NCT03187314

Brief Summary

The objective of this study is to evaluate the efficacy and safety of radiation therapy combined with anti-PD-1 antibody SHR-1210 in patients with esophageal cancer

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
25

participants targeted

Target at below P25 for phase_2

Timeline
Completed

Started Jun 2017

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

June 13, 2017

Completed
1 day until next milestone

First Posted

Study publicly available on registry

June 14, 2017

Completed
Same day until next milestone

Study Start

First participant enrolled

June 14, 2017

Completed
2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 30, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2019

Completed
Last Updated

August 17, 2020

Status Verified

August 1, 2020

Enrollment Period

2 years

First QC Date

June 13, 2017

Last Update Submit

August 13, 2020

Conditions

Keywords

Esophageal Squamous Cell CarcinomaRadiationAnti-PD-1 Antibody

Outcome Measures

Primary Outcomes (1)

  • Objective response rate (ORR)

    ORR was evaluated 4-8 weeks after completion of RT and was recorded according to RECIST, version 1.1.

    4-8 weeks

Secondary Outcomes (5)

  • Treatment-emergent adverse events

    year 0 - year 1

  • Local-regional free survival (LRFS)

    year 0 - year 3

  • Overall survival

    year 0 - year 3

  • Health-related quality of life (HRQoL)

    From baseline to one year after RT.

  • Health-related quality of life (HRQoL)

    From baseline to one year after RT.

Study Arms (1)

Experimental Group

EXPERIMENTAL

Radiation to 60 Gy, 5 x per week, for 6 weeks. Radiation begun the day after the first dose of SHR-1210. SHR-1210 (200mg fixed dose every 2 weeks for 5 cycles) will be administered as an intravenous infusion over 60 minutes.

Drug: RadiationDrug: SHR-1210

Interventions

RT to 60 Gy, 5 x per week,for 6 weeks. Radiation begun the day after the first dose of SHR-1210

Experimental Group

SHR-1210 (200mg fixed dose every 2 weeks for 5 cycles) will be administered as an intravenous infusion over 60 minutes.

Experimental Group

Eligibility Criteria

Age18 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • age:18-75 years, male or femal.
  • Histologically or cytologically confirmed Squamous Cell Carcinoma of the Esophagus, locally advanced, unresectable disease.
  • Measurable disease based on Response Evaluation Criteria In Solid Tumors (RECIST) 1.1.
  • Can provide either a newly obtained or archival tumor tissue sample.
  • ECOG 0-1.
  • Life expectancy of greater than 12 weeks.
  • Adequate organ function.
  • Female: child bearing potential, a negative urine or serum pregnancy test result within 72 h before study treatment. Participants of reproductive potential must be willing to use adequate contraception for the course of the study through 3 months after the last dose of SHR-1210.
  • Patient has given written informed consent.

You may not qualify if:

  • Patients who have or are currently undergoing additional chemotherapy, radiation therapy, targeted therapy or immunotherapy.
  • Complete obstruction of the esophagus, or patients who have the potential to develop perforation
  • Other malignancy within 5 years prior to entry into the study, expect for curatively treated basal cell and squamous cell carcinoma of the skin and/or curatively resected in-situ cervical and/or breast cancers.
  • Known central nervous system (CNS) metastases.
  • Subjects with any active autoimmune disease or history of autoimmune disease.
  • Uncontrolled clinically significant heart disease, including but not limited to the following: (1) \> NYHA II congestive heart failure; (2) unstable angina, (3) myocardial infarction within the past 1 year; (4) clinically significant supraventricular arrhythmia or ventricular arrhythmia requirement for treatment or intervention;
  • Active infection or an unexplained fever \> 38.5°C during screening or before the first scheduled day of dosing (subjects with tumor fever may be enrolled at the discretion of the investigator);
  • History of Interstitial Pneumonia or active non-infectious pneumonitis.
  • Known Human Immunodeficiency Virus (HIV) infection、active Hepatitis B or Hepatitis C.
  • Prior therapy with a PD-1, anti-PD-Ligand 1 (PD-L1) agent.
  • Known history of hypersensitivity to macromolecular protein preparation or any components of the SHR-1210 formulation.
  • 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 treament. Except: inhalation or topical corticosteroids. Doses \> 10 mg/day prednisone or equivalen for replacement therapy.
  • Has received prior anti-cancer monoclonal antibody (mAb), chemotherapy, targeted small molecule therapy, or radiation therapy within 4 weeks prior to study Day 1 or not recovered from adverse events due to a previously administered agent.
  • Received a live vaccine within 4 weeks of the first dose of study medication.
  • Pregnancy or breast feeding.
  • +1 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Hangzhou Cancer Hospital

Hangzhou, Zhejiang, 310002, China

Location

MeSH Terms

Conditions

Esophageal NeoplasmsEsophageal DiseasesEsophageal Squamous Cell Carcinoma

Interventions

Radiationcamrelizumab

Condition Hierarchy (Ancestors)

Gastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplasmsHead and Neck NeoplasmsDigestive System DiseasesGastrointestinal DiseasesCarcinoma, Squamous CellCarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypeNeoplasms, Squamous Cell

Intervention Hierarchy (Ancestors)

Physical Phenomena

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

June 13, 2017

First Posted

June 14, 2017

Study Start

June 14, 2017

Primary Completion

June 30, 2019

Study Completion

June 30, 2019

Last Updated

August 17, 2020

Record last verified: 2020-08

Locations