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| Name | Class |
|---|---|
| Jiangsu HengRui Medicine Co., Ltd. | INDUSTRY |
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The purpose of this study is to explore the efficacy and safety of Camrelizumab in combination with nb-Paclitaxel in treating patients with recurrent/metastatic non-small-cell lung cancer.
Camrelizumab is a humanized monoclonal antibody against Programmed death 1(PD-1). Albumin-bound paclitaxel is a new nano-paclitaxel drug coated with human albumin. Patients with recurrent/metastatic non-small-cell lung cancer after the failure of platinum-based therapy will received Camrelizumab 200mg((3mg/kg for underweight patients) iv and nb-Paclitaxel 260mg/m2 iv every 3 weeks. The efficacy and safety will be observed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Camrelizumab +nb-Paclitaxel | Experimental | Participants receive Camrelizumab 200mg(3mg/kg for underweight patients) iv and nb-Paclitaxel 260mg/m2 iv every 3 weeks until disease progression or unacceptable toxicity |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Camrelizumab | Drug | Camrelizumab will be administered as a 30-minute IV infusion Q3W at a dose of 200mg (3mg/kg for underweight patients). |
|
| Measure | Description | Time Frame |
|---|---|---|
| Objective Response Rate (ORR) | ORR is defined as the percentage of participants in the analysis population who have a Complete Response (CR: Disappearance of all target lesions) or a Partial Response (PR: ≥30% decrease in the sum of diameters of target lesions) per Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 | Up to approximately 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| 12-month PFS rate | The rate of 12-month PFS | From date of enrollment up to 12 months |
| Progression-free Survival (PFS) | Progression-free survival is defined as the duration from date of enrollment to the first occurrence of progression of disease or death from any cause |
| Measure | Description | Time Frame |
|---|---|---|
| PD-L1 expression on tumor and immune cells | The efficacy of the combination of Camrelizumab and nb-Paclitaxel as measured by objective response, will be described in patients according to PD-L1 positive and PD-L1 negative. | Up to approximately 24 months |
| Tumor Mutation Burden (TMB) |
Inclusion Criteria:
Male and Female ≥ 18 years of age
Subjects enrolled must have histologically-confirmed or cytologically confirmed diagnosis of stage ⅢB,Ⅳnon-small cell lung cancer(NSCLC),at least one measurable lesion according to the Response Evaluation Criteria in Solid Tumors (RECIST)
Disease progression experienced during or after one prior platinum containing doublet chemotherapy(excluding taxane chemotherapy)
Subjects must have had no more than one prior systemic chemotherapeutic regimen Note: a. Replacement of platinum drugs for toxicity is considered as a systemic chemotherapeutic regimen; b.Subjects with recurrent disease > 6 months after Postoperative adjuvant platinum based chemotherapy, who also subsequently progressed during or after a platinum-doublet regimen given to treat the recurrence, are eligible.
Life expectancy ≥ 12 weeks.
ECOG performance status of 0 or 1.
The main organ's function is normal and it should meet the following criteria:
Blood routine examination should be complied with (No blood transfusion, no use of hematopoietic factors and no use of drugs for correction within 14 days):
Women of childbearing age must undergo a serological pregnancy test within 7 days before the first dose with negative results and willing to use a medically approved and effective contraceptive method (e.g. intrauterine device, contraceptive pill or condom) during the study and within two months after the last dose. For male subjects whose partners are women of childbearing age, they should be sterilized surgically or agree to use effective contraceptive methods during the study and within two months after the last dose.
Subjects should be voluntarily participate in clinical studies and informed consent should be signed.
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Xiuyu Cai, MD | Contact | +86-13580569326 | caixy_84@outlook.com |
| Name | Affiliation | Role |
|---|---|---|
| Xiuyu Cai, MD | Sun Yat-sen University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sun Yat-sen University Cancer Center | Recruiting | Guangzhou | Guangdong | 510000 | China |
Update after discussion
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| ID | Term |
|---|---|
| D002289 | Carcinoma, Non-Small-Cell Lung |
| ID | Term |
|---|---|
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D008175 | Lung Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
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| ID | Term |
|---|---|
| C000631724 | camrelizumab |
| D007267 | Injections |
| D017239 | Paclitaxel |
| ID | Term |
|---|---|
| D004333 | Drug Administration Routes |
| D004358 | Drug Therapy |
| D013812 | Therapeutics |
| D043823 | Taxoids |
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|
| nb-Paclitaxel | Drug | nb-Paclitaxel will be administered as a 30-minute IV infusion Q3W at a dose of 260mg/m2 for 4-6 cycles. |
|
|
| Time Frame: Up to approximately 24 months |
| Overall survival (OS) | Overall survival is defined as the duration from date of enrollment to the date of death from any cause. | Up to approximately 24 months |
| Duration of Response (DCR) | DCR is defined as the percentage of participants in the analysis population who have a CR, PR or stable disease (SD) per RECIST 1.1. | Up to approximately 24 months |
| Duration of Response (DOR) | DOR is defined as the time from first documented evidence of CR or PR until disease progression or death due to any cause, whichever occurs first. | Up to approximately 24 months |
| Incidence of Adverse Events (AEs) in the treatment of Camrelizumab in combination with nb-Paclitaxel | Number of participants with adverse events occurring up to 30 days after the last administration are evaluated and graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events, version 4.03. | Up to approximately 24 months |
The impact of TMB on efficacy of the combination of Camrelizumab and nb-Paclitaxel will be explored. |
| Up to approximately 24 months |
| The first affiliated hospital of guangzhou medical university | Recruiting | Guangzhou | Guangdong | 510000 | China |
|
| The First Affiliated Hospital/School of Clinical Medicine of Guangdong Pharmaceutical University | Recruiting | Guangzhou | Guangdong | 510000 | China |
|
| D013899 |
| Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D043822 |
| Cyclodecanes |
| D003516 | Cycloparaffins |
| D006840 | Hydrocarbons, Alicyclic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D004224 | Diterpenes |
| D013729 | Terpenes |