Efficacy and Safety Study of First-line Treatment With SG001 Plus Chemotherapy ± Bevacizumab Versus Placebo Plus Chemotherapy ±Bevacizumab for Recurrent, or Metastatic Cervical Cancer With PD-L1 Positive (CPS≥1)

Trial Title: Efficacy and Safety Study of First-line Treatment With SG001 Plus Chemotherapy ± Bevacizumab Versus Placebo Plus Chemotherapy ±Bevacizumab for Recurrent, or Metastatic Cervical Cancer With PD-L1 Positive (CPS≥1)

NCT ID: NCT05715840

Condition: Recurrent, or Metastatic Cervical Cancer With PD-L1 Positive (CPS≥1)

Conditions: Official terms:
Uterine Cervical Neoplasms
Recurrence
Paclitaxel
Bevacizumab
Carboplatin

Study type: Interventional

Study phase: Phase 3

Overall status: Not yet recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: Triple (Participant, Care Provider, Investigator)

Intervention:

Intervention type: Drug
Intervention name: SG001 injection
Description: 360 mg，Q3W，IV infusion
Arm group label: safety run-in Stage(single arm) and Phase 3: SG001+Platinum-based chemotherapy±Bevacizumab

Intervention type: Drug
Intervention name: Paclitaxel
Description: 175 mg/m^2，Q3W，IV infusion
Arm group label: Phase 3: Placebo+Platinum-based chemotherapy±Bevacizumab
Arm group label: safety run-in Stage(single arm) and Phase 3: SG001+Platinum-based chemotherapy±Bevacizumab

Intervention type: Drug
Intervention name: Cisplatin
Description: 50 mg/m^2，Q3W，IV infusion
Arm group label: Phase 3: Placebo+Platinum-based chemotherapy±Bevacizumab
Arm group label: safety run-in Stage(single arm) and Phase 3: SG001+Platinum-based chemotherapy±Bevacizumab

Intervention type: Drug
Intervention name: Carboplatin
Description: AUC=5，Q3W，IV infusion
Arm group label: Phase 3: Placebo+Platinum-based chemotherapy±Bevacizumab
Arm group label: safety run-in Stage(single arm) and Phase 3: SG001+Platinum-based chemotherapy±Bevacizumab

Intervention type: Drug
Intervention name: Bevacizumab injection
Description: 15 mg/kg，Q3W，IV infusion
Arm group label: Phase 3: Placebo+Platinum-based chemotherapy±Bevacizumab
Arm group label: safety run-in Stage(single arm) and Phase 3: SG001+Platinum-based chemotherapy±Bevacizumab

Intervention type: Drug
Intervention name: SG001 placebo
Description: Q3W，IV infusion
Arm group label: Phase 3: Placebo+Platinum-based chemotherapy±Bevacizumab

Summary: This study is a randomised, double-blind, placebo-controlled, multicentre phase 3 clinical study to evaluate the efficacy and safety of SG001 plus chemotherapy±bevacizumab versus placebo plus chemotherapy±bevacizumab, as first-line treatment, in patients with PD-L1 positive (CPS≥1), Recurrent or Metastatic Cervical Cancer. The study contains a Safety Lead-in Phase in which the safety and tolerability of SG001＋Chemotherapy±Bevacizumab will be assessed prior to the Phase 3 portion of the study.

Detailed description: The purpose of this study is to assess the efficacy and safety of SG001 plus one of four platinum-based chemotherapy regimens compared to the placebo plus one of four platinum-based chemotherapy regimens in the treatment of adult PD-L1 positive (CPS≥1) women with recurrent, or metastatic cervical cancer. Possible chemotherapy regimens include paclitaxel plus cisplatin with or without bevacizumab and paclitaxel plus carboplatin with or without bevacizumab. The study include two stages: the safety run-in phase and phase Ⅲ trail. Upon completion of the first stage study, the Safety Monitoring Committee (SMC) will decide whether to proceed directly to Phase Ⅲ study. The primary study hypotheses are that the combination of SG001 plus chemotherapy is superior to placebo plus chemotherapy with respect to: 1) Progression-free Survival (PFS) per Response Evaluation Criteria in Solid Tumors (RECIST 1.1), 2) Overall Survival (OS).

