcinoma of skin, melanoma skin and cancer carcinoma in situ of the cervix.
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Has definite central nervous system (CNS) infiltration of lymphoma, including brain parenchyma, meningeal invasion or spinal cord compression.
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Has any active autoimmune disease or a history of autoimmune disease. 10. Has serious or uncontrolled diseases such as history of chronic heart failure.
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Has any active autoimmune disease or a history of autoimmune disease. 12. Has received blood transfusion, erythropoietin granulocyte colony stimulating factor(G -CSF),or Granulocyte macrophage colony stimulating factor(GM-CSF) within 4 weeks before the first dose.
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Has vaccinated with vaccines or attenuated vaccines within 4 weeks before the first dose.
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Has received surgery, or unhealed wounds within 4 weeks before the first dose.
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Has Hepatic, renal, blood coagulation dysfunction. 16. Has interstitial lung disease or non-infectious pneumonia and present residual lesions.
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Has received systemic treatment for active infection before the first dose.
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Has active or latent tuberculosis. 19. Hepatitis B virus surface antigen (HBsAg) positive, and hepatitis B virus DNA copy number > upper limit of normal.
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Human immunodeficiency virus antibody positive , hepatitis C antibody (HCV-Ab) and hepatitis C virus DNA copy number > upper limit of normal.
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Breastfeeding or pregnant women. 22. According to the judgement of the researchers, there are other factors that subjects are not suitable for the study.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Peking University First Hospital | Beijing | Beijing | China | 100034 |
2 | Fifth Medical Center of the Chinese People's Liberation Army General Hospital | Beijing | Beijing | China | 100071 |
3 | Peking Union Medical College Hospital | Beijing | Beijing | China | 100083 |
4 | Peking University Third Hospital | Beijin | Beijing | China | 100191 |
5 | Peking Hospital | Beijin | Beijing | China | 100730 |
6 | Union Medical College Hospital Affiliated to Fujian Medical University | Fuzhou | Fujian | China | 350000 |
7 | Sun Yat-sen University Cancer Center | Guangzhou | Guangdong | China | 510060 |
8 | Cancer Hospital Affiliated to Harbin Medical University | Ha'erbin | Heilongjiang | China | 150081 |
9 | Henan Cancer Hospital | Zhengzhou | Henan | China | 450003 |
10 | Henan People's Hospital | Zhengzhou | Henan | China | 450003 |
11 | Hunan Canser Hospital | Changsha | Hunan | China | 410006 |
12 | First Hospital of Jilin University | Changchun | Jilin | China | 130021 |
13 | First Affiliated Hospital of China Medical University | Shenyang | Liaoning | China | 110001 |
14 | Qilu Hospital of Shandong University | Jinan | Shandong | China | 250000 |
15 | Affiliated Hospital of Qingdao University | Qingdao | Shandong | China | 266005 |
16 | Shanghai Tongji Hospital | Shanghai | Shanghai | China | 200065 |
17 | Shanghai Tumor Hospital | Shanghai | Shanghai | China | 200065 |
18 | Zhejiang Tumor Hospital | Hangzhou | Zhejiang | China | 310022 |
Sponsors and Collaborators
- Chia Tai Tianqing Pharmaceutical Group Co., Ltd.
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- TQB2450-II-02