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审核状态: Project audit state: |
通过审核 Successful |
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注册号: Registration number: |
ChiCTR2500101129 |
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最近更新日期: Date of Last Refreshed on: |
2025-04-21 10:50:59 |
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注册时间: Date of Registration: |
2025-04-21 00:00:00 |
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注册号状态: |
预注册 |
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Registration Status: |
Prospective registration |
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注册题目: |
艾帕洛利托沃瑞利单抗(QL1706)治疗中间型滋养细胞肿瘤的有效性及安全性: 前瞻性、多中心、单臂临床试验 |
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Public title: |
?Efficacy and Safety of Iparomlimab/Tuvorlimab (QL1706) in Treating Intermediate Trophoblastic Tumors: A Prospective, Multicenter, Single-Arm Clinical Trial?? |
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注册题目简写: |
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English Acronym: |
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研究课题的正式科学名称: |
艾帕洛利托沃瑞利单抗(QL1706)治疗中间型滋养细胞肿瘤的有效性及安全性: 前瞻性、多中心、单臂临床试验 |
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Scientific title: |
?Efficacy and Safety of Iparomlimab/Tuvorlimab (QL1706) in Treating Intermediate Trophoblastic Tumors: A Prospective, Multicenter, Single-Arm Clinical Trial?? |
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研究课题代号(代码): Study subject ID: |
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在二级注册机构或其它机构的注册号: The registration number of the Partner Registry or other register: |
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申请注册联系人: |
李源 |
研究负责人: |
向阳 |
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Applicant: |
Yuan Li |
Study leader: |
Xiang Yang |
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申请注册联系人电话: Applicant telephone: |
+86 178 1037 6318 |
研究负责人电话:
Study leader's |
+86 10 6915 5635 |
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申请注册联系人传真 : Applicant Fax: |
研究负责人传真: Study leader's fax: |
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申请注册联系人电子邮件: Applicant E-mail: |
liyuan10833@pumch.cn |
研究负责人电子邮件: Study leader's E-mail: |
xiangy@Pumch.cn |
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申请单位网址(自愿提供): Applicant website(voluntary supply): |
研究负责人网址(自愿提供): Study leader's website(voluntary supply): |
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申请注册联系人通讯地址: |
北京市东城区王府井帅府园1号 |
研究负责人通讯地址: |
北京市东城区王府井帅府园1号 |
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Applicant address: |
No. 1, Shuaifu Garden, Wangfujing, Dongcheng District, Beijing |
Study leader's address: |
No. 1, Shuaifu Garden, Wangfujing, Dongcheng District, Beijing |
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申请注册联系人邮政编码: Applicant postcode: |
研究负责人邮政编码: Study leader's postcode: |
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申请人所在单位: |
中国医学科学院北京协和医院 |
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Applicant's institution: |
Peking Union Medical College Hospital (PUMCH), Chinese Academy of Medical Sciences?? |
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研究负责人所在单位: |
中国医学科学院北京协和医院 |
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Affiliation of the Leader: |
Peking Union Medical College Hospital |
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是否获伦理委员会批准: |
是 |
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Approved by ethic committee: |
Yes |
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伦理委员会批件文号: Approved No. of ethic committee: |
I-25PJ0902 |
伦理委员会批件附件: Approved file of Ethical Committee: |
查看附件View |
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批准本研究的伦理委员会名称: |
中国医学科学院北京协和医院伦理审查委员会 |
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Name of the ethic committee: |
PUMCH Institutional Review Board |
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伦理委员会批准日期: Date of approved by ethic committee: |
2025-04-14 00:00:00 | ||
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伦理委员会联系人: |
李佳月 |
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Contact Name of the ethic committee: |
Jiayue Li |
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伦理委员会联系地址: |
北京市东城区王府井帅府园1号 |
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Contact Address of the ethic committee: |
No. 1, Shuaifu Garden, Wangfujing, Dongcheng District, Beijing |
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伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 10 69156874 |
伦理委员会联系人邮箱: Contact email of the ethic committee: |
dott1994@163.com |
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研究实施负责(组长)单位: |
中国医学科学院北京协和医院 |
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Primary sponsor: |
Peking Union Medical College Hospital |
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研究实施负责(组长)单位地址: |
北京市东城区王府井帅府园1号 |
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Primary sponsor's address: |
No. 1, Shuaifu Garden, Wangfujing, Dongcheng District, Beijing |
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试验主办单位(项目批准或申办者): Secondary sponsor: |