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Age ≥ 18 and ≤ 70 on the day of signing informed consent and volunteered to participated in this study. - Has histologically documented recurrent, or metastatic squamous cell carcinoma, adenosquamous carcinoma, or adenocarcinoma of the cervix which has not been treated with systemic chemotherapy and is not amenable to curative treatment (such as with surgery and/or radiation). - (Safety Lead-in)Has a measurable lesion per RECIST 1.1 via CT or MRI. (Phase 3) Has a assessable lesion per RECIST 1.1 via CT or MRI. - Has provided enough archival tumor tissue sample or willing to provide newly obtained core or excisional biopsy of a tumor lesion not previously irradiated for prospective determination of Programmed Cell Death-Ligand 1 (PD-L1) status prior to first dose. - Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1 within 14 days prior to first dose. - Has a predicted survival period ≥ 3 months assessed by investigators. - Adverse reactions from the previous anti-tumor treatment have not yet recovered to ≤ level 1 based on CTCAE 5.0. - Adequate organ function as defined below: 1. Blood routine tests (No blood transfusions and hematopoietic stimulators have been used, and no drugs have been used to correct blood cell counts ): Absolute neutrophil count (ANC) ≥1.5×10^9/L; Platelets ≥100 ×10^9/L; Hemoglobin (HGB)≥9 g/dL; 2. Serum biochemical indexs: Serum creatinine ≤1.5 × ULN or >1.5 × ULN with creatinine clearance (CCr) ≥ 60 mL/min; Serum total bilirubin (TBIL) ≤ 1.5 × ULN (Patients with Gilbert's syndrome can be up to 3 × ULN); Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤2.5 × ULN or ≤5 X ULN for patients with liver metastases; 3. Coagulation function: Activated partial thromboplastin time (APPT) and International Normalized Ratio (INR)≤1.5 × ULN (No anticoagulants or other drugs affecting clotting function have been used within 14 days prior to the first dose, except for patients requiring long-term anticoagulant therapy). Exclusion Criteria: - Active malignancy within 2 years prior to first dose of the investigational drug, except for cervical cancer studied in this trial and any locally curable tumor that has received radical therapy (e.g., resected basal or squamous cell skin cancer, superficial bladder cancer, cervical cancer in situ, breast cancer in situ, etc). - History of primary immunodeficiency. - History of active tuberculosis. - Patients with any active autoimmune disease, except for patients with well-controlled type I diabetes, well-controlled hypothyroidism with hormone replacement therapy, skin diseases (such as vitiligo, psoriasis, or hair loss) without systemic treatment, or those who are not expected to relapse without external triggers. - Serious cardiovascular disease within 6 months prior to the first dose, including but not limited to: stable angina with functional class III-IV; unstable angina or myocardial infarction; NYHA grade III-IV congestive heart failure; severe arrhythmias requiring drug therapy (congestive heart failure allowed if ventricular rate can be controlled; severe arrhythmias requiring drug therapy (congestive heart failure is allowed if the ventricular rate can be controlled). - History of interstitial lung disease, or non-infectious pneumonitis requiring glucocorticoid therapy. - Patients with active soft meningeal disease or poorly controlled brain metastasis. - Prior therapy with any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways including anti-PD-1, anti-PD-L1, anti-PD-L2, anti CTLA-4, OX40 agonist, and anti-CD137, etc. - Has received prior radiotherapy within 14 days prior to the first dose. - Has received prior chemosensitizer within 14 days prior to the first dose. - Presence of clinically significant hydronephros which cannot be relieved by ventriculostomy or ureteral stent placement assessed by investigator. - Patients with un-controlled pleural effusion, pericardial effusion or seroperitoneum requiring repeated drainage. - Has any active infection requiring systemic treatment by intravenous infusion within 14 days prior to the first dose. - Has received systemic corticosteroids (at doses equivalent to or greater than 10 mg/day of prednisone) or other immunosuppressive drugs within 14 days prior to the first dose. - Have received major surgery, open biopsy or traumatism within 28 days before the first dose, or planned to receive elective major surgery during the study period. - planned to receive during the study period. - Have received Chinese herbal medicine or Chinese patent medicine with anti-tumor activity within14 days prior to the first dose. - History of organ transplant or allogenic haemopoietic stem cell transplantation. - Patients should be excluded if they have a positive test for human immunodeficiency virus antibody (HIV-Ab) or treponema pallidum antibody (TP-Ab). Patients with positive Hepatitis B virus surface antigen (HBsAg) and/or hepatitis B virus core antibody (HBcAb) as well quantitative HBV-DNA above upper limit of normal value, and patients with positive hepatitis C virus antibody (HCV-Ab) as well quantitative HCV-RNA above upper limit of normal value, should also be excluded. - Pregnant or lactating women; Or the blood pregnancy test of women at child-bearing age is positive during screening. - History of severe allergic reactions and uncontrolled allergic asthma to all components of the monoclonal antibody formulation. - Has a contraindication or hypersensitivity to any component of cisplatin, carboplatin, paclitaxel, or bevacizumab. - Have participated other clinical trials and received related investigated drugs within 28 days prior to the first dose (counted from the date of the last treatment in the previous clinical trial, patients participated in the overall survival follow-up of the previous clinical trial can be accepted). - Women of child-bearing potential (WOCBP) refuse to take reliable contraceptive methods from signing the informed consent form to 6 months after last dose of investigational drug. - Not suitable for this study as determined by the investigator due to other reasons.

Gender: Female

Minimum age: 18 Years

Maximum age: 70 Years

Healthy volunteers: No

Start date: January 31, 2023

Completion date: May 31, 2026

Lead sponsor:
Agency: CSPC ZhongQi Pharmaceutical Technology Co., Ltd.
Agency class: Industry

Source: CSPC ZhongQi Pharmaceutical Technology Co., Ltd.

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05715840