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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: |
ChiCTR2600122046 |
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最近更新日期: Date of Last Refreshed on: |
2026-04-08 14:50:12 |
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注册时间: Date of Registration: |
2026-04-08 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: |
评估HLX43 (抗PD-L1的ADC) 在晚期胰腺癌受试者中有效性和安全性的II期临床研究 |
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Public title: |
A Phase II clinical study evaluating the efficacy and safety of HLX43 (anti-PD-L1 ADC) in subjects with advanced stage pancreatic cancer |
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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: |
一项评估HLX43 (抗PD-L1的ADC) 在晚期胰腺癌受试者中有效性和安全性的II期临床研究 |
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Scientific title: |
A Phase II clinical study evaluating the efficacy and safety of HLX43 (anti-PD-L1 ADC) in subjects with advanced stage pancreatic cancer |
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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: |
虞先濬 |
研究负责人: |
虞先濬 |
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Applicant: |
Xianjun Yu |
Study leader: |
Yu xianjun |
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申请注册联系人电话: Applicant telephone: |
+86 21 6417 5590 |
研究负责人电话:
Study leader's |
+86 21 6417 5590 |
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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: |
yuxianjun@fudanpci.org |
研究负责人电子邮件: Study leader's E-mail: |
yuxianjun@fudanpci.org |
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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: |
上海市徐汇区东安路270号 |
研究负责人通讯地址: |
上海市徐汇区东安路270号 |
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Applicant address: |
No. 270, Dong'an Road, Xuhui District, Shanghai |
Study leader's address: |
270 Dongan Road, Xuhui, Shanghai |
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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: |
复旦大学附属肿瘤医院 |
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Applicant's institution: |
Fudan University Shanghai Cancer Center |
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研究负责人所在单位: |
复旦大学附属肿瘤医院 |
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Affiliation of the Leader: |
Fudan University Shanghai Cancer Center |
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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: |
2510331-14 |
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: |
复旦大学附属肿瘤医院医学伦理委员会 |
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Name of the ethic committee: |
Shanghai Cancer Center Institutional Review Board SCCIRB |
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伦理委员会批准日期: Date of approved by ethic committee: |
2025-10-20 00:00:00 | ||
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伦理委员会联系人: |
张玮静 |
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Contact Name of the ethic committee: |
Weijing Zhang |
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伦理委员会联系地址: |
上海市徐汇区东安路270号 |
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Contact Address of the ethic committee: |
No. 270, Dong'an Road, Xuhui District, Shanghai |
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伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 21 64175590 |
伦理委员会联系人邮箱: Contact email of the ethic committee: |
andwater@163.com |
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研究实施负责(组长)单位: |
复旦大学附属肿瘤医院 |
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Primary sponsor: |
Fudan University Shanghai Cancer Center |
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研究实施负责(组长)单位地址: |
上海市徐汇区东安路270号 |
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Primary sponsor's address: |
No. 270, Dong'an Road, Xuhui District, Shanghai |
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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: |
