Phase II Study of Ivonescimab and Cadonilimab in Combination with Chemotherapy in Patients with ES-SCLC

NCT06769971 | Recruiting Phase 2

• 1 other identifier: HX-AK112-02
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

This is a phase II study. All patients are treatment naive extensive stage small cell lung cancer(ES-SCLC), Eastern Cooperative Oncology Group (ECOG) performance status 0-1. The purpose of this study is to evaluate the efficacy and safety of Ivonescimab and Cadonilimab in combination with chemotherapy in patients with ES-SCLC.

Conditions

Small Cell Lung Cancer

Outcome Measures

Primary Outcomes (2)

• ORR

  Up to approximately 2 years

• Safety

  Grade 3-4 AEs

  Up to approximately 2 years

Secondary Outcomes (5)

• DCR

  Up to approximately 2 years

• DOR

  Up to approximately 2 years

• TTR

  Up to approximately 2 years

• PFS

  Up to approximately 2 years

• OS

  Up to approximately 2 years

Study Arms (1)

ES-SCLC :Ivonescimab and Cadonilimab plus Chemotherapy

EXPERIMENTAL

Subjects receive Ivonescimab+Cadonilimab + Etoposide+Carboplatin for 4 cycles followed by Ivonescimab and Cadonilimab until progression.

Drug: Ivonescimab; Drug: Cadonilimab; Drug: Etoposide; Drug: Carboplatin

Interventions

Ivonescimab DRUG

20mg/kg，IV infusion，Day1，Q3W

ES-SCLC :Ivonescimab and Cadonilimab plus Chemotherapy

Cadonilimab DRUG

10mg/kg，IV infusion，Day8，Q6W

ES-SCLC :Ivonescimab and Cadonilimab plus Chemotherapy

Etoposide DRUG

100mg/kg，IV infusion，Day1-3，Q3W

ES-SCLC :Ivonescimab and Cadonilimab plus Chemotherapy

Carboplatin DRUG

AUC 5，IV infusion，Day1，Q3W

ES-SCLC :Ivonescimab and Cadonilimab plus Chemotherapy

Eligibility Criteria

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

You may qualify if:

• Ability to understand and voluntarily sign a written informed consent form (ICF), which must be signed before the specified study procedures required for the study are performed； 2.18 to 75 years old (at the time of inform consent obtained)； 3.Have an Eastern Cooperative Oncology Group (ECOG) performance status of 0-1； 4.Have a life expectancy of at least 3 months； 5.Have histologically- or cytologically-confirmed diagnosis of Extensive Stage SCLC； 6.Had not received previous systemic therapy; Or ES-SCLC patients who had received definitive chemoradiotherapy for limited-stage small-cell lung cancer but had disease progression \> 6 months earlier; 7.Have measurable disease based on Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 assessed by investigator； 8.Be able to provide formalin fixed, paraffin-embedded (FFPE) tumor tissue obtained from either a core or excisional tumor biopsy； 9.Have adequate organ function； 10.All female and male subjects of reproductive potential must agree to use an effective method of contraception, as determined by the Investigator, during and for 120 days after the last dose of study treatment；

You may not qualify if:

• Active malignancies within the past 5 years, with the exception of tumors in this study and cured local tumors；
• Received palliative local treatment, non-specific immunomodulatory treatment within 2 weeks prior to the first dose; and Chinese herbal medicine or traditional Chinese medicinal products with anti-tumor indications within 1 weeks prior to the first dose；
• Subjects who received any prior treatments targeting the mechanism of tumor immunity；
• Subjects who received any prior anti-angiogenic therapy；
• Tumor surrounds important blood vessels or has obvious necrosis, cavitation, or invades surrounding important organs and blood vessels；
• Active autoimmune disease requiring systemic treatment within 2 years prior to the start of study treatment；
• Symptomatic metastases of the central nervous system；
• Presence of clinically symptomatic pleural effusion, pericardial effusion, or ascites requiring frequent drainage；
• History of perforation of the gastrointestinal tract and/or fistula, history of gastrointestinal obstruction (including incomplete intestinal obstruction requiring parenteral nutrition), extensive bowel resection (partial colectomy or extensive small bowel resection, complicated by chronic diarrhea) within 6 months before the first study drug administration；
• Has known active Hepatitis B (e.g., HBsAg reactive) or Hepatitis C (e.g., HCV RNA \[qualitative\] is detected);
• History of myocardial infarction, unstable angina, cardiac or other vascular stenting, angioplasty, or surgery within 12 months prior to day 1 of study treatment;
• Severe infection within 4 weeks prior to the first dose, including but not limited to comorbidities requiring hospitalization, sepsis, or severe pneumonia; active infection that has received systemic anti-infective therapy within 2 weeks prior to the first dose (excluding antiviral therapy for hepatitis B or C)；
• Concurrent enrollment in another clinical study, unless it is a noninterventional clinical study or the follow-up period of the interventional study is more than 4 weeks from the last dose of the prior clinical study or more than 5 half-lives of the prior study drug, whichever is shorter.

Sponsors & Collaborators

• Sichuan University: lead

Study Sites (1)

West China Hospital, Sichuan University

Chengdu, Sichuan, China

RECRUITING

MeSH Terms

Conditions

Small Cell Lung Carcinoma

Interventions

Etoposide; Carboplatin

Condition Hierarchy (Ancestors)

Carcinoma, Bronchogenic; Bronchial Neoplasms; Lung Neoplasms; Respiratory Tract Neoplasms; Thoracic Neoplasms; Neoplasms by Site; Neoplasms; Lung Diseases; Respiratory Tract Diseases

Intervention Hierarchy (Ancestors)

Podophyllotoxin; Tetrahydronaphthalenes; Naphthalenes; Polycyclic Aromatic Hydrocarbons; Hydrocarbons, Aromatic; Hydrocarbons, Cyclic; Hydrocarbons; Organic Chemicals; Polycyclic Compounds; Glucosides; Glycosides; Carbohydrates; Coordination Complexes

Study Officials

• Yongsheng Wang, Prof

  West China Hospital

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Ge Gao, PhD

CONTACT

86（028）85421606; gg1023@foxmail.com

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: Vice-Director of Cancer Center of West China Hospital

Study Record Dates

• First Submitted: January 6, 2025
• First Posted: January 10, 2025
• Study Start: February 1, 2025
• Primary Completion (Estimated): December 31, 2026
• Study Completion (Estimated): December 31, 2027
• Last Updated: January 10, 2025

Record last verified: 2025-01

Locations

CN (1)