|
审核状态: Project audit state: |
通过审核 Successful |
|
注册号: Registration number: |
ChiCTR2500097924 |
|
最近更新日期: Date of Last Refreshed on: |
2025-02-27 11:57:48 |
|
注册时间: Date of Registration: |
2025-02-27 00:00:00 |
|
注册号状态: |
预注册 |
|
Registration Status: |
Prospective registration |
|
注册题目: |
阿得贝利单抗联合阿帕替尼辅助治疗切除术后高复发风险的肝细胞癌患者的一项单臂、探索性研究 |
|
Public title: |
A single arm, exploratory study on the combination of Adebrelimab and Apatinib as adjuvant therapy for hepatocellular carcinoma patients at high risk of recurrence after resection surgery |
|
注册题目简写: |
|
|
English Acronym: |
|
|
研究课题的正式科学名称: |
阿得贝利单抗联合阿帕替尼辅助治疗切除术后高复发风险的肝细胞癌患者的一项单臂、探索性研究 |
|
Scientific title: |
A single arm, exploratory study on the combination of Adebrelimab and Apatinib as adjuvant therapy for hepatocellular carcinoma patients at high risk of recurrence after resection surgery |
|
研究课题代号(代码): Study subject ID: |
|
|
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: |
|
申请注册联系人: |
李涛 |
研究负责人: |
李涛 |
|
Applicant: |
Li Tao |
Study leader: |
Li Tao |
|
申请注册联系人电话: Applicant telephone: |
+86 17660088880 |
研究负责人电话: Study leader's telephone: |
+86 18560085138 |
|
申请注册联系人传真 : Applicant Fax: |
研究负责人传真: Study leader's fax: |
||
|
申请注册联系人电子邮件: Applicant E-mail: |
litao@126.com |
研究负责人电子邮件: Study leader's E-mail: |
litao7706@163.com |
|
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): |
||
|
申请注册联系人通讯地址: |
山东省济南市历下区文化西路107号 |
研究负责人通讯地址: |
文化西路107号齐鲁医院 |
|
Applicant address: |
No. 107 Wenhua West Road, Lixia District, Jinan City, Shandong Province |
Study leader's address: |
Qilu Hospital, 107 Wenhua West Road |
|
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: |
||
|
申请人所在单位: |
山东大学齐鲁医院 |
||
|
Applicant's institution: |
Qilu Hospital of Shandong University |
||
|
研究负责人所在单位: |
山东大学齐鲁医院 |
||
|
Affiliation of the Leader: |
Qilu Hospital of Shandong University |
||
|
是否获伦理委员会批准: |
是/Yes |
||
|
Approved by ethic committee: |
Yes |
||
|
伦理委员会批件文号: Approved No. of ethic committee: |
KYLL-202401-002-1 |
伦理委员会批件附件: Approved file of Ethical Committee: |
查看附件View |
|
批准本研究的伦理委员会名称: |
山东大学齐鲁医院科研伦理委员会 |
||
|
Name of the ethic committee: |
Research Ethics Committee of Qilu Hospital, Shandong University |
||
|
伦理委员会批准日期: Date of approved by ethic committee: |
2024-03-26 00:00:00 |
||
|
伦理委员会联系人: |
卜丽娟 |
||
|
Contact Name of the ethic committee: |
Bu Lijuan |
||
|
伦理委员会联系地址: |
文化西路107号齐鲁医院 |
||
|
Contact Address of the ethic committee: |
Qilu Hospital, 107 Wenhua West Road |
||
|
伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 531 82169166 |
伦理委员会联系人邮箱: Contact email of the ethic committee: |
bulijuan16@sdu.edu.cn |
|
研究实施负责(组长)单位: |
山东大学齐鲁医院 |
||||||||||||||||||||||
|
Primary sponsor: |
Qilu Hospital of Shandong University |
||||||||||||||||||||||
|
研究实施负责(组长)单位地址: |
文化西路107号齐鲁医院 |
||||||||||||||||||||||
|
Primary sponsor's address: |
Qilu Hospital, 107 Wenhua West Road |
||||||||||||||||||||||
|
试验主办单位(项目批准或申办者): Secondary sponsor: |
|
||||||||||||||||||||||
|
经费或物资来源: |
自选课题(自筹) |
||||||||||||||||||||||
|
Source(s) of funding: |
Self selected topic (self funded) |
||||||||||||||||||||||
|
Target disease: |
Hepatocellular carcinoma with high risk of recurrence after resection surgery |
||||||||||||||||||||||
|
Target disease code: |
|
||||||||||||||||||||||
|
研究类型: |
干预性研究 |
||||||||||||||||||||||
|
Study type: |
Interventional study |
||||||||||||||||||||||
|
研究所处阶段: |
上市后药物 | ||||||||||||||||||||||
|
Study phase: |
4 |
||||||||||||||||||||||
|
研究设计: |
单臂 |
||||||||||||||||||||||
|
Study design: |
Single arm |
||||||||||||||||||||||
|
研究目的: |
到目前为止,尚无前瞻性研究探索PD-L1抑制剂联合抗血管生成小分子TKI方案应用于HCC患者术后辅助治疗的疗效和安全性。因此,本中心拟开展一项前瞻性临床研究,针对术后高复发风险的HCC患者,论证阿得贝利单抗联合阿帕替尼术后辅助治疗的疗效和安全性。 |
||||||||||||||||||||||
|
Objectives of Study: |
