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This a randomized controlled Phase 2/3 study to evaluate the efficacy and safety of SHR-1210 in subjects with advanced HCC who failed or intolerable to prior systemic treatment. The primary study hypothesis is that SHR-1210 treatment improves Objective Response Rate and Overall Survival when compare with SOC.
In June 2017, this study was revised to expand the Phase 2 part to enroll more subjects and remove the Phase 3 part under the same protocol. A Phase 3 study will be initiated separately.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| SHR-1210 Q2W | Experimental | Subjects receive SHR-1210 intravenous at the dose 3mg/kg on Day 1 every 2 weeks |
|
| SHR-1210 Q3W | Experimental | Subjects receive SHR-1210 intravenous at the dose 3mg/kg on Day 1 every 3 weeks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SHR-1210 | Biological | SHR-1210 is a humanized anti-PD1 IgG4 monoclonal antibody |
|
| Measure | Description | Time Frame |
|---|---|---|
| Objective Response Rate | Tumour responses were evaluated by the independent review committee (IRC) according to RECIST 1.1.The primary endpoints were the proportion of patients with a IRC-assessed objective response (defined as the percentage of patients whose best overall response was confirmed complete or partial response). | approximate 3 years |
| 6-month Overall Survival Rate | 6-month overall survival rate (defined as cumulative overall survival rate from the date of the first dose to 6 months) | from the date of the first dose to 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Duration of Response | time from first response to progression or death base on the IRC assessment | approximate 3 years |
| Adverse Events | Number of Subjects with one or more adverse events as assessed by CTCAE 4.03 |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The First Affiliated Hospital of Bengbu Medical College | Bengbu | Anhui | 233004 | China | ||
| The Second Hospital of Anhui Medical University |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36852452 | Derived | Zhou X, Cao J, Topatana W, Xie T, Chen T, Hu J, Li S, Juengpanic S, Lu Z, Zhang B, Wang K, Feng X, Shen J, Chen M. Evaluation of PD-L1 as a biomarker for immunotherapy for hepatocellular carcinoma: systematic review and meta-analysis. Immunotherapy. 2023 Apr;15(5):353-365. doi: 10.2217/imt-2022-0168. Epub 2023 Feb 27. | |
| 35101942 |
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| ID | Title | Description |
|---|---|---|
| FG000 | SHR-1210 Q2W | Subjects receive SHR-1210 intravenous at the dose 3mg/kg on Day 1 every 2 weeks SHR-1210: SHR-1210 is a humanized anti-PD1 IgG4 monoclonal antibody |
| FG001 | SHR-1210 Q3W | Subjects receive SHR-1210 intravenous at the dose 3mg/kg on Day 1 every 3 weeks SHR-1210: SHR-1210 is a humanized anti-PD1 IgG4 monoclonal antibody |
| Title | Milestones | Reasons Not Completed | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | SHR-1210 Q2W | Subjects receive SHR-1210 intravenous at the dose 3mg/kg on Day 1 every 2 weeks SHR-1210: SHR-1210 is a humanized anti-PD1 IgG4 monoclonal antibody |
| BG001 | SHR-1210 Q3W |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Median |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Objective Response Rate | Tumour responses were evaluated by the independent review committee (IRC) according to RECIST 1.1.The primary endpoints were the proportion of patients with a IRC-assessed objective response (defined as the percentage of patients whose best overall response was confirmed complete or partial response). | Posted | Number | 95% Confidence Interval | percentage of participants | approximate 3 years |
|
approximate 3 years
Adverse events were monitored and recorded from the time of informed consent until 90 days after last administration and were graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events version 4.03.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | SHR-1210 Q2W | Subjects receive SHR-1210 intravenous at the dose 3mg/kg on Day 1 every 2 weeks SHR-1210: SHR-1210 is a humanized anti-PD1 IgG4 monoclonal antibody |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Disease progression | General disorders | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Linna Wang | Jiangsu HengRui Pharmaceuticals Co., Ltd | +862161053363 | linna.wang@hengrui.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Apr 3, 2018 | May 6, 2023 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Jan 8, 2019 | May 6, 2023 | SAP_001.pdf |
