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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: |
ChiCTR2600126520 |
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最近更新日期: Date of Last Refreshed on: |
2026-06-10 15:26:32 |
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注册时间: Date of Registration: |
2026-06-10 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化疗新辅助治疗食管鳞癌的单臂、探索性、多中心临床研究 |
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Public title: |
A Single-Arm, Exploratory, Multicenter Clinical Study of Iparomlimab and Tuvonralimab Injection Combined with Chemotherapy as Neoadjuvant Therapy for Esophageal Squamous Cell Carcinoma |
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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化疗新辅助治疗食管鳞癌的单臂、探索性、多中心临床研究 |
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Scientific title: |
A Single-Arm, Exploratory, Multicenter Clinical Study of Iparomlimab and Tuvonralimab Injection Combined with Chemotherapy as Neoadjuvant Therapy for Esophageal Squamous Cell Carcinoma |
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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: |
杨文锋 |
研究负责人: |
杨文锋 |
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Applicant: |
Wenfeng Yang |
Study leader: |
Wenfeng Yang |
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申请注册联系人电话: Applicant telephone: |
+86 17653115619 |
研究负责人电话:
Study leader's |
+86 531 67626409 |
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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: |
sdthywf@163.com |
研究负责人电子邮件: Study leader's E-mail: |
sdthywf@163.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: |
山东省济南市槐荫区济兖路440号 |
研究负责人通讯地址: |
山东省济南市槐荫区济兖路440号 |
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Applicant address: |
440 Jiyan Road, Huaiyin District, Jinan, Shandong |
Study leader's address: |
440, Jiyan Road, Huaiyin District, Jinan, Shandong |
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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: |
山东第一医科大学附属肿瘤医院(山东省肿瘤医院、山东省肿瘤防治研究院) |
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Applicant's institution: |
Shandong First Medical University Affiliated Tumor Hospital |
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研究负责人所在单位: |
山东第一医科大学附属肿瘤医院(山东省肿瘤防治研究院、山东省肿瘤医院) |
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Affiliation of the Leader: |
Shandong First Medical University and Shandong Academy of Medical Sciences (Shandong Cancer Hospital &Institute) |
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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: |
SDZLEC2026-028-002 |
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: |
山东第一医科大学附属肿瘤医院(山东省肿瘤防治研究院、山东省肿瘤医院)伦理委员会 |
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Name of the ethic committee: |
Ethics Committee of the Affiliated Cancer Hospital of Shandong First Medical University |
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伦理委员会批准日期: Date of approved by ethic committee: |
2026-04-23 00:00:00 | ||
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伦理委员会联系人: |
李朝伟 |
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Contact Name of the ethic committee: |
Li Chaowei |
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伦理委员会联系地址: |
山东省济南市槐荫区济兖路440号 |
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Contact Address of the ethic committee: |
440 Jiyan Road, Huaiyin District, Jinan, Shandong |
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伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 531 67627162 |
伦理委员会联系人邮箱: Contact email of the ethic committee: |
sdzlllh803@126.com |
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研究实施负责(组长)单位: |
山东第一医科大学附属肿瘤医院(山东省肿瘤防治研究院、山东省肿瘤医院) |
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Primary sponsor: |
Shandong First Medical University and Shandong Academy of Medical Sciences (Shandong Cancer Hospital &Institute) |
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研究实施负责(组长)单位地址: |
山东省济南市槐荫区济兖路440号 |
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Primary sponsor's address: |
440 Jiyan Road, Huaiyin District, Jinan, Shandong |
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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: |
自选课题(自筹) |
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Source(s) of funding: |
Self-selected research topic (self-funded) |
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研究疾病: |
食管鳞癌 |
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Target disease: |
Esophageal squamous cell carcinoma (ESCC) |
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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: |
主要研究目的: 观察艾帕洛利托沃瑞利单抗联合化疗新辅助治疗食管鳞癌患者的完全病理缓解率(pCR)。 次要研究目的: 观察艾帕洛利托沃瑞利单抗联合化疗新辅助治疗食管鳞癌患者的主要病理缓解率(MPR)、R0 切除率、客观缓解率(ORR)、无事件生存期(EFS)、总生存期(OS)和安全性。 探索性研究目的: 探索潜在生物标志物(包括但不限于 PD-L1、分子残留病灶 MRD)与疗效的关系。 |
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Objectives of Study: |
Primary Study Objective: To observe the pathological complete response (pCR) rate in patients with esophageal squamous cell carcinoma receiving neoadjuvant therapy with epatolimab combined with chemotherapy. Secondary Study Objectives: To evaluate the major pathological response (MPR) rate, R0 resection rate, objective response rate (ORR), event-free survival (EFS), overall survival (OS) and safety profile of epatolimab plus chemotherapy as neoadjuvant treatment for esophageal squamous cell carcinoma. Exploratory Study Objective: To explore the correlation between potential biomarkers (including but not limited to PD-L1 and minimal residual disease, MRD) 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 岁,男女不限; |