So far, there have been no prospective studies exploring the efficacy and safety of PD-L1 inhibitors combined with anti angiogenic small molecule TKIs for postoperative adjuvant therapy in HCC patients. Therefore, our center plans to conduct a prospective clinical study to demonstrate the efficacy and safety of adjunctive treatment with atezolizumab combined with apatinib in HCC patients at high risk of postoperative recurrence. |
||||||||||||||||||||||
|
药物成份或治疗方案详述: |
|
||||||||||||||||||||||
|
Description for medicine or protocol of treatment in detail: |
|
||||||||||||||||||||||
|
纳入标准: |
1.自愿参加本研究,签署知情同意书。 |
||||||||||||||||||||||
|
Inclusion criteria |
1. Voluntarily participate in this study and sign an informed consent form. 2. Age >= 18 years old, both male and female are eligible. 3. Subjects diagnosed with HCC through histopathology/cytology or clinically diagnosed with HCC according to the "Diagnosis and Treatment Guidelines for Primary Liver Cancer (2022 Edition)". 4. Radical resection was performed within 4-12 weeks prior to enrollment. 5. Complete recovery from surgical resection within 4 weeks prior to enrollment. 6. High risk factors for recurrence of hepatocellular carcinoma after resection surgery (multiple tumors, tumor length>5cm, poor tumor differentiation (Edmondson III-IV grade), resection margin <= 1cm, microvascular or macrovascular invasion, lymph node metastasis, persistent abnormal tumor markers AFP or abnormal prothrombin (DCP), etc.). 7. Child Pugh within 7 days prior to enrollment: A or B (<= 7 ). 8. ECOG PS score within 7 days before enrollment: 0-1; 9. Have not received systematic anti-tumor treatment for hepatocellular carcinoma in the past. 10. Expected survival time >= 12 weeks. 11. The main organ functions meet the following requirements (within 7 days before enrollment): (1) Blood routine examination: (excluding hemoglobin, no blood transfusion within 14 days before screening, no use of granulocyte colony-stimulating factor [G-CSF], no medication correction): Absolute neutrophil count >= 1.5 × 10 ^ 9/L; Platelets >= 75 × 10 ^ 9/L; Hemoglobin >= 90g/L. (Leukopenia and thrombocytopenia caused by splenic hyperfunction can be included in the study after partial splenic artery embolization or drug correction.) (2) Blood biochemistry test (no albumin transfusion within 14 days before screening): Serum albumin <= 28g/L; Serum total bilirubin <= 1.5 × ULN; ALT and AST <= 3 × ULN; Blood creatinine <= 1.5 × ULN or Cr clearance rate>50ml/min (3) International normalized ratio (INR) <= 2.3 or prothrombin time (PT) exceeding the normal control range <= 6 seconds; (4) Urinary protein<2+(If urinary protein is >= 2+, 24-hour (h) urine protein quantification must be performed, and 24-hour urine protein quantification<1.0g can be included in the group). 12. If suffering from hepatitis B virus (HBV) infection, one must be willing to receive antiviral treatment throughout the study period (according to diagnostic and treatment guidelines, such as entecavir) and regularly monitor; Hepatitis C virus (HCV) ribonucleic acid (RNA) positive subjects must receive antiviral treatment according to diagnostic and treatment guidelines and have liver function within CTCAE1 level elevation. 13.Women with fertility must agree to contraception from the time of signing the informed consent form until 90 days (whichever is longer) after the last use of the study drug. And the blood HCG test must be negative within 7 days before starting the study treatment; And it must be non lactating. |
||||||||||||||||||||||
|
排除标准: |
1.已知肝胆管细胞癌、肉瘤样肝细胞癌、肝混合细胞癌及纤维板层细胞癌;5年内或同时患有除肝细胞癌之外的其它活动性恶性肿瘤(已治愈的皮肤基底细胞癌和宫颈原位癌除外)。 |
||||||||||||||||||||||
|
Exclusion criteria: |