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经费或物资来源: |
生育健康及妇女儿童健康保障 |
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Source(s) of funding: |
National Key R&D Program (China)?? |
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研究疾病: |
中间型滋养细胞肿瘤 |
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Target disease: |
Intermediate trophoblastic tumors |
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研究疾病代码: |
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Target disease code: |
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研究类型: |
干预性研究 |
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Study type: |
Interventional study |
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研究所处阶段: |
II期临床试验 | ||||||||||||||||||||||
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Study phase: |
2 |
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研究设计: |
单臂 |
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Study design: |
Single arm |
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研究目的: |
探索艾帕洛利托沃瑞利单抗治疗中间型滋养细胞肿瘤的有效性及安全性 |
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Objectives of Study: |
?Exploration of the Efficacy and Safety of Iparomlimab/Tuvorlimab in the Treatment of Intermediate Trophoblastic Tumors?? |
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药物成份或治疗方案详述: |
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Description for medicine or protocol of treatment in detail: |
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纳入标准: |
1、年龄18-70岁女性; 2、病理诊断为PSTT或ETT; 3、队列A:IV期初治、复发或化疗耐药患者; 队列B:活检或术后需进行化疗的 I-III期高危患者,符合以下条件之一:(1)术后两周HCG异常,(2)手术未切净病灶,(3)高危因素(前次妊娠间隔时间>=48个月、深肌层浸润、核分裂象>5/HPF、坏死); 4、东部肿瘤协作组织(ECOG)体能状况评分0-1分; 5、自愿签署知情同意书; 6、主要器官功能良好; |
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Inclusion criteria |
1. Females aged 18-70 years old; 2. Pathological diagnosis of PSTT or ETT; 3. Cohort A: patients with stage IV treatment, relapse or chemotherapy resistance; Cohort B: high-risk patients with stage I-III disease who underwent biopsy or postoperative chemotherapy and met one of the following criteria: (1) abnormal HCG at two weeks postoperatively, (2) surgical unresected lesions, (3) high-risk factors (interval between previous pregnancies>=48 months, deep myometrial invasion, mitotic image>5/HPF, necrosis); 4. Eastern Cooperative Oncology Organization (ECOG) performance status score of 0-1; 5. Voluntarily sign the informed consent form; 6. Good function of major organs; |
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排除标准: |
1、预计生存期<3个月; 2、非妊娠性滋养细胞肿瘤; 3、合并其他恶性肿瘤且治疗中; 4、既往接受过免疫相关治疗; 5、过去2年内患有需要系统治疗的活动性自身免疫性疾病。可允许替代治疗。 6、伴有活动性或需要临床治疗的炎症性肠病; 7、入组14天内需要使用皮质类固醇(>10mg每日强的松当量)或其他免疫抑制药物进行全身治疗。在没有活动性自身免疫疾病的情况下,允许吸入或外用类固醇和肾上腺替代剂量>10mg每日强的松当量。系统性皮质类固醇的生理替代剂量是允许的。 8、已知人类免疫缺陷病毒或已知获得性免疫缺陷综合症检测呈阳性的病史; 9、未治疗的慢性乙型肝炎患者或慢性乙型肝炎病毒(HBV)携带者且HBV DNA>1000 IU/mL,及活动性丙型肝炎患者应排除。非活动性乙型肝炎表面抗原(HbsAg)携带者,经治疗且稳定的乙型肝炎患者(HBV DNA<1000 IU/mL),以及已治愈的丙型肝炎患者可以入组。 10、已知患有活动性肺结核(TB)。怀疑有活动性TB的受试者,需检查胸部X线、痰液以及通过临床症状和体征排除。 11、有需要系统性治疗的严重活动性感染,包括但不局限于伴有需要住院治疗的并发症、败血症或严重肺炎。 12、未得到控制的心血管疾病,包括:(1)症状性充血性心力衰竭(按照纽约心脏病协会功能分级确定的3或4级)、或心脏彩超检查提示左室射血分数(LVEF)<50%。(2)未得到控制的高血压(收缩压≥140 mmHg 或者舒张压≥90 mmHg,尽管进行了最佳药物治疗)。(3)控制不佳的心律失常。(4)不稳定型心绞痛、急性或正患有心肌缺血的证据。 13、入组前6个月内发生过任何动脉血栓栓塞事件,包括心肌梗死、脑血管意外或或短暂性脑缺血发作,有深静脉血栓、肺栓塞或其它任何严重血栓栓塞的病史。 14、已知存在间质性肺病或病史。 15、具有明显影响口服药物吸收的因素,如无法吞咽、慢性腹泻和肠梗阻等。或6个月内出现过空腔脏器窦道或穿孔。重度活动性消化性溃疡病或胃炎。 16、会限制受试者依从研究要求或影响受试者提供书面知情同意能力的精神疾病及社会状况; 17、已知异体器官移植史和异体造血干细胞移植史; 18、在QL1706首次给药前的30天内接种了活疫苗,或计划在研究期间接种活疫苗; 19、已知对其他单克隆抗体、研究所需化疗药物产生严重超敏反应的病史; 20、妊娠期或哺乳期女性; 21、研究者认为存在可能损害受试者或者导致受试者无法满足或执行研究要求的任何状况; |
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Exclusion criteria: |
1. Estimated survival time< 3 months; 2. Non-gestational trophoblastic tumors; 3. Combined with other malignant tumors and under treatment; 4. Have received immune-related therapy in the past; 5. Active autoimmune disease requiring systemic therapy within the past 2 years. Alternative treatments may be permitted. 6. Inflammatory bowel disease with active disease or requiring clinical treatment; 7. Systemic treatment with corticosteroids (>10mg daily prednisone equivalent) or other immunosuppressive drugs is required within 14 days of enrollment. In the absence of active autoimmune disease, inhaled or topical steroids and adrenal replacement doses > 10 mg daily prednisone equivalent are permitted. Physiologic replacement doses of systemic corticosteroids are permitted. 8. Known history of human immunodeficiency virus or known positive test for acquired immunodeficiency syndrome; 9. Patients with untreated chronic hepatitis B or chronic hepatitis B virus (HBV) carriers with HBV DNA > 1000 IU/mL, and patients with active hepatitis C should be excluded. Carriers of inactive hepatitis B surface antigen (HbsAg), treated and stable hepatitis B patients (HBV DNA < 1000 IU/mL), and cured hepatitis C patients may be enrolled. 10. Known to have active tuberculosis (TB). Subjects with suspected active TB should have a chest x-ray, sputum, and exclusion by clinical signs and symptoms. 