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Inclusion criteria |
1. Aged 18–75 years, both male and female; 2. Patients with resectable esophageal squamous cell carcinoma confirmed by histopathology or cytology; 3. Patients with a pathological stage of cT1b-cT2N+ or cT3-cT4a with any N status (Nany). 4. ECOG performance status of 0–1; 5. Expected survival ≥12 weeks; 6. Subjects voluntarily participate in this study, sign the informed consent form, have good compliance, and cooperate with follow-up; 7. The function of vital organs must meet the following requirements (no use of any blood components, cell growth factors, white blood cell boosters, platelet boosters, or anemia correction drugs within 14 days prior to the first dose of the study drug): a. Absolute neutrophil count (ANC) >= 1.5 × 10?/L; b. Platelets >= 100 × 10?/L; c. Hemoglobin >= 10 g/dL; d. Serum albumin >= 2.8 g/dL; e. Total bilirubin <= 1.5 × ULN, ALT, AST and/or AKP <= 2.5 × ULN; f. Serum creatinine <= 1.5 × ULN or creatinine clearance > 60 mL/min; g. Activated partial thromboplastin time (APTT) and international normalized ratio (INR) <= 1.5 × ULN. 8. Pre-resected tumor tissue is available; 9. Ejection fraction > 50% on echocardiography before the start of treatment; 10. No history of surgical resection; 11. Women of childbearing potential must have a negative pregnancy test (serum or urine) within 14 days prior to enrollment, and voluntarily agree to use appropriate contraception during the observation period and for 8 weeks after the last dose of the study drug; for men, they should be surgically sterile or agree to use appropriate contraception during the observation period and for 8 weeks after the last dose of the study drug. 12. Willing and able to undergo follow-up until death, or until the end of the study, or until the study is terminated. |
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排除标准: |
1.远处转移或者邻近组织或器官浸润,所有原发不可切除的分期; |
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Exclusion criteria: |
1. Distant metastasis or infiltration of adjacent tissues or organs, all stages where the primary tumor is unresectable; 2. BMI < 18.5 kg/m2 or weight loss ≥10% within 2 months before screening (also taking into account the effect of massive ascites on body weight); 3. History of gastrointestinal perforation and/or fistula within 6 months prior to the first dose; 4. History of allergy to any component of the monoclonal antibody Iparomlimab and Tuvonralimab, albumin-bound paclitaxel, cisplatin, or any component thereof; 5. Patients with contraindications to any component of the monoclonal antibody Iparomlimab and Tuvonralimab, albumin-bound paclitaxel, or cisplatin; 6. Received any of the following treatments: (1) Prior treatment with anti-PD-1 or anti-PD-L1 antibodies; (2) Receipt of any investigational drug within 4 weeks prior to the first dose of the study drug; (3) Concurrent enrollment in another clinical study, unless it is an observational (non-interventional) clinical study or the follow-up phase of an interventional clinical study; (4) Use of systemic corticosteroids (daily dose >10 mg prednisone equivalent) or other immunosuppressants within 2 weeks prior to the first dose of the study drug; (5) Receipt of an anti-tumor vaccine or administration of a live vaccine within 4 weeks prior to the first dose of the study drug; (6) Major surgery or trauma within 4 weeks prior to the first dose of the study drug; 7. Has active autoimmune disease or a history of autoimmune disease, with the exception of vitiligo or childhood asthma/allergy that has resolved and requires no intervention in adulthood; autoimmune hypothyroidism managed with stable doses of thyroid replacement hormone; and type 1 diabetes managed with stable doses of insulin. 8. Has a history of immunodeficiency, including a positive HIV test, or has other acquired or congenital immunodeficiency diseases, or has a history of organ transplantation or allogeneic bone marrow transplantation; 9. Subjects with poorly controlled cardiovascular clinical symptoms or diseases; 10. Occurrence of severe infection (CTCAE grade >2) within 4 weeks prior to the first dose of the study drug, such as severe pneumonia, bacteremia, or infectious complications requiring hospitalization; baseline chest imaging findings indicating active pulmonary inflammation, presence of signs or symptoms of infection within 2 weeks prior to the first dose of the study drug, or need for oral or intravenous antibiotic therapy, excluding prophylactic antibiotic use. 11. History of interstitial lung disease (excluding radiation pneumonitis that did not require corticosteroid treatment), or history of non-infectious pneumonia; 12. Patients found to have active pulmonary tuberculosis infection through medical history or CT examination, or patients with a history of active pulmonary tuberculosis infection within 1 year prior to enrollment, or patients with a history of active pulmonary tuberculosis infection more than 1 year ago but who have not received standard treatment; 13. Peripheral neuropathy > NCI Grade II; 14. Subjects deemed unsuitable for enrollment in this study by the investigator. |
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研究实施时间: Study execute time: |
从 From 2026-06-01 00:00:00至 To 2028-12-31 00:00:00 |
征募观察对象时间: Recruiting time: |
从 From 2026-06-15 00:00:00 至 To 2027-06-01 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: |
病例报告表 |
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Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
Case Record Form |
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数据与安全监察委员会: Data and Safety Monitoring Committee: |
有/Yes |