1. Known hepatocellular carcinoma, sarcomatoid hepatocellular carcinoma, hepatic mixed cell carcinoma, and fibrolamellar cell carcinoma; Within 5 years or simultaneously with other active malignant tumors other than hepatocellular carcinoma (excluding cured skin basal cell carcinoma and cervical carcinoma in situ). 2. There are uncontrollable extrahepatic metastases, such as lung and brain metastases (EHS). 3. Previously received local treatments, including therapeutic TACE, transarterial embolization (TAE), hepatic arterial infusion chemotherapy (HAIC), transarterial radioembolization (TARE), etc. 4. Subjects who are preparing for or have previously undergone organ or allogeneic bone marrow transplantation. 5. For subjects who currently have interstitial pneumonia or interstitial lung disease, or have a history of interstitial pneumonia or interstitial lung disease requiring hormone therapy, or other pulmonary fibrosis, organizing pneumonia (such as bronchiolitis obliterans), pneumoconiosis, drug-related pneumonia, idiopathic pneumonia, or have evidence of active pneumonia or severe lung function impairment on chest computed tomography (CT) images during screening, radiation pneumonitis in the radiation field is allowed; Active tuberculosis. 6. Currently present with active autoimmune diseases or a history of autoimmune diseases that may recur (including but not limited to: autoimmune hepatitis, interstitial pneumonia, uveitis, enteritis, pituitary inflammation, vasculitis, nephritis, hyperthyroidism, hypothyroidism [subjects that can only be controlled through hormone replacement therapy may be included]); Subjects with skin diseases that do not need systematic treatment, such as vitiligo, psoriasis, alopecia, controlled type I diabetes that receive insulin treatment, or childhood asthma that has completely alleviated without any intervention after adulthood can be included; Asthma subjects who require bronchodilators for medical intervention cannot be included. 7. Suffering from hypertension and unable to achieve good control with antihypertensive medication (systolic blood pressure >= 140mmHg or diastolic blood pressure >= 90mmHg) (based on the average of BP readings obtained from >= 2 measurements), it is allowed to achieve the above parameters through antihypertensive treatment; Previously experienced hypertensive crisis or hypertensive encephalopathy. 8.Moderate or severe ascites with clinical symptoms that require therapeutic puncture, drainage, or a Child Pugh score>2 (excluding those with only a small amount of ascites on imaging but no clinical symptoms); Uncontrolled or moderate to severe pleural and pericardial effusion. 9. Clinical symptoms or diseases of the heart that have not been well controlled, such as: (1) heart dysfunction of grade II or above according to the New York Heart Association (NYHA) standards or cardiac ultrasound examination: LVEF (left ventricular ejection fraction)<50%; (2) Unstable angina pectoris; (3) Has experienced a myocardial infarction within one year prior to the start of treatment; (4) Clinically significant supraventricular or ventricular arrhythmias require treatment or intervention; (5) QTc>480ms (QTc interval calculated using Fridericia's formula; If QTc is abnormal, it can be detected three times in a row with an interval of 2 minutes, and the average value should be taken. 10. History of spontaneous rupture of liver tumors. 11. Individuals with a history of hepatic encephalopathy. 12. Subjects with congenital or acquired immune dysfunction (such as HIV infected individuals). 13. Research on the occurrence of thrombotic or embolic events within 6 months prior to the start of treatment, such as cerebrovascular accidents (including transient ischemic attacks, cerebral hemorrhage, cerebral infarction), pulmonary embolism, etc. 14. If there is a history of gastrointestinal bleeding or a clear tendency towards gastrointestinal bleeding within 6 months before the start of treatment, such as severe esophageal and gastric varices with bleeding risk, locally active digestive ulcer lesions, and persistent positive fecal occult blood, they cannot be included in the study (if fecal occult blood is positive in the baseline period, re examination is required, and if it is still positive after re examination, gastric duodenoscopy (EGD) is required. Esophageal and gastric varices/other digestive diseases with bleeding risk indicated by EGD cannot be included in the study). 