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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: |
ChiCTR2400092941 |
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最近更新日期: Date of Last Refreshed on: |
2024-11-26 14:16:26 |
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注册时间: Date of Registration: |
2024-11-26 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: |
评价信迪利单抗联合贝伐珠单抗+曲氟尿苷替匹嘧啶(TAS-102)三线治疗转移性结直肠癌的疗效和安全性研究 |
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Public title: |
A Study on the Efficacy and Safety of Sintilimab Combined with Bevacizumab and TAS-102 as Third-Line Treatment for Metastatic Colorectal 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: |
评价信迪利单抗联合贝伐珠单抗+曲氟尿苷替匹嘧啶(TAS-102)三线治疗转移性结直肠癌的疗效和安全性研究 |
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Scientific title: |
A Study on the Efficacy and Safety of Sintilimab Combined with Bevacizumab and TAS-102 as Third-Line Treatment for Metastatic Colorectal 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: |
程骏驰 |
研究负责人: |
程骏驰,王小红 |
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Applicant: |
Junchi Cheng |
Study leader: |
Junchi Cheng,Xiaohong Wang |
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申请注册联系人电话: Applicant telephone: |
+86 189 5800 6389 |
研究负责人电话: Study leader's telephone: |
+86 571 88122052 |
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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: |
cjc73735273@126.com |
研究负责人电子邮件: Study leader's E-mail: |
hh737@126.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: |
浙江省杭州市拱墅区半山东路1号 |
研究负责人通讯地址: |
杭州市拱墅区半山东路1号 |
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Applicant address: |
No. 1, East Banshan Road, Gongshu District, Hangzhou , P.R. China 310022 |
Study leader's address: |
No. 1, East Banshan Road, Gongshu District, Hangzhou , P.R. China 310022 |
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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: |
浙江省肿瘤医院 |
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Applicant's institution: |
Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital) |
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研究负责人所在单位: |
浙江省肿瘤医院 |
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Affiliation of the Leader: |
Zhejiang Cancer Hospital |
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是否获伦理委员会批准: |
是/Yes |
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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: |
IRB-2024-928(IIT) |
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: |
浙江省肿瘤医院医学伦理委员会 |
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Name of the ethic committee: |
Medical Ethics Committee of Zhejiang Cancer Hospital |
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伦理委员会批准日期: Date of approved by ethic committee: |
2024-10-15 00:00:00 |
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伦理委员会联系人: |
王丽虹 |
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Contact Name of the ethic committee: |
Lihong Wang |
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伦理委员会联系地址: |
杭州市拱墅区半山东路1号 |
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Contact Address of the ethic committee: |
No. 1, East Banshan Road, Gongshu District, Hangzhou , P.R. China 310022 |
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伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 571 88122146 |
伦理委员会联系人邮箱: Contact email of the ethic committee: |
ec@zjcc.org.cn |
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研究实施负责(组长)单位: |
浙江省肿瘤医院 |
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Primary sponsor: |
Zhejiang Cancer Hospital |
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研究实施负责(组长)单位地址: |
杭州市拱墅区半山东路1号 |
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Primary sponsor's address: |
No. 1, East Banshan Road, Gongshu District, Hangzhou , P.R. China 310022 |
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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: |
无 |
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Source(s) of funding: |
None |
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Target disease: |
Advanced colorectal cance |
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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: |
评价信迪利单抗联合贝伐珠单抗和TAS- 102 三线治疗转移性结直肠癌的疗效和安全性 |
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Objectives of Study: |