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| ID | Term |
|---|---|
| C000631724 | camrelizumab |
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| approximate 3 years |
| Overall Survival | Time from first dose to death from any cause | approximate 3 years |
| Hefei |
| Anhui |
| 230601 |
| China |
| Cancer Hospital Chinese Academy of Medical Science | Beijing | Beijing Municipality | 100021 | China |
| Fujian Medical University Union Hospital | Fuzhou | Fujian | 350001 | China |
| Guangdong General Hospital | Guangzhou | Guangdong | 510080 | China |
| Cancer Hospital of Shantou University Medical College | Shantou | Guangdong | 515041 | China |
| Haerbin Medical University Cancer Hospital | Haerbin | Heilongjiang | 150040 | China |
| Xiangya Hospital Central South University | Changsha | Hunan | 410008 | China |
| Hunan Cancer Hospital | Changsha | Hunan | 410013 | China |
| 81 Hospital Nanjing | Nanjing | Jiangsu | 210002 | China |
| The First Affiliated Hospital of Nanchang University | Nanchang | Jiangxi | 330006 | China |
| Jilin Cancer Hospital | Changchun | Jilin | 130012 | China |
| Zhangshan Hospital Fudan University | Shanghai | Shanghai Municipality | 200032 | China |
| The First Affiliated Hospital of Xi'an Jiaotong University | Xi’an | Shanxi | 710061 | China |
| West China Hospital | Chengdu | Sichuan | 610041 | China |
| The First Affiliated Hospital Zhejiang University | Hangzhou | Zhejiang | 310003 | China |
| Fudan University Shanghai Cancer Center | Shanghai | 200032 | China |
| Shi J, Liu J, Tu X, Li B, Tong Z, Wang T, Zheng Y, Shi H, Zeng X, Chen W, Yin W, Fang W. Single-cell immune signature for detecting early-stage HCC and early assessing anti-PD-1 immunotherapy efficacy. J Immunother Cancer. 2022 Jan;10(1):e003133. doi: 10.1136/jitc-2021-003133. |
| 32112738 | Derived | Qin S, Ren Z, Meng Z, Chen Z, Chai X, Xiong J, Bai Y, Yang L, Zhu H, Fang W, Lin X, Chen X, Li E, Wang L, Chen C, Zou J. Camrelizumab in patients with previously treated advanced hepatocellular carcinoma: a multicentre, open-label, parallel-group, randomised, phase 2 trial. Lancet Oncol. 2020 Apr;21(4):571-580. doi: 10.1016/S1470-2045(20)30011-5. Epub 2020 Feb 26. |
Subjects receive SHR-1210 intravenous at the dose 3mg/kg on Day 1 every 3 weeks
SHR-1210: SHR-1210 is a humanized anti-PD1 IgG4 monoclonal antibody
| BG002 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race and Ethnicity Not Collected | Race and Ethnicity were not collected from any participant. | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
|
|
| Primary | 6-month Overall Survival Rate | 6-month overall survival rate (defined as cumulative overall survival rate from the date of the first dose to 6 months) | Posted | Number | 95% Confidence Interval | percentage of participants | from the date of the first dose to 6 months |
|
|
|
| Secondary | Duration of Response | time from first response to progression or death base on the IRC assessment | Posted | Median | 95% Confidence Interval | months | approximate 3 years |
|
|
|
| Secondary | Adverse Events | Number of Subjects with one or more adverse events as assessed by CTCAE 4.03 | Posted | Number | participants | approximate 3 years |
|
|
|
| Secondary | Overall Survival | Time from first dose to death from any cause | Posted | Median | 95% Confidence Interval | months | approximate 3 years |
|
|
|
| 27 |
| 109 |
| 50 |
| 109 |
| 108 |
| 109 |
| EG001 | SHR-1210 Q3W | Subjects receive SHR-1210 intravenous at the dose 3mg/kg on Day 1 every 3 weeks SHR-1210: SHR-1210 is a humanized anti-PD1 IgG4 monoclonal antibody | 29 | 108 | 46 | 108 | 107 | 108 |
| Multiple organ dysfunction syndrome | General disorders | Systematic Assessment |
|
| Death | General disorders | Systematic Assessment |
|
| Pain | General disorders | Systematic Assessment |
|
| Hepatic function abnormal | Hepatobiliary disorders | Systematic Assessment |
|
| Hepatic failure | Hepatobiliary disorders | Systematic Assessment |
|
| Jaundice cholestatic | Hepatobiliary disorders | Systematic Assessment |