15.Within 6 months prior to the start of treatment, there has been an occurrence of abdominal fistula, gastrointestinal perforation, or abdominal abscess. 16. Severe, unhealed, or cracked wounds, as well as active ulcers or untreated fractures. 17. Known genetic or acquired bleeding (such as coagulation dysfunction) or thrombophilia tendency, such as in hemophilia patients; Currently or recently (within 10 days before the start of study treatment), full dose oral or injectable anticoagulant or thrombolytic drugs are being used for therapeutic purposes (prophylactic use of low-dose aspirin, low molecular weight heparin is allowed). 18.Significant vascular disease (such as aortic aneurysm requiring surgical repair or recent peripheral arterial thrombosis) occurred within 6 months prior to the start of the study treatment. 19. Within 4 weeks prior to starting the study treatment, there was a severe infection, including but not limited to hospitalization due to infection, bacteremia, or complications of severe pneumonia; Administer therapeutic antibiotics orally or intravenously within 2 weeks prior to starting the study treatment (subjects who receive prophylactic antibiotics, such as those for preventing urinary tract infections or worsening chronic obstructive pulmonary disease, are eligible to participate in the study). 20. It is known that there is a hypersensitivity reaction to the active ingredients and excipients contained in the investigational drugs (Adebrelimab, Apatinib) in this study, or a history of severe allergies to any other monoclonal antibodies or anti angiogenic targeted drugs. 21. Use immunosuppressive agents or systemic hormone therapy (dose>10mg/day prednisone or other effective hormones) within 14 days before starting the study treatment to achieve immunosuppression. 22. Received attenuated live vaccine treatment within 28 days prior to the start of the study treatment, or expected to receive such vaccine during the period of Adebrelimab treatment or within 60 days after the last dose of Adebrelimab. 23. Received treatment with other investigational drugs within 28 days or 5 half lives (whichever is longer) before starting the study treatment. 24. According to the researchers' assessment, the subjects may have other factors that could affect the research results or lead to the forced termination of this study, such as alcohol abuse, drug abuse, other serious illnesses (including mental illnesses) that require concomitant treatment, serious laboratory test abnormalities, and family or social factors that could affect the safety of the subjects. |
||||||||||||||||||||||
|
研究实施时间: Study execute time: |
从 From 2024-03-26 00:00:00至 To 2028-03-25 00:00:00 |
征募观察对象时间: Recruiting time: |
从From 2025-02-28 00:00:00 至 To 2026-08-31 00:00:00 |
|
干预措施: Interventions: |
|
|
研究实施地点: Countries of recruitment and research settings: |
|
||||||||||||||||||||||||||||
|
测量指标: Outcomes: |
|
|
采集人体标本:
Collecting sample(s)
|
|
|
征募研究对象情况: Recruiting status: |
尚未开始 Not yet recruiting |
年龄范围: Participant age: |
|
||||||
|
性别: |
男女均可 |
Gender: |
Both |
||||||
|
随机方法(请说明由何人用什么方法产生随机序列): |
无 |
||||||||
|
Randomization Procedure (please state who generates the random number sequence and by what method): |
None |
||||||||
|
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 |
|
盲法: |
无 |
|
Blinding: |
None |
|
是否共享原始数据: IPD sharing |
Yes |
|
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): |
研究数据发布6个月后,联系研究者获取 |
|
The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
Contact the researcher to obtain the research data 6 months after its release |
|
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 |
|
Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
CRF |
|
数据与安全监察委员会: Data and Safety Monitoring Committee: |
无/No |