信迪利单抗局部用药联合同步放化疗及中子近距离后装治疗一线晚期妇科鳞状细胞癌患者的开放性、单臂、探索性研究

注册号:

Registration number:

ChiCTR2300074868 

最近更新日期:

Date of Last Refreshed on:

2024-01-11 19:38:04 

注册时间:

Date of Registration:

2023-08-18 00:00:00 

注册号状态:

补注册

Registration Status:

Retrospective registration

注册题目:

信迪利单抗局部用药联合同步放化疗及中子近距离后装治疗一线晚期妇科鳞状细胞癌患者的开放性、单臂、探索性研究

Public title:

An open, one-arm, exploratory study of Sintilimab topical medication combined with concurrent radiotherapy and chemotherapy and neutron brachytherapy in the treatment of patients with first-line advanced gynecological squamous cell carcinoma

注册题目简写:

English Acronym:

研究课题的正式科学名称:

信迪利单抗局部用药联合同步放化疗及中子近距离后装治疗一线晚期妇科鳞状细胞癌患者的开放性、单臂、探索性研究

Scientific title:

An open, one-arm, exploratory study of Sintilimab topical medication combined with concurrent radiotherapy and chemotherapy and neutron brachytherapy in the treatment of patients with first-line advanced gynecological squamous cell carcinoma

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:

李晓玲 

研究负责人:

李晓玲 

Applicant:

Li XiaoLing 

Study leader:

Li XiaoLing 

申请注册联系人电话:

Applicant telephone:

+86 139 3651 9200

研究负责人电话:

Study leader's
telephone:

+86 139 3651 9200

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:

Athena2111@163.com

研究负责人电子邮件:

Study leader's E-mail:

Athena2111@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:

黑龙江省哈尔滨市南岗区哈双路235号

研究负责人通讯地址:

黑龙江省哈尔滨市南岗区哈双路235号

Applicant address:

235 Hashuang Road, Nangang District, Harbin, Heilongjiang, China

Study leader's address:

235 Hashuang Road, Nangang District,Harbin, Heilongjiang, China

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:

黑龙江省农垦总局总医院

Applicant's institution:

Heilongjiang General Hospital of General Bureau of Agricultural Reclamation

研究负责人所在单位:

黑龙江省农垦总局总医院

Affiliation of the Leader:

Heilongjiang General Hospital of General Bureau of Agricultural Reclamation

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

NKZYY-2020-025

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:

黑龙江省农垦总局总医院伦理委员会

Name of the ethic committee:

Ethics Committee of Heilongjiang General Hospital of General Bureau of Agricultural Reclamation

伦理委员会批准日期:

Date of approved by ethic committee:

2021-01-06 00:00:00

伦理委员会联系人:

王利达

Contact Name of the ethic committee:

Wang Lida

伦理委员会联系地址:

黑龙江省哈尔滨市南岗区哈双路235号

Contact Address of the ethic committee:

235 Hashuang Road, Nangang District, Harbin, Heilongjiang, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 186 8686 3660

伦理委员会联系人邮箱:

Contact email of the ethic committee:

427334@qq.com

研究实施负责(组长)单位:

黑龙江省农垦总局总医院

Primary sponsor:

Heilongjiang General Hospital of General Bureau of Agricultural Reclamation

研究实施负责(组长)单位地址:

黑龙江省哈尔滨市南岗区哈双路235号

Primary sponsor's address:

235 Hashuang Road, Nangang District, Harbin, Heilongjiang, China

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

黑龙江省

市(区县):

哈尔滨市

Country:

China

Province:

Heilongjiang

City:

Harbin

单位(医院):

黑龙江省农垦总局总医院

具体地址:

哈尔滨市南岗区哈双路235号

Institution
hospital:

General Hospital of Heilongjiang Agricultural Reclamation Bureau

Address:

235 Hashuang Road, Nangang District, Harbin, Heilongjiang, China

经费或物资来源:

自费

Source(s) of funding:

Self-funded

研究疾病:

妇科鳞状细胞癌  

Target disease:

Gynecological Squamous Cell Carcinoma

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

II期临床试验 

Study phase:

2

研究设计:

单臂 

Study design:

Single arm 

研究目的:

评估信迪利单抗局部用药联合同步放化疗及中子近距离后装治疗一线晚期妇科鳞状细胞癌患者的疗效。  

Objectives of Study:

To evaluate the efficacy of Sintilimab topical combined with concurrent radiotherapy and chemotherapy and neutron brachytherapy in the treatment of patients with first-line advanced gynecological squamous cell carcinoma.

