Toripalimab as Monotherapy for Patients With Small Cell Carcinoma of Esophagus Who Failed Chemotherapy

NCT03811379 | Unknown Phase 2

• 1 other identifier: PD-1/SCCE
• Study Type: interventional
• Target: 43
• Locations: 1 country
• Sites: 1

Brief Summary

To evaluate the anti-tumor activity, safety and tolerance of toripalimab as monotherapy for patients with small cell esophageal cancer (SCCE), and to explore the potential biomarkers for this treatment.

Conditions

Small Cell Carcinoma of Esophagus; Advanced Cancer

Keywords

Immunotherapy

Outcome Measures

Primary Outcomes (1)

• Objective Response Rates (ORR)

  the ratio of patients who are evaluated as CR or PR

  up to two year

Secondary Outcomes (5)

• Progression free survival (PFS)

  up to two year

• Overall Survival (OS)

  up to two year

• Duration of remission (DOR)

  up to two year

• Disease Control Rate (DCR)

  up to two year

• Adverse Events (AEs)

  up to two year

Study Arms (1)

Toripalimab

EXPERIMENTAL

Toripalimab, 240mg, every 3 weeks until disease progress or intolerable toxicity

Drug: Toripalimab

Interventions

Toripalimab DRUG

Drug: Toripalimab, 240mg, every 3 weeks until disease progress or intolerable toxicity

Toripalimab

Eligibility Criteria

• Age: 18 Years - 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Full understanding of the study and voluntary signing of informed consent
• Histologically and/or cytologically confirmed advanced and/or metastatic small cell carcinoma of the esophagus who failed previous first-line or more lines of chemotherapy or the disease recurs within six months after the adjuvant or neoadjuvant therapy
• At least one measurable lesion (according to RECIST 1.1) Note: Lesions previously treated with radiotherapy should not be considered as target lesions unless there is a definite progression after radiotherapy.
• Agree to provide previously stored specimens of tumor tissue or to perform biopsy to collect tumor tissue for PD-L1 IHC detection.
• The age ranges from 18 to 75 years with no gender limitation.
• ECOG: 0-1
• Expected survival ≧ 3 months
• Laboratory tests within 7 days before admission must meet the following criteria: A. Neutrophils≧1.5 \*109/L; B. Platelet ≧ 75 \*109/L; C. Hemoglobin≧90g/L (no infusion of concentrated red blood cells within 2 weeks); D. Serum creatinine≦1.5 \* ULN, or creatinine clearance rate \> 50 mL/min; E. Serum total bilirubin ≦ 1.5 \*ULN (Gilbert syndrome subjects allowed total bilirubin ≦ 3 \*ULN); F. AST and ALT ≦ 2.5 \*ULN, while ALT and AST were less than 5 \*ULN in subjects with liver metastasis.
• Within 21 days before admission, women of childbearing age must confirm that the serum pregnancy test is negative and agree to use effective contraceptive measures during the study period and within 28 days after the last administration. Female reproductive age in this program is defined as sexually mature women: 1) without hysterectomy or bilateral ovariectomy, 2) natural menopause without continuous 24 months (menopause after cancer treatment does not exclude fertility) (Menstruation occurs at any time during the previous 24 consecutive months).

You may not qualify if:

• known to be allergic to citric acid monohydrate, sodium citrate dihydrate, mannitol and polysorbide (components of the test drug).
• Within the first four weeks of admission, patients received anti-tumor cytotoxic drugs, biological drugs (such as monoclonal antibodies), immunotherapy (such as interleukin-2 or interferon), or other research drugs.
• Tyrosine kinase inhibitors were administered within 2 weeks before admission.
• Radiotherapy or radiopharmacotherapy were given within 4 weeks or 8 weeks before admission, except local palliative radiotherapy for bone metastases.
• Major surgical operations were performed or not fully recovered from previous operations within the first four weeks of enrollment (the definition of major surgical operations refers to the 3-and 4-level operations stipulated in the Regulations on the Clinical Application of Medical Technologies, which were implemented on 1 May 2009).
• The toxicity of previous antineoplastic therapies has not been restored to CTCAE 0-1, except for the following cases:
• A alopecia; B pigmentation; C Peripheral neurotoxicity has been restored to \< CTCAE level 2. D The long-term toxicity caused by radiotherapy can not be restored by the judgement of the researchers.
• Subjects with clinical symptoms of central nervous system metastasis (e.g. brain edema, requiring hormone intervention, or progression of brain metastasis) and/or cancerous meningitis. Subjects who had previously received brain or meningeal metastasis therapy, such as clinical stability maintained for at least two months, and who had stopped systemic sex hormone therapy (prednisone or other therapeutic hormones at doses greater than 10 mg/day) for more than four weeks could be included.
• Other malignant tumors (besides skin basal cell carcinoma, breast/cervical carcinoma in situ, and other malignancies that have not been treated and effectively controlled in the past five years) have been or are currently co-existing with other malignant tumors.
• Subjects had any history of active autoimmune diseases or autoimmune diseases (including, but not limited to, interstitial pneumonia, uveitis, enteritis, hepatitis, pituitary inflammation, nephritis, hyperthyroidism, hypothyroidism); subjects with vitiligo or childhood asthma had been completely alleviated; subjects without any intervention after adulthood could be included in the study; Asthma, which requires medical intervention with bronchodilators, cannot be included.
• Anti-PD-1 antibody, anti-PD-L1 antibody, anti-PD-L2 antibody or anti-CTLA-4 antibody (or any other antibody acting on T cell co-stimulation or checkpoint pathway) have been used in the past.
• Subjects with active pulmonary tuberculosis (TB) are receiving anti-tuberculosis treatment or anti-tuberculosis treatment within one year before screening.
• Complications of corticosteroids requiring long-term use of immunosuppressive drugs or systemic or local use of prednisone or other therapeutic hormones with an immunosuppressive dose of more than 10 mg/day.
• Any anti-infective vaccines (such as influenza vaccine, varicella vaccine, etc.) were inoculated within 4 weeks before admission.
• Pregnant or lactating women.

Sponsors & Collaborators

• Sun Yat-sen University: lead

Study Sites (1)

Cancer center of Sun Yat-sen University

Guangzhou, Guangdong, 510060, China

RECRUITING

MeSH Terms

Interventions

toripalimab

Study Officials

• Rui-hua Xu, MD, PhD

  Sun Yat-sen University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Feng Wang, MD, PhD

CONTACT

+8602087342635; lvzd@sysucc.org.cn

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: President and professor

Study Record Dates

• First Submitted: January 17, 2019
• First Posted: January 22, 2019
• Study Start: November 21, 2018
• Primary Completion: December 30, 2020
• Study Completion: December 30, 2021
• Last Updated: January 23, 2019

Record last verified: 2019-01

Locations

CN (1)