|
| Autoimmune hepatitis | Hepatobiliary disorders | Systematic Assessment |
|
| Cholecystitis | Hepatobiliary disorders | Systematic Assessment |
|
| Liver injury | Hepatobiliary disorders | Systematic Assessment |
|
| Neoplasm progression | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Systematic Assessment |
|
| Hepatic cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Systematic Assessment |
|
| Intracranial tumour haemorrhage | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Systematic Assessment |
|
| Oncologic complication | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Systematic Assessment |
|
| Tumour rupture | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Systematic Assessment |
|
| Uterine leiomyoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Systematic Assessment |
|
| Upper gastrointestinal haemorrhage | Gastrointestinal disorders | Systematic Assessment |
|
| Ascites | Gastrointestinal disorders | Systematic Assessment |
|
| Oral reactive capillary endothelial proliferation | Gastrointestinal disorders | Systematic Assessment |
|
| Gastric haemorrhage | Gastrointestinal disorders | Systematic Assessment |
|
| Gastrointestinal haemorrhage | Gastrointestinal disorders | Systematic Assessment |
|
| Subileus | Gastrointestinal disorders | Systematic Assessment |
|
| Aspartate aminotransferase increased | Investigations | Systematic Assessment |
|
| Alanine aminotransferase increased | Investigations | Systematic Assessment |
|
| Blood bilirubin increased | Investigations | Systematic Assessment |
|
| Platelet count decreased | Investigations | Systematic Assessment |
|
| Blood glucose increased | Investigations | Systematic Assessment |
|
| Gamma-glutamyltransferase increased | Investigations | Systematic Assessment |
|
| Neutrophil count decreased | Investigations | Systematic Assessment |
|
| Pneumonitis | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
|
| Pleural effusion | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
|
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
|
| Haemothorax | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
|
| Interstitial lung disease | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
|
| Lung infection | Infections and infestations | Systematic Assessment |
|
| Upper respiratory tract infection | Infections and infestations | Systematic Assessment |
|
| Abdominal infection | Infections and infestations | Systematic Assessment |
|
| Pneumonia | Infections and infestations | Systematic Assessment |
|
| Splenic abscess | Infections and infestations | Systematic Assessment |
|
| Craniocerebral injury | Injury, poisoning and procedural complications | Systematic Assessment |
|
| Foot fracture | Injury, poisoning and procedural complications | Systematic Assessment |
|
| Hepatic rupture | Injury, poisoning and procedural complications | Systematic Assessment |
|
| Cerebrovascular accident | Nervous system disorders | Systematic Assessment |
|
| Coma | Nervous system disorders | Systematic Assessment |
|
| Hepatic encephalopathy | Nervous system disorders | Systematic Assessment |
|
| Dermatitis | Skin and subcutaneous tissue disorders | Systematic Assessment |
|
| Drug eruption | Skin and subcutaneous tissue disorders | Systematic Assessment |
|
| Reactive cutaneous capillary endothelial proliferation | Skin and subcutaneous tissue disorders | Systematic Assessment |
|
| Angiopathy | Vascular disorders | Systematic Assessment |
|
| Nasal mucosal reactive capillary endothelial proliferation | Vascular disorders | Systematic Assessment |
|
| Vascular rupture | Vascular disorders | Systematic Assessment |
|
| Acute coronary syndrome | Cardiac disorders | Systematic Assessment |
|
| Supraventricular tachycardia | Cardiac disorders | Systematic Assessment |
|
| Hypersplenism | Blood and lymphatic system disorders | Systematic Assessment |
|
| Vertigo | Ear and labyrinth disorders | Systematic Assessment |
|
| Thyroiditis | Endocrine disorders | Systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | Systematic Assessment |
|
| Proteinuria | Renal and urinary disorders | Systematic Assessment |
|
| Hypothyroidism | Endocrine disorders | Systematic Assessment |
|
| Hyperthyroidism | Endocrine disorders | Systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | Systematic Assessment |
