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The Phase Ib stage of this study primarily aims to evaluate the tolerance and safety of TQB6411 Injection in participants with recurrent or metastatic Esophageal cancer who have previously failed treatment with PD-1/PD-L1 monoclonal antibodies combined with platinum-based chemotherapy. The Phase II stage primarily aims to evaluate the efficacy of TQB6411 Injection in this same participants population.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TQB6411 Injection | Experimental | TQB6411 Injection, 21 days as a treatment cycle. TQB6411 injection, 28 days as a treatment cycle. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TQB6411 Injection | Drug | TQB6411 Injection is an antibody-drug conjugate (ADC) targeting Epidermal Growth Factor Receptor (EGFR)/c-Met. |
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| Measure | Description | Time Frame |
|---|---|---|
| Recommended Phase 2 Dose (RP2D) | The RP2D is defined as the recommended dose for subsequent Phase II studies, which will be determined based on a comprehensive assessment of Pharmacokinetics (PK), preliminary efficacy, and safety. | 3 mouths |
| Incidence and severity of adverse events | This study requires the collection of any adverse medical events occurring from the time the participant signs the informed consent form until 30 days after the last dose of study medication or the initiation of new anti-tumor therapy, whichever comes first. | 24 mouths |
| Progression-Free Survival (PFS) | PFS is defined as the time from the first administration of treatment to the first occurrence of disease progression or death from any cause, whichever comes first, as determined by the investigator according to RECIST 1.1. | 24 mouths |
| Measure | Description | Time Frame |
|---|---|---|
| Objective Response Rate (ORR) | Proportion of patients with objective response(achieving Complete Response (CR) + Partial Response (PR) out of the total number of cases and 95% Confidence Interval (CI). | 24 mouths |
| Disease Control Rate(Disease Control Rate=achieving Complete Response [CR] or+Partial Response [PR]+Stable Disease (SD) |
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Inclusion Criteria:
Participants voluntarily participate in this study, sign the informed consent form, and demonstrate good compliance.
Age between 18 and 75 years old (inclusive)
Eastern Cooperative Oncology Group (ECOG) score of 0-1
Expected survival >12 weeks
At least one measurable lesion per RECIST v1.1
Laboratory criteria(no hematopoietic growth factor correction within 7 days):
Histologically/cytologically confirmed recurrent or metastatic Esophageal cancer
Failure/intolerance to prior PD-1/PD-L1 inhibitor plus platinum-based chemotherapy for recurrent/metastatic Esophageal Carcinoma (EC)
Willingness to provide archived or fresh tumor tissue for biomarker analysis.
Females of childbearing potential: Negative serum/urine pregnancy test within 7 days before enrollment and agreement to use effective contraception during and for 6 months post-study. Males: Agreement to use effective contraception during and for 6 months post-study.
Exclusion Criteria:
Current or History of Other Malignancies
Participants with any condition that may compromise venous access for drug administration or blood sampling are excluded.
Participants with prior treatment-related adverse reactions that have not recovered to ≤ Grade 1 per CTCAE v5.0 criteria.
Major surgical procedure or significant traumatic injury within 4 weeks prior to first dose, Scheduled major surgery during the study intervention period, Non-healing wound, ulcer, or bone fracture at screening
Participants with any bleeding/hemorrhagic event ≥ Grade 3 (per CTCAE v5.0) occurring within 4 weeks before the first dose are excluded
History of Thromboembolic Events within 6 Months
Poorly Controlled Active Viral Hepatitis
Participants with active syphilis infection requiring antimicrobial therapy are excluded
Participants with any of the following pulmonary conditions are excluded: active tuberculosis, idiopathic pulmonary fibrosis (IPF), organizing pneumonia, drug-induced/radiation pneumonitis requiring treatment, symptomatic active pneumonia, or history of interstitial lung disease (ILD) requiring therapy
History of Substance Abuse or Psychiatric Disorders
History of Allogeneic Transplantation (Bone Marrow or Solid Organ)
History of Hepatic Encephalopathy
Major Cardiovascular Diseases
Active or Uncontrolled Severe Infections
Renal Failure Requiring Dialysis (Hemodialysis/Peritoneal Dialysis)
History of Immunodeficiency
Poorly Controlled Autoimmune Disease
Poorly Controlled Autoimmune Disease & Epilepsy Requiring Treatment
Poorly Controlled Diabetes
Tumor-Related Symptoms and Treatment Considerations:
Known Hypersensitivity to Investigational Drug or Excipients
Prior Treatment with Topoisomerase I Inhibitor-Based ADCs and/or Irinotecan Chemotherapy
Prior Participation in Anticancer Clinical Trials Within 4 Weeks
Investigator-Assessed Safety or Compliance Concerns
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Feng Wang, Doctor | Contact | 13938244776 | fengw010@163.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Second Affiliated Hospital of Anhui Medical University | Not yet recruiting | Hefei | Anhui | 230061 | China |
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Proportion of patients with disease control (achieving Complete Response [CR] or+Partial Response [PR]+Stable Disease[SD] out of the total number of cases and 95% CI. |
| 24 mouths |
| Duration of Response (DOR) | DOR refers to the time interval from the first documentation of disease remission (achieving Complete Response [CR] or Partial Response [PR]) to the time of disease relapse or progression (PD). | 24 mouths |
| Overall Survival (OS) | Overall Survival (OS) refers to the length of time from the date of diagnosis or the start of treatment for a disease (such as cancer) until the patient's death from any cause. | 24 mouths |