药物成份或治疗方案详述:

依据患者实际情况,选择放疗、化疗、中子近距离后装治疗,或以上两种、三种联合治疗方案。治疗期间同步应用信迪利单抗治疗。 应用药物:信迪利单抗注射液 -规格:100 mg/10 ml -给药方法:100mg,局部用药,每3周一个治疗周期,每个周期的第1天给药,共4个治疗周期。 局部用药方案:可依据患者病灶部位、大小及周围侵犯程度等具体情况酌情给药。宫颈鳞状细胞癌患者行宫颈多点、均匀、等量注射给药,同时针对受侵宫旁组织注射给药;阴道鳞状细胞癌及外阴鳞状细胞癌患者给予病灶及瘤周(1~2cm)多点、均匀、等量注射给药。 持续给药直至疾病进展、死亡、毒性不能耐受、撤回知情同意、开始新的抗肿瘤治疗或方案规定的其他原因终止治疗。 

Description for medicine or protocol of treatment in detail:

According to the actual situation of the patient, choose radiotherapy, chemotherapy, neutron brachytherapy, or a combination of the above two or three treatment options. Simultaneous application of Sintilizumab during treatment. Application drug: Sintilizumab injection -Specification: 100 mg/10 ml -Administration method: 100 mg, topical, a treatment cycle every 3 weeks, administration on the first day of each cycle, a total of 4 treatment cycles. Local medication regimen: The medication can be administered according to the specific conditions of the patient's lesion site, size, and degree of surrounding invasion. Patients with squamous cell carcinoma of the cervix were given multiple, uniform and equal injections of the cervix, and at the same time injected into the invaded parauterine tissue; patients with vaginal squamous cell carcinoma and vulvar squamous cell carcinoma were given the lesion and around the tumor (1~ 2cm) Multi-point, uniform and equal injection administration. Continue the administration until the disease progresses, death, toxicity is intolerable, informed consent is withdrawn, new anti-tumor treatment is started, or treatment is terminated for other reasons specified in the plan. 

纳入标准:

Inclusion criteria

排除标准:

1.首次给药前5年内诊断为妇科鳞状细胞癌之外的其他恶性疾病(不包括经过根治的皮肤基底细胞癌、皮肤鳞状上皮癌、和/或经过根治性切除的原位癌); 2.当前正在参与干预性临床研究治疗,或在首次给药前4周内接受过其他研究药物或使用过研究器械治疗; 3.既往接受过下列疗法:抗PD-1、抗PD-L1或抗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; 4.首次给药前2周内接受过具有抗肿瘤适应症的中成药或免疫调节作用的药物(包括胸腺肽、干扰素、白介素,除外为控制胸水局部使用)系统性全身治疗; 5.首次给药前2年内发生过需要全身性治疗(例如使用缓解疾病药物、糖皮质激素或免疫抑制剂)的活动性自身性免疫疾病。替代疗法(例如甲状腺素、胰岛素或者用于肾上腺或垂体机能不全的生理性糖皮质激素等)不视为全身性治疗; 6.研究首次给药前7天内正在接受全身性糖皮质激素治疗(不包括喷鼻、吸入性或其他途径的局部糖皮质激素)或任何其他形式的免疫抑制疗法;注:允许使用生理剂量的糖皮质激素(≤10 mg/天的泼尼松或等效药物); 7.存在临床上不可控制的胸腔积液/腹腔积液(不需要引流积液或停止引流3天积液无明显增加的患者可以入组); 8.已知异体器官移植(角膜移植除外)或异体造血干细胞移植; 9.已知对本研究药物信迪利单抗活性成分或辅料过敏者; 10.在开始治疗前,尚未从任何干预措施引起的毒性和/或并发症中充分恢复(即,≤1级或达到基线,不包括乏力或脱发); 11.已知人类免疫缺陷病毒(HIV)感染史(即HIV 1/2抗体阳性); 12.未经治疗的活动性乙肝(定义为HBsAg阳性同时检测到HBV-DNA拷贝数大于所在研究中心检验科正常值上限); 注:符合下列标准的乙肝受试者亦可入组: 首次给药前HBV病毒载量<1000拷贝/ml(200 IU/ml),受试者应在整个研究治疗期间接受抗HBV治疗避免病毒再激活; 对于抗HBc(+)、HBsAg(-)、抗HBs(-)和HBV病毒载量(-)的受试者,不需要接受预防性抗HBV治疗,但是需要密切监测病毒再激活; 活动性的HCV感染受试者(HCV抗体阳性且HCV-RNA水平高于检测下限); 13.首次给药之前(第 1 周期,第 1 天)30 天内接种过活疫苗; 注:允许首次给药前 30 天内接受针对季节性流感的注射用灭活病毒疫苗;但是不允许接受鼻内用药的减毒活流感疫苗; 14.妊娠或哺乳期妇女; 15.存在任何严重或不能控制的全身性疾病,例如: (1)静息心电图在节律、传导或形态上出现有重大且症状严重难以控制的异常,如完全性左束支传导阻滞,Ⅱ度以上心脏传导阻滞,室性心律失常或心房颤动; (2)不稳定型心绞痛,充血性心力衰竭,纽约心脏病协会(NYHA)分级≥ 2 级的慢性心衰; (3)在入选治疗前6个月内发生过任何动脉血栓、栓塞或缺血,如心肌梗死、不稳定型心绞痛、脑血管意外或一过性脑缺血发作等; (4)血压控制不理想(收缩压>140 mmHg,舒张压>90 mmHg); (5)活动性肺结核; (6)存在需要全身性治疗的活动性或未能控制的感染; (7)存在临床活动性憩室炎、腹腔脓肿、胃肠道梗阻; (8)肝脏疾病如肝硬化、失代偿性肝病、急性或慢性活动性肝炎; (9)糖尿病控制不佳(空腹血糖(FBG)>10mmol/L); (10)尿常规提示尿蛋白≥++,且证实24小时尿蛋白定量>1.0 g者; (11)存在精神障碍且无法配合治疗的患者; 16.有可能干扰试验结果、妨碍受试者全程参与研究的病史或疾病证据、治疗或实验室检查值异常,或研究者认为其他不适合入组的情况研究者认为存在其他潜在风险不适合参加本研究。

