Anlotinib Hydrochloride Capsules Combined With TQB2450 Injection in Esophageal Squamous Cell Carcinoma Patients
ALTER-E005
An Open, Single Arm, Multicenter, Exploratory Phase II Clinical Trial of Anlotinib Hydrochloride Capsules Combined With TQB2450 Injection in Esophageal Squamous Cell Carcinoma Patients as Postoperative Adjuvant Therapy
1 other identifier
interventional
30
1 country
1
Brief Summary
This is an Open, Single Arm, Exploratory and Phase II Clinical Trial of Anlotinib Hydrochloride Capsules Combined With TQB2450 Injection in Esophageal Squamous Cell Carcinoma (ESCC) Patients as Postoperative Adjuvant Therapy. In order to observe and evaluate the efficacy and safety of Anlotinib Hydrochloride Capsules combined with TQB2450 Injection in treatment of patients with ESCC. The primary endpoint is disease free survival (DFS).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2
Started Jun 2022
Typical duration for phase_2
1 active site
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
January 22, 2022
CompletedFirst Posted
Study publicly available on registry
February 23, 2022
CompletedStudy Start
First participant enrolled
June 2, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
November 1, 2026
December 16, 2022
December 1, 2022
4.4 years
January 22, 2022
December 14, 2022
Conditions
Outcome Measures
Primary Outcomes (1)
DFS
Disease Free Survival
DFS was defined as the time from the day patients received first dose of treatment regimen until the date of first documented recurrence or death from any cause, whichever come first, assessed up to 96 months.
Secondary Outcomes (4)
1-year DFS rate
1-year DFS rate was disease-free survival rate at the time since patients received first dose of treatment regimen for one year.
3-year DFS rate
3-year DFS rate was disease-free survival rate at the time since patients received first dose of treatment regimen for 3 years.
1-year OS rate
1-year OS rate was overall survival rate at the time since patients received first dose of treatment regimen for one year.
3-year OS rate
3-year OS rate was overall survival rate at the time since patients received first dose of treatment regimen for 3 years.
Study Arms (1)
Anlotinib
EXPERIMENTALPatients in the study group will receive the following treatment: 21 days as a treatment cycle, Anlotinib 12 mg/day, Orally (D1-D14); TQB 2450 1200 mg, iv (D1). If anlotinib is not tolerated, the dose can be reduced to 10mg or 8mg, until un-tolerable toxicity again.
Interventions
Anlotinib Hydrochloride is a capsule in the form of 8 mg ,10 mg and 12 mg, orally, once daily, 2 weeks on/1 week off.
Eligibility Criteria
You may qualify if:
- Subjects volunteered to join the study, signed informed consent, good compliance, with follow-up.
- ≥ 18 years old.
- ECOG performance status of 0-1
- Patients with esophageal squamous cell carcinoma pathologically diagnosed as T1-2N1-3M0 or T3-4NanyM0.
- Patients received radical (R0) resection of squamous cell carcinoma with no recurrence in imaging examination within 6-12 weeks after surgery, and need adjuvant therapy assessed by the researchers.
- Laboratory tests must be met:
- Neutrophils count =/\> 1.5 x 109/L, platelets count =/\> 75 x 109/L, Hb =/\> 90 g/L, WBC =/\> 3 x 109/L.
- total bilirubin =/\< 1.5 x ULN, ALT and AST =/\< 2.5 x ULN.
- Creatinine =/\< 1.5 x ULN.
- APTT, INR, PT =/\< 1.5 x ULN.
- TSH =/\< ULN.
- Myocardial enzymes in the normal range.
- LVEF =/\> 50%.
You may not qualify if:
- Patients received other antitumor adjuvant therapy after surgical resection.
- Concurrent malignancy (except cured basal cell carcinoma of the skin).
- Patients was diagnosed cervical esophageal carcinoma.
- Patients who have received prior targeted therapy (anti-VEGF/VEGFR) or immunity therapy (anti-PD-1/PD-L1/CTLA-4).
- Patients who are allergic to other monoclonal antibodies.
- Patients with a history of immunodeficiency (or active autoimmue disease), or other acquired congenital immunodeficiency diseases.
- Immunosuppressant, systemic, or absorbable local hormone therapy (\> 10mg/ day of prednisone or other equivalent hormone) is required for immunosuppression and continued within 2 weeks of initial administration.
- Patients with multiple factors affecting oral administration.
- Uncontrolled pleural effusion, pericardial effusion or ascites that requires repeated drainage.
- With bleeding tendency. Patients with any bleeding or bleeding event CTC AE grade 3 in the 4 weeks prior to initial administration. The presence of digestive diseases or active bleeding of unresected tumors, or other conditions that the investigator determined which could lead to gastrointestinal bleeding or perforation.
- Active or untreated CNS metastases as determined by CT or magnetic resonance imaging (MRI) evaluation during screening and prior radiographic assessments.
- Patients with hypertension who could not be well controlled by antihypertensive drugs (systolic blood pressure \> 160 mmHg, diastolic blood pressure \> 100 mmHg).
- Patients with myocardial infarction, myocardial ischemia, arrhythmias with poor control (including QTC interval male \> 450 ms, female\> 470 ms) and cardiac insufficiency of grade II according to NYHA standard.
- Active or uncontrolled severe infection (≥ CTC AE Grade 2 infection).
- HIV test positive.
- +3 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Jiangxi Cancer Hospital
Nanchang, Jiangxi, China
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Changying Guo, PhD
Jiangxi Provincial Cancer Hospital
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 22, 2022
First Posted
February 23, 2022
Study Start
June 2, 2022
Primary Completion (Estimated)
November 1, 2026
Study Completion (Estimated)
November 1, 2026
Last Updated
December 16, 2022
Record last verified: 2022-12