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Trial Title: Study Of Cadonilimab Combined With Radiotherapy In The Treatment of Locally Advanced Cervical Cancer

NCT ID: NCT05687851

Condition: Locally Advanced Cervical Cancer

Conditions: Official terms:
Uterine Cervical Neoplasms

Conditions: Keywords:
Local advanced cervical cancer
Concurrent chemoradiotherapy

Study type: Interventional

Study phase: Phase 2

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: Cadonilimab(AK104)
Description: q3w iv
Arm group label: treatment arm

Intervention type: Radiation
Intervention name: EBRT
Description: 45-50.4Gy
Arm group label: treatment arm

Intervention type: Radiation
Intervention name: BT
Description: ≥80Gy
Arm group label: treatment arm

Summary: Cadonilimab(AK104)is a humanized IgG1 bispecific antibody that targets PD-1 and CTLA-4. This is a single-arm, multicenter, open-label, phase II study, the purpose of this study is to evaluate the efficacy and safety of Cadonilimab plus radiotherapy in participants with locally advanced cervical cancer who do not tolerate chemotherapy.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Able to understand and voluntarily sign written informed consent. 2. Women aged ≥18 years at the time of study entry. 3. Eastern Cooperative Oncology Group Performance Status (ECOG PS) score of 0-2. 4. Life expectancy ≥12 weeks. 5. Intolerance to chemotherapy regimens. 6. Histologically confirmed cervical cancer. 1. Histologically-confirmed squamous cell carcinoma, adenocarcinoma, or adenosquamous carcinoma of the cervix; 2. Not receiving systemic anti-tumour therapy (including but not limited to radiotherapy, targeted therapy and immunotherapy, etc; concurrent chemotherapy is not included. Note: Removal or biopsy of pelvic lymph nodes or para-aortic lymph nodes for the purpose of clinical staging is allowed). 3. Locally advanced cervical cancer(LACC): The International Federation of Gynecology and Obstetrics (FIGO) 2018 Stage IB3/IIA2, IIB-IVA. 7. At least one measurable tumor lesion according to RECIST v1.1 criteria. 8. Available archived tumor tissue samples or recent biopsies. 9. Adequate organ function. 10. For fertile women with negative serum pregnancy and effective contraception within 7 days before administration (until 120 days after the last administration of the study drug and at least 180 days after radiotherapy) Exclusion Criteria: 1. Other histological types of cervical cancer (eg, neuroendocrine carcinoma, small cell carcinoma, sarcoma, etc). 2. Evidence of distant metastases. 3. Have received total hysterectomy. 4. Subject with other active malignancies within 2 years prior enter the study. 5. Subject who cannot receive brachytherapy. 6. Active or prior documented autoimmune disease that may relapse. 7. History of interstitial lung disease or noninfectious pneumonitis. 8. Subject with the clinically significant cardio-cerebrovascular disease. 9. History of severe hypersensitivity reactions to other mAbs. 10. Prior allogeneic stem cell transplantation or organ transplantation. 11. Subjects who require systemic treatment with glucocorticoid (>10 mg/day of prednisone or equivalent glucocorticoid) or other immunosuppressive agents within 14 days prior enter the study. 12. Receipt of live attenuated vaccines within 30 days prior to the first dose of the study drug. 13. Prior exposure to any experimental antitumor vaccines, or any agent targeting T-cell costimulation or immune checkpoint pathways (eg, anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CTLA-4, anti-CD137 or anti-OX40 antibody, etc). 14. Any condition that, in the opinion of the Investigator, would interfere with the evaluation of the study drug or interpretation of subject safety or study results.

Gender: Female

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Chongqing university Cancer Hospital

Address:
City: Chongqing
Zip: 400000
Country: China

Status: Recruiting

Contact:
Last name: Xingtao Long, MD

Phone: +86232365075619
Email: longxingtao2009@163.com

Investigator:
Last name: Qi Zhou, PhD
Email: Principal Investigator

Start date: December 29, 2022

Completion date: December 2026

Lead sponsor:
Agency: Chongqing University Cancer Hospital
Agency class: Other

Collaborator:
Agency: Liaoning Tumor Hospital & Institute
Agency class: Other

Collaborator:
Agency: Henan Cancer Hospital
Agency class: Other

Collaborator:
Agency: Fujian Cancer Hospital
Agency class: Other

Source: Chongqing University Cancer Hospital

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05687851

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