11. Have severe active infection requiring systemic treatment, including but not limited to complications requiring hospitalization, sepsis or severe pneumonia. 12. Uncontrolled cardiovascular disease, including: (1) symptomatic congestive heart failure (grade 3 or 4 determined by the New York Heart Association), or left ventricular ejection fraction (LVEF) of <50% on cardiac ultrasound. (2) Uncontrolled hypertension (systolic blood pressure ≥ 140 mmHg or diastolic blood pressure ≥ 90 mmHg despite optimal medical therapy). (3) Poorly controlled arrhythmias. (4) Evidence of unstable angina, acute or ongoing myocardial ischemia. 13. Any arterial thromboembolic event, including myocardial infarction, cerebrovascular accident or transient ischemic attack, within 6 months prior to enrollment, and a history of deep vein thrombosis, pulmonary embolism or any other severe thromboembolism. 14. Known presence or history of interstitial lung disease. 15. Factors that obviously affect the absorption of oral drugs, such as inability to swallow, chronic diarrhea and intestinal obstruction. or cavity viscular sinus tract or perforation within 6 months. Severely active peptic ulcer disease or gastritis. 16. Mental illness and social conditions that will restrict the subject's compliance with the requirements of the study or affect the subject's ability to provide written informed consent; 17. Known history of allogeneic organ transplantation and allogeneic hematopoietic stem cell transplantation; 18. Received a live vaccine within 30 days prior to the first dose of QL1706, or plans to receive a live vaccine during the study; 19. Known history of severe hypersensitivity reactions to other monoclonal antibodies and chemotherapy drugs required for research; 20. Pregnant or lactating females; 21. Any condition that, in the opinion of the investigator, may harm the subject or cause the subject to be unable to meet or perform the requirements of the study; |
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研究实施时间: Study execute time: |
从 From 2025-04-22 00:00:00至 To 2028-04-14 00:00:00 |
征募观察对象时间: Recruiting time: |
从 From 2025-04-22 00:00:00 至 To 2027-04-14 00:00:00 |
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干预措施: Interventions: |
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研究实施地点: Countries of recruitment and research settings: |
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测量指标: Outcomes: |
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采集人体标本:
Collecting sample(s)
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征募研究对象情况: Recruiting status: |
尚未开始 Not yet recruiting |
年龄范围: Participant age: |
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性别: |
女性 |
Gender: |
Female |
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随机方法(请说明由何人用什么方法产生随机序列): |
无 |
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Randomization Procedure (please state who generates the random number sequence and by what method): |
None |
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是否公开试验完成后的统计结果: Calculated Results after the Study Completed public access: |
不公开/Private |
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盲法: |
无 |
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Blinding: |
None |
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是否共享原始数据: IPD sharing |
否No |
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共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址): |
本研究的所有原始数据(包括临床记录、实验室检测结果及影像学资料)因涉及患者隐私和机构数据保护政策,暂不对外公开共享。 |
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The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
The raw data of this study (including clinical records, laboratory results, and imaging data) will not be publicly available due to patient privacy concerns and institutional data protection policies. |
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数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC: |
数据采集与管理采用双轨制系统:病例记录表(Case Record Form, CRF)用于人工记录患者临床数据,包括基线特征、治疗反应和疗效评估,详细统计所有试验相关实验室、病理和影像学资料结果,所有纸质CRF需研究者签字确认并保存15年以上;同时通过电子数据采集系统(Electronic Data Capture, EDC)实现数据数字化管理,确保实时录入、逻辑核查和权限控制,两种方式同步运行并通过定期交叉验证保证数据一致性,最终形成符合GCP规范的完整研究数据库 |
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Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
The data collection and management system adopts a dual-track approach: Case Report Forms (CRFs) are utilized for manual documentation of patient clinical data, including baseline characteristics, treatment responses and efficacy assessments, with comprehensive recording of all trial-related laboratory, pathological and imaging results. All paper CRFs require investigator signatures and must be retained for at least 15 years. Concurrently, the Electronic Data Capture (EDC) system facilitates digital data management, ensuring real-time data entry, logical verification and access control. These two parallel systems operate simultaneously with periodic cross-validation to guarantee data consistency, ultimately establishing a complete research database compliant with Good Clinical Practice (GCP) standards. |
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数据与安全监察委员会: Data and Safety Monitoring Committee: |
有/Yes |