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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: |
ChiCTR2500114072 |
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最近更新日期: Date of Last Refreshed on: |
2025-12-08 08:45:38 |
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注册时间: Date of Registration: |
2025-12-08 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联合白蛋白紫杉醇+洛铂新辅助治疗Ⅱ-Ⅲ期三阴性乳腺癌有效性和安全性的前瞻性、多中心、单臂研究 |
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Public title: |
Efficacy and Safety of Iparomlimab and Tuvonralimab Combined with Albumin-bound Paclitaxel and Lobaplatin as Neoadjuvant Therapy for Stage II-III Triple-negative Breast Cancer:A Prospective, Multicenter, Single-Arm Study |
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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联合白蛋白紫杉醇+洛铂新辅助治疗Ⅱ-Ⅲ期三阴性乳腺癌有效性和安全性的前瞻性、多中心、单臂研究 |
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Scientific title: |
Efficacy and Safety of Iparomlimab and Tuvonralimab Combined with Albumin-bound Paclitaxel and Lobaplatin as Neoadjuvant Therapy for Stage II-III Triple-negative Breast Cancer:A Prospective, Multicenter, Single-Arm Study |
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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: |
齐晓伟 |
研究负责人: |
齐晓伟 |
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Applicant: |
Xiaowei Qi |
Study leader: |
Xaowei Qi |
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申请注册联系人电话: Applicant telephone: |
+86 135 2754 5423 |
研究负责人电话:
Study leader's |
+86 23 68754160 |
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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: |
qxw9908@foxmail.com |
研究负责人电子邮件: Study leader's E-mail: |
qxw9908@foxmail.com |
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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: |
重庆市沙坪坝区高滩岩正街30号 |
研究负责人通讯地址: |
重庆市沙坪坝区高滩岩正街29号 |
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Applicant address: |
No. 30, Gaotanyanzheng Street, Shapingba District, Chongqing, China |
Study leader's address: |
No 29 Gaotanyan Main Street Shapingba District Chongqing |
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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: |
中国人民解放军陆军军医大学第一附属医院 |
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Applicant's institution: |
The Southwest Hospital of AMU(Army Medical University) |
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研究负责人所在单位: |
中国人民解放军陆军军医大学第一附属医院 |
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Affiliation of the Leader: |
The First Affiliated Hospital of Army Medical University |
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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: |
(A)KY2025217 |
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: |
中国人民解放军陆军军医大学第一附属医院伦理委员会 |
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Name of the ethic committee: |
Ethics Committee of the First Affiliated Hospital of Army Medical University PLA |
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伦理委员会批准日期: Date of approved by ethic committee: |
2025-10-15 00:00:00 | ||
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伦理委员会联系人: |
贺莉 |
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Contact Name of the ethic committee: |
He Li |
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伦理委员会联系地址: |
重庆市沙坪坝区高滩岩正街29号 |
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Contact Address of the ethic committee: |
No 29 Gaotanyan Main Street Shapingba District Chongqing |
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伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 23 68754035 |
伦理委员会联系人邮箱: Contact email of the ethic committee: |
cqhl13@qq.com |
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研究实施负责(组长)单位: |
中国人民解放军陆军军医大学第一附属医院 |
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Primary sponsor: |
The First Affiliated Hospital of Army Medical University |
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研究实施负责(组长)单位地址: |
重庆市沙坪坝区高滩岩正街29号 |
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Primary sponsor's address: |
No 29 Gaotanyan Main Street Shapingba District Chongqing |
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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: |
陆军军医大学第一附属医院临床研究孵化项目 |
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Source(s) of funding: |
Clinical Research Incubation Project |
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研究疾病: |
三阴性乳腺癌 |
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Target disease: |
triple-negative breast cancer (TNBC) |
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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: |
上市后药物 | ||||||||||||||||||||||
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Study phase: |
4 |
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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: |
主要研究目的:观察和评价艾帕洛利托沃瑞利单抗联合白蛋白紫杉醇+洛铂方案在II-III期TNBC新辅助治疗中的有效性。 次要研究目的:观察和评价艾帕洛利托沃瑞利单抗联合白蛋白紫杉醇+洛铂方案在II-III期TNBC癌新辅助治疗中的安全性。 探索性目的:评价肿瘤标本中潜在预测性生物标志物与疗效的相关性。 |
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Objectives of Study: |
Primary Objective: To observe and evaluate the efficacy of Iparomlimab and Tuvonralimab Injection in combination with nab-paclitaxel and lobaplatin in the neoadjuvant treatment of stage II-III triple-negative breast cancer (TNBC). Secondary Objective: To observe and evaluate the safety of Iparomlimab and Tuvonralimab Injection in combination with nab-paclitaxel and lobaplatin in the neoadjuvant treatment of stage II-III TNBC. Exploratory Objective: To assess the correlation between potential predictive biomarkers in tumor specimens and treatment efficacy. |
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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:18-75周岁,性别女,预期生存期>3个月; |
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Inclusion criteria |