上海复宏汉霖生物技术股份有限公司 |
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Source(s) of funding: |
Shanghai Henlius Biologics Co., Ltd. Shanghai Henlius Biotech, Inc. |
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研究疾病: |
胰腺癌 |
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Target disease: |
Pancreatic cancer |
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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: |
主要目的: 评估HLX43在晚期胰腺癌中的临床疗效 次要目的: 评估HLX43在晚期胰腺癌中的安全性和耐受性; 评估HLX43在晚期胰腺癌中的药代动力学(PK)特征及免疫原性; 研究HLX43治疗晚期胰腺癌的潜在预测性或耐药性生物标志物 |
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Objectives of Study: |
Main objective: To evaluate the clinical efficacy of HLX43 in advanced pancreatic cancer. Secondary objectives: To assess the safety and tolerability of HLX43 in advanced pancreatic cancer; To evaluate the pharmacokinetic (PK) characteristics and immunogenicity of HLX43 in advanced pancreatic cancer; To investigate potential predictive or resistance biomarkers for HLX43 in the treatment of advanced pancreatic cancer. |
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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.试验前对试验内容、过程及可能出现的不良反应充分了解,并签署知情同意书,自愿参加该试验,能够按照试验方案要求完成研究; 2.签署ICF时年龄>=18周岁,且<=75周岁,性别不限; 3.组织学或细胞学证实的,不可手术切除的局部晚期或转移性胰腺导管腺癌(PDAC),并且既往接受过至少1种系统性标准治疗失败,且既往治疗须包括氟尿嘧啶类或吉西他滨; 注:治疗失败定义: 1 )在晚期解救治疗阶段,接受含氟尿嘧啶类或吉西他滨化疗方案后出现疾病进展; 2 )在新辅助/辅助治疗阶段,在接受含氟尿嘧啶类或吉西他滨化疗方案治疗过程中,或治疗结束后6个月内出现疾病进展或复发; 4.随机前4周内,根据RECIST 1.1疗效评价标准,至少具有一个可测量病灶;注:可测量靶病灶不能选自既往放疗部位或脑部病灶。如果既往放疗部位的可测量病灶是唯一一个可选靶病灶,需有显示放疗完成后该病灶明显进展的前后影像学证据。 5.受试者同意提供满足检测需求的存档肿瘤组织标本(最近一次手术或活检,最好2年内)或同意进行活检采集肿瘤组织以进行PD-L1表达检测; 注:受试者需提供诊断为恶性肿瘤时或之后,最近一次手术或活检,采集于非放疗部位,经福尔马林固定-石蜡包埋(FFPE)处理的肿瘤样本(石蜡块或未染色切片,需符合检测的质控标准)及上述标本的相关病理报告。 6.首次研究药物给药前须与既往重大外科手术、医疗器械治疗、局部放疗(骨病灶的姑息性放疗除外)、细胞毒性化疗、免疫治疗或生物制剂治疗间隔至少3周或药物的5个半衰期,以短者为准;与既往激素治疗、小分子靶向药物治疗间隔至少2周;与有抗肿瘤适应症的中药治疗或小手术间隔至少1周;且治疗引起的AE 恢复至CTCAE v5.0 <=1 级(2级外周神经毒性及脱发除外); 7.随机前一周,ECOG体力评分0-2分; 8.预期生存期超过3个月; 9.随机前1周内实验室检查证实有充分的器官功能(在首次用药前14天内,未接受如输血、粒细胞集落刺激因子); 10.血液系统 嗜中性粒细胞(ANC) 1.5×10^9/L~ 9.5×10^9/L 血小板(PLT) >=80×10^9/L 血红蛋白(Hb) >=90g/L淋巴细胞(LYM) >=0.8×10^9/L 肝功能 总胆红素(TBIL) <=1.5×正常值上限(ULN) 梗阻性黄疸引流受试者的总胆红素<= 2×ULN;Gilbert综合征受试者的直接胆红素(DBIL)<=2×ULN; 谷氨酸氨基转移酶(ALT) <=2.5×ULN(肝转移患者 <= 5×ULN) 天门冬氨酸氨基转移酶(AST) <=2.5×ULN(肝转移患者 <= 5×ULN) 白蛋白 >=30g/L肾功能 肌酐(Cr) 肌酐清除率需>=50ml/分钟(根据Cockcroft-Gault公式计算)凝血功能 活化部分凝血活酶时间(APTT) <=1.5×ULN 凝血酶原时间(PT) <=1.5×ULN 国际标准化比值(INR) <=1.5×ULN; 11.具有生育能力的男性和女性受试者必须同意在试验期间及最后一次研究药物给药后至少6个月内至少采用1种高度有效的避孕方法进行避孕;育龄期的女性受试者在入选前7天内的妊娠试验必须为阴性。 |
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Inclusion criteria |
1. Before the trial, one must fully understand the trial content, process, and possible adverse reactions, sign the informed consent form, voluntarily participate in the trial, and be able to complete the research as required by the trial protocol. 2. When signing the ICF, the age should be >= 18 years old and <= 75 years old, and gender is not restricted. 3. Histological or cytological confirmed, non-surgical resectable locally advanced or metastatic pancreatic ductal adenocarcinoma (PDAC), and has previously received at least one type of systemic standard treatment failure, and the previous treatment must include fluorouracil or gemcitabine; Note: Treatment failure definition: 1) In the late rescue treatment stage, disease progression occurs after receiving a chemotherapy regimen containing fluorouracil or gemcitabine; 2) In the neoadjuvant/adoptive treatment stage, disease progression or recurrence occurs during or within 6 months after receiving a chemotherapy regimen containing fluorouracil or gemcitabine treatment. 4. Within 4 weeks before randomization, according to the RECIST 1.1 efficacy evaluation criteria, at least one measurable lesion must be present; Note: Measurable target lesions cannot be selected from previously irradiated sites or brain lesions. If the only measurable lesion in the previously irradiated site is the only selectable target lesion, there must be imaging evidence showing significant progression of the lesion after radiotherapy. 