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This is a open-label, multicenter study to assess the safety, tolerability, and preliminary efficacy of IPM514 in patients with esophageal squamous cell carcinoma. This study consists of dose escalation phase (IPM514 monotherapy) ,dose expansion phase (IPM514 combined with anti-PD-1 antibody) and the neoadjuvant therapy cohort(IPM514 combined with anti-PD-1 antibody, cisplatin and paclitaxel).The dose escalation and dose expansion stages will include patients with unresectable advanced, recurrent or metastatic ESCC who have failed first-line treatment. After confirming the preliminary safety and effectiveness in the dose escalation and dose expansion stages, a neoadjuvant therapy cohort study will be developed, and resectable ESCC subjects will be included.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dose escalation(IPM514 monotherapy) | Experimental | Drug:IPM514 Intramuscular Injection A total of 7 administrations, including 2 cycles of vaccination with each cycle at QW × 3 doses; there is a 2-weeks interval between the two cycles, then followed by a boost dose 3 weeks after the 2'nd cycle. |
|
| Dose expansion (IPM514 combined with tislelizumab) | Experimental | Drug:IPM514 Intramuscular Injection Drug:tislelizumab intravenous administration The usage and dosage of the tislelizumab will be based on the drug instructions. IPM514 administration is planned to be concomitant with PD-1 antibody and to be stopped after 9 doses of treatment, while the PD-1 antibody will be continuously administered for a maximum of 1 year. |
|
| Neoadjuvant therapy cohort(IPM514 combined with tislelizumab, cisplatin and paclitaxel) | Experimental | Drug:IPM514 Intramuscular Injection Drug:tislelizumab intravenous administration Drug:cisplatin intravenous administration Drug:paclitaxel intravenous administration In this stage, subjects will receive the treatment of IPM514 combined with Tislelizumab, cisplatin and paclitaxel. All four drugs will be administered once every 3 weeks (± 1 day). IPM514 will be administered for the first time on D0, and Tislelizumab, cisplatin and paclitaxel will be administered for the first time on D3 (the administration order: Tislelizumab - paclitaxel - cisplatin). IPM514 will be administered a total of 3 times, and PD-1 antibody, cisplatin and paclitaxel will all be administered a total of 2 times (that is, IPM514 is administered on D0/D21/D42, and Tislelizumab, paclitaxel and cisplatin are administered on D3/D24). |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dose escalation(IPM514 monotherapy) | Drug | Drug:IPM514 Intramuscular Injection A total of 7 administrations, including 2 cycles of vaccination with each cycle at QW × 3 doses; there is a 2-weeks interval between the two cycles, then followed by a boost dose 3 weeks after the 2'nd cycle. |
| Measure | Description | Time Frame |
|---|---|---|
| Safety and tolerability | Dose escalation & Dose expansion:(1) Incidence and severity of adverse events (AEs), immune-related adverse events (irAEs), serious adverse events (SAEs) assessed by NCI-CTCAE v5.0. (2) The incidence and titer of anti-drug antibodies (ADA) | up to 12 months |
| The MTD, if any, and RP2D | Dose escalation & Dose expansion:IPM514 will be determined based on safety, tolerability, PK, preliminary efficacy, and other available data | up to 12 months |
| PK parameter | Dose escalation & Dose expansion:mRNA quantitation in blood by qPCR | up to 12 months |
| the pCR rate | Neoadjuvant Treatment Cohort:The rate of pathological complete response | up to 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Objective response rate (ORR) | Dose escalation & Dose expansion:Objective response rate (ORR) per RECIST 1.1 criteria according to investigators assessment | up to 12 months |
| disease control rate (DCR) |
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Inclusion Criteria:
Able to provide written informed consent and can understand and agree to comply with the requirements of the study and the schedule of assessments.
Male or female, aged ≥ 18 years.
Histologically confirmed diagnosis of esophageal squamous cell carcinoma.
Dose escalation and dose expansion stages: After at least one line of systemic treatment (PD-1 antibody combined with platinum-based chemotherapy) has progressed or is intolerable. The following situations are regarded as the failure of the first-line standard treatment:
Dose escalation and dose expansion stages :At least one measurable lesion by RECIST v1.1, that is, the long diameter of non-lymph node lesions shown by CT or MRI is ≥10 mm or the short diameter of lymph node lesions is ≥15 mm. If the CT scan slice thickness is >5 mm, the minimum diameter of the lesion is twice the slice thickness (acceptable examination results within 28 days before signing the ICF).
Neoadjuvant treatment cohort: Have not received any anti-tumor treatment for esophageal cancer, including radiotherapy, chemotherapy, surgery, etc.; and plan to receive surgical treatment after the completion of neoadjuvant treatment.
Eastern Cooperative Oncology Group (ECOG) performance status score: 0 or 1.
The expected survival period is ≥12 weeks.