Exclusion criteria:

1. Other malignant diseases (excluding skin basal cell carcinoma, skin squamous cell carcinoma, and / or cancer in situ after radical resection) were diagnosed within 5 years before the first administration; 2. Currently participating in interventional clinical research treatment, or receiving other research drugs or using research instruments within 4 weeks before the first administration; 3. Having received the following therapies in the past: anti-PD-1, anti-PD-L1 or anti-PD-L2 drugs, or drugs that stimulate or synergistically inhibit T cell receptors (e.g., CTLA-4, OX-40, CD137); 4. Received systemic treatment with Chinese patent medicine with anti-tumor indications or immunomodulatory drugs (including thymosin, interferon and interleukin, except for local use to control pleural effusion) within 2 weeks before the first administration; 5. Active autoimmune diseases requiring systemic treatment (such as the use of disease relief drugs, glucocorticoids or immunosuppressants) occurred within 2 years before the first administration. Replacement therapy (such as thyroxine, insulin or physiological glucocorticoids for adrenal or pituitary insufficiency) is not considered systemic therapy; 6. The study was receiving systemic glucocorticoid therapy (excluding local glucocorticoids by nasal spray, inhalation or other means) or any other form of immunosuppressive therapy within 7 days before the first administration; Note: physiological dose of Glucocorticoid (<= 10 mg / day of prednisone or equivalent) is allowed; 7. Patients with clinically uncontrollable pleural effusion / peritoneal effusion (those who do not need drainage or whose effusion does not increase significantly after 3 days of drainage can be enrolled); 8. Known allogeneic organ transplantation (except corneal transplantation) or allogeneic hematopoietic stem cell transplantation; 9. Those who are known to be allergic to the active ingredients or excipients of sindilimab; 10. Not fully recovered from the toxicity and / or complications caused by any intervention (i.e. <= grade 1 or reaching baseline, excluding fatigue or hair loss) before the start of treatment; 11. Known history of human immunodeficiency virus (HIV) infection (i.e. HIV 1 / 2 antibody positive); 12. Untreated active hepatitis B (defined as HBsAg positive and HBV-DNA copy number higher than the upper limit of the normal value in the laboratory of the research center); Note: hepatitis B patients who meet the following criteria can also be included in the study; Before the first administration, if the HBV viral load is less than 1000 copies/ml (200 IU/ml), subjects should receive anti HBV treatment throughout the entire study treatment period to avoid virus reactivation; For subjects with anti HBc (+), HBsAg (-), anti HBs (-), and HBV viral load (-), preventive anti HBV treatment is not required, but virus reactivation needs to be closely monitored; Active HCV infected subjects (with positive HCV antibodies and HCV-RNA levels above the detection limit); 13.Inoculate the live vaccine within 30 days before the first administration (1st cycle, 1st day); Note: It is allowed to receive inactivated viral vaccines for seasonal influenza within 30 days before the first administration; However, it is not allowed to receive live attenuated influenza vaccines using intranasal medication; 14. Pregnant or lactating women; 15. There are any serious or uncontrollable systemic diseases, such as: (1) The resting electrocardiogram exhibits significant and difficult to control abnormalities in rhythm, conduction, or morphology, such as complete left bundle branch block, second degree or above heart block, ventricular arrhythmias, or atrial fibrillation; (2) Unstable angina, congestive heart failure, chronic heart failure with a New York Heart Association (NYHA) rating of >= 2; (3) Have experienced any arterial thrombosis, embolism, or ischemia within 6 months prior to enrollment for treatment, such as myocardial infarction, unstable angina, cerebrovascular accident, or transient ischemic attack; (4) Poor blood pressure control (systolic blood pressure > 140 mmHg, diastolic blood pressure > 90 mmHg); (5) Active pulmonary tuberculosis; (6) There are active or uncontrollable infections that require systemic treatment; (7) Presence of clinically active diverticulitis, abdominal abscess, and gastrointestinal obstruction; (8) Liver diseases such as cirrhosis, decompensated liver disease, acute or chronic active hepatitis; (9) Poor control of diabetes (FBG > 10mmol/L); (10) Urinary routine examination indicates that urine protein is >= ++, and it is confirmed that 24-hour urine protein quantification is greater than 1.0g; (11) Patients with mental disorders who are unable to cooperate with treatment; 16. Medical history or evidence of illness that may interfere with the trial results, hinder participants from participating in the entire study, abnormal treatment or laboratory test values, or other situations that the researcher believes are not suitable for enrollment. The researcher believes that there are other potential risks that are not suitable for participating in this study.