| Peak plasma concentration (Cmax) | It refers to the highest blood drug concentration achieved after administration of TQB6411 injection. | Within 14 days after administration |
| Area Under the Concentration-time Curve (AUC0-t) | Area under the drug concentration-time curve from time 0 to the time of the last quantifiable concentration (AUC0-t) after a single dose. | Within 14 days after administration |
| Area Under the Concentration-time Curve (AUC0-∞) | Area under the drug concentration-time curve from time 0 extrapolated to infinity (AUC0-∞) | Within 14 days after administration |
| Peak time (Tmax) | It refers to the time when the maximum blood drug concentration is reached after administration of TQB6411 for injection. | Within 14 days after administration |
| Number of subjects with incidence of anti-drug antibodies (ADA) and neutralizing antibodies (NAb) | Number and proportion of subjects positive for anti-drug antibodies (ADA) after treatment, along with 95% confidence intervals, and a description of the time of onset, titer, etc., of anti-drug antibody (ADA) development. | 24 months |
| Cancer Hospital Chinese Academy of Medical Sciences | Not yet recruiting | Beijing | Beijing Municipality | 100021 | China |
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| Fujian Cancer Hospital | Not yet recruiting | Fuzhou | Fujian | 350000 | China |
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| Gansu Provincial Tumor Hospital | Not yet recruiting | Lanzhou | Gansu | 730050 | China |
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| The First Affiliated Hospital of Shantou University Medical College | Not yet recruiting | Shantou | Guangdong | 515000 | China |
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| Guangxi Medical University Cancer Hospital | Not yet recruiting | Nanning | Guangxi | 530021 | China |
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| Guizhou Provincial People's Hospital | Not yet recruiting | Guangxi | Guizhou | 550002 | China |
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| The Second Affiliated Hospital of Zunyi Medical University | Not yet recruiting | Zunyi | Guizhou | 563006 | China |
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| Harbin Medical University Cancer Hospital | Not yet recruiting | Harbin | Heilongjiang | 150000 | China |
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| Anyang Cancer Hospital | Not yet recruiting | Anyang | Henan | 455000 | China |
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| The Second People's Hosital of Jiaozuo | Not yet recruiting | Jiaozuo | Henan | 454001 | China |
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| Luoyang Central Hospital (Zhengzhou University Affiliated Luoyang Central Hospital) | Not yet recruiting | Luoyang | Henan | 471000 | China |
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| The first affiliated hospital of Zhengzhou university | Recruiting | Zhengzhou | Henan | 450000 | China |
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| Zhengzhou Central Hospital | Not yet recruiting | Zhengzhou | Henan | 450000 | China |
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| Hunan Provincial People's Hospital | Not yet recruiting | Changsha | Hunan | 410005 | China |
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| Jiangsu Cancer Hospital | Not yet recruiting | Nanjing | Jiangsu | 210000 | China |
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| Jiangsu Provincial Hospital of Traditional Chinese Medicine | Not yet recruiting | Nanjing | Jiangsu | 210019 | China |
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| Northern Jiangsu People's Hospital | Not yet recruiting | Yangzhou | Jiangsu | 225009 | China |
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| The first hospital of jilin university | Not yet recruiting | Changchun | Jilin | 130012 | China |
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| Jilin Cancer Hospital | Not yet recruiting | Changchun | Jilin | 130021 | China |
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| Linyi cancer Hospital | Not yet recruiting | Liyi | Shandong | 276034 | China |
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| Shanghai Chest Hospital | Not yet recruiting | Shanghai | Shanghai Municipality | 200030 | China |
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| Shanxi Bethune Hospital | Not yet recruiting | Taiyuan | Shanxi | 030000 | China |
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| The Second Affiliated Hospital of Air Force Medical University | Not yet recruiting | Xi’an | Shanxi | 710000 | China |
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| Sichuan cancer hosipital | Not yet recruiting | Chengdu | Sichuan | 610040 | China |
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| Sichuan Provincial People's Hospital | Not yet recruiting | Chengdu | Sichuan | 610072 | China |
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| Affiliated Hospital of Southwest Medical University | Not yet recruiting | Luzhou | Sichuan | 64600 | China |
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| Tianjin Medical University Cancer Institute & Hospital | Not yet recruiting | Tianjin | Tianjin Municipality | 300000 | China |
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| The First Affiliated Hospital of Wenzhou Medical University | Not yet recruiting | Wenzhou | Zhejiang | 325000 | China |
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| Zhongshan Hospital Fudan University | Not yet recruiting | Shanghai | 200032 | China |
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| ID | Term |
|---|---|
| D004938 | Esophageal Neoplasms |
| ID | Term |
|---|---|
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D006258 | Head and Neck Neoplasms |
| D004066 | Digestive System Diseases |
| D004935 | Esophageal Diseases |
| D005767 | Gastrointestinal Diseases |
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