1. Female breast cancer patients aged 18-75 years with a life expectancy >3 months; 2. Stage II-III TNBC confirmed by histology (specific definition: ER, PR negative defined as: immunohistochemistry detection ER <= 10%, PR<=10%. HER2 negative is defined as: When immunohistochemistry detects HER-2 0 or 1+, or++, FISH detection is negative without amplification); 3. No prior mastectomy on the affected side; 4. No prior systemic therapy, including chemotherapy, endocrine, immunotherapy,targeted, or radiotherapy, for the current breast cancer episode; 5. ECOG performance status of 0-1; 6. At least one RECIST 1.1 measurable lesion; 7. Tumor size >2 cm or nodal involvement (N+); 8. The level of organ function must meet the following requirements: (1) Hematology: a. Haemoglobin (HB) >= 9g / dL b. Neutrophil absolute value (ANC) >= 1.5 × 10^9 / L; c. Platelets (PLT) >= 100 × 10^9 / L; (2)Liver function: a. Total bilirubin (TBiL) <= 1.5 × ULN; b. Alanine transferase (ALT) and aspartate transferase (AST) <= 1.5 × ULN; c. Serum albumin (ALB) ≥ 30g / L; (3)Renal function: Calculated creatinine clearance rate (CrCl) >= 60 mL / min (using the standard cockcroft-Gault formula) or serum creatinine <= 1.5 × ULN; (4)Heart ultrasound evaluation:Left ventricular ejection fraction (LVEF) >= 50%; (5)12-lead ECG: QT interval < 480 ms; (6)Coagulation function: International standardized ratio (INR), activated partial coagulation APTT and PT <= 1.5 × ULN; 9. Female subjects of childbearing age should agree to use contraceptive measures (such as intrauterine devices, contraceptive pills or condoms) during the study period and within 6 months after the study. The serum pregnancy test should be negative within 7 days before study enrollment, and they must not be breastfeeding; 10.Willingness to participate voluntarily, provision of informed consent, adherence to study protocol, and cooperation with follow-up assessments. |
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排除标准: |
1. 既往5年内患有其他恶性肿瘤,不包括已治愈的宫颈原位癌、皮肤基底细胞癌或皮肤鳞状细胞癌; |
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Exclusion criteria: |
1. History of other malignancies within the past 5 years, excluding cured cervical carcinoma in situ, basal cell carcinoma, or squamous cell carcinoma of the skin; 2. Metastatic breast carcinoma (stage IV); 3. Patients with inflammatory breast cancer; 4. Histopathological diagnosis of breast neuroendocrine or metaplastic carcinoma; 5. Prior chemotherapy, radiotherapy, immunotherapy,or targeted therapy within the last 12 months; 6. Previous treatment with anti-PD-1, PD-L1, PD-L2, or other T-cell surface inhibitory receptor-targeting agents (e.g., CTLA-4, OX-40, CD137); 7. Concurrent administration of any other anti-neoplastic therapy; 8. Participation in another clinical trial with investigational drugs within 4 weeks prior to enrollment; 9. Receipt of live vaccines(including attenuated live vaccines) within 30 days before the first study drug administration; 10. Active autoimmune disease,except for vitiligo, hair loss, psoriasis or eczema that does not require systematic treatment; Hypothyroidism caused by autoimmune thyroiditis requires only stable doses of hormone replacement therapy (HRT) of the thyroid gland; Type I diabetes mellitus requiring only stable doses of insulin-replacement therapy; 11. 11. Receipt of systemic corticosteroids (>10 mg of prednisone or equivalent daily) or other immunosuppressive drugs (such as cyclophosphamide, azathioprine, methotrexate, thalidomide, TNF-α inhibitors, etc.) within 30 days before the first study drug administration. Local use of corticosteroids, nasal sprays and inhaled corticosteroids is allowed. Systemic corticosteroids for the prevention of contrast agent allergy are also allowed; 12. 12. History of immunodeficiency, including those with Human Immunodeficiency Virus (HIV) infection; 13. Active hepatitis B (HBsAg positive and HBV-DNA >= 1000 copies/ml (200 IU/ml) or above the detection limit) can be enrolled in the study after stabilization after treatment. With the requirement that participants receive anti-hepatitis B virus therapy during the study period. Participants with active hepatitis C (HCV positive and HCV-RNA level above the detection limit); 14. Previous or current interstitial pneumonia/lung disease that requires systemic hormone therapy; 15. Active infections that require comprehensive treatment; 16. Severe cardiovascular disease, including myocardial infarction, acute coronary syndrome, or coronary interventions (percutaneous coronary intervention/stenting/bypass surgery) within the last 6 months, or New York Heart Association Class II-IV congestive heart failure or a history of Class III-IV congestive heart failure; 17. Known hypersensitivity to any component of the study medication or its analogs; 18. Pregnant or breastfeeding women, women of childbearing potential with a positive baseline pregnancy test, or women of reproductive age unwilling to use effective contraception throughout the study period; 19. History of significant neurological or psychiatric disorders, including epilepsy or dementia; 20. Any other condition deemed by the investigator as contraindicating participation in the study. |
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研究实施时间: Study execute time: |
从 From 2025-12-15 00:00:00至 To 2031-09-30 00:00:00 |
征募观察对象时间: Recruiting time: |
从 From 2025-12-15 00:00:00 至 To 2031-09-30 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): |
无 |
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The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
None |
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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: |
电子采集和管理系统(Electronic Data Capture,EDC) |
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Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
EDC |
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数据与安全监察委员会: Data and Safety Monitoring Committee: |
有/Yes |