SHR-1210 Plus Apatinib in Patients With Hepatocellular Carcinoma After Surgery
A Single Arm Pilot Study of Programmed Cell Death Drotein 1 Antibody (PD-1) SHR-1210 Combined With Apatinib Mesylate in Patients With Intermediate And Advanced-Stage Hepatocellular Carcinoma After Radical Hepatectomy
1 other identifier
interventional
45
1 country
1
Brief Summary
SHR-1210 is a humanized anti-PD1 Immunoglobulin G4 (IgG4) monoclonal antibody. This is an open- label,single center ,non-randomized ,Single Arm Exploratory Study . This clinical study is an investigator-initiatedclini-cal trial(IIT ).The objective of this study is to evaluate the efficacy and safety of adjuvant therapy with anti-PD-1 antibody SHR-1210 and apatinib in patients with Barcelona Clinic Liver Cancer (BCLC) B\&C stage hepatocellular carcinoma after surgery.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable hepatocellular-carcinoma
Started Dec 2018
Shorter than P25 for not_applicable hepatocellular-carcinoma
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
October 25, 2018
CompletedFirst Posted
Study publicly available on registry
October 29, 2018
CompletedStudy Start
First participant enrolled
December 1, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2020
CompletedDecember 19, 2018
October 1, 2018
3 months
October 25, 2018
December 16, 2018
Conditions
Outcome Measures
Primary Outcomes (2)
relapse-free survival(RFS)
from the date of enrollment to tumor recurrence or Death
1 year
Overall survival(OS)
the date of Death of any causes since the date of enrollment
3 years
Study Arms (1)
SHR-1210+ apatinib
EXPERIMENTALSHR-1210 (200mg fixed dose every 3 weeks, one cycle is three weeks, total 1 year ) will be administered as an intravenous infusion over 30 minutes. apatinib 250 mg qd , one cycle is three weeks, total 1 year
Interventions
Eligibility Criteria
You may qualify if:
- age:18-75 years, male or femal.
- Hepatocellular carcinoma confirmed by histopathology, Child-Pugh A .
- BCLC staging is stage B or C, preoperative assessment of no extrahepatic metastases.
- ECOG Performance Status 0-1.
- Alpha-fetoprotein (AFP) decreased to normal,3-4 weeks after surgery. If it is not normal, it must be checked that there is no clear lesion in MRI or CT.
- Adequate organ function.
- Patient has given written informed consent.
You may not qualify if:
- No anti-tumor treatment for hepatocellular carcinoma, including chemotherapy and topical treatment, before surgery.
- Known history of hypersensitivity to macromolecular protein preparation or any components of the SHR- 1210 formulation.
- Tumors are not completely removed, or postoperative pathology suggests non-hepatocellular carcinoma or other malignant components;
- 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);
- Received a live vaccine within 4 weeks of the first dose of study medication.
- Pregnancy or breast feeding.
- Decision of unsuitableness by principal investigator or physician-in- charge.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Zhongshan Hospital
Shanghai, Shanghai Municipality, 200032, China
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 25, 2018
First Posted
October 29, 2018
Study Start
December 1, 2018
Primary Completion
March 1, 2019
Study Completion
March 1, 2020
Last Updated
December 19, 2018
Record last verified: 2018-10