研究实施时间:

Study execute time:

From 2021-01-06 00:00:00 To 2023-06-30 00:00:00  

征募观察对象时间:

Recruiting time:

From 2021-01-06 00:00:00 To 2023-02-28 00:00:00

干预措施:

Interventions:

组别:

试验组

样本量:

20

Group:

Experimental group

Sample size:

干预措施:

信迪利单抗局部用药

干预措施代码:

Intervention:

Topical use of Sintilimab

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

黑龙江 

市(区县):

哈尔滨 

Country:

China

Province:

Heilongjiang

City:

Harbin

单位(医院):

黑龙江省农垦总局总医院 

单位级别:

三级甲等 

Institution
hospital:

General Hospital of Heilongjiang Agricultural Reclamation Bureau

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

客观缓解率(ORR)

指标类型:

主要指标

Outcome:

Objective response rate (ORR)

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

无进展生存期(PFS)

指标类型:

次要指标

Outcome:

Progression-free survival (PFS)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

疾病控制率(DCR)

指标类型:

次要指标

Outcome:

Disease control rate (DCR)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

缓解持续时间(DOR)

指标类型:

次要指标

Outcome:

Duration of remission (DOR)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

总生存期(OS)

指标类型:

次要指标

Outcome:

Overall survival (OS)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

评估信迪利单抗联合含铂双药化疗的安全性和耐受性:包括不良事件(AE)和严重不良事件(SAE)的发生率,AE/SAE导致治疗终止的发生率

指标类型:

次要指标

Outcome:

To assess the safety and tolerability of sintilimab combined with platinum-containing dual-agent chemotherapy: including the incidence of adverse events (AE) and serious adverse events (SAE), and the incidence of AE/SAE leading to treatment discontinuation

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

血液

组织:

Sample Name:

Blood

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

标本中文名:

尿液

组织:

Sample Name:

Urine

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

征募研究对象情况:

Recruiting status:

结束

/Completed

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 90 years

性别:

女性

Gender:

Female

随机方法(请说明由何人用什么方法产生随机序列):

单臂探索性研究,无随机对照组。

Randomization Procedure (please state who generates the random number sequence and by what method):

One-arm exploratory study, no randomized control group.

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

公开/Public

盲法:

Blinding:

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

是否共享原始数据:

IPD sharing

是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):

试验完成后6个月共享数据,网络平台共享,ResMan (http://www.medresman.org.cn/login.aspx)。

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

6 months after the trial is completed, data sharing, network platform sharing, ResMan (http://www.medresman.org.cn/login.aspx).

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:

病例记录表

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

Case Record Form, CRF

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2023-08-18 09:59:33