The HLA typing is HLA*A: 0201 and/or HLA*A: 1101.
The organ function level in the screening period must meet the following requirements (no blood transfusion or blood products, no use of hematopoietic stimulating factors and other drugs to correct the number of blood cells before the examination):
Eligible patients (male or female) with fertility must agree to adopt a medically approved physical contraceptive measure (such as an intrauterine device, condom, tubal or vas deferens ligation, etc.) during the trial and within 6 months after the last administration; Serum or urine HCG tests of women of childbearing age must be negative in the screening period.
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Zhi hao Lu | Contact | 13810549767 | 13810549767@126.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Peking University Cancer Hospital | Recruiting | Beijing | China |
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|
| Dose expansion (IPM514 combined with tislelizumab) | Drug | Drug:IPM514 Intramuscular Injection Drug:tislelizumab intravenous administration The usage and dosage of the tislelizumab will be based on the drug instructions. IPM514 administration is planned to be concomitant with PD-1 antibody and to be stopped after 9 doses of treatment, while the PD-1 antibody will be continuously administered for a maximum of 1 year. |
|
| Neoadjuvant therapy cohort(IPM514 combined with tislelizumab, cisplatin and paclitaxel) | Drug | Drug:IPM514 Intramuscular Injection Drug:tislelizumab intravenous administration Drug:cisplatin intravenous administration Drug:paclitaxel intravenous administration In this stage, subjects will receive the treatment of IPM514 combined with Tislelizumab, cisplatin and paclitaxel. All four drugs will be administered once every 3 weeks (± 1 day). IPM514 will be administered for the first time on D0, and Tislelizumab, cisplatin and paclitaxel will be administered for the first time on D3 (the administration order: Tislelizumab - paclitaxel - cisplatin). IPM514 will be administered a total of 3 times, and PD-1 antibody, cisplatin and paclitaxel will all be administered a total of 2 times (that is, IPM514 is administered on D0/D21/D42, and Tislelizumab, paclitaxel and cisplatin are administered on D3/D24). |
|
Dose escalation & Dose expansion:disease control rate (DCR) per RECIST 1.1 criteria according to investigators assessment
| up to 12 months |
| progression-free survival (PFS) | Dose escalation & Dose expansion:Progression free survival (PFS) rates | up to 12 months |
| overall survival (OS) | Dose escalation & Dose expansion:Overall survival (OS) rates | up to 12 months |
| duration of response (DOR) | Dose escalation & Dose expansion:Duration of response (DOR) per RECIST 1.1 criteria according to investigators assessment | up to 12 months |
| the MPR rate | Neoadjuvant Treatment Cohort:The rate of major pathological response | up to 12 months |
| the rate of R0 resection | Neoadjuvant Treatment Cohort:the rate of R0 resection | up to 12 months |
| AE | Neoadjuvant Treatment Cohort:The incidence and severity of adverse events (AEs), immune-related adverse events (irAEs), and serious adverse events (SAEs) as evaluated according to NCI-CTCAE v5.0; | up to 12 months |
| Surgical safety | Neoadjuvant Treatment Cohort:surgical complications within 30 days after surgery or during the postoperative hospital stay, length of hospital stay, reoperation rate, and 30-day postoperative mortality rate; | up to 12 months |
| Biological responses | Neoadjuvant Treatment Cohort:(1) Lymphocyte subset analysis, including T/B/NK cell count and phenotyping of memory T cell; (2) TAA-specific T cell identification through tetramer and intracellular cytokine production via flow cytometry; (3) Immune responses of CTLs via IFN-γ ELISPOT; (4) Single-cell phenotypic analysis. | up to 12 months |
| Predictive biomarkers | Neoadjuvant Treatment Cohort:including but not limited to tumor tissue antigen expression, minimal residual disease (MRD) and blood-based tumor mutational burden (bTMB) | up to 12 months |
| ID | Term |
|---|---|
| D000077277 | Esophageal Squamous Cell Carcinoma |
| ID | Term |
|---|---|
| D002294 | Carcinoma, Squamous Cell |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D018307 | Neoplasms, Squamous Cell |
| D004938 | Esophageal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D006258 | Head and Neck Neoplasms |
| D004066 | Digestive System Diseases |
| D004935 | Esophageal Diseases |
| D005767 | Gastrointestinal Diseases |
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| ID | Term |
|---|---|
| C000707970 | tislelizumab |
| D002945 | Cisplatin |
| D017239 | Paclitaxel |
| ID | Term |
|---|---|
| D017606 | Chlorine Compounds |
| D007287 | Inorganic Chemicals |
| D017672 | Nitrogen Compounds |
| D017671 | Platinum Compounds |
| D043823 | Taxoids |
| D043822 | Cyclodecanes |
| D003516 | Cycloparaffins |
| D006840 | Hydrocarbons, Alicyclic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D004224 | Diterpenes |
| D013729 | Terpenes |
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