A Study on the Efficacy and Safety of Sintilimab Combined with Bevacizumab and TAS-102 as Third-Line Treatment for Metastatic Colorectal 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.在实施任何试验相关流程之前,签署书面知情同意; |
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Inclusion criteria |
1. Sign a written informed consent before implementing any procedures related to the trial; 2. Age ≥18 years old; 3. Histologically or cytologically proven inoperable metastatic colorectal cancer (AJCC 8th is stage IV); 4. Disease progression during or after previous oxaliplatin/irinotecan/fluorouracil ± targeted drug therapy (RECIST v1.1); 5. According to the solid tumor efficacy evaluation criteria (RECIST 1.1 edition), there is at least one radiographically measurable lesion; 6.ECOG score 0-1; 7. Expected survival time >3 months; 8. For adequate organ function, subjects must meet the following laboratory criteria: 1) Neutrophil absolute value (ANC) ≥1.5x109/L in the last 14 days without the use of granulocyte colony-stimulating factor. 2) Platelets ≥90× 109/L in the past 14 days without blood transfusion. 3) In the case of no blood transfusion or use of erythropoietin in the past 14 days, blood red and egg white >9g/dL; 4) Total bilirubin ≤1.5 × upper limit of normal (ULN); Or total bilirubin >ULN but direct bilirubin ≤ ULN; 5) Aspartate aminotransferase (AST), alanine aminotransferase (ALT) ≤5×ULN (ALT or AST ≤5×ULN in patients with liver metastasis); 6) Serum creatinine ≤ 1.5 ×ULN and creatinine clearance (calculated by Cockcroft-Gault formula) ≥60 ml/min; 7) Good coagulation function, defined as International standardized ratio (INR) or prothrombin time (PT) ≤1.5 times ULN; 8) Normal thyroid function, defined as thyroid stimulating hormone (TSH) within the normal range. If baseline TSH is outside the normal range, subjects with total T3 (or FT3) and FT4 within the normal range can also be enrolled; 9) The myocardial enzyme profile was within the normal range (if the researcher comprehensively judged that the simple laboratory abnormality was not clinically significant, it was also allowed to be included); (Optional); 9. For female subjects of reproductive age, a urine or serum pregnancy test should be performed within 3 days prior to receiving the first study drug administration (day 1 of cycle 1) and the results are negative. If the urine pregnancy test results cannot be confirmed as negative, a blood pregnancy test is requested. Women of non-reproductive age were defined as at least one year after menopause or having undergone surgical sterilization or hysterectomy; 10. If there is a risk of conception, all subjects (male or female) are required to use contraception with an annual failure rate of less than 1% for the entire treatment period up to 120 days after the last study drug administration of treatment (or 180 days after the last chemotherapy drug administration). |
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排除标准: |
1.既往接受过下列疗法:抗 PD-1,抗 PD-L1 ,抗 PD-L2 药物或者针对 另一种刺激 或协同抑制 T 细胞受体(例如,CTLA-4 、OX-40 、CD137 ) 的药物(可 调整); |
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Exclusion criteria: |
1. Previous treatment with anti-PD-1, anti-PD-L1, anti-PD-L2 drugs or drugs that target another stimulus or synergistically inhibit T cell receptors (e.g., CTLA-4, OX-40, CD137) (adjustable); 2. Symptomatic or high-risk obstruction, bleeding, perforation, pneumonia (including noncommunicable pneumonia patients who have previously received hormonal therapy and pneumonia patients under treatment); 3. Malignant diseases other than colorectal cancer diagnosed within 5 years prior to initial administration (excluding basal cell carcinoma of the skin, squamous epithelial carcinoma of the skin, and/or carcinoma in situ after radical resection); 4. Is currently participating in an interventional clinical study, or has received other investigational drugs or used investigational devices within 4 weeks prior to initial dosing; 5. Had surgery within 6 weeks before the first dose. 6. Received any anti-tumor therapy (including chemotherapy, targeted therapy, radiotherapy, interventional therapy, etc.) within 2 weeks before the first dose; Chinese patent drugs with anti-tumor indications or immunomodulatory effects (including thymosin, interferon, interleukin, except for local use to control pleural fluid) systemic systemic treatment; 7. An active autoimmune disease requiring systemic treatment (e.g. with disease-modifying drugs, glucocorticoids, or immunosuppressants) has occurred within 2 years prior to first administration. Replacement therapy (e.g., thyroxine, insulin, or physiologic glucocorticoids for adrenal or pituitary insufficiency) is not considered systemic therapy; 8. Was receiving systemic glucocorticoid therapy (excluding nasal, inhaled, or other local glucocorticoids) or any other form of immunosuppressive therapy within 7 days prior to the initial administration of the study; Note: The use of physiological doses of glucocorticoids (≤10 mg/ day of prednisone or equivalent) is permitted; 9. Clinically uncontrollable pleural effusion/abdominal effusion (patients who do not need to drain effusion or who have no significant increase in effusion after 3 days of stopping drainage can be enrolled); 10. Known allogeneic organ transplantation (except corneal transplantation) or allogeneic hematopoietic stem cell transplantation; 11. Those who are known to be allergic to sindilizumab, bevacizumab, TAS-102 active ingredients or adjuvants of this study; 12. Persons with multiple factors affecting oral medication (such as inability to swallow, severe chronic diarrhea, and intestinal obstruction); 13. Has not fully recovered from the toxicity and/or complications caused by any intervention before starting treatment (i.e., ≤ grade 1 or baseline, excluding weakness or hair loss); 14. Known history of human immunodeficiency virus (HIV) infection (i.e. HIV 1/2 antibody positive); 15. Untreated active hepatitis B (defined as HBsAg positive and HBV-DNA copy number detected greater than the upper limit of normal value in the laboratory of the study center); Note: Hepatitis B subjects who meet the following criteria can also be enrolled: 1) HBV viral load <1000 copies /ml (200 IU/ml) before the first dose, 2) Prophylactic anti-HBV therapy is not required for subjects with anti-HBC (+), anti-HBSAG (-), anti-HBS (-), and HBV viral load (-). However, virus reactivation needs to be closely monitored; 16. Active HCV-infected subjects (HCV antibody positive and HCV-RNA levels above the lower limit of detection); 17. Received live vaccine within 30 days prior to the first dose (cycle 1, day 1); Note: Injectable inactivated virus vaccine against seasonal influenza is permitted for 30 days prior to initial administration; However, live attenuated influenza vaccines administered intranasally are not permitted. 18. Pregnant or lactating women; 19. The presence of any serious or uncontrolled systemic disease, such as: 1) a significant abnormality in the rhythm, conduction, or morphology of the resting electrocardiogram with severe symptoms that are difficult to control, such as complete left bundle branch block, heart block above degree II, ventricular arrhythmia, or atrial fibrillation; 2) Unstable angina pectoris, congestive heart failure, New York Heart Association (NYHA) grade ≥ 2 chronic heart failure; 3) Any arterial thrombosis, embolism or ischemia occurred within 6 months before treatment, such as myocardial infarction, unstable angina pectoris, cerebrovascular accident or transient ischemic attack; 4) Poor blood pressure control (systolic > 140 mmHg, diastolic > 90 mmHg); 5) There is a history of non-infectious pneumonia requiring glucocorticoid therapy within 1 year prior to first administration, or there is currently clinically active interstitial lung disease; 6) Active pulmonary tuberculosis; 7) There is an active or uncontrolled infection that requires systemic treatment; 8) Clinically active diverticulitis, abdominal abscess, gastrointestinal obstruction; 9) Liver diseases such as cirrhosis, decompensated liver disease, acute or chronic active hepatitis; 10) Poor diabetes control (fasting blood glucose (FBG) > 10mmol/L); 11) Urine routine indicated urine protein ≥++, and confirmed 24-hour urine protein quantity > 1.0 g; 12) Patients with mental disorders who cannot cooperate with treatment; 20. Medical history or evidence of disease that may interfere with the test results, prevent participants from fully participating in the study, abnormal treatment or laboratory test values, or other conditions that the investigator deems unsuitable for enrollment The investigator considers other potential risks unsuitable for participation in the study. 21. Known dMMR or MSI-H; |
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研究实施时间: Study execute time: |
从 From 2024-10-01 00:00:00至 To 2026-10-01 00:00:00 |
征募观察对象时间: Recruiting time: |
从From 2024-12-01 00:00:00 至 To 2026-10-01 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 |
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 |