|
| Abdominal distension | Gastrointestinal disorders | Systematic Assessment |
|
| Ascites | Gastrointestinal disorders | Systematic Assessment |
|
| Abdominal pain | Gastrointestinal disorders | Systematic Assessment |
|
| Abdominal pain upper | Gastrointestinal disorders | Systematic Assessment |
|
| Nausea | Gastrointestinal disorders | Systematic Assessment |
|
| Constipation | Gastrointestinal disorders | Systematic Assessment |
|
| Pyrexia | General disorders | Systematic Assessment |
|
| Asthenia | General disorders | Systematic Assessment |
|
| Oedema peripheral | General disorders | Systematic Assessment |
|
| Chest pain | General disorders | Systematic Assessment |
|
| Hepatic function abnormal | Hepatobiliary disorders | Systematic Assessment |
|
| Jaundice | Hepatobiliary disorders | Systematic Assessment |
|
| Upper respiratory tract infection | Infections and infestations | Systematic Assessment |
|
| Urinary tract infection | Infections and infestations | Systematic Assessment |
|
| Aspartate aminotransferase increased | Investigations | Systematic Assessment |
|
| Alanine aminotransferase increased | Investigations | Systematic Assessment |
|
| Blood bilirubin increased | Investigations | Systematic Assessment |
|
| Platelet count decreased | Investigations | Systematic Assessment |
|
| White blood cell count decreased | Investigations | Systematic Assessment |
|
| Neutrophil count decreased | Investigations | Systematic Assessment |
|
| Weight increased | Investigations | Systematic Assessment |
|
| Bilirubin conjugated increased | Investigations | Systematic Assessment |
|
| Gamma-glutamyltransferase increased | Investigations | Systematic Assessment |
|
| Blood alkaline phosphatase increased | Investigations | Systematic Assessment |
|
| Weight decreased | Investigations | Systematic Assessment |
|
| Blood albumin decreased | Investigations | Systematic Assessment |
|
| Blood lactate dehydrogenase increased | Investigations | Systematic Assessment |
|
| Lymphocyte count decreased | Investigations | Systematic Assessment |
|
| Blood thyroid stimulating hormone increased | Investigations | Systematic Assessment |
|
| Lipase increased | Investigations | Systematic Assessment |
|
| Blood bilirubin unconjugated increased | Investigations | Systematic Assessment |
|
| Hepatitis B DNA increased | Investigations | Systematic Assessment |
|
| Protein urine present | Investigations | Systematic Assessment |
|
| Neutrophil count increased | Investigations | Systematic Assessment |
|
| White blood cell count increased | Investigations | Systematic Assessment |
|
| Blood glucose increased | Investigations | Systematic Assessment |
|
| Decreased appetite | Metabolism and nutrition disorders | Systematic Assessment |
|
| Hypokalaemia | Metabolism and nutrition disorders | Systematic Assessment |
|
| Hypoproteinaemia | Metabolism and nutrition disorders | Systematic Assessment |
|
| Hypoalbuminaemia | Metabolism and nutrition disorders | Systematic Assessment |
|
| Hyponatraemia | Metabolism and nutrition disorders | Systematic Assessment |
|
| Hyperglycaemia | Metabolism and nutrition disorders | Systematic Assessment |
|
| Hypomagnesaemia | Metabolism and nutrition disorders | Systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | Systematic Assessment |
|
| Arthralgia | Musculoskeletal and connective tissue disorders | Systematic Assessment |
|
| Haemangioma of skin | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Systematic Assessment |
|
| Headache | Nervous system disorders | Systematic Assessment |
|
| Insomnia | Psychiatric disorders | Systematic Assessment |
|
| Proteinuria | Renal and urinary disorders | Systematic Assessment |
|
| Cough | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
|
| Haemoptysis | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
|
| Pneumonitis | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
|
| Rash | Skin and subcutaneous tissue disorders | Systematic Assessment |
|
| Hypertension | Vascular disorders | Systematic Assessment |
|
All clinical study findings and documents will be regarded as confidential. The investigator and members of his/her research team must not disclose such information without prior written approval from the sponsor.