5. The subject agrees to provide archived tumor tissue specimens that meet the testing requirements (the latest surgery or biopsy, preferably within 2 years), or agrees to undergo biopsy to collect tumor tissue for PD-L1 expression testing; Note: The subject must provide tumor samples diagnosed as malignant tumors or later, collected from non-irradiated sites, fixed with formalin and embedded in paraffin (paraffin blocks or unstained sections, must meet the quality control standards for testing) and the relevant pathological reports of the above specimens. 6. Before the first administration of the study drug, there must be an interval of at least 3 weeks or 5 half-lives of the drug between major previous surgical operations, medical device treatments, local radiotherapy (except for palliative radiotherapy for bone lesions), cytotoxic chemotherapy, immunotherapy or biological agent treatments, whichever is shorter; There must be an interval of at least 2 weeks between previous hormone treatments, small molecule targeted drug treatments; There must be an interval of at least 1 week between treatments with anti-tumor indications of traditional Chinese medicine or minor surgeries; And the adverse events caused by the treatment must recover to CTCAE v5.0 <= 1 grade (except for grade 2 peripheral neuropathy and alopecia). 7. One week before randomization, the ECOG physical performance score is 0-2. 8. The expected survival period is more than 3 months. 9. Within 1 week before randomization, laboratory tests confirm adequate organ function (within 14 days before the first administration of the drug, without receiving blood transfusion, granulocyte colony-stimulating factor); 10. Hematological system: Neutrophils (ANC) 1.5×10^9/L - 9.5×10^9/L, Platelets (PLT) >= 80×10^9/L, Hemoglobin (Hb) >= 90g/L, Lymphocytes (LYM) >= 0.8×10^9/L. Liver function: Total bilirubin (TBIL) <= 1.5×upper limit of normal (ULN), obstructive jaundice in the subject with total bilirubin <= 2×ULN; For Gilbert syndrome subjects, direct bilirubin (DBIL) <= 2×ULN. Glutamate aminotransferase (ALT) <= 2.5×ULN (for patients with liver metastasis, <= 5×ULN) Aspartate aminotransferase (AST) <= 2.5×ULN (for patients with liver metastasis, <= 5×ULN) Albumin >= 30g/L Renal function Creatinine (Cr) Creatinine clearance rate needs to be >= 50ml/minute (calculated according to the Cockcroft-Gault formula) Coagulation function Activated partial thromboplastin time (APTT) <= 1.5×ULN Prothrombin time (PT) <= 1.5×ULN International normalized ratio (INR) <= 1.5×ULN; 11. Male and female subjects with reproductive capacity must agree to use at least one highly effective contraceptive method for contraception during the trial period and for at least 6 months after the last administration of the study drug; For women of childbearing age, the pregnancy test must be negative within 7 days before enrollment. |
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排除标准: |
1.肿瘤组织学或细胞学证实为其他胰腺癌病理类型或合并其他病理类型分化; |
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Exclusion criteria: |
1.Tumor histology or cytology confirmed as other pathological types of pancreatic cancer or combined with differentiation of other pathological types; |
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研究实施时间: Study execute time: |
从 From 2025-09-18 00:00:00至 To 2028-09-19 00:00:00 |
征募观察对象时间: Recruiting time: |
从 From 2026-04-08 00:00:00 至 To 2027-06-25 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: |
男女均可 |
Gender: |
Both |
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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: |
CRF |
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Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
CRF |
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数据与安全监察委员会: Data and Safety Monitoring